Résumé
There is no consensus on the best treatment for acute Achilles tendon rupture. Functional rehabilitation after surgical treatment has been widely recognized, but the functional rehabilitation of non-surgical treatment has not been specifically studied. Based on the clinical practice of all kinds of Achilles tendon rupture, the best dynamic functional rehabilitation scheme and evaluation method were discussed. In order to bring more effective rehabilitation strategies for patients with Achilles tendon rupture, and reduce the rate of re-rupture and complications.
Résumé
Introduction: With scientific advancements day care surgery (DCS) nowadays has become a modern and effective way to treat pediatric patients. DCS and anesthesia are practiced and has been reported to be safe and economical for infants and children requiring routine minor surgeries in all specialties. Objective: To assess the feasibility and acceptability of day-care anesthesia and surgery in a tertiary care center. Materials and Methods: A 4 years prospective study was conducted from January 2011 to January 2015 in Chirayu Medical College and Hospital Bhopal, India. Total of 201 consecutive patients with American Society of Anesthesiologists I-I1 status and aged 3 months to 14 years were studied. Patients were operated as day-cases using monitored general or local anesthesia. Results: The age distribution of patients’ shows that maximum no of patients were in the age group 4-6 years, 98 (48.7%) cases. Circumcision was the most common surgery performed in our setting. Most of the operative procedures were completed within 30 min (29.8%) cases. Nausea, vomiting and minor bleeding were the most common complaint and reason for post-operative night stay in the hospital. Conclusion: Pediatric day care anesthesia and surgery are safe and feasible, but good selection criteria, appropriate setup, and careful monitoring are must for good results.
Résumé
Objective To review the results of operative treatment of the distal radius fractures. Methods The group of 12 cases were classified accorded to universal classification. There was 1 case of type Ⅲ, 3 cases type ⅣA,2 cases type ⅣB, 5 cases type ⅣC and 1 case type ⅣD. Five of them were checked preoperatively by spiral CT and three dimensional evaluation. They were given respectively treatment by external fixation, by volar or dorsal buttress plate, with or without percutaneous K wires. Results The average period of follow up was 12 months. 9 cases were excellent and 2 cases were good. The excellent and good rate was 91.7%. Conclusions Operative interventions for intra articular fractures of distal aspect of the radius should be considered when non operation management failed. The spiral CT and three dimensional evaluation can reveal enough information about the fracture preoperatively. The proper operative method should be chosen according to the fracture type.