RESUMO
Background: Isolated PCL avulsion fractures are uncommon. The road traffic accidents (RTA), sports injuries are common causes along with domestic trauma. Methods: We conducted a prospective study with sample size of 34 patients to evaluate the outcome of isolated PCL avulsion fractures treated with cancellous cannulated screws over washers. Results: Our study included 47.06% RTA, 26.47% sports trauma and 26.47% domestic injuries. Standard Burks schaffers approach was used in all 34 cases. Delayed union was found in 5.88 % beyond 16 weeks although none needed revision or reconstruction. The delayed union was obvious in patients with comminuted fractures, which were fixed with washers on screws along with pull through sutures. All the cases were evaluated using Lysholm, IKDC and objective PDT manual examination. Conclusion: The isolated PCL avulsion fractures treated with fixation have good Lysholm and IKDC scores, although objective laxity is present in significant number of cases without subjective disability. The isolated PCL injuries have good results if managed surgically.
RESUMO
Dyslipidaemia is a major risk factor for the development of cardiovascular disease. Present study, was aimed to find out the lipid profile in hospitalized patients. The mean ± SD (mg/dl) level of total cholesterol (TC), triglyceride (TG), low density lipoprotein (LDL) and high density lipoprotein (HDL) in hospitalized patients were 183.02±49.76, 165.04±81.2, 113.16±41.25 and 36.46±9.14, respectively. The higher LDL level was found in 18% of patients while 14% patients were at borderline. The higher TG level was found in 14% of patients while 26% patients were at borderline. Higher HDL level (>40mg/dl) was found in 34% of the total hospitalized patients. Present study showed the desirable TC level in 66%, normal TG in 46% and normal LDL (<129 mg/dl) in 68% of hospitalized patients. Mean TC, TG, LDL and HDL levels showed increasing trend with age. Extremely significant correlation was found in total cholesterol where as significant correlation was found in TG while no significant correlation was found in HDL and LDL in 21-40 yr age group in total hospitalized patients. Highly significant correlation was found in total cholesterol where as extremely significant correlation was found in HDL while no significant correlation was found in TG and LDL in 41-60 yr age group in total hospitalized patients. We conclude that lipid profile estimation should be done in all hospitalized patients as early as possible, irrespective of etiology, so that better management is possible for these patients.