RESUMO
Objective: To assess the functional outcome of external fixator in children with open tibial fracture in the department of Orthopaedics Surgery of LUH Hyderabad/ Jamshoro
Study Design: Observational / descriptive study
Place and Duration of Study: This study was conducted at the Orthopaedic Department of LUMHS from June 2014 to March 2015
Materials and methods: In this study, 60 children [younger than 12 years] suffering from Gustilo grade II and III open fracture of tibia were admitted at the emergency department of the center and evaluated. All the cases were treated with external fixation, after complete counseling their parents or their attendants. While the children were admitted at the emergency department of the hospital, they underwent prophylaxis using antibiotic. All patients underwent washing and primary debridement operation at the emergency department. According to the attending surgeon, the patients were treated either using external fixator after hospitalization. After management union of the fracture was assessed through clinical examinations such as lack of pain, tenderness, and radiography of both lateral and anteroposterior [AP] views during the follow-up period
Results: In this study mean age was found 10.3 +/- 3.6 years, male were found in majority 42[80.67%]. Road traffic accident was the most common cause of mechanisms of injury was in 35[67.31%]. Cases with grade III type of fracture found in majority 57.69%. union after management was achieved 98.8% of the cases, superficial infection was found in 06[11.53%] cases, while deep infection, Malunion and delayed union were found 03[5.76%], 07[13.46%] and 05[9.61%] respectively. While non-union was found only in one case
Conclusion: External fixator is very safe, insignificant intrusive, get short surgical time, following by short hospital duration as well as can be applicable as unequivocal and effective administration of open fractures of tibia among children
RESUMO
Objective: To assess the functional outcome of frozen shoulder when treated with physiotherapy vs intrarticular injection of corticosteroid the department of Orthopaedics Surgery of LUH Hyderabad/ Jamshoro
Study Design: Observational / comparative study
Place and Duration of Study: This study was carried out in the Orthopaedic Department of LUMHS, Hyderabad/ Jamshoro from August 2013 to March 2014
Materials and Methods: In this study, 100 cases between age of 40-70 years selected after diagnosis of frozen shoulder or adhesive capsulitis. All the cases having pain into shoulder moving function for minimum 3 months of period, both gender and detected adhesive capsulitis or frozen shoulder were included in the study. Later on, subjects were isolated at random into groups, 48 cases of group A were underwent intrarticular injection of corticosteroid and the 52 cases of group B were underwent physiotherapy management. Result assessed at 4 and 8 weeks follow up continue at 16 weeks
Results: In this study mean age was found 55.23 +/- 9.8 years. In this forth week follow up visit we found more improved patients 29/69% in Interarticular Injections group out of 42 cases, and in 23/50.5% cases found improvement in physiotherapy group out of 45 cases. Similarly 4[th] and 8[th] week follow-up on 16[th] week also some cases were missed, but on this follow up visit we found physiotherapy is the superior than Interarticular Injections group. As well as in this 16[th] week follow up visit we found improvement in the majority of patients 30/81.0% in physiotherapy group out of remaining total 37 cases, and in 17/58.6% cases found improvement in Interarticular Injections group out of remaining 29 cases
Conclusion: Physiotherapy has better result in reduce pain and range of movement [ROM] exercise than Interarticular injections of cortisone plus home exercise in the long time