Surgical fixation of clavicular fractures outcome and complications

To determine the outcome of K-wire fixation of Clavicular fracture in terms of union rates and complication profile. Retrospective case series study. This study was carried out at DHQ teaching hospital Abbottabad and Mansehra from March 2009 to Feb 2011. Forty five adult patients with displaced mid clavicular fractures treated with K-wire fixation in a standard Supine position were included in this study. Out of 45 patients, non union occurred in only two, Implant failure occurred in the same two cases. Most of the complications were of minor nature consisting of superficial wound infection 2, delayed union 4 and pin prominence at insertion site 10. No major nerve or vascular injuries occurred. Intra medullary K-wire fixation of displaced mid clavicular fracture with protection in early post operative period is a safe and simple procedure, achieving good union rates without major complications

Efficacy of intrasheath steroid injection in treating de quervain's disease

To determine the effectiveness of Intrasheath steroid injection in treating de Quervairfs disease. Case series observational study. Outpatient Department of Orthopedics BBS [DHQ] Teaching Hospital Abbottabad from April 2006 to Sept 2009 including a period of follow up of eighteen months. Eighty patients with de Quervairfs disease were diagnosed on the basis of positive Finkelsteirfs test and presence of severe pain for more than four weeks. These patients were given intrasheath injections of 40 mg Methyl Prednisolone mixed with one ml of lignocaine 2% in the first dorsal compartment of wrist. Patients with trauma, infection and rheumatoid arthritis were excluded from study. Seventy two patients i.e., 90% were cured and out of them 75% required only one injection .Only two cases underwent surgical release. Intrasheath steroid injection is a safe, very useful and cost effective method in treating de Quervairfs disease