Ponseti treatment for idiopathic clubfoot deformity - Role of secondary care hospitals.

Ponsetti method has an excellent outcome in the management of club foot. The presented case series will spread awareness by showing the results of this technique used in secondary care centers, to share the burden of care from tertiary care hospitals. A descriptive case series was conducted at Shah Bhitai District Government Hospital, Hyderabad Sindh. Patients presenting with Idiopathic Clubfoot between birth and 12 months of age of either sex were included. The patients were followed for 5 months from the removal of their last cast. We were able to achieve correction in 80.6 % of the patients. Tendo Achilles tenotomy was performed in 90.3% of the patients. Ponseti method is a reliable and efficient way to manage club foot deformity. Spreading this message among primary and secondary health care systems will help to overcome this problem more effectively.

Terrorist attacks in the largest metropolitan city of Pakistan: Profile of soft tissue and skeletal injuries from a single trauma center / 世界急诊医学杂志（英文）

BACKGROUND: Pakistan has been hugely struck with massive bomb explosions (car and suicide bombs) resulting in multiple casualties in the past few years. The aim of this study is to present the patterns of skeletal and soft tissue injuries and to review the outcome of the victims who presented to our hospital. METHODS: This is a retrospective chart review from January 2008 to December 2012. The medical record numbers of patients were obtained from the hospital Health Information and Management Sciences (HIMS) as per the ICD-9 coding. RESULTS: During the study period, more than 100 suicide and implanted bomb blast attacks took place in the public proceedings, government offices, residential areas and other places of the city. Altogether 262 patients were enrolled in the study. The mean age of the patients was 31±14 years. The shrapnel inflicted wounds were present on to the upper limb in 24 patients and the lower limb in 50. CONCLUSION: Long bone fractures were the most common skeletal injuries. The fractures were complicated by penetrating fragments and nails which result in post operative infections and prolonged hospital stay.