Need of the Hour.

Belonging to Millennial generation, Generation Z and Generation Alpha we have lot of changes in livelihood and lifestyle. From an orthopaedic surgeons perspective, we notice a change in diseases and disorders specific to this millennial generation. Lot of changes in lifestyle of people in past 20 years have caused newer challenges in the way doctors have been treating their patients. I hereby present a sneak peek into some of the generation specific diseases and disorders due to rampant explosion of technology in past twenty-five years. From usage of mobile phones to computers and the way we commute every day. The way we sit, the way we sleep and the way some of the young generation earns livelihood has many disorders related to posture, stress, overuse and work environment.

Back to Fine Work with Fine Surgery.

Generation Z of this millennial period has a very active lifestyle. Generation Z is demographic cohort with date of birth between mid-1990s to late 2010. In recent times men and women are very active and they balance their work and recreation. They have focus in their occupation and same way they have passion towards biking, diving and sports. We present a case of software engineer who has sustained an injury while pursuing his passion of bike driving on a weekend holiday. He sustained a crush injury to fingers of dominant right-hand index and middle finger. We had a comprehensive preoperative and postoperative plan and executed the plan well so that he could go back to his occupation of software engineer where he has to use his fingers over keyboard and mouse so that he can earn his livelihood. Treating an injury has to include patient's occupation, his passion,his needs and demands. Crux of any management must include patient demands rather than surgeon's passion of doing a fancy procedure.

Catastrophic cervical spinal injury in an amateur college wrestler.

A young amateur wrestler presented with a burst fracture of the seventh cervical vertebra with complete paraplegia. He was treated with surgery for spine stabilisation and was actively rehabilitated. Adolescents and teenagers are indulging in high-contact sports like wrestling, without proper training and technical know-how, which can lead to severe injuries and possibly, permanent handicap or death. Trainers, assistants and institutions should be well equipped to diagnose and provide initial care of people with a spinal injury to prevent a partial injury from progressing to complete injury. Athletes, coaches and the public should be aware of methods of first aid and how to transport a patient with a cervical spine injury. Authorities should take steps to improve infrastructures in training institutions and ambulance services. Specialised spinal centres should be established throughout the country for management and rehabilitation of patients with paraplegia.