Comparison of Mechanical Properties of Non-ridged Versus Ridged Backslabs in Lower Limb Fractures.

Introduction Lower limb fractures frequently require immobilization with backslabs to promote healing. This study investigates a novel approach involving the incorporation of a single ridge to enhance backslab strength while maintaining cost-effectiveness. Objective The aim of this study was to assess the mechanical performance of ridged backslabs in comparison to traditional non-ridged backslabs, specifically focusing on their load-bearing capacity and cost-effectiveness when used in lower limb fractures. Methods This experimental study, conducted between January 2023 and June 2023, compares three groups of backslabs with varying layers (eight, ten, and twelve) that were fabricated, each consisting of four ridged and four non-ridged specimens. These backslabs, constructed from six-inch plaster of Paris rolls, were 190 cm in length. A three-point bending test was conducted on both groups using a Hounsfield H100KS Universal Testing Machine (Tinius Olsen Ltd., Redhill, UK), with a crosshead speed of 5 mm/min and a span distance of 190 mm between supports. Results Significant differences in mean maximum force endured were observed between the ten-layered and twelve-layered flat and ridged backslabs (p-values: 0.003 and 0.004, respectively). Ten-layered ridged backslabs exhibited a 56 N higher load-bearing capacity, while twelve-layered ridged backslabs withstood 73.9 N more force than their flat counterparts, underscoring the superior strength of ridged lower limb backslabs. Conclusion Ridged backslabs outperformed non-ridged backslabs in terms of strength when subjected to external forces. These findings support the potential adoption of ridged backslabs as a lightweight, cost-effective, and robust alternative for immobilization in lower limb fractures.

Rare case of posterior hip dislocation caused by low-energy trauma in a boy in early adolescence: acute and long-term management-review of the literature.

The incidence of hip dislocations in teenagers caused by low-velocity trauma is a relatively rare finding and constitutes a true orthopaedic emergency. Prompt reduction is recommended to avoid long-term complications. On average, the non-weight-bearing period ranges from 4 to 6 weeks. Follow-up with radiographic imaging is necessary to evaluate for hip pathologies over time. In this paper, we will report the findings of a posterior hip dislocation in a healthy boy in early adolescence caused by a ground level fall on grass with review of the literature. Closed reduction of the right hip was performed within 4 hours of the dislocation. A 6-week non-weight-bearing period was recommended before transitioning into a 2-week period of partial weight-bearing. At 12 weeks, our patient returned to sports and had negative radiographic and clinical findings of hip pathology throughout the follow-up period.

Fish scales as a non-lethal tool of the toxicity of wastewater from the River Chenab.

Water pollution is gradually increasing in natural waters through anthropogenic activities. This study aimed to use fish scales as a bio-indicator of pollution, along with water quality parameters, and the assessment and detection of selected heavy metals in water samples collected from the River Chenab, including the Chakbandi drain that gathers domestic sewage waste and industrial effluents from Faisalabad and deposits it into this freshwater body. All water quality parameters (pH, total dissolved solids (TDS), total suspended solids (TSS), salinity, conductivity, biochemical oxygen demand (BOD), chemical oxygen demand (COD), phenols and sulphates) and concentrations of selected heavy metals (Cd, Cu, Mn, Pb and Cr) were found to be considerably higher than permissible limits as defined by the WHO, and therefore capable of causing ill health effects in aquatic organisms. Specimens of fish scales from selected fish were described qualitatively and observed quantitatively. In Catla catla, Labeo rohita and Cirrhinus mrigala, the scales showed several deformities in shape and different scale structures such as circuli, radii and annuli. In each of the three types of fish, considerable variation in the morphology of their scales was observed in specimens collected from polluted sites.