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Garg, V.
- A Clinical Study on Role of Different Types of Plates in Surgical Management of Middle one Third Clavicle Fracture in Adults
Authors
1 SS Medical College Rewa, MP, IN
Source
International Journal of Medical and Dental Sciences, Vol 5, No 1 (2016), Pagination: 991-995Abstract
Background:Fractures of the clavicle is one of the most common injures of human skeleton. It has been traditionally treated nonoperatively.Objectives: The present study was undertaken to evaluate the outcome of different types of plates in surgical management of middle one third clavicle fracture in adults.
Methods: Thirty two adult patients with middle one third clavicular fractures treated surgically between July2011 to May 2013 were included for this study. 22 middle third clavicle fractures were fixed with reconstruction plate and screws and six middle third clavicle fractures were fixed with semitubular plate and screws and 4 middle third clavicle fractures were fixed with dynamic compression plate and screws. The functional outcome compared.
Result: Among 32 patients with middle third clavicle fracture treated with plate and screws 30 fractures united at an average of 11.13 weeks.
Conclusion: Clavicle fractures are usually treated conservatively but there are specific indications for which operative treatment is needed like comminuted, displaced middle third clavicle fractures. In this study reconstruction plates were used as it can be contoured to the shape of the clavicle. Semitubular plates were used in 6 patients and it had no complications but it was difficult to contour. Dynamic compression plate is strong but it gives excessive prominence through the skin and it is difficult to contour.
Keywords
Clavicle, Fracture, Non-Union, Plates, Union.- Giant Vesical Calculus
Authors
1 Department of surgery, Subharti Medical College, Meerut, Uttar Pradesh, IN
2 Subharti Medical College, Meerut, Uttar Pradesh, IN
Source
International Journal of Medical and Dental Sciences, Vol 5, No 2 (2016), Pagination: 1265-1268Abstract
A giant vesical calculus more than 100 gram is rare entity. Fewer than 30 cases are reported in English literature of vesical calculus more than 100 gm. Largest vesical calculus was of weight 6294 gm by Arthure et al. Available treatment options for vesical calculi include open surgical removal, extracorporeal fragmentation and endoscopic crushing followed by extraction of pieces. Recently, endosurgical mechanical cystolithotripsy followed by percutaneous extraction has been evolved for small or moderate-sized calculi. Our case report demonstrated vesical calculus of 400gms which is a rare finding in today urologic practice.Keywords
Giant Vesical Calculus, Open Surgical Removal, Extracorporeal Fragmentation, Endoscopic Crushing.References
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- Dietary Patterns of Antenatal Women Attending Urban Health Centre and University Health Centre of Banaras Hindu University
Authors
1 Department of Preventive and Social Medicine and Pathology, Institute of Medical Sciences, Banaras Hindu University, Varanasi-221, IN