A B C D E F G H I J K L M N O P Q R S T U V W X Y Z All
Mahapatra, S.
- Stage-4 Sacral Pressure Ulcer Managed With Low Cost Vacuum Foam Dressing
Authors
1 Paul Brand Centre for Hand and Reconstructive Microsurgery, Christian Medical College, Vellore, Tamil Nadu, IN
2 Department of Anaesthesiology, JIPMER, Puducherry, IN
Source
The Indian Practitioner, Vol 68, No 2 (2015), Pagination: 34-39Abstract
Introduction: Pressure sores or decubitus ulcers a multifactorial iatrogenic complication occurs in 5 to 10% of hospitalised patients. Management of stage 3 and stage 4 fatal pressure sores is often challenging and prevention is the best strategy. They require repeated debridements, long term hospital stay and surgical interventions in the form of flap coverge and/or vacuum assisted closure. Flap coverage is associated with complications of surgery. Vacuum suction devices are not available in most parts of developing countries and the cost is beyond the reach of the common man.
Study: Here we have assessed the efficacy of a low cost negative pressure wound therapy technique on stage 4 sacral bed sore.
Aim: The aim of this case report was to test the effectiveness of this technique in the generation of granulation tissue, control of infection and preparation of wound bed for further procedures. Results of case were convincing and encouraging enough for considering this method for further studies.
Keywords
Pressure Ulcer, Vacuum Foam.
- Evaluation of Function after Proximal Femoral Varus Osteotomy for Perthes Disease (Avascular Necrosis of the Proximal Femoral Head)
Authors
1 Paul Brand Centre for Hand surgery, HLRS Office, Paul Brand Building, CMC, Vellore, Tamilnadu, IN
2 Dept of Anaesthesiology and Critical care, JIPMER, Pondicherry, IN
Source
The Indian Practitioner, Vol 68, No 10 (2015), Pagination: 21-24Abstract
Background: Among the various methods of containment, femoral osteotomy is being widely used. The results are yet to be completely understood.
Material and Method: 20 Cases of Perthes disease underwent femoral osteotomy in between 2011-2014. 10 Cases which were conservatively treated were used as control. All cases were grade 2, 3, 4 (Caterall) hip with "head at risk". Follow up done at regular intervals for an average of 2 years. Hips that were not containable and were grade 1 Caterall lesion were excluded from study. Assessment - Clinically by Harris Hip Score(HHS). Radiologically by - 1) C.E. Angel of Weiberg, 2) Moss template. 3) Epiphyseal quotient.
Results: Clinically HHS was 88.74 (mean) for operative group and 69.7 (mean) for conservative group. Limb shortening on average was 1.5 cm. In the Radiologically operative group 75% had good or excellent result. In conservative group 30% had poor result.
Conclusion: Containment in form of femoral osteotomy definitely offers better results than conservative group. Limb shortening that follows osteotomy was not significant until concomitant femoral capital epiphyseal arrest.
Keywords
Perthes Disease, Conservative Treatment, Femoral Osteotomy.- Post Traumatic Anterior Dislocation of Hip in a Five Year Old Child
Authors
1 Department of Orthopaedics, Mahatma Gandhi Medical College and Research Institute, Pondicherry, IN
Source
The Indian Practitioner, Vol 69, No 6 (2016), Pagination: 31-34Abstract
Dislocation of the Hip in infants, toddlers and adolescents can occur either as an isolated congenital abnormality or associated with a spectrum of other birth defects. Post-traumatic dislocations of the hip in children are very uncommon, and anterior dislocation of the hip joint is even rarer. We report such a case following road traffic accident in a five-year-old child. The patient underwent successful emergent closed reduction of right hip under general anaesthesia. The clinical course and follow-up assessment of the patient were otherwise uneventful. At one year follow-up, there was no evidence of growth abnormalities in the head, no secondary arthritis and no signs of avascular necrosis.Keywords
Hip, Anterior Dislocation, Child.References
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