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Bansal, Shiveta
- Role of Ilizarov Ring Fixator in Infected Non Union Tibia
Authors
1 PIMS, Jalandhar, Punjab, IN
2 PIMS, Jalandhar, Punjab, India, IN
3 Department of Orthopaedics, Government Medical college, Patiala, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 3, No 2 (2014), Pagination: 451-459Abstract
Background: The main surgical principle in the management of diaphyseal bone infection is thorough debridement of all nonviable tissue. None of the previously mentioned techniques afford surgeon the ability to correct deformities, eliminate antibiotic therapy, regenerate new bone without grafts and allow weight bearing during treatment.
Objectives: The present study was conducted to evaluate the clinical follow-up results with Ilizarov technique using three parameters: union, infection and function and to know the complications if any faced by the patients.
Material and Methods: This was a prospective study planned to evaluate the results of Ilizarov ring fixator on follow-up of 18 cases of either sex with infected non-union tibia. Average age of presentation was 34.5 years. Follow-up roentgenographs were used to assess alignment, bone contact and later callus formation. Healing status of the fracture was monitored using biplane roentgenographs, unchanged fracture alignment with loosening of the frame, absence of pain during ambulation with the frame destabilized. The data thus collected were analysed by using percentage and valid conclusions were drawn.
Result: Pain and swelling were the most common complication after application of ilizarov ring fixator. In this study of 18 cases, 11 (61.11%) patients had excellent, 2 (11.11%) good, 5 (27.77%) fair and none had poor results as per criterion laid down by Catteneo et al.
Conclusion: Ilizarov technique was found to be useful to progressively lengthen the extremity, achieve union without bone grafting and to correct deformities in infected non-union with or without bone gap.
Keywords
Ilizarov Ring Fixator, Non Union Tibia, Infection, Compression, Distraction.Full Text
References
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- Relation between Obesity and Osteoporosis in Women
Authors
1 Department of Physiology, Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
2 Department of Orthopedics, Punjab Institute of Medical Sciences, Jalandhar, Punjab, IN
Source
International Journal of Medical and Dental Sciences, Vol 6, No 1 (2017), Pagination: 1382-1385Abstract
Background: Osteoporosis is a multifactorial skeletal disease, whose mechanisms are not fully understood. It is more common in older people, especially in Post menopausal women. Body Mass Index (BMI) is often used to predict Bone Mineral Density (BMD). Obese women have always been considered protected against Osteoporosis and Osteoporotic fractures. Objectives: Several studies have challenged the widespread belief that obesity is protective against fracture. The aim of this study was to assess the effects of BMI on BMD in premenopausal and postmenopausal women.
Material and Methods: The study was conducted on 400 women divided into two age groups of 21-50 years (premenopausal) and 51 - 90 years (post menopausal). Subjects having history of diseases or drugs that might influence BMD were excluded from the study. Height (m) and weight (kg) were measured and BMI was calculated. Calcaneus bone was scanned for QUS to measure BMD. The diagnosis of Osteoporosis and Osteopenia were done according to WHO T- score criteria. The whole data was collected and statistically analyzed using Correlation Coefficients and Pearson's Chi Square test.
Results: Pearson's correlation analysis showed a positive correlation between age and BMI but no significant correlation between BMI and BMD.
Conclusions: The results showed that there was no statistically significant relationship between BMI and BMD (p value > 0.05). According to our results, there is no protective role of Obesity in the development of Osteoporosis. There must be more detailed study in molecular and cellular level to explain the role and influence of obesity on BMD in women.
Keywords
Obesity, BMI, Osteoporosis, BMD, Women.Full Text
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