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SUMMARY:

This study was carried out in a private Intensive Care Unit (ICU) to assess the psychiatric morbidities and major psychiatric problems in patients requiring ICU. The most common psychiatric diagnosis was found to be Depressive disorder followed by attention seeking behavior. Chemicals (organophosphorous, kerosene and other medicine) were the most frequent agent used among suicide attempt patients. Keyword: Deliberate self harm, intensive care, mood disorders DOI:10.3329/jom.v11i1.4260 J Medicine 2010: 11: 7-11

Background: Treatment of comminuted intra-articular fractures of distal radius by external fixator is an important. Objective: The aim of study was to investigate the usefulness of external fixator as a treatment option for displaced comminuted intra-articular fractures of distal radius. Methodology: This case series was conducted in the Department of orthopaedic Surgery at Shaheed Suhrawardy Medical College& Hospital, Dhaka during the period of November 2011 to July 2013. All the patients having comminuted intra-articular distal radial fractures were being treated with mini uniaxial external fixator under brachial plexus block. The average follow up was performed in about 6 month. Result: A total number of fifteen patients were enrolled for this study. The mean age with SD was 50.21±9.473. Patient outcomes were measured by modified Knirk and Jupiter score and were categorized as satisfactory and unsatisfactory groups. In this study satisfactory outcome was found in 86.0%. All fractures (100.0%) were united nicely. Few complications were encountered. Postoperative osteoarthritis was not found during follow up. Conclusion: The use of external fixator for treating the comminuted intra-articular distal radial fractures produces satisfactory result.