Background: The present study was conducted to compare outcome of hemiarthroplasty with dynamic hip screw for basicervical neck of femur fracture. Methods: Hospital based, randomized prospective, comparative interventional study conducted on Basicervical neck of femur fracture cases attending with orthopaedics department of S.M.S. Medical College and Hospital, Jaipur (Rajasthan, India) Results: As per the post operative complications in Hemiarthroplasty and DHS groups respectively, no significant difference was observed among the group. As per the age groups clinical score (merle's d aubigne), at 6m and 12 m Group H was better than group D. As per average functional outcome at 3,6 ,12months. Score improved with the time. Conclusion: We concluded that Hemiarthroplastymay allow better restoration of function and should be favoured for treatment of fracture neck of femur in patients that meet the indications for surgery whenever the technical competence and facilities exist. Keywords: Femur, Hemiarthroplasty, DHS
Background: The present study was conducted to open reduction and internal fixation compared with ORIF and primary subtalar arthrodesis for treatment of sanders type IV calcaneal fractures Methods: Randomized comparative prospective trial conducted on Calcaneum fracture cases attending with orthopaedics department of S.M.S. Medical College and Hospital, Jaipur (Rajasthan, India) Results: SF 36, MFA, AHS and VAS score showed almost same results in both groups at 3 months which showed statistically non significant results. Conclusion: A randomized trial was unable to demonstrate any significant difference between ORIF compared with ORIF + PSTA for the treatment of isolated Sanders type IV fractures with respect to long-term outcome. ORIF + PSTA however, should be considered for patients with Sanders type IV fractures, and the health care system as they heal at a much more rapid rate, and will not require additional surgery. This must be considered as the choice of treatment may have profound economic effects on the patient. More research is needed to find the best solutions for these difficult fractures. Keywords: ORIF, PSTA, Fracture.
Aim and Objectives : To assess the mode , pattern of injury and burden of traumatic patients in emergency department of level 1 trauma center, on a specic festival . This was an epidemiological study conducted on an utta Materials and Methods : rayan festival ( 12 January to 16 January 2023 ) with patient attending in emergency department , Institute of traumatology and Orthopedics, Sawai Man Singh Hospital, Jaipur, Rajasthan . Study group consisted of 670 patients . Inclusion criteria: injured patients of all age groups who were directly associated with festival in form of injury by thread of kite ( cut by manja ) or fall from height while ying kite on festival , attending in emergency department . 602 ( Results & Discussion: 89.85 % ) patients were injured by thread of kite (cut by manja) and 68 (10.15 %) patients were injured due to fall from height while ying kite . Ratio of male : female was 2.9:1, study shows male predominance and maximum patients (39.40 %)were injured in 16-30 years age group. Common mode of injury was cut by manja and belong to green category which were treated in emergency minor OT and discharged. 27 ( 4.02 % ) patients belonged to red category, 9 injured by thread of kite and 18 injured due to fall from height . All 27 patients required admission after primary assessment and 7 needed urgent surgery, (4 patient cut by manja and 3 fall from height) , 2 patient survived and 2 expired ( within 48 hour ) after surgery due to deep neck cut (red category). 11 patients were brought dead . Patients having deep neck cut by thread belong to red and Black category, age of all patients were below the 10 years. Patient with history of fall from height were from all age groups. we can Conclusion: decrease the number of cases in festival epidemic by wearing helmet , tie scarf around neck , avoid child sitting in front of bike rider and creating awareness among population regarding such festive epidemics, one can decrease burden of trauma patients landing up in emergency department .
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