Open / compound fractures of the limbs are very common and challenging in this modern era of industrial and road traffic accident and is a difficult task for the orthopaedic surgeon. The aim of this study is how to minimise the morbidity, mortality, incidence of amputation and other complications of fractures by way of timely intervention with different types of flap coverage of limbs. This study was carried out in the department of orthopaedics and traumatology and department of plastic surgery -Osmania General Hospital, Hyderabad during June 1996 -Feb 1999. A total no. of 68 cases of soft tissue coverage procedures were done including different varieties of flaps like split skin grafting, fascio cutaneous, muscle, cross leg, abdominal, groin and free flaps in patients of 18 -45 years of age group and more than 80% patients are males. In our study of 68 cases of reconstruction, 38 cases (55.8%) are carried out in the form of skin grafts, 16 cases (23.5%) are local flaps-muscle and fasciocutaneous flaps, 8 cases (11.7%) are cross leg flaps, 2 cases (2.9%) are abdominal flaps, 2 cases (2.9%) are groin flaps and 2 cases (2.9%) free flaps. The grading of results are assessed based on sound union of the fracture, stiffness / range of movements of neighbouring joints, amount of scar, presence / absence of DNVD and flap necrosis. We achieved excellent results in 32 cases (47.0%), good in 20 cases (29.4%), fair in 12 cases (17.7%) and poor in 4 cases (5.9%). It is very much useful by timely intervening and planning for soft tissue coverage in minimising the incidence of infection rate, decreasing the hospital stay and facilitating the congenial condition for further definitive management of fracture union. Flap coverage of the limbs has a most significant role in decreasing the morbidity, mortality and amputations of limbs due to infection of soft tissue and infected non unions.

Background: Physical activity and exercise are important part for better physical and mental health including the older adults .TV viewing which is a common type of sedentary behaviour in developed and developing countries is being paid less attention. Excess sleep or lack of sleep is a predisposing factor for NCDs such as DM. Objectives: 1.To assesses the physical activity and TV viewing patterns among adults in the age group of 20 to 60 years, among cases and controls in the urban field practice area of a medical college. 2 To assess the sleep patterns among cases and controls in same study population. Methods: It is a community based case control study. The data was collected from individuals in the age group of 20 to 60 years among cases and controls. Cases were those diagnosed with Hypertension and DM. Those who were found negative were taken as controls. Purposive sampling was done with a sample size of 108. Semi structured questionnaire was used. Descriptive statistics and odds ratio was calculated. Results: Cases were found to have physical Inactivity when compared to the controls.TV viewing was highest among cases when compared to the controls. Excess sleep or lack of sleep is found to have a positive risk factor for development of NCDs. Conclusion: Physical inactivity was more among the cases when compared to the controls.TV viewing of more than 4 hours were highest among the cases when compared to the controls. Sleep of less than 6 hours was more among the cases

No abstract