Background: Subtrochanteric fractures account for 10-30% of all hip fractures, affecting persons of all ages. Mostly, these fractures are seen in older osteopenic patients after a low-energy fall and younger patients involved in high-energy trauma. Extramedullary as well as intramedullary fixation techniques have been used to fix such fractures.Objective: To study the clinical outcomes in patients with subtrochanteric femur fractures treated with extramedullary or intramedullary devices for fixation. Materials and Methods:Prospective study of traumatic subtrochanteric fractures of femur was carried out among 36 patients at department of Orthopaedics, New Civil Hospital, Surat during January 2013 to December 2014. During surgery, reduction was aimed by closed techniques but when required direct or indirect methods were applied as deemed necessary. Reduction of medial wall and calcar buttress were given prime importance. Pre designed and pre tested semi structured questionnaire was used and analysed with MS Excel and SPSS.Result: Extramedullary fixation among 17 cases and intramedullary fixation among 19 cases were carried out. Mean follow up was 23.9 months (16.5-27.6 months). Mean age was 42.4 years (19-60 years). A mean incision size was 10.3 cm in intramedullary fixation and 21.8 cm in extramedullary group. Average stay in hospital was 15 days (8-46 days) for intramedullary group and 20.41 (7-55 days) for extramedullary group.Conclusion: Intramedullary method of fixation requires smaller exposure (incision size) hence lesser blood loss, shorter operating time and shorter hospital stay than extramedullary method of fixation.

No abstract

Introduction: Determining the position of the neoumbilicus in cases of abdominoplasty has always been tricky. Objective: To present a simple method of determining the position of the neoumbilicus in cases of abdominoplasty. Methods: Presentation of a technique used in 50 cases of abdominoplasty. Results: This method has been found to be foolproof in more than 50 patients. Conclusion: The main advantage of this method is that patients get a neoumbilicus that is in its original position every single time.

<p class="abstract"><strong>Background:</strong> <span lang="EN-IN">Suppurative arthritis of hip is pyogenic inflammation of synovial membrane of the hip, usually due to bacterial infection. The main aim of early diagnosis and treatment of septic arthritis of hip is to prevent damage to articular cartilage and growth plate, give stable and painless hip and to resume normal development and prevent sequelae.</span></p><p class="abstract"><strong>Methods:</strong> <span lang="EN-IN">Pro</span><span lang="EN-IN">spective interventional study consisted of 34 patients with 36 Hips septic arthritis of hip less than one year of age carried out at Department of Orthopedics of a tertiary care centre during August 2011 to December 2013. Risk factors and related laboratory investigations were carried out. Data entry and analysis was done by MS Excel 3.0</span>.<strong></strong></p><p class="abstract"><strong>Results:</strong> <span lang="EN-IN">In our study more than 70% patients presented after one week. Left sided hip involvement (59%) was more common followed by right hip (35%). Sex ratio of the study population was   M: F-4:6.  NICU admission was present in 94% cases.  In many of our patients there were more than one risk factors like septicemia, low birth weight, jaundice and ventilator support. </span></p><p class="abstract"><strong>Conclusions:</strong> <span lang="EN-IN">All NICU neonates should be handled with strict aseptic precaution.</span></p>

Context: Most frequent fractures of proximal femur are intertrochanteric fractures which involve upper end of femur between both trochanters with or without extending into the upper femoral shaft occuring commonly in geriatric patients. Unstable contribute to about 50%-60% of all intertrochanteric fractures. Aims: Though intertrochanteric fractures unite without surgical intervention, malunion with coxa vara deformity occur with conservative management. The aim of fixation of intertrochanteric fractures is to prevent morbidity and mortality. With this aim of stable surgical reconstruct of intertrochanteric fracture this study was done to evaluate functional, clinical and radiological outcome of unstable intertrochanteric fracture operated with dynamic hip screw with trochanteric stabilization plate (extra meduary fixation) and proximal femoral nailing (intramedullary fixation) and study epidemiology and demographics of intertrochanteric femur fractures in Indian scenario. Settings and Design: Methods and Material: The study was conducted at New Civil Hospital Surat. 50 patients with unstable intertrochanteric femur fractures admitted between february 2018 to march 2019. Conclusions: In this study we found that both-extra-medullary or intramedullary fixation were able to provide good clinical result for unstable Intertrochanteric femur fracture. We conclude that there is statistically significant difference between patients operated with DHS with TSP (Extra medullary implant) and Proximal Femoral Nail (Intramedullary implant) in terms of Blood loss, Mean operative time and functional outcome. Harris hip score in patients treated with PFN had better Harris hip score at final follow up which was statistically significant. All patients in both groups had bony union at final follow up. Blood loss and duration of surgery was significantly less with intramedullary Implant.