No abstract

Scapular fractures are uncommon and are basically caused due to high-energy trauma [1]. Computed tomography with 3D reconstruction maybe helpful in diagnosed the involvement of the glenoid surface. Where a large number of cases are managed conservatively but fracture with significant displacement may require operative fixation to achieve functional stability [2]. This is a case report of 55years old male, presenting with displaced comminuted fracture involving the body of right scapula following an RTA (Road traffic accidents) trauma and having undergone open reduction internal fixation plating with excellent clinical outcomes with constant score of 100 following 1 year of regular follow-up.

Background: Discectomy is an accepted surgical treatment with better outcome, in the management of disc prolapsed. This discectomy is being done conventionally for several decades whereas endoscopic microdiscectomy is slowly picking up and more frequently being done in the past two decades. Though there were several advantage and disadvantages prevails among both procedures, the outcome remains controversy and thus this study was conducted. Methods: This study was done as a Prospective Randomized comparative study, among patients undergoing lumbar discectomy in the department of orthopedics at Sri Muthukumaran Medical College and Research Institute during January 2019 to January 2020. A total of 60 cases with disc prolapsed were included in the study. Thirty patients were randomized to each conventionl and endoscopic discectomy group. Oswestry Disability Index (ODI-for Low Back Pain) and VAS score (10 point scale) were used as clinical tool for assessment. Data analysis was done using Statistical Package for Social Sciences, version 20. Results: Significant higher duration of surgery, was reported in endoscopic discectomy compared to conventional discectomy whereas mean post operative pain score (VAS) and mean duration of hospital stay were significantly higher among the conventional group. Though ODI scores were high among the conventional group, it was not significant. Conclusion: Endoscopic discectomy is a novel, safe and effective method that minimizes invasiveness of the surgical approach.

Background: Post operative infections remains major problems for any surgeon. In orthopedic surgery, post operative wound infection carries high morbidity and mortality. Most of these infections are bacterial origin and thought to be due to wound contamination at the time of operation. Hence this study was conducted to assess the growth of organisms from suction tip and drain fluid. Methods: This cross sectional study was done among the patients undergoing orthopedic surgery in the department of orthopedics at Sri Muthukumaran Medical College and Research Institute during January 2018 to January 2020. A total of eighty post operative cases were included in the study. Following the surgical procedure the suction tip culture and drain fluid cultures were sent for analysis. The reports of the same were also entered in the proforma. Data entry was done in Microsoft excel and statistical analysis was done using SPSS version 20. Results: In this study, 6(7.5%) cases had wound infection. Among them 5(83.3%) and 1(16.7%) cases had superficial and deep wound infections. On assessing the suction tip culture, positive and negative reports were noted in 15% and 85% of cases, respectively. Drain fluid culture showed 8.7% and 91.3% cases with positive and negative reports, respectively. Conclusion:A positive report will enable the surgeon to keep a close watch on the wound behaviour and intervene earlier, if necessary and a negative culture does not ruled out the infection.