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This study attempts to generate new insights into the wide spread online and offline conspiratorial discourse on COVID-19. Twofold analytical lens consisted of narrative interrelations framework and content analysis showed how the linguistic resources and conversational such as popular socio-religious discourses, hypothetical narratives, personal narratives, personal mental archives, and interpolated arguments are integrated in the interpretation of intertextual Bases such as Bill Gates’ TED talk 2015 (26%); Nematullah Wali’s predictions (32%); ‘End of Days’ book by Sylvia Browne (14.9%); and ‘The Eyes of Darkness’ novel by Dean Koontz (22%) by which the conspiracists in Pakistan construct an internally persuasive discourse promoting conspiracy theories on COVID-19. Several linguistic resources such as mood, modality, topicalization, insinuation, and intertextuality emerged as the main tools of making the conspiracy theories internally persuasive.

Impact Factor:ISRA (India) = 1.344 ISI (Dubai, UAE) = 0.829 GIF (Australia) = 0.564 JIF = 1.500 SIS (USA) = 0.912 РИНЦ (Russia) = 0.207 ESJI (KZ) = 4.102 SJIF (Morocco) = 2.031 ICV (Poland) = 6.630 PIF (India) = 1.940 IBI (India) = 4.260 Philadelphia, USA 184Abstract: Background information: In open factures or where soft tissue is damage in distal tibia the use of Traditional external fixation method is a common treatment. It is used as a temporary or an absolute treatment. But this method has some disadvantages as its huge size and it passes over the joint. Due to these reasons use of locking plates is more suitable.Methods & setting: This study was done on 20 patients who presented in Bahawal Victoria Hospital Bahawalpur with fractures of distal tibia involving metaphyseal plate. Duration of study was from January 2016 to June 2017. Locking plates were used in these cases as an external fixation contrary to traditionally used external fixation methods. Follow up of these patients was done for recording time taken for union of bones and complications were observed such as non union of fracture, malunion and surgical site infections.Results: All cases operated showed no complication of malunion, infection of plate etc. The average time for healing of fracture was 15 weeks with the range of 10-20 weeks. Plate was removed after 4 weeks of full weight bearing walk on the affected limb. The HSS score (hospital for special surgery score) was calculated. That was from 70 to 100 with mean score of 75 on first follow up (after 4 weeks), and from 80 to 100 with men score of 86 on last follow up (after 18 months). Another scoring system used was AOFAS (American orthopedic foot and ankle society) score. This score was from 88 to 100 with mean score of 90 and from 91 to 100 with mean score of 93 after 4 weeks and 18 months respectively.Conclusion: In open type fractures of distal tibia use of locking plates is ideal due to its lighter weight than traditional external fixators and it has less complication. As this does not passes over the joint so allows early mobility in the patient and provides good range of motion at the joint.

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