ABSTRACT Abstract: The trapezo-metacarpal dislocation is an uncommon event. Usually caused by indirect mechanism. We present a case of a 26-year-old man patient who developed a chronic instability of the right thumb carpometacarpal joint, after two episodes of recurrent dislocation. The patient underwent rewarding management by Eaton-Littler's ligamentoplasty technique using flexor carpi radialis tendon. Functional result was satisfactory.
ABSTRACT Abstract: Introduction: Femoral shaft fractures are most common fractures in paediatric age group having different options to treat them. Elastic stable intramedullary nailing is one for treating these fractures and has a reliable methodology. Objective: The aim of this study is to evaluate the Short Term Outcome of Closed Intramedullary Fixation with Titanium Elastic Nail in Displaced Femoral Shaft Fractures in Skeletally Immature Children. Material and Methods: 36 femoral shaft fractures in 36 children aged 6-14 years were fixed with titanium intramedullary elastic nail between July 2017 and December 2018 in the department of Orthopaedics, Rajshahi Medical College Hospital & Royal Hospital Ptv. Ltd. Rajshahi, Bangladesh. Results: All patients achieved complete healing at a mean of 9.1 (Range 810) weeks. 31 fractures were reduced by closed means but 5 needed open reduction. No major complication was recorded. Most common minor complication was entry site skin irritation recorded in 4 patients. 86% had excellent result and 14% had satisfactory. Conclusion: Elastic stable intramedullary nailing is the method of choice for the femoral shaft fractures in paediatric patients, because it is minimally invasive and shows very good functional and cosmetic result. It allows early ambulation and shorter hospital stay and higher parent satisfaction. It also provides flexural, translational and rotational stability as well.
ABSTRACT Abstract: The ipsilateral fractures of the femur and tibia, or floating knee, is a rare injury that is observed almost exclusively in patients with multiple trauma or during high-energy trauma. It include a combination of diaphyseal, metaphyseal and intra-articular fractures of the femur and tibia, with a high incidence of neurovascular, ligament and soft tissue damage. Our work is a retrospective study of 40 patients with floating knees. The circumstances of the fractures are dominated by young men victims of road accidents with an average age of 28 years, the floating knee was part of a severe multiple trauma in 25% of cases, Open fractures represent 71.42% of cases. 71.43% of patients represent type I fractures according to FRASER classification and associated ligament injuries are found in 12.5% of cases. Intramedullary nailing has been the most frequently used method for the osteosynthesis of both bones. The prognosis of these fractures depends mainly on the age, the anatomo-pathological type, the associated lesions and the quality of the treatment.
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Mst. Tanzina Islam
Nursing Instructor, Naogaon Nursing Institute, Naogaon, Rajshahi, Bangladesh
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