Volume-4, Issue-12, December 2018

Abstract

Tibial fractures are the most common long bone fracture. Among tibial fractures distal tibial fractures are quite common. There are many modalities tried to manage distal tibial fractures. This study was conducted on 60 distal tibial fracture cases to compare results of Intramedullary Nail Fixation (IMNF) and Distal Tibia Locking Compression Plate Fixation (DTLCPF) for Displaced Extra Articular Fracture of Distal Tibia in Adults. It was found that in intramedullary nail (IMNF) group full mean weight wearing time was significantly lesser than DTLCPF i.e. 7.70 weeks in IMNF group and 14.87 weeks in DTLCPF group. Mean time at which visible callous was seen was also lesser in IMNF group than DTLCPF i.e 9.30 weeks v/s 11.90 weeks. Mean time of union was without significant difference i.e. 16.13 weeks in IMNF and 17.43 weeks in DTLCPF. Mean value of DRI score is 13.00 in IMNF and 17.53 DTLCPF group. Complication rate was similar (16.67%) in both the groups. Although infections are more in IMNF group and mal-union was more in DTLCPF group but type of complication were no varies with significant difference. According to Johner and wruh’s criteria IMNF group 76.66% had good results whereas in DTLCPF 83.33% had good results which was without significant difference. It can be concluded from study that both procedure manage these type of fractures and results are well comparable without significant difference.

Keywords: Displaced Extra Articular Fracture of Distal Tibia, Locking Plate Fixation, Intramedullary Nail Fixation.

References

Keywords: Displaced Extra Articular Fracture of Distal Tibia, Locking Plate Fixation, Intramedullary Nail Fixation.

Abstract

Cataract poses a substantial economic and public health burden and is the leading cause of blindness worldwide. There are many modalities for treatment of cataract. This present study was conducted on 200 cataract cases to compare Small Incision Cataract Surgery (SICS) and Phacoemulsification (Phaco). Hundred cases of cataract were operated by SICS and 100 by Phaco. It can be concluded from this study that both intra-operative and postoperative complications were lesser in Phaco than SICS but there no significant difference in distribution of type of complications in both the groups. Among complications, the intra-operative most common complications in SICS was sutures at tunnel site in 19% of cases followed by premature entry in 11%, iris prolapse in 7%, incomplete capsulorrhexis in 5, need of enlargement of tunnel in 5%, Descemet's membrane detachment in 4% cases, posterior capsule tear in 2%, hyphema, zonular dialysis & vitreous loss in 1% of cases in each category. Surgery was prolonged in 29% of cases. Whereas in phaco the most common complications was needed enlargement of tunnel in 4% of cases followed by premature entry in 3%, capsulorrhexis in 2%, DM detachment & iris prolapse each in 1%. Conversion to SICS was 2% and in 7% of cases sutures were applied at tunnel site and surgery took long time in 7 cases. In phaco group only two type of postopeartive complication i.e. corneal oedema and previously undiagnosed ARMD was found whereas in SICS group eight postoperative complications were found.

Keywords: Intraoperative Complications, Small Incision Cataract Surgery (SICS), Phacoemulsification (Phaco).

References

Keywords: Intraoperative Complications, Small Incision Cataract Surgery (SICS), Phacoemulsification (Phaco).