Efficacy of bipolar hemiarthroplasty in the elderly people: a study in a tertiary care centre

Background: Intertrochanteric fractures are associated with severe displacement and comminution are very common among the elderly patients especially women. Hemiarthroplasty is a procedure, where the head of the femur is replaced with a prosthetic implant. This study was performed to evaluate the efficacy of the bipolar hemiarthroplasty among the elderly patients with intra capsular fractures.Methods: Bipolar hemiarthroplasty with or without cement was performed on 77 patients above the age of 60 years with femoral neck fractures.Results: Out of the 77 patients, 79.2% were females and 20.8% were males. The mean age of all the patients was 68.4 years. Type IV was found to be most common among the elderly. The outcome of the surgery was excellent in more than 75% of the cases. Only one patient had a poor outcome. The most common complication of the surgery was limb shortening in 5.2% patients followed by superficial infections in 2.6%. Conclusions: Bipolar hemiarthroplasty for the unstable hip fractures in the elderly has good results with early mobilizations and minimal complications. This ultimately affects the general health of the patients and reduces morbidity and mortality

Comparison of study of a dynamic condylar screw surgery and distal femoral locking compression plate technique in distal femoral fractures

Background: An extensive soft tissue damage, intra articular extension, severe comminution and injury to the quadriceps mechanism make the management of the distal fractures of the femur a significant challenge. The advent of techniques such as dynamic condylar screw surgery and distal femoral locking compression plate technique have improved the, management of these fractures compared to the conventional methods. We in the present study have attempted to compare the outcomes of Dynamic condylar screw surgery and distal femoral locking compression plate technique.Methods: 72 patients over the age of 20 years who sustained simple or compound factures of the lower 1/3rd of femur and admitted into our hospital were included into the study. The patients were divided into 2 groups, one group who underwent Dynamic condylar screw surgery and the other groups were managed by distal femoral locking compression plate technique.Results: The most common cause of fracture was road traffic accidents, involving both two wheelers as well as four wheelers (51.4%). 19.4% of the patients had a fall from height and 13.9% had a fall from standing height. The mean operative time in DCS was about 121 minutes in comparison to 118 minutes in the LCP. The average hospital stay and the no of RBCs used were comparable in both the cases. Although the mean number of days for full weight bearing as well as the average time of union of the fracture was marginally lower in LCP than in DCS, it was not significant. Conclusions: It is therefore observed that both condylar screw and the locking plate are very similar in their performance and satisfaction to the patients, although distal femoral locking plate is better in comminuted distal fracture compared to the dynamic condylar screw fracture management

Treatment of open tibial shaft fractures using intra medullary interlocking

Background: It has been estimated that annual incidence of open fractures of long bones is 11.5 per 100 000 personswith 40% occurring in the lower limb and commonest site is the tibial diaphysis. This study was performed to evaluate clinical outcome of patients with open fracture of shaft of tibia.Methods: It was a hospital based observational prospective study was performed on a total of 30 study participants were enrolled and out of them 2 were lost to follow up. After discharge follow up was done every four weeks for clinical, radiological progress of bony union and soft tissue healing.Results: Majority of the study participants were in the age group of 31-40 years (37%). Males were the main study participant (63.3%). The process of healing took for about 13-16 weeks in 57.1% of the study participants were as in 18% of them it healed within 12 weeks. In 25% of the study participants the healing was completed in more than 16 weeks. Conclusions: It has been observed from the study that interlocked intramedullary nailing is a very effective and safe and technique for the management of open tibial fractures

Comparison of the protein fractions of finger millet

Sodium dodecyl sulphate-polyacrylamide gel electrophoresis (SDS-PAGE) has been employed to resolve protein subunits of finger millet (Eleusine coracana) varieties according to their MW. These studies have established that varietal differences exist in the protein composition of finger millet varieties. The MW distribution of the protein subunits in the albumin-globulin, prolamin and glutelin fractions show many differences between the parental and cross-bred varieties and these differences are greater in the albumin-globulin and glutelin fractions than in the prolamin fraction. The amino acid compositions of the protein fractions show some differences between varieties. © 1978

A study to assess epidemiological, clinical profile and outcome of Monteggia fracture dislocation in adults: a retrospective study

Background: Among all the forearm fractures Monteggia fractures account for approximately 1-2%. Early recognition with anatomical reduction and stable internal fixation is most important in the management of Monteggia fractures. This study was performed to evaluate clinical profile and functional outcome of Monteggia fracture dislocation.Methods: This retrospective study was done on 381 forearm fractures, out of which 31 were Monteggia fracture dislocation. All adults patients who were >20 years were included in the study.Results: During the study period, of 381 cases 31 (8.1%) were having Monteggia fracture dislocation. Most of the study participants were males in (61.2%) compared to females (39%). The cause of the fracture in most of the cases was road traffic accidents accounted by 45%. In most of the cases, the outcome of the operation was excellent (61.3%). Conclusions: If the injury is properly classified and if stable anatomical reduction is achieved at the proper time then the results will always be excellent. In present study all the patients achieved excellent results after surgery

Low Carbon Mobility Plans: A Case Study of Ludhiana, India

AbstractTransportation is one of the driving forces of any economy. The reliance on petroleum as a fuel is a main source of concern. The major share of transport sector in petroleum has many consequences. India is the world's 4th largest emitter, responsible for ∼5% of the world's carbon emissions, the major contribution of this emission is from transport sector.In this study a low carbon mobility options for Ludhiana city as a case study is presented. In order to understand the impact of these options a stated preference survey is carried out. The shift to low carbon modes (bicycles, walk and public transport) is quantified. Shifts from petroleum driven vehicles to electric is also discussed. The projection to the future the per capita emissions of each of the scenarios: Scenario 1: Lanes for bus, bicycle and walk, Scenario 2: Scenario 1 plus improved buses, Scenario 3: Scenario 2 +policy against cars, Scenario 4: Electric vehicles (electric equivalents of two-wheelers and cars). It is found from the study that the emissions are least for scenario 3 (when there are parking policies imposed against cars in addition to improved transit policy and buses along with independent lanes for buses, and dedicated paths cycling and walkin