Prox-imal Femoral Nail in Reverse Trochanteric Femoral Fractures: An Analysis of 53 Cases at One Year Follow-Up

Abstract Treatment of reverse oblique trochanteric femoral fractures poses a lot of challenges. There have been proponents of intramedullary devices as well as extramedullary devices. We present the results of proximal femoral nailing surgery performed for reverse obliquity intertrochanteric fractures using two proximal lag screws and a nail of 250 mm. There is prospective study of fifty three patients with AO/OTA 31 A-A3 fractures being treated by proximal femoral nailing in our institute after seeking approval from the Hospital ethics board. The quality of the reduction, the operative time, complications and the functional status of the patients were the parameters on which the results were evaluated. The mean Harris hip score was 76.66 (range 70 -93) and the mean Barthel activity score was 16.21 (range 12 -20). The average surgical time was 50 minutes and the mean consolidation time was 11.5 weeks. Intramedullary nailing with proximal femoral nails seems to be a good option in the treatment of reverse obliquity intertrochanteric fractures as against the various existing options available for the management

Suprapatellar nailing in complex Tibial Fractures

Purpose: This study evaluates the functional and radiological outcomes of segmental and comminuted tibial fractures using a suprapatellar approach in semi extended position. Methods: A total of 62 patients, with a mean age of 40.8 (range: 21–78 yrs) and 43 males and 19 females, were retrospectively evaluated between January 2017 and December 2022. Patients with comminated tibial fracture AO Type 42 C3 (32) and segmental AO Type 42 C2 (21) AO Type 42 C1 (9) were treated with a IMN using the suprapatellar technique. There were 51 closed fractures and 11 grade-one open fractures. All patients were subjected to the suprapatellar nailing technique in the semi-extended position. Results: Fracture healing 20.4 weeks on average was needed for the fracture to heal in segmental and 21.2 weeks in comminuted fracture. There were two instances of the delayed union in comminuted fractures. In two cases of segmental fracture dynamization is required. One case of non-union required bone grafting in a segmental fracture and in two instances in comminuted fractures to improve union after four months of monitoring. Primary union occurred in 56 patients. After minimum of 10.2 months of follow-up. According to Johner and Wruh’s criteria with modifications, out of 62 patients, 47 had excellent results, 10 had good results, and 5 had fair results. Conclusions: In segmental and comminuted fracture tibia, the suprapatellar IMN technique in a semi-extended position results in a significantly lower rate of malalignment, and good union because of soft tissue friendly bypass surgery

ISSN: 2454-132X Impact factor: 4.295 Study of Dry Eyes in Post Menopausal Women-A Rural Hospital Based Study

ABSTRACT: Purpose: To establish the occurrence and prevalence of dry eye in postmenopausal women in a rural hospital and also to establish the effect of age on dry eye. Material and methods: Female patients of post menopausal age groups, i.e. 45 years and above age group, attending Ophthalmology Out Patient Department at Acharya Vinoba Bhave Rural Hospital, Sawangi, and Wardha underwent complete eye check-up. Patients suffering from Lid disorders, trauma, diabetes, contact lens wearers, on medications which can cause dry eye and those not giving consent were excluded from the study. Their detailed ophthalmological examination was carried out and also their evaluation by physician was done. Schirmer's test 1 was done for diagnosis of dry eye. Discussion: In this study, total 500 female patients were examined, out of which 185 fit the criteria for our study , i.e. , they presented with dry eye. So the prevalence came out to be 37%.The 185 female patients included were between the age group of 45 and above years of age .So they were divided into five age groups. First 45 to 49 years of age which included 20 females, second was 50 to 54 years of age which included 31 females, third was 55 to 59 years of age which included 52 females, fourth was 60 to 64 years of age which included 60 females and fifth was above 64 years of age which included 22 females. According to our study, as age progressed, the percentage of patients with dry eye increased with the Pearson's Correlation Factor (r=0.9714).The minimum percentage of dry eye was in patients within age group of 45-49 years i.e. 30% while maximum number of patients with dry eye was in patients >64 years of age i.e. 44%.This proves that dry eye incidence increases in post menopausal women, as age progresses. Conclusion:The prevalence of dry eye occurring in Central India among post menopausal women came out to be 37% in our study. Also it was established that as age progresses in post menopausal women, the prevalence of dry eye increases

Fracture Femur in a Case of Pyle's Disease: A Case Report

Abstract Pyle's disease is a rare genetic skeletal disorder also known as Metaphyseal dysplasia. A case of 36 yrs old female with fracture supracondylar femur in Pyle's disease is presented. She had mild facial dysmorphism, dental malformation & mild genu valgum. Skeletal radiology revealed the characteristic Erlenmeyer flask sign at distal femoral and proximal tibial metaphysis. The fracture supracondylar femur was treated with interlocking nail. The fracture was united in sixteen weeks period. The patient is followed up for two years. The aim of the case report is the rarity of the condition with fracture supracondylar femur in adult female successfully treated with interlocking nail

Ultrastructural features of the Fallopian tube epithelium of bat, Taphozous longimanus (Hardwicke)

The epithelium of the Fallopian tube of Taphozous longimanus consists of two types of cells, ciliated and nonciliated secretory cells. The ciliated cells of tubal epithelium possess motile cilia (kinocilia) that emerge through the luminal membrane. The cytoplasm of the ciliated cells contains large lipid complex, abundance of polyribosomes, well developed Golgi apparatus, tubular ER and large number of mitochondria. The presence of fibrous granules, basal bodies, and ciliary buds indicates the process of ciliogenesis in the Fallopian tube. The nonciliated secretory cells of ampulla show balloon-like bulges which contain secretory granules. These cells were characterized by well developed rough endoplasmic reticulum, numerous polyribosomes and secretory granules of varied size, shape, and density. The secretory blebs were seen releasing into the lumen containing cell organelles. However, in some secretory blebs nucleus along with cell organelles were observed. The nonciliated secretory cells of isthmus show blunt cytoplasmic projection. Organelles such as mitochondria, Golgi apparatus, endoplasmic reticulum and secretory granules were seen in the cytoplasm. The presence of numerous mitochondria, a well developed Golgi apparatus and rough endoplasmic reticulum in both the ampulla and the isthmus indicates that tubal epithelium was responsible for the synthesis of protein secretion