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Ruhullah M.,National Medical College Teaching Hospital | Singh H.,National Medical College | Shah S.,National Medical College | Shrestha D.,Dhulikhel Hospital
Indian Journal of Orthopaedics | Year: 2014

Background: Femoral fractures are common in children between 2 and 12 years of age and 75% of the lesions affect the femoral shaft. Traction followed by a plaster cast is universally accepted as conservative treatment. We compared primary hip spica with closed reduction and fixation with retrogradely passed crossed Rush pins for diaphyseal femur fracture in children. The hypothesis was that Rush pin might provide better treatment with good clinical results in comparison with primary hip spica. Materials and Methods: Fifty children with femoral fractures were evaluated; 25 of them underwent conservative treatment using immediate hip spica (group A) and 25 were treated with crossed retrograde Rush pins (group B). The patients ages ranged from 3 to 13 years (mean of 9 years). Results: Mean duration of fracture union was 15 weeks in group A and 12 weeks in group B. Mean duration of weight bearing 14 weeks in group and 7 weeks in group B. Mean hospital stay was 4 days in group A and 8 days in group B. Mean followup period in group A was 16 months and group B was 17 months. Complications such as angulation, shortening, infection were compared. Conclusions: Closed reduction and internal fixation with crossed Rush pins was superior in terms of early weight bearing and restoration of normal anatomy.

Madhikarmi N.L.,National Medical College Teaching Hospital | Shivapuri J.N.,National Medical College Teaching Hospital | Aslam M.,National Medical College Teaching Hospital | Rajagopal G.,National Medical College Teaching Hospital
Biomedicine | Year: 2010

Urolithiasis comprises an array of diseases from single to multiple calculi. The objectives of this study were to see the prevalence and also to analyze the composition of stones among patients attending National Medical College Teaching Hospital. A total of one hundred patients suffering from urinary calculi were selected for analysis of stones and the stones were collected from the operation theatre. Among these, 67.0% of patients had renal stone, 6.0% urethral stone, 7.0% ureter stone and rest 20.0% had bladder stones. There were altogether 73 males and 27 females suffering from urinary calculi. On statistical analysis, incidence and type of stone were significant (p<0.05), level of significance) with age and sex. On analyzing, calcium oxalate was predominating over calcium phosphate, uric acid, magnesium ammonium phosphate.

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