Fractures of the humeral shaft are common and account for 3%-5% all orthopedic injuries. This study aims to estimate incidence radial nerve palsy its outcome when anterior approach is employed analyze predictive factors.The was performed in department orthopaedics unit a tertiary care trauma referral center. Patients who underwent surgery acute fractures nonunions humerus through an from January 2007 December 2012 were included. We retrospectively analyzed medical records, including...

Bipolar fracture dislocations of the clavicle are rare injuries, usually result high-energy direct trauma. Since original description by Porral in 1831, only a handful individual case reports and series Beckman Sanders have been reported literature. Management these injuries has remained controversial ranging from nonoperative to aggressive surgery. We report on young army cadet who had lateral end clavicle, with an anterior dislocation sternoclavicular joint. Despite being planned for...

Several methods for obtaining knee arthrodesis have been described in the literature and world; over, commonest cause is a failed arthroplasty. Less commonly, as this series, post-infective or traumatic causes may also require fusion wherein arthroplasty not be indicated. We present salient advantages along with radiological functional outcome of twenty four patients treated single monorail external fixator. All went on develop at an average 5.4 months limb length discrepancy 3 cm (1.5-6...

Spinal hydatid cyst is a rare occurrence in non endemic countries. We present case of recurrent lumbar disease 21-year-old male who following initial treatment had good functional outcome and healing for 8 years, which he came back with complaints low ache neurological deficit. Patient underwent second surgery global debridement L3-L5 vertebrae followed by medical management two years. He surgical recovery from the has returned to his routine activities being reviewed every year; there no...

Melioidosis is an infection caused by Burkholderia pseudomallei, a fastidious, facultative, intracellular gram-negative microorganism.It spreads myriad of routes (direct contact with contaminated water or soil, inhalation, ingestion, and cutaneous inoculation), 1) resulting in multi-tude clinical manifestations.First described 1912 Whitmore Krishnaswami, 2) melioidosis considered endemic Thailand, Australia, parts Southeast Asia, which account for majority published data. 3,4)In India the...

Retrospective case series.The aim of this study was to analyze functional and radiological outcomes in patients with culture-negative pyogenic vertebral osteomyelitis (PVO).There were only few literature available for these group patients.Patients biopsy-positive but PVO included. We analyzed records data on demography, comorbidities, coexisting infections, neurological status, prior antibiotic therapy, pre- postoperative erythrocyte sedimentation rate, C-reactive protein levels, Oswestry...

Hemophilic pseudotumor is a rare complication of hemophilia, occurring in 1 to 2 percent individuals with severe factor VIII or IX deficiency. A 35-year-old male presented swelling the right lower abdomen for 3 months. There was no history trauma. Examination revealed over iliac fossa. Right hip showed 30° flexion deformity. Blood investigations like complete blood count, APTT, PT, bleeding and clotting time, fibrinogen were all normal. Plain radiograph MRI lytic lesion wing. Excision biopsy...

Primary bone lymphoma involving the pelvic is a rare entity. It does not have distinct clinical features or radiological that are diagnostic. Biopsy gold standard investigation. We present case of primary with initial histopathological chronic osteomyelitis. Upon further follow-up, repeat biopsy lesion revealed B-cell Non-Hodgkin's lymphoma, thus emphasizing need for high index suspicion and close follow-up. This presented diagnostic dilemma unique feature lymphomatous mimicking...

Scapulothoracic dissociation involves varying degree of discontinuity the upper extremity from its truncal attachment. An eighteen-year-old male presented to accident and emergency department following a motor vehicle where he was hit by four wheeler while riding two wheeler. He had tenderness deformity over left clavicle humerus. unable perform active wrist finger dorsiflexion. A CT subsequently revealed grade 2 splenic laceration. The laceration treated conservatively. As his general...

<p class="abstract"><strong>Background:</strong> Supracondylar fractures of the humerus are one commonest encountered around elbow in children. The treatment these continues to pose challenges even this age advancing orthopedics. These have propensity go for malunion with cosmetic deformity. This study was done evaluate functional results surgical management supracondylar children using closed reduction and percutaneous bi-columnar pinning technique.</p><p...

Introduction: Femoral neck fractures are frequent injuries in a trauma centre and have high incidence the general population. Hip fracture surgeries associated with substantial blood loss, exposing patients to postoperative anaemia. The severity of anaemia is related directly post-operative functional recovery patients, which long-term mortality. Blood transfusion adverse effects also can influence recovery. Tranexamic acid simple inexpensive synthetic antifibrinolytic agent, prevents...

A segmental bone defect caused by an open fracture is a daunting problem to deal with and the traditional treatment options that are currently practiced treat such conditions include allo or autologous graft, distraction osteogenesis membrane induction. Infrequently course of complicated non-union infection, thus requiring multiple staged procedures may affect functional outcome. We present case 25 year old gentleman who had sustained isolated type III comminuted distal femur part diaphyseal...