Research on Correlation Between Morphological Changes in Ankle Mortise and Ankle Joint Functions After a Pilon Fracture Surgery
Jinshan Wang,
Qiang Li,
Qiang Zhang,
Yunfei Wang
Issue:
Volume 4, Issue 3, June 2016
Pages:
65-70
Received:
28 June 2016
Published:
30 June 2016
Abstract: To discuss the correlation between morphological changes in ankle mortise and ankle joint functions after a surgery for Ruedi-Allgower Type III Pilon fracture. A retrospective analysis was conducted for 60 patients who received operative treatment for Ruedi-Allgower Type III pilon fracture and attended a follow-up visit from January 2007 to December 2012, among which, 32 were male and 28 were female; aged 20-25 years and averaged at 38 years; the time for follow-up visit is at 18-24 months averaged at 20 months. On the X-ray film photographed at the last follow-up visit, the following indexes were measured: (I) Height of ankle mortise, (2) Width of ankle mortise, (3) Depth of ankle mortise, (4) Angle of ankle mortise coronal, (5) Angle of ankle mortise sagittal view The functions of ankle joint on the affected side were scored and grouped at the last follow-up visit based on such scoring methods as Mazur and the like. 41 cases were assigned to the Excellent Group, 12 cases were assigned to the Good Group and 7 cases were assigned to the Moderate+Poor Group. The correlation between morphological changes in the ankle mortise and functions was analysed based on comparison among the five indexes of the ankle mortises on the affected side and the unaffected side of 60 patients and comparison of the difference values of the indexes for the affected side and unaffected side among the three groups. The research has shown that all differences in width of ankle mortise, depth of ankle mortise, coronal view and sagittal view angles have statistical significance except that height of ankle mortise does not have statistical significance based on the comparison among various indexes for the affected sides and the unaffected sides of 60 patients. The remaining four difference values exhibit negative correlation with scores and difference values increase with decreasing scores. It indicates that treatment of ankle mortise width, depth, angles of coronal view and sagittal view during operation exhibits significant correlation with postoperative ankle joint functions. Anatomical reduction of ankle mortise width, depth, angles of coronal view and sagittal view for patients with Ruedi-Allgower Type III pilon fracture during operation imposes a significant effect on postoperative functions of ankle joints. Thus the anatomic form of ankle mortise should be recovered as much as possible.
Abstract: To discuss the correlation between morphological changes in ankle mortise and ankle joint functions after a surgery for Ruedi-Allgower Type III Pilon fracture. A retrospective analysis was conducted for 60 patients who received operative treatment for Ruedi-Allgower Type III pilon fracture and attended a follow-up visit from January 2007 to Decembe...
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A Prospective Study on Role of Water Soluble Contrast in Management of Small Bowel Obstruction
Kundan,
Ravindra Kumar,
Amarnath Kumar,
Pawanjeet Kumar
Issue:
Volume 4, Issue 3, June 2016
Pages:
71-75
Received:
12 June 2016
Accepted:
20 June 2016
Published:
4 July 2016
Abstract: There is no definite protocol in management of small bowel obstruction in relation to duration and need of surgery. The aim is to study the role of gastrografin in management of small bowel obstruction. In this study patients who were diagnosed with intestinal obstruction were administered gastrografin. The patients were followed serially using x-ray at 4hrs interval for 24hrs; decision to operate was taken on non-progression of dye in two consecutive x-ray. Among 20 patients of this study 9 patients were operated on basis of gastrografin study. 11 were treated conservatively. 8 patients were of adhesive bowel obstruction. Out of which 1 was operated, 7 were treated conservatively. The sensitivity, specificity, positive and negative predictive value of gastrografin administration in this study was 100%, 89%, 92%, 100% respectively. Gastrografin helps in strengthening the clinical decision about the management of intestinal obstruction; it helps in early decision making regarding continuing the conservative or operative management and allows the introduction of oral intake earlier and earlier discharge from the hospital as well as reduction in operative rate.
Abstract: There is no definite protocol in management of small bowel obstruction in relation to duration and need of surgery. The aim is to study the role of gastrografin in management of small bowel obstruction. In this study patients who were diagnosed with intestinal obstruction were administered gastrografin. The patients were followed serially using x-r...
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A Case Report on Diaphragmatic Rupture, in the Visceral Surgery of Hospital of Conakry, Guinea
Abdoulaye Korse Balde,
Oumar Taibata Balde,
Fode Lansana Camara,
Soriba Naby Camara,
Hamidou Sylla,
Amadou Dioulde Diallo,
Aissatou Taran Diallo,
Alpha Madiou Barry,
Ahmed Boubacar Barry,
Sneha Ballah
Issue:
Volume 4, Issue 3, June 2016
Pages:
76-80
Received:
5 June 2016
Accepted:
14 June 2016
Published:
18 July 2016
Abstract: The aim of this case report is to share our experience in the management of this this rare case of traumatic diaphragmatic rupture in the visceral surgery department of the Hospital of Conakry. Traumatic diaphragmatic rupture is an unfamiliar diagnosis to make and exceptionally seen in some cases of high velocity injuries which involve the abdomen. The high energy from blunt trauma transmitted across the abdomen gives rise to an excessively high pressure in the abdominal cavity which causes shearing of the diaphragmatic muscle. It is indeed considered as a surgical emergency as impaired diaphragmatic movement has a big impact on ventilation and oxygenation of blood. The delay in making appropriate diagnosis due to the lack of overt clinical signs relating to this type of injury accounts for the high mortality rates reaching 31%. We are reporting on a case concerning a 28-year old male patient who was admitted at the department of visceral surgery at the National Hospital of Donka, Conakry, Guinea, for emergency evaluation and treatment of a left sided traumatic diaphragmatic rupture associated with eventration of viscera into the thoracic cavity and contusion of the ascending colon. The mechanism of rupture was determined as a force vector directed frontally and was transmitted across the diaphragmatic wall. A clinical diagnosis was made and confirmed by radiological imaging preoperatively. Prompt surgical intervention was provided within the 1st 24 hours from the time of admission. No complications had been encountered during the post-operative recovery period. The best way to evaluate traumatic diaphragmatic rupture in a patient is through a well-devised systematic approach. It is not advised to perform lengthy imaging tests in a hemodynamically unstable patient and thus, compromising the success of the surgical outcome.
Abstract: The aim of this case report is to share our experience in the management of this this rare case of traumatic diaphragmatic rupture in the visceral surgery department of the Hospital of Conakry. Traumatic diaphragmatic rupture is an unfamiliar diagnosis to make and exceptionally seen in some cases of high velocity injuries which involve the abdomen....
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