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  • 1
    Online Resource
    Online Resource
    Outcome of Humeral Shaft Fracture Treated with Anteromedial Plating through an Anterolateral Approach
    Annapurna Neurological Institute & Allied Sciences ; 2021
    In:  Annapurna Journal of Health Sciences Vol. 1, No. 2 ( 2021-08-08), p. 26-30
    Details
    In: Annapurna Journal of Health Sciences, Annapurna Neurological Institute & Allied Sciences, Vol. 1, No. 2 ( 2021-08-08), p. 26-30
    Abstract: Introduction: Humerus shaft fracture is a common injury representing 1.2-3% of all fractures. It can be managed both conservatively and operatively with various modalities. Among operative, plate osteosynthesis is the most widely accepted method of treatment when conservative treatment is not adequate to achieve union with good functional outcome. Anteromedial plating through anterolateral approach is a safe and reliable approach in plate osteosynthesis. Methods: A prospective study was conducted in the Department of orthopaedics, Nepal APF hospital, Kathmandu from 2015 February to 2020 February. Forty-four patients who underwent anteromedial plating for humeral shaft fracture were included in the study. Patients were evaluated for functional recovery and progress of fracture healing. Rodrigeuz-Merchan criteria was used to grade the functional outcome. Results: A total of 44 patients were included in the study with mean age of 36. There were 31 males and 13 females. The majority of patients 31 (70.45%) sustained injury due to road traffic accident followed by fall from height 11 (25%) and direct injury 2(4.55%). The most common fracture pattern was AO /OTA Type A. The mean duration of surgery was 60±15min. Fracture union occurred in less than 4 months in 36 patients (81.81%). Rodriguez Merchan criteria showed majority of the patients had excellent 23(52.27%) and good 15 (34.1%) functional outcomes. Conclusion: Anteromedial plating provides a safe form of fixation of humeral shaft fracture. It has benefit of supine positioning of the patient during operation with good union rate, less fixation time, lesser complications leading to better functional outcome.
    Type of Medium: Online Resource
    ISSN: 2795-1502 , 2773-8019
    URL: Article
    DOI: 10.52910/ajhs.39
    Language: Unknown
    Publisher: Annapurna Neurological Institute & Allied Sciences
    Publication Date: 2021
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  • 2
    Online Resource
    Online Resource
    Stress Fractures among Paramilitary Trainee Visiting a Paramilitary Hospital of Nepal: A Descriptive Cross-sectional Study
    Journal of Nepal Medical Association (JNMA) ; 2022
    In:  Journal of Nepal Medical Association Vol. 60, No. 245 ( 2022-01-23)
    Details
    In: Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 60, No. 245 ( 2022-01-23)
    Abstract: Introduction: Young paramilitary recruits, who undergo strenuous exercise during basic training, are often presented with stress fractures, which could be due to an inadequate vitamin D (25-hydroxyvitamin D) intake. This study aimed to find the prevalence of stress fracture among young paramilitary trainees visiting the orthopedic outpatient department of a paramilitary hospital. Methods: This was a descriptive cross-sectional study done among paramilitary trainees in a paramilitary Hospital of Nepal between April 2019 to April 2021. The study was approved by the Ethical Review Board (Reference number: 1003) of the Nepal Health Research Council. Convenience sampling was used. Anthropometric variables, serum 25-hydroxyvitamin D level, and bone mineral density of spine and hip were determined. Data analysis was performed using the Statistical Package for the Social Sciences software version 17.0. Point estimate at 95% Confidence Interval was calculated along with frequency, proportion for binary data and mean, standard deviation for continuous data. Results: Among 417 young paramilitary trainees, 24 (5.76%) (3.52-7.99 at 95% Confidence Interval) were found to have a stress fracture. The stress fracture patients had a serum 25-hydroxyvitamin D level of 21.47ng/mL±6.98. Similarly, the bone mineral density value of the spine and hip among the patients was -1.34g/cm2±1.37 and 0.36g/cm2±1.24, respectively. Conclusions: The prevalence of stress fracture among young paramilitary trainee was high compared to previous studies. Additionally, average Vitamin D and the bone mineral density value of the spine and the total hip among stressed fractured patients were also low.
    Type of Medium: Online Resource
    ISSN: 1815-672X , 0028-2715
    URL: Article
    DOI: 10.31729/jnma.7268
    Language: Unknown
    Publisher: Journal of Nepal Medical Association (JNMA)
    Publication Date: 2022
    detail.hit.zdb_id: 2209910-4
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  • 3
    Online Resource
    Online Resource
    Anterior Cruciate Ligament Reconstruction with Semitendinosus Tendon Autograft among Paramilitary Patients Undergoing Arthroscopic Surgery in a Tertiary Care Centre
    Journal of Nepal Medical Association (JNMA) ; 2024
    In:  Journal of Nepal Medical Association Vol. 62, No. 269 ( 2024-01-02), p. 40-44
    Details
    In: Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 62, No. 269 ( 2024-01-02), p. 40-44
    Abstract: Introduction: In orthopaedic practice, injuries to the anterior cruciate ligaments occur almost on an epidemic scale, yet it continues to be of interest in orthopaedic surgery whether semitendinosus or gracilis hamstring autografts can be used for better anterior cruciate ligament reconstruction. This study aimed to determine the prevalence of anterior cruciate ligament reconstruction using semitendinosus tendon autografts among paramilitary patients undergoing arthroscopic surgery in a tertiary care centre. Methods: This descriptive cross-sectional study was conducted among paramilitary individuals who had knee injuries and were admitted between 6 february 2020 and 26 January 2022 for arthroscopic surgery after obtaining ethical approval from the Institutional Review Committee. Demographic details and the mode of injury were obtained from the patients. The treating orthopaedic surgeons evaluated the pre- and post-analysis Lysholm Knee Score and Lysholm Knee Scale based on the patient's response. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 166 patients, anterior cruciate ligament reconstruction using a semitendinosus tendon autograft was done in 58 (34.94%) (27.69-42.19, 95% Confidence Interval). Most of the patients in the pre-analysis had mild/periodic limp issues 52 (89.66%), followed by instability during athletics or other severe exertion 43 (74.14%). Conclusions: The prevalence of anterior cruciate ligament injuries in our study is higher than other studies done in similar settings.
    Type of Medium: Online Resource
    ISSN: 1815-672X , 0028-2715
    URL: Article
    DOI: 10.31729/jnma.8417
    Language: Unknown
    Publisher: Journal of Nepal Medical Association (JNMA)
    Publication Date: 2024
    detail.hit.zdb_id: 2209910-4
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  • 4
    Online Resource
    Online Resource
    Displaced Midshaft Clavicular Fractures among Patients with Clavicular Fracture Admitted to the Orthopaedic Department of a Tertiary Care Centre: A Descriptive Cross-sectional Study
    Journal of Nepal Medical Association (JNMA) ; 2023
    In:  Journal of Nepal Medical Association Vol. 61, No. 259 ( 2023-03-01), p. 241-244
    Details
    In: Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 61, No. 259 ( 2023-03-01), p. 241-244
    Abstract: Introduction: Midshaft clavicular fractures are common among young adults. Open reduction and internal fixation of displaced midshaft clavicular fractures with plate and screws have been shown to decrease nonunion, symptomatic malunion, and residual shoulder disability compared with non-operative treatment allowing early pain-free movement and early return to work. The aim of this study was to find out the prevalence of displaced midshaft clavicular fractures among patients with clavicular fractures admitted to the orthopaedics department of a tertiary care centre. Methods: A descriptive cross-sectional study was conducted in the Department of Orthopedics of a tertiary care centre from 31 January 2016 to 31 December 2019 after receiving ethical approval from the Institutional Review Committee (Reference number: 659/2021 P). Data were collected using hospital-based records from patients of the age group 18 to 50 years. Convenience sampling method was used. Point estimate and 95% confidence interval were calculated. Results: Among 120 patients, the prevalence of displaced midshaft clavicular fractures was 40 (33.33%) (24.90-41.76, 95% Confidence Interval). Among them 39 (90%) were males and 4 (10%) were females and the mean age of 31.45 years. The average Constant-Murley score were 95.68±5.59. Conclusions: The prevalence of displaced midshaft clavicular fractures among patients with clavicular fractures admitted to the Department of Orthopedics was lower than the other studies done in similar settings.
    Type of Medium: Online Resource
    ISSN: 1815-672X , 0028-2715
    URL: Article
    DOI: 10.31729/jnma.8066
    Language: Unknown
    Publisher: Journal of Nepal Medical Association (JNMA)
    Publication Date: 2023
    detail.hit.zdb_id: 2209910-4
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  • 5
    Online Resource
    Online Resource
    Results of tension band wiring in intra-articular collateral ligament avulsion fractures of the phalanx
    Nepal Journals Online (JOL) ; 2018
    In:  Journal of Kathmandu Medical College Vol. 6, No. 2 ( 2018-05-05), p. 74-77
    Details
    In: Journal of Kathmandu Medical College, Nepal Journals Online (JOL), Vol. 6, No. 2 ( 2018-05-05), p. 74-77
    Abstract: Background: Avulsion fractures of the base of proximal phalanx associated with ulnar or radial collateral ligament instability are relatively rare. The small size of the fragment and strong deforming pull of the attached soft tissues make the process of reduction and maintenance difficult.Objective: The purpose of this study was to assess the functional outcome of tension band wiring in intra-articular avulsion fractures of the base of the proximal phalanx.Methodology: A prospective study was performed on ten patients with intra-articular collateral ligament avulsion fractures of the proximal phalanx (Jupiter’s classification Type III). A tension band construct was performed using a dorsal approach. The functional outcome was assessed at six months with the quick Disability of Arm, Shoulder and Hand score.Results: The mean age of the patients was 25.8 years (Mean ± SD: 25.80). Six avulsion fractures were of the ulnar collateral ligament of the proximal phalanx of the index finger, one involved the radial collateral ligament of the ring finger and three, the radial collateral ligament of the little finger suggesting an abduction injury. All fractures had united at three months. Eight patients were graded as excellent and two as good. All patients were satisfied with the surgery and the functional outcome of the injured digit. There were no perioperative complications.Conclusion: The functional outcome of tension band wiring in intra-articular collateral ligament avulsion fractures of the base of the proximal phalanx was good to excellent.
    Type of Medium: Online Resource
    ISSN: 2091-1793 , 2091-1785
    URL: Article
    DOI: 10.3126/jkmc.v6i2.19807
    Language: Unknown
    Publisher: Nepal Journals Online (JOL)
    Publication Date: 2018
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  • 6
    Online Resource
    Online Resource
    Radiofrequency Ablation of Osteoid Osteoma of Neck of Femur: A Case Report
    Journal of Nepal Medical Association (JNMA) ; 2021
    In:  Journal of Nepal Medical Association Vol. 59, No. 237 ( 2021-05-17)
    Details
    In: Journal of Nepal Medical Association, Journal of Nepal Medical Association (JNMA), Vol. 59, No. 237 ( 2021-05-17)
    Abstract: Osteoid osteoma is the most common benign bone forming tumor characterized by a nidus surrounded by reactive sclerotic bone typically associated with nocturnal pain and most common in males less than 30 years. Diagnosis may be difficult in cases of atypical presentation, intraarticular localizations or very small size. Computed tomography guided radiofrequency ablation is one of the promising treatment methods being used with an advantage of minimal invasion, faster recovery and shorter hospitalization. We present a case of an 8-year-old boy with osteoid osteoma of neck of femur managed successfully with radiofrequency ablation. To our knowledge, this is the first case reported on radiofrequency ablation in Nepal.
    Type of Medium: Online Resource
    ISSN: 1815-672X , 0028-2715
    URL: Article
    DOI: 10.31729/jnma.5804
    Language: Unknown
    Publisher: Journal of Nepal Medical Association (JNMA)
    Publication Date: 2021
    detail.hit.zdb_id: 2209910-4
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