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A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 2-5 | Nandkishor B. Goyal, Sayyadshadab S. Jafri, Ashish Vinayak Patil, Aashish Babanrao Ghodke. doi- 10.13107/ti.2018.v04i02.067 Author: Nandkishor B. Goyal [1], Sayyadshadab S. Jafri [1], Ashish Vinayak Patil [1], Aashish Babanrao Ghodke [1]. [1] Department of Orthopaedics, ACPMMC Dhule. Address of Correspondence Dr. Nandkishor B. Goyal, […]

A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 38-41 | Sanjay Chhawra, Arun Kumar N Kambar, Ravi Gupta doi-10.13107/ti.2018.v04i01.065 Author: Sanjay Chhawra [1], Arun Kumar N Kambar [1], Ravi Gupta [1]. [1] Department of Orthopaedics, Jaipur Golden Hospital , 2 Institutional Area ,Sec 3 Rohini Delhi 110085. Address of Correspondence Dr. Sanjay […]

A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

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A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities

September 10, 2018/in Volume 4 | Issue 2 | Sep-Dec 2018

Vol 4 | Issue 2 | Sept-Dec 2018 | page: 2-5 | Nandkishor B. Goyal, Sayyadshadab S. Jafri, Ashish Vinayak Patil, Aashish Babanrao Ghodke.

doi- 10.13107/ti.2018.v04i02.067

Author: Nandkishor B. Goyal [1], Sayyadshadab S. Jafri [1], Ashish Vinayak Patil [1], Aashish Babanrao Ghodke [1].

[1] Department of Orthopaedics, ACPMMC Dhule.

Address of Correspondence

Dr. Nandkishor B. Goyal,
Dr. Goyal Hospital, near Yellammuden Temple, Malegao, Dhule 424001.
Email: nandkishor596@gmail.com Dr. Nandkishor B.

Abstract

Ankle injuries should not be neglected because body weight is transmitted through it and locomotion depends on the stability of this joint. For this, we are conducting a prospective study of surgical management of bimalleolar fractures with various modalities. In our study, we surgically managed 36 patients and their functional assessment was done with Biard-Jackson scoring system. Excellent functional results are obtained with stable fixation of fractures. Tension band wiring was found to be better in internal fixation of medial malleolus as compared to screws fixation whereas lateral plating was best for fibular fractures. It was found that our results were coinciding with the literature.

Keywords: Biard-Jackson scoring, bimalleolar fractures, lateral plating, screw fixation, tension band wiring.

References

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2. Daly PJ, Fitzgerald RH Jr, Melton LJ, Ilstrup DM. Epidemiology of ankle fractures in Rochester, Minnesota. Acta Orthop Scand 1987;58:539-44.

3. Canale ST, Beaty JH. Campbell’s Operative Orthopaedics. 11th ed., Vol. 3. Philadelphia, PA: Mosby; 2008. p. 2043-66.

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5. Colton CL. The treatment of dupuytren’s fracture-dislocation of the ankle. J Bone Joint Surg Br 1971;53:63-71.

6. Desouza LJ. Fractures dislocations about the ankle. In: Gustilo RB, Kyle RF, Templeman D, editors. Fractures and Dislocations. Vol. 2. Ch. 30. St. Louis: Mosby Year Book Inc.; 1993. p. 997-1043.

7. Beris AE, Kabbani KT, Xenakis TA, Mitsionis G, Soucacos PK, Soucacos PN. Surgical treatment of malleolar fractures. A review of 144 patients. Clin Orthop Relat Res 1997;341:90-8.

How to Cite this article: Goyal N B, Jafri S S, Patil A V, Ghodke A B. A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities. Trauma International Sep-Dec 2018;4(2):2-5.

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A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause

May 10, 2018/in May - Aug | volume 4 | issue 1| 2018

Vol 4 | Issue 1 | May – Aug 2018 | page: 38-41 | Sanjay Chhawra, Arun Kumar N Kambar, Ravi Gupta

doi-10.13107/ti.2018.v04i01.065

Author: Sanjay Chhawra [1], Arun Kumar N Kambar [1], Ravi Gupta [1].

[1] Department of Orthopaedics, Jaipur Golden Hospital , 2 Institutional Area ,Sec 3 Rohini Delhi 110085.

Address of Correspondence
Dr. Sanjay Chhawra
A-144 Gaytri Vihar Bagh Mughaliya, Bhopal. MP. India.
E-mail: sanjaychhawra@yahoo.com

Abstract

Introduction: Primary hyperparathyroidism is a disease characterized by hypercalcemia attributable to autonomous overproduction of PTH ParaThyroid Hormone.Primary hyperparathyroidism PHPT is prevalent in approximately 1% of adult population with F;M 3;1. The disease affects multiple systems –Musculosketal, CVS, G.Urinary, Abdomen and Endocrine. Primary hyperparathyroidism present with classic signs and symptoms of hypercalcaemia. Non-specific symptoms may include muscle weakness, thirst, polyuria, anorexia and weight loss along with pathological fractures.The treatment of choice is parathroidectomy after proper investigation.
Case Report: A 40 yrs Male presented with Pain, Swelling and Deformity over Bilateral Hip, Right Shoulder, Right Hand and Right Clavicular Region. Unable to bear weight since 1 year. Along with its General Complaint of Weakness, Joint Pain, Abdominal Pain with clinical syptoms and operated right sided hip after proper investigation patient was diagnosed Hyperparathyridism with B/L Hip fracture {unusual presentation }multiple fractures with implant failure .After Parathyroidectomy and regular follow fracture fixation was done later with calcium supplementation the outcome was satisfactory.
Conclusions: Repeatedly multiple fractures must be investigated with appropriate and precise routine serum biochemical along with PTH Vitamin D Thyroid profile to diagnose endocrine disorder as in this case diagnosed as Hyperparathyroidism.With Clinical examination of neck as specific site with extremities, deformities and systemic examination is essential. USG Neck as routine investigation for this disease. After parathyroidectomy and regular follow up is done. Afterwards fracture fixation is done as secondary procedure with adequate calcium and vitamin D correction give good prognosis better union with best possible outcome. This is rare presentation of PHPT with B/L Hip fracture and other fractures deformities is an excellent example of an endocrine disease that is best managed by a multidisciplinary approach and long term patient follow up.
Keywords: Primary Hyperparathroidism PHPT, Pathological fracture, PTH Parathyroid Hormone.

References

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8. Henry,J.Mankin.: An instruction course lecture- Metabolic bone disease. The American Academy of orthopaedic surgeons. Journal of Bone & Joint Surgery; 1994;Vol- 76A, No.5; 760-788
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14. Lorberboym M, Ezri T, Schachter PP. Preoperative technetium Tc 99m sestamibi SPECT imaging in the management of primary hyperparathyroidism in patients with concomitant multinodular goiter. Arch Surg 2005 Jul;140(7):656e60.
15. Lars Rolighed, MD,1 Lars Rejnmark, PhD, DMSci2 and Peer Christiansen, DMSci Bone Involvement in Primary Hyperparathyroidism and Changes After Parathyroidectomy US Endocrinology 2013;9(2):181–4 3
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How to Cite this article: Chhawra S, Kambar AN, Gupta R. A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause. Trauma International May – Aug 2018;5(1):38-41.

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A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities

A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause

A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities

A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause

Full Sized Blog Element (Big Preview Pic)

A Prospective Study of Surgical Management of Bimalleolar Fractures with Various Modalities

Author: Nandkishor B. Goyal [1], Sayyadshadab S. Jafri [1], Ashish Vinayak Patil [1], Aashish Babanrao Ghodke [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

A Neglected Case of Bilateral Hip Fractures and Other Fractures with Delayed Diagnosis of Hyperparathyroidism as Cause

Author: Sanjay Chhawra [1], Arun Kumar N Kambar [1], Ravi Gupta [1].

Abstract

References

(Abstract Text HTML) (Download PDF)

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