检索结果-南通市图书馆

Cephalomedullary fixation for femoral neck/intertrochanteric and ipsilateral shaft fractures： surgical tips and pitfalls

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2013年第1期16卷 40-45页

作者： Kamal Bali Nitesh Gahlot sameer aggarwal Vijay Goni Department of Orthopaedic Surgery Post GraduateInstitute of Medical Education and Research ChandigarhIndia Department of Orthopaedics University of CalgaryAlberta Canada

Objective： Surgical management options for femoral shaft fracture and ipsilateral proximal fe- mur fracture vary from single-implant to double-implant fixation. Cephalomedullary fixation in such fractures has rela- tive advantages over other techniques especially because of less soft tissue dissection and immediate postoperative weight beating with accelerated rehabilitation. However, the surgery is technically demanding and there is a paucity of literature describing the surgical techniques for this fixation. The aim of the study was to describe the surgical technique of cephalomedullary fixation for femoral shaft fracture and ipsilateral proximal femur fracture. Methods： Sixteen cases （10 males and 6 females with a mean age of 41.8 years） of ipsilateral proximal femur and shaft fractures were treated by single-stage cephalomedullary fixation at tertiary level trauma center in northern India. The fractures were classified according to AO classification. An intraoperative record of duration of surgery as well as technical challenges unique to each fracture pattern was kept for all the patients. Results： The most common proximal femoral pattern was AO B2.1 observed in 9 of our patients. The AO B2.3 fractures were seen in 4 patients while the AO A1.2 fractures in 3 patients. Four of the AO B2.1 and 2 of the AO B2.3 frac- tures required open reduction with Watson-Jones approach. The mean operative time was around 78 minutes, which tended to decrease as the surgical experience increased. There was only one case of malreduction, which required revision surgery. Conclusion： Combination of ipsilateral femoral shaft fracture and neck/intertrochanteric fracture is a difficult frac- ture pattern for trauma surgeons. Cephalomedullary nail is an excellent implant for such fractures but it requires careful insertion to avoid complications. Surgery is technically demanding with a definite learning curve. Nevertheless, a majority of these fractures can be surgically managed by

关键词： Femoral fractures Fracture fixation, internal Nails

latrogenic brachial artery injury during anterolateral plat- ing of humeral shaft fracture

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2013年第6期16卷 371-374页

作者： Vishal Kumar Prateek Behera sameer aggarwal Umesh Kumar Meena Department of Orthopedics Post Graduate Institute ofMedical Education and Research Chandigarh 160012India Department of Orthopedics SMS Medical CollegeJaipur Rajasthan 302001 India

There are several well defined indications for surgical management of humeral shaft *** procedures on the humerus are associated with their own *** brachial artery injury as a complication of humeral shaft plating has not been reported *** report a case of a 48 years old femalewho received operation at a district hospital and was referred to us when the surgeon could not palpate the *** angiogram showed that there was segmental non-opacification of the brachial *** was distal reformation and the thrombosis was decided to be managed *** believe that the arterial injury was a result ofimproper surgical technique and the segmental block might be due to improper use of plate holding *** case report makes us aware of a rare complication of operative management of humeral shaft fractures and that basic principles of surgery must be always followed to prevent such injuries.

关键词： Humeral fractures Intraoperativecomplications Brachial artery Thrombosis Angiograpby

Double segmental tibial fractures-- an unusual fracture pattern

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2011年第4期14卷 247-249页

作者： Kamal Baili Vishal Kumar Sandeep Patel sameer aggarwal Department of Orthopaedics Postgraduate Institute ofMedical Education and Research Sector 12 Chandigarh160012 India

A case of a 50-year-old pedestrian who was hit by a bike and suffered fractures of both bones of his right leg was presented. Complete clinical and radiographic assessment showed double segmental fractures of the tibia and multisegmental fractures of the fibula. Review of the literature revealed that this fracture pattern was unique and only a single case was reported so far. Moreover, we discussed the possible mechanisms which can lead to such an injury. We also discussed the management of segmental tibial fracture and the difficulties encountered with them. This case was managed by modern osteosynthesis technique with a pleasing outcome.

关键词： Fracture, bone Tibia Fibula Nails

Epidemiology of pelvic fractures in adults: Our experience at a tertiary hospital

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2019年第3期22卷 138-141页

作者： Subhajit Ghosh sameer aggarwal Vishal Kumar Sandeep Patel Prasoon Kumar Department of Orthopedics Post Graduate Institute of Medical Education and Research (PGIMER)ChandigarhIndia

Purpose: Pelvic fractures are severe injuries and are often associated with multiple system injuries, exacerbating the overall outcome. In India, the incidence of pelvic fractures is on a rise due to suboptimal roads and traffics but related literature regarding the overall epidemiology of these injuries is scarce and scanty. Our aim was to study the epidemiology of patients admitted with pelvic fractures at a level 1 trauma centre in India. Methods: A 16-month (between September 2015 and December 2016) prospective observational study was carried out on trauma patients with pelvic fractures at a level 1 trauma centre of a tertiary care hospital. Demography of patients, mechanism of injuries and complications were recorded prospectively. Results: We observed 75 patients who presented with pelvic fractures, where 56 were males and 19 were females. Mean age of the study populationwas 37.57 years. Road traffic accidents were the most common mode of injuries. Lateral compression injuries were the most common pattern. Associated injuries frequently encountered were lower extremities and acetabulum fractures, blunt abdominal trauma, urogenital injuries and head injuries. Out of the 75 patients, 52 were treated surgically and 23 were managed by conservative methods. Associated injuries of the extremities, head, abdomen and urogenital system indicated a longer hospital stay. Conclusion: Pelvic fractures, although belong to a relatively rare trauma subset, cause a high morbidity and mortality with considerable burden on the economy. Proper road safety training and driving etiquettes along with its strict implementation in true sense and spirit are the need of the hour.

关键词： Pelvic fractures Epidemiology Incidence

同方期刊数据库

Expert opinion on the preoperative medical optimization of adults with diabetes undergoing metabolic surgery

在线全文

学校读者我要写书评

暂无评论

World Journal of Diabetes 2021年第10期12卷 1587-1621页

作者： Saptarshi Bhattacharya Sanjay Kalra Nitin Kapoor Rajiv Singla Deep Dutta sameer aggarwal Deepak Khandelwal Vineet Surana Atul Dhingra Viny Kantroo Sachin Chittawar Nilakshi Deka Vivek Bindal Puja Dutta Endocrinology Max Superspeciality HospitalNew Delhi 110092India Endocrinology Bharti HospitalKarnal 132001HaryanaIndia Endocrinology Christian Medical CollegeVellore 632004Tamil NaduIndia Endocrinology Kalpavriksh Super Speciality CenterNew Delhi 110075India Endocrinology CEDAR Superspecialty ClinicNew Delhi 110075India Endocrinology Apex Plus Superspeciality HospitalRohtak 124001HaryanaIndia Endocrinology Maharaja Agrasen HospitalNew Delhi 110026India Endocrinology Manipal HospitalsNew Delhi 110075India Endocrinology Gangaram Bansal Super Speciality HospitalSri Ganganagar 335001RajasthanIndia Respiratory Medicine&Critical Care Indraprastha Apollo HospitalsSarita ViharNew Delhi 110076India Endocrinology Gandhi Medical CollegeBhopal 462001Madhya PardeshIndia Endocrinology Apollo HospitalsGuwahati 781005AssamIndia Minimal Access Metabolic and Bariatric surgeryMax Superspeciality HospitalPatparganjNew Delhi 110092India Nutrition Max Superspeciality HospitalPatparganjNew Delhi 110092India

Diabetes mellitus(DM)and obesity are interrelated in a complex manner,and their coexistence predisposes patients to a plethora of medical *** surgery has evolved as a promising therapeutic option for both *** is recommended that patients,particularly those of Asian origin,maintain a lower body mass index threshold in the presence of uncontrolled ***,several comorbidities often accompany these chronic diseases and need to be addressed for successful surgical *** Roux-en-Y gastric bypass(RYGB)and laparoscopic sleeve gastrectomy(LSG)are the most commonly used bariatric procedures *** bariatric benefits of RYGB and LSG are similar,but emerging evidence indicates that RYGB is more effective than LSG in improving glycemic control and induces higher rates of long-term DM *** scoring systems have been formulated that are utilized to predict the chances of remission.A glycemic target of glycated hemoglobin<7%is a reasonable goal before ***,pulmonary,gastrointestinal,hepatic,renal,endocrine,nutritional,and psychological optimization of surgical candidates improves perioperative and long-term *** guidelines for preoperative care of individuals with obesity have been formulated,but very few specifically focus on the concerns arising from the presence of concomitant *** is hoped that this statement will lead to the standardization of presurgical management of individuals with DM undergoing metabolic surgery.

关键词： Diabetes Obesity Metabolic surgery Bariatric surgery Remission of diabetes

Bilateral inferior dislocation of the hip a case report

维普期刊数据库评论

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2012年第2期15卷 121-123页

作者： Kishan R Bhagwat Bhavuk Garg sameer aggarwal Mandeep S Dhillon Department of Orthopaedic Surgery Post Graduate Institute of Medical Education and Research （PGIMER） Chandigarh 160012 India

Inferior dislocation of the hip is the rarest type in hip dislocation. Very few cases have been reported in the anglophonic literature, most of which involved the pediatric age group. Surprisingly, we came across a 30- year-old patient with a bilateral inferior hip dislocation. He had sustained a road traffic accident and the attitude of both hip joints was flexion and abduction. The diagnosis was confirmed by radiographs which revealed the long axis of the femur at an angle of 1 l0 （right） degrees and 100 （left）degrees respectively away from the axis. Closed reduction under sedation was successfully performed. Skin traction for a period of 6 weeks was advised and the follow-up revealed an excellent result. We present the details of this case, the first of its kind along with a review of the literature, discussing the various modes and mechanisms of injury inducing inferior dislocation of the hip.

关键词： Hip dislocation Joints Femur

Iatrogenic brachial artery injury during pinning of supracondylar fracture of humerus： A rare injury

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2015年第5期18卷 302-303页

作者： Kumar Vishal R.H.H. Arjun aggarwal sameer John Rakesh Kishan Rama Department of Orthopaedics Postgraduate Institute of Medical Education and Research Chandigarh 160012 India

Complications following supracondylar fracture of humerus are well-known. Pre- and post-operative complications have been documented in the literature. Neumvascular injury due to fracture fragments following this type of fracture is described, latrogenic brachial artery during surgical treatment of this fracture is unknown to the literature. So we report a rare case of iatrogenic brachial artery injury during pinning of supracondylar fracture of humerus and try to create awareness to the surgeons that such injuries can occur with improper operative techniques.

关键词： Supracondylar humerus fractures Complication Catrogenic neuro-vascular injuries

Simultaneous bilateral anterior shoulder dislocation： report of two cases and review of the literature

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2011年第5期14卷 312-315页

作者： Sujit Kumar Tripathy Ramesh Kumar Sen sameer aggarwal Sarvdeep Singh Dhatt Naveen Tahasildar Department of Orthopedics Postgraduate Institute of Medical Education and Research Sector 12 Chandigarh 160 012 India

Bilateral shoulder dislocations are rare and almost always occur in the posterior direction. Simultaneous bilateral anterior shoulder dislocation is even rarer and only a few cases are stated in the literature. The most interesting part of a bilateral shoulder dislocation is about its injury mechanism as a synchronous and simultaneous force is needed to result in it. In cases of epilepsy or electrocution, the mechanism is different and the forceful contractions of the selective group of muscles result in the dislocation. This article reports two cases of bilateral simultaneous anterior shoulder joint dislocation that occurred after a road side accident and after an episode of convulsion in an epileptic patient. The dislocations were diagnosed early and reduced immediately with a proper postreduction rehabilitation. During their follow-up, both patients had satisfactory functional outcome. This article emphasizes on the importance of shoulder examination in road side accident victims and epileptic patients. All orthopedic surgeons and emergency physicians should be aware of such unusual possibilities to have an early diagnosis and *** early reduction and appropriate rehabilitation can provide satisfactory functional outcome. This article also briefly discusses the injury mechanisms, diagnoses and treatments of bilateral shoulder dislocation as reported in the literature.

关键词： Shoulder dislocation Epilepsy Accidents, traffic

Inferior dislocation of the hip： a case series and litera- ture review

在线全文

学校读者我要写书评

暂无评论

Chinese Journal of Traumatology 2012年第5期15卷 317-320页

作者： sameer aggarwal Vishal Kumar Kishan Ramachandra Bhagwat Vokkaleri Shankaranarayana Shashikanth Holalu Shankaralingegowda Ravikumar Department of Orthopaedic Surgery Post Graduate Institute of Medical Education and Research(PGIMER)Chandigarh 160012India

Inferior hip dislocation is the rarest type among all hip dislocations. Very few cases have been re ported in the English literature. Most of the earlier reported cases involves the pediatric age group. No single case series could be found in the English literature. We came across 4 cases of inferior hip dislocation with a varied age profile （range 10 to 56 years, mean 33.8 years）. Patients with this disease usually complained of pain and kept the thigh flexed and abducted. The diagnosis can be confirmed by radiographs which reveal that the long axis of the femur varies in alignment with respect to the spine from parallel toan angle almost 90° away from the axis. In our series, closed reduction was successful in all patients, either under seda tion or general anaesthesia. Skin traction for a period of 6 weeks was applied in all of them and followup revealed painfree, stable and mobile hips. In this study we present the details of these cases along with a review of literature discussing the various modes and mechanisms that pro duce inferior hip dislocation.

关键词： Hip dislocation Therapeutics Traction Weight-bearing