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A rare combination of fractures around the elbow： Bony variant of terrible triad

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Chinese Journal of Traumatology 2015年第6期18卷 363-366页

作者： vishal kumar Avinash kumar Sameer Aggarwal Department of Orthopedic Surgery Postgraduate Institute of Medical Education and Research Chandigarh 160012 India

Radial head and coronoid fractures without posterior dislocation of the elbow have not been recorded in the literature. There is no literature documenting the combined fractures of the radial head, capitellum and coronoid process together in the same elbow. This is a case report highlighting this combination of fractures in a 30 year old patient treated with open reduction and internal fixation of all three fractures. The patient was followed up for 28 months and had a good range of motion of the elbow without any instabiliW. Thus such a triad with no ligamentous injuries could depict a bony variant of terrible triad and a mechanism for such an injury has also been explained.

关键词： Radial heads Elbow Fractures Bone

Humeral shaft fracture with ipsilateral shoulder dislocation

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Chinese Journal of Traumatology 2014年第1期17卷 57-59页

作者： Prateek Behera vishal kumar SameerAggarwal Department of Orthopedics Post Graduate Institute of Medical Education and Research Chandigarh 160012 India

Although fracture of the humeral shaft or dislocation of the shoulder joint is a common injury, a simutaneous injury is rare. We present such a case com- bined with head injury which took precedence over the skel- etal injuries. The postoperative rehabilitation was slowed down by the head injury. This case report makes us aware of some problems when managing the patient with this rareinjury and helps us understand the management options better. Also the need for proper follow-up and rehabilitation is emphasized.

关键词： Humerus Fractures, bone Shoulder dis-location

QualiW of life following total hip arthroplasW in patients with acetabular fractures, previously managed by open reduction and internal fixation

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Chinese Journal of Traumatology 2016年第4期19卷 206-208页

作者： Prasoon kumar Ramesh kumar Sen vishal kumar Ankit Dadra Department of Orthopaedics Post Graduate Institute of Medical Education and Research. Chandigarh. 160012. India Department of Orthopaedics Fortis Hospital Mohali. Punjab. India

Purpose： Total hip replacement （THR） is one of the most successful and cost-effective surgical procedures and remains the treatment of choice for long-term pain relief and restoration of function for patients with diseased or damaged hips. Acetabular fractures managed either conservatively or operatively by fixation tend to present later with secondary joint changes that require THR. In this study we evaluated the functional outcome and quality of life achieved by such patients. Methods： Our study was carried out as a retrospective trial by recruiting patients who underwent THR from June 2006 to May 2012. A total of 32 patients were included with a mean age of 46.08 years ranging from （25-65） years. We evaluated the quality of life in the patients using scoring techniques of Short Musculoskeletal Functional Assessment （SMFA） and the 12-1tem Short Form Health Survey （SF-12）. Functional outcome was assessed using Harris Hip Score （HHS）. Results： The mean HHS of the patients was 84.3 with a range from 56 to 100. The SMFA averaged 13.3. The SF-12 score averaged 49.1. The correlation of the HHS with SF-12 was positive （p - 0.001 ） while with SMFA there was a negative correlation （p - 0.001 ）. Conclusion： From this study it is inferred that the functional outcome of THR and quality of life in pa- tients who had acetabular fractures and were initially managed by open reduction and internal fixation is good.

关键词： Arthroplasty, replacement, hip Acetabulum Fractures, bone Fracture fixation, internal

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

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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

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

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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

Undiagnosed Hoffa fracture of medial femoral condyle presenting as chronic pain in a post-polio limb

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Chinese Journal of Traumatology 2014年第3期17卷 180-182页

作者： Aditya Krishna Mootha Priyanka Majety vishal kumar Department of Orthopaedics Siddhartha HospitalKakinada Andhra Pradesh India Department of Orthopaedics Postgraduate Institute ofMedical Education & Research Chandigarh India

Isolated coronal fracture of medial femoral condyle with intact lateral femoral condyle is extremely rare. A high index of suspicion is necessary for early diagnosis especially in cases of undisplaced fractures. Here we report a case of medial Hoffa fracture in a post-polio limb presenting as chronic pain. Management of such fractures in limbs affected by late sequelae of poliomyelitis is particularly problematic in view of osteoporosis and osseous hypoplasia. The fracture was approached through medial parapatellar arthrotomy and fixation was done with cannulated cancellous screws in anteroposterior direction. Union was achieved at 16 weeks.

关键词： Femoral fractures Poliomyelitis Fracture fixation, internal

Candida tropicalis infection in a term neonate with gall bladder masses and infective endocarditis

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Asian Pacific Journal of Tropical Medicine 2012年第5期5卷 410-412页

作者： Mamta Jajoo vishal kumar Vishnu K.Goyal Amit Garg Department of Pediatrics Maulana Azad Medical College & Associated Chacha Nehru Bal Chikitsalaya New Delhi-110031India Department of Radiology Maulana Azad Medical couege & Associated Chacha Nehru Bal ChikisalayaNew pelhi-110031India.

Candida endocarditis is extremely rare in term neonates,and gall bladder involvement due to candidemia has never been reported amongst neonates and infants.A term,appropriate for gestational age neonate developed Candida tropicalis blood stream infection in second week of *** was started on conventional amphotericin ***,he failed to show any clinical improvement,and candidemia keep on *** sanctuary sites screening revealed multiple echogenic masses in heart(vegetations) and gall *** changing the treatment to liposomal amphotericin B and fluconazole,he recovered clinically,echogenic masses in gall bladder disappeared,and intracardiac vegetations decreased in size.

关键词： Candida tropicalis Endocarditis Gall bladder

Double segmental tibial fractures-- an unusual fracture pattern

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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

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

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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