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Publications (4)0 Total impact

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    ABSTRACT: Fracture neck femur is still regarded as unsolved fracture especially in non-union and in some vertical shear fracture (Powel's 3). Two types of osteotomies Mcmurry and Shanz valgus osteotomy are suggested, both have some disadvantages. In this context, a transcervical osteotomy has been studied. Twenty-three patients have been studied in all. Transcervical osteotomy has been done and fixed with modified Tupman plate. Patients were allowed full weight bearing after 3 months. Maximum follow-up was of 4 years. According to Salvati and Wilson system all patients graded as excellent to good. It is concluded that transcervical osteotomy may be regarded as a viable option for fracture neck femur.
    Journal of the Indian Medical Association 06/2011; 109(6):424-5.
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    ABSTRACT: Sixty-two femoral shaft fractures in 60 patients treated by elastic intramedullary nailing with mean age of the patients being 9.2 years (range 5 years to 12 years) and average follow-up of 15 months (range 7 months to 60 months) are evaluated. Twenty-eight fractures were fixed with titanium elastic nail while 34 fractures were fixed with Enders nail. There were 40 midshaft fractures, 18 proximal femoral and 4 were fractures of distal third. Fracture patterns were transverse in 35, short oblique in 14 cases and 13 were spiral fractures. Mean age of union in this series was 17 weeks (range 12 weeks to 28 weeks). Ten cases had complications, 5 had nail tip irritation, 3 varus or valgus malalignment and 2 had delayed union. In this series, we did not have any non-union, refracture, limb length discrepancy or any major infection. The result demonstrates 100% union rate irrespective of the age, weight and height of the patient. Regardless of the site of fracture and their pattern, it united every time with elastic nail fixation. We did not find and mismatch in the results of fractures stabilised with titanium elastic nail with that of elastic stainless steel nail.
    Journal of the Indian Medical Association 06/2011; 109(6):416-7, 425.
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    ABSTRACT: Displaced midclavicular fractures resulting in malunion with shortening and rotational deformity does not remodel in adults and incidence of non-union in displaced midshaft clavicular fractures is between 10-15% especially in those with an initial shortening of >20 mm.We have treated 10 patients of displaced middle-third clavicle fracture by open reduction and internal fixation with plate and screws and found it to be very effective in respect to rehabilitation, union and cosmesis.
    Journal of the Indian Medical Association 06/2011; 109(6):409-10.
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    ABSTRACT: This is a study of 60 patients with mean age of 30 years having intra-articular fracture of distal humerus of type C (AO classification). We treated these fractures by open reduction and internal fixation through transolecranon approach. Mean duration of operative time with that of injury was 10 days. In all the cases 1st the intracondylar fracture was fixed followed by reconstruction and stabilisation of medial and lateral pillar by 1/3 tubular plate and 3.5 mm dynamic compressent plate (DCP) or recon plate respectively. Minimum follow-up was of 1 year duration with average follow-up of 3 years. We could achieve 100% union with mean range of movement at the and of 1 year was 20 degree to 110 degree. Two fractures had delayed union, 5 patients had skin complications for which extended dressing was required. None of these patients required SSG or secondary suture.
    Journal of the Indian Medical Association 06/2011; 109(6):418, 423.