Cholangi Anil Kumar

Abstract

Introduction: Fracture neck of femur remains an unsolved fracture to the orthopaedic surgeon as far as treatment and results are concerned. Present study is designed to assess the results of primary hemireplacement arthroplasty of hip for displaced femoral neck fracture in the elderly patients by Austin Moore prosthesis. To reduce the hospital stay and provide better functional results like early easy mobilization and weight bearing and to reduce the incidence of Fracture Disease. To assess the complications of primary hemireplacement arthroplasty by Austin Moore prosthesis. Materials and Methods: In this study, primary hemireplacement arthroplasty of the hip was done in 30 patients with fracture neck of femur using Austin Moore prosthesis who were admitted in the Department of Orthopaedics in Konaseema institute of medical science amalapuram, from August 2014 to August 2016. Intra capsular fracture neck of femur in patients of age 60 years and above, Non-united fracture neck of femur, all types of fracture under Gardens classification are considered. Result: In 43% (13) patients fracture was in right side and 57% (17) patients fracture was in left side. Garden type-4 fracture was present in 14(46.7%) patients, Garden type-3 fracture was present in 12(40%) patients. 13.3% (4) patients were having Garden type 2 fracture. Average blood loss during the procedure was less than 500ml in 20pts, between 500-700ml in eight patients, and more than 750ml in 2 patients. The final Harris hip score was excellent in 46.7% of the patients, good in 8(26.7%) patients, fair in 6(20%) patients and poor in 2 (6%) patients. Discussion and Conclusion: We conclude that hemiarthroplasty for fracture neck of femur is a good option in elderly patients. The mortality and morbidity are not high, operative procedure is simple, complications are less disabling. Early functional results are satisfactory. Keywords: Intracapsular fracture of neck of femur, Austin Moore prosthesis, Primary hemi-replacement arthroplasty.

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Abstract

Introduction: Pregnancy luteomas are non-neoplastic tumor like masses found in the ovary. These pregnancy luteomas spontaneously regress after delivery. Luteomas are usually asymptomatic and found incidentally during cesarean section or radiological imaging. Materials and Methods: A two year prospective study was done on 450 pregnant women while undergoing cesarean section. While doing cesarean section surgeons found ovarian masses of varying size in a few patients, these masses we suspected to be an ovarian neoplasm. salpingo-oophorectomy was performed in these pregnant women. Post operatively the excised ovaries with fallopian tube were sent for histopathological examination. Results: Out of 450 cesarean section, ovarian mass were found incidentally in 16 (3.5%) cases out of which 3 (0.6%) were luteomas. Conclusion: Recognition of these luteomas is important during cesarean section, so that unnecessary oophorectomy is avoided which is risky and can prevent unnecessary complication for both the mother and the fetus. Keywords: pregnancy luteomas, Cesarean section, ovaries, Histopathological examination,

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