Volume-4, Issue-11, November 2018

Abstract

Diabetes Mellitus (DM) is one of the major risk factors for diastolic heart failure (DHF). So this study was undertaken on 75 cases of type 2 Diabetes Mallitus and 75 matched healthy controls to study the diastolic dysfunctions in normotensive type 2 Diabetes Mellitus. Normotensive type 2 Diabetes Mellitus 61.33%) showed LVDD in 61.33% which was significantly higher than in matched normal control where it was 6.67%. LVDD was found significantly more in elder age, with longer duration of disease and higher HbA1C. Mean of E/A ratio in case group was significantly lower as compared to control group. The case group also showed prolonged IVRT and DT in comparison to control as the p value was statistically significant (p<0.01).

Keywords: Type 2 Diabetes Mellitus, Left Ventricular Diastolic Dysfunction (LVDD).

References

Keywords: Type 2 Diabetes Mellitus, Left Ventricular Diastolic Dysfunction (LVDD).

Abstract

Tibial plateau fractures present a wide spectrum of injuries with a range of fractures patterns involving varying degree of joint surface depression and displacement. This study was conducted to compare the outcomes of locked plating and hybrid fixator in management of tibial plateau fracture. This study observed that in plating group mean interval between surgery and partial weight bearing was 8.45 weeks and in hybrid group it was 11.14 weeks which was with significant difference (p=0.0006). Likewise in plating group mean interval between surgery and full weight bearing was 14.11 weeks whereas 17.82 weeks in hybrid group (p=0.001). In plating group mean time for radiological union was 20.9 weeks whereas it was 24.81 weeks in hybrid group (p=0.023). In this study plating group 14.28% had malunion whereas in hybrid fixator group it was in 31.42% of cases (p=0.087). Nonunion were in 5.71% in plating and 8.57% in hybrid group which was not found significant (p=0.642). In plating group mean Rasmussens score was 23.25 at 24 weeks follow up whereas it was 21.08 weeks in hybrid group which was found with significant (p=0.043) difference. This present study concluded that although distribution of malunion, nonunion cases and duration of hospital stay was without significant difference in plating and hybrid fixator group but partial weight bearing, full weight bearing, radiological union was earlier in plating group than hybrid fixator group. Rasmussens score of knee was higher in plating than hybrid fixator group. So plating is better than hybrid fixator method in treatment of tibial plateau fracture.

Keywords: Tibial Plateau Fractures, Rasmussens Score, Hybrid Fixator, Locked Plating

References

Keywords: Tibial Plateau Fractures, Rasmussens Score, Hybrid Fixator, Locked Plating

Abstract

Acute postoperative endophthalmitis is the most common form of endophthalmitis. Pars Plana Vitrectomy (PPV) is one of technique to manage endophthalmitis. Nowadays some additives are used to this technique. This study was conducted to compare postoperative complications of Pars Plana Vitrectomy (PPV) with and without Silicone oil endotamponade in treatment of acute endophthalmitis. Single prospective interventional study was conducted in upgraded department of ophthalmology, SMS Hospital Jaipur. It included 84 patients of acute endophthalmitis equally divided into two groups i.e. Pars Plana Vitrectomy Alone (PPV group) alone and Pars Plana Vitrectomy with silicone oil endotamponade (PPV+SOI group). Results were assess in the form of proportion of postoperative complications. It was observed that postoperative complications were significantly (p=0.007) more in Pars Plana Vitrectomy (PPV) alone (33.33%) than with Pars Plana Vitrectomy with silicone oil endotamponade (7.14%) group. Retinal Detachment was found in 14.29% in PPV alone group which was significantly more (P=0.034) from other group as no retinal detachment found in PPV+SOI group. No significant difference was observed in other complications in both groups. It was concluded that Pars Plana Vitrectomy with silicone oil endotamponade have significantly lesser postoperative complications than PPV alone.

Keywords: Endophthalmitis, Postoperative Complications, Pars Plana Vitrectomy (PPV) Silicone oil endotamponade.

References

Keywords: Endophthalmitis, Postoperative Complications, Pars Plana Vitrectomy (PPV) Silicone oil endotamponade.