Original Research Article
May 17, 2022
Open Reduction & Internal Fixation in Case of Clavicle Fracture & Their Outcomes
Dr. Anjan Lal Ghosh, Dr. Debdulal Debnath, Dr. SK. Ashraf Ullah
SAS J Surg | 394-399
DOI : 10.36347/sasjs.2022.v08i05.013
Abstract
PDF
Full Texts
e-Pub
Introduction: Clavicle fractures are common, and account for about 2.6 % of all fractures and nearly 44 % of those in the shoulder girdle. Fractures of the middle third of the clavicle are most common (81%). Surgical operation for displaced clavicle fractures is controversial. Traditionally, these fractures have been treated in non-operative ways. This traditional treatment is not without complications, such as shortening, nonunion, deformity and unsatisfactory patient outcomes. In recent days, operative treatment has proven superior results. Aim of the study: Early union & reliable treatment with predictable outcomes. Methods: This is a prospective study, a total of 15 patients were included and analyzed in this study. This study was carried out from January 2016 to June 2020 at Z. H. Sikder Women’s Medical College Hospital & Northern International Medical College and Hospital. The method of fixation of the clavicular fracture was open reduction and internal fixation with a reconstruction plate in twenty patients, a hook plate and T-plate for distal clavicle fracture. Result: In this study, a total of 15 patients were included and analyzed. Table-1 shows the clinical characteristics of the study patients, 8(53.33%) patients were from the age range 31-45, 4(26.67%) patients were from the age range 15-39 and 3(20.00%) patients were from the age range 45-60. The male patients were 12(80%) and the female patients were 3(20%). Figure-1 shows the mean constant shoulder scores of patients. The complication of studying patients was shown in Table-4, 8(53.33%) patients were from unsatisfactory appearance, 4(26.67%) patients were from adhesive capsulitis, 3(30.00%) patients were from both superficial infection and paresthesia over the surgical site and 2(13.33%) patients were from non-union. Conclusion: In conclusion, the conservative treatment remains the treatment of choice for simple clavicle fractures, but for displaced and comminuted fractures surgical intervention ....
Original Research Article
May 15, 2022
Colon Cancers: Epidemiological, Diagnostic, and Therapeutic Aspects at the Visceral Surgery Department of CNHU-HKM of Cotonou
Attolou SGR, Laleye CM, de Souza CFE, Gbessi G, Dossou F, Mehinto DK
SAS J Surg | 388-393
DOI : 10.36347/sasjs.2022.v08i05.012
Abstract
PDF
Full Texts
e-Pub
Introduction: In Benin colon cancer is the 3rd most common cancer in men after that of the prostate and liver and the 5th in women. The latest work on colon cancer in Benin goes back more than 10 years. It is therefore a question of updating information on colon cancer in Benin by describing them in their epidemiological, diagnostic and therapeutic aspects. Method: This is a retrospective study of colon cancers diagnosed in the Visceral Surgery department of the CNHU-HKM in Cotonou over a period of 7 years. Result: Cancers of the left colon with a predilection for the sigmoid colon are the most diagnosed in Benin. It is a pathology of the relatively young subject living in an urban environment. The main histological form is lieberkuhnian adenocarcinoma. 76% of these cancers are received at the stage of complications. Surgery is the cornerstone of treatment but is often palliative in our context of late consultation. Nevertheless, hospital mortality remains low and survival at 04 years is 60%.
Original Research Article
May 13, 2022
Damn Nuisance from brachial Plexus Injury, An Uncommon Indication for Shoulder Disarticulation
Dr. Ayoko U. S, Dr. Diamond T. E, Dr. Aaron F. E
SAS J Surg | 385-387
DOI : 10.36347/sasjs.2022.v08i05.011
Abstract
PDF
Full Texts
e-Pub
Pan-plexus injuries with persistent pain and flail upper limb present bifocal nuisance to patients and pose serious treatment challenges to orthopaedic surgeons. Limb salvage procedures could be cumbersome, expensive and mostly with poor functional outcomes. The timing and extent of ablation are key predictors to outcome and will depend on the available local expertise and clinical evidence. We present a 42year farmer who walked into the clinic requesting for limb ablation. We also discuss our treatment outcome in light of available literature.