BACKGROUND Wound management is an essential part of emergency medicine practice.A good suture technique should deal a complex irregular traumatic wound without any complications of dehiscence/gaping,infection,delayed ...BACKGROUND Wound management is an essential part of emergency medicine practice.A good suture technique should deal a complex irregular traumatic wound without any complications of dehiscence/gaping,infection,delayed wound healing,frequent dressings and further stay in hospital.There is no ideal technique of suturing for any wound.In pursuit of the new techniques,we have introduced a new suturing technique called combined oblique and vertical everting running(COVER)stitch which has showed good healing with less complications.AIM To compare the outcomes between the COVER stitch and conventional suturing group.METHODS In this study,we included 40 cases which were divided into two groups.Group 1 patients were managed by COVER stitch,and group 2 patients underwent conventional suturing for their wounds.The outcomes were measured in terms of scar quality,suturing duration and length of suture material used,suturing related complications and suture removal time which were compared by t-test usingχ^(2) test.RESULTS Better results were seen in COVER stitch than the conventional suturing.COVER group had significantly better results in terms of time taken for suture,amount suture material used and time taken for suture removal compared to the conventional group.No wound related complications were seen in this group.Moreover,scar formed was also better in COVER group.CONCLUSION COVER stitch is another new technique which can be used to deal simple to complex wounds and it is an emerging idea with good healthy scars with less complications.展开更多
BACKGROUND Simultaneous bilateral femoral neck fractures are relatively rare injuries.They are usually associated with underlying metabolic bone disorders or systemic diseases.Long-term use of narcotics and bisphospho...BACKGROUND Simultaneous bilateral femoral neck fractures are relatively rare injuries.They are usually associated with underlying metabolic bone disorders or systemic diseases.Long-term use of narcotics and bisphosphonates can also result in similar fracture patterns;however,association of this fracture type with longterm use of antiepileptic drugs is not very common.Only one such case has been reported in the literature.This article describes the second.CASE REPORT We report a case of simultaneous displaced bilateral femoral neck fractures in a 50-year-old epileptic patient,who had taken phenytoin for the past 3 years.The fractures were a result of low-velocity injury following a fall from the bed.The fractures were managed with a bilateral hemi-replacement arthroplasty.Oral bisphosphonates were given to improve the bone quality in the post-operative period.The patient had a good post-operative outcome,that was sustained throughout the entire follow-up period of 1 year.CONCLUSION Antiepileptic drugs should be supplemented with bisphosphonates and vitamin D to improve bone quality and prevent fractures in epileptic patients.展开更多
文摘BACKGROUND Wound management is an essential part of emergency medicine practice.A good suture technique should deal a complex irregular traumatic wound without any complications of dehiscence/gaping,infection,delayed wound healing,frequent dressings and further stay in hospital.There is no ideal technique of suturing for any wound.In pursuit of the new techniques,we have introduced a new suturing technique called combined oblique and vertical everting running(COVER)stitch which has showed good healing with less complications.AIM To compare the outcomes between the COVER stitch and conventional suturing group.METHODS In this study,we included 40 cases which were divided into two groups.Group 1 patients were managed by COVER stitch,and group 2 patients underwent conventional suturing for their wounds.The outcomes were measured in terms of scar quality,suturing duration and length of suture material used,suturing related complications and suture removal time which were compared by t-test usingχ^(2) test.RESULTS Better results were seen in COVER stitch than the conventional suturing.COVER group had significantly better results in terms of time taken for suture,amount suture material used and time taken for suture removal compared to the conventional group.No wound related complications were seen in this group.Moreover,scar formed was also better in COVER group.CONCLUSION COVER stitch is another new technique which can be used to deal simple to complex wounds and it is an emerging idea with good healthy scars with less complications.
文摘BACKGROUND Simultaneous bilateral femoral neck fractures are relatively rare injuries.They are usually associated with underlying metabolic bone disorders or systemic diseases.Long-term use of narcotics and bisphosphonates can also result in similar fracture patterns;however,association of this fracture type with longterm use of antiepileptic drugs is not very common.Only one such case has been reported in the literature.This article describes the second.CASE REPORT We report a case of simultaneous displaced bilateral femoral neck fractures in a 50-year-old epileptic patient,who had taken phenytoin for the past 3 years.The fractures were a result of low-velocity injury following a fall from the bed.The fractures were managed with a bilateral hemi-replacement arthroplasty.Oral bisphosphonates were given to improve the bone quality in the post-operative period.The patient had a good post-operative outcome,that was sustained throughout the entire follow-up period of 1 year.CONCLUSION Antiepileptic drugs should be supplemented with bisphosphonates and vitamin D to improve bone quality and prevent fractures in epileptic patients.
