Day 1 :
- Orthopaedic Surgery
Dr.Pramod Lamichhane is a Senior Orthopaedic Surgeon and Head of Department of Orthopaedics and the Chair person of Alive Hospital and Trauma Centre, a busy trauma centre located 150 kilometers south west of Kathmandu. His sound knowledge in trauma developed the system of prompt treatment of trauma victims, especially open injuries with excellent results and he was awarded as the best young Orthopaedic Surgeon in 2nd Nepal Japan Annual Orthopaedic Symposium in 2013. He is sound in surgery for Spine, Pediatric and physically disabled persons. He has been organizing national and international CMEs and workshops regularly.
There are different ways of management of long bones fractures and the most common is conservative with closed reduction and plaster. With the advancing techonology, operative management is increasing in certain cases. The common methods of operative management are fixation with pin and plaster, k-wires, rush pins, kuntscher nails and plating. We treated 131 long bones fractures with intramedullary rush pins within 12 hours of injury and immobilized in slab for 1 month from August 2011 to July 2016. There were 62 both bone forearm fractures, 43 shaft of femur fractures and 26 shaft of tibia fractures. There were 25 open fractures and 4 multiple fractures. They were between 3 to 16 years of age. There were 65 males and 41 females. All the fractures united in 6 weeks to 3 months time. There were no infections, no refracture, no deformity and no any other complications with relatively less morbidity. Operative treatment with intramedullary rush pins in pediatric long bones fractures especially in multiple and open fractures is effective ,safe and with good outcome and less morbidity.
Orthopedic department,Tanta University, Egypt.
Dr. Ahmed Samy is an assistant proessor of orthopedic,Tanta University,Egypt. He is a consltant in arthroplasty, got his M.D. from Rizzoli Institute,Bologna University, Italy at 2010. And he got his PH.D. at Tanta University Hospital at 2011.
Osteonecrosis of the femoral head (ONFH) is a debilitating disease in orthopedics, frequently progressing to femoral head collapse and osteoarthritis. It is thought to be a multifactorial disease. ONFH ultimately results in femoral head collapse in 75-85% of untreated patients. Total hip arthroplasty yields satisfactory results in the treatment of the end stage of the disease in older patients. However, disease typically affects males between the ages of 20 and 40 years and joint replacement is not the ideal option for younger patients. Recently, mesenchymal stem cells and platelet rich plasma (PRP) have been used as an adjunct to core decompression to improve clinical success in the treatment of pre-collapse hips.
Brigham and Women’s Hospital and Harvard Medical School, USA
Bing Lu has completed his MD from China and PhD in Biostatistics from the University of North Carolina at Chapel Hill. He is an Assistant Professor of Medicine at Harvard Medical School and is an Associate Professor (Adjunct) at Albert Medical School of Brown University. He has published more than 90 papers in reputed journals and has been serving as an Editorial Board Member of several international journals.
The objective of this study was to examine the relationship between being overweight or obese and developing rheumatoid arthritis (RA) in two large prospective cohorts, the nurses’ health study (NHS 1984-2014) and nurses’ health study II (NHSII 1991-2013). We followed 76,597 women aged 30-55 years enrolled in NHS and 93,392 women aged 25-42 years in NHSII at baseline and free from RA or other connective tissue diseases, who provided lifestyle, environmental exposure and anthropometric information through biennial questionnaires. We used the pooled data from two large cohorts and assessed the association between time-varying body mass index (BMI) in WHO categories of normal, overweight and obese (18.5≤25, 25.0≤0, ≥30.0 kg/m2) and incident RA meeting the 1987 American College of Rheumatology (ACR) criteria. We estimated HRs for overall RA and serologic subtypes with Cox regression models adjusted for potential confounders. During 4,832,369 person-years of follow-up, we validated 1220 incident cases of RA. There was a significant trend toward increased risk of all RA among overweight and obese women [HR (95% CI): 1.23 (1.08, 1.40) and 1.36 (1.17, 1.58), p for trend=0.001]. Among RA women aged 55 years or younger, this association appeared stronger [HR 1.48 (1.20, 1.81) for overweight and 1.76 (1.42, 2.20) for obese women (p trend <0.001)]. In conclusion, risks of RA were elevated among overweight and obese women, particularly among young or middle aged women.
He had this rare privilege and honor of doing this work at the University of Liverpool, UK along with Dr. Martin A Elloy, PhD, (A biomechanical study of fixation of femoral neck fractures. PhD Thesis, University of Liverpool, Liverpool 1977). a biomedical Engineer who was instrumental in helping me in the cadaveric study prior to clinical application in patients to device a Modified Posterior Approach to the Hip Joint at a time when dislocations were the main reason for the conventional Posterior Approach to the Hip Joint not being used despite of having all its advantages. He was formerly General Manager of Chas F Thackray Ltd and was at that time associated with Sir John Charnley at Wrightinton. I first presented this research at Singapore in 1984, when it was appreciated by Emeritis Professor, Robert Cofield of the Mayo Clinic, Minnesota, USA and I have been following this approach till today along with citations
The posterior approach is the most common and relatively easy to expose the hip joint. The posterior approaches allow excellent visualization of the acetabulum and the upper femoral shaft and hence, are very popular in revision joint replacement surgery particularly in cases where only the femoral component needs to be replaced. This modification offers greater visibility and decreased blood loss to the hip joint, conferring greater stability posteriorly as compared with the conventional posterior approach as described by Austin Moore in 1957. This modification was devised at the time when the cause of dislocation was being blamed on the posterior approach to the hip joint. This approach has been tested on cadavers prior to clinical application in patients, and since bone is attached to bone, it confers greater stability than an ordinary suture through soft tissues and hence reduces dislocation of the hip joint.
As an intern through all years of medical school , I have developed into an enthusiastic person, with great passion towards volunteering and public health promotion . Furthermore, I was an active organizer in many events and conferences at my university. In addition, I was the president of the media committee of the university medical student club.
Objective: To assess the functional outcome and the time of healing in supracondylar femur fractures fixed with intramedullary tibial nail.
Methods:It was a randomized control trial study comprising of 25 patients with closed supracondylar femoral fractures operated with tibial intramedullary nail in Al Noor speciality hospital during a period of four years (2009-2013). The functional outcome was measured by Tegner Lysholm criteria during and after 4 years.
Out of 25 patients 20 were male and 5 were female. The mean time of healing was 15.80(2.646) weeks. 6(24%) patients showed excellent results, 12(48%) patients showed good results and 7(28%) patients showed fair results. There were no poor results in our study.
Retrograde tibial nails are cheaper, convenient and comparable option for stabilizing the supracondylar fracture compared to standard retrograde femoral nails
Supracondylar femur fractures, tibial interlocking nail,retrograde femoral, nail
- Orthopaedic Nursing