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Gupta, R.
- Osteotomy in Fracture Neck Femur-Still a Useful Option
Authors
1 Department of orthopaedics, ESI-Postgraduate Institute of Medical Sciences & Research, Ring road, New Delhi- 110015, IN
Source
The Indian Practitioner, Vol 67, No 8 (2014), Pagination: 504-508Abstract
Management of fracture neck femur in younger patients despite various treatments still remains a dilemma due to complications like non-union and avascular necrosis. Osteotomy has been used as a management option for primary as well as non union of fracture neck femur for long time with preservation of femoral head.
Osteotomy, though head preserving, long lasting, cost beneficial and simpler procedure, has inherent possibilities of compromised functional recovery. In current context availability of the hemi-arthroplasty, total hip replacement and other methods and their results has made the surgeon to extend its indication in relatively younger patients. These factors also have led to decrease awareness and use of the osteotomy procedures in practice. The current article discusses the problems after osteotomy, difficulties in future conversion to total hip replacement and the overall usefulness of the osteotomy procedures in the current scenario considering financial status and work demands of the patients.
- Colposcopic Evaluation of Patients With Abnormal Cervical Cytology and/or Unhealthy Cervix
Authors
1 Department of Obstetrics & Gynaecology, Dayanand Medical College and Hospital (DMC&H), Ludhiana (Punjab), IN
2 Dept of Pathology, DMC&H, IN
Source
The Indian Practitioner, Vol 67, No 2 (2014), Pagination: 89-93Abstract
Objectives: To assess the diagnostic accuracy, sensitivity and specificity of colposcopy in patients with abnormal cervical cytology and/or unhealthy cervix.
Methods: Pap smear screening was done in 500 sexually active women attending the Gynaecological OPD at Dayanand Medical College and Hospital, Ludhiana. 252 women with abnormal cervical cytology or unhealthy cervix or both underwent Colposcopy. Cervical biopsy was taken in 87 cases and the results were compared and statistically analysed.
Results: A statistically significant relation was found between abnormal cytology and Grade III colposcopy. Diagnostic accuracy of colposcopy for LSIL and HSIL was 74.07 % and for squamous cell carcinoma it was 83.33%.
Conclusion: Colposcopy should be done routinely in women with abnormal cervical cytology and unhealthy cervix for timely detection of cervical pre neoplastic and neoplastic lesions.