{"title":"Incidence of Acute Kidney Injury after Stroke and Its Association with 30-day Mortality of Stroke Patients","authors":"Amber Shahzadi, Saima Ambreen, Aimen Malik, Mubariz Ahmed, Sidra Jahangir, Basil Usman","doi":"10.51273/esc23.2519216","DOIUrl":"https://doi.org/10.51273/esc23.2519216","url":null,"abstract":"Objective: To investigate the incidence of AKI in stroke patients and its association with 30-day mortality of stroke patients. Method: This descriptive study was conducted in Medical Unit-I, Holy Family Hospital from June 2020 to January 2021. 130 patients with CT-confirmed stroke (both ischemic and hemorrhagic) with symptoms ranging from 1-24 hours were included in the study using consecutive (non-probability) sampling, after informed consent from theattendants. Patients with a history of recurrent stroke, renal dysfunction before stroke (urea > 52mg/dl and creatinine > 1.2mg/dl, eGFR < 90 ml/min, proteinuria, or patients on dialysis as per medical record), uncontrolled hypertension (BP ≥180/110 mmHg), alcohol use, intravenous drug abuse and diabetes (BSR > 200 mg/dl) were excluded from the study. Patients' baseline serum creatinine levels were recorded and were noted again after 72 hours. A > 0.3 mg/dl increase from the baseline was defined as acute kidney injury. Mortality was recorded in patients who died within 30 days of stroke. Results: The mean age of the patients was 55.48 ± 10.85 years. 81 patients (62.3%) were male and 49 (37.7%) were female. 25 (19.2%) patients had acute kidney injury. 25 (19.2%) patients (amongst both with and without acute kidney injury) died within 30 days. There was a significant association between acute kidney injury and 30-day mortality of the stroke patients (p-value<0.001). This association was significant in all age groups, both genders, regardless of present or absent history of smoking and regardless of duration of symptoms prior to arrival (p value <0.001). Conclusion: Acute kidney injury affects a proportion of patients of stroke. There is a significant association between AKI and 30-day mortality after stroke, suggesting there might be a link between them.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-08-19DOI: 10.51273/esc23.2519217
Khawaja Ijaz Awais, M. Arslan Rasheed, Zoha Ejaz, Taj Jamshaid, Saim ., Ahmad Latif
{"title":"Reasons of TB Treatment Non Compliance","authors":"Khawaja Ijaz Awais, M. Arslan Rasheed, Zoha Ejaz, Taj Jamshaid, Saim ., Ahmad Latif","doi":"10.51273/esc23.2519217","DOIUrl":"https://doi.org/10.51273/esc23.2519217","url":null,"abstract":"Objective: To assess the prevalence and reasons of non compliance to treatment of tuberculosis among the patients of Sharif medical city Hospital Lahore. Material and Methods: 150 patients of tuberculosis were taken as a sample based upon non-probability convenient sampling. The data was collected by the investigators themselves with the use of semi-structured questionnaire that was finalized after pre-testing. Results: The data was analysed by putting into IBM statistics SPSS software. All the respondents(100%) have already heard about tuberculosis. The pooled prevalence of non compliance to TB is 44.4%. Conclusion: Overall level of knowledge about tuberculosis and its practices among the patients of tuberculosis attending Sharif medical city hospital Lahore was found satisfactory (40%). The majority of respondents are not taking medicine because of side effects of drugs (41.3%), fear of drugs (40%), long duration of TB treatment (62.7%) and TB clinic is far from home (66.7%).","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Immunohistochemical Expression of Clustered Differentiation 10 (CD10) Across Various Grade & Stage of Urinary BladderCarcinoma","authors":"Sidra Shoukat, Uzma Nabi, Atiya Begum, Afia Sarwar, Sara Sadiq, Fakhar Irfan","doi":"10.51273/esc23.2519219","DOIUrl":"https://doi.org/10.51273/esc23.2519219","url":null,"abstract":"Objective: To assess the Clustered Differentiation 10 (CD10) expression in Urothelial carcinoma and to ascertain how its expression relates to grade and stage. Method: Descriptive cross sectional research was carried out over a period of six months in Pathology Department on eighty five cases of bladder carcinoma from transurethral resection of bladder (TURBT) specimens diagnosed on Hematoxylin-eosin (H & E) stained sections irrespective of patient's age and gender were included in the study. These were stained for CD10 by Immunohistochemical technique. Results: Sixty seven (78.8%) urothelial carcinomas showed positive CD10 staining while 18 cases (21.17%) demonstrated negative expression. In 67 positive cases, 42 high grade tumors had 2+ expression while 13 grade had 1+ staining .All low-grade tumors(12) displayed 1+ score. Sixteen tumorsin pT1, 21 tumorsin pT2 and 3 tumors in pT3 stage displayed 2+ score. Nineteen tumors in pT1 while 4 tumors in pT2 had 1+ score. Conclusion: Our findings indicate that CD10 expression is greater in high grade and invasive urothelial carcinomas and is associated with progression of bladder carcinomas.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Bacterial Isolates and their Antimicrobial Susceptibility Pattern from Tracheal Secretions and Sputum of Admitted and OutdoorPatients","authors":"Omair Farooq, Nadia Wali, Zainab Yousaf, Shumaila Rashid, Asim Mumtaz, Maleeha Aslam","doi":"10.51273/esc23.251923","DOIUrl":"https://doi.org/10.51273/esc23.251923","url":null,"abstract":"Objective: The purpose of study was to determine the frequent pathogens in tracheal secretions and sputum specimens along with the antimicrobial susceptibility pattern. Methods: This descriptive study was conducted in the department of Pathology and Microbiology, Farooq Hospital Lahore, Pakistan and data included was taken from 1st August 2022 to 31st December 2022. The specimens were inoculated on blood agar and MacConkey agar and incubated for 24 hours at 37 0 C. The Kirby Bauer disc diffusion method was employed to find out the antimicrobial susceptibility pattern. The SPSS was used to assess the data. Results: From the total 102 positive culture growths, Klebsiella species (35.2%) was frequently isolated followed by Pseudomonas species (25.4%), Acinetobacter species (23.5%), Escherichia coli (9.8%), Staphylococcus aureus(3.9%), Citrobacter species (0.9%), and Proteus species (0.9%). The doxycycline and linezolid were completely effective (100%) against the gram positive cocci. The Klebsiella species, Pseudomonas species, Acinetobacter species, and Escherichia coli, showed maximum sensitivity to tigecycline. Conclusion: The most commonly isolated gram negative rod was Klebsiella species and tigecycline was found to be the most effective antibiotic against it. Multidrug resistance among respiratory pathogens is the major issue so it is necessary to administer antibiotic therapy in a limited and objective manner","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-08-19DOI: 10.51273/esc23.251921
Omair Farooq, Waqas Sami, Alia Waheed, Asim Mumtaz, Zainab Yousaf, Eazaz Ali Khan, Atiqa Arshad
{"title":"Comparison of Clinical, Hematological and Biochemical Characteristics of Patients Suffering from Delta and Non-Delta Variant of COVID-19","authors":"Omair Farooq, Waqas Sami, Alia Waheed, Asim Mumtaz, Zainab Yousaf, Eazaz Ali Khan, Atiqa Arshad","doi":"10.51273/esc23.251921","DOIUrl":"https://doi.org/10.51273/esc23.251921","url":null,"abstract":"Objective: To compare the clinical, hematological and biochemical characteristics of patients suffering from delta and non-delta variants of COVID-19. Method: This cross-sectional study was conducted at Farooq Hospital Westwood Lahore during 1st March 2022 to 31st August 2022. After obtaining informed written consent, nasopharyngeal swabs and 5 ml of blood samples in both EDTA and clotted vacutainers of eighty two infected patients with COVID-19, who were admitted in COVID-19 unit, were collected. The viral nucleic acid was isolated from nasopharyngeal swabs by using a Qiagen nucleic acid extraction kit. RT-PCR was performed to detect the delta variant in COVID-19 infected patients by using SARS-CoV-2 Variant B.1.617 identification kit. Further hematological and biochemical parameters were performed. Results: We did a comparative analysis of clinical and laboratory characteristic of delta and non-delta COVID19 patients admitted in Farooq Hospital Westwood, confirmed by RT-PCR and found that patients presented with delta variant had more severe disease with significantly more cough, fever, shortness of breath and lower SpO2 at the presentation. The hematological and biochemical markers showed more lymphopenia, greater CRP,Interleukin 6,LDHand ferritin.Hospitalstay of delta variants ofCOVID-19 patients had longer duration as compared to the non-delta COVID-19 patients. Conclusion: Delta COVID-19 had more severe disease with more dyspnea, hypoxia, hematological and biochemical parameters abnormalities compared to the non-delta COVID-19 patients. Patients suffering from delta variant of COVID-19 had greater length of hospital stay as compared to the non-delta variant of COVID-19 with more oxygen requirement and more mortality rate.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-08-19DOI: 10.51273/esc23.2519218
Mudessarat Rafaq, Noman Ali Ghazanfar, Obaid Ur Rehman, Fayyaz Ur Rehman Haider, Shabbar Hussain Changazi, Muhammad Shahzad Anwar
{"title":"Stone Clearance in Patients with Upper Ureteric Stones Using Extracorporeal Shock Wave Lithotripsy Compared with Extracorporeal Shock Wave Lithotripsy Combined with Tamsulosin Therapy","authors":"Mudessarat Rafaq, Noman Ali Ghazanfar, Obaid Ur Rehman, Fayyaz Ur Rehman Haider, Shabbar Hussain Changazi, Muhammad Shahzad Anwar","doi":"10.51273/esc23.2519218","DOIUrl":"https://doi.org/10.51273/esc23.2519218","url":null,"abstract":"Objective: To assess its role in stone clearance along with ESWLin patients with upper ureteric stones. Method: This clinical trial was conducted from February 2018 to December 2021 at the Department of Urology, Services Hospital Lahore.. Atotal of 164 patients (82 in each group) of both sexes between the ages of 18 and 70 years with upper ureteric stone (6mm-15mm) were included in this study. These patients were randomly divided into two groups. Patients in group A received ESWL alone, while patients in group B received ESWL in combination with tamsulosin therapy. Follow-up visits with CT KUB Plain were planned 4 weeks postoperatively to assess stone clearance Results: The mean age of patients was 44.01±10.88 years. The study included 124 (75.6%) male and 40 (24.4%) female patients. The mean size of stones was 9.59±2.72 mm. Both the groups were comparable in terms of mean age (p=0.539), mean stone size (p=0.936), age groups (p=0.507), stone size groups (p=0.817), and gender distribution (p=0.631). The stone clearance rate was significantly higher in patients treated with ESWLin combination with tasmsulosin therapy (92.7% vs. 65.9%; p=0.003) compared to ESWLalone. Conclusion: The clearance rate was significantly higher in patients treated with ESWL in combination with tasmsulosin therapy compared to ESWLalone.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"73 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135969203","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251919
Dr Muhammad Sajid, Nousheen Fatima, Mir Nousharwan, Ameer Ahmad
{"title":"Association of Serum Cortisol Levels with Respiratory Distress Syndrome and Mortality in Premature Babies","authors":"Dr Muhammad Sajid, Nousheen Fatima, Mir Nousharwan, Ameer Ahmad","doi":"10.51273/esc23.251919","DOIUrl":"https://doi.org/10.51273/esc23.251919","url":null,"abstract":"Objective: To evaluate Trends of cortisol level and its relation with Respiratory distress syndrome and Mortality in premature babies Materials & Methods: A descriptive cross sectional study was conducted in Neonatal unit of pediatric medicine 1 of Bahawalvictoria hospital Bahawalpur from Feb 2021 to June 2021.Premature babies (less than 36 weeks gestation by ballard scoring )admitted in Preterm ward on day 1 were enrolled after informed consent and ruling out exclusion criteria (More than 24 hour old , Who have received antenatal steroids for lung maturation, Received any treatment before admission in any other hospital, Patient having Any obvious anomaly ).Day 1 sample sent for CRP and cortisol. Data recorded regarding weight, gestational age (ballard scoring), septic risk factors. These patients were followed for development of RDS ( on X ray at 24 hour of life). Outcome was documented as expiry, discharged or LAMA. Data analyzed in SPSS 20. Results:40 patients were enrolled as per inclusion criteria. 27 (67.5 % ) were male and 13 (32.5 %) were female. Gestational age 3 (7.5 %) had less than 28 weeks, 29-30 weeks were 6 (15 %), 31-34 weeks were 31 (77.5 %). Weight less than 1.5 kg were 23 (57.5%), 1.5 to2 kg were 15 (37.5 %), 2.1-2.5 kg were 2 (5%). Cortisol level low in 4 (10 %), normal in 6 (15 %), high in 30 (75 %).22 (55 %) discharged, 13 (32 %) expired, and 5 (12.5 %) got LAMA. Cortisol level as compared to outcome has p value 0.002. Tweleve (30 %) had RDS. Twenty two (55 %) had evidence of sepsis. 18 (45 %) had CRP more than 6. Cortisol level as compared to RDS presence has P value 0.057 and with sepsis has P value 0.007. Mean cortisol in discharged patients were 19.8, expired 14.2 and LAMA has 22.7. Mean cortisol in RDS patients were 18.3 and RDS absent had 18.3 also. Mean cortisol in Sepsis positive patients were 18.6 and sepsis absent were 18.0 Conclusion: Mean cortisol has no significant difference in discharged and expired patients.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251918
Saba Saif, Rizwana Kitchlew, Spenta Kakalia, Bilal Azeem Butt
{"title":"Comparison of Characteristics of Methotrexate Tolerant and Intolerant Patients Having Rheumatoid Arthritis","authors":"Saba Saif, Rizwana Kitchlew, Spenta Kakalia, Bilal Azeem Butt","doi":"10.51273/esc23.251918","DOIUrl":"https://doi.org/10.51273/esc23.251918","url":null,"abstract":"Objectives: To compare the characteristics of methotrexate-tolerant and intolerant patients having rheumatoid arthritis. To determine the association of methotrexate intolerance with the patient and disease-related factors. Method: This cross-sectional study was carried out at the rheumatology department of Combined Military Hospital Lahore from 31st April to 30th June 2022. It included 181 rheumatoid arthritis (RA) patients using methotrexate (MTX) for > 3 months. Patient demographic variables, disease duration and activity, and information regarding MTX intake were recorded. English methotrexate intolerance severity score (MISS) questionnaire was used to calculate MTX intolerance. Different variables were compared between methotrexate-tolerant and intolerant patients. Association of age, disease duration, and activity, MTX route/dose with MTX intolerance was determined. Results: The majority of patients were females 140(77%). The median disease duration was 6(1-40) years. MTX intolerance was found in 48(26.5%) of RA patients. Intolerant patients had a higher disease activity score (DAS 28>5.1 in 20.8 vs 3.8%; P = 0.002) and longer duration of MTX intake in months (23.5 vs 12; p=0.018) compared to tolerant patients. Additionally, MTX intolerance was associated with younger age, longer disease duration and higher MTX dose>10mg/wk (P=0.007, P=0.025, P=0.050). There was no significant difference between the two groups in gender, marital status, education, and use of other DMARDs or steroids. (P >0.05). Conclusion: There was a significant association between age, disease duration, and MTX dose with MTX intolerance. We also noted a significant association between disease activity and route of intake with MTX intolerance but this was lost when adjusted for multiple confounders.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288126","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251916
Dr Farhat, Dr Rana Khurram Aftab, Hira Sohail, Nimra Masood Baig, Ayaz Ali Samo, Zulfiqar Ali Laghari
{"title":"Correlation of Visceral Fat with Anthropometric Indices and cardiovascular disease Risk factors","authors":"Dr Farhat, Dr Rana Khurram Aftab, Hira Sohail, Nimra Masood Baig, Ayaz Ali Samo, Zulfiqar Ali Laghari","doi":"10.51273/esc23.251916","DOIUrl":"https://doi.org/10.51273/esc23.251916","url":null,"abstract":"Objective: To determine the correlation between visceral fat and body mass index (BMI), waist circumference (WC), waist-to-hip ratio (WHR), and CVD risk factors in males and females of the Pakistani population. Methods Four hundred six (406) participants were enrolled in the study after taking ethical approval from the institute. The age of the participants was 30 to 65 years. A uniform survey and physical examination were given to each participant. We took anthropometric measurements (BMI, WC, WHR, WHtR, SBP, and DBP). Fasting blood sugar and the serum lipid profile (TC, TG, HDL-C, and LDL-C) were measured. Results: The participants with visceral fat ≥10% have increased levels of SBP, DBP, Cholesterol, LDL, TG, and FBS. A significant positive correlation between visceral fat was observed with Weight, BMI, WC, WHR, SBP, DBP, Cholesterol, TG, and FBS. Conclusion: CV risk increases with the increase in weight, BMI, WC, WHR, SBP, DBP, Cholesterol, TG, and FBS","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288118","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EsculapioPub Date : 2023-05-13DOI: 10.51273/esc23.251913
Dr Muhammad Akhtar, Muhammad Tasneem Javed, Omer Iqbal Cheema, Shahzad Anver Qureshi, Saif ur-Rehman, Omar Anwar, Rana Dilawaiz Nadeem
{"title":"Minimally Invasive Percutaneous Plate Osteosynthesis (MIPO) for Distal Tibial Metaphyseal Fracture: A Better Option","authors":"Dr Muhammad Akhtar, Muhammad Tasneem Javed, Omer Iqbal Cheema, Shahzad Anver Qureshi, Saif ur-Rehman, Omar Anwar, Rana Dilawaiz Nadeem","doi":"10.51273/esc23.251913","DOIUrl":"https://doi.org/10.51273/esc23.251913","url":null,"abstract":"Objective: The objective of this study was to evaluate the radiological and functional outcomes in of treatment of fracture distal tibial metaphysis fixed with pre-contoured anatomical locking compression plate using minimally invasive percutaneous plate osteosynthesis (MIPO) technique. Methods: This was a prospective study conducted at Department of Orthopedic Surgery, Services Hospital Lahore. Total of 58 closed distal tibial metaphyseal fractures (AO classification 43A) included in the study. All patients were operated using anatomical LCP with MIPO technique. The functional outcome was assessed by Tenny & Wiss criteria at 6 weekly intervals with final scoring at 24th week. Functional outcome was graded as excellent, good, fair and poor. Similarly, radiological outcome was also assessed at 6 week intervals using Hammer et al criteria and grade 3 labelled as union. Results: We observed excellent functional outcome in 48 patients (82.6%) and good outcome in 6(10.34%) at last follow-up. Radiological union was achieved in 100% (58) patients at 24th week. The average time of union was 16.5 weeks with a range of 12 to 23 weeks. Total 03 patients (5.17%) developed superficial wound infection which was successfully managed with antibiotic therapy and no surgical site deep infection reported. Conclusion: Results of this study advocate that treatment of distal tibial metaphyseal fractures with LCP by MIPPO technique is an effective modality resulting in low complication rate, high union rates and good functional outcome.","PeriodicalId":11923,"journal":{"name":"Esculapio","volume":"84 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135288122","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}