Journal of Chittagong Medical College Teachers' Association最新文献

{"title":"Predictors of Outcome in Hospitalized Adult COVID-19 Patients Admitted to a Tertiary Hospital in Chattogram","authors":"R. Biswas, M. Karim, E. Ullah, Mahmud Hassan Arif, Moinuddin A. Chowdhury, Mohammad Abu Sayeed Chowdhury, Sabrina Yusuf, Fatema Tooj Johra","doi":"10.3329/jcmcta.v33i1.67289","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67289","url":null,"abstract":"Background: The COVID-19 pandemic emerged as a major public health emergency affecting the healthcare services all over the world. It is essential to analyze the epidemiological and clinical characteristics of patients with COVID-19 in different parts of our country. This study highlights clinical experience in managing patients with COVID-19 at a tertiary care centre in southeastern Bangladesh. \u0000Materials and methods: Clinical characteristics and outcomes of consecutive 199 adult patients admitted to Chittagong Medical College Hospital, Chattogram, Bangladesh, from February 1 to March 31, 2021 were studied in this prospective observational study. The diagnosis of SARS-CoV-2 infection was confirmed by real-time reverse transcriptase polymerase chain reaction (RT-PCR) on throat and/or nasopharyngeal swabs. All patients were managed according to the hospital’s consensus protocol and in accordance with National Guidelines on clinical management of COVID-19. \u0000Results: The median age of the patients was 57 years (Range: 20-102 years) and 118 (59.3%) were male. One hundred and thirty two (67.3%) patients had associated comorbid condition and diabetes (44.7%) and hypertension (33.3%) were the most common. Majority (57.3%) was classified as having moderate severity and mortality of 10.1% (20 patients) was observed. Elderly age (>60 years), diabetes mellitus, elevated levels of D-dimer and neutrophillymphocyte ratio were the predictors of mortality. \u0000Conclusions: These findings suggest that the mortality rate in elderly COVID-19 patients with comorbidity is high and neutrophil-lymphocyte ratio could be a cost effective predictor of mortality in our context. \u0000JCMCTA 2022 ; 33 (1) : 138-143","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85391120","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":"Efficacy and Safety of Levofloxacin Prophylaxis During Induction Therapy for Childhood Acute Lymphoblastic Leukemia","authors":"Rehnuma Urmi, Maayenu, N. Das, Quazi Saminah Salma, Md Rezaul Karim, Selim Md. Jahangir, Rasheda Samad","doi":"10.3329/jcmcta.v33i1.67060","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67060","url":null,"abstract":"Background: Infection related complications represent an important cause of morbidity and mortality in pediatric cancer patients, especially in those receiving chemotherapy.  Although antibiotic prophylaxis is used in adult leukemic patients, but it is less practiced in pediatric cancer patients. The aim of this study was to evaluate the efficacy and safety of Levofloxacin prophylaxis to reduce infection which occur during induction phase of chemotherapy among pediatric Acute Lymphoblastic Leukemia (ALL) patients. \u0000Materials and methods: This single centered, pilot study in RCT design was conducted in Pediatric HematoOncology Department of Chittagong Medical College Hospital (CMCH). Sixty newly diagnosed ALL patients admitted for chemotherapy were randomly allocated to two groups 30 in each: one group received Levofloxacin prophylaxis (Intervention group) and other group did not receive prophylaxis (Control group). During the whole period of induction, clinical and laboratory features of infection, fever and neutropenia were observed and adverse effects were noted in both groups. \u0000Results: In induction phase of chemotherapy of ALL, significantly lower proportion of patients developed fever in the intervention group than in the control group [(18/30, 60.00%) versus (26/30, 86.67%)]. Incidence of infection was significantly less in intervention group compared to control group (60% versus 86.7%, p=0.039). Also, incidence of febrile neutropenia was significantly less in intervention group compared to control group (p=0.039). No major adverse effects were observed in any of the levofloxacin prophylaxis group except only two patients reported mild lower limb pain.   \u0000Conclusion: It may be concluded from this pilot study that, Levofloxacin prophylaxis in children with ALL during the induction phase of chemotherapy is effective in reducing infection, febrile episodes and febrile neutropenia. \u0000JCMCTA 2022 ; 33 (1) : 34-39","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"22 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84358504","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":"Cardiovascular Risk Factors among Patients with Systemic Lupus Erythematosus Presented in a Tertiary Care Hospital","authors":"Hamidpour Hassan, M. S. Ali, Md. Asiful Islam, A. Chowdhury","doi":"10.3329/jcmcta.v33i1.67413","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67413","url":null,"abstract":"Background: Risk factors for cardiovascular disease are particular habits, behaviors, circumstances or conditions that increase a person's risk of developing cardiovascular disease, including lack of exercise, unhealthy eating, smoking, diabetes, age and family history. Cardiovascular risk factors were observed and compared to find out their contribution among patients with SLE. \u0000Materials and methods: In this case control study, consecutive patients with SLE attending the Department of Medicine Dhaka Medical College Hospital (DMCH) were studied. The control population was recruited from subjects attending the other departments of the hospital and healthy attendants. The prevalence of classic Framingham cardiovascular risk factors, lipid profile, other metabolic risk factors, lifestyle variables, and demographic characteristics were compared between the 2 groups. \u0000Results: 80 SLE patients and 80 age and sex matched controls were studied. Patients with SLE had significantly high BMI and waist circumference (p_0.012 and p_0.001 respectively). Hypertension, diabetes were significantly more common among the SLE patients (31.29% versus 11.25%, p_0.023 and 13.75% versus 3.75, p_0.03). In comparison with control, patients with SLE had no significant difference in mean total cholesterol (193.92±23.65 versus 183.66±11.39, p_0.41) and triglyceride (174.77±60.06 versus 149.15±28.68, p_0.11), but had significantly higher low density lipoprotein (120.77±16.07 versus 108.17±11.68, p_0.00) and lower high-density lipoprotein cholesterol (41.37±4.52 versus 43.51±3.34, p_0.00).   \u0000Conclusion: Patients with SLE have a range of detectable and significant cardiovascular risk factors. \u0000JCMCTA 2022 ; 33 (1) : 160-165","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89286027","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":"Correlation of Clinical and Biochemical Parameters with the Stages of Chronic Kidney Disease in Type 2 DM Patients in a Tertiary Care Hospital in Chittagong","authors":"Shahryar Ahmed, S. Chowdhury, Rasheda Begum, A. Siddiki","doi":"10.3329/jcmcta.v33i1.67184","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67184","url":null,"abstract":"Background : Microalbuminuria is a term to describe a moderate increase in the level of urine albumin. It occurs when the kidney leaks small amounts of albumin into the urine. The main objective of this study is to determine the correlation between microalbuminuria and diabetic kidney disease at a tertiary care hospital in Chittagong. \u0000Materials and methods : Institutional based cross- sectional study design was conducted on randomly selected diabetic population from Chittagong Diabetic and General Hospital by using systematic random sampling  method from 1st June to 30th November 2019. \u0000Results : Out of a total of 160 participants, the prevalence  of microalbuminuria was in 59(36.9%) patients. Ten (6.3%) patients had cardiovascular disease, 18(11.3%) had neuropathy, 7(4.4%) had retinopathy, 117(73.1%) had hypertension and 47(29.4%) had duration of diabetes of 610 years. Majority 132(82.5%) patients had stage 1-2 followed by 22(13.8%) had stage 3, 4(2.5%) had stage 4 and 2(1.3%) had stage 5. Gender, age, cardiovascular, retinopathy, hypertension, BMI, albumin to creatinine ratio, fasting sugar, creatinine level and LDL were not statistically significant (p>0.05) when compared to different stages of CKD. Stage 1-2 was significantly higher in no microalbuminuria group than microalbuminuria group (92.1% vs 66.1%). Stage 3 was significantly higher in microalbuminuria group than no microalbuminuria group (23.7% vs 7.9%). Stage 4 was significantly higher in microalbuminuria group 4(6.8%) and Stage 5 was higher in the microalbuminuria group 2(3.4%). \u0000Conclusion: Neuropathy, mean diabetes duration, mean HbA1c, and mean Triglyceride were significantly greater in CKD stage 5 than in other stages of illness in the current research. When comparing different stages of CKD, mean HDL was considerably lower in stage 5. In the microalbuminuria group, CKD Stages 3, 4, and 5 were considerably higher than in the non-microalbuminuria group. \u0000JCMCTA 2022 ; 33 (1) : 50-55","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73303638","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":"Evaluation of Cervix at Risk with Pap Smear and with Colposcopy","authors":"N. Ferdous, Mafruha Khanam, Anika Anan Mahmud, Tajrin Iqbal, A. Begum, Chandrika Gupta","doi":"10.3329/jcmcta.v33i1.67224","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67224","url":null,"abstract":"Background: Unhealthy cervix is a very common finding in Bangladesh due to poor genital hygiene, malnutrition, and multiparity. Cervical Cancer is a serious health problem in Bangladesh and other developing countries. Cervical Cancer is a preventable cancer due to long preinvasive state and available cervical screening program like pap smear, colposcopy etc. Upon detection the treatment of pre-invasive lesions is highly effective. The objective of our study is to observe and evaluate suspicious cervix upon specimen collection by pap smear and viewing them by colposcopy when required.   \u0000Materials and methods: This is a descriptive type of observational cross-sectional study conducted in the Department of Obstetrics and Gynecology of BBMH, Chittagong over a period of six months from December 2020 to June 2021. A total of 64 women were selected, who came to hospital outdoor for the treatment of persistent vaginal discharge, post coital bleeding, postmenopausal bleeding. A thorough general, systemic and pelvic examination was done. Pap smear was conducted and colposcopy was done for women who had persistent inflammation on pap smear cases. Multiple variables like age of marriage and first intercourse, parity contraception was taken in consideration. The data obtained were recorded and statistically analyzed.                        \u0000Results: Out of 64 women the minimum age was 30 and maximum was 62 years with a mean age of 32.6 ± 7.2 years. Of the 64 women with unhealthy, inflammatory pap smear cases, 33 (51.6%) patients were colposcopically positive for CIN. Then histopathological evaluation of the biopsy material of those 33 women were done. It revealed 12 (36.3%) with abnormal cytology. Patients with positive CIN experienced early marriage, early age of child birth, and also had higher parities than patients without CIN. \u0000Conclusion: This study should that cervical lesion is one of the commonest problems among the females worldwide, including Bangladesh. This revealed the importance of emphasizing on proper screening of carcinoma cervix to decline incidence and mortality in developed and developing countries. \u0000JCMCTA 2022 ; 33 (1) : 71-76","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81006882","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":"Factors Associated with Glycemic Control Among Patients with Type 2 Diabetes at Chittagong Medical College Hospital","authors":"Parvin Aktar, Mohammad Moharam Ali, S. Akter, Md. Hafizul Islam, N. Tasnim, Ripan Kumar Mandal, M. Haque","doi":"10.3329/jcmcta.v33i1.67288","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67288","url":null,"abstract":"Background: Glycemic control is the main therapeutic goal for the prevention of diabetes related complications. However, achieving optimal glycemic control on long term basis among patients with Type 2 diabetes remains challenging in developing countries like Bangladesh. The purpose of the study to determine the factors associated with glycemic control among patients with Type 2 diabetes at Chittagong Medical College Hospital, Chattogram, Bangladesh.   \u0000Materials and methods: This cross sectional study included 120 patients with Type 2 diabetes aged 40-75 years who attended at Outpatient Department of Endocrinology, Chittagong Medical College Hospital between July 2020 to June 2021. Important variables in this study were socio-demographics, fasting blood glucose, HbA1c, BMI, waist circumference, duration of DM, proteinuria and documented history of chronic complications. Patent’s HbA1c were categorized into good glycemic control <7% and poor glycemic control ³7%.   \u0000Results: 84.2% of the patient’s had poor glycemic control. The mean (±SEM) BMI, waist circumference, SBP, DBP, HbA1c and FBG were significantly higher in patients with poor glycemic control. Majority of patients with poor glycemic control were female and ³60 years old. Patients with a history of higher BMI (65.3%), waist circumference (85.1%), 10 years of diabetes (33%), combination of OHA and insulin (42.6%) had poor glycemic control. There was no significant association with glycemic control and family history of diabetes, history of smoking, other socio-demographic variables. Patients without complications and proteinuria had significantly better glycemic control. \u0000Conclusion: The proportion of patients with poor glycemic control was high. Age, duration of diabetes, obesity, anti-diabetic agents and complications were associated with glycemic control. \u0000JCMCTA 2022 ; 33 (1) : 132-137","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77135399","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":"Variation of Carrying Angle of Elbow in Relation to Age, Sex and Dominant Arm in Adolescent Bangladeshi Population","authors":"Urmila Chowdhury, M. Ashrafuzzaman, Baishakhi Bhowmik, M. M. Hossain, Raju Chowdhury, Sarah Fatima Sumaiya","doi":"10.3329/jcmcta.v33i1.67056","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67056","url":null,"abstract":"Background: Elbow carrying angle changes with skeletal growth and maturity, helps in carrying objects and keeps upper limb away from pelvis during movement. Variation of carrying angle value has been observed in relation to age, gender, and some selected anthropometric parameters. Present study was aimed to evaluate the carrying angle in normal adolescents of Bangladesh in relation to age, gender, and hand dominance.   \u0000Materials and methods: This cross-sectional observational study was conducted in the Department of Anatomy, Chittagong Medical College, Chattogram, upon 100 male and 100 female adolescents (10-19 years) by dividing them into two groups (Group A: 10-15 years, Group B: 16-19 years) and all were right hand dominant. Recorded data were analyzed by using SPSS version 25. For statistical analysis unpaired student’s ‘t’ test was done. p value was considered significant if it was <0.05 at 95% level of confidence.   \u0000Results: Carrying angle of both sides was significantly higher in age group 16 to 19 years and in female (p<0.001) also significant greater value found in dominant hand (p<0.001).    \u0000Conclusion: Knowledge of normal carrying angle value is important for management of elbow fracture, designing of total elbow prosthesis, and differentiation of sex in skeletal remain in medicolegal purpose. \u0000JCMCTA 2022 ; 33 (1) : 29-33","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"158 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79727244","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":"Is There Decreasing Prevalence of Helicobacter Pylori Infection in Patients with Dyspepsia?","authors":"I. Perveen, M. Saha, Md Quamrul Hasan","doi":"10.3329/jcmcta.v33i1.67265","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67265","url":null,"abstract":"Background: Word-wide there is decreasing prevalence of Helicobacter pylori (H. Pylori) infection. As we are lacking in consistent data regarding H. Pylori infection in our polpulation, we aimed to find out prevalence of H.pylori infection in patients with dyspepsia in Nort-East part of Bangladesh.   \u0000Material and methods: Clinical variables, stool antigen test result and endoscopic findings of consecutive patients with dyspepsia were recorded in a semi-structured questionnaire. Statistical analysis was done with SPSS programme 17.0(). Significance level was set at 0.05 or less. \u0000Results: A toal of 790 patients (male 549, female 241) were included in the study with higher mean age among female patients (41.46 VS. 39.19, p.008) than male patients. Three most common dyspetic symptoms were abdominel pain (n=365, 46.2%), bloating (n=280, 35.4%) and vomiting (n=163, 20.6%). A total of 217(39.5%) male and 87(36.0%) female were positive for stool antigen test (n=308, 38.5%) for H. pylori. No significant association was found between Helicobacter pylori infection and presence of individual dyspeptic symptom, number of dyspeptic symptoms (OR 1.385, p .103), age (OR .998, p .668), sex (OR 1.157, p .362), rural/urban residence (OR 1.126, p .503) or socioeconomic condition (OR .965, p .09).  Around 81% (293/360) subjects had upper GI lesion (Gastritis/gastric ulcer, duoudenitis/duodenalulcer, oesophagitis/ulcer) in endoscopy and stool antigent positivity in paietnts with duodenal and gastric lesions (37% VS. 36.6%) were comparable. \u0000Conclusion: H. pylori infection rate among patients with dyspepsia is is in favour of declining prevalence of H.pylori infection in comparison to previous sudies. Majority of patients with dyspepsia had upperGI lesion in endoscopy. No sigficant differece was noted in H. pyori prevalence rate anong gastric or duodenal lesion or among PPI takers or non-takers. \u0000JCMCTA 2022 ; 33 (1) : 97-102","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"35 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78077680","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":"Use of Silicon Vaginal Pessary for Treatment of Pelvic Organ Prolapse","authors":"Afroza Akther Mazumder, S. Begum, N. Yousuf","doi":"10.3329/jcmcta.v33i1.67286","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67286","url":null,"abstract":"Background: Use of vaginal pessary as a conservative therapy for pelvic organ prolapse is very common and upto 77% of clinicians uses ring pessary for 1 line management of prolapse. Aim to treat prolapse by conservative approach is to alleviate the symptoms of prolapse and avert or delay the need for surgery. Aim of this study was to find out improvements of symptoms related to pelvic organ prolapse and satisfaction rate after 3 months of using vaginal pessary.   \u0000Materials and methods: A prospective observational study was conducted from January 2019 –to June 2019 in the Department of Gynaecology and Obstetrics of Bangabandu Memorial Hospital, Chattogram. Total 31 patients were included with symptomatic Pelvic Organ Prolapse (POP) willing to use pessary. Primary outcome were improvement of symptoms and their satisfaction from baseline to 3 months.   \u0000Results: Age of the respondents were between 25-80 years with a mean of 50 ( +-12) years, maximum respondents were postmenopausal 54.8% .Out of 31 respondents 27(87.1%) continue pessary use upto 3 months and their after, 2(6.5%) cases spontaneous expulsion took place, 2(6.5%) discontinue the use. Compare with base line findings significant improvement in patients symptoms were observed at 3 months. Nearly all symptoms related to pelvic organ prolapse resolved from baseline to to 3 months: buldge (92.3% to 7.7% , p < 0.001), dragging pain in lower abdomen (100% to 14.8% , p<0.001). Urinary symptoms voiding difficulty improved in 88% ( p<0.001), urinary urgency improved in 81.8% (p<0.001), urge and stress incontinence improved in 100% (p<0.001). Incomplete empting of bowel improved in 100%(p<0.001). During follow up 4(12.9%) women complain of vaginal discharge. At 3months 88.9% women were satisfied with pessary and 3(11.1%) were dissatisfied.   \u0000Conclusion: This study showed that treatment with use of ring pessary in women with pelvic organ prolapse had significant improvements in the symptoms with high satisfaction rate.   \u0000JCMCTA 2022 ; 33 (1) : 118-123","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"127 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80392681","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":"Femoral Neck Fracture Treated with Dynamic Hip Screw System with De-rotation Screw Versus Cannulated Hip Screws","authors":"Shantonu Kumar Saha, H. M. Hira, Jabed Jahangir, Ajoy Deb, Mamun Mustafa, S. Ghosh","doi":"10.3329/jcmcta.v33i1.67285","DOIUrl":"https://doi.org/10.3329/jcmcta.v33i1.67285","url":null,"abstract":"Background: Fracture neck of femur has always presented a great challenge to orthopedic surgeons due to its nature of going into non-union and osteonecrosis of femoral head even with the best fixation method and adequate reduction. Treatment of fracture neck of femur varies according to patient’s age and fracture pattern. Purpose of this study was to compare the outcome of DHS with side plate and de-rotation screw with multiple cannulated hip screws in fracture neck of femur in adult. \u0000Materials and methods: This quasi-experimental study was carried out in the Department of Orthopedic Surgery, Chittagong Medical College Hospital from July 2017 to June 2019. Sixty patients age limit between 18 to 55 years, with (AO/OTA 31-B) fracture was taken by purposive sampling technique as per set criteria and were treated either by DHS with side plate and de-rotation screw or by cannulated hip screws. Harris Hip Score was used for evaluation of functional outcome of surgery.   \u0000Results: In this study, out of 60 patients, male (83%) were more than female (17%), maximum age incidence was found in 26-36 years age group (30%), left side involvement was 51.7% and right side was 48.3%. Over 60% incidence was due to RTA. Functional outcome was 68% excellent and 24% good in DHS with de-rotation screw group and 55.6% good and 25.9% excellent in cannulated hip screw group according to Harris Hip Score. Only 6.7% had soft tissue infection, 13.3% had deep seated infection and delayed union, 10% had non-union and hip stiffness and 6.7% had AVN in DHS with de- rotation screw group and 10% had soft tissue infection, 6.7% had deep seated infection and delayed union, 13.33% had non-union and hip stiffness and 10% had AVN in cannulated hip screw group. Mean ± SD radiological union time in DHS with de-rotation screw group was 12.5 ± 1.225 weeks and in cannulated hip screw group was 13.61 ± 1.559 weeks. \u0000Conclusion: The functional outcome of fixation by DHS with de-rotation screw was better than fixation by cannulated hip screw for femoral neck fracture in adults. \u0000JCMCTA 2022 ; 33 (1) : 112-117","PeriodicalId":93458,"journal":{"name":"Journal of Chittagong Medical College Teachers' Association","volume":"65 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89417319","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}