Leprosy is a chronic infectious disease that is caused by Mycobacterium leprae and affects the skin and nerves. Patients with leprosy having related peripheral neuropathy and involvement of other organs may have cardiac, respiratory dysautonomia and autonomic dysfunctions. There are very few studies regarding anaesthetic management of patients suffering from leprosy. Moreover, very few studies ...

BACKGROUND The treatment of acute pain in the emergency department is not always optimal. Peripheral nerve blocks using "blind" or nerve stimulator techniques have substantial disadvantages. Ultrasound-guided regional anesthesia may provide quick, safe, and effective pain relief in patients with proximal femoral fractures with severe pain. However, no evidence exists on emergency physician-perf...

Neurological injuries following peripheral nerve blocks are a relatively rare yet potentially devastating complication depending on the type of lesion, affected extremity, and duration of symptoms. Medical management continues to be the treatment modality of choice with multimodal nonopioid analgesics as the cornerstone of this therapy. We report the case of a 28-year-old man who developed a cl...

Surgical excision was performed on a 30-years old woman with a painful mass on her left thigh. The pathologic findings on the mass indicated fibromatosis. After the operation, she complained of allodynia and spontaneous pain at the operation site and ipsilateral lower leg. We treated her based on postoperative femoral neuropathy, but symptom was aggravated. We found a large liposarcoma in her l...

We analysed the incidence of slipped capital femoral epiphysis (SCFE) in South Australia, investigating possible associations between an increased incidence of SCFE, the local indigenous population and the Australian obesity epidemic during the last 20 years. Data including race, age and gender were collected to obtain a profile of the South Australian SCFE patient, and were then compared with ...

Background/Purpose: Poliomyelitis (polio) was prevalent in certain parts of the world in the 1950s. As post-polio patients age, low-energy proximal, shaft, and distal femoral fractures are becoming more common in this population. Unique problems include altered bony anatomy affecting reduction and conventional implant placement. Impaired bone quality and muscle strength pose significant challen...

Background: This study evaluates submuscular locked plate in the pediatric femoral shaft fractures at the age from 6 to 12 years old. Methods: A prospective study was done on 30 patients with fracture shaft femur. 18 of them were males and 12 of them were females. Fixation of all cases was done with a submuscular locked plate using the cluster technique. Results: All fractures healed within 6 w...

OBJECTIVE To assess the management of elderly patients presenting to the accident and emergency (A&E) department with a proximal femoral fracture. METHODS A retrospective audit carried out on 30 patients with proximal femoral fracture showed an unacceptably long waiting time in the A&E department. A new "fast track" system for managing these patients, involving the use of a flow chart for exp...

BACKGROUND In children, inappropriate treatment of open femoral fractures may induce several complications. A few studies have compared the external fixator with flexible intramedullary nails in high-grade open femoral fractures of children. The present study aims at comparing results of these two treatment methods in open femoral fractures. METHODS In this descriptive analytical study, 27 pa...