Asian Journal of Medical Research

Paradigm Shift in Orthopedic Residency Training in Times of Covid-19 Pandemic: Experience of an Indian Teaching Institute

Vivek Singh — 2021-03-27

Background: The resident training program took a backseat during the covid-19 crisis. This paper describes new ways and strategies of ortho- pedic resident training and conducting exit exams during this pandemic. Subjects and Methods: A retrospective observational study was done in the department of orthopedics over a period of two months during the pandemic at a teaching level hospital in India where orthopedic and non-orthopedic work and academic activities attended by the residents were compared from the data from the preceding two months of the crisis. Various means of conducting the summative exams were also analyzed. A p- value< 0.05 was found to be statically significant. Results: Out of 34 residents, thirty-three residents were present in the department along with 12 fellows and three senior residents. Residents were divided into three teams to provide COVID and emergency services. All elective operations and routine out-patient department services were suspended during the pandemic. 27 major orthopedic operations and 38 academic activities were carried out. No significant correlation was found in the academic activities and attendance of the residents during the pandemic and preceding period. The exit exams were also conducted in a novel way with the help of a digital platform. Conclusion: The resident training was compensated by interactive sessions on digital platforms.

Study of Clinical outcome of Proximal Interphalangeal Joint Fractures Treated with Suzuki Frame

Pratyay Mukherjee — 2021-03-30

Background: Proximal interphalangeal (PIP) joint injuries are very common and occur frequently after a direct axial trauma to extended finger. Different modalities of treatments are available in this type of injury such as extension block splinting, the Hynes and Giddings device, ORIF with interfragmentary screw and many others. In present study Suzuki frame has been chosen for treatment of such fractures proposed by Suzuki et al in 1994. The aims & objectives is to describe the clinical outcome of treatment of proximal interphalangeal (PIP) joint fractures by dynamic Kirschner wire fixator in the form of Suzuki Frame. Subjects and Methods: We reviewed our 16 consecutive cases of PIPJ fractures treated with Suzuki frame. Regular clinical and radiological evaluation was done at 2 weeks, 4 weeks, 6 week and 12 weeks follow up. Visual Analogue Score(VAS), Range of motion of the PIPJ, Average Michigan hand Score were calculated and complications if any were noted. Result: Average Michigan hand questionnaire was 86.31% (range from 71%-94%). The average PIP ROM 96.25^◦ (Range 70^◦-120^◦). VAS Score improved from average pre-op 8.25 to 0.5 in post-operative period. No angular deformity or instability noted at the end of follow up. Pin tract infection reported in two patients. Conclusion: The Suzuki Frame is easy to apply, safe, soft tissue sparing, minimally invasive technique. It can reduce and maintain reduction of unstable proximal interphalangeal joint fractures and allow immediate post-operative PIP joint motion with minimal complications.

Assessment of Clinical Proﬁle of Patients with Allergic Rhinitis

Monika Sharma — 2021-03-30

Background: Assessing clinical profile of patients with Allergic rhinitis (AR). Subjects & Methods: One hundred forty- eight patients compris- ing of 80 males and 68 females of AR were included in the study. Clinical symptoms were recorded. Results: Common symptoms were running nose seen in 125 (84.4%), nasal blockage in 110 (74.4%), sneezing in 97 (65.5%), nasal itching in 80 (54%) and watery eyes in 72 (48.6%) cases. Mild intermittent cases were seen in 17%, moderate/ severe intermittent in 30%, mild persistent in 25% and moderate/ severe persistent in 28%. Allergens found to be tobacco smoke in 18%, animals in 20%, pollen in 36% and dust in 26%. A significant difference was seen (P< 0.05). Conclusion: Maximum cases were seen in males and age group 31-40 years in both genders. Pollens were most common allergens.

Primary Nasal Neuroendocrine Tumor: Rare Case Report

Kamal Bandhate — 2021-03-27

Nasal cavity small cell neuroendocrine tumor is an exceptionally rare and violent tumor. The tumor carries a poor prognosis in spite of active treatment, with a high risk of local recurrence and distant metastases. Platinum-based chemotherapy combined with radiotherapy is used in the treatment of small cell cancer. We have a rare case of neuroendocrine primary nasal carcinoma. A 62-year-old female patient comes to OPD with a history of Epistaxis from the left nostril and watering from the left eye.

Changing Trend in Colorectal Carcinoma in Central India

Kamal Bandhate — 2021-03-27

According to some data it has been seen that colorectal carcinoma has been showing some change in its trend of occurrence amongst young individuals. This is a retrospective study done on patients who were diagnosed with colorectal carcinoma between 2017 and 2020. The data was acquired from the Departmental record of the Department of Radiation Oncology, GMCH, Nagpur. A total of 330 patients were included in the final analysis.