Research and Publications

Plantation workers are vulnerable to higher morbidity and mortality from CV risk as their largely isolated working conditions result in limited access to healthcare, emergency services and low awareness levels. Cultural practices and social dogmas further compound these issues. Under these circumstances, prevention of CV events and risk reduction becomes key in reducing poor outcomes.

T raumatic amputations are more common among the younger population as it is a result of high velocity road traffic accidents. An amputated limb not only physically impairs a patient but is also a psychological hurdle to overcome. Despite a MESS score of 10, in our case study we managed to salvage a foot, that had undergone near total amputation, 8 hours post injury, with a complete soft tissue and bony recovery. With improved survival and functional outcomes of replanted limbs, replantation should be a high priority as opposed to primary amputation in cases of total or subtotal lower extremity amputations.

Fractures of shaft of humerus are common, accounting 3% of all fractures. They have historically been managed conservatively with hanging casts or a functional brace. However, a lack of fracture reduction with these conservative measures resulted in malunion. Two surgical techniques under study include intramedullary nailing and limited contact dynamic compression plating. This study aims to analyze the functional outcome between the two surgical techniques.

Given that India is considered the diabetic capital of the world, with 85% of amputations preceded by foot ulcers, this study highlights the potential for surgical management of diabetic foot ulcers, regardless of size or location, emphasizing the importance of a comprehensive and aggressive management with surgical debridement and flap-based reconstruction of defects in patients with diabetic foot ulcers (Ganga Class 3), and in turn, focusing on limb salvage.