Publications by authors named "Kapil Shinde"

Background:  Femoral neck fractures in elderly individuals cause significant morbidity, and their management is particularly challenging in rural areas where healthcare access is limited. The recommended treatment for displaced femoral neck fractures in elderly patients with poor mobility, cognitive dysfunction and multiple comorbidities is a hemiarthroplasty, which can be performed with various implants, including monopolar implants like Austin Moore prosthesis (AMP) and bipolar prosthesis (BP). In developing countries like India, rural areas often have constraints with healthcare resources.

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Background Distal radius fractures (DRFs) are commonly treated with percutaneous K-wire or plate fixation. The relative efficacy and stability of these methods, particularly in osteoporotic patients and in cases involving both distal radius and ulna fractures, remain subjects of clinical debate. Objective This study aims to compare the outcomes of percutaneous K-wire fixation versus plate fixation in patients with distal end radius fractures, focusing on postoperative stability in osteoporotic conditions and both-bone distal end fractures.

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Article Synopsis
  • Hip fractures are common among elderly patients, and starting rehabilitation early can improve recovery; this audit evaluates a local hospital's compliance with national guidelines for hip fracture physiotherapy programs.
  • A study conducted at Queen Elizabeth The Queen Mother Hospital from April to August 2023 reviewed 113 hip fracture patients, finding that 93% were assessed by a physiotherapist promptly, but 40% faced delayed mobilization due to factors like post-operative delirium and pain.
  • The results suggest that placing hip fracture patients in specialized orthopaedic wards and addressing manageable issues like delirium and low hemoglobin can help ensure early rehabilitation and improve patient outcomes.
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