Heel flap injuries in spoke wheel accidents.

Aim: To compare and discuss motorcycle and bicycle spoke heel flap injuries and also to discuss the pathomechanics and treatment modalities of spoke wheel injuries.

Methods: The study comprises 42 heel flap injuries patients who were selected from amongst 216 cases of lower extremity trauma. The injuries were graded into three classes: I-III, depending upon the severity and extent of the injury.

Nutrition in burns: need for an aggressive dynamic approach.

Introduction: Extensive burns elicit a pronounced metabolic response causing physiological derangements leading to the hyper-metabolic state. The hyper-metabolic response is accompanied by severe catabolism and a loss of lean body mass and also by a progressive decline of host defenses that impairs the immunological response.

Aims: A study was conducted in our hospital to assess various aspects of nutritional management of burns considering the ground realities of general hospital.