New Delhi, July 29 (IANS) While the pandemic has made people conscious about remaining active for health, fitness and immunity, there has been a significant rise in the number of people, particularly the middle-aged, experiencing 'stress fracture', doctors said on Thursday.The term stress fracture refers to a very small crack in the bone that can happen from repetitive trauma and is commonly found in the shin bone, foot, heel, hip, and lower back. Jumping up and down repeatedly, running long distances, or wearing wrong or worn-out footwear can cause a stress fracture. If left unattended, the pain at the site of stress fracture and around it may increase and increase the risk of suffering a complete fracture in the affected bone.Middle-aged people, who have not indulged in outdoor activities ever but started after lockdown was lifted, comprise 10 per cent of such patients in the past one year, said doctors at the Indian Spinal Injuries Centre (ISIC). "Most of the patients belong to the age group of 30-40 years, followed by 40-50 years. Upon investigation, most of these people were found to have never done rigorous exercises such as running, skipping, sports or jumping. However, with the discussion around health, immunity and fitness raging due to the pandemic, they chose to become active, which was a shock for their body that is both unaccustomed and unconditioned for such activities," said Maninder Shah Singh, Senior Consultant Orthopedics and Chief of Foot and Ankle Service, at ISIC. The injury begins with repetitive and excessive stress on the bone which can result in acceleration of normal bone remodeling, the production of micro fractures (caused by insufficient time for the bone to repair), the creation of a bone stress injury (that is, stress reaction), and, eventually, a stress fracture, Singh said.With the Covid-19 pandemic creating a havoc around the world, exercise was emphasised as a key pillar to maintain physical and mental health. Many people, thus, took up running, aerobics, and other exercises to keep themselves fit and healthy. But being unaccustomed to physical training and the sudden change in lifestyle, reduced exposure to sunlight which affected bone health due to low Vitamin D levels also increased the risk for stress fractures, said Dr Aashish Chaudhry, Managing Director and Head - Orthopedics and Joint Replacement dept, Aakash Healthcare, Dwarka."Stress fractures can result from increasing the intensity of an activity too quickly. When the bones are weak and subjected to unaccustomed force without enough time for recovery, it makes them susceptible to stress fractures," he added.Another reason is that people are working at home without proper guidance, the experts noted. "The primary reason for such a fracture is people are doing an activity which earlier they were not used to and they are not using proper equipment or care to do the activity. Beside this we are also seeing sports injuries and they have definitely doubled. And the reason is people want to do more activities, people are working out at home more without proper equipment and guidance, which leads to injuries in their joints and ligaments," said Dr Subhash Jangid, Director and Unit Head, Bone and Joint Institute, Fortis Memorial Research Institute, Gurugram.The doctors advise RICE treatment -- Rest, Ice, Compression and Elevation -- as first-aid. They also recommend complete rest for six weeks.--IANSrvt/in
Gurugram, July 26 (IANS) Doctors at the Fortis Memorial Research Institute in Gurugram have successfully conducted the largest custom-made 3D printed hip implant in India on a 60-year-old Tanzanian patient.The customised implant was required as the pelvic bone of Hanifa, the patient, had been badly damaged due to three previous hip surgeries.The three failed hip replacement surgeries left very little bone support for the new, readily available hip implant. The hip prosthesis was lying loose in the pelvis and the patient was not even able to sleep because of the pain due to constant irritation of the surrounding muscles around the implant.Hanifa was wheelchair-bound and could barely go to the washroom with the support of a walker. Her leg became short by 6 cm because of the damage to the pelvic bone.The doctors at Fortis conducted several tests. After two weeks of intense deliberations, the team was fully satisfied and confident about the prototype prosthesis. The final prosthesis came after 15 days with all certifications and quality checks.The challenging surgery took almost seven hours as the doctors negotiated safely through the old scar tissue and preserved all the important nerves, vessels, urinary bladder and other important pelvic organs."This is the first time that such a large 3D printed customised implant has been used for a hip surgery in India. Such cases are very rare and complicated. We had to do a meticulous dissection of the important vessels and nerves supplying the limb as they were very close to old prosthesis and embedded in the scar tissue of the previous surgery," Subhash Jangid, Director and Unit Head, Bone and Joint Institute, Fortis Memorial Research Institute, Gurugram, said in a statement."Any damage to these important structures would have disastrous consequences as either the limb may get paralysed or severe bleeding from major intra pelvic vessels can be life threatening. We were able to save all the important vessels, nerves and intra pelvic organs of the patient," he added.Hanifa's post-operative recovery period was very smooth. She started walking with support from the next day with equal limb lengths (her 6 cm shortened leg was made equal with this surgery). The stitches were removed after three weeks. She started walking with the support of a cane after six weeks of surgery, Jangid said.Soon after that, she was also flown to her home country via a special flight.--IANSrvt/arm
A private hospital in Delhi performed a successful hip bone fracture surgery of an 82-year-old woman having anaemia, uncontrolled diabetes, a barely functioning heart, the hospitals said on Sunday.
PSRI Hospital, which performed the surgery, said that the case involved a high-risk of mortality due to the patient's multiple comorbid conditions.
"The patient was a diabetic and was under regular medication due to a serious heart ailment. Besides, she was also found anaemic amid the surgery. The case was complex and such patients generally carry a high risk of mortality," Dr. Gaurav Bhardwaj, Director, Sports Injury, Joint Preservation & Replacement Surgery at the hospital said.
As per the hospital, the patient, Sita Devi, had suffered a hip ball fracture on her left hip after falling in her bathroom. The patient was taken to a nearby nursing home but doctors there refused surgery citing her heart condition and already frail condition.
"However, we took the risk. Her case was thoroughly assessed by a multidisciplinary team of doctors and paramedics including orthopaedics, physician for medical evaluation, cardiologist for her poor heart function, anaesthetist for pain management and nutritionist to ensure optimisation for early surgery," Dr Bhardwaj said.
"She was also found to be anaemic after losing blood due to fracture and was dehydrated. Blood samples were drawn for lab tests, Intravenous fluids were promptly started and pain relief provided. Further, she underwent detailed cardiac check-up including stress ECHO which revealed a highly compromised heart working only on less than 20 percent efficiency. She also had deranged electrolytes which were corrected quickly.A Before operating the patient was informed about both the risks and the chances of recovery. Once the family's nod was received, preparations for surgery were urgently done," he added.
The patient was operated the next day to her admission in the hospital and was discharged two days later.
A 45-minute long surgery was conducted to implant her fractured ball with a metallic one.
"The broken hip ball was replaced with a metallic ball also called a half hip replacement. This implant has a special coating which fools bones to believe the implant is a natural bone and sticks immediately. This leads to quicker healing and significantly lower anaesthesia time, besides lowering the risk of heart and lung complications during the surgery," the doctor said.
"After operation, the patient was in ICU for a day and later shifted to ward. And subsequently the patient was discharged," the hospital added.
The patient is back on her feet after her surgery and indulging in physical activities to the level prior to her fracture. "Right after the surgery, I used to take help of a walker for my daily chores. However, with continued medication and sessions of physiotherapy, I am back to my physical activity to a level before my injury," she said. (IANS)
On Saturday, Biden slipped while playing with his dog Major, and twisted his ankle, according to the President-elect's communications team. This is the statement just in via the White House reporting pool, from Dr. Kevin O'Connor, Director, Executive Medicine, GW Medical Faculty Associates on Biden's imaging results: "Initial x-rays did not show any obvious fracture, but his clinical exam warranted more detailed imaging. Follow-up CT scan confirmed hairline (small) fractures of President-elect Biden's lateral and intermediate cuneiform bones, which are in the mid-foot. It is anticipated that he will likely require a walking boot for several weeks."A controlled ankle motion walking boot is an orthopedic device prescribed for the treatment and stabilization of severe sprains, fractures, and tendon or ligament tears in the ankle or foot.Biden's Sunday was almost completely consumed by doctor visits, first to the orthopedist's office in Newark, Delaware and later at an imaging center. --IANS<br>nik/pgh<br>
London - Compared with people who ate meat, vegans with lower calcium and protein intakes (on average) had a 43 per cent higher risk of fractures anywhere in the body, researchers have warned.
According to the findings, published in the journal BMC Medicine, vegetarians and people who ate fish but not meat had a higher risk of hip fractures, compared to people who ate meat.
However, the risk of fractures was partly reduced once body mass index (BMI), dietary calcium and dietary protein intake were taken into account.
"We found that vegans had a higher risk of total fractures which resulted in close to 20 more cases per 1000 people over a 10-year period compared to people who ate meat," said study author Tammy Tong from the University of Oxford in the UK.
"The biggest differences were for hip fractures, where the risk in vegans was 2.3 times higher than in people who ate meat, equivalent to 15 more cases per 1000 people over 10 years," Tong added.
For the findings, the research team, analysed data from nearly 55,000 people in the EPIC-Oxford study, a prospective cohort of men and women living in the UK, who were recruited between 1993 and 2001, many of whom do not eat meat.
Out of the 54,898 participants included in the present study, 29,380 ate meat, 8,037 ate fish but not meat, 15,499 were vegetarians, and 1,982 were vegans when they were recruited.
Their eating habits were assessed initially at recruitment, then again in 2010. Participants were followed continuously for 18 years on average, until 2016 for the occurrence of fractures.
During the time of the study, 3,941 fractures occurred in total, including 566 arm, 889 wrist, 945 hip, 366 leg, 520 ankle and 467 fractures at other main sites, defined as the clavicle, ribs and vertebrae.
In addition to a higher risk of hip fractures in vegans, vegetarians and pescetarians (those who eat seafood but not meat) than the meat eaters, vegans also had a higher risk of leg fractures and other main site fractures.
The authors observed no significant differences in risks between diet groups for arm, wrist or ankle fractures once BMI was taken into account.
The researchers found that the differences in risk of total and site-specific fractures was partly reduced once BMI, dietary calcium and dietary protein intake had been taken into account.
"This study showed that vegans, who on average had lower BMI as well as lower intakes of calcium and protein than meat eaters, had higher risks of fractures at several sites," the authors wrote. (IANS)
London - In a major study, researchers have found that patients with Covid-19 and vertebral fractures are twice as likely to die from the disease.
According to the study, published in the Journal of Clinical Endocrinology & Metabolism, vertebral fractures occur when the bony block or vertebral body in the spine collapses, which can lead to severe pain, deformity and loss of height.
These fractures are typically caused by osteoporosis (weak, brittle bones). Vertebral fractures are prevalent in Covid-19 patients and can influence cardiorespiratory function and disease outcomes.
"Vertebral fractures are a marker of frailty, and for the first time we show that individuals who have such fractures appear to be at increased risk of severe Covid-19," said the study lead author Andrea Giustina from the San Raffaele Vita-Salute University in Italy.
"A simple thoracic x-ray can detect these fractures and morphometric evaluation should be performed in Covid-19 patients at hospital admission," Giustina added.
For the findings, the researchers studied the x-rays of 114 Covid-19 patients and detected thoracic vertebral fractures in 35 per cent.
These patients were older and more affected by high blood pressure and heart disease.
They were more likely to need ventilators and were twice as likely to die compared to those without fractures. The death rate was higher in patients with severe fractures, the researchers reported.
According to the researchers, vertebral fractures may integrate the cardiorespiratory risk of Covid-19 patients, being a useful and easy to measure a clinical marker of fragility and poor prognosis.
"We suggest that morphometric thoracic vertebral evaluation should be performed in all suspected Covid-19 patients undergoing chest X-rays," the study authors noted. (IANS)