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1.
J Pak Med Assoc ; 70(4): 751-756, 2020 Apr.
Article in English | MEDLINE | ID: mdl-32296230

ABSTRACT

Study was conducted to determine the healing rate of non-union femoral neck fractures following a new transcervical superior based wedge resection and fixation with contoured plate. This study is based on a concept, that the presence of a residual part of the femoral neck on the trochanteric side of the non-union and removal of a wedge with a superior base not only converts shearing forces into compression forces but also provides fresh bone with an osteogenic potential. This is a descriptive case series 'one group pre-test post-test design', conducted from 2010 to 2016 with a sample size of 18, convenience sampling technique with a minimum follow up of 12 months. Eighteen patients with a mean age of 32.44±8.8 years were operated with transcervical wedge resection and fixation. However, only 14 completed a minimum follow up of twelve months. Thirteen (93%) patients achieved union while, one had stable fibrous union which later on developed avascular necrosis and underwent a total hip replacement. There was a mean shortening of 2.05±0.4 cm. Seven (50%) had post-operative Lurch and 4 (28.6%) required shoe raise while 1 had low grade infection.


Subject(s)
Bone Plates , Femoral Neck Fractures/surgery , Fracture Fixation, Internal/methods , Fractures, Ununited/surgery , Osteotomy/methods , Adolescent , Adult , Female , Femoral Neck Fractures/diagnostic imaging , Femur Head Necrosis/epidemiology , Fracture Healing , Fractures, Ununited/diagnostic imaging , Humans , Male , Middle Aged , Postoperative Complications/epidemiology , Young Adult
2.
J Pak Med Assoc ; 70(3): 543-546, 2020 Mar.
Article in English | MEDLINE | ID: mdl-32207445

ABSTRACT

The current status of medical education in Iraq requires complete transformation to conform to the latest trends of modern education. Presently it is compromised due to the influence of political factors, finances, weakness or fragility of planning and security. It has to be re-shaped for the future of medical education to produce good and efficient medical professionals. It is necessary to reform and revise the curriculum as accreditation in accordance with international medical universities. The initial requirement is faculty development in areas including but not limited to, curriculum development, teaching and learning improvement, research capacity building, and leadership development. The capacity building of faculty at College of Medicine, University of Kerbala (CMUCK) has been initiated in collaboration with Medics International at a local and the government level. Medics International conducted the current Course on Certificate in Health Professions Education (CHPE) programme in September, 2019 to facilitate the faculty to revise their curriculum and improve their current educational practices. Further steps will be taken to develop the faculty for Masters in Medical Education (MME), PhD, and fellowship programmes. To face the on-going challenges in the medical and health care system, continous efforts are required for faculty education. Medics International has volunteered to begin a series of Webinars through its global faculty to reach out to the Iraqi Board followed by engagement of the Arab Board covering 18 countries.


Subject(s)
Capacity Building/organization & administration , Curriculum , Education, Medical , Faculty, Medical/organization & administration , Universities , Education, Medical/methods , Education, Medical/organization & administration , Education, Medical/trends , Forecasting , Humans , Iraq , Politics , Social Conditions/trends
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