Browsing by Author "Bhandari, Prawesh S"
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Publication Case Report on Pseudoaneurysm of Brachial Artery: A Rare Complication of Paediatric Supracondylar Humerus Fracture Pinning(Institute of Medicine, 2019) Bhandari, Prawesh S; Bastola, Priska; Gurung, DineshABSTRACT Pseudoaneurysm (PA) of the brachial artery in pediatric supracondylar humerus fracture who have undergone closed reduction and percutaneous pinning is a rare complication. A few cases have been reported in medical literature. This case report sheds some insight into early identification and management outcome of such complication. Rapidly progressive swelling in antecubital fossa in cases of supracondylar fracture who have undergone pinning should arouse suspicion of vascular lesion. It should be timely intervened. Surgical intervention of pseudoaneurysm with reversed saphenous venous graft has shown to have no early vascular complication. Keywords: Case report, supracondylar fracture, pseudoaneurysm, supracondylar fracturePublication Outcome of Elastic Stable Intramedullary Nail in Length Unstable Diaphyseal Femur Fractures in Children: A Case Series(Institute of Medicine, 2020) Bhandari, Prawesh S; Uprety, SureshABSTRACT Introduction: Elastic stable intramedullary nailing (ESIN) has been a common method of treatment of diaphyseal femur fracture in children. Though they are used in length stable fracture with favourable results, their use is debated in case of length unstable variants. The objective of the study was to evaluate outcome of these nails in length unstable diaphyseal femur fracture in children. Methods: We retrospectively reviewed seven fractures in seven children treated with ESIN for functional outcome. Results: Total of seven patients with seven unstable femur fractures were studied. There was male predominance with 71.4%. The fracture united at a mean duration of 12 wks. The overall Flynn scoring showed 71.4 % excellent and 28.6 % satisfactory result. Conclusion: Elastic stable intramedullary nailing can be safely used in length unstable variant of femur fracture in children. Keywords: Elastic stable nailing, length unstable, pediatric femur fracturePublication Single Stage Surgery for Open Lisfranc Injury: A Case Report(Institute of Medicine, 2021) Lakhey, Rajesh B; Bhandari, Prawesh S; KC, GovindaABSTRACT Management of open Lisfranc injuries is challenging. The improper management of the injuries might lead to bad results like skin necrosis and arthritis of Lisfranc’s joints. A case of Myerson type A Gustilo Grade IIIB open Lisfranc injury was managed with single stage debridement and internal fixation. At three years follow-up, the result was excellent with American Orthopedic Foot and Ankle Society (AOFAS) midfoot score of 100 and the patient had rejoined his previous occupation requiring prolonged walking. Keywords: Open Lisfranc injury, single stage internal fixationPublication Superficial Surgical Site Infection in Hand Surgery: A Cross-sectional Study in a Hand Surgery Unit(Institute of Medicine, 2023) Bhandari, Prawesh S; Nakarmi, Kiran; Chaurasia, Lok R; Pudasini, PushkarABSTRACT Introduction: Superficial surgical site infection (SSI) in hand surgery is generally considered to be less common. Infection of surgical site can lead to poor outcomes. Burden of surgical site infection in hand surgery has not been studied in our part of the world. We sought to determine the prevalence rate superficial surgical site infection in patients undergoing hand surgery. Methods: We used standard definition of CDC National Healthcare Surveillance Network (NHSN) criteria to evaluate 112 consecutive adults undergoing various hand surgery procedures outcome at the end of the second week for superficial SSI. The study was conducted over a period of six month (November 2022 to May 2023). Results: The prevalence of superficial surgical site infection was 6.25% . Among those affected 0.02% cases were diagnosed based on signs and symptoms criteria. In 0.03% patient the wound discharge yielded Staphylococcus aureus. The most common cause requiring hand surgery were workplace injuries, household injuries, and injuries due to road traffic accounting for 45.54%, 26.79%, and 18.75% , respectively. Crushing type of injury which was the most common of all mechanisms of injury. Conclusion: The prevalence rates of hand procedures are low but not negligible. This under-evaluated condition must be more extensively evaluated in a multicenter study involving larger population. Keywords: Hand surgery; surgical site infection