Browsing by Author "KC, Amuda"
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Publication Isolated Medial Dislocation of Elbow: A Case Report(Nepal Medical Association, 2021) KC, Kapil Mani; Aryal, Ramesh; Acharya, Samir; KC, AmudaAbstract: Even though posterior or postero-lateral dislocations of elbow are more common, both isolated medial and lateral dislocations of elbow are extremely uncommon. Since there are subtle findings and minimum pain after medial dislocation of elbow, these are sometimes missed by attending physician at first presentation and changes into chronic type with guarded prognosis. We report a case of a 15-year old boy with isolated medial dislocation of elbow which was correctly identified and treated with closed reduction and posterior slab application. Flexion extension as well as supination pronation of elbow 3 months after injury was nearly normal.Publication Multiply Broken Metallic Hardware Removal for United Patella Fracture Applied Twenty Years Before: A Case Report(Nepal Medical Association, 2020) K.C., Kapil Mani; Acharya, Parimal; Pangeni, Bandhu Ram; Niroula, Ankit; KC, AmudaAbstract: Breakage of tension band wires, used to treat the patella fracture, is not uncommon several years after the fracture fixation. Broken wires may migrate to surrounding neurovascular structures, other vital organs like heart and may cause potentially fatal complications. Once the wires have been broken, it is very difficult to remove the broken pieces of metal wires. We report a 50 years old male patient with broken tension band wires at multiple sites for patella fracture. The broken wires were removed 20 years after the initial surgery without any undue complications, however patient sustained significant soft tissue damage to remove all the pieces of broken wires that would otherwise have been removed without any undue complications immediately after fracture union.