septic hip treated conservatively.

Septic hip in child usually lead to stiffness of joint, deformities and instability. These patients are usually treated with antibiotics and surgical treatment. But results are varying from almost normal hip to severe disability. We are presenting a case which was treated with only medication without any surgical procedure but has shown a remarkable recovery and patient at present is full functional with no disability.
Our patient was a 12 year female who was presented to us with hip pain with no constitutional symptoms. Hip pain was since 1 week and patient was not able to walk due to that.
After x ray and MRI and detail clinical examination we reached at conclusion that she was having septic hip with MRI was showing marrow edema and fluid in joint. We plan to drain it but could not get anesthetic fitness due to breathlessness. Patient received 6 week iv antibiotics followed by 6 week oral antibiotics and bed rest.
After her pain was subside and she was stated partial weight bearing followed by full weight bearing.
At present after 2 year of follow-up she was having normal gait pattern with no functional disability.
We here want to emphasize that femoral head in children has remarkable growth potential and good healing power.

want to know about ACL surgery

well if you are planning to go through ACL reconstruction , you may have lot of thing going in your mind. I am trying to help you by telling some of the facts.
1. It should be done only if you have problem in walking. It may possible that your MRI showing ACL tear but you do not have any symptoms at all. Always remember MRI can be misleading. ACL surgery will treat instability. So if you have instability in walking than only go through this surgery.
2. it's result are depend on the doctor who is operating . Arthroscopic surgery has better result.
3. Usually hospitallisation is of 3 days.
4.No bed rest require, you can walk on next day of surgery .
5.You have to walk with crutches for three weeks.
6. There would be knee brace for 6 weeks.
7. You can start sports after 6 to 9 months.

reading one article per day

well, in todays fast changing world it is never sufficient to read text books only.Every month we have some new implant and technique coming. Concepts are changing every day. I think you should develpoe a habbit of reading one new paper per day. It is difficult to attend all seminar during residency as time is not there, but try to attend as many as possible.Increase discussion among your collegues. Remember getting passed in MS is very easy. Every body some day ormother will pass exam but to pass it with knowedge is important. So read as much as possible in your second year, and in third year you can concentrate in exam.