Functional outcome of arthroscopic assisted anterior cruciate ligament reconstruction

Objective: To assess the mid-term functional outcome of arthroscopic assisted anterior cruciate ligament [ACL] reconstruction using bone-patellar tendon-bone [BPTB] graft based upon subjective scores. Study Design: Cross sectional study. Place and Duration of study: Department of Orthopaedics and Spine, Doctors Hospital and Medical Centre, Lahore, Pakistan from Jan to Dec 2016

Patients and Methods: After fulfilling the inclusion criteria 52 patients who underwent arthroscopic assisted ACL reconstruction were enrolled into the study. Patients were subjectively evaluated with Lysholm knee scoring scale and Tegner activity scale. Preoperative scores were obtained and compared with those obtained 6 months after surgery and were analyzed using wilcoxon signed-rank test on IBM SPSS statistics version 20

Results: Mean difference between preoperative and 6 months postoperative Lysholm scores was 30.04 +/- 13.42 [p<0.001] and mean difference in Tegner activity scale was 2.88 +/- 1.11 [p<0.001]. Excellent scores were obtained in 40 [77%] patients, good in 1 [2%], fair in 7 [13%] and poor in 4 [8%] of patients. Postoperative complications included anterior knee pain in 3 [5.76%], superficial surgical site infection in 1 [1.9%], deep surgical site infection in 1[1.9%] and joint stiffness in 1 [1.9%] patient

Conclusion: Arthroscopic assisted ACL reconstruction using BPTB autograft showed an excellent functional outcome explained in terms of subjective evaluation as depicted by Lysholm knee scoring scale and Tegner activity scale

Evaluating the results of conservative and operative methods of treatment in congenital talipes equinovarus

The purpose of the study was to evaluate the results of treatment, both conservative and operative, of Congenital Talipes Equinovarus [CTEV] with the aim of evolving a simple, objective follow-up procedure for uniform comparison of results. Fifty three patients of CTEV reporting to Orthopaedics Department. Shaikh Zayed Hospital, Lahore, between September 1986 and June 1988, were studied. Out of them 43.4% patients were treated conservatively while the rest [56.6%] were operated upon. The system of follow-up assessment evolved, was based on grading of function, appearance and growth. The system has the advantage of being practical objective and easily reproducible

Evaluating the results of conservative and operative methods of treatment in congenital talipes equinovarus

The purpose of the study was to evaluate the results of treatment, both conservative and operative, of Congenital Talipes Equinovarus [CTEV] with the aim of evolving a simple, objective follow-up procedure for uniform comparison of results. Fifty three patients of CTEV reporting to Orthopaedics Department. Shaikh Zayed Hospital, Lahore, between September 1986 and June 1988, were studied. Out of them 43.4% patients were treated conservatively while the rest [56.6%] were operated upon. The system of follow-up assessment evolved, was based on grading of function, appearance and growth. The system has the advantage of being practical objective and easily reproducible

Femoral neck fractures in children

Eighteen cases of femoral neck fractures were treated at Shaikh Zayed Hospital in the last 3.5 years. Were reviewed in 17 cases. Patients were categorized as those with fresh fractures [7] and those who presented late [11]; either with varus deformity of the femoral neck [6] or with established nonunion [5]. Using Ratlifts criteria results were excellent or good in 100% of fresh fractures and ununited fractures with varus deformity and good in 80% of established nonunion. No complications were observed in patients with fresh fractures but complication rate was high in fractures with varus deformity and those with nonunion. Shortening of the affected extremity from 1-3 cm was found in all of these fractures

Evaluating the results of conservative and operative methods of treatment in congenital talipes equinovarus

The purpose of the study was to evaluate the results of treatment, both conservative and operative, of Congenital Talipes Equinovarus [CTEV] with the aim of evolving a simple, objective follow-up procedure for uniform comparison of results. Fifty three patients of CTEV reporting to Orthopaedics Department. Sheikh Zayed Hospital Lahore, between September 1986 and June 1988, were studied. Out of them 43.4% patients were treated conservatively while the rest [56.6%] were operated upon. The system of follow-up assessment evolved, was based on grading of function, appearance and growth. The system has the advantage of being practical objective and easily reproducible