ABSTRACT
Total knee replacement (TKR) is a surgical procedure with predictable outcomes. This observational study intended to review the outcome of total knee replacements performed in osteoarthritis knee patients and evaluate the postoperative clinical, functional and radiological results in the replaced knees and the preoperative and postoperative lower limb alignment correction achieved and the incidence of early complications. Methods: We selected 20 people (20 knees) from the outdoor clinic who gave their informed consent for the study and satisfied our criteria. They were evaluated using the knee society score (KSS), preoperatively and postoperatively at the 6 months follow up and the data was analysed. Results: In our study we observed that the mean knee society score improved from 27.4 to 81 and the mean functional score improved from 30 to 79.3. The knee flexion range increased from 50* to 125*. Postoperatively all the varus knees were aligned except 3 knees. Complication rate was 5%. We found a significant increase in the knee society score after total knee replacement compared to the preoperative scores. Conclusion: We conclude that total knee replacement is a reliable and safe modality of treatment and can be performed with results comparable to the other global studies.
ABSTRACT
Background: This prospective study was done to evaluate the effectiveness of implants i.e., anatomical precontoured plate in treatment of displaced midshaft clavicular fractures. Methods: Thirty patients between 18 and 60 years of age wereincluded in this study. They were treated by fixation with anatomically precontoured plate and functional outcome was assessed.Clinical and radiological assessments were performed at regular intervals. Outcomes and complications of over 1.5 year of follow-up time were compared. Results: Range of motion was well maintained in all the patients. Constant score was excellent in 26 patients(87%) good in 2 patients(6.5%) and fair in 2 patients(6.5%).No patients had a poor result on constant scoring. The mean time to union was 5.8 months. Conclusion: In this prospective cohort study, primary open reduction and internal plate fixation of acute displaced midshaft clavicular fractures resulted in improved outcomes and a decreased rate of nonunion and symptomatic malunion.
ABSTRACT
Background: ISpondylolisthesis is defined as anterior or posterior slipping of one segment of the spine on the next lower segment. The mainstay of surgical treatment for adult patients with low-grade acquired spondylolytic spondylolisthesis is fusion, with or without decompression. Objectives: To study the safety, efficacy and functional outcome of surgical management of lumbo-sacral spondylolisthesis with pedicle screw fixation, and free bone grafting, and its associated complications. Methods: 10 adult patients with lumbosacral spondylolisthesis treated by instrumented posterior spinal fusion with free iliac chips bone graft and their followup with functional and radiological parameters. Results: Following operation 5 patients(50%) having excellent results & 2 patients(20%) have good results. Conclusion:Instrumented posterior fusion with free graft is a good option for symptomatic lumbosacral spondylolisthesis and also has added advantages of correction of olisthesis, three column stabilization and early mobilization.
ABSTRACT
Background: Osteoarthritis is now considered to be primarily a disease of cartilage in which intrinsic biomechanical and mechanical alterations lead to its breakdown. Increasing failure of conservative treatment lead surgeons to explore the operative arena. High Tibial Osteotomy (HTO) is a satisfactory surgical method in knees with unicompartmental osteoarthritis and angular deformity. Objectives: To manage medial uni-compartment osteoarthritis of knee with medial open wedge or lateral closing wedge osteotomy and to compare between the two. Methods: HTO of 20 adult patients with medial compartment osteoarthritis or medial bicompartment osteoarthritis with genu varum deformity and their followup with functional and radiological parameters. Results: Following operation 12 patients having excellent results & 8 patients (40%) having good results. 19(95%) patients were satisfied. Conclusion: There is no significant statistical difference between the patients undergoing medial open wedge and lateral close wedge high tibial osteotomy except for medial joint space. Medial Open Wedge is technically easy with fewer risks, hence preferred over lateral close wedge.
ABSTRACT
The performance in a mirror star tracing task was assessed in two groups of volunteers (yoga and control) with 26 people in each group, and age range between 18 and 45 years. The star to be traced was six pointed and the outline was made up of 60 circles (4 mm in diameter). At the end of one month the yoga group showed a significant improvement in terms of an increase in the number of circles crossed (P<0.001, Wilcoxon paired signed ranks test) for both hands and a decrease in the number of circles left out for the right hand (P<0.05). The control group showed a significant increase in number of circles crossed for the left hand alone (P<0.05) at the end of a month attributed to re-test. The study suggests that one month of yoga improved reversal ability, eye-hand co-ordination, speed and accuracy which are necessary for mirror star tracing.