Prosthesis dislocation following total hip arthroplasty; a comparison of posterior and lateral surgical approach

Introduction: Joint function and integrity can be restored by various techniques and the surgical approach which is used for this restoration is called as arthroplasty. Principal methods for Total Hip Arthroplasty are Direct and Posterior lateral approaches. The most convenient to perform is posterior approach however, dislocation have been reported in most of cases. The rates of hip dislocation may be decreased by direct lateral approach as it provides cup positioning in better way. Direct lateral approach may be considered widely in future if the results of this study show relative benefits

Objectives: To compare posterior surgical approach with direct lateral approach in patients undergoing total hip arthroplasty in terms of prosthesis dislocation

Subjects and Methods: This prospective study was performed at [Punjab Medical College] PMC and various hospitals for 3 years from 1-07-2014 to 30-06-2017.A total of 46 patients with Hip Osteoarthritis were included in the study. All patients were diagnosed clinically and confirmed with radiographic findings. 23 patients underwent Hip Arthroplasty with posterior approach and lateral approach was used in 23 patients. Outcome in terms of prosthesis dislocation was compared in both the groups

Results: In group A, mean age was 55.19 [years] with a standard deviation [Std dev] of 6.705. In group B it was 53.72 +/- 8.541 in terms of age. Prosthesis dislocation in group A was 34.7% and 13.4% in group B. P value was 0.001

Conclusion: Outcome of Direct lateral surgical approach is better than Posterior surgical approach in terms of prosthesis dislocation in patients undergoing Total Hip Arthroplasty

Efficacy of platelet rich plasma versus steroid injection in planter fasciitis

Background: Plantar fasciitis is local inflammation and fibrosis of the plantar aponeuroses reducing the quality of life and productivity of affected individuals. Pain in the heel and bottom of the foot is the ultimate outcome

Objectives: To compare the effect of platelet rich plasma and steroid injections among patients having planter fasciitis

Methodology: This Qusai experimental study was conducted at the Department of Orthopedic Surgery at Allied and DHQ Hospital, Faisalabad from 1[st] July 2015 to 30[th] June 2017. Total of 28 patients with age range of 25 -60 years were included in the study. 14 patients received platelet rich pleasure [PRP] injection [GROUP A] and 14 were treated with a steroid injection [GROUP B] and were followed for the outcome at 0, 6 and 24 weeks to assess mean American Foot and Ankle score and Visual Analogue score. The data was entered in and analyzed by using SPSS version 20

Results: Our study showed that mean AFAS was 80. +/- 4. at 6 weeks and 91. +/- 1.6 at 24 weeks in the group A and 71.4 +/- 3.7 and 80 +/- 3.2, respectively, in the group B. [p<0.001] The mean VAS 14 the group A was [2.7 +/- 0.6 and 1 +/- 0.3] and the group B [3 +/- 1.1 and 2.1 +/- 0.9] at the 6th week and 24 weeks was statistically significant.[p<0.001]

Conclusion: Plasma Rich Protein appears to be better as compared to steroid injection in terms of pain relief in the treatment of plantar fasciitis

Frequency of hypodontia in a tertiary care hospital of Karachi

To compare frequency of missing teeth in samples of population from Karachi. Cross-sectional study. This study was conducted in Department of Orthodontics, Karachi Medical and Dental College from October 2011 to October 2012. During the study period, 465 panoramic radiographs were evaluated and according to exclusion and inclusion criteria 309 panoramic radiographs were selected, out of which 109 [35.27%] were males and 200 [64.73%] were females. The patients were 12-25 years old. Data were collected and entered into the SPSS software [version 18; Chicago] to calculate frequencies, percentages and mean +/- SD. 02 males were found with hypodontia [1.83%] while 10 females were found with hypodontia [5%]. Few teeth like maxillary central incisors, 1[st] premolar and 1[st] molar in both arches show no congenital absence. A total of 17 teeth, [males = 3, females = 14] in 12 patients were congenitally missing. The most common congenitally missing teeth were maxillary left 2 incisor 23.52% followed by mandible left 2 pre-molar 17.64%. By early detection of missing teeth, alternative treatment modalities can be planned and minimize the complications of CMT. In this study it has been observed that among the population of Karachi threshold for agenesis of maxillary left 2nd incisors is the most commonly missing, followed by mandibular 2[nd] premolars