ABSTRACT
To determine the functional outcome of cemented versus uncementedhemiarthroplasty in displaced intracapsular fractures of the hip. Randomized control trial. This study was carried out at the Orthopaedics Department, Shaikh Zayed Hospital Lahore and Ibn e Siena Hospital and Research Institute Multan from August 2010 to August 2013. 1 10 patients with hip fractures fulfilling the criteria were included,55 patients in each group were randomized. Patients in group A were having cemented hemiarthroplasty and in group B were having uncementedhemiarthroplasty respectively. After surgery all patients were mobilized as soon as they were able. All patients were reviewed at 12 weeks follow up using a pain scale of one to six and a mobility scale of zero to nine. In group A, the preoperative mean pain score was 5.91 +/- 0.29 and postoperative mean residual pain score at 12 weeks was 2.73 +/- 0.45. In group B, the preoperative mean pain score was 5.91 +/- 0.29 and postoperative mean residual pain score at 12 weeks was 3.00 +/- 0.64. P value of 0.000 was significant in the favor of cemented hemiarthroplasty. In group A, the preoperative [before fracture] mean mobility score was 7.20 +/- 0.75 and postoperative mean reduction in mobility score at 12 weeks was 2.80 +/- 0.76. In group B, the preoperative [before fracture] mean mobility score was 7.20 +/- 0.75 and postoperative mean reduction in mobility score at 12 weeks was 3.20 +/- 0.76. P value Of 0.000 was significant in the favor of cemented hemiarthroplasty. The use of cemented hemiarthroplasty lead to less pain in the hip and improved return of mobility as compared to an uncemented prosthesis
ABSTRACT
To assess the efficacy of intra articular injections in different grades of osteoarthritis of knee. Descriptive study. This study was conducted at the Department of Orthopedics Railway Hospital Rawalpindi and Ibn-e-Seina Hospital and Research Institute Multan started from June 2008 to June 2012. This study included 90 patients of either sex having mild, moderate and severe grades of osteoarthritis of knee based on radiographic findings. A study proforma was designed in which bio-statics and results of the study were recorded. Five intra-articular injections of hyaluronic acid were given on weekly basis and patients were assessed for pain and functional activity at intervals of 0, 6 and 12 Weeks by KSKS, WOMAC and VAS scoring system. These patients were selected consecutively. In this study patients with mild and moderate grades of osteoarthritis of knee showed improvement but patients with severe grades of osteoarthritis either showed no response or less improvement. Intra-articular injection of hyaluronic acid is an effective modality in early stages of osteoarthritis of knee