Assessment of Cases of Total Knee Arthroplasty and Their Outcome- A Clinical Study

Background: The present study was conducted to assess cases of total knee replacement and outcome. Methods: The present retrospective study was conducted on 86 patients of both genders in which TKA was performed. A thorough clinical examination was performed. Radiological assessment was performed with CT scan. In all patients, type of failure, and need for revision total knee arthroplasty was recorded. Results: Out of 86 patients, males were 52 and females were 34. ses of TKA was infection seen in 54, aseptic loosening in 12, peri-prosthetic fracture in 6, instability in 4, failed unicondylar knee in 2, patellar clunk in 3, stiff knee in 3, metallosis in 1 and quadriceps disruption in 1. The difference was significant (P< 0.05). Clinical outcome was excellent in 84%, good in 10%, fair in 4% and poor in 2%. The difference was significant (P< 0.05). Conclusion: Authors found maximum cases of total knee arthroplasty in males and the most common reason was infection and aseptic loosening.

A Case of Pulmonary Hydatid Cyst Misdiagnosed as Encysted Effusion

Echinococcosis or hydatid disease is caused by larvae of the tapeworm Echinococcus. In cystic echinococcosis, humans are an accidental host and are usually infected by handling an infected dog. The liver and lungs are the most frequently involved organs. Pulmonary disease appears to be more common in younger individuals. Although most patients are asymptomatic, some may occasionally expectorate the contents of the cystor develop symptoms related to compression of the surrounding structures. Other symptoms of hydatid disease can result from the release of antigenic material andsecondary immunological reactions that develop from cyst rupture.

A Case of Asthma COPD Overlap

Asthma and COPD are the pulmonary diseases most frequently encountered in clinical practice. Usually, each disease is caused by a different etiology and shows a different clinical picture and course. However, these two diseases sometime present within the same patient, and it is now recognized that asthma and COPD can coexist as asthma COPD overlap (ACO), which is clinically important for several reasons. First, it is estimated that the number of patients with ACO will increase significantly together with the recent increase in numbers of patients with asthma and COPD. Secondly, patients with ACO are prone to experience more frequent and severe exacerbations. Patients who have asthma with a COPD component tend to present with severe hypoxia because of Irreversible/fixed airway obstruction and impairment of the alveolar diffusion capacity by emphysematous changes. In contrast, patients with COPD who have an asthma component not only have exertional dyspnea but also develop paroxysmal wheezing or dyspnea at night or in the early morning. Here we report a case of 60 yr old male diagnosed as a case of asthma COPD overlap.