Component Alignment in Simultaneous Bilateral versus Unilateral Total Knee Arthroplasty

PURPOSE: The purpose of this study was to investigate differences in component alignment between first and second knees in simultaneous bilateral total knee arthroplasty (SBTKA) and unilateral TKA (UTKA). MATERIALS AND METHODS: 274 SBTKAs and 198 UTKAs were included in study. Patients were divided into three groups as SBTKA on the right knee (group A), SBTKA on the left knee (group B) and UTKA (group C). Femoral and tibial component alignment was checked in both coronal plane (alpha [α] and beta [β] angles) and sagittal plane (gamma [γ] and delta [δ] angles) radiographs. RESULTS: There were no statistically significant differences among groups in the preoperative anatomical varus angle and Kellgren–Lawrence gonarthrosis classification grade (p=0.139 and p=0.329, respectively). In the coronal plane, the alignment of femoral component (α angle) and tibial component (β angle) was similar in all three groups (α angle, 95.01 vs. 95.14 vs. 94.9, p=0.945; β angle, 90.03 vs. 89.67 vs. 89.98, p=0.483). The sagittal plane alignment of femoral component (γ angle) and tibial component (δ angle) did not show significant differences (γ angle, 7.04 vs. 6.98 vs. 7.00, p=0.132; δ angle, 86.56 vs. 87.41 vs. 86.73, p=0.610). CONCLUSIONS: The angular alignment of components was similar between SBTKA and UTKA.

Non contrast CT evaluation of lumbar pain presenting in medical emergency

Objective: To evaluate the value of non contrast CT in patient with lumbar pain

Methods: 1432 patient with lumbar pain, presenting in Medical emergency of Allied Hospital were taken, all of them under went Ultrasound abdomen and CT Abdomen. CT abdomen was conducted on optima 660, 128 slice CT scanner

Results: CT showed that out of 1231 patients 998 had either of multiple renal, ureteric and / or vesicle stones. 110 had normal scan and 123 had alternate or incidental diagnosis. Patient with multiple pathologies were excluded from the study which was 201 patients

Conclusion: In comparison with ultrasound CT was superior in detecting Ureteric stones and more correct in renal stones. CT was also superior in detecting alternate or incidental diagnosis

Arterial phase CT for early detection of HCC in cirrhotic patients

Objective: To know the effectiveness of EarlyArterial phase CT in detecting the small focusof HCC in Cirrhotic Patient

Material andMethods: 135 patient of Cirrhosis werescanned on a Multislice CT scanner with boluschase contrast tracking. All the patient had amass lesion on Ultrasound. Inclusion criterionwas a solitary lesion in the liver. The patientwere scanned in arterial phase, Portal venousphase and delayed phase CT. The scans weredone with an injector using a 100 ml of contrastvolume with the flow rate of 3.5ml / sec

Findings Total lesions identified on scans were210 on early arterial phase of the imaging. 145in portal venous phase and 142 in delayedphase. 43 patient showed multiple lesions -31.8%. That is to suggest that ultrasoundpicked less lesions as compared to CTMaximum number of 210 lesions wereappreciated in early arterial phase of the CT

Conclusion: Early Arterial phase CT is betterfor early detection of smaller sized HCC

Spectrum of dermatological conditions in a ruralcommunity

Objective: To determine the prevalence ofdermatological conditions in a rural community

Study Design: Cross-sectional descriptive study

Place and Duration of study: Study was conductedin Tehsil Headquater Hospital Bhawhana in May,2011

Materials and Methods: 300 patientsbelonging to Tehsil Bhawana and surroundingvillages reported in the camp. Forty three patientsboth male and female had dermatological conditionsand were included in the study. They wereevaluated, diagnosed and given treatment forvarious dermatological conditions

Results: Meanage of patients was 24.48 +/- 14.48. Out of thesePatients 17 patients [39.53%] had Scabies,6[13.95%] had Acne Vulgaris, 5[11.6%] hadurticaria, 4 patients [9.3%] had contact dermatitis, 2[4.6%] had pemphigus vulgaris [PV], 2 [4.6%]hadburn injuries, 2 [4.6%] had seborrhic dermatitis and1 patient [2.3%] each of vitiligo and Helmenthicinfections, 3 patients [6.9%] had lichen planus [LP]

Conclusion: Scabies is the most prevalentdermatological condition in rural communities andthe scenario can be improved by improvement in thehygienic conditions and the general publicawareness