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2.
Front Vet Sci ; 10: 1157211, 2023.
Article in English | MEDLINE | ID: mdl-37529179

ABSTRACT

A seroprevalence and molecular study was carried out in six districts of the state of Rajasthan, India to detect brucellosis in major livestock species. This study involves the testing of 3,245 livestock samples using the Rose Bengal Plate Test (RBPT), Indirect Enzyme-Linked Immunosorbent Assay (i-ELISA), and genus-specific polymerase chain reaction (PCR) markers for molecular diagnosis of the disease. In the tested samples, seroprevalence was 5.06% (CI: 1.96-8.15) using the RBPT test and 6.88% (CI: 1.98-11.78) using the i-ELISA test, while the cumulative seroprevalence (RBPT and i-ELISA) was 3.63% (CI: 0.44-6.83). The prevalence of the disease was 1.27% (CI: 0.56-3.11) when tested using molecular markers. The highest prevalence of brucellosis was detected in Cattle (7.00, 3.22%), followed by camels (5.50, 2.50%), buffalo (2.66, 0.00%), sheep (2.43, 0.41%), and goats (0.58, 0.23%) when serological (cumulative) and molecular diagnosis were considered preferred methods of detection. Cattle (3.22%) and camels (2.50%) also showed a high prevalence of disease when tested using molecular markers. The results of this study reveal that cattle, camel, and sheep brucellosis is prevalent in the study areas.

3.
J Knee Surg ; 26 Suppl 1: S25-9, 2013 Dec.
Article in English | MEDLINE | ID: mdl-23288732

ABSTRACT

Corticosteroid-induced stress fractures have been described, but such a presentation is rare in tibial condyle where osteonecrosis secondary to steroid use is more common. In this report we describe a case of stress fracture of medial tibial condyle secondary to corticosteroid (glucocorticoid) intake in a 47-year-old man. We discuss in detail the pathogenesis of this condition, and highlight the importance of various diagnostic modalities to avoid misdiagnosis of the condition. We also reiterate the importance of early diagnosis and prompt immobilization to prevent long-term morbidity in such cases.


Subject(s)
Fractures, Stress/chemically induced , Glucocorticoids/adverse effects , Tibial Fractures/chemically induced , Casts, Surgical , Fractures, Stress/pathology , Fractures, Stress/therapy , Glucocorticoids/administration & dosage , Humans , Immobilization , Injections, Intra-Articular , Magnetic Resonance Imaging , Male , Middle Aged , Sarcoidosis/drug therapy , Tibial Fractures/pathology , Tibial Fractures/therapy , Tomography, X-Ray Computed
4.
Int Orthop ; 36(11): 2333-40, 2012 Nov.
Article in English | MEDLINE | ID: mdl-23001195

ABSTRACT

PURPOSE: Conventional anterior column lag screw fixation in acetabular fracture is a difficult technique that has potential risks of vascular injury, hip joint penetration and excessive radiation exposure. We propose a safe technique of anterior column lag screw fixation (in-out-in technique) and present the outcome. MATERIALS AND METHODS: Twenty-seven acetabular fractures were operated through an iliofemoral approach, where the 'in-out-in technique' of lag screw fixation was a part of the surgical procedure. The technique involved insertion of a malleolar screw (4.5 mm) or 6.5 mm partially threaded cancellous screw from the outer side of the iliac wing, 0.5-1 cm posterior and inferior to the anteroinferior iliac spine. The screw comes out of the bone surface to re-enter into the anterior part of iliopectineal eminence, and finally gains purchase in the lateral part of superior pubic ramus. The screw fixation procedure was under direct visualization without resorting to an image intensifier. The average follow-up of the patients was at 18.6 months (range 12-36 months). RESULTS: No loss of reduction, joint penetration or visceral and neurovascular injury were documented. The average duration of surgery was 70 min and blood loss was 290 ml. All fractures were united after an average period of 2.8 months. Excellent to good functional outcome was observed in 24 patients (88 %), on evaluation with Merle D'Aubigne and Postel score at the latest follow-up. CONCLUSION: We conclude that the 'in-out-in technique' is a safe and effective method of anterior column lag screw fixation in acetabular fractures. It provides rigid stability and minimizes surgical duration, radiation exposure and intra-operative complications.


Subject(s)
Acetabulum/injuries , Bone Screws , Fracture Fixation, Internal/instrumentation , Fracture Fixation, Internal/methods , Fractures, Bone/surgery , Adolescent , Adult , Blood Loss, Surgical , Female , Fracture Fixation, Internal/adverse effects , Fractures, Bone/physiopathology , Health Status , Humans , Male , Pain Measurement , Postoperative Complications/etiology , Recovery of Function , Time Factors , Treatment Outcome , Young Adult
5.
Acta Orthop Belg ; 77(4): 555-60, 2011 Aug.
Article in English | MEDLINE | ID: mdl-21954771

ABSTRACT

We report a case of Giant Cell Tumour of the femoral head in a 22-year-old man that was excised and reconstructed with an osteochondral allograft. After 3.5 years follow-up, the graft had completely united and there were no signs of recurrence or resorption; the patient had an excellent functional outcome. Osteochondral allograft transplantation may provide a viable option for joint salvage after excision of a benign or locally aggressive tumour in the femoral head in selected cases.


Subject(s)
Femoral Neoplasms/surgery , Femur Head/transplantation , Giant Cell Tumor of Bone/surgery , Femoral Neoplasms/diagnostic imaging , Femur Head/diagnostic imaging , Giant Cell Tumor of Bone/diagnostic imaging , Humans , Male , Radiography , Transplantation, Homologous , Young Adult
6.
J Orthop Surg Res ; 6: 21, 2011 May 17.
Article in English | MEDLINE | ID: mdl-21586135

ABSTRACT

BACKGROUND: Pubic diastasis, a result of high energy antero-posterior compression (APC) injury, has been managed based on the Young and Burguess classification system. The mode of fixation in APC II injury has, however, been a subject of controversy and some authors have proposed a need to address the issue of partial breach of the posterior pelvic ring elements in these injuries. METHODS: The study included a total of 19 patients with pubic diastasis managed by us from May 2006 to December 2007. There was a single patient with type I APC injury who treated conservatively. Type II APC injuries (13 patients) were treated surgically with symphyseal plating using single anterior/superior plates or double perpendicularly placed plates. Type III injuries (5 patients) in addition underwent posterior fixation using plates or percutaneous sacro-iliac screws. The outcome was assessed clinically (Majeed score) and radiologically. RESULTS: The mean follow-up was for 2.9 years (6 months to 4.5 years). Among the 13 patients with APC II injuries, the clinical scores were excellent in one (7.6%), good in 6 (46.15%), fair in 4 (30.76%) and poor in 2 (15.38%). Radiological scores were excellent in 2 (15.38%), good in 8 (61.53%), fair in 2 (15.38%) and poor in one patient (7.6%). Among the 5 patients with APC III injuries, there were 2 patients each with good (50%) and fair (50%) clinical scores while one patient was lost on long term follow up. The radiological outcomes were also similar in these. Complications included implant failure in 3 patients, postoperative infection in 2 patients, deep venous thrombosis in one patient and bladder herniation in one of the patients with implant failure. CONCLUSIONS: There is no observed dissimilarity in outcomes between isolated anterior and combined symphyseal (perpendicular) plating techniques in APC II injuries. Single anterior symphyseal plating along with posterior stabilisation provides a stable fixation in type III APC injuries. Limited dissection ensuring adequate intactness of rectus sheath is important to avoid long term post-operative complications.


Subject(s)
Orthopedic Procedures/instrumentation , Orthopedic Procedures/methods , Pubic Symphysis Diastasis/diagnostic imaging , Pubic Symphysis Diastasis/surgery , Adult , Bone Plates , Bone Screws , Female , Follow-Up Studies , Humans , Incidence , Internal Fixators , Male , Middle Aged , Postoperative Complications/epidemiology , Radiography , Rectum/surgery , Retrospective Studies , Treatment Outcome
7.
Article in English | MEDLINE | ID: mdl-21477351

ABSTRACT

A rare case of multilevel transverse process stress fractures as a cause of low back ache in a professional cricket player has been presented. The report discusses the possible mechanism of such an injury in a cricket player and also highlights the preventive and therapeutic aspects of management in such patients. The report also stresses upon the need for early identification of such sports related injuries to prevent long term morbidity in the athletes.

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