Background
Rotator cuff injuries have traditionally been managed by either single-row or double-row arthroscopic repair techniques. Complex single-row techniques have recently been proposed as a biomechanically stronger alternative treatment option. However, no rigorous meta-analysis has evaluated the effectiveness of complex single-row against double-row repair. This meta-analysis aims to evaluate clinical outcomes in patients with full-thickness rotator cuff injuries treated with both simple and complex single-row, as well as transosseous-equivalent (TOE) double-row procedures.
Methods
An up-to-date literature search was performed using the predefined search strategy. All studies that met the inclusion criteria were assessed for methodological quality and included in the meta-analysis. Pain, functional scores, range of motion, and retear rate were all considered in the study.
Conclusion
The results of our meta-analysis suggest that there is no significant difference between complex single-row and TOE double-row procedures in any of the observed outcomes. At this point in time, the available comparative data between simple single-row and TOE double-row repair techniques are limited. Further high-quality studies are required to assess the clinical outcomes and cost-effectiveness of these different techniques.
Incidence of intertrochanteric femur fractures has increased significantly during the recent decades, due to the change in the demographic profile of Indian population. Conservative management of these fractures has shown higher mortality and morbidity and has largely been abandoned. Rigid Internal fixation and early mobilization is the standard method of treatment. Objective: To verify the advantages and disadvantages of the proximal femur nail over the dynamic hip screw device and also their effect on the eventual functional outcome of the patient.
Posterior column fractures of the tibial plateau are relatively rare, as described by Duparc in his revised classification as less as 5% of the tibial plateau fractures although Barie et al has shown upto 30% incidence among tibial plateau fractures [1] . This posteromedial fragment can exist as a solitary fragment or a part of bicondylar tibia plateau fracture is usually not straightforward to diagnose, usually necessitating a CT scan to establish it's presence and morphology. Study was conducted in department of orthopaedics, at Institute of Medical Science & Research Centre, from march 2017 to January 2019.All cases presenting to the outpatient and emergency department fulfilling the below mentioned criteria were taken up for study. Of 15 patients, Functional outcome was assessed using Oxford knee score 12 patients i.e. 85.7% had excellent outcome, 2 patient's i.e. 10.7% had good and 1 patient i.e. 3.6% had fair results. The mean OKS score was 40 (range 36 to 44) at the end of one year ange of motion > 130 degrees was achieve in 12 patients with rest of the three between 110 to 130 degrees. The commonest cause of tibial plateau fracture was Road Traffic Accident, which accounted to 12 patients i.e. 79% and domestic fall accounted for 3 patients i.e. 21%.Amongst the Road Traffic Accident group, 10 had excellent outcome and 2 had good outcome. Amongst the domestic fall group, 2 had excellent outcome and 1 had fair outcome.
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