Open reduction and internal fixation should be given due consideration in the management of displaced mandibular condylar fractures and is associated with minimal morbidity using retromandibular approach.
<p class="abstract"><strong>Background:</strong> Total knee arthroplasty (TKA) is now a reliable treatment for osteoarthritis. The aim of this study was to study the clinical and functional outcome of total knee arthroplasty using knee society score and to find association between knee functional score and knee clinical score.</p><p class="abstract"><strong>Methods:</strong> We conducted a prospective analysis of 40 cases of osteoarthritis knee patients at a tertiary care centre in Mumbai over a period of two years. Those patients who underwent total knee arthroplasty were assessed clinically and functionally using knee society score.<strong></strong></p><p class="abstract"><strong>Results:</strong> The mean preoperative knee clinical score (KCS) was 49.40±13.79 which was increased to a postoperative score of 86.08±5.64 at the end of 6 month. Similarly the mean preoperative knee functional score (KFS) was 32.75±11.79 which was increased to a postoperative score of 84.43±9.59 at the end of 6 month. There was significant increase in KCS and KFC score during follow up at 1, 3 and 6 month interval. There was significant association between knee functional score and knee clinical score at every interval.</p><p><strong>Conclusions:</strong> Total knee arthroplasty improves the functional ability of the patient and the ability of the patient to get back to pre-disease state, which is to have a pain free mobile joint, as reflected by the improvement in the post-op knee clinical score and knee functional score.</p>
Background: Hand hygiene is a crucial measure for preventing healthcare-related infections. Surgical scrub is an important factor in the safety and success of a surgical operation. The aim of this study was to comparatively evaluate effectiveness of povidone iodine scrub (10%) and alcohol based hand rubs (Sterilium). Methods: Single centre, double blinded, comparative study performed over a period of 6 months in MGM Medical College and hospital. Sampling was conducted, after the surgeons participating had used either technique for preoperative hand disinfection. Colonies were counted after 48 hours of aerobic incubation at 37°C. Positive cultures were identified and their frequencies were compared. Data were summarized using descriptive statistical methods. Comparison of counts between groups was performed using Chi square test. Results: From the 100 obtained samples, there was higher number of positive growth in Sterilium as compared to povidone iodine scrub (14% versus 8%) though statistically not significant. Staphylococcus aureus, Staphylococcus epidermidis, Acinetobacter was the most common organism isolated in both the groups. Conclusions: Povidone-iodine is more efficacious than that of alcohol-based solutions in preoperative hand disinfection.
<p class="abstract"><strong>Background:</strong> Proximal radial fractures are common type of fracture around the elbow joint. These commonly occur after an episode of fall on the outstretched arm. These fractures can occur in isolation or with other associated injuries. Among these comminuted radial head fractures are commonly associated with secondary injuries and instability of the elbow joint. Management of the radial head in such cases is very important in restoring stability of the elbow joint and starting early mobilization. This study will assess functional outcome of radial head replacement in isolated radial head fractures using Mayo elbow performance score<span lang="EN-IN">.</span></p><p class="abstract"><strong>Methods:</strong> Over a period of 24 months a total of 18 patients (male 12 and female 6) with isolated radial head fractures were included in the study. All of these patients had MASON type III fractures or above. Radial head replacement arthroplasty was done for irreparable radial head fractures and early mobilization was started. Functional outcome was calculated postoperatively with help of the Mayo elbow score on follow-up at 1, 3 and 6 month interval.<strong></strong></p><p class="abstract"><strong>Results:</strong> On the basis of Mayo elbow performance scores, 13 patients had excellent results; 3 had good results; and 2 had fair results. Mean Mayo elbow score was 88.33 (SD 11.11) after 6 month follow up. None of the patients had elbow instability after radial head replacement<span lang="EN-IN">. </span></p><p class="abstract"><strong>Conclusions:</strong> Treatment of irreparable radial head fractures with radial head prosthesis along with soft-tissue reconstruction shows satisfactory results. Early mobilization of the elbow after operation is the key for restoration of elbow range of motion and function<span lang="EN-IN">.</span></p>
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