<p class="abstract"><strong>Background:</strong> Deep vein thrombosis (DVT) and pulmonary embolism (PE) can occur in patients after elective total hip arthroplasties (THA). Indian population appears to have low incidence of DVT and PE in comparison with Western population due to difference in ethnicity, genetic make-up, social life styles. The study intends to find the incidence of symptomatic DVT and PE in postoperative THA patients. The aim of the study was to study the incidence of symptomatic DVT and PE, in post-THA patients in Indian Population.</p><p class="abstract"><strong>Methods:</strong> Retrospective study conducted from 1<sup>st</sup> January, 2017 to 31st July, 2018 in BIRRD (T) Hospital. All patients who underwent THA are included, after fulfilling inclusion and exclusion criteria. Patients were evaluated for symptoms during the hospital stay and after discharge for 3 Months.<strong></strong></p><p class="abstract"><strong>Results:</strong> Total number of patients who had THA were 447 (n=447). The symptomatic DVT was found in 1 (n=1) patient. He developed DVT (n=1) during the study period, in first 48 hours postoperatively and recovered with ICU management. The same patient showed symptoms of PE but recovered fully. All patients were on a prophylactic regimen.</p><p class="abstract"><strong>Conclusions:</strong> Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimen.</p>
A 26 year old male patient with an aggressive giant cell tumour of the left distal femur was managed by wide excision and insertion of custom mega prosthesis. Patient developed deep infection which did not subside with multiple debridements and antibiotics. Hence the custom mega prosthesis was removed and the bone gap was managed by Ilizarov method. Ilizarov fixation of the left femur and tibia was done. Femoral and tibial corticotomy was done and the bone segments were transported towards the knee to finally achieve a knee arthrodesis. The case illustrates the method and difficulties encountered during the treatment.
Introduction: Deep Vein Thrombosis (DVT) and Pulmonary Embolism (PE) are the life-threatening complications which can occur in patients undergoing elective Total Knee Arthroplasties (TKA). Incidence in western population appears high in published Literature. While the Indian population it appears to be variable. The difference might be due to different Genetic makeup, social lifestyles of both populations. 1 The study intends to find an incidence of symptomatic DVT and PE in postoperative TKA patients on the prophylactic drug regimen. Aim: To study the incidence of symptomatic DVT and PE, in post-TKA patients in Indian population. Materials and Methods: Retrospective Study conducted from 1 st may, 2017 to 1st may 2018 in BIRRD (T) Hospital. All patients who underwent TKA are included, after following inclusion and exclusion criteria. These patients were evaluated for symptoms during the hospital stay and after discharge for 3 Months. Result: Total number of patients who had TKA were 2292(N=2292). The symptomatic DVT was found in 6(n=6) patients. All 3 patients were managed with a therapeutic regimen. Four patients developed PE (p=4) during the study period, three patients developed pulmonary embolism in first 24 hours postoperatively and expired in spite of ICU management. One patient expired on the 4 th -week postoperatively, with PE at home. Two patients presented with symptoms on 2 nd and 4 th postoperative days, one underwent fasciotomy on 4 th postoperative day. All other patients were on a prophylactic regimen. Conclusion: Our results suggest incidence of DVT and PE are low in the Indian population with a prophylactic regimen.
<p class="abstract"><strong>Background:</strong> Proximal row carpectomy (PRC) is a procedure with varied indications. The purpose of this study was to evaluate functional outcomes with PRC in wrist flexion deformities, neuromuscular disorders and also post-traumatic wrist arthritis.</p><p class="abstract"><strong>Methods:</strong> A prospective study was performed on all patients who underwent PRC between April 2015 and December 2017, in BIRRD (T) hospital, Tirupati, Andhra Pradesh with a minimum follow up of 6 months. Outcome was assessed in terms of range of motion (ROM), grip strength, quick disabilities of the arm, shoulder, and hand (QDASH) score and pain score. Data was analyzed using the Student t-test.<strong></strong></p><p class="abstract"><strong>Results:</strong> Thirty-two patients underwent PRC of which 12 are neuromuscular disorders, 10 are wrist flexion deformities, 10 are post-traumatic wrist arthritis. On the final follow-up, significant improvement in ROM was observed in wrist flexion deformities and neuromuscular disorders, whereas grip strength and QDASH scores showed a significant difference in post-traumatic wrist arthritis. Pain was studied only in post-traumatic wrist arthritis, all were very much pleased with pain reduction.</p><p class="abstract"><strong>Conclusions:</strong> PRC is fairly a reliable procedure for all the indications in our study. We consider that PRC is a promising procedure in correcting wrist flexion deformities. Though there has been significant improvement in all the parameters for all the cases, we consider this procedure is best suited for post-traumatic arthritis group.</p>
Introduction: Patients with Developmental dysplasia of hip many a times present later in the age due to missed or delayed diagnosis. The treatment of DDH is mainly dependent upon the age of the child at the time of presentation and varies according to it. In the late presenting cases it is mostly surgical with open reduction alone or in combination with pelvic and femoral osteotomies. Materials and Methods: This study between October 2012 and October 2014 includes 21 patients with unilateral dysplastic hips, surgically treated with a single stage procedure of open reduction and Acetabuloplasty of Pemberton, along with Varus derotation osteotomy and femoral shortening when necessary. Preoperatively they were classified according to Tonnis grade. Clinical assessment was done using Modified McKay's criteria; Radiological evaluation was done using Severin's radiographic criteria. Results: The mean follow up period was 15.14 months and the mean age at surgery was 66.86 months. McKay's grades were excellent in 8 hips, good in 11 hips, fair in 1 hip and poor in 1 hip. Severin's score was excellent in 4 hips, good in 15 hips, fair in 1 hip and poor in 1 hip. Conclusions: Every case of DDH is unique. The type of surgery chosen depends on the clear understanding of each hip after using the available resources. The combination of open reduction with pelvic and/ or femoral osteotomy when needed gives good immediate stability and promotes remodelling. This surgery is a technically demanding procedure but when performed properly by an experienced surgeon, it does give satisfactory results.
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