Introduction: Ochronosis arthropathy (OcA) is a rare condition which may be treated with total knee arthroplasty (TKA) at the end stage. The condition is often discovered only intraoperatively and the ideal choice of TKA is unknown. Methodology: In the present study we studied 5 patients with worsening chronic bilateral mechanical knee pain had failed conservative therapy. Posterior stabilised (PS), cemented TKA and patella resurfacing was performed. Intraoperatively, collagenous structures such as the menisci and cartilage were noted to be black. Histological examination showed deposition of large amorphous brown material suggestive of ochronosis. He recovered well and underwent TKA of the contralateral knee the following year. At 2 years post index TKA, his outcome scores improved and he was satisfied. Discussion and Conclusion: With increasing TKA performed worldwide, a surgeon may eventually be surprised by the above findings once in their lifetime. However, as the pathogenesis of OcA appears to be inflammatory in nature, we suggest using cemented PS TKA with resurfacing of the patella.

To evaluate outcomes of 12 patients who underwent curettage, use of phenol, and reconstruction using the sandwich technique for giant cell tumour (GCT) of bone around the knee. Methods: 7 women and 5 men aged 20 to 45 (mean, 28.5) years underwent intralesional curettage, use of phenol, and reconstruction using the sandwich technique for GCT of the proximal tibia (n=7) or distal femur (n=5). One of the cases were recurrences. Two, 18, and 9 tumours were classified as grade I, grade II, and grade III, respectively. Five of the grade III tumours were associated with an extra-articular pathological fracture. Patients underwent intralesional curettage, use of phenol, and reconstruction with allograft, gel foam, and cement (the sandwich technique). Pathological fractures were fixed with plates. Functional outcome was evaluated using the Musculoskeletal Tumor Society (MSTS) score. Results:The mean follow-up period was 2 (2.5-11) years. The mean MSTS score was 28.7 out of 30 (standard deviation, 3; range, 16-30). One patient with a grade III tumour in the proximal tibia had a recurrence detected elsewhere after 2 years. Her MSTS score at 2 years was 22. No patient had malignant transformation. Conclusion: Intralesional curettage, use of phenol, and reconstruction with allograft, gel foam, and cement (the sandwich technique) for GCT of bone achieved good functional outcome and a low recurrence rate.

Total number of women screened were 834, who were attending regular outdoor in Mahatma Gandhi Medical Hospital for any gynecological complaints. Age group was 30-50years; women were not pregnant and not menstruating. Out of 834 subjects, 21 subjects refused for VIA and Colposcopy, only VILI was done in these cases. RESULTS: This study was carried out during Jan 2010 to March 2013. A total of 834 women were recruited, 21 women refused for VIA and colposcopy. Out of 834 cases, in 4 cases SCJ (Squamo Columnar Junction) not seen, in 98% women SCJ seen fully. Out of 834, 225 (27%) cases were VILI positive and out of 813, 184 cases i.e. 22.6% were Via positive Biopsy was taken in 223 cases where HSIL reported in 3 cases (1.4%) and invasive squamous cell carcinoma in 4 cases. Out of 834 women, cryotherapy was done in 61 cases and LEEP in 15 cases, conization in 1andsurgery in 3 cases. CONCLUSION: Visual screening has been taken as most effective method as compared to cytology or HPV testing. It is cheap, outdoor procedure, can be done by paramedical staff and can be done in large scale.

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BACKGROUND Chronic pain is a common gynaecological problem. The causes of CPP are numerous like gynaecological causes or nongynaecological causes, but CPP is very difficult to diagnose. So, aim of the study is to evaluate the use of TVS based on hard and soft markers in detection of pelvic pathology in women with chronic pelvic pain and compare it with laparoscopy for knowing sensitivity and specificity. MATERIALS AND METHODS Study was hospital based. Total number of women taken were 220, who were attending regular outdoor in Mahatma Gandhi Medical College and Hospital, Jaipur with history of Chronic Pelvic Pain (CPP). Age group was 18-50 years. RESULTS This study was carried out in Mahatma Gandhi Medical College and Hospital, Jaipur during October 2010 to October 2012. There was a statistically significant association between TVS based hard markers and laparoscopic findings. Out of 120 cases of abnormal scan of TVS 116 were abnormal on laparoscopy, thereby showing PPV of 93.55%. TVS based hard markers had higher Specificity (73.33%) and Sensitivity (61.05%). CONCLUSION Though laparoscopy is the gold standard for diagnosis of chronic pelvic pain, it is concluded that TVS with use of hard and soft tissue markers is very useful in diagnosis of Chronic Pelvic Pain.