Introduction:Knee is the largest joint in the human body with a very complex anatomy. It is a mobile trochoginglymus (i.e. a pivotal hinge joint), which permits flexion and extension as well as a slight medial and lateral rotation. Since the knee supports nearly the whole weight of the body, it is vulnerable to both acute injury and the development of osteoarthritis. The anterior cruciate ligament (ACL) is an important ligament for the proper movement of knee joint. ACL injury commonly causes knee instability than injury to other knee ligaments.Conclusion:In our study, we found the following: 1. Patients suffering from road traffic accidents have the highest rate of development of ACL injury department of Jawaharlal Nehru medical collage sawangi. 2. Twisting injuries/trivial fall injuries/injuries from fall on ground give the second highest numbers of ACL injuries in rural population. 3. Men are more prone to have ACL injury than women in rural population. 4. Patients falling in the age group of 16-25 years of age are more prone to have ACL injuries in rural population.
Background: COVID-19 pandemic has grappled the worldin the last two years. No concrete solution is available yet, but the news about the last stage approval of several vaccine candidates is promising. Summary: Infodemic, as United Nations term it, is creating menace all across the globe. Usually not noticed, it has serious repercussions if not detected and left untreated. Cooperation across the spectrum of both citizens and law enforcement agencies are needed to stop this spread. As various laws are already in place, enforcing those is a serious challenge as tracing digital footprints can sometimes be difficult. Conclusion: More analysis on how these messages and fake news are getting transmitted should be done. A counter campaign against Infodemic may be another option after practicing digital hygiene.
Background: Surgical Site Infection (SSI) is the 3rd most commonly reported infection accounting for 14-16% of all Health care associated infections among hospitalized patients. Surgical Site Infections are responsible for an increased economic burden to healthcare systems, including additional postoperative hospital stay and costs. The present study was conducted in a tertiary care hospital to study the incidence, risk factors and associated pathogens of Surgical Site Infection.Methods: A total of 100 patients operated of clean and clean-contaminated surgeries from Orthopaedics, Surgery and Obstetrics and Gynaecology Department of AVBRH, Sawangi were included.Results: Overall infection rate was 6%. Patients in the age of above 71 years showed maximum rate of infection (14.28%) followed by 61 to 70 years (10%) and 51-60 years (10%). Surgical site infection rate was 4.65% (2/43) in clean operative wounds and 7.02% (4/57) in clean contaminated operative wounds. Escherichia coli and Klebsiella pneumonia were the most common organisms causing SSI. None of the risk factor was found significantly associated with the development of SSI.Conclusions: This study gave a better understanding of microbial pathogens of our institute which may have epidemiological and therapeutic implications. It will act as a pilot study to conduct further such larger research.
Introduction: There have been many studies on ACL reconstruction and its outcome. In our study, we used single bundle reconstruction as the technique for Indian rural population as it is one of the most reliable technique for ACL reconstruction after the injury. Aim: To study the pattern of clinical and functional evaluation of anterior cruciate ligament injury after anterior cruciate ligament reconstruction. Objectives: (1) To assess the pattern of anterior cruciate ligament injury and instability caused by it (2) To study the clinical & functional outcome of ACL in arthroscopic ACL reconstruction in patient with ACL tear. Results: The outcome scores themselves, at the end of 12 months follow up were significantly better in operated patient. We found better knee function and patients were able to do their daily activity normal (as before the injury). Results of our study were compared with other study done worldwide and we also found better results and better life style in post operated patient of ACL. The study concludes that, Arthroscopic ACLR is a good choice for ACL reconstruction and HS grafts were a good choice for reconstruction along with endobutton and screw. This study shows that ACL is one of most important ligament in the knee joint and must be taken care of for a better knee function. Conclusion: The reconstruction of anterior cruciate ligament tears with hamstring tendon grafts gives a very good clinical and functional outcome.
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