Worldwide osteoarthritis is the most common joint disorder. It results from mechanical and biological events that destabilize the normal processes of degradation and synthesis of articular cartilage chondrocytes, extracellular matrix and subchondral bone. These changes include increased water content, decreased proteoglycan content and altered collagen matrix, leading to the degeneration of articular cartilage. There is trend on rise to use platelet rich plasma to promote healing of the degenerated cartilage. The aim of the study was to evaluate whether the newer method i.e platelet rich plasma has any significant advantage. The study included a total of 50 cases with individuals ageing greater than 40 years. Patients without evidence of degenerative arthritis and with KL grade 3 and grade 4 were excluded from the study. At 1 month only 14% cases showed excellent, 68% cases showed and. 18% cases showed fair results. At 3 months follow up 16% cases showed excellent, 82% cases showed good and fair results were seen in 2% cases. No case had poor results. At 6 months follow up 16% cases showed excellent, 86% cases showed good and 6% cases showed fair results and no case had poor results. Platlet rich plasma is an excellent method of treatment in early osteoarthritis of knee.
There is trend on rise to use miniplates over the kirschner's wire for treating the fractures of hand. The improved system of internal fixation by miniplates has many advantages. The aim of the study was to evaluate whether the newer stable fixation method i.e plating has any significant advantage. The study included a total of 20 cases with individuals ageing greater than 18 years. The patients excluded from the study were who had compound injury, severe osteoporosis and severe comorbid conditions in whom risk of anaesthetic complications were high. The average time for radiological union was 8.7 weeks. Stiffness was the most common associated complication in this study. 8 patients (40%) had shown excellent results; 9 patients (45%) had shown good results; 3 patients had shown fair results and none reported poor result. Plating is an excellent method of fixation in metacarpal fractures.
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