Objectives: Osteoarthritis (OA) is one of the common causes of significant morbidity in elderly individuals. It typically manifests as painful joints affecting mobility in individuals particularly women in and after fifth or sixth decade of life. While most of the mild-to-moderate cases are managed conservatively, in severe OA total knee arthroplasty (TKA) is being increasingly done with good functional outcome. The aim of the study was to assess functional outcome in case knee OA cases treated by TKA. The study aimed to study the complication in patients undergoing TKA. Methods: Forty patients with moderate-to-severe knee OA and treated by TKA were included in this study on the basis of a predefined inclusion and exclusion criteria. Demographic details such as gender and age were noted in all the cases. Body mass index (BMI) was determined. All patients were treated by TKA. Functional outcome was assessed by Japanese Orthopaedic Association score (JOA) as well as Functional knee clinical score (KCS). Incidence of complications was assessed during follow-up. For statistical purposes, p<0.05 was taken as significant. Results: There were 25 (62.50%) females and 15 (37.50%) males with a M: F ratio of 1:1.66. 13 (32.50%) patients were obese (BMI≥30) and 16 (40.00%) patients were overweight (BMI≥25 but <30). A total of 11 (27.50%) patients had BMI <25. The mean KCS as well as JOA scores at the time of final follow-up were found to be significantly improved as compared to KCS and JOA scores at the time of presentation and the difference was found to be statistically highly significant (p<0.05). There was a significant reduction in pain as assessed by VAS score. Total 6 (15%) patients developed complication which could be managed conservatively. Conclusion: TKA in patients with moderate-to-severe OA treated by TKA is associated with significant improvement in functional outcome and acceptable complication rate.
Objective: The aim of the study was to analyze the functional outcome of patients with rotator cuff injuries treated by arthroscopically-assisted mini-open repair. Methods: This was a prospective and cohort study conducted in the Department of Orthopaedics of Prakash Institute of Medical Sciences (PIMS) and Research, Urun Islampur Dist Sangli. Forty patients with rotator cuff injuries treated by arthroscopic assisted mini open rotator cuff tear repair were included in this study on the basis of a predefined inclusion and exclusion criteria. Post-surgery patients were followed up for 6 months. At each follow-up visit, functional outcome was assessed by Constant Score (CS) and University of California-Los Angeles (UCLA) shoulder scale. For statistical purpose, SSPS 21.0 software was used and p<0.05 was taken as statistically significant. Results: A total of 40 patients were included in this study out of which there were 23 (57.50 %) males and 17 (42.50 %) females with a M:F ratio of 1:0.73. The mean age of affected patients was found to be 57.07±11.31years. The most common cause of rotator cuff tear was degenerative changes which was seen in 19 (47.50%) patients followed by spontaneous rotator cuff tear (30.00%) and traumatic rotator cuff injury (22.50%). There was significant functional improvement from pre-operative to last follow-up period as shown by improved CS and UCLA scores (p<0.05). Conclusion: Arthroscopic assisted mini-open surgery for rotator cuff injuries is found to have excellent results in terms of functional outcome.
Schwannoma is a tumor that develops from nerve sheath. The author reports an unusual case of swelling on the medial side of the arm noticed 2 yrs back. The swelling increased in size over the last 6 months. It was associated with pain. The diagnosis of schwannoma was based on MRI and Cytological studies. Surgical removal is usually curative. The asymptomatic character of the tumor remains an essential factor in delayed diagnosis.
Background and Objectives: Technological advancements in the field of knee arthroplasty is leading to an increased number of surgeries being performed every year. This upward trend is due to the aim of the operating orthopaedicians to achieve the most accurate limb alignment to thereby deliver improved functional outcome. Pre-operative assessment of limb alignment is done by two modalities commonly, scanograms and conventional radiographs. The current study was hence designed to evaluate, validate and compare these pre-operative assessment techniques in terms of their post-operative outcomes. Postoperative outcomes were assessed in different dimensions, namely post-operatively achieved limb alignment was analyzed using scanograms and the functional outcomes using specific outcome tools -WOMAC score and Oxford Knee score. Methods: A total of 24 subjects (47 knees) were enrolled in the study as per the inclusion and exclusion criteria. Results:The results obtained from our study indicate that despite better neutral alignment was achieved by the use scanograms, it did not provide any significant improvement in the functional outcome of our subjects. Interpretation and Conclusion:The use of scanograms pre-operatively has little practical value and is an additional cost borne by the patient. More large scale, organized and sophisticated research needs to be done on the same, to enable its application in orthopedic surgery.
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