A prospective study was done on 21 patients with mean age of years (range yrs) underwent arthroscopic Bankart repair with suture anchors for anterior shoulder instability at Sports Injury Centre, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore. The study was conducted from 2014 to 2016 with a minimum follow-up of 1 year. Functional outcome was assessed with two outcome measuresWalch-Duplays and UCLA scoring system. Range of motion, recurrence rate and patient satisfaction were evaluated. Functional outcome was good to excellent in most of patients, 2 patients (9.5%) had fair results and one patient (4.7%) had poor scoring. Most of patients showed improvement in range of motion with one patient didn't show improvement. Rate of recurrence was 4.7% (1 patient out of 21). In Conclusion, Arthroscopic Bankart repair for anterior shoulder instability provides good to excellent functional outcome, improved range of motions and low recurrence rate.
A prospective study was done on 21 patients with mean age of years (range yrs) underwent arthroscopic Bankart repair with suture anchors for anterior shoulder instability at Sports Injury Centre, Sanjay Gandhi Institute of Trauma and Orthopaedics, Bangalore. The study was conducted from 2014 to 2016 with a minimum follow-up of 1 year. Functional outcome was assessed with two outcome measuresWalch-Duplays and UCLA scoring system. Range of motion, recurrence rate and patient satisfaction were evaluated. Functional outcome was good to excellent in most of patients, 2 patients (9.5%) had fair results and one patient (4.7%) had poor scoring. Most of patients showed improvement in range of motion with one patient didn't show improvement. Rate of recurrence was 4.7% (1 patient out of 21). In Conclusion, Arthroscopic Bankart repair for anterior shoulder instability provides good to excellent functional outcome, improved range of motions and low recurrence rate.
Repair of meniscus injuries always posed a significant problem, especially in relatively avascular zones. Several methods to augment the repair were devised, but only a few had convincing results. Fibrin clot augmentation is one of the augmentation procedures that shows good promise in this premise. The major hurdle to it is difficulty in delivering into the meniscus tear under constant irrigation during arthroscopic procedures. This article presents a simple and unique way to prepare and transfer a fibrin clot into a meniscal tear in a step-by-step manner.
Objectives: To compare the end results obtained after treating patients of proximal tibial fractures with various modalities Materials and Methods: This prospective study was carried out for patients treated by various modalities for fractures of proximal tibia from May 2014 to April 2016 at Tertiary care Hospital. Results: Clinically, Excellent results were seen in 51.7% of patients, Good results were seen in 32.1% of patients while 10.7% of patients had fair results. Radiologically, 61.5% had excellent results, 34.6% had good result and 3.8% had fair result. We did not encounter any patient with poor result. Conclusions: The surgeon must have sound knowledge of the nature of the proximal tibia injury and must be familiar with variety of techniques available at present for treating these fractures to achieve consistent excellent and good results.
Lipoma arborescens is not so common condition of unknown etiology. The usual presentation is that of a long standing mono articular soft tissue swelling involving the knee joint. This diagnosis is not often made clinically but usually made with the help of Magnetic Resonance imaging and Biopsy. We are reporting a case of chronic massive knee joint swelling so as to raise awareness about the condition and its imaging features, so that misdiagnosis can be avoided and early appropriate treatment can be given. Keywords: Lipoma arborescens, Synovium, Magnetic Resonance Imaging
<p class="abstract"><strong>Background:</strong> The objective of the study was to evaluate functional results of combined encirclage wiring and tension band fixation in comminuted patellar fractures.</p><p class="abstract"><strong>Methods:</strong> This is a prospective study of 15 patients treated with this method. All fractures described herein were classified as 45-C3 (based on Orthopaedic Trauma Association classification) and were fixed with encirclage wire and tension band wire proximally looped through the quadriceps tendon and distally through the patellar ligament in a figure-of-eight configuration. Knee function was evaluated using the Rasmussen scores at final follow-up.<strong></strong></p><p class="abstract"><strong>Results:</strong> 13 patients gained up to 90 degrees of active flexion at the end of the first week. 4 patients had 10–15 degrees of extensor lag at the end of the first week which improved after vigorous physiotherapy and none of them had any residual extensor lag at the subsequent follow-up. Two patients developed superficial infection. All fractures united at the end of 12 weeks. One patient underwent a second surgery; due to implant related complications. Malunion or non-union was not noted in any of the cases. The average Rasmussen scores was 27.9 out of 30 (range, 27–29).</p><p><strong>Conclusions:</strong> The tension band technique combined with cable encirclage for treatment of communited fractures of patella is a simple and technically less demanding operative technique producing a rigid fixation, stable osteosynthesis and minimal injury to the tendon. It can be done with easily available implants. </p>
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