Introduction: Achilles tendon is the strongest tendon in the body, paradoxically is also the commonest one to undergo rupture. Corticosteroids are one of the most commonly used drugs in tendon disorders; also it is blamed for early and late ruptures. We wanted to assess whether there is any difference in functional outcome in steroid-induced TA rupture group versus spontaneous (no steroid injection) TA rupture. Materials and Methods: A total of 12 patients were included in the study as per inclusion-exclusion criteria and preoperatively grouped based on previous history of intralesional steroid injection. Both the group underwent same tendon augmentation surgeries and similar physiotherapy protocols. Functional outcome was assessed using AOFAS and Leppilahti Scores. Results: Better functional outcome was seen in the group with no previous exposure of intralesional steroid injection which was statistically significant (p <0.05) which was confirmed in both scoring systems. Conclusion: Uses of intralesional steroid correlates negatively with outcome.
BACKGROUND Anaemia is common among chronic kidney disease (CKD) patients. Quality of life (QOL) is a broad multidimensional concept and many factors affect QOL in CKD patients. This study attempted to measure QOL with varying levels of haemoglobin in CKD patients. METHODS The present study was a descriptive cross-sectional study done on CKD patients on maintenance haemodialysis (MHD) after ethical committee approval. All patients aged more than 18 years on MHD for at least 3 months were enrolled in the study. Patients were categorised into 4 separate groups as Hb 4 to < 6 g/dl, 6 to < 8 g/dl, 8 to < 10 g/dl and 10 - 12 g/dl. After obtaining informed consent, participants were given the study questionnaire - kidney disease quality of life (KDQOL) short form (SF - 36) TM V1 .2. RESULTS At different Hb levels, there were significant differences in the kidney symptom/ problem scores (P = 0.000),the burden of kidney disease scores (P = 0.000), the work satisfaction scores (P = 0.014) and the cognitive function scores (P = 0.000). About SF - 36, all of the physical domains were significantly different: physical function scores (P = 0.000), role physical scores (P = 0.045), pain scores (P = 0.000) and general health component scores (P = 0.004) at different Hb levels. For mental domain components, the differences between four groups of Hb levels were significant in the variety of quality of life domains: emotional wellbeing score (P = 0.006), role emotion scores (0.000), social function scores (P = 0.000) and energy/fatigue scores (0.026). CONCLUSIONS KDQOL, SF - 36 showed that the QOL scores are strongly related to Hb concentrations. The higher scores in various quality of life domains were mostly associated with higher Hb levels in the KDQOL - SF scores. Efforts to optimize haemoglobin in CKD patients may show QOL improvement. KEYWORDS Chronic Kidney Disease, Haemodialysis, Anaemia, Quality of Life
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