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Chawla, Jasneet
- Repair of Chronic Achilles Tendon Rupture by Modified Bosworth Technique
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Authors
Manjeet Singh
1,
Harish V.K. Ratna
2,
Harish V.K. Ratna
2,
Ashwani Ummat
3,
Ashwani Ummat
3,
Jasneet Chawla
2,
Jasneet Chawla
2,
Harsimarjit Kaur
4,
Harsimarjit Kaur
4,
Vishesh Verma
2,
Vishesh Verma
2
Affiliations
1 Professor and HOD, Department of Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 Postgraduate Resident M.S. Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
3 Professor, Department of Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
4 Associate Professor, Deptt. Anatomy, Government Medical College and Hospital, Patiala, IN
1 Professor and HOD, Department of Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 Postgraduate Resident M.S. Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
3 Professor, Department of Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
4 Associate Professor, Deptt. Anatomy, Government Medical College and Hospital, Patiala, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 813-817Abstract
Introduction: The Tendo-achilles, also known as the calcaneal tendon is a strong fibrous tissue structure that connects muscles of the calf to the heel (calcaneus). The calf muscles-gastrocnemius and the soleus muscle along with the plantaris muscle, unites into a strip of tissue and becomes the Tendo-achilles at the lower end of the calf and acts as a main flexor of the ankle joint. The Achilles tendon rupture is considered to be chronic if the injury is past 4-6weeks of duration. Materials and Method: From May 2016 to May 2018, 15 Patients with long-standing rupture of the Achilles tendon were treated with the operative technique mentioned below, in MMDU, Mullana, Ambala. All the patients gave informed consent prior to being included in the study. Results All patients were evaluated according to The American Orthopedic Foot and Ankle Society (AOFAS) Ankle-Hindfoot Score. 8 patients had excellent results, 4 patients had good results, 2 had fair results and 1 patient had poor result. All patients resumed work at 6 months postoperatively. Conclusion: Our technique is ideally suitable for chronic ruptures in zone I (where there is no distal stump available for repair) and ruptures that have a large gap of more than 5-6 cms. This is accomplished with a single long incision, with a good post-operative range of ankle motion and function and no major post op complications.Keywords
Chronic TA Rupture, Modified Bosworth Technique, Zone 1 Ruptures.- Proximal Fibular Osteotomy–A Novel Technique for Decompression of Isolated Medial Compartment Osteoarthritis Knee
Abstract Views :539 |
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Authors
Vishesh Verma
1,
Manjeet Singh
2,
Ashwani Ummat
3,
Praveen Thivari
1,
Harsimarjit Kaur
4,
Jasneet Chawla
1,
Vineet Pruthi
1
Affiliations
1 P.G. Resident M/S Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 HOD Department Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
3 Professor Department Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
4 Associate Professor, Deptt. Anatomy, Government Medical College and Hospital, Patiala, IN
1 P.G. Resident M/S Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 HOD Department Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
3 Professor Department Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
4 Associate Professor, Deptt. Anatomy, Government Medical College and Hospital, Patiala, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 883-889Abstract
Introduction: Proximal Fibular Osteotomy (PFO) is removing 1-1.5 cm of FIBULA, 7 to 10 cm below its head, which provides symptomatic relief from pain of medial compartment Osteoarthritis (OA) knee. It is a procedure wherein we remove Proximal part of fibula to stop mechanical axis of knee going into further varus and hence putting a stop to progression of disease. The aim of the study was to observe and study the resultsin patients of isolated medial compartment Osteoarthritis of Knee,treated by Proximal Fibular Osteotomy. Material and Method: The study was conducted on 36 patients amounting to 50 knee joints (male and female between the age of 50-70 years) with medial compartment OA Knee. Patients were followed up till 6 months. Medial and lateral joint space along-with visual analogue score for pain were recorded preoperative, immediate post-operative and at final follow up. Result: Significant improvement in mean visual analogue pain score (VAS), from 7.32 + 0.98 preoperative to 2.72 + 1.20 at the final follow up was observed (p-value <0.001). Medial joint space opening from 1.17 + 0.29 to 4.07 + 0.69 at final follow up was observed. American knee society score was divided into 2 subsets, knee score and functional score. Both of them showed significant improvements from 39.72 + 3.47 and 44.20 + 8.47 (pre-operative) to 86.58 + 10.79 and 84.60 + 8.38 respectively, at final follow up (p-value < 0.001). Conclusion: The objective as well as functional outcome after proximal fibular osteotomy were satisfactory. With correct patient selection and meticulous adherence to basics, Proximal fibular osteotomy offers an excellent alternative to tedious and extensive procedures like High tibial osteotomy (HTO) and Unicompartmental Knee Arthroplasty (UKA). It is specially enthralling in country like ours where everyone cannot afford expensive surgeries and are forced to live a life of misery and morbidity.Keywords
Medial compartment Osteoarthritis Knee, PFO, American Knee Society Score, Fibular osteotomy.- Efficacy of Early Decompression Surgery Versus Epidural Injection in Management of Sciatica Due to Lumbar Disc Herniation–A Randomised Control Trial
Abstract Views :637 |
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Authors
Ashwani Ummat
1,
Manjeet Singh
2,
Manjeet Singh
2,
Sarthak Sharma
3,
Sarthak Sharma
3,
Praveen Thivari
3,
Praveen Thivari
3,
Vishesh Verma
3,
Vishesh Verma
3,
Jasneet Chawla
4,
Jasneet Chawla
4
Affiliations
1 Professor Department of Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 HOD and Professor Department of Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
3 PG Resident M/S Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
4 Postgraduate Resident M.S. Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
1 Professor Department of Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 HOD and Professor Department of Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
3 PG Resident M/S Orthopaedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
4 Postgraduate Resident M.S. Orthopedics, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN