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Thivari, Praveen
- Role of Tranexamic Acid in Controlling Blood Loss in Major Orthopaedic Surgeries (TRAMOS): A Comparative Study
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Authors
Affiliations
1 HOD, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 Professor, Deptt. Orthopedics, 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 Associate Professor, Deptt. Anatomy, Government Medical College and Hospital, Patiala, IN
1 HOD, Maharishi Markandeshwar (Deemed to be University), Mullana, Ambala, IN
2 Professor, Deptt. Orthopedics, 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 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: 808-812Abstract
Introduction: Tranexamic Acid has been used in major surgeries in various fields of medicine. It has shown to effective in reducing the blood loss during surgery. But it’s use in orthopaedic surgeries was limited due to concern regarding efficacy and safety. Material and Method: 54 patients were included in the study during the study period. Patients were randomly allotted to 2 groups of equal participants. The first group (Group A) received Tranexamic Acid. The second group (Group B) was given placebo. The Total Blood Loss and Fall in Haemoglobin levels were measured post-operatively at 24 and 72 hrs of post-operative period. Result: The group A had showed significantly reduced total blood loss and fall in Haemoglobin, thus, requiring less blood transfusions. No complications were noted with tranexamic acid use. Conclusion: We conclude that Tranexamic acid can be effective in reducing blood loss and subsequent fall in haemoglobin. Its judicious use may thus reduce allogenic blood transfusions in major orthopaedic surgeries.Keywords
TRAMOS, Tranexamic acid, Bleeding, Major Orthopaedic surgeries- Proximal Fibular Osteotomy–A Novel Technique for Decompression of Isolated Medial Compartment Osteoarthritis Knee
Abstract Views :541 |
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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 :639 |
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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