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Pruthi, Vineet
- Use of Custom-Made Antibiotic Coated Intra-Medullary Nail in Treatment of Infected Non-Union of Long Bones
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Authors
Vineet Pruthi
1,
Ashwani Ummat
2,
Manjeet Singh
3,
Sonia Kochhar
4,
Subodh Pathak
5,
Vishesh Verma
1,
Aryan Sharma
1
Affiliations
1 PG Resident MS Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
2 Professor Department of Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
3 Professor and Head, Department of Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
4 Associate. Professor, Department of Physiology, AIIMS, Bathinda5, IN
5 Assistant Professor, Department of Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
1 PG Resident MS Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
2 Professor Department of Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
3 Professor and Head, Department of Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
4 Associate. Professor, Department of Physiology, AIIMS, Bathinda5, IN
5 Assistant Professor, Department of Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
Source
Indian Journal of Public Health Research & Development, Vol 11, No 2 (2020), Pagination: 802-807Abstract
Introduction: In cases of infected Nonunion of long bones Antibiotic coated nail provides mechanical support for the affected bone with delivery of high concentration of antibiotics for infection control and a conclusive environment for fracture healing. The aim of the study was to observe and study the treatment of infected non-union of long bones with antibiotic coated nailing in infection control and bony union. Material and Method: The study was conducted on 30 patients (male and female between the age of 18‑70 years). All patient on admission were subjected to detailed history, relevant investigations and thorough clinical examinations. Minimum follow-up period was 6 months. Radiological and blood investigations were done for infection control and bony union. Result: In the current study of 30 patients with mean age of 43.67 years, Infection control and bony union was achieved in 27 patients without any need for subsequent procedures. Current study provides an alternative to external fixation alone as a means of stabilizing non-unions while providing a high concentration of antibiotic locally for combating this difficult problem. Conclusion: The clinical results and final outcome after antibiotic coated I.M. nailing in infected nonunion of long bones are both satisfactory and reproducible as evident by the comparison of this present study with the previous literature available.Keywords
Infected nonunion, antibiotic coated nail.- Proximal Fibular Osteotomy–A Novel Technique for Decompression of Isolated Medial Compartment Osteoarthritis Knee
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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.- Study of Correlation of Hyperuricemia with Knee Osteoarthritis
Abstract Views :520 |
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Authors
Rajdeep Singh Bajwa
1,
Rakesh Gautam
2,
Subodh K. Pathak
3,
Aryan Sharma
1,
Vineet Pruthi
1,
Vishesh Verma
1
Affiliations
1 PG Resident M/S Orthopaedics, Department Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
2 Associate Professor,Department Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
3 Assistant Professor, Department Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
1 PG Resident M/S Orthopaedics, Department Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
2 Associate Professor,Department Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN
3 Assistant Professor, Department Orthopaedics, Maharishi Markandeshwar Deemed to be University, Mullana, Ambala, IN