Kaustubh Satish Devasthali ¹, Satyen Prafull Joshi ², Saurabh Rajendra Tidke ³, Vishwesh Devendrasinh Chudsasama ¹, Shubham Zade ¹

Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Associate Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, Maharashtra, IN

Abstract

Purpose: Our study of comparison of functional outcomes and complications of bone patellar tendon bone autograft and semitendinosus autograft for Anterior Cruciate Ligament reconstruction. Material and Methods: 60 patients were operated for ACL reconstruction in a tertiary health care setup, out of them 30 were operated with semitendinosus graft and 30 were operated with bone-patellar tendon-bone graft and were reviewed at 3 months, 6 months, 9 months and 12 months. After the procedure, the patients were assessed for the functional outcome using Tegner-lysholm knee scoring scale and also with International Knee Documentation Committee (IKDC) Scoresat. Results: Mean lysholm score was comparable between STA and BPTB groups at baseline (41.50 vs 41.77; p-0.81). The mean scores significantly improved in both group at each follow up and was recorded as 93.43 and 90.6 by the end of one year in STA and BPTB group respectively. The improvement was slightly better in STA group at each follow up. Conclusion: Arthroscopic/open anterior cruciate ligament reconstruction by either semitendinosus autograft or bone patellar tendon graft gives satisfactory results in short term follow up in terms of knee functions. However, Rehabilitation with bone patellar tendon bone autografts group was accelerated in balance proprioception and running as compared to semitendinosus autografts also creep of graft is mostly seen in semitendinosus autografts which is less likely to be seen in bone patellar tendon bone autografts.

Keywords

Anterior Cruciate Ligament Injury, Arthroscopic Repair, Bone Patellar Tendon Bone Autografts, Semitendinosus Autografts

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Vishwesh Devendrasinh Chudsasama ¹, Sandeep Pangavane ², Kaustubh Satish Devasthali ¹, Sameer Nandkumar Shelavale ³, Shubham Zade ¹, Vishal Harkar ¹

Affiliations
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
2 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Adgaon, Nashik – 422203, Maharashtra, IN
3 PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Nashik – 422203, Maharashtra, IN

Abstract

Background: The proportion of humeral shaft fractures being treated conservatively reportedly varies from 33% to 95%. Nonsurgical treatment results in higher incidence of union and fewer complications than open reduction and internal fixation. Aims and Objectives: To study and compare the functional outcome of Dynamic Compression Plating and Interlock Nailing for humeral shaft fractures. Material and Methods: After taking approval of ethics committee of our institute, we studied a total of sixty cases over a span of 36 months – October 2018 to December 2020. Study was carried out on cases of humeral shaft fractures requiring operational intervention in department of orthopaedics of tertiary care centre in Maharashtra. Results: A total of 76.7% cases in plating group had excellent outcome as compared to 56.7% in nailing group. Also poor to fair outcome was noted more in nailing group (13.4% vs 10%). Conclusion: Statistically comparable results have been observed for patients undergoing surgical intervention for humeral shaft fractures among locking plating and intramedullary nailing. Both provide excellent and favourable results in terms of union and function, however a higher rate of excellent results and tendency for union was seen with dynamic compression plating group

Keywords

Dynamic Compression Plating, Humeral Shaft Fracture, Intramedullary Nailing, Open Reduction Internal Fixation

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Vishal Gautam Harkar ¹, Mukesh Agarwal ², Kaustubh Satish Devasthali ¹, Vishwesh Devendrasinh Chudasama ¹, Shubham Siddheshwar Zade Siddheshwar Zade ¹

Affiliations
1 Former PG Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN
2 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Nashik – 422003, Maharashtra, IN

Abstract

Background: Lumbar interbody fusion is the most reliable fusion technique currently available for the lumbar spine as these constructs are biomechanically stronger, provide axial support with less graft subsidence or collapse comparing to those with posterolateral arthrodesis, and produce a better biologic fusion in lordotic alignment1, 2 . Aims and Objectives: To study functional outcome of posterior lumbar interbody fusion technique with implant in degenerative spondylolisthesis at L4 and L5 level. Materials and Methods: The study was carried on 34 patients enlisting in the casualty or inpatient department of orthopaedics at a medical college and tertiary health care centre. Only those patients satisfying the inclusion and exclusion criteria were included in the study. All the patients were explained about the surgical procedure, the purpose of the study and Informed consent was taken. Results: As per Japanese Orthopaedic Association score, Normal results were observed in none of the cases while grade I, II and III was observed in 73.5%, 20.6% and 5.9% cases. Post-op results were observed as normal in 64.7% while Grade I, II and III was observed in 32.4% and 2.9% cases respectively (p<0.01). Conclusion: Present study concluded that although, long-term role of deformity correction and restoration of lumbar spinal balance in cases of spondylolisthesis is yet to be determined, the current study appears to indicate that satisfactory radiological correction of degenerative focal sagittal deformity can be achieved with the insert and-rotate PLIF technique. There appeared to be high levels of patient satisfaction in this relatively short-term study and low levels of complications. Longer-term and comparative clinical outcome studies are required.

Keywords

Degenerative Spondylolisthesis, Posterior Lumbar Interbody Fusion Technique, Japanese Orthopaedic Association Score

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