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Satish Devasthali, Kaustubh
- Comparison Between Functional Outcomes of Bone Patellar Tendon Bone Autografts versus Semitendinosus Autografts for Reconstruction of Anterior Cruciate Ligament
Abstract Views :128 |
PDF Views:95
Authors
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
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
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 289–297Abstract
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 AutograftsReferences
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- after anterior cruciate ligament reconstruction: How the loss of normal knee motion compounds other factors related to the development of osteoarthritis after surgery. Am J Sports Med., 2009; 37:471-480. https://doi.org/10.1177/0363546508326709. PMid:19059893.
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- Laxdal G, Sernert N, Ejerhed L, Karlsson J, Kartus JT. A prospective comparison of bone-patellar tendon-bone and hamstring tendon grafts for anterior cruciate ligament reconstruction in male patients. Knee Surg Sports Traumatol Arthrosc., 2007; 15:115-125. https://doi.org/10.1007/s00167-006-0165-z. PMid:16964516.
- Biau DJ, Katsahian S, Kartus J, Harilainen A, Feller JA, Sajovic M, et al. Patellar tendon versus hamstring tendon autografts for reconstructing the anterior cruciate ligament: A meta-analysis based on individual patient data. Am J Sports Med., 2009; 37:2470-2478. https://doi.org/10.1177/0363546509333006. PMid:19709991.
- To Study Functional Outcome of Humeral Shaft Fractures Treated by Intramedullary Nailing Versus Dynamic Compression Plating at a Tertiary Health Care Centre
Abstract Views :122 |
PDF Views:85
Authors
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
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
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 306–312Abstract
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 groupKeywords
Dynamic Compression Plating, Humeral Shaft Fracture, Intramedullary Nailing, Open Reduction Internal FixationReferences
- Modabber MR, Jupiter JB. Operative management of diaphyseal fractures of the humerus-plate versus nail.
- Clinical Orthopaedics and Related Research. 1998; 347:93104. https://doi.org/10.1097/00003086-199802000-00012
- Campochiaro G, Baudi P, Loschi R, Serafin F, Catani F. Complex fractures of the humeral shaft treated with antegrade locked intramedullary nail: Clinical experience and long-term results. Acta Bio MedicaAtenei Parmensis. 2015; 86:69-76.
- Abel SM. Biocultural variation of skeletal trauma in contemporary Greeks. University of Florida; 2004
- Chaudhary P, Karn NK, Shrestha BP, Khanal GP, Paneru S, Kalawar RPS. Dynamic compression plate versus
- intramedullary interlocking nail for managemaent of humeral shaft fractures. Nepal Orthopaedic Association Journal. 2014; 3:10-3. https://doi.org/10.3126/noaj. v3i2.9513
- Stern P, Mattingly D, Pomeroy D, Zenni E, Kreig J.
- Intramedullary fixation of humeral shaft fractures. The Journal of Bone and Joint Surgery. 1984; 66:639-46.
- https://doi.org/10.2106/00004623-198466050-00001
- PMid:6725312
- Buckholz RW, Heckman JD, Rockwood, Green’s. Fractures in Adults. 8th ed. Philadelphia (PA): Wolters Kluwer Health; 2015. p.129:1294
- Ghosh S, Halder TC, Chaudhuri A, Datta S, Dasgupta S, Mitra UK. Comparative study of operative treatment of mid shaft fracture of humerus by locking plate versus intramedullary interlocking nail. Med J DY Patil Univ. 2013; 6:390-4 https://doi.org/10.4103/0975-2870.118282
- Partap Singh, Vikas Gandhi, Deepak Bansal. Comparative study of compression plating vs interlocking nail in fracture shaft of humerus. International Journal of Contemporary Medical Research. 2016; 3(11):3385-3388
- Jolly A, Bansal R. Shaft humerus fractures treated with interlocking nails vs. locking compression plates: A comparative study. Indian Journal of Orthopaedics. 2017; 3(2):117-23.
- Singisetti KK, Swarna S, Loknadh L, Ambedkar M.
- Comparative study of management of fracture shaft of humerus by interlocking nailing versus plating. In Orthopaedic Proceedings. The British Editorial Society of Bone and Joint Surgery. 2018 Jan. p. 12-12.
- Naga RG, Kolati SR, Bonda Y. Comparative study of functional outcome of dynamic compression plating with interlocking nailing for fracture shaft humerus in adults.
- IAIM. 2019; 6(8):102-116.
- Saroj DK, Nagaich A, Gupta P. Comparative study of results of ORIF with plating vs. CRIF with nailing in fracture midshaft humerus. International Journal of Orthopaedics.
- ; 6(1):01-4. https://doi.org/10.22271/ortho.2020.
- v6.i1a.1822
- Rabari YB, Prasad DV, Somanni AM, Kumar P. Comparative study of functional outcome of dynamic compression plating with intramedullary interlocking nailing in close fracture shaft of humerus in adults. Int J Res Orthop.
- ; 3:828-32. https://doi.org/10.18203/issn.2455-4510.
- IntJResOrthop20172881
- Study of Functional Outcome of Posterior Lumbar Interbody Fusion Technique with Implant in Degenerative Spondylolisthesis at L4 and L5 Lev
Abstract Views :139 |
PDF Views:83
Authors
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
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
Source
MVP Journal of Medical Sciences, Vol 8, No 2 (2021), Pagination: 313–318Abstract
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 ScoreReferences
- Modabber MR, Jupiter JB. Operative management of diaphyseal fractures of the humerus-plate versus nail.
- Clinical Orthopaedics and Related Research. 1998; 347:93104. https://doi.org/10.1097/00003086-199802000-00012
- Campochiaro G, Baudi P, Loschi R, Serafin F, Catani F. Complex fractures of the humeral shaft treated with antegrade locked intramedullary nail: Clinical experience and long-term results. Acta Bio MedicaAtenei Parmensis.
- ; 86:69-76.
- Abel SM. Biocultural variation of skeletal trauma in contemporary Greeks. University of Florida; 2004
- Chaudhary P, Karn NK, Shrestha BP, Khanal GP, Paneru S, Kalawar RPS. Dynamic compression plate versus
- intramedullary interlocking nail for managemaent of humeral shaft fractures. Nepal Orthopaedic Association Journal. 2014; 3:10-3. https://doi.org/10.3126/noaj.
- v3i2.9513
- Stern P, Mattingly D, Pomeroy D, Zenni E, Kreig J.
- Intramedullary fixation of humeral shaft fractures. The Journal of Bone and Joint Surgery. 1984; 66:639-46.
- https://doi.org/10.2106/00004623-198466050-00001
- PMid:6725312
- Buckholz RW, Heckman JD, Rockwood, Green’s. Fractures in Adults. 8th ed. Philadelphia (PA): Wolters Kluwer Health; 2015. p.129:1294
- Ghosh S, Halder TC, Chaudhuri A, Datta S, Dasgupta S, Mitra UK. Comparative study of operative treatment of mid shaft fracture of humerus by locking plate versus intramedullary interlocking nail. Med J DY Patil Univ. 2013; 6:390-4 https://doi.org/10.4103/0975-2870.118282
- Partap Singh, Vikas Gandhi, Deepak Bansal. Comparative study of compression plating vs interlocking nail in fracture shaft of humerus. International Journal of Contemporary Medical Research. 2016; 3(11):3385-3388
- Jolly A, Bansal R. Shaft humerus fractures treated with interlocking nails vs. locking compression plates: A comparative study. Indian Journal of Orthopaedics. 2017; 3(2):117-23.
- Singisetti KK, Swarna S, Loknadh L, Ambedkar M.
- Comparative study of management of fracture shaft of humerus by interlocking nailing versus plating. In Orthopaedic Proceedings. The British Editorial Society of Bone and Joint Surgery. 2018 Jan. p. 12-12.
- Naga RG, Kolati SR, Bonda Y. Comparative study of functional outcome of dynamic compression plating with interlocking nailing for fracture shaft humerus in adults.
- IAIM. 2019; 6(8):102-116.
- Saroj DK, Nagaich A, Gupta P. Comparative study of results of ORIF with plating vs. CRIF with nailing in fracture midshaft humerus. International Journal of Orthopaedics.
- ; 6(1):01-4. https://doi.org/10.22271/ortho.2020.
- v6.i1a.1822
- Rabari YB, Prasad DV, Somanni AM, Kumar P. Comparative study of functional outcome of dynamic compression plating with intramedullary interlocking nailing in close fracture shaft of humerus in adults. Int J Res Orthop.
- ; 3:828-32. https://doi.org/10.18203/issn.2455-4510.
- IntJResOrthop20172881