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Apte, Aditya
- Comparison between Functional Outcome of 95° Dynamic Condylar Screw versus Proximal Femoral Nail in Treatment of Subtrochanteric Femur Fracture
Authors
1 P.G. Resident, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra, IN
2 Associate Professor, Department of Orthopaedics, Dr. Vasantrao Pawar Medical College Hospital and Research Centre, Adgaon, Nashik − 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 6, No 2 (2019), Pagination: 145-151Abstract
Objective: Study was done to compare results between the Proximal Femoral Nail (PFN) and 95° Dynamic Condylar Screw (DCS) in Subtrochanteric femur fracture. Hypothesis was made that outcome of PFN technique is comparable to 95° DCS. Materials and Methods: 60 patients were taken in study out of which PFN technique performed on 30 patients and on remaining 30 patients 95° DCS technique was used in a tertiary care Centre. Both technique were compared on basis of time of injury to surgery, operation time, blood loss, hospital stay, blood transfusion, implant related complication, healing time, Harris Hip score and union time. Results: There was remarkable difference in Harris Hip score, fracture union, mean operative time, blood loss, wound healing. Complications such as pressure sore, pulmonary embolism etc. were found to be higher in 95° DCS group as compared to PFN group. Conclusion: PFN is found to better internal fixation device in treatment of subtrochanteric femur fracture.Keywords
95° Dynamic Condylar Screw (DCS), Proximal Femoral Nail (PFN), Subtrochanteric Femur Fracture.References
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- Functional Outcome in Patients Undergoing Arthroscopic Single Row Repair of Rotator Cuff Tears
Authors
1 Department of Orthopaedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik - 422003, Maharashtra, IN
Source
MVP Journal of Medical Sciences, Vol 7, No 1 (2020), Pagination: 60-66Abstract
Introduction: Rotator cuff tears is a severely debilitating condition widely prevelant amongst the elderly age group. Timely adequate repair is of utmost importance. Aims and Objectives: To study the functional outcome of arthroscopic single row repair for rotator cuff tears. Materials and Methodology: We enrolled 30 patients of rotator cuff tears. Each patient underwent arthrosocpic single row repair in the lateral position with concomitant sub acromial decompression. Post operative protocol included immobilisation for 6 weeks followed by active assisted range of motion at 6 weeks and strengthening exercises at 3 months. We assessed the patient pre operatively and post operatively at 6 weeks, 3 months and 6 months using Constant Score and Visual analog scale for pain. Results: There was significant improvement at every follow up with mean Constant Score increasing from pre operative to post operative stage at 6 months. According to individual relative Constant Score patients went from a mean of poor to good outcome. Visual analog scale for pain changed from a meanscore of severe to mild at 6 months post operatively. Conclusion: Arthroscopic single row repair is a simple, minimally invasive, cost effective procedure with good functional outcomes and pain relief.
Keywords
Arthroscopic, Outcome, Rotator Cuff, Single RowReferences
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- The Functional Outcome of Simultaneous Anterior Cruciate Ligament Reconstruction with Meniscus Repair
Authors
1 Former PG Resident, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
2 Assistant Professor, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
3 Professor and Head, Department of Orthopedics, Dr. Vasantrao Pawar Medical College, Hospital and Research Centre, Nashik – 422003, IN
Source
MVP Journal of Medical Sciences, Vol 8, No 1 (2021), Pagination: 99-104Abstract
Background: Meniscal repair is performed in an attempt to prevent post-traumatic arthritis resulting from meniscal dysfunction after meniscal tears. The socio-economic implications of premature arthritis are significant in the young patient population. Investigations and techniques focusing on meniscus preservation and healing are now at the forefront of orthopaedic sports medicine. Methods: All unilateral primary ACL reconstructions in a prospective cohort who had meniscal repair at the time of ACLR were evaluated. Validated patient oriented outcome instruments were completed preoperatively and then again at follow up. Results: 65 unilateral primary ACL reconstructions were performed concomitant meniscal repairs during the study period. Patient follow-up was obtained, allowing confirmation of meniscal repair success (defined as no repeat arthroscopic procedure) or failure. Conclusions: Meniscal repair is a successful procedure in conjunction with ACL reconstruction. When confronted with a “repairable” meniscal tear at the time of ACL reconstruction, orthopaedic surgeons can expect an estimated >90% clinical success rate using a variety of methods as shown in our study.Keywords
Anterior Cruciate Ligament, Meniscal Repair, Reconstruction, Meniscal TearReferences
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