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  1. Book: Deformity correction in total knee arthroplasty

    Mullaji, Arun B. / Shetty, Gautam M.

    2014  

    Author's details Arun B. Mullaji ; Gautam M. Shetty
    Language English
    Size XVI, 168 S. : zahlr. Ill., graph. Darst.
    Publisher Springer
    Publishing place New York u.a.
    Publishing country United States
    Document type Book
    HBZ-ID HT018308149
    ISBN 978-1-4939-0565-2 ; 1-4939-0565-1 ; 9781493905669 ; 149390566X
    Database Catalogue ZB MED Medicine, Health

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  2. Article: Double Trouble-COVID-19 and the Widespread Use of Corticosteroids: Are We Staring at an Osteonecrosis Epidemic?

    Shetty, Gautam M

    Indian journal of orthopaedics

    2021  Volume 56, Issue 2, Page(s) 226–236

    Abstract: Background: A combination of immune-mediated vascular damage and routine use of systemic corticosteroid (CS) therapy in COVID-19 may significantly increase the risk and burden of osteonecrosis (ON) after COVID-19. This narrative review explores the ... ...

    Abstract Background: A combination of immune-mediated vascular damage and routine use of systemic corticosteroid (CS) therapy in COVID-19 may significantly increase the risk and burden of osteonecrosis (ON) after COVID-19. This narrative review explores the pathogenesis, risk factors, and possible preventive and early treatment measures for ON in COVID-19.
    Methods: For this narrative review, an extensive literature search was performed using the PubMed, Medline, and Science Direct databases from January 2000 to August 2021 for relevant articles on etiopathogenesis, epidemiology, clinical manifestations, and treatment of severe acute respiratory syndrome coronavirus (SARS-CoV) infection and steroid-induced ON (SION).
    Results: Pathogenesis of COVID-19, utility of corticosteroids in the treatment of COVID-19, pathogenesis of SION vis-a-vis SARS-CoV infection, associated risk factors, and early diagnosis and treatment of ON following CS therapy of SARS-CoV infection were discussed.
    Conclusion: Preliminary data of COVID-19 and similar trends from the SARS 2003 epidemic indicate that the "angiocentric" pathogenesis of SARS-CoV-2 and treatment with high-dose CS may increase the risk of ON in COVID-19 patients. Risk stratification based on CS intake during COVID-19 treatment can help identify subjects at moderate to high-risk for ON where early preventive and follow-up plans can be initiated.
    Language English
    Publishing date 2021-10-26
    Publishing country Switzerland
    Document type Journal Article ; Review
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.1007/s43465-021-00546-8
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  3. Article: Post-surgical Pyoderma Gangrenosum after Total Knee Arthroplasty: A Rare Case Report and Literature Review.

    Shah, Vikram I / Patel, Shrikunj / Patil, Jayesh / Shetty, Gautam M

    Journal of orthopaedic case reports

    2024  Volume 14, Issue 3, Page(s) 182–186

    Abstract: Introduction: Pyoderma gangrenosum (PG) following a primary total knee arthroplasty (TKA) surgery is extremely rare, with very few cases reported in the literature.: Case report: We report our clinical experience of a 65-year-old female who developed ...

    Abstract Introduction: Pyoderma gangrenosum (PG) following a primary total knee arthroplasty (TKA) surgery is extremely rare, with very few cases reported in the literature.
    Case report: We report our clinical experience of a 65-year-old female who developed PG following a primary TKA surgery. Corticosteroids and local wound care with vacuum-assisted closure dressing helped achieve rapid improvement in the wound condition.
    Conclusion: Post-surgical PG in TKA can be challenging with limited evidence for its definitive treatment. A high degree of suspicion and a multidisciplinary management approach will help in the timely diagnosis and optimization of treatment for this condition.
    Language English
    Publishing date 2024-03-15
    Publishing country India
    Document type Case Reports
    ZDB-ID 2658169-3
    ISSN 2250-0685
    ISSN 2250-0685
    DOI 10.13107/jocr.2024.v14.i03.4334
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  4. Article: Do Improved Trunk Mobility and Isometric Strength Correlate with Improved Pain and Disability after Multimodal Rehabilitation for Low Back Pain?

    Jain, Shikha / Shetty, Gautam M / Linjhara, Sanya / Chutani, Neha / Ram, C S

    Revista brasileira de ortopedia

    2023  Volume 58, Issue 5, Page(s) e698–e705

    Abstract: ... ...

    Abstract Objective
    Language English
    Publishing date 2023-10-30
    Publishing country Germany
    Document type Journal Article
    ZDB-ID 2411301-3
    ISSN 1982-4378 ; 0102-3616
    ISSN (online) 1982-4378
    ISSN 0102-3616
    DOI 10.1055/s-0043-1768625
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  5. Article: Domestic Violence Current Legal Status: Psychiatric Evaluation of Victims and Offenders.

    Raveesh, B N / Rai, Shashi / Kaur, Darpan / Bandyopadhyay, Debjani / Gautam, Anita / Shetty, Jyoti / Parmar, J M

    Indian journal of psychiatry

    2022  Volume 64, Issue Suppl 1, Page(s) S134–S145

    Language English
    Publishing date 2022-03-22
    Publishing country India
    Document type Journal Article
    ZDB-ID 221523-8
    ISSN 0019-5545
    ISSN 0019-5545
    DOI 10.4103/indianjpsychiatry.indianjpsychiatry_715_21
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  6. Article ; Online: Sexual activity at 1 year after total hip arthroplasty in Indian patients.

    Shah, Vikram I / Pachore, Javahir A / Patel, Shrikunj / Shetty, Gautam M / Patil, Jayesh / Kshatriya, Amish / Gujjar, Pranay

    European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

    2024  

    Abstract: Purpose: This study aimed to report changes in sexual activity and related difficulties and concerns among Indian patients at the end of 1-year after primary total hip arthroplasty (THA).: Materials and methods: A detailed questionnaire related to ... ...

    Abstract Purpose: This study aimed to report changes in sexual activity and related difficulties and concerns among Indian patients at the end of 1-year after primary total hip arthroplasty (THA).
    Materials and methods: A detailed questionnaire related to sexual difficulty, frequency, position, satisfaction, stress, and concerns pre- and postoperatively was administered through an in-person interview at 1-year post-THA.
    Results: Preoperatively, 77% of patients reported difficulties in sexual activities, which reduced significantly (p < 0.0001) to 30% at the end of 1-year post-operatively. A majority of patients reported no change in the frequency (56.5%) or satisfaction with their sexual activity (54%), and moderate to severe stress (53%) related to sexual activity at 1 year postoperatively. A significantly higher percentage (p = 0.01) of female patients (63%) reported changing their coital position postoperatively due to difficulty in leg positioning when compared to male patients (37.5%). Most patients (69%) were not able to procure information on sexual activity after THA surgery. and only 17.5% of patients discussed the topic with their surgeon.
    Conclusion: Although THA significantly reduced difficulty in sexual activity, most patients reported no change in the frequency of sexual activity or sexual satisfaction, had moderate to severe stress regarding sex, and were primarily concerned about safety of coital position and fear of dislocation at the end of 1-year postoperatively. Pre- and postoperative counselling by their surgeons will provide the patient with relevant information and help reduce anxiety and stress, improve satisfaction, and enhance the overall sexual health of the patient undergoing primary THA.
    Language English
    Publishing date 2024-03-16
    Publishing country France
    Document type Journal Article
    ZDB-ID 1231084-0
    ISSN 1432-1068 ; 1633-8065 ; 0948-4817 ; 0940-3264
    ISSN (online) 1432-1068
    ISSN 1633-8065 ; 0948-4817 ; 0940-3264
    DOI 10.1007/s00590-024-03873-2
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  7. Article ; Online: Biomechanical analysis of the novel S-type dynamic cage by implementation of teaching learning based optimization algorithm - An experimental and finite element study.

    Manickam, Pechimuthu Susai / Ghosh, Goldina / Shetty, Gautam M / Chowdhury, Amit Roy / Roy, Sandipan

    Medical engineering & physics

    2023  Volume 112, Page(s) 103955

    Abstract: Anterior Cervical Discectomy and Fusion (ACDF) is the most popular and effective procedure for patients with intervertebral disc degeneration, where the degenerated disc is replaced with an interbody implant (widely known as cage). The design of the cage ...

    Abstract Anterior Cervical Discectomy and Fusion (ACDF) is the most popular and effective procedure for patients with intervertebral disc degeneration, where the degenerated disc is replaced with an interbody implant (widely known as cage). The design of the cage plays a vital role since it has to provide stability for the anterior cervical column without any side-effects. We designed a novel S-type dynamic cage for C4-C5 level, using Polyetheretherketone (PEEK) material considering four different shapes namely: square, circle, rectangle and elliptical, for the central window to occupy bone graft. The major design constrain for a successful cage is minimized cage stress, in order to avoid subsidence. Finite Element (FE) analysis results revealed that the cage stress values obtained during the physiological motion varied depending upon the shape of the central window provided for bone graft. The objective of this study is to optimize the central window shape using the Teaching Learning Based Optimization (TLBO) algorithm. It was found that square and elliptical shape bone graft cavity resulted in better outcomes. Additional experimental study was also conducted with a six-axis spine simulator. Based on the optimization results, we manufactured two PEEK cage models with square and elliptical shaped central window using additive manufacturing. A prototype model of the C4-C5 level made of Polyvinylchloride (PVC) was used for experiment due to the existing constraints for using a cadaveric model. The experimental results were cross-verified using FE analysis. Thus, we would like to conclude that square and elliptical shape of the central window were the better design factor for our novel dynamic cage.
    MeSH term(s) Humans ; Finite Element Analysis ; Polymers ; Benzophenones ; Polyethylene Glycols ; Intervertebral Disc ; Ketones ; Cervical Vertebrae/surgery ; Spinal Fusion/methods ; Biomechanical Phenomena
    Chemical Substances polyetheretherketone (31694-16-3) ; Polymers ; Benzophenones ; Polyethylene Glycols (3WJQ0SDW1A) ; Ketones
    Language English
    Publishing date 2023-02-07
    Publishing country England
    Document type Journal Article
    ZDB-ID 1181080-4
    ISSN 1873-4030 ; 1350-4533
    ISSN (online) 1873-4030
    ISSN 1350-4533
    DOI 10.1016/j.medengphy.2023.103955
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  8. Article ; Online: Efficacy of telerehabilitation for spine pain during the Coronavirus pandemic lockdown: a retrospective propensity score-matched analysis.

    Shah, Nidhi / Shetty, Gautam M / Kanna, Raj / Thakur, Harshad

    Disability and rehabilitation. Assistive technology

    2022  Volume 19, Issue 3, Page(s) 558–565

    Abstract: Purpose: Despite increased usage of telemedicine to deliver treatment during the coronavirus disease 2019 (COVID-19) pandemic, the efficacy of telerehabilitation for spine pain is unknown. This study aimed to investigate the effect of telerehabilitation ...

    Abstract Purpose: Despite increased usage of telemedicine to deliver treatment during the coronavirus disease 2019 (COVID-19) pandemic, the efficacy of telerehabilitation for spine pain is unknown. This study aimed to investigate the effect of telerehabilitation on pain and disability in patients with spine pain treated during the COVID-19 pandemic and compare the results to in-clinic rehabilitation.
    Materials & methods: In this propensity score-matched analysis, 428 patients with spine pain who underwent telerehabilitation during the 6 months of COVID-19 pandemic lockdown and 428 patients who underwent in-clinic multimodal rehabilitation treatment during the 6-month period prior to lockdown were compared. Propensity score matching was done based on gender, age, pre-treatment pain, and disability. Post-treatment numerical pain rating scale (NPRS), Oswestry or Neck disability index (ODI or NDI), and minimal clinical important difference (MCID) achieved for NPRS and ODI/NDI scores were compared between the 2 groups.
    Results: Post-treatment, the mean NPRS (mean difference - 1,
    Conclusions: Telerehabilitation achieved significant reduction in pain and disability among patients with spine pain, better than in-clinic rehabilitation. These encouraging results during the COVID-19 pandemic indicate the need to further explore and test the efficacy and wider application of telerehabilitation for treating spine pain.IMPLICATIONS FOR REHABILITATIONTelerehabilitation can help achieve significant reduction in pain and disability among patients with spine pain.These encouraging results indicate the need to further explore a wider application of telerehabilitation for treating patients with spine pain during non-pandemic times.
    MeSH term(s) Humans ; Retrospective Studies ; Pandemics ; Telerehabilitation ; Propensity Score ; Neck Pain ; COVID-19 ; Treatment Outcome ; Disability Evaluation
    Language English
    Publishing date 2022-08-05
    Publishing country England
    Document type Journal Article
    ZDB-ID 2221782-4
    ISSN 1748-3115 ; 1748-3107
    ISSN (online) 1748-3115
    ISSN 1748-3107
    DOI 10.1080/17483107.2022.2107718
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  9. Article ; Online: Prevalence of low back pain in India: A systematic review and meta-analysis.

    Shetty, Gautam M / Jain, Shikha / Thakur, Harshad / Khanna, Kriti

    Work (Reading, Mass.)

    2022  Volume 73, Issue 2, Page(s) 429–452

    Abstract: Background: Although many studies have investigated the prevalence of low back pain (LBP) among Indian subjects, no meta-analysis has been conducted to determine the comprehensive epidemiological point, annual, lifetime prevalence of LBP among Indian ... ...

    Abstract Background: Although many studies have investigated the prevalence of low back pain (LBP) among Indian subjects, no meta-analysis has been conducted to determine the comprehensive epidemiological point, annual, lifetime prevalence of LBP among Indian subjects.
    Objective: The purpose of this systematic review and meta-analysis was to investigate the point, annual, and lifetime prevalence of LBP in the Indian population.
    Methods: We searched PubMed, Embase, Science Direct, and Cochrane Library databases for relevant studies that reported point, annual, or lifetime prevalence of LBP among Indian subjects. Pooled point, annual and lifetime prevalence rates were calculated. Meta-analysis, subgroup analysis, sensitivity analysis and publication bias assessment were performed.
    Results: Ninety-seven studies were included in this review. Fifty-four studies included in the review (55.5%) were found to be of higher methodological quality. The pooled point, annual, and lifetime prevalence of LBP in India was 48% (95% CI 40-56%); 51% (95% CI 45-58%), and 66% (95% CI 56-75%), respectively. The pooled prevalence rates were highest among females, the rural population, and among elementary workers.
    Conclusion: The point, annual, and lifetime prevalence rates of LBP in the Indian population is higher compared to global and other ethnic populations affecting a large proportion of the population, especially among women, rural population and in elementary workers. The findings of this study can be the basis for formulating policy regarding the prevention and treatment of LBP in a large part of the global population.
    MeSH term(s) Female ; Humans ; Low Back Pain/epidemiology ; Prevalence ; India/epidemiology ; Rural Population ; Databases, Factual
    Language English
    Publishing date 2022-07-22
    Publishing country Netherlands
    Document type Meta-Analysis ; Systematic Review ; Journal Article ; Review
    ZDB-ID 1394194-x
    ISSN 1875-9270 ; 1051-9815
    ISSN (online) 1875-9270
    ISSN 1051-9815
    DOI 10.3233/WOR-205300
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article: Notching is less, if femoral component sagittal positioning is planned perpendicular to distal femur anterior cortex axis, in navigated TKA.

    Kanna, Raj / Ravichandran, Chandramohan / Shetty, Gautam M

    Knee surgery & related research

    2021  Volume 33, Issue 1, Page(s) 46

    Abstract: Purpose: In navigated TKA, the risk of notching is high if femoral component sagittal positioning is planned perpendicular to the sagittal mechanical axis of femur (SMX). We intended to determine if, by opting to place the femoral component ... ...

    Abstract Purpose: In navigated TKA, the risk of notching is high if femoral component sagittal positioning is planned perpendicular to the sagittal mechanical axis of femur (SMX). We intended to determine if, by opting to place the femoral component perpendicular to distal femur anterior cortex axis (DCX), notching can be reduced in navigated TKA.
    Methods: We studied 171 patients who underwent simultaneous bilateral computer-assisted TKA. Femoral component sagittal positioning was planned perpendicular to SMX in one knee (Femur Anterior Bowing Registration Disabled, i.e. FBRD group) and perpendicular to DCX in the opposite knee (Femur Anterior Bowing Registration Enabled, i.e. FBRE group). Incidence and depth of notching were recorded in both groups. For FBRE knees, distal anterior cortex angle (DCA), which is the angle between SMX and DCX, was calculated by the computer.
    Results: Incidence and mean depth of notching was less (p = 0.0007 and 0.009) in FBRE versus FBRD group, i.e. 7% versus 19.9% and 0.98 mm versus 1.53 mm, respectively. Notching was very high (61.8%) in FBRD limbs when the anterior bowing was severe (DCA > 3°) in the contralateral (FBRE) limbs.
    Conclusion: Notching was less when femoral component sagittal positioning was planned perpendicular to DCX, in navigated TKA.
    Level of evidence: Therapeutic level II.
    Language English
    Publishing date 2021-12-24
    Publishing country England
    Document type Journal Article
    ZDB-ID 2673841-7
    ISSN 2234-2451 ; 2234-0726
    ISSN (online) 2234-2451
    ISSN 2234-0726
    DOI 10.1186/s43019-021-00129-9
    Database MEDical Literature Analysis and Retrieval System OnLINE

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