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Article ; Online: Coexistence of Cerebellopontine Angle Tumor and Frontal Convexity Meningioma at Distinct Location – A Rare Case Report and Review of Literature

Shalendra Singh / Aarthy Kumaraguru / Ankit Kumar / Munish Sood

International Clinical Neuroscience Journal, Vol 10, Iss 1, Pp e7-e

2023 Volume 7

Abstract: The perioperative management of brain tumors can be significantly impacted by the presence of another intracranial tumor at a distinct location. We report a rare case of an adult who developed two primary brain tumors, a frontal convexity meningioma and ... ...

Abstract	The perioperative management of brain tumors can be significantly impacted by the presence of another intracranial tumor at a distinct location. We report a rare case of an adult who developed two primary brain tumors, a frontal convexity meningioma and a cerebellopontine angle (CPA) tumor at anatomically disparate locations. In our patient, it was unambiguously decided to address the CPA tumor first as it had led to multiple cranial nerve palsies and obstructive hydrocephalus. The relevant literature helped us better extrapolate the patient presentation and management of this disastrous presentation swiftly.
Keywords	meningioma ; posterior fossa tumor ; hydrocephalus ; cerebellopontine angle tumor ; glasgow coma scale ; Medicine ; R
Language	English
Publishing date	2023-01-01T00:00:00Z
Publisher	Shahid Beheshti University of Medical Sciences
Document type	Article ; Online
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Article: Anesthetic management of Ehlers-Danlos syndrome patient with Takayasu arteritis for capsulorrhaphy of the temporomandibular joint.

Singh, Shalendra / Gupta, Nipun / Sreenivasulu, Pothireddy / Sood, Munish

Journal of anaesthesiology, clinical pharmacology

2021 Volume 37, Issue 1, Page(s) 136–137

Language	English
Publishing date	2021-04-10
Publishing country	India
Document type	Journal Article
ZDB-ID	1401760-x
ISSN	0970-9185
ISSN	0970-9185
DOI	10.4103/joacp.JOACP_301_19
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Zs.A 4830: Show issues

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Article ; Online: Generating good evidence in orthopedics

Vikas Kulshrestha / Munish Sood

Journal of Marine Medical Society, Vol 22, Iss 2, Pp 260-

2020 Volume 265

Abstract: Today, there is increasing demand for quality medical care to be made available for a large population at a reasonable cost. In a society with limited health-care infrastructure and budget, it has become imperative to evolve scientifically proven ... ...

Abstract	Today, there is increasing demand for quality medical care to be made available for a large population at a reasonable cost. In a society with limited health-care infrastructure and budget, it has become imperative to evolve scientifically proven clinical care pathways. No country is willing to accept infructuous expenditure on treatment modalities with ambiguous patient outcomes. Hence, evidence-based medicine has been introduced into most health-care systems. When it comes to orthopedics, a serious concern is that, the existing literature has extremely poor quality of evidence. There are very few best practice guidelines, which are supported by high quality clinical studies. In this review article, we have made an attempt to bring out the recurring lacunae in orthopedic research papers. Following which we have also given tips on how to plan, design, and conduct a high quality clinical trial. We have made an attempt to explain commonly required knowledge of statistical tools. In the end we have briefly described, how to prepare a protocol, execute the study, analyze the results, and write the final article to get published.
Keywords	clinical trial ; evidence-based medicine ; orthopedics ; Naval Science ; V ; Medicine ; R
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article: "Trends and beliefs in ACL reconstruction surgery: Indian perspectives".

Sood, Munish / Kulshrestha, Vikas / Kumar, Santhosh / Kumar, Pardeep / Amaravati, Rajkumar S / Singh, Shalendra

Journal of clinical orthopaedics and trauma

2023 Volume 39, Page(s) 102148

Abstract: Objectives: The survey aimed to assess trends and beliefs in the management of anterior cruciate ligament reconstruction (ACLR) amongst orthopaedic surgeons in India.: Methods: A survey was created and distributed among the various orthopaedic ... ...

Abstract	Objectives: The survey aimed to assess trends and beliefs in the management of anterior cruciate ligament reconstruction (ACLR) amongst orthopaedic surgeons in India. Methods: A survey was created and distributed among the various orthopaedic surgeons from India. The questionnaire included brief details of surgeons and their experience, clinical assessment, management strategies and the rehabilitation protocol. Results: 135 surgeons completed the survey. 35% of them were having experience of more than 12 years. A large number of surgeons were from government academic institutes (35.5%). The most common criteria for deciding about surgery was Clinical evaluation (94.8%). The most common graft choice was hamstring tendon (94%), and suspensory fixation on the femur side and interference screw on the tibial side (80%) is the most common fixation method. Almost two-thirds of surgeons in this survey use bracing to protect ACL graft in the initial phase. Conclusion: We presented the preferences amongst the group of surgeons on the management of ACL injuries. Hamstring tendon graft remains the most preferred graft for ACL reconstruction. Further, the suspensory loop on the femoral side and interference screw on the tibial side are the preferred fixation method. This group of surgeons is conservative in terms of the timing of surgeries and post-operative bracing. Level of evidence Level V, Expert Opinion.
Language	English
Publishing date	2023-03-17
Publishing country	India
Document type	Journal Article
ZDB-ID	2596956-0
ISSN	2213-3445 ; 0976-5662
ISSN (online)	2213-3445
ISSN	0976-5662
DOI	10.1016/j.jcot.2023.102148
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Article ; Online: Original study: early patient-reported functional outcome of all-inside ACL reconstruction as compared to anteromedial portal technique.

Kulshrestha, Vikas / Sood, Munish / Kumar, Santhosh / Kawale, Anurag

European journal of orthopaedic surgery & traumatology : orthopedie traumatologie

2021 Volume 31, Issue 7, Page(s) 1477–1483

Abstract: Background: Anteromedial portal technique (AMP) using hamstring autograft is a popular technique of arthroscopic ACL reconstruction allowing anatomical placement of femoral. In this technique, a cortical suspensory fixation of graft is used on the ... ...

Abstract	Background: Anteromedial portal technique (AMP) using hamstring autograft is a popular technique of arthroscopic ACL reconstruction allowing anatomical placement of femoral. In this technique, a cortical suspensory fixation of graft is used on the femoral side and interference screw fixation on the tibial side using a complete bone tunnel. All-inside translateral technique is a recently introduced technique which uses a closed loop of quadrupled semitendinosus graft with an adjustable cortical suspensory fixation on both sides allowing optimum tensioning of graft and near-complete filling of retrosockets created by the flip cutter on both femoral and tibial sides. With its proposed but unproven benefits, our study was planned to compare the two techniques. Methods: A total of 80 young active males requiring ACL reconstruction surgery were equally randomized to AMP and All-inside technique. The primary objective of the study was to compare the ability to return to pre-injury level of activity using Tegner activity scale and patient-reported outcome using new Knee Society Score (KSS) at two years of follow-up. Results: The mean improvement in Tegner score was significantly better (p = 0.0005) in all-inside group (2.34 ± 0.97) as compared to AMP group (1.5 ± 1.30). Among components of new KSS, patient satisfaction was better in all-inside group. Conclusion: All-inside ACL reconstruction provides a better chance of return to pre-injury level of activity with accompanied patient satisfaction as compared to AMP technique at two years of follow-up. Level of evidence: Level I, therapeutic study.
MeSH term(s)	Anterior Cruciate Ligament Injuries/surgery ; Anterior Cruciate Ligament Reconstruction ; Femur/surgery ; Humans ; Male ; Patient Reported Outcome Measures ; Tibia/surgery
Language	English
Publishing date	2021-02-25
Publishing country	France
Document type	Journal Article ; Randomized Controlled Trial
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/s00590-021-02912-6
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Zs.A 3479: Show issues

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Article ; Online: Does Risk Mitigation Reduce 90-Day Complications in Patients Undergoing Total Knee Arthroplasty?: A Cohort Study.

Kulshrestha, Vikas / Sood, Munish / Kumar, Santhosh / Sood, Nikhil / Kumar, Pradeep / Padhi, Prashanth P

Clinics in orthopedic surgery

2022 Volume 14, Issue 1, Page(s) 56–68

Abstract: Background: With ever-increasing demand for total knee arthroplasty (TKA), most healthcare systems around the world are concerned about its socioeconomic burden. Most centers have universally adopted well-defined clinical care pathways to minimize ... ...

Abstract	Background: With ever-increasing demand for total knee arthroplasty (TKA), most healthcare systems around the world are concerned about its socioeconomic burden. Most centers have universally adopted well-defined clinical care pathways to minimize adverse outcomes, maximize volume, and limit costs. However, there are no prospective comparative trials reporting benefits of these risk mitigation (RM) strategies. Methods: This is a prospective cohort study comparing post-TKA 90-day complications between patients undergoing RM before surgery and those following a standard protocol (SP). In the RM group, we used a 20-point checklist to screen for modifiable risk factors and evaluate the need for optimizing non-modifiable comorbidities. Only when optimization goals were achieved, patients were offered TKA. Results: TKA was performed in 811 patients in the SP group and in 829 in the RM group, 40% of which were simultaneous bilateral TKA. In both groups, hypertension was the most prevalent comorbidity (48%), followed by diabetes (20%). A total of 43 (5.3%) procedure-related complications were seen over the 90-day postoperative period in the SP group, which was significantly greater than 26 (3.1%) seen in the RM group ( Conclusions: Screening and RM can reduce 90-day complications in patients undergoing TKA.
MeSH term(s)	Arthroplasty, Replacement, Knee/methods ; Blood Transfusion ; Cohort Studies ; Comorbidity ; Humans ; Length of Stay ; Postoperative Complications/epidemiology ; Postoperative Complications/etiology ; Postoperative Complications/prevention & control ; Prospective Studies ; Retrospective Studies ; Risk Factors
Language	English
Publishing date	2022-01-14
Publishing country	Korea (South)
Document type	Journal Article
ZDB-ID	2502788-8
ISSN	2005-4408 ; 2005-291X
ISSN (online)	2005-4408
ISSN	2005-291X
DOI	10.4055/cios20234
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Article ; Online: EuroSCORE II for Risk Evaluation and Predicting Cardiac Intensive Care Length of Stay in Indian Patients Undergoing Adult Cardiac Surgery

Shreyas Kate / Sachin Shouche / Shalendra Singh / Rakesh Sharma / Sufia Naseem / Munish Sood / Priya Taank

Intensive Care Research, Vol 3, Iss 4, Pp 259-

2023 Volume 264

Abstract: Abstract Background Higher EuroSCORE II values are usually associated with increased postoperative morbidity and longer durations of Cardiac intensive care unit (CICU) stay following cardiac surgery. Aim/Purpose The aim is to investigate the predictive ... ...

Abstract	Abstract Background Higher EuroSCORE II values are usually associated with increased postoperative morbidity and longer durations of Cardiac intensive care unit (CICU) stay following cardiac surgery. Aim/Purpose The aim is to investigate the predictive performance of EuroSCORE II for the Indian population and its relationship with ICU length of stay. Methods Prospective, observational study in 250 adult cardiac patients undergoing CABG under general Anaesthesia. Preoperatively values of EuroSCORE II was calculated by an online calculator available on www.euroscore.org . These patients were followed up after surgery for 30 days to note mortality and length of CICU stay. Results Of 250 cases studied, 39 (15.6%) had EuroSCORE II less than 1, 163 (65.2%) had EuroSCORE II between 1 and 3, 36 (14.4%) had EuroSCORE II between 3.1 and 5.0 and 12 (4.8%) had EuroSCORE II more than 5 in the study group. Mean EuroSCORE II and length of stay in CICU after surgery was 2.2 ± 1.4 and 4.2 ± 2.5 days respectively. The area under the curve (AUC) for EuroSCORE II as a sole predictor of mortality in the study group based on receiver operating characteristic curve (ROC) analysis was 0.919 (95% CI 0.86–0.97). Based on ROC analysis, AUC is significantly higher for predicting mortality (p < 0.001). Conclusion EuroSCORE II in Indian cardiac patients undergoing cardiac surgery is lesser than in European patients (mean 2.2 vs 3.7). Incidence of mortality is higher in patients with higher EuroSCORE II. As per our study patients with higher EuroSCORE II tend to stay longer in ICU.
Keywords	CABG ; EuroSCORE II ; Mortality ; Length of ICU Stay ; Medical emergencies. Critical care. Intensive care. First aid ; RC86-88.9 ; Medicine ; R
Subject code	610
Language	English
Publishing date	2023-11-01T00:00:00Z
Publisher	Springer
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Letter to the Editor on "A Randomized Control Trial Comparing a Medial Stabilized Total Prosthesis to a Cruciate Retaining and Posterior Stabilized Design: A Report of the Clinical and Functional Outcome Following Total Knee Replacement".

Kulshrestha, Vikas / Sood, Munish / Kumar, Santhosh

The Journal of arthroplasty

2020 Volume 35, Issue 11, Page(s) 3419–3420

MeSH term(s)	Arthroplasty, Replacement, Knee ; Humans ; Knee Joint/diagnostic imaging ; Knee Joint/surgery ; Knee Prosthesis ; Posterior Cruciate Ligament/surgery
Language	English
Publishing date	2020-07-22
Publishing country	United States
Document type	Letter ; Comment
ZDB-ID	632770-9
ISSN	1532-8406 ; 0883-5403
ISSN (online)	1532-8406
ISSN	0883-5403
DOI	10.1016/j.arth.2020.07.040
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Article: Early Outcomes of Modified Technique of Mobile Bearing Unicondylar Knee Replacement.

Kulshrestha, Vikas / Sood, Munish / Kumar, Santhosh / Kharat, Kiran / Padhi, Prashanth P / Kumar, Pardeep / Shrama, Saurabh / Stanley, Abin

Indian journal of orthopaedics

2023 Volume 57, Issue 8, Page(s) 1209–1218

Abstract: Background: Recent years have seen a resurgence in utilization of partial knee replacement. One such device frequently used is Oxford partial knee implant (OPK). Deeper tibial bone cut while performing OPK replacement may risk early failure.: Methods!# ...

Abstract	Background: Recent years have seen a resurgence in utilization of partial knee replacement. One such device frequently used is Oxford partial knee implant (OPK). Deeper tibial bone cut while performing OPK replacement may risk early failure. Methods: We prospectively looked at early outcomes of a modified technique (MT) of OPK replacement adopted by our centre to save tibial bone stock at 24 months of follow up as compared to designer group described technique (DT) as a prospective cohort. Results: At 2 years follow up New Knee Society Score showed patient satisfaction (38.25 in DT vs 39.02 in MT, p value 0.10), objective (92.77 in DT vs 91.07 in MT, Conclusion: MT resulted in similar early outcomes in terms of patient reported outcomes, satisfaction and performance as compared to DT group. The MT to save tibial bone stock did not compromise early outcomes and can be utilised in certain patients with higher risk of tibial failure.
Language	English
Publishing date	2023-07-01
Publishing country	Switzerland
Document type	Journal Article
ZDB-ID	603194-8
ISSN	0019-5413
ISSN	0019-5413
DOI	10.1007/s43465-023-00907-5
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Article ; Online: Unusual presentation of a profunda femoris pseudoaneurysm following osteosynthesis of proximal femur fracture

Vikas Kulshrestha / Rishi Dhillan / Munish Sood

Journal of Marine Medical Society, Vol 22, Iss 1, Pp 87-

2020 Volume 90

Abstract: Profunda femoris artery injury following osteosynthesis of the proximal femur fracture is a rare complication and is usually caused by iatrogenic trauma or rarely due to bony spikes. Presentation can be delayed because of nonspecific features such as ... ...

Abstract	Profunda femoris artery injury following osteosynthesis of the proximal femur fracture is a rare complication and is usually caused by iatrogenic trauma or rarely due to bony spikes. Presentation can be delayed because of nonspecific features such as pain, swelling, anemia, fever, and hematoma. We report a case of posttraumatic profunda femoris aneurysm which presented more than a year after surgery with near-complete resorption of proximal femur and failure of implant requiring evacuation of huge layered thrombus, ligation of profunda femoris, and reconstruction of proximal femur with tumor megaprosthesis. Literature has not described a similar case.
Keywords	megaprosthesis ; profunda femoris ; pseudoaneurysm ; trochanteric fracture ; Naval Science ; V ; Medicine ; R
Language	English
Publishing date	2020-01-01T00:00:00Z
Publisher	Wolters Kluwer Medknow Publications
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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