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  1. Article ; Online: Analysis of Achievement of Radiological Parameters in Uncemented Total Hip Replacement

    Narendra Singh Kushwaha / Mayank Mahendra / ARPIT SINGH / Ash Ar reza / SANJIV KUMAR / DHARMENDER KUMAR

    Journal of Clinical and Diagnostic Research, Vol 17, Iss 10, Pp 01-

    A Retrospective Cohort Study

    2023  Volume 06

    Abstract: Introduction: The Total Hip Replacement (THR) procedure is indicated to the treatment of choice in chronic refractory joint pain and some types of proximal femoral fractures. Component malalignment is a major cause of THR failure, making it crucial to ... ...

    Abstract Introduction: The Total Hip Replacement (THR) procedure is indicated to the treatment of choice in chronic refractory joint pain and some types of proximal femoral fractures. Component malalignment is a major cause of THR failure, making it crucial to position the components anatomically for long-term joint survival. Aim: To assess the radiological parameters of uncemented THR surgery. Materials and Methods: This retrospective cohort study was conducted in the Department of Orthopaedic Surgery, King’s George Medical University (KGMU), Lucknow, Uttar Pradesh, India, from June 2017 to May 2021. It included 72 patients who underwent unilateral uncemented THR for isolated hip diseases. Data was collected over the first two years and analysed. Demographic information and radiographic characteristics such as acetabular cup inclination and anteversion, femoral stem placement, vertical and horizontal centers of rotation, and limb length discrepancy were determined. Data was entered into Microsoft Excel 2018-19, and Statistical Package for the Social Sciences (SPSS) software version 28.0 was used for statistical analysis. Results: The average age of the patients was 50.75±9.1 years. Comparison of acetabular cup inclination (preoperative 41.4±3.9° and postoperative 42.2±5.1°) and anteversion (preoperative 13.1±2.96° and postoperative 14.5±3.75°) showed non significant differences following treatment with a normal hip. However, there was a significant difference in the horizontal and vertical Centers Of Rotation (COR) following treatment with a normal hip. Conclusion: Preoperative radiological characteristics of the damaged hip were significantly restored to normal anatomy and alignment following surgery.
    Keywords anteversion ; inclination ; total hip arthroplasty ; vertical offset ; Medicine ; R
    Subject code 796
    Language English
    Publishing date 2023-10-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  2. Article ; Online: Valgus inter-trochanteric osteotomy and fixation with double angle barrel plate and Richard screw for neglected fracture neck femur in young adults – A prospective clinico-radiological cohort study

    Ravindra Mohan / Shailendra Singh / Arpit Singh / Deepak Kumar / Narendra Singh Kushwaha / Sajiv Kumar

    Asian Journal of Medical Sciences, Vol 13, Iss 7, Pp 176-

    2022  Volume 181

    Abstract: Background: Saving natural head is the primary aim of management in delayed presented intracapsular fracture neck of femur, especially in young population. Anatomical reduction of these fractures is a difficult task. Rather more difficult is to decide ... ...

    Abstract Background: Saving natural head is the primary aim of management in delayed presented intracapsular fracture neck of femur, especially in young population. Anatomical reduction of these fractures is a difficult task. Rather more difficult is to decide the method of fixation which might require additive procedure(s) and one such method is valgus osteotomy and fixation devices which are technically demanding. Aims and Objectives: Our aim is to evaluate the practicality and validity of valgus osteotomy and fixation with Richard screw and double angle barrel plate in delayed presented (more than 3 weeks) fracture neck of femur in young adults. Materials and Methods: We treated 18 patients with mean age of 39 years who presented late with valgus inter-trochanteric osteotomy and fixed with Richard screw and double angle barrel plate. The cases were evaluated radiologically and clinically for Harris hip score, limb length discrepancy, union time, neck-shaft angle and complications such as avascular necrosis and implant cut through. Results: 15 out of 18 patients (83%) united in an average period of 15 weeks (12–28 weeks) clinically as well as radiologically. In more than 70% of patients, the average Harris hip score was “Excellent to Good” (Harris hip score >80). Pre-operative Pauwel’s angle has been corrected from 72.5 to 33. All the patients with united fracture were able to walk with full weight bearing, sit cross legged, squat, and perform SLR and do one-leg stance. Conclusion: Fixation with Richard screw and120° double angle barrel plate provides rigid bony fixation and restore the limb length after valgus inter-trochanteric osteotomy. Valgus inter-trochanteric osteotomy is an effective method to achieve union in neglected fracture neck of femur, as it facilitates added compression at fracture site and stable internal fixation.
    Keywords avascular necrosis ; harris hip score ; neglected fracture neck femur ; pauwel’s angle ; valgus inter-trochanteric osteotomy ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2022-07-01T00:00:00Z
    Publisher Manipal College of Medical Sciences, Pokhara
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  3. Article ; Online: Does age and start of Ponseti treatment affect the functional outcome in club foot

    Ravindra Mohan / Adarsh Kishore Singh / Deepak Kumar / Shailendra Singh / Arpit Singh / Narendra Singh Kushwaha / Mohammad Baqar Abbas

    Asian Journal of Medical Sciences, Vol 14, Iss 4, Pp 32-

    A comparative study

    2023  Volume 36

    Abstract: Background: Idiopathic clubfoot is one of the most common and complex congenital deformities which are difficult to correct. Aims and Objectives: The present study was designed to assess the effectiveness and results of the Ponseti method’s early use in ... ...

    Abstract Background: Idiopathic clubfoot is one of the most common and complex congenital deformities which are difficult to correct. Aims and Objectives: The present study was designed to assess the effectiveness and results of the Ponseti method’s early use in the treatment of idiopathic congenital talipes equinovarus (CTEV). Materials and Methods: Seventy-six feet in 50 patients of CTEV during the period of May 2019–May 2020 were studied. All the cases were treated by Ponseti technique. Children with idiopathic CTEV and age <1 year were included in our study. The severity of deformity was graded according to Pirani scoring system both at the beginning and at the end of treatment. Results: The mean age at presentation was 2.77 months. The mean initial Pirani score at time of presentation was 4.07, and at last follow-up was 0.13. We observed that 63 feet (82.89%) out of 76 feet required a percutaneous TA tenotomy along with plaster casting to correct the equines deformity. The mean total number of casts required to correct the deformity was 6.4. The mean duration of treatment from 1st plaster cast to cast for equinus correction was 8.4 weeks. About 94% of cases had a good outcome at last follow-up which was evaluated on the basis of Pirani score. The association of duration of treatment (weeks) with age and total number of cast with age has P=0.002 which was found to be significant. Conclusion: The Ponseti technique is a very safe, efficient, and acceptable economical treatment for the correction of CTEV that gives excellent results on conservative treatment and in most of the cases avoid surgical intervention if protocol followed as prescribed. If the age of the patient is higher at time of presentation, it requires a longer casting period and more number of casts to correct the deformity compared to younger children with the early presentation.
    Keywords ponseti ; idiopathic ; ctev ; casting ; club foot ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2023-04-01T00:00:00Z
    Publisher Manipal College of Medical Sciences, Pokhara
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  4. Article ; Online: Need of Revision of Lower Limb Amputations in a North Indian Tertiary Care Centre

    Dileep Kumar / Shailendra Singh / Kumar Shantanu / Rahul Goyal / Narendra Singh Kushwaha / Anil Kumar Gupta / VP Sharma / Vineet Sharma

    Journal of Clinical and Diagnostic Research, Vol 9, Iss 12, Pp RC01-RC

    2015  Volume 03

    Abstract: Inrtoduction: Amputation of the extremity is a big challenge to mankind. Revision rate of primary amputations stands high despite of maximum care at tertiary care centres. The purpose of this study was to establish cause for the revision, identify ... ...

    Abstract Inrtoduction: Amputation of the extremity is a big challenge to mankind. Revision rate of primary amputations stands high despite of maximum care at tertiary care centres. The purpose of this study was to establish cause for the revision, identify preventable cause and to assess outcome of revision amputation surgery. Materials and Methods: We performed a retrospective study on lower limb revision amputations in Department of Physical Medicine and Rehabilitation and Department of Orthopaedic Surgery, King George Medical University between Jan 2012 to Jan 2015. All patients of any age group and gender admitted for revision amputation were included in the study population. Results: A total of 32 patients who required revision amputation of lower limbs was included in the study, out of these 62.50 % were male and 37.50 % were female. Age of the patients ranged from 5 to 72 years with mean of 42 years. Most common level of initial amputation was below knee (56.25 %) followed by above knee amputation (31.25%). Most common indication for initial amputation was trauma (43.75%) followed by infection, vascular diseases, malignancy and leprosy. Poor stump formation was found to be most common indication for revision amputation (37.50%) followed by infection (25%), recurrent ulceration (18.75%), stitch abscess (6.25%), neuroma (6.25%), and necrosis (6.25%). All patients were treated successfully. Conclusion: Revision amputation increases morbidity. Poor stump formation at the time of initial amputation and infection are the most common indication for revision surgery. These are the preventable causes and every effort should be made to alleviate these as well as other preventable causes.
    Keywords amputation stumps ; morbidity ; rehabilitation ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2015-12-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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