Department of Orthopedics

Functional Outcome Of Platelet Rich Plasma In Partial Thickness Rotator Cuff Tears - A Prospective Study

Mon, 01 Jan 2024 00:00:00 GMT

Functional Outcome Of Platelet Rich Plasma In Partial Thickness Rotator Cuff Tears - A Prospective Study Nivethan, Ravichandaran INTRODUCTION A partial thickness rotator cuff tear is defined as the disruption of tendon fibres and is characterized by pain and activity limitation , occurring due to degenerative factors and overhead movements. Have high prevalence in older people . The estimated prevalence of PTRCT is 13% to 37% and is expected to increase with the increasing of the aging population due to positive correlation between age and rotator cuff diseases. MATERIALS AND METHOD This study was carried out by the BLDE Hospital's orthopaedics department from August 1, 2022, until May 31, 2024. Forty patients were selected for the research. Our criteria were used to select the patients, and a diagnosis was only ascertained following a clinical assessment. The pain status was assessed using the VAS grading methods. Patients were evaluated at four, six, and six-month intervals. Both the amount of activity and the pain after the injection were noted. Based on the level of activity and pain at the conclusion of the sixth month, the final result was rated in three categories: excellent, very good, and poor. RESULTS The result for PRP group for partial thickness rotator cuff tear at 4 weeks , 6 weeks and six months follow up. CONCLUSION We came to the conclusion that PRP injection in partial thickness rotator cuff tear provides pain relief and prolonged relief, at 4 weeks, 6 weeks and 6 months of follow-up. KEYWORDS: Visual Analogue Scale, Platelet Rich Plasma, Partial thickness rotator cuff tear

Functional Outcome Of Arthroscopic Single-Bundle Anterior Cruciate Ligament Reconstruction Using Semitendinosus Quadrupled Graft Fixed With Adjustable Loop On Femur And Suture Disc On Tibia: A Prospective Clinical Study

Mon, 01 Jan 2024 00:00:00 GMT

Functional Outcome Of Arthroscopic Single-Bundle Anterior Cruciate Ligament Reconstruction Using Semitendinosus Quadrupled Graft Fixed With Adjustable Loop On Femur And Suture Disc On Tibia: A Prospective Clinical Study Nitesh Singh, Rathore Background: The anterior cruciate ligament (ACL) is crucial for knee joint stability, and its rupture is common often resulting from sports or road traffic accidents. ACL reconstruction using hamstring autografts is commonly utilized, yielding positive clinical outcomes. A suspensory method is widely used, which an adjustable loop endobutton device providing various advantages over a fixed loop endobutton. This study aims to evaluate the functional outcomes of arthroscopic ACL reconstruction with a quadrupled semitendinosus autograft using an adjustable loop ebdobutton on the femur and a suture disc for the tibia. Material and methods: A prospective clinical study was conducted from Auguest 2022 to January 2024 at Shri B.M Patil Medical College, Hospital and Research Centre, Vijayapura. The study included 33 patients with ACL tear operated with arthroscopic ACL reconstruction with quadrupled semitendinosus autograft using an adjustable loop endo-button on the femoral and a suture disc on the tibial side. Functional outcomes were assessed using the Lysholm and International Knee Documentation Committee (IKDC) scores preoperatively and at 6 and 12 months postoperatively. Results: Significant improvements were observed in both Lysholm and IKDC scores at 6 and 12 months postoperatively (p < 0.05). The majority of patients (95%) returned to their pre-injury level of activity. The study observed minimal complications, with a low incidence of postoperative anterior joint laxity and no cases of tunnel widening. Conclusion: The use of an adjustable loop endo-button and suture disc for ACL reconstruction with a semitendinosus quadrupled graft gives excellent functional outcomes, significant improvement in knee stability and predictably reproduces graft tunnel healing and maintaining its strength till healing is complete.

Radiological And Functional Outcome Of Dual Plating In Comminuted Intra-Articular Distal Femur Fractures

Mon, 01 Jan 2024 00:00:00 GMT

Radiological And Functional Outcome Of Dual Plating In Comminuted Intra-Articular Distal Femur Fractures Kaushal P, Trivedi INTRODUCTION Distal femur fractures, constituting 3-6% of femur fractures and 4% of all fractures, present significant challenges to orthopedic surgeons due to their complexity and potential for severe impairment. These fractures exhibit a bimodal age distribution, predominantly affecting young individuals (~20 years) and older women (~70 years). Fractures can be classified into extra articular, intra-articular unicondylar, and intra-articular bicondylar categories, with the AO/OTA classification system being widely used. Despite advances in surgical techniques and implants, intra-articular multifragmentary fractures, particularly AO type C2 and C3, remain difficult to treat effectively. AIM To evaluate the radiological and functional outcomes of dual plating in the treatment of comminuted intra-articular distal femur fractures (AO type C3). METHODS A prospective study was conducted at BLDE (Deemed to be University) Shri B. M. Patil Medical College, Hospital & Research Centre, Vijayapura, from August 2022 to November 2024. The study included 32 patients (17 males, 15 females) with comminuted distal femur intra-articular fractures. Patients were followed for a minimum of 6 months and a maximum of 12 months. Inclusion criteria were patients aged 18 and above with closed fractures who consented to treatment. Exclusion criteria included patients below 18, compound fractures, polytrauma, segmental fractures, and those medically unfit for surgery. The Neer score was used to assess outcomes. RESULTS Of the 32 patients, 56.3% sustained left-sided injuries and 43.8% right-sided injuries. The majority of injuries were due to road traffic accidents (75%), with the remainder from trivial falls (18.8%) and falls from height (6.3%). The modified swashbuckler approach was used in 78.1% of cases, while a dual incision approach was used in 21.9%. The mean Neer score improved from 51.69 at 6 weeks to 79.41 at 12 months, indicating a good to excellent outcome. Patients treated with the modified swashbuckler approach showed better functional outcomes. CONCLUSION Dual plating for comminuted intra-articular distal femur fractures (type C3) demonstrated favourable radiological and functional outcomes, with the modified swashbuckler approach yielding superior results. This study supports the efficacy of dual plating in enhancing fracture stabilization and promoting early mobilization. Further research with larger sample sizes and longer follow-up periods is recommended to validate these findings.

To Study The Functional Outcome Of Transtibial Pull Out Technique For Posterior Meniscal Root Tear In Early Osteoarthritis

Mon, 01 Jan 2024 00:00:00 GMT

To Study The Functional Outcome Of Transtibial Pull Out Technique For Posterior Meniscal Root Tear In Early Osteoarthritis Anusha, Balaji Introduction: Osteoarthritis (OA) of the knee is a prevalent degenerative condition affecting various structures of the knee joint, with meniscal root tears being a significant yet often undiagnosed contributor to its progression. This study evaluates the impact of early surgical repair using the transtibial pull-out technique on meniscal root tears in patients with early osteoarthritis. Methods: A prospective study was conducted at BLDE (Deemed to be University) Shri B. M. Patil Medical College, Hospital & Research Centre, Vijayapura, from August 2022 to December 2024. A total of 35 patients (aged 40-55) underwent arthroscopic meniscus posterior horn root repair. Patient demographics, injury history, clinical and radiological findings and intra-operative findings were documented. VAS and WOMAC scores were assessed pre-operatively and at 3, 6, and 12 months post-operatively. Results: The study included 35 patients (77.1% female, 22.9% male). Age distribution was as follows: 42.9% were below 45 years, 37.1% were between 45-49 years, and 20% were over 50 years. Right limb involvement was observed in 60% of cases. 42.9% had a history of trauma. Intra-operatively, type 2 tears were found in 48.6%, type 4 in 8.6%, and type 5 in 42.9%. VAS scores significantly decreased from a mean of 7.26 pre-op to 2.11 at 12 months post-op (P = 0.001). WOMAC scores also significantly decreased from a mean of 45.54 pre-op to 4.80 at 12 months post-op (P = 0.001). MRI findings showed 20% of cases involved the lateral meniscus and 80% involved the medial meniscus. Conclusion: Early surgical repair of meniscal root tears using the transtibial pull-out technique significantly improves functional outcomes and reduces pain in patients with early osteoarthritis. These findings support the importance of early diagnosis and intervention in managing meniscal root tears to slow the progression of osteoarthritis.