Background: Osteoarthritis of knee is one of the most common form of arthritis causing degeneration of articular cartilage and subchondral bone. Joint replacement is the gold standard treatment for patients with advanced osteoarthritis of the knee who despite appropriate medical management, have an unacceptable level of pain or physical function or both. There are mainly two types of implants used for total knee replacement nowadays. One is metal back type and other is all poly type.
Materials and Methods: This is a retrospective multicentric study of 100 total knee replacements performed for comparison of metal back(50) versus all poly(50) total knee replacement on the basis of Clinical(KSS-knee society score, WOMAC-western Ontario & Macmaster university osteoarthritis index score, pain, deformity), radiological(alignment), complications and survival of that joint. All total knee arthroplasty are cruciate sacrificing and done through medial parapatellar approach.
Result:
· Average age of patients in our study was 58.4 years with a range of 52-80 years. We included 72 females and 28 males in our study.
· Knee society functional scores were improved from 36.4 to 75.1 for metal back component and 34.90 to 74.20 in all poly total knee replacement
· Womac score improved from 52.01 to 81 in metal back total knee replacement and improved from 54.07 to 82.39 93 in all poly total knee replacement.
· 97% patients of metal back and 98% of all poly tkr showed improvement in pain.
· Post operatively 82% patients from the metal back total knee replacement and 92% patients of all poly total knee replacement had alignment between 5 degree valgus to 5 degree varus.
· The mean fixed flexion deformity in metal back total knee replacement improved from 9 to 3 degrees in metal back total knee replacement and 11 to 1 in all poly total knee replacement.
· Crude survival rate of impl
Objective: To evaluate the result of core decompression and autologous PRP infusion over other treatment modalities of AVN HIP.
Introduction: Osteonecrosis is a disease of impaired blood flow affecting mainly young people in their third, fourth or fifth decades. Proposed risk factors include, chemotherapy, alcoholism, excessive steroid use, post trauma, sickle cell anaemia and Gaucher's Disease.
Materials and Methods: Retrospective study of 25 patient of Avascular necrosis of hip.25 patients were included in study. Autologous PRP was prepared a day before surgery. Decompression of the head of femur was done by using Michele trephine of size 8mm.
Outcome measures used during study were
· Anteroposterior and lateral radiographs
· MRI
· Harris hip score
· VAS for pain
Keywords: Core decompression, Autologous prp, Vas score, Harris hip score, Avn hip
Background: Total knee Replacement is one of the common surgery for knee Osteoarthritis. Infection after total knee replacement is uncommon but disastrous complication.
Purpose: Main purpose of study is to determine functional results of two stage surgery in infected TKR, compare the results of two stage surgery with other modalities of treatment, risk factors for infections, role of laboratory and clinical markers for early diagnosis of infection in TKR.
Methods: This is retrospective study of 40 patients who operated for infected TKR through two stage revision arthroplasty.
Inclusion criteria: All patients operated for infected TKR by two stage revision arthroplasty.
Exclusion criteria:
· Less than 12 months follow up
· Expired patients
Results: The average age of patients was 62.1 years. With youngest patient were being 40 years old and the oldest being 82.
Average BMI in our series was 27.07. It varied with a range from 19.9 to 38.67.
15 patients had diabetes mellitus (DM), 7 patients had hypertension and 1 patient had hypothyroidism.
The average WOMAC score improved from 37.525 to 56.3 with a minimum pre op score of 30 and maximum of 45.
The mean clinical knee society score (KSS score) improved from from 50.1 to 69.325.
97% of patients showed improvement in their preoperative pain.
The mean range of movement improved from 53.75 to 90.375. Pre op minimum ROM was 30 and maximum was 100.
The average extensor lag preoperatively was 6.65 degrees with a range of 0-15 degrees.
Patients showed improvement with average extensor lag reducing to 2.75 degree, with range of 0-10 degrees.
The failure rate of our study was 8% with persistent infection after treatment.
Conclusion:
·
Background and Objectives: For many decades, attempts have been made to overcome the difficulties which surgeons encounter in the treatment of proximal femoral fractures. Extra medullary and intramedullary implants have improved in recent years, although consensus is lacking concerning the definition and classification of unstable intertrochanteric fractures, with uncertainties regarding treatment. In this era of technologically sound and tested fixation methods we shall compare functional outcomes and complications of various methods available for unstable it fracture fixation.
The purpose of this study is to analyze the role of primary hemi arthroplasty in cases of unstable osteoporotic intertrochanteric femur fractures and compare the outcomes with conventional fixation techniques to find out a better management plan for the patient.
Materials and Methods: This is a prospective study of fifty cases of unstable intertrochanteric fractures, either treated with primary replacement (hemi or total) or fixation. Between February 2012 and December 2012, fifty patients with an unstable comminuted intertrochanteric femoral fracture (AO/OTA type 31A2.2, A2.3, A3.2, A3.3) were enrolled in the study, which was approved by our institutional review board.
Inclusion Criteria:
1. More than 60 years of age.
2. All patients with unstable IT femur fracture type
a. 31- A2.2 and 31- A2.3 (AO/OTA classification)
b. Posteromedial fragmentation
c. Basicervical
d. Reverse oblique
e. Displaced greater trochanter (lateral wall fractures)
f. Patient must be ambulatory before sustaining injury
Exclusion Criteria:
a.&n
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