Abstract Objective: To evaluate the Lachman test's ability to identify an ACL rupture using arthroscopy as the gold standard. Methods: This cross-sectional (validation) study was done from September 2022 to March 2023. Individuals presenting with a knee injury were enrolled and underwent Lachman test and later on arthroscopy and findings will be recorded. SPSS version 25 was used to analyze the collected data. Results: 150 patients were enrolled with a mean age of 39.95 ± 11.46 years. There were 80 (53.3%) male patients and 70 (46.7%) were females. In this study, we observed that the Lachman test had 81.8% sensitivity, 95.2% specificity, PPV & NPV were 93.1% and 87.0%, respectively and diagnostic accuracy of 89.3%. Conclusion: Thus, the Lachman test is a reliable test for the diagnosis of anterior cruciate ligament tear in knee injuries, which can replace arthroscopy and other invasive or expensive modalities.
Objective: To determine the efficacy of tranexamic acid in reducing blood loss in primary total knee replacement.
Material and Methods: A total of 96 patients having a diagnosis of primary knee osteoarthritis made up the population sample. The Total Knee Replacement patients were separated into two groups. Patients in Group B used Intra venous tranexamic acid, but those in Group A did not use tranexamic acid during the course of the operation or afterwards.
Results: Mean age of the patients recorded in group A 63.79±6.60 (years) and in group B 62.96±7.89 (years). The majority of the patients in both groups were females. After surgery, Group B patients who received tranexamic acid reported less blood loss and less haemoglobin reduction as compared to the control group.
Conclusion: From our study, we conclude that Tranexamic acid used intravenously during total knee arthroplasty considerably lowers postoperative blood loss.
Objective: To compare mean change in the Mayo Elbow Performance Score in olecranon fracture after treatmentwith tension band wiring and locking compression plate.Study Design: Randomized controlled trial.Place and Duration of Study: Department of Orthopaedics, Benazir Bhutto Hospital Rawalpindi, from Aug 2015to Aug 2016.Material and Methods: Sixty patients were included in the study. Patients were divided into two groups, A andB. For group A, Locking compression plate while in group B tension band wiring was used. Follow-up wascarried out at the end of 1st week and then at the end of 6th week post-operatively. Functional outcome wasassessed by mean change in Mayo Elbow Performance Score.Results: Mean age in the study was 43.62 ± 12.187 years. There were 32 (53%) male patients and 28 (47%) femalepatients, while 34 (57%) patients had Mayo IIB fractures and 26 (43%) had mayo IIA fractures. Twenty fivepatients (42%) belonged to ASA class II while 35 (58%) belonged to ASA class I. Twenty Six patients (43%)presented within 24 hours of the injury while 34 (57%) presented within 48 hours. Mean change in the MayoElbow Performance Score in TBW group was 8.77 ± 3.54 versus 10.63 ± 3.479 for the LCP group (p=0.044).Conclusion: Locking Compression plate is superior to Tension Band Wiring in patients with olecranon fracture interms of Mayo Elbow Performance Score.
The aim of this study is to describe the management and outcome of surgical treatment for post burn contractures in different parts of the upper extremities in children, and provide a final decision algorithm that can be a useful guide for the Resident regarding surgical approach to contracture management. This was a retrospective study conducted in the Clinic of Plastic and Reconstructive Surgery, Pristina-Kosovo, between 2014-2016. All cases continued check ups in the Gentiana-Grelor private clinic in Pristina until 2019. Followups were conducted for no less than 6 months with respect to the viability and healing of the repaired area. Patients of both genders, aged from 0 months to 18 years with post-burn contracture in upper extremity, were included in the study. For the sake of presentation, we divided them anatomically into four main areas: axilla, elbow, wrist and hand. We start with a reconstructive ladder using skin grafts (STSG, FTSG), and local flaps such as advancement flaps, Z-plasties, V-Y or Y-V advancement flap, abdonimal/groin pedicled flap, cross finger flap, radial forearm flap were used. Patients were called for follow-up lasting a minimum of one to up to three years. The study included 144 patients. Their age ranged from 9 months to 18 years, the mean age being 12 years. Ordering them by location, post-burn contracture percentage in upper extremity in children was 68% on the hands, 18% on the elbows, 8% on the axilla and 6% on the wrist. A classification and treatment algorithm aids in achieving significant improvements in both joint motions and aesthetic deformities.
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