Rama Priya Yasam

All India Institute of Medical Sciences Rishikesh

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Vivek Singh

All India Institute of Medical Sciences Rishikesh

Varun Garg

Chacha Nehru Bal Chikitsalaya

Sitanshu Barik

All India Institute of Medical Sciences, Nagpur

Sourabh Kumar Sinha

All India Institute of Medical Sciences Rishikesh

Sunny Chaudhary

All India Institute of Medical Sciences Rishikesh

Anil Regmi

All India Institute of Medical Sciences Rishikesh

Roop Bhushan Kalia

All India Institute of Medical Sciences Raipur

Akash Jain

All India Institute of Medical Sciences Rishikesh

J Pragadeeshwaran

All India Institute of Medical Sciences Rishikesh

Kshitij Gupta

All India Institute of Medical Sciences Rishikesh

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All India Institute of Medical Sciences Rishikesh

All India Institute of Medical Sciences Bhopal

All India Institute of Medical Sciences Raipur

All India Institute of Medical Sciences

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Chacha Nehru Bal Chikitsalaya

GSL Medical College & General Hospital

The Spine Institute

Sanjay Gandhi Post Graduate Institute of Medical Sciences

October 6 University

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Imaging Parameters of Hip Dysplasia in Cerebral Palsy: A Systematic Review

Indian Journal of Orthopaedics (2022)

Sitanshu Barik Akash Jain Hawaibam Nongdamba Sunny Chaudhary Rama Priya Yasam

Hip Dysplasia

Gold standard (test)

10.1007/s43465-022-00610-x

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Citations (1)

A prospective study on the role of foot evertor muscle activity in recurrence of clubfoot

The Foot (2023)

Rama Priya Yasam Vivek Singh Naga Srikanth Darla Jayanti Pant Poonam Sherwani

Foot (prosody)

Congenital talipes equinovarus

Cross-sectional study

Tibialis anterior muscle

Muscle weakness

Foot deformity

10.1016/j.foot.2023.102025

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Citations (1)

Functional outcome in displaced proximal humeral fractures in adults treated by proximal humeral locking plates

International Journal of Research in Orthopaedics (2019)

Nageswara Rao K. Ravi Kanth Rama Priya Yasam T Jaya Chandra

Background: The management of proximal humerus fractures (PHF) is a challenging task to any surgeon. Study was conducted to evaluate the clinical and functional outcome of the proximal humeral internal locking system in fixation of displaced proximal humeral fractures.Methods: Study was conducted in the Department of Orthopedics, GSL Medical College. Informed written consent was taken from the study participants. All skeletally mature patients aged >18 years, presenting with displaced PHF according to Neer two, three and four part fracture were included in the study. Either deltopectoral or deltoid splitting approach was used for surgery, post-operative rehabilitation was started on day one.Results: Twenty-five patients with PHF were enrolled in the study; five-holed proximal humerus locking plate (PHLP) was used for 18 patients, eight-holed PHLP for 05 and three-holed, ten-holed PHLP for 01 for one each. The Constant-Murley score was significantly improved (p=0.000) over each successive follow-up period with the average improvement of around 19 scores between 1st and 2nd follow-up and around 15 score improvement between 2nd and 3rd follow-up.Conclusions: The proximal humeral locking plate is an adequate device for the fixation of displaced two-part, three-part and four-part PHF. Patient can regain good shoulder function, resume normal activities much earlier.

Shoulder Fracture

10.18203/issn.2455-4510.intjresorthop20195813

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Trochanteric Advancement and Limb Lengthening by Monorail External Fixator in Sequelae of the Septic Hip in Children - A Simpler Alternative to Other Complex Procedures.

PubMed (2020)

Nagaraj Manju Moger J Pragadeeshwaran Vivek Singh A. L. Pimienta R.Rama Priya Yasam

Acute septic arthritis of the hip in children requires prompt diagnosis and treatment. The resulting sequelae of septic arthritis are diverse. Varieties of procedures have been described in the orthopedic literature. The common goal of treatment of all these procedures is to achieve a mobile, stable, pain-free hip joint with minimal limp and limb length inequality.We present two cases of Choi's Type 2 septic hip sequelae, a 14-year-old female and a 13-year-old male, both had painless limp and limb length discrepancy managed by greater trochanteric advancement with limb lengthening by monorail external fixator at single sitting.Distal greater trochanteric advancement with limb lengthening by monorail external fixator is a useful technique to treat septic hip sequelae with stable hip joint.

Limp

Monorail

10.13107/jocr.2020.v10.i05.1832

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Risk Factors for Avascular Necrosis of the Femoral Head in Pediatric Femoral Neck Fractures

Cureus (2021)

Sunny Chaudhary Varun Garg Dipun Mishra Rama Priya Yasam Sitanshu Barik

Introduction A neck of femur fracture is a rare injury in the pediatric population and is of foremost importance, as it is associated with a high rate of complications. It usually occurs due to high-velocity trauma or a fall from a height. There is a scarcity of data on risk factors and their role in the prognostication of avascular necrosis. The purpose of the study was to retrospectively analyze the association of various risk factors with avascular necrosis (AVN) of the femoral head in patients with a neck of femur fracture in the pediatric age group. Material and methods The study included 21 (13 males and 8 females) pediatric patients with a neck of femur fracture treated at a university-level hospital. The patients were followed for a minimum of one year and the clinico-radiological outcome was analyzed using Ratliff criteria. The association of AVN with age, gender, side, fracture type, and injury with treatment delay, type of reduction, and type of internal fixation used was studied. Results The mean age of the treated patients was 11 (±3.178) years (range=5-16 years). Avascular necrosis was seen in four patients and coxa vara occurred in two of them. A statistically significant association was seen between the Delbet fracture type and avascular necrosis, and three out of four cases of AVN were a Type I fracture (p-value=0.006). Three out of six patients having concomitant skeletal or other organ injuries developed AVN (p-value=0.022). The rate of AVN was higher in patients who were managed after 48 hours of initial injury but no statistically significant correlation was found (p-value=0.314). No statistically significant association with AVN was found between gender, age, type of reduction (closed/open), or the implant used (cannulated screws/k-wires). Conclusions Multiple independent factors may have a role in the development of AVN of the femoral head in children. Prognostication should not be based on a single factor. Statistically significant results in this study have shown that the type of fracture and concomitant skeletal or other organ injuries are important risk factors and should be kept in mind. All independent risk factors must be noted and should be considered while prognosticating the outcome of a child with a neck of femur fracture.

Avascular Necrosis

Coxa vara

Femur fracture

Hip Fracture

Harris Hip Score

10.7759/cureus.16776

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Role of magnetic resonance imaging in concomitant periarticular infections in septic arthritis of large joints in children: A systematic review

Journal of West African College of Surgeons (2023)

Varun Garg Vivek Ajit Singh Roop Bhushan Kalia Anil Regmi Rama Priya Yasam

Abstract Background: Septic arthritis associated with adjacent infections, presents a diagnostic challenge as the clinical presentation is similar to that of isolated septic arthritis, additional diagnostic tools are needed to detect these infections. The purpose of this study was to examine the effectiveness of magnetic resonance imaging (MRI) for diagnosis of concomitant infection in children with septic arthritis of large joints and its effect on patient outcome and treatment. Materials and Methods: Electronic literature research of PubMed, Cochrane and Scopus, was conducted in January 2022 using a combination of MeSH, search terms and keywords. The data extracted included the study details, demographic data, the proportion of patients having a concomitant periarticular infection, clinical presentation, blood parameters and culture findings and outcomes. Results: This review included seven studies with 499 patients. The mean age was 7.08 ± 2.38 years in the study. There was a male predominance, with 174 being males (62.36%). The most common joint involved was the hip joint (44.47%). 42.48% had concomitant periarticular infections detected by MRI. Osteomyelitis was the most common infection seen in 209 patients (41.84%). The mean duration of antibiotics given and hospital stay was significantly more in periarticular infections ( P > 0.05). 32.5% of the patients with septic arthritis underwent a second surgical procedure whereas 61.11% of patients with periarticular infections underwent second procedure in this review ( P > 0.05). Conclusions: The use of MRI to diagnose these complicated infections appears to be beneficial. Multi-centric randomised control trials are needed to investigate the efficacy of MRI and its impact on patient care and outcome.

Concomitant

10.4103/jwas.jwas_83_23

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Comment on O'Shaughnessy et al: ‘Management of paediatric humeral shaft fractures and associated nerve palsy’

Journal of Children s Orthopaedics (2021)

Rama Priya Yasam Vivek Singh Kshitij Gupta

10.1302/1863-2548.15.200214

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Distal Nerve Transfer to Restore Wrist and Finger Extension – A Systematic Review

The Journal of Hand Surgery (Asian-Pacific Volume) (2022)

Varun Garg Anil Regmi Naveen Kumar NEGI Rama Priya Yasam Sourabh Kumar Sinha

Background: There are numerous options available for restoration of wrist and finger extension following radial nerve palsy. The aim of this study is to conduct a systematic review of the effectiveness of nerve transfer for radial nerve palsy. Methods: Electronic literature research of PubMed, Cochrane, Scopus and Lilacs database was conducted in June 2021 using the terms 'Distal nerve transfer' AND 'Radial nerve injury' 'Radial nerve palsy' OR 'Radial nerve paresis' OR 'Median nerve transfer' OR 'wrist extensor' OR 'finger extension' OR 'thumb extension' OR 'wrist motion'. The data extracted included the study details, demographic data, procedure performed and final functional outcome according to the muscle research council scale. Results: A total of 92.59% and 56.52% had satisfactory outcome following distal nerve transfer of median nerve to restore wrist and finger extension respectively. No significant correlation was found between time to injury duration and satisfactory outcomes. Conclusions: Outcomes of nerve transfers are comparable to tendon transfers. Multi-centric studies are needed to compare the results amongst various surgical procedures described. Level of Evidence: Level III (Therapeutic).

Radial nerve

Tendon transfer

10.1142/s2424835522500953

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Citations (5)