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: TKR followed by patellar resurfacing has been shown of great advantage in literature. This study is done To review post-operative complications among patients, after being treated with patellar resurfacing in total knee repair Method: Prospective continuous study at Orthopaedic Surgery PAEC General Hospital, Islamabad for 6 months Selected sample size is n=58 by simple random sampling( non-probability) Inclusion criteria: Patients under the age group of 18-70 years old of both genders undergone TKR followed by patellar resurfacing, arthritis undergone TKR followed by patellar resurfacing & patellar resurfacing after trauma. Exclusion criteria: Patients undergone TKR with comorbid; diabetes, congestive heart disease, hypertension, neuropathological diseases & renal disorders.& unwilling to participate. Results: The mean age of participants was 44.32 (S.D=3.5) Mean BMI was 29.4 (S.D=3.2). males were 16 while 42 females went under surgery. There was no association seen between BMI and post-op complications Average follow-up was 98 days (58-144). Co-relation between TKR and patellar resurfacing, there was no variation. Among fifty-eight patients patellar fracture, patellar matlracking, aseptic loosening,. Patellar osteonecrosis, polythene wear, Dislocation following total knee arthroplasty, and other hardware mal-function, Overstuffing of the PFJ in postoperative TKA was seen among three people 5.2% of individuals Conclusion: To reduce the danger of additional difficulties, patellar resurfacing must be performed with a high level of accuracy and precision since it is just as crucial as tibiofemoral replacement
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.
Hip fractures accounts to about 86000 cases per annum in UK. AP and Lateral radiographs form an essential investigation in planning the management of these fractures. Recently it has been suggested...
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