Nepal Orthopaedic Association Journal最新文献_第2页

Total Hip Arthroplasty in Patients Under 50 Years of Age: A Demographic and Treatment Outcome Study at Five Years Follow-Up 50岁以下患者的全髋关节置换术:5年随访的人口统计学和治疗结果研究

Nepal Orthopaedic Association Journal Pub Date : 1900-01-01 DOI: 10.59173/noaj.20230902e

B. Banskota

{"title":"Total Hip Arthroplasty in Patients Under 50 Years of Age: A Demographic and Treatment Outcome Study at Five Years Follow-Up","authors":"B. Banskota","doi":"10.59173/noaj.20230902e","DOIUrl":"https://doi.org/10.59173/noaj.20230902e","url":null,"abstract":"Introduction: The indications for a total hip arthroplasty have expanded to younger, higher-demand patients with the advances and availability of durable biomaterials and improved accuracy and surgical techniques of prosthesis implantation. We present our data on the mid-term (five years) follow-up of a cohort of younger patients who underwent THA at our institution. Methodology: A retrospective study with prospective measurement of functional and patient satisfaction outcomes was conducted for patients under 50 years of age who had undergone a primary THA for any cause from 2010 to 2020. Study variables included demographic profile, etiology, prosthesis details, pre-and post-Harris Hip Scores (HHS), and the short-form SF-12 questionnaire. Results: Of 206 THAs performed during the study period, 62 (30.09%) THAs met the inclusion criteria. There were 60 patients with 62 hips, including 38 (63.33%) males and 22 (36.67%) females. The mean age was 39.2±7.92 years. The mean pre-operative HHS was 40.10±5.96. The mean follow-up period was 5.14±2.57 years. At the final evaluation, the mean HHS was 90.42±6.35, and SF-12 scores for physical (PS) and mental (MS) domains were 46.98±5.76 and 54.22±4.35, respectively. The HHS was excellent in 45 (72.58%) hips, good in 13 (20.96%) hips, fair in 2 (3.23%) hips, and poor in 2 (3.23%) hips. Conclusion: Good to excellent functional results were seen in 94% of patients at five years follow-up. Uncemented prostheses and ceramic-on-polyethylene bearing surfaces were preferred. Keywords: Adult, Arthroplasty, Hip, Replacement","PeriodicalId":233960,"journal":{"name":"Nepal Orthopaedic Association Journal","volume":"95 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121877098","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Synovial Chondromatosis of Shoulder Treated by Arthroscopic Synovectomy and Removal of Loose Bodies: A Case Report 关节镜下滑膜切除及游离体切除治疗肩关节滑膜软骨瘤病1例

Nepal Orthopaedic Association Journal Pub Date : 1900-01-01 DOI: 10.59173/noaj.20230902f

Sushil Thapa

引用次数: 0

Comparison Between Clinical Findings and Magnetic Resonance Imaging Findings in Lumbar Prolapsed Intervertebral Disc 腰椎间盘突出症的临床表现与磁共振成像的比较

Nepal Orthopaedic Association Journal Pub Date : 1900-01-01 DOI: 10.59173/noaj.20230902c

Deepak Banjade

{"title":"Comparison Between Clinical Findings and Magnetic Resonance Imaging Findings in Lumbar Prolapsed Intervertebral Disc","authors":"Deepak Banjade","doi":"10.59173/noaj.20230902c","DOIUrl":"https://doi.org/10.59173/noaj.20230902c","url":null,"abstract":"Introduction: Lumbar prolapsed intervertebral disc is commonly associated abnormality with lower backache. Disc herniation of same size can be asymptomatic in one patient and agonizing in another patient. Magnetic resonance imaging (MRI) is a gold standard diagnostic investigation for prolapsed intervertebral disc. Despite of high sensitivity sometimes MRI shows abnormal findings even in the asymptomatic individuals indicating a moderate relationship between MRI and symptoms in the patient. The study was conducted to correlate the abnormalities observed on MRI and clinical features of lumbar disc prolapse. Methodology: A descriptive cross-sectional study was conducted from 20 December 2021 to 15 September 2022. Ethical approval was obtained from the Institutional Review Committee (Reference number: 078/78-009/HG). A convenience sampling method was used. The study consisted of patients with low back pain and radiation to lower extremity or patient with MRI scan of lumbar spine. Clinical and MRI findings were correlated to know the association and significance of MR findings in producing symptoms. Results: The study included 68 patients with back pain between 18 to 55 years (mean 41± 8.79 years). Neurological symptoms were present in 26 (38.23%) patients. Disc bulge in MRI was noticed in 48 (45.28%), protrusion in 46 (43.39%) and extrusion in 10 (11.32%) levels, most seen at L5-S1 level (66.11%). The clinical level of pain distribution correlated well with the MRI level (Kappa 0.69), but not all disc bulges produced symptoms. Conclusion: Clinical features and Magnetic resonance imaging findings of disc prolapse had significant correlation similar to other studies done in a similar setting, but all imaging abnormalities may not have a clinical significance. Keywords: magnetic resonance imaging; intervertebral disc; prolapse; radiculopathy; correlation of data.","PeriodicalId":233960,"journal":{"name":"Nepal Orthopaedic Association Journal","volume":"s3-45 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130199227","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Functional Outcome of Anterior Surgery for Acute Sub Axial Cervical Spine Injury 前路手术治疗急性亚轴颈椎损伤的功能预后

Nepal Orthopaedic Association Journal Pub Date : 1900-01-01 DOI: 10.59173/noaj.20230902b

R. Barakoti

{"title":"Functional Outcome of Anterior Surgery for Acute Sub Axial Cervical Spine Injury","authors":"R. Barakoti","doi":"10.59173/noaj.20230902b","DOIUrl":"https://doi.org/10.59173/noaj.20230902b","url":null,"abstract":"ntroduction: Subaxial cervical spine injuries are common following blunt trauma. Unstable cervical spine injuries are frquently managed with anterior decompression and instrumented fusion. This study aims to measure clinical and radiological outcome of anterior surgery for sub-axial cervical spine injuries done in our center. Methodology: This was a retrospective analysis of the cases operated from July 2015-June 2019. Patients aged 18-80 years, presenting with subaxial cervical fractures within 7 days of injury with Sub-axial Injury Classification system (SLIC) score more than 3, managed with anterior surgery were included in the study. Outcome was evaluated at 6 months and at one year with Neck Pain Disability Index and Bridewell Interbody Fusion Grading System. Results: Among 31 patients, ACDF was performed in 14 cases and ACCF in 17 patients. At final follow-up, 43.75% patients had improvement in at least one grade neurology following surgery. Among patients with complete neurological deficit, 25% had minimal disability, 35% moderate, 25% severe and 15% had very severe disability. Similarly, among patients with incomplete neurological involvement, minimal, moderate, severe and very severe disability was seen in 65%, 15%, 20% and none respectively. On average, 90.1% case had grade I fusion, 3.3 % each had grade II, grade III and grade IV fusion. 7 cases had dysphagia which relieved after few days. 1 patient had hoarseness of voice which relieved after few days. Pseudo-arthrosis was seen in 1 case and graft subsidence in 2 cases. Conclusion: Anterior cervical fusion for acute sub-axial cervical spine injuries gives good clinical and radiological outcome with minimal complications. Keywords: Subaxial cervical spine injury, ACDF, ACCF, Neck Pain Disability Index, Bridewell Interbody Fusion Grading System","PeriodicalId":233960,"journal":{"name":"Nepal Orthopaedic Association Journal","volume":"40 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120842171","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0