Ganglion cysts are found in locations which are under constant stress. Although somewhat controversial, one common explanation for the formation of ganglion cysts is that they are the result of mucoid cystic degeneration in collagenous structures. Most commonly, they are found along the tendons or joints of wrist or hand. The common locations of ganglion cysts are the wrist, knee, and anterolateral aspect of the ankle. Intra-articular ganglion cysts of the knee are rare, and most originate from the cruciate ligaments. The symptoms and signs of intra-articular ganglion cysts of the knee are pain, effusion, limitation of motion, and a clicking sensation. Increased size may lead to increased symptoms. Their location can sometimes interfere with joint movement. We present a case of ganglion cyst arising over medial collateral ligament which was presented as a swelling and investigated using sonography, magnetic resonance imaging and arthroscopy, surgically resected and confirmed on histopathology. Thus awareness of the symptoms and locations is necessary.
{"title":"Medial collateral ligament-ganglion cyst: A rare case report and review of its literature","authors":"S. Rajshekhar, S. Patnaik","doi":"10.4103/joas.joas_22_18","DOIUrl":"https://doi.org/10.4103/joas.joas_22_18","url":null,"abstract":"Ganglion cysts are found in locations which are under constant stress. Although somewhat controversial, one common explanation for the formation of ganglion cysts is that they are the result of mucoid cystic degeneration in collagenous structures. Most commonly, they are found along the tendons or joints of wrist or hand. The common locations of ganglion cysts are the wrist, knee, and anterolateral aspect of the ankle. Intra-articular ganglion cysts of the knee are rare, and most originate from the cruciate ligaments. The symptoms and signs of intra-articular ganglion cysts of the knee are pain, effusion, limitation of motion, and a clicking sensation. Increased size may lead to increased symptoms. Their location can sometimes interfere with joint movement. We present a case of ganglion cyst arising over medial collateral ligament which was presented as a swelling and investigated using sonography, magnetic resonance imaging and arthroscopy, surgically resected and confirmed on histopathology. Thus awareness of the symptoms and locations is necessary.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48498711","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}
C. Can, A. Kapukaya, H. Kaya, S. Altindağ, H. Komek
INTRODUCTION: Osteoid osteoma is a benign but painful bone tumor that is treated with the excision of the nidus. Due to difficulties in reaching the tumor, intraoperative localization may be needed for complete excision without unnecessary resection of the surrounding bone. AIM: The aim of this study was to evaluate the effectiveness of intraoperative gamma probe application in the preoperative planning and for intraoperative localization of osteoid osteoma. MATERIALS AND METHODS: The study included a total of 26 patients, comprising 10 females and 16 males with a mean age of 19.6 years (range: 6–45 years), who were prediagnosed with osteoid osteoma based on clinical and radiological findings. All patients were admitted for surgery following bone scintigraphy. All operations were performed with the use of a gamma probe. RESULTS: Clinical results were obtained from the postoperative pain evaluation, and excised bone tissue fragments were evaluated histopathologically. Localization of the lesion area was made intraoperatively using a gamma probe in all patients. A statistically significant difference was determined between the radioactivity counts in the normal peripheral bones of the lesion and the lesion area itself (P < 0.001). The ratio of lesion to normal tissue was 4/1 on average. The radioactivity level dropped by 62% on average (30%–90%) in the cavity cleaned after postresectional excision of the pathological tissue. The radioactivity counts in the cavity after resection was found to be significantly lower than those of the lesion area before resection (P < 0.001). CONCLUSION: The use of a gamma probe in intraoperative localization following a preoperative injection of99mTc-methylene diphosphonate, is an easy and safe method that helps in the localization of osteoid osteoma nidus during surgery and guides a limited but complete resection of the tumor.
{"title":"Intraoperative gamma probe application in patients prediagnosed with osteoid osteoma","authors":"C. Can, A. Kapukaya, H. Kaya, S. Altindağ, H. Komek","doi":"10.4103/JOAS.JOAS_11_18","DOIUrl":"https://doi.org/10.4103/JOAS.JOAS_11_18","url":null,"abstract":"INTRODUCTION: Osteoid osteoma is a benign but painful bone tumor that is treated with the excision of the nidus. Due to difficulties in reaching the tumor, intraoperative localization may be needed for complete excision without unnecessary resection of the surrounding bone. AIM: The aim of this study was to evaluate the effectiveness of intraoperative gamma probe application in the preoperative planning and for intraoperative localization of osteoid osteoma. MATERIALS AND METHODS: The study included a total of 26 patients, comprising 10 females and 16 males with a mean age of 19.6 years (range: 6–45 years), who were prediagnosed with osteoid osteoma based on clinical and radiological findings. All patients were admitted for surgery following bone scintigraphy. All operations were performed with the use of a gamma probe. RESULTS: Clinical results were obtained from the postoperative pain evaluation, and excised bone tissue fragments were evaluated histopathologically. Localization of the lesion area was made intraoperatively using a gamma probe in all patients. A statistically significant difference was determined between the radioactivity counts in the normal peripheral bones of the lesion and the lesion area itself (P < 0.001). The ratio of lesion to normal tissue was 4/1 on average. The radioactivity level dropped by 62% on average (30%–90%) in the cavity cleaned after postresectional excision of the pathological tissue. The radioactivity counts in the cavity after resection was found to be significantly lower than those of the lesion area before resection (P < 0.001). CONCLUSION: The use of a gamma probe in intraoperative localization following a preoperative injection of99mTc-methylene diphosphonate, is an easy and safe method that helps in the localization of osteoid osteoma nidus during surgery and guides a limited but complete resection of the tumor.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45160682","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}
Shailendra Singh, R. Goyal, P. Baghel, Vineet Sharma
Fat embolism syndrome (FES) is a life-threatening situation, which warrants greater emphasis than it receives in the literature. FE occurs following various medical and surgical conditions leading to a cascade of systemic inflammatory process affecting multiple organs of the body, which may lead to end-organ failure. It has high mortality and morbidity. Despite advancement in science and technology, diagnosis of this fatal syndrome is mainly based on clinical symptoms and signs and no major definitive diagnostic tool and treatment method is available. At present, treatment of this disastrous medical condition is only supportive. In this review, we summarize the incidence, etiology, pathophysiology, and management of FES.
{"title":"Fat embolism syndrome: A comprehensive review and update","authors":"Shailendra Singh, R. Goyal, P. Baghel, Vineet Sharma","doi":"10.4103/JOAS.JOAS_18_18","DOIUrl":"https://doi.org/10.4103/JOAS.JOAS_18_18","url":null,"abstract":"Fat embolism syndrome (FES) is a life-threatening situation, which warrants greater emphasis than it receives in the literature. FE occurs following various medical and surgical conditions leading to a cascade of systemic inflammatory process affecting multiple organs of the body, which may lead to end-organ failure. It has high mortality and morbidity. Despite advancement in science and technology, diagnosis of this fatal syndrome is mainly based on clinical symptoms and signs and no major definitive diagnostic tool and treatment method is available. At present, treatment of this disastrous medical condition is only supportive. In this review, we summarize the incidence, etiology, pathophysiology, and management of FES.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48335202","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}
{"title":"Metastatic spine tumor: An update","authors":"P. Singh, Sohael M. Khan","doi":"10.4103/JOAS.JOAS_39_18","DOIUrl":"https://doi.org/10.4103/JOAS.JOAS_39_18","url":null,"abstract":"","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43441774","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}
Fractures and blunt Injuries following birthday bumps are reported in literature, but to the best of our knowledge, brachial plexus injuries following birthday bumps have not been. Reported is one such case which was managed conservatively. The neuro deficit recovered completely over the course of time. Teenagers especially college and hostel students may hide the mechanism of injury, and it may distract the physician from arriving at proper diagnosis. To avoid similar injuries in future, it needs counseling and proper adolescence care.
{"title":"Brachial plexus injury: Following birthday bumps","authors":"Jalal Mohammed, M. Hussain, Umaid Mirza","doi":"10.4103/joas.joas_23_18","DOIUrl":"https://doi.org/10.4103/joas.joas_23_18","url":null,"abstract":"Fractures and blunt Injuries following birthday bumps are reported in literature, but to the best of our knowledge, brachial plexus injuries following birthday bumps have not been. Reported is one such case which was managed conservatively. The neuro deficit recovered completely over the course of time. Teenagers especially college and hostel students may hide the mechanism of injury, and it may distract the physician from arriving at proper diagnosis. To avoid similar injuries in future, it needs counseling and proper adolescence care.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48884956","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}
{"title":"Introductory Address","authors":"Pradeep Singh","doi":"10.1055/s-0039-1677782","DOIUrl":"https://doi.org/10.1055/s-0039-1677782","url":null,"abstract":"","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1055/s-0039-1677782","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"58064826","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}
M. Dwivedi, Anisha Puri, Sankalp Dwivedi, Gurchand Singh
INTRODUCTION: Shoulder arthroscopy can be performed under regional blocks or general anesthesia. General anesthesia using laryngeal mask airway (LMA) can be an alternative to regional techniques. Insertion of LMA within the hypopharynx mandates a depth of anesthesia apt enough to relax the jaw and obtund the laryngeal reflexes. Various adjuncts are combined with the induction agent propofol to facilitate improved insertion conditions of LMA and improved pain scores in shoulder surgeries. AIM: The aim of this study was to a comparison of insertion conditions of LMA and postoperative pain scores in shoulder arthroscopies using either intravenous (IV) butorphanol or IV fentanyl in combination with IV propofol. METHODS: A total of 100 patients scheduled for various elective surgical procedures were randomly selected and divided into two groups of 50 each, that is, Group F (propofol and fentanyl) and Group B (propofol and butorphanol). Coinduction was done in Group B with IV butorphanol (30 μg/kg) and in Group F with IV fentanyl (1.5 μg/kg). One minute after coinduction, the induction was achieved with IV propofol 2.5 mg/kg, jaw relaxation was assessed, and LMA was inserted. The postoperative pain scoring was done with visual analog scale (VAS). RESULTS: With the observations made and analyzed, we found that the LMA insertion conditions were significantly better with butorphanol (jaw relaxation [90% vs. 34%; P < 0.0001] and ease of insertion [96% vs. 66%; P = 0.0001]) than fentanyl. Comparison of average VAS score of patients postoperatively during the study showed low VAS score in both groups at 1 h, but Group B showed significantly lower score as compared to Group F. Group F showed a higher mean score of VAS at 2 h and 4 h and signified first analgesic need in the majority. CONCLUSION: The use of propofol-butorphanol combination produces excellent LMA insertion conditions as compared to propofol-fentanyl combination. Lower VAS scores due to analgesic effects of fentanyl and butorphanol contribute to painless shifting of patients undergoing shoulder arthroscopy.
肩关节镜可在局部阻滞或全身麻醉下进行。全身麻醉使用喉罩气道(LMA)可以替代区域技术。在下咽内插入LMA需要足够的麻醉深度，以放松颌骨并抑制喉反射。各种辅助剂与诱导剂异丙酚联合使用，以改善LMA的插入条件，提高肩部手术的疼痛评分。目的:本研究的目的是比较肩关节镜下使用静脉(IV)布托啡诺或静脉芬太尼联合静脉异丙酚时LMA的插入条件和术后疼痛评分。方法:随机抽取各类择期手术患者100例，分为F组(丙泊酚+芬太尼)和B组(丙泊酚+丁托啡诺)，每组50例。B组静脉滴注布托啡诺(30 μg/kg)共诱导，F组静脉滴注芬太尼(1.5 μg/kg)共诱导。共诱导1分钟后，静脉注射异丙酚2.5 mg/kg诱导，评估下颌松弛，并插入LMA。术后疼痛评分采用视觉模拟评分法(VAS)。结果:通过观察和分析，我们发现布托啡诺组的LMA插入条件明显更好(下颌松弛组[90% vs. 34%;P < 0.0001]和插入便利性[96%对66%;P = 0.0001])高于芬太尼。研究期间患者术后VAS平均评分比较，两组患者术后1 h VAS评分均较低，但B组VAS评分明显低于F组。F组患者术后2 h和4 h VAS平均评分较高，且以首次镇痛需求居多。结论:异丙酚-丁托啡诺联用比异丙酚-芬太尼联用具有更好的LMA插入条件。由于芬太尼和布托啡诺的镇痛作用，较低的VAS评分有助于肩关节镜患者的无痛移动。
{"title":"Comparative assessment of the propofol-butorphanol with propofol-fentanyl combination for different insertion conditions of laryngeal mask airway in orthopedic surgery","authors":"M. Dwivedi, Anisha Puri, Sankalp Dwivedi, Gurchand Singh","doi":"10.4103/joas.joas_25_18","DOIUrl":"https://doi.org/10.4103/joas.joas_25_18","url":null,"abstract":"INTRODUCTION: Shoulder arthroscopy can be performed under regional blocks or general anesthesia. General anesthesia using laryngeal mask airway (LMA) can be an alternative to regional techniques. Insertion of LMA within the hypopharynx mandates a depth of anesthesia apt enough to relax the jaw and obtund the laryngeal reflexes. Various adjuncts are combined with the induction agent propofol to facilitate improved insertion conditions of LMA and improved pain scores in shoulder surgeries. AIM: The aim of this study was to a comparison of insertion conditions of LMA and postoperative pain scores in shoulder arthroscopies using either intravenous (IV) butorphanol or IV fentanyl in combination with IV propofol. METHODS: A total of 100 patients scheduled for various elective surgical procedures were randomly selected and divided into two groups of 50 each, that is, Group F (propofol and fentanyl) and Group B (propofol and butorphanol). Coinduction was done in Group B with IV butorphanol (30 μg/kg) and in Group F with IV fentanyl (1.5 μg/kg). One minute after coinduction, the induction was achieved with IV propofol 2.5 mg/kg, jaw relaxation was assessed, and LMA was inserted. The postoperative pain scoring was done with visual analog scale (VAS). RESULTS: With the observations made and analyzed, we found that the LMA insertion conditions were significantly better with butorphanol (jaw relaxation [90% vs. 34%; P < 0.0001] and ease of insertion [96% vs. 66%; P = 0.0001]) than fentanyl. Comparison of average VAS score of patients postoperatively during the study showed low VAS score in both groups at 1 h, but Group B showed significantly lower score as compared to Group F. Group F showed a higher mean score of VAS at 2 h and 4 h and signified first analgesic need in the majority. CONCLUSION: The use of propofol-butorphanol combination produces excellent LMA insertion conditions as compared to propofol-fentanyl combination. Lower VAS scores due to analgesic effects of fentanyl and butorphanol contribute to painless shifting of patients undergoing shoulder arthroscopy.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45065040","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}
Supreeth Nekkanti, Sagar Savsani, Y. Reddy, A. Meka, A. Mahtani
Osteochondromas rarely grow from flat bones such as scapula and pelvis. These tumors grow in sync with the growth of the child. They usually involve the growing ends of long bones, more commonly the distal end of the femur. We report a 15-year-old boy presenting to us with an osteochondroma of the iliac wing. It was a rare sessile variant. The tumor was causing him extreme pain and mechanical block to squatting, sitting cross-legged, and walking. The tumor was surgically removed by extraperiosteal resection. The patient was followed up for 1 year. He did not suffer from a recurrence or symptoms of pain or weakness after 1 year. Pelvis forms an unusual site of presentation for an osteochondroma. These tumors, should they arise from the pelvis, are notoriously dangerous as they may cause compression of lumbar nerve roots. Complete removal of these tumors extraperiosteally gives a drastic relief to the patient's symptoms. The patient should be followed up carefully to look for recurrence of this tumor.
{"title":"A rare sessile variant of osteochondroma presenting at an unusual site of the iliac wing in a 15-year-old boy","authors":"Supreeth Nekkanti, Sagar Savsani, Y. Reddy, A. Meka, A. Mahtani","doi":"10.4103/JOAS.JOAS_61_17","DOIUrl":"https://doi.org/10.4103/JOAS.JOAS_61_17","url":null,"abstract":"Osteochondromas rarely grow from flat bones such as scapula and pelvis. These tumors grow in sync with the growth of the child. They usually involve the growing ends of long bones, more commonly the distal end of the femur. We report a 15-year-old boy presenting to us with an osteochondroma of the iliac wing. It was a rare sessile variant. The tumor was causing him extreme pain and mechanical block to squatting, sitting cross-legged, and walking. The tumor was surgically removed by extraperiosteal resection. The patient was followed up for 1 year. He did not suffer from a recurrence or symptoms of pain or weakness after 1 year. Pelvis forms an unusual site of presentation for an osteochondroma. These tumors, should they arise from the pelvis, are notoriously dangerous as they may cause compression of lumbar nerve roots. Complete removal of these tumors extraperiosteally gives a drastic relief to the patient's symptoms. The patient should be followed up carefully to look for recurrence of this tumor.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49326329","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}
CONTEXT: Anterior cruciate ligament (ACL) reconstruction has remained the gold standard for ACL injuries, especially for young individuals and athletes expose to high-level sporting activities aiming to return preinjury level of activity. Femoral cortical suspension devices have gained popularity. However, there are limited studies specifying a superior graft fixation technique. AIMS: To evaluate outcome of arthroscopic ACL reconstruction using fixed closed loop fixation (CLF) and adjustable loop fixation (ALF) techniques. SETTINGS AND DESIGN: Prospective case series. MATERIALS AND METHODS: 40 cases were included in the study, among of which 20 cases, underwent arthroscopic CLF and another group of 20, who were operated on using ALF. Clinical outcome was assessed using manual tests, i.e., Lachman and pivot shift, and results were graded using the International Knee Documentation Committee. Lysholm score was used to evaluate functional outcome up to 6 months. STATISTICAL ANALYSIS USED: Data were analyzed using SPSS version 21. RESULTS: There were no significant differences in manual Lachman and pivot shift grading in both groups. One case (5%) in CLF group and 15% in ALF group were showed Grade B clinically laxity by Lachman, and one case (5%) in CLF group and 10% in ALF group were showed Grade 2 + rotatory laxities by pivot shift. The study found no statistically significant differences in functional score between the groups (P = 0.245). CONCLUSIONS: In femoral fixation of ACL graft both CLF and ALF techniques may provide secure fixation, equal reduction of graft laxity, and similar functional outcome in ACL deficient knee.
背景:前交叉韧带(ACL)重建仍然是ACL损伤的金标准，特别是对于年轻人和运动员暴露于高水平的体育活动，旨在恢复损伤前的活动水平。股骨皮质悬浮装置已得到普及。然而，有有限的研究明确了更好的移植物固定技术。目的:评价关节镜下使用闭合环固定(CLF)和可调节环固定(ALF)技术重建ACL的效果。设置和设计:前瞻性病例系列。材料与方法:本研究共纳入40例患者，其中20例患者行关节镜下CLF，另20例患者行ALF手术。临床结果采用人工试验进行评估，即Lachman和pivot shift，并使用国际膝关节文献委员会对结果进行分级。Lysholm评分用于评估6个月前的功能结局。使用:数据分析使用SPSS version 21。结果:两组的手动拉赫曼和枢轴移位分级无显著差异。CLF组1例(5%)、ALF组15%临床表现为Lachman B级松弛，CLF组1例(5%)、ALF组10%临床表现为枢轴移位2 +级旋转松弛。研究发现两组间功能评分差异无统计学意义(P = 0.245)。结论:在前交叉韧带(ACL)缺陷膝的股骨内固定中，CLF和ALF技术均可提供安全的固定，相同程度地减少移植物松弛，并具有相似的功能结果。
{"title":"Early outcome analysis of arthroscopic anterior cruciate ligament reconstruction using fixed closed loop and adjustable loop techniques: A prospective case series","authors":"B. Sharma, R. Parmar","doi":"10.4103/joas.joas_15_18","DOIUrl":"https://doi.org/10.4103/joas.joas_15_18","url":null,"abstract":"CONTEXT: Anterior cruciate ligament (ACL) reconstruction has remained the gold standard for ACL injuries, especially for young individuals and athletes expose to high-level sporting activities aiming to return preinjury level of activity. Femoral cortical suspension devices have gained popularity. However, there are limited studies specifying a superior graft fixation technique. AIMS: To evaluate outcome of arthroscopic ACL reconstruction using fixed closed loop fixation (CLF) and adjustable loop fixation (ALF) techniques. SETTINGS AND DESIGN: Prospective case series. MATERIALS AND METHODS: 40 cases were included in the study, among of which 20 cases, underwent arthroscopic CLF and another group of 20, who were operated on using ALF. Clinical outcome was assessed using manual tests, i.e., Lachman and pivot shift, and results were graded using the International Knee Documentation Committee. Lysholm score was used to evaluate functional outcome up to 6 months. STATISTICAL ANALYSIS USED: Data were analyzed using SPSS version 21. RESULTS: There were no significant differences in manual Lachman and pivot shift grading in both groups. One case (5%) in CLF group and 15% in ALF group were showed Grade B clinically laxity by Lachman, and one case (5%) in CLF group and 10% in ALF group were showed Grade 2 + rotatory laxities by pivot shift. The study found no statistically significant differences in functional score between the groups (P = 0.245). CONCLUSIONS: In femoral fixation of ACL graft both CLF and ALF techniques may provide secure fixation, equal reduction of graft laxity, and similar functional outcome in ACL deficient knee.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46169490","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}
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