1
|
Kulshrestha V, Sood M, Kumar S, Kharat K, Padhi PP, Kumar P, Shrama S, Stanley A. Early Outcomes of Modified Technique of Mobile Bearing Unicondylar Knee Replacement. Indian J Orthop 2023; 57:1209-1218. [PMID: 37525741 PMCID: PMC10387039 DOI: 10.1007/s43465-023-00907-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/27/2022] [Accepted: 05/08/2023] [Indexed: 08/02/2023]
Abstract
Background Recent years have seen a resurgence in utilization of partial knee replacement. One such device frequently used is Oxford partial knee implant (OPK). Deeper tibial bone cut while performing OPK replacement may risk early failure. Methods We prospectively looked at early outcomes of a modified technique (MT) of OPK replacement adopted by our centre to save tibial bone stock at 24 months of follow up as compared to designer group described technique (DT) as a prospective cohort. Results At 2 years follow up New Knee Society Score showed patient satisfaction (38.25 in DT vs 39.02 in MT, p value 0.10), objective (92.77 in DT vs 91.07 in MT, p value 0.21), expectation scores (14.77 in DT vs 14.85 in MT, p value 0.81) and activity (60.72 in DT vs 68.17 in MT, p value 0.79 were similar in MT group as compared to DT. The stair climbing ability (22.46 in MT vs 29.96 in DT, p value < 0.001) and getting up from chair (13.16 in MT vs 19.80 in DT, p value < 0.001), was better with MT group but most other patient performance scores were similar as assessed by DOP (Delaware Osteoarthritis Profile). Both groups had failure rate of 5% at 24 months follow up. Conclusion MT resulted in similar early outcomes in terms of patient reported outcomes, satisfaction and performance as compared to DT group. The MT to save tibial bone stock did not compromise early outcomes and can be utilised in certain patients with higher risk of tibial failure.
Collapse
Affiliation(s)
- Vikas Kulshrestha
- Department of Orthopaedics, Command Hospital Air Force, Bangalore, India
| | - Munish Sood
- Department of Orthopaedics, Indian Naval Hospital Ship Asvini, Mumbai, India
| | - Santhosh Kumar
- Joint Replacement Center, Army Hospital Research and Referral, New Delhi, 110010 India
| | - Kiran Kharat
- Ruby Hall Clinic, Survey No 59/6, Azad Nagar, Wanowrie, Pune, 411040 India
| | - Prashanth P. Padhi
- Department of Orthopaedics and Joint Replacement Surgery, 7 Air Force Hospital Kanpur, Kanpur, India
| | - Pardeep Kumar
- Department of Orthopaedics, Command Hospital Air Force, Bangalore, India
| | - Saurabh Shrama
- Joint Replacement Center, Army Hospital Research and Referral, New Delhi, India
| | - Abin Stanley
- Department of Orthopaedics and Joint Replacement Surgery, 7 Air Force Hospital Kanpur, Kanpur, India
| |
Collapse
|
2
|
Sood M, Kulshrestha V, Kumar S, Kumar P, Amaravati RS, Singh S. "Trends and beliefs in ACL reconstruction surgery: Indian perspectives". J Clin Orthop Trauma 2023; 39:102148. [PMID: 36974199 PMCID: PMC10039028 DOI: 10.1016/j.jcot.2023.102148] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/23/2022] [Revised: 01/19/2023] [Accepted: 03/15/2023] [Indexed: 03/26/2023] Open
Abstract
Objectives The survey aimed to assess trends and beliefs in the management of anterior cruciate ligament reconstruction (ACLR) amongst orthopaedic surgeons in India. Methods A survey was created and distributed among the various orthopaedic surgeons from India. The questionnaire included brief details of surgeons and their experience, clinical assessment, management strategies and the rehabilitation protocol. Results 135 surgeons completed the survey. 35% of them were having experience of more than 12 years. A large number of surgeons were from government academic institutes (35.5%). The most common criteria for deciding about surgery was Clinical evaluation (94.8%). The most common graft choice was hamstring tendon (94%), and suspensory fixation on the femur side and interference screw on the tibial side (80%) is the most common fixation method. Almost two-thirds of surgeons in this survey use bracing to protect ACL graft in the initial phase. Conclusion We presented the preferences amongst the group of surgeons on the management of ACL injuries. Hamstring tendon graft remains the most preferred graft for ACL reconstruction. Further, the suspensory loop on the femoral side and interference screw on the tibial side are the preferred fixation method. This group of surgeons is conservative in terms of the timing of surgeries and post-operative bracing. Level of evidence Level V, Expert Opinion.
Collapse
Affiliation(s)
| | | | | | | | | | - Shalendra Singh
- Department of Anesthesia, Armed Forces Medical College, Pune, 411040, India
| |
Collapse
|
3
|
Kulshrestha V, Sood M, Kumar S, Kumar P, Stanley A, Padhi PP, Sharma S. Numbness Following Total Knee Arthroplasty: Role of Incision Length And Position - A Randomized Study. Clin Orthop Surg 2023; 15:59-70. [PMID: 36778989 PMCID: PMC9880504 DOI: 10.4055/cios21140] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/14/2021] [Revised: 12/09/2021] [Accepted: 12/09/2021] [Indexed: 12/03/2022] Open
Abstract
Background One of the symptoms annoying patients after total knee replacement (TKR) is numbness around the operative scar. Some studies have shown that altering the incision in terms of placement or length may decrease the incidence of numbness. It still remains unknown whether numbness affects patient-reported outcomes. Methods We conducted a randomized study to compare a short-length incision (n = 50) and a lateral exit incision (n = 50) with a standard midline TKR incision (n = 50) in terms of the incidence of numbness and its progress over 1 year of follow-up. Our secondary objective was to look at the involved zone, area of numbness, and secondary symptoms. We also looked at patient-reported outcome in terms of satisfaction in all groups using a visual analog scale and Forgotten Joint Score. Results At 3 months postoperatively, the incidence of numbness was least in the lateral exit group: 46.2% as compared to midline (62%) and short (58.3%), but the difference was not significant (p = 0.07). At 6 months, the short incision group had a significantly lower incidence (8%) of residual numbness as compared to 30% in the other two groups (p = 0.003). At 1 year, most patients recovered sensation loss and had similar function. Conclusions Placement or length of an incision did not significantly affect the incidence of numbness; however, the short incision led to early recovery of numbness. At 1 year of follow-up, most patients did not complain of loss of sensation and had similar functional outcome.
Collapse
Affiliation(s)
- Vikas Kulshrestha
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| | - Munish Sood
- Department of Orthopaedics, Indian Naval Hospital Ship Asvini, Mumbai, India
| | - Santhosh Kumar
- Joint Replacement Center, Army Hospital Research and Referral, New Delhi, India
| | - Pardeep Kumar
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| | - Abin Stanley
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| | - Prashanth P Padhi
- Department of Orthopaedics and Joint Replacement Surgery, 7 Air Force Hospital, Kanpur, India
| | - Saurabh Sharma
- Joint Replacement Center, Army Hospital Research and Referral, New Delhi, India
| |
Collapse
|
4
|
Kulshrestha V, Sood M, Kumar S, Kumar P, Stanley A, Padhi PP. Early Outcomes of Dual-Pivot Total Knee Replacement Compared to an Ultracongruent Design. Clin Orthop Surg 2022; 14:530-538. [PMID: 36518936 PMCID: PMC9715929 DOI: 10.4055/cios21091] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/13/2021] [Revised: 11/04/2021] [Accepted: 11/07/2021] [Indexed: 09/15/2023] Open
Abstract
BACKGROUND With a quest to optimize outcomes, there have been significant advancements in modern designs of total knee implants, attempting to mimic the natural knee motion and feel. One such new design reproducing the medial and lateral knee pivot is a dual-pivot (DP) knee. In the present study, we endeavored to compare the performance of the DP knee vis-a-vis an ultracongruent (UC) Knee design. METHODS This prospective cohort study was performed in a joint replacement center of a tertiary care military hospital. We enrolled 50 patients each in the DP knee group and the UC knee group and assessed knee flexion, patient-reported outcome (new Knee Society Score [nKSS]), patient performance (Delaware Osteoarthritis Profile Score), and function (Forgotten Joint Score [FJS]) at 2 years of follow-up. RESULTS The nKSS was similar in the two groups. In the DP group, patients had significantly better improvement in the stair climb test (p = 0.026). In the UC group, timed up and go test was significantly better (p = 0.004). The gain in knee flexion was similar in the two groups: 26.3° ± 23.3° in the DP group and 27.5° ± 27.5° in the UC group (p = 0.930). Return to activity as judged by 2-year FJS was similar in both groups (p = 0.687). CONCLUSIONS Our study showed that the DP knee design had similar knee function to the UC knee. The DP knee design had significantly better stair climbing ability, whereas getting up from chair was better in the UC knee design. With comparable patient-reported outcome and possible differences in patient performance in terms of day-to-day activities, any future trial should focus on comparing patient performance.
Collapse
Affiliation(s)
- Vikas Kulshrestha
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| | - Munish Sood
- Department of Orthopaedics, Indian Naval Hospital Ship Asvini, Mumbai, India
| | - Santhosh Kumar
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| | - Pardeep Kumar
- Department of Orthopaedics and Joint Replacement Surgery, 7 Air Force Hospital, Kanpur, India
| | - Abin Stanley
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| | - Prashanth P Padhi
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bangalore, India
| |
Collapse
|
5
|
Kulshrestha V, Sood M, Kumar S, Sood N, Kumar P, Padhi PP. Does Risk Mitigation Reduce 90-Day Complications in Patients Undergoing Total Knee Arthroplasty? A Cohort Study. Clin Orthop Surg 2022; 14:56-68. [PMID: 35251542 PMCID: PMC8858904 DOI: 10.4055/cios20234] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/27/2020] [Revised: 12/19/2020] [Accepted: 12/21/2020] [Indexed: 11/08/2022] Open
Abstract
Background With ever-increasing demand for total knee arthroplasty (TKA), most healthcare systems around the world are concerned about its socioeconomic burden. Most centers have universally adopted well-defined clinical care pathways to minimize adverse outcomes, maximize volume, and limit costs. However, there are no prospective comparative trials reporting benefits of these risk mitigation (RM) strategies. Methods This is a prospective cohort study comparing post-TKA 90-day complications between patients undergoing RM before surgery and those following a standard protocol (SP). In the RM group, we used a 20-point checklist to screen for modifiable risk factors and evaluate the need for optimizing non-modifiable comorbidities. Only when optimization goals were achieved, patients were offered TKA. Results TKA was performed in 811 patients in the SP group and in 829 in the RM group, 40% of which were simultaneous bilateral TKA. In both groups, hypertension was the most prevalent comorbidity (48%), followed by diabetes (20%). A total of 43 (5.3%) procedure-related complications were seen over the 90-day postoperative period in the SP group, which was significantly greater than 26 (3.1%) seen in the RM group (p = 0.039). The commonest complication was pulmonary thromboembolic, 6 in each group. Blood transfusion rate was higher in the SP group (6%) than in the RM group (< 1%). Conclusions Screening and RM can reduce 90-day complications in patients undergoing TKA.
Collapse
Affiliation(s)
- Vikas Kulshrestha
- Joint Replacement Center, Department of Orthopaedics and Major Rehabilitation Center, Command Hospital Air Force, Bangalore, India
| | - Munish Sood
- Department of Orthopaedics and Major Rehabilitation Center, Command Hospital Chandimandir, Chandigarh, India
| | - Santhosh Kumar
- Joint Replacement Center, Department of Orthopaedics and Major Rehabilitation Center, Command Hospital Air Force, Bangalore, India
| | - Nikhil Sood
- Department of Orthopaedics and Major Rehabilitation Center, Command Hospital Chandimandir, Chandigarh, India
| | - Pradeep Kumar
- Department of Orthopaedics and Major Rehabilitation Center, Air Force Hospital Kanpur, Kanpur, India
| | - Prashanth P Padhi
- Joint Replacement Center, Department of Orthopaedics and Major Rehabilitation Center, Command Hospital Air Force, Bangalore, India
| |
Collapse
|
6
|
Sood M, Kumar S, Kulshrestha V, Datta B, Mittal G. Dual mobility cup in total hip replacements: a single center experience. J Orthop Traumatol Rehabil 2022. [DOI: 10.4103/jotr.jotr_108_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/30/2022] Open
|
7
|
Singh S, Singh M, Tiwari A, Taank P, Kaur A, Sood M, Yadav R. Comparative study on effects of dexmedetomidine and dexamethasone on the incidence of postoperative nausea and vomiting in patients undergoing laparoscopic surgery. J Acute Dis 2022. [DOI: 10.4103/2221-6189.342662] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
8
|
Sood M, Sachdeva J, Ghai A, Sud A, Chauhan M, Singh S. Pattern of anterior cruciate ligament injuries in armed forces. J Mar Med Soc 2022. [DOI: 10.4103/jmms.jmms_38_21] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
9
|
Miranda B, Jica R, Pinto-Lopes R, Mopuri N, Sood M, Tare M, Shelley O, El-Muttardi N. 1164 St Andrew’s COVID Surgery Safety (StACS) Study: Skin Cancer. Br J Surg 2021. [DOI: 10.1093/bjs/znab258.058] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/14/2022]
Abstract
Abstract
Background
Skin cancer represents the most common malignancy worldwide and it is imperative that we develop strategies to ensure safe and sustained delivery of cancer care which are resilient to the ongoing impact of COVID-19.
Objective
This study prospectively evaluates the COVID-19 related patient risk and skin cancer management at a single tertiary referral centre, which rapidly implemented national COVID-safety guidelines.
Method
A prospective cohort study was performed in all patients who underwent surgery for elective skin cancer service management, during the UK COVID-19 pandemic peak (April-May 2020). ‘Real-time’ 30-day hospital database deceased data were collected. Random selection was undertaken for patients who either underwent operative (surgery group) management or remained on the waiting list (control group); these groups were also prospectively followed-up within a controlled cohort study design and telephoned at the end of June 2020 for the control group or 30 days post-operatively.
Results
Of the 767 patients who had operations, there were no COVID-19 related deaths. Both the surgery (n = 384) and control (n = 100) groups were matched for age, sex, ethnicity, BMI, presence of comorbidities, smoking and positive COVID-19 contact. There were no differences in post-operative versus any symptom development (1.3%, 5/384 vs. 4%, 4/100, p = 0.093), or proportion of positive tests (8.6%, 33/384 vs. 8%, 8/100; p = 0.849), between the surgery and control groups.
Conclusions
These data support continued and safe service provision, and no increased risk to skin cancer patients who require surgical management, which is vital for continuation of cancer treatment in the context of a pandemic.
Collapse
Affiliation(s)
- B Miranda
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - R Jica
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - R Pinto-Lopes
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - N Mopuri
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - M Sood
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - M Tare
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - O Shelley
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | - N El-Muttardi
- Mid and South Essex Hospital, Chelmsford, United Kingdom
| | | |
Collapse
|
10
|
Singh S, Gupta N, Sreenivasulu P, Sood M. Anesthetic management of Ehlers-Danlos syndrome patient with Takayasu arteritis for capsulorrhaphy of the temporomandibular joint. J Anaesthesiol Clin Pharmacol 2021; 37:136-137. [PMID: 34103844 PMCID: PMC8174424 DOI: 10.4103/joacp.joacp_301_19] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2019] [Revised: 02/24/2020] [Accepted: 03/14/2020] [Indexed: 11/08/2022] Open
Affiliation(s)
- Shalendra Singh
- Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India
| | - Nipun Gupta
- Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India
| | - Pothireddy Sreenivasulu
- Department of Anaesthesiology and Critical Care, Armed Forces Medical College, Pune, Maharashtra, India
| | - Munish Sood
- Department of Orthopaedics, Command Hospital, Chandigarh, Punjab, India
| |
Collapse
|
11
|
HUNDEMER G, Talarico R, Sood M. POS-100 OUTPATIENT PHARMACOLOGIC TREATMENTS FOR RAAS INHIBITOR-RELATED HYPERKALEMIA AND THE RISK OF RECURRENCE. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.108] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022] Open
|
12
|
MASSICOTTE-AZARNIOUCH D, Petrcich W, Walsh M, Canney M, Hundemer G, Milman N, Hladunewich M, Fairhead T, Sood M. POS-154 ASSOCIATION OF ANCA VASCULITIS AND CARDIOVASCULAR EVENTS: A POPULATION-BASED COHORT STUDY. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.164] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
|
13
|
Akbari A, Kunkel E, Bota S, Harel Z, Le Gal G, Cox C, Hundemer G, Canney M, Clark E, Massicotte-Azarinouch D, Eddeen A, Knoll G, Sood M. POS-468 PROTEINURIA AND VENOUS THROMBOEMBOLISM IN PREGNANCY: A POPULATION-BASED COHORT STUDY. Kidney Int Rep 2021. [DOI: 10.1016/j.ekir.2021.03.495] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022] Open
|
14
|
Singh S, Malik P, Singh O, Tiwari M, Gupta N, Sood M. Tendo-Achilles injury: An observational study in a tertiary care hospital. J Acute Dis 2021. [DOI: 10.4103/2221-6189.330742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
15
|
Sood M, Kulshrestha V, Sachdeva J, Ghai A, Sud A, Singh S. Corrigendum to "Poor Functional Outcome in Patients with Voluntary Knee Instability after Anterior Cruciate Ligament Reconstruction". Clin Orthop Surg 2020; 12:558. [PMID: 33274036 PMCID: PMC7683188 DOI: 10.4055/cios19143re] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/16/2022] Open
Affiliation(s)
- Munish Sood
- Department of Orthopaedics, Command Hospital (WC) Chandimandir, Panchkula, India
| | - Vikas Kulshrestha
- Department of Orthopaedics, Command Hospital (WC) Chandimandir, Panchkula, India
| | - Julie Sachdeva
- Department of Medicine, Command Hospital (WC) Chandimandir, Panchkula, India
| | - Amresh Ghai
- Department of Orthopaedics, Base Hospital Delhi Cantt, New Delhi, India
| | - Ajaydeep Sud
- Department of Orthopaedics, Armed Forces Medical College, Pune, India
| | - Shalendra Singh
- Department of Neuro-Anaesthesia and Critical Care, Armed Forces Medical College, Pune, India
| |
Collapse
|
16
|
Sood M, Kulshrestha V, Sachdeva J, Ghai A, Sud A, Singh S. Poor Functional Outcome in Patients with Voluntary Knee Instability after Anterior Cruciate Ligament Reconstruction. Clin Orthop Surg 2020; 12:312-317. [PMID: 32903976 PMCID: PMC7449845 DOI: 10.4055/cios19143] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/07/2019] [Accepted: 12/03/2019] [Indexed: 11/28/2022] Open
Abstract
Backgroud Anterior cruciate ligament reconstruction (ACLR) remains the gold standard treatment for anterior cruciate ligament (ACL) injury. However, a good functional outcome even after a successful surgery depends on multiple factors. It has been observed that certain patients with a chronic ACL injury demonstrate knee instability voluntarily. The authors observed that these patients might not perform well even after a successful surgery. This study aims to assess the outcome after ACL and other ligament reconstruction in patients with voluntary knee instability. Methods From a total of 824 patients who underwent ACLR, 13 patients with a history of voluntary knee instability were selected, and data of these patients (demographic and clinical profile) were obtained. Outcomes of surgery in this group of patients were evaluated by using Lysholm score and Tegner activity level. Results All patients were young men with a chronic ACL injury and manifested instability. Associated injuries were lateral meniscus tear in 3 patients, medial meniscus tear in 2, and posterolateral corner (PLC) injury in 3. ACLR was done using the semitendinosus-gracilis graft in all patients. Further, anterolateral ligament reconstruction was done in 2 patients and PLC reconstruction, in 3 patients. The mean Lysholm score was 54.76 (range, 48–62) preoperatively and 60.92 (range, 54–78) at a mean follow-up of 14.3 months (range, 11–26 months). The median Tegner activity level was 6 (range, 5–7) before injury and 4 (range, 3–5) at the final follow-up. Twelve of the 13 patients were able to demonstrate instability voluntarily at the time of the final follow-up. Conclusions In patients with ACL and other ligament injuries who demonstrated voluntary knee instability, the functional outcome even after successful ligament reconstruction was poor.
Collapse
Affiliation(s)
- Munish Sood
- Department of Orthopaedics, Command Hospital (WC) Chandimandir, Panchkula, India
| | - Vikas Kulshrestha
- Department of Orthopaedics, Command Hospital (WC) Chandimandir, Panchkula, India
| | - Julie Sachdeva
- Department of Medicine, Command Hospital (WC) Chandimandir, Panchkula, India
| | - Amresh Ghai
- Department of Orthopaedics, Base Hospital Delhi Cantt, New Delhi, India
| | - Ajaydeep Sud
- Department of Orthopaedics, Armed Forces Medical College, Pune, India
| | - Shalender Singh
- Department of Neuro-Anaesthesia and Critical Care, Armed Forces Medical College, Pune, India
| |
Collapse
|
17
|
Kulshrestha V, Sood M, Kanade S, Kumar S, Datta B, Mittal G. Early Outcomes of Medial Pivot Total Knee Arthroplasty Compared to Posterior-Stabilized Design: A Randomized Controlled Trial. Clin Orthop Surg 2020; 12:178-186. [PMID: 32489539 PMCID: PMC7237261 DOI: 10.4055/cios19141] [Citation(s) in RCA: 27] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/28/2019] [Accepted: 11/21/2019] [Indexed: 12/13/2022] Open
Abstract
Backgroud The indications for total knee arthroplasty (TKA) have been expanded to include younger, demanding patients. Some TKA patients expect a return to high-performance activities to restore optimum quality of life. The concept of the medial pivot (MP) TKA is that more natural knee kinematics can be achieved by altering the bearing design. In the present study, we compared the early outcomes of MP TKA with posterior-stabilized (PS) TKA in terms of patient-reported outcomes, function, and performance. Methods This randomized study was performed in a high volume joint replacement facility of a tertiary care military hospital. We enrolled 40 patients each in the MP group and PS group and assessed knee flexion, patient-reported outcome (new Knee Society Score [new KSS]), patient performance (Delaware Osteoarthritis Profile Score [DOPS]), and function (Forgotten Joint Score [FJS]) at 2 years after surgery. Results Compared to PS group patients, MP group patients had similar patient-reported outcomes assessed by new KSS (satisfaction, expectation, and activity scales) and FJS. MP knee patients had better performance in the timed up and go test (p < 0.026) and self-paced walk test (p < 0.002) of DOPS. The gain in knee flexion (9.3° ± 14°) compared to baseline was significantly greater in the PS group (p < 0.013). Conclusions When assessed by DOPS, getting up from chair and walking speed were significantly better in MP knee patients than in PS knee patients. However, considering the predictable rollback ensured by cam and post, the PS knee produced better knee flexion. Despite these results, patients were equally satisfied with the two designs.
Collapse
Affiliation(s)
| | - Munish Sood
- Department of Orthopaedics, Command Hospital, Chandigarh, India
| | - Sarang Kanade
- Department of Orthopaedics, Dr Shyama Prasad Mukherjee Hospital, Lucknow, India
| | - Santhosh Kumar
- Department of Orthopaedics and Joint Replacement, Command Hospital Air Force, Bengaluru, India
| | - Barun Datta
- Department of Orthopaedics, Joint Replacement Centre, Army Hospital R & R, New Delhi, India
| | - Gaurav Mittal
- Department of Orthopaedics, Military Hospital, Kilkee, India
| |
Collapse
|
18
|
Gupta R, Malhotra A, Sood M, Masih GD. Is anterior cruciate ligament graft rupture (after successful anterior cruciate ligament reconstruction and return to sports) actually a graft failure or a re-injury? J Orthop Surg (Hong Kong) 2020; 27:2309499019829625. [PMID: 30782075 DOI: 10.1177/2309499019829625] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/14/2023] Open
Abstract
PURPOSE The objective of this study is to discuss the fact that whether graft rupture after successful anterior cruciate ligament (ACL) reconstruction surgery is due to graft failure or re-injury to the reconstructed ACL. METHODS In total, 340 sportspersons, meeting our inclusion criteria, were assessed for rupture of ipsilateral ACL graft and ACL injury of the contralateral knee. Patients with ipsilateral ACL graft rupture were labelled as group 1, while those with contralateral ACL injury were labelled as group 2. Both groups were compared for potential risk factors for ACL injury, and statistical analysis was performed to study whether the graft acted as an additional risk factor. RESULTS Of the 340 sportspersons, 25 patients suffered a total of 26 injuries. Ipsilateral graft rupture rate was 2.4% (8 of 340) at a mean follow-up of 25.5 ± 40.57 months, and the contralateral ACL injury rate was 5.3% (18 of 340) at a mean follow-up of 18.11 ± 19.97 months, with an overall re-injury rate of 7.6%. Both groups were comparable for risk factors for ACL injury: age ( p = 0.255), gender ( p = 0.534), mode of re-injury ( p = 0.523), level of sports activity, type of graft used ( p = 0. 918), graft diameter ( p = 0.607), duration from injury to index surgery ( p = 0.492), duration from index surgery to re-injury ( p = 0.638), timing of return to sports after index surgery ( p = 0.303), duration of sporting activity before second injury ( p = 0.657), and Tegner's level of sports activity ( p = 0.486). CONCLUSION Because the rate of contralateral ACL injury is higher than the ipsilateral graft rupture and the risk factors for ACL injury are comparable in both groups at a follow-up period, which is suggestive of ligamentization of the graft, we suggest that it might be an ACL re-injury rather than graft failure. Level of Evidence: Level III (Retrospective cohort study).
Collapse
Affiliation(s)
- Ravi Gupta
- 1 Sports Injury Centre, Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India
| | - Anubhav Malhotra
- 1 Sports Injury Centre, Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India
| | - Munish Sood
- 2 Arthroscopy Command Hospital, Panchkula, Haryana, India
| | - Gladson David Masih
- 1 Sports Injury Centre, Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India
| |
Collapse
|
19
|
Ghai A, Sachdeva J, Sood M, Sud A, Chauhan M, Singh S. Similar functional outcome using single anterior portal and standard two portals technique in recurrent dislocation of shoulder. Chin J Traumatol 2020; 23:102-106. [PMID: 32098720 PMCID: PMC7156882 DOI: 10.1016/j.cjtee.2019.12.003] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/16/2019] [Revised: 12/20/2019] [Accepted: 01/10/2020] [Indexed: 02/04/2023] Open
Abstract
PURPOSE Recurrent dislocation of shoulder (RDS) is a common injury in high demand professionals, like athletes and military personnel. The treatment for the patients with Bankart lesion is the arthroscopic repair. This present study compares the outcomes of two different techniques of arthroscopic Bankart repair i.e. a standard two anterior portals technique and a single anterior portal technique in patients with RDS. METHODS Patients with traumatic RDS met the inclusion criteria were managed with Bankart repair using either two anterior portals (Group A) or a single anterior portal (Group B) technique. Patients were evaluated before the intervention and at the mean follow-up of approximately two years using Rowe score, Oxford shoulder score and Tegner activity scale. RESULTS The mean age of the patients in Groups A (n = 34) and B (n = 37) was 29.64 years and 29.05 years respectively (p = 0.66). The dominant shoulder was involved in 27 patients in Group A and 22 patients in Group B (p = 0.069). The operative time in Group A and B was 68.52 min and 46.35 min, respectively (p < 0.001). The complications at follow-up, the mean Rowe score and Oxford score improved significantly in both groups compared with the pre-operative values. However, the final outcome scores were not significantly different between the both groups. The median Tegner's score preoperatively and at follow-up was 7 and 6, respectively in Groups A and B. CONCLUSIONS Single anterior portal technique is an effective treatment modality, yielding a similar outcome as two anterior portals technique in the management of RDS.
Collapse
Affiliation(s)
- Amresh Ghai
- Department of Orthopaedics, Base Hospital, Delhi Cantt 110010, India
| | | | - Munish Sood
- Command Hospital (WC), Chandimandir 134107, India.
| | - Ajaydeep Sud
- Department of Orthopaedics, Armed Forces Medical College, Pune 411040, India
| | | | - Shalendra Singh
- Neuro-anaesthesia and Critical Care, Armed Forces Medical College, Pune 411040, India
| |
Collapse
|
20
|
Sood M, Gambhir S, Kulshrestha V, Sahu S. Does hyperbaric oxygen therapy have a role in acute fracture healing - A Randomised Controlled Trial. J Mar Med Soc 2020. [DOI: 10.4103/jmms.jmms_63_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
21
|
Sood M, Kulshrestha V, Dhillan R. Unusual presentation of a profunda femoris pseudoaneurysm following osteosynthesis of proximal femur fracture. J Mar Med Soc 2020. [DOI: 10.4103/jmms.jmms_47_19] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
22
|
Sood M, Kulshrestha V. Generating good evidence in orthopedics. J Mar Med Soc 2020. [DOI: 10.4103/jmms.jmms_83_20] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
23
|
Kulshrestha V, Sood M, Kumar S, Sharma P, Yadav YK. Outcomes of Fast-Track Multidisciplinary Care of Hip Fractures in Veterans: A Geriatric Hip Fracture Program Report. Clin Orthop Surg 2019; 11:388-395. [PMID: 31788160 PMCID: PMC6867922 DOI: 10.4055/cios.2019.11.4.388] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/25/2019] [Accepted: 04/24/2019] [Indexed: 01/04/2023] Open
Abstract
Background Hip fractures are a significant cause of morbidity and mortality in the elderly. Fast-track multidisciplinary co-management of these patients, rapid preoperative optimization, early surgery, and expeditious rehabilitation may minimize morbidity and mortality. In this study, we evaluated outcomes of fixation of hip fractures in the elderly patients managed by Geriatric Hip Fracture Program at a military hospital in India. Methods A total of 114 patients above 60 years of age with hip fractures were enrolled. They were comanaged by a team of specialists and fast-tracked to surgery. Independent ambulation with support of a walker was achieved before discharge to home. Patients were followed up for 1 year. Results The average age of the 114 patients was 77 years; 24 patients were octogenarian. Eighty-four percent of injuries were due to a domestic fall. Hypertension (41%) and diabetes (22%) were the most common comorbidities. All patients were optimized before surgery. The average delay from injury to admission was 1.7 days (range, 0 to 14 days) and that from admission to surgery was 1.8 days (range, 0 to 19 days). Hence, the average time from injury to surgery was 3.5 days. The length of stay in hospital was, as per rehabilitative milestones achieved, 2 to 5 days in 40% of the patients and 6 to 15 days in 60% of the patients. At 1 year after surgery, 95 patients were independently ambulant (56 patients with support and 39 patients without support). Twenty-three percent of the patients had postoperative complications and eight patients died (7.7%) at 1-year follow-up; 11 patients were lost to follow-up. Conclusions Elderly hip fracture has a high risk of mortality (14%–58%). Thus, expeditious surgery within 24 hours of admission has been advocated in the Western literature to minimize mortality. Mortality rate at 1 year after surgery remains at 10% to 24%. In our study, even with aggressive co-management, the average delay to hip fracture fixation was more than 3 days; however, the 1-year mortality was relatively low (7.7%). This indicates the importance of preoperative optimization and postoperative rehabilitation for independent ambulation and mortality reduction in the elderly population.
Collapse
Affiliation(s)
| | - Munish Sood
- Department of Orthopaedics, Command Hospital, Panchkula, India
| | - Santhosh Kumar
- Department of Orthopaedics, Air Force Hospital, Bangaluru, India
| | - Pramila Sharma
- Department of Orthopaedics and Rehabilitation, Air Force Hospital, Kanpur, India
| | - Yash Kumar Yadav
- Department of Orthopaedics and Rehabilitation, Air Force Hospital, Kanpur, India
| |
Collapse
|
24
|
Abstract
PURPOSE Glenoid bone defect and the defect on the posterior-superior surface of the humerus "Hill-Sachs lesion" are the commonly seen bony lesions in patients with recurrent dislocation shoulder. Computed tomography (CT) scan is considered as the best option in assessing the bony defects in the recurrent dislocation shoulder. The aim of this study was to assess the clinical and radiological co-relation in the patients with recurrent dislocation shoulder. METHODS Forty-four patients of recurrent dislocation shoulder who were evaluated between January 2015 and December 2017 at a tertiary care center, clinically and radiologically using CT scan and meeting the inclusion criteria, were included. The correlation between the clinical history of the number of dislocations and the bone loss using CT scan was evaluated. Two sided statistical tests were performed at a significance level of α = 0.05. The analysis was conducted using IBM SPSS STATISTICS (version 22.0). RESULTS All the patients were male with mean age of 25.95 (SD ± 4.2) years were evaluated. Twenty-four patients sustained injury in sporting activities while 20 patients sustained injury in training. There were an average of 4.68 (SD ± 3.1, range 2-15, median 3) episodes of dislocation. Forty-one patients had the glenoid bone loss while 40 had the Hill-Sachs lesions. The mean glenoid width defect was 10.80% (range 0-27%) while the mean Hill-Sachs defect was 14.27 mm (range 0-26.6 mm). The mean area of bone loss of the glenoid surface was 10.81% (range 0-22.4%). The lesions were on track in 34 patients and off track in 10 patients. CONCLUSIONS CT scan of the shoulder joint is an effective method for assessing the amount of bone loss. The number of dislocations are correlated significantly with off-track lesions and the amount of bone loss on the glenoid and Hill-Sachs lesion. The glenoid width bone loss of more than 9.80% or Hill-Sachs defect of more than 14.80 mm are the critical defects after which the frequency of dislocations increases.
Collapse
Affiliation(s)
- K P Shijith
- Department of Radiology, Army Hospital (R & R), Delhi Cantt, 110010, India
| | - Munish Sood
- Department of Orthopaedics, Command Hospital Chandimandir, Haryana, 134107, India.
| | - Ajay Deep Sud
- Department of Orthopaedics, AFMC, Pune, 410040, India
| | - Amresh Ghai
- Department of Orthopaedics, Base Hospital Delhi Cantt, New Delhi, 110010, India
| |
Collapse
|
25
|
Sood M, Mohd Zain Z, Abu NA, Chee SC, Mohd Nor NS. Maternal and neonatal effects of Acinetobacter colonisation in preterm premature rupture of membrane and term labour. Med J Malaysia 2019; 74:40-44. [PMID: 30846661] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 06/09/2023]
Abstract
INTRODUCTION Some anecdotal reports suggest that maternal colonisation with Acinetobacter baumannii during pregnancy is associated with adverse maternal and neonatal effects, including preterm premature rupture of membrane (PPROM). The objective of this study was to compare the maternal and neonatal effects of A. baumannii colonisation in cases with PPROM and those with spontaneous onset of labour at term. METHODS The recruitment of participants' was carried out at Selayang Hospital, Selangor, Malaysia. Vaginal swabs were prospectively taken from 104 patients of PPROM and 111 with spontaneous onset of labour at term. Swabs were also taken from the axillae and ears of their babies. These swabs were cultured to isolate A. baumannii. Maternal and neonatal adverse outcomes were documented. RESULTS Sixteen mothers were A. baumannii positive, eight from each group respectively. None of the cases developed chorioamnionitis or sepsis. Those positive were four cases of PPROM and two babies of term labour. None of the babies developed sepsis. CONCLUSIONS This study does not support the suggestion that A. baumannii colonisation during pregnancy is associated with adverse maternal and neonatal outcomes.
Collapse
Affiliation(s)
- M Sood
- Monash University Malaysia, Jeffrey Cheah School of Medicine and Health Sciences, Bandar Sunway, Selangor, Malaysia.
| | - Z Mohd Zain
- Universiti Teknologi MARA (UiTM), Faculty of Medicine, Sungai Buloh, Selangor, Malaysia
| | - N A Abu
- Universiti Teknologi MARA (UiTM), Faculty of Medicine, Sungai Buloh, Selangor, Malaysia
| | - S C Chee
- Selayang Hospital, Department of Paediatric, Lebuhraya Kepong Selayang, Batu Caves, Selangor, Malaysia
| | - N S Mohd Nor
- Universiti Teknologi MARA (UiTM), Faculty of Medicine, Sungai Buloh, Selangor, Malaysia
| |
Collapse
|
26
|
Sood M, Singh P, Ghai A, Joshi GR, Dubey R, Prabhakara A. Hydrodilatation: The effective treatment modality in adhesive capsulitis. J Orthop Traumatol Rehabil 2019. [DOI: 10.4103/jotr.jotr_28_18] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
27
|
Gupta R, Sood M, Malhotra A, Masih GD, Kapoor A, Raghav M, Dhillon M. Low re-rupture rate with BPTB autograft and semitendinosus gracilis autograft with preserved insertions in ACL reconstruction surgery in sports persons. Knee Surg Sports Traumatol Arthrosc 2018; 26:2381-2388. [PMID: 29138919 DOI: 10.1007/s00167-017-4790-5] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/02/2016] [Accepted: 11/06/2017] [Indexed: 10/18/2022]
Abstract
PURPOSE To compare the results of bone-patellar tendon-bone graft (BPTB), semitendinosus-gracilis graft with preserved insertions (STGPI) and semitendinosus-gracilis-free graft (STGF) in terms of graft failure, objective mechanical stability, functional outcome, and return to sports in elite and recreational sports persons. It was hypothesized that the STGPI graft provided superior outcome as compared to the other two grafts. METHODS Two hundred and forty-nine elite and recreational players who underwent ACL reconstruction surgery, with BPTB graft (N = 80), STGPI graft (N = 85), and STGF graft (N = 84) with a minimum follow-up of 2 years, were assessed using clinical tests, knee arthrometer (KT 1000™), single-leg hop test, Lysholm knee score, Tegner's activity scale, and return to sports. Groups were matched in terms of age, gender, mode of injury, side involved, the level of sports, associated injuries, and mean follow-up. RESULTS The median age of the patients was 24 years (range 16-46 years), with 227 males and 22 females, with a mean follow-up of 61.8 ± 25.9 months. At the final follow-up, the mean side-to-side difference by KT 1000™ was significantly superior in BPTB group (1.4 ± 2.1 mm) as compared to STGPI (1.9 ± 2.0 mm) and STGF group (2.5 ± 2.0 mm) (p = 0.002). The mean Lysholm knee score, Limb symmetry index (LSI) using single-leg hop test and the mean difference in pre-injury and post-surgery level of Tegner's activity scale were not significantly different. The rate of graft failure was significantly higher in STGF group (7.1%) as compared to BPTB (1.2%) and STGPI (1.2%) groups (p = 0.043). CONCLUSION BPTB graft is a better graft in terms of mechanical stability than STGPI and STGF grafts. STGPI graft and BPTB graft are superior to STGF graft in terms of graft failure rate. However, there is no statistically significant difference amongst the three grafts in terms of return to sports and clinical tests of instability. STGPI graft is another option in the clinical setting with low graft failure rate like that of BPTB graft and with the added advantage of not having significant donor site morbidity. LEVEL OF EVIDENCE III.
Collapse
Affiliation(s)
- Ravi Gupta
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India.
| | - Munish Sood
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India
| | - Anubhav Malhotra
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India
| | - Gladson David Masih
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India
| | - Anil Kapoor
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India
| | - Mukta Raghav
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India
| | - Mehar Dhillon
- Department Of Orthopaedics, Government Medical College Hospital, Chandigarh, 160030, India
| |
Collapse
|
28
|
Abstract
The presence of common physical comorbidities, their demographic and clinical correlates and impact on functioning was assessed in 100 patients with schizophrenia. The patients had a mean age of 35.12±10.7 yr with mean duration of illness of 8.3±0.58 years. Seventy per cent were detected to have a comorbid physical condition. Common conditions included hypertension (21%), diabetes mellitus (15%) and anaemia (12%). Increasing age, being female, being married, longer duration of illness and longer duration of treatment were associated with higher risk of having a comorbid physical illness. Further studies need to be done with a large sample to confirm these findings.
Collapse
Affiliation(s)
- K N Nishanth
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
| | - R K Chadda
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
| | - M Sood
- Department of Psychiatry, All India Institute of Medical Sciences, New Delhi, India
| | - A Biswas
- Department of Internal Medicine, All India Institute of Medical Sciences, New Delhi, India
| | - R Lakshmy
- Department of Cardiac Biochemistry, All India Institute of Medical Sciences, New Delhi, India
| |
Collapse
|
29
|
Gupta P, Sood M, Gupta S, Gupta R. Malunited lateral condyle fracture of humerus with elbow dislocation: a diagnostic dilemma. Eur J Orthop Surg Traumatol 2018; 28:1441-1445. [PMID: 29721649 DOI: 10.1007/s00590-018-2219-6] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/22/2018] [Accepted: 04/23/2018] [Indexed: 11/25/2022]
Abstract
Fracture of lateral condyle with dislocation of the elbow joint is rare in pediatric age. Diagnosis and management of these injuries could be a challenge. Delayed presentation of such injuries could be mistaken for a malunited supracondylar fracture of the humerus and treatment of these injuries remains controversial. We present 2 such cases, where the diagnosis of dislocation of elbow was missed at initial presentation and caused diagnostic confusion at late presentation. The problems faced in the diagnosis of these injuries and the management of late presenting cases are discussed.
Collapse
Affiliation(s)
- Parmanand Gupta
- Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India.
| | - Munish Sood
- Department of Orthopaedics, Command Hospital, Chandimandir, Panchkula, Haryana, India
| | - Sandeep Gupta
- Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India
| | - Ravi Gupta
- Department of Orthopaedics, Government Medical College Hospital, Chandigarh, India
| |
Collapse
|
30
|
Abstract
BACKGROUND The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified Weaver Dunn procedure. MATERIALS AND METHODS 35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18-48 years (mean age 31 years), were operated using modified Weaver Dunn procedure at our center from May 2005 to June 2010. The dominant side was involved in 25 patients (22 right, 13 left). The mean period from the time of injury to the surgery was 14 days (range 4-26 days). All the patients were assessed with Oxford shoulder score and the time required to return to preinjury level was recorded. RESULTS At the mean followup of 95 months (range 72-120 months), the mean Oxford Shoulder Score improved from 25 ± 7.2 to 43 ± 6.9. 85% (30 out of 35) patients had satisfactory results, while 15% (5 out of 35) had mild shoulder dysfunction using this scoring system. Five patients had radiological evidence of Grade 2 ACJ subluxation. Out of these five patients, two developed ossification around the coracoclavicular ligament. Three patients had intermittent mild pain without any functional disability, and one had a moderate restriction of shoulder movements. CONCLUSION ACJ reconstruction, using the modified Weaver Dunn procedure in ACJ dislocation, is a reproducible procedure and provides a good functional outcome.
Collapse
Affiliation(s)
- Ravi Gupta
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Munish Sood
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India,Address for correspondence: Dr. Munish Sood, Department of Orthopaedics, Government Medical College and Hospital, Chandigarh - 160 030, India. E-mail:
| | - Anubhav Malhotra
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Gladson David Masih
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Tanu Khanna
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Mukta Raghav
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| |
Collapse
|
31
|
Khatri J, Sood M, Sud A, Kumar M. Acute compartment syndrome of forearm without facture in a toddler. J Mar Med Soc 2018. [DOI: 10.4103/jmms.jmms_58_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
32
|
Abstract
BACKGROUND Infection after anterior cruciate ligament reconstruction surgery (ACLRS) is a rare complication. Although there are number of studies from various Caucasian population but only few studies are available from Asian population. The aim of the study is to assess the incidence, risk factors and, clinical outcome using our treatment protocol. MATERIALS AND METHODS Out of 1468 arthroscopic ACLRS, 26 patients with clinical suspicion of infection were critically analysed in terms of laboratory reports of arthrocentesis, erythrocyte sedimentation rate, C-reactive protein and risk factors such as the type of graft, gender, diabetes mellitus, smoking, intraarticular steroid injection, and obesity. At final followup, all these patients were evaluated using visual analog scale (VAS), Lysholm knee score, and Tegner activity level. RESULTS In nine patients, culture did not show any growth and they showed improvement with arthrocentesis and oral antibiotics. These patients were labeled as suffering from aseptic effusion. In the remaining 17 patients, there was no clinical improvement or instead worsening of symptoms after arthrocentesis and oral antibiotics. These patients were labeled as suffering from an infection and underwent surgical debridement along with administration of injectable antibiotics. The history of intraarticular steroid injection before ACLRS was a significant risk factor for developing infection (P = 0.001). At mean followup of 2.8 years, mean VAS improved to 1.18 ± 0.99 from 6.2 ± 2.3. The mean Lysholm knee score and Tegner's activity level at the final followup were 79.2 ± 10.52 and 4.8 ± 2.30, respectively. CONCLUSION The incidence of infection was 1.2% (17/1468). The step-ladder approach of differentiating between aseptic effusion and infection and accordingly, following a treatment protocol, i.e., oral antibiotics alone or surgical debridement along with injectable antibiotics or additional debridement of graft in refractory patients, yielded satisfactory results.
Collapse
Affiliation(s)
- Ravi Gupta
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India,Address for correspondence: Dr. Ravi Gupta, Department of Orthopaedics, Government Medical College and Hospital, Sector 32, Chandigarh, India. E-mail:
| | - Munish Sood
- Department of Orthopaedics, Command Hospital Chandimandir, Panchkula, Haryana, India
| | - Anubhav Malhotra
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Gladson David Masih
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Mukta Raghav
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Tanu Khanna
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| |
Collapse
|
33
|
Sood M, Sud A, Vikas R. Original report: Transtibial and transportal techniques of anterior cruciate ligament reconstruction provide similar functional outcome: A comparative study conducted at an armed forces hospital. J Mar Med Soc 2018. [DOI: 10.4103/jmms.jmms_55_17] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
34
|
Gupta R, Malhotra A, Sood M, Masih GD. Retained Drain after Anterior Cruciate Ligament Surgery : A Silent Threat to an Athlete's Career: A Case Report. J Orthop Case Rep 2017; 7:10-12. [PMID: 29181343 PMCID: PMC5702693 DOI: 10.13107/jocr.2250-0685.826] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022] Open
Abstract
Introduction: Breaking of surgical drain during the removal and retention of broken drain fragment is an avoidable complication. Such a complication brings disrepute to the operating team and causes psychological as well as further surgical trauma to the patient as a return to the operating room is required many a times to remove the retained drain fragment. Case Report: We report a case of an undetected retained drain fragment inside the knee joint of a 24-year-old male international kabaddi player, who remained asymptomatic for 5 months, when the residual drain fragment was removed arthroscopically. No such case has been reported earlier in the literature after arthroscopic surgery. Conclusion: Retained drain fragment after arthroscopic surgery can stay silent for months. Hence, a high index of suspicion should be maintained by surgeons to detect such a complication at the earliest. We suggest that every arthroscopic surgeon should follow a standard protocol while inserting and removing the drain to avoid this mistake.
Collapse
Affiliation(s)
- Ravi Gupta
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Anubhav Malhotra
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| | - Munish Sood
- Department of Orthopaedics, Trained in Arthroscopy Command Hospital, Chandi Mandir, Panchkula, Haryana, India
| | - Gladson David Masih
- Department of Orthopaedics, Government Medical College and Hospital, Chandigarh, India
| |
Collapse
|
35
|
Sood M, Ghai A. Functional outcome after arthroscopic management of traumatic recurrent dislocation shoulder using Bankart repair and Remplissage techniques. Med J Armed Forces India 2017; 74:51-56. [PMID: 29386732 DOI: 10.1016/j.mjafi.2017.05.004] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/30/2016] [Accepted: 05/10/2017] [Indexed: 01/10/2023] Open
Abstract
Background Recurrent dislocation shoulder is one of the common shoulder injuries encountered by the orthopedic surgeon in clinical practice. Bankart repair using the arthroscopic method has become one of the standard techniques in the management of recurrent dislocation shoulder. Remplissage technique can be used as adjunct to Bankart repair in certain conditions. Method In this case series, we have assessed the functional outcome and return to activity at midterm follow-up after arthroscopic management. Results 51 patients with traumatic shoulder dislocation were operated using the shoulder arthroscopic technique. Rowe score improved significantly at the latest follow-up. No major complication was noticed in our case series. Conclusion The shoulder arthroscopy procedure requires special instrumentation and expertise. We believe that this is a less invasive and safe procedure and provides an additional tool in the management of instabilities including in cases of complex recurrent dislocation of the shoulder.
Collapse
Affiliation(s)
- Munish Sood
- Classified Specialist (Orthopaedics and Trained in Arthroscopy), Command Hospital (Western Command), Chandimandir 134107, India
| | - Amresh Ghai
- Senior Advisor & Head (Orthopaedics), Base Hospital, Delhi Cantt 110010, India
| |
Collapse
|
36
|
Sood M, Ghai A. Shoulder arthroscopy: Minimally invasive surgery for primary synovial chondromatosis of the shoulder. J Orthop Traumatol Rehabil 2017. [DOI: 10.4103/jotr.jotr_30_16] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
37
|
Rodriguez L, Sood M, Di Lorenzo C, Saps M. An ANMS-NASPGHAN consensus document on anorectal and colonic manometry in children. Neurogastroenterol Motil 2017; 29. [PMID: 27723185 DOI: 10.1111/nmo.12944] [Citation(s) in RCA: 82] [Impact Index Per Article: 11.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/10/2016] [Accepted: 08/18/2016] [Indexed: 02/08/2023]
Abstract
BACKGROUND Over the last few years, the study of the colon and anorectal function has experienced great technical advances that have facilitated the performance of the tests and have allowed a more detailed characterization of reflexes and motor patterns. As a result, we have achieved a much better understanding of the pathophysiology of children with defecation problems. Anorectal and colonic manometry are now commonly used in all major pediatric referral centers as diagnostic tools and to guide the management of children with intractable constipation and fecal incontinence, particularly when a surgical intervention is being considered. PURPOSE This review highlights some of the recent advances in pediatric colon and anorectal motility testing including indications and preparation for the studies, and how to perform and interpret the tests. This update has been endorsed by the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN).
Collapse
Affiliation(s)
- L Rodriguez
- Department of Gastroenterology, Hepatology and Nutrition, Boston Children's Hospital, Boston, MA, USA
| | - M Sood
- Department of Pediatric Gastroenterology, Children's Hospital of Wisconsin, Milwaukee, WI, USA
| | - C Di Lorenzo
- Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA
| | - M Saps
- Department of Pediatric Gastroenterology, Hepatology, and Nutrition, Nationwide Children's Hospital, Columbus, OH, USA
| |
Collapse
|
38
|
Sood M, Sud A, Ghai A, Khatri JP. Lower radial nerve palsy in mid shaft humerus fracture using medial plating. J Mar Med Soc 2017. [DOI: 10.4103/jmms.jmms_32_17] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
39
|
Sood M, Ranjan R, Chadda R, Khandelwal S. Changing Pattern of Clinical Profile of First Contact Patients Attending Outpatient Services At the General Hospital Psychiatric Units In India Over the Last 50 Years. Eur Psychiatry 2016. [DOI: 10.1016/j.eurpsy.2016.01.1784] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
IntroductionOver the last eight decades, general hospital psychiatric units (GHPUs) have become important mental health service set-ups in India. This period has seen a large number of radical changes in the Indian society. In this background, it is important to know if it had any effects on the patients attending the GHPUs.MethodologyA total of five hundred subjects, attending a GHPU were recruited prospectively for the study. The subjects were assessed using a semi-structured proforma. A comparison was made with similar studies conducted in GHPU settings over the last 5 decades.ResultsNeurotic, stress related and somatoform disorders was the commonest diagnostic group (33%) followed by psychotic disorders (17%) and mood disorders (15%). The finding is broadly similar to the studies done at different times in the last 5 decades. However, there were lesser number of patients with mental retardation, organic brain syndrome and seizure disorder.ConclusionThe study highlights the strengths of GHPU set-ups like inter-speciality referrals, fewer stigmas, patients travelling from far off places to seek treatment and involvement of family in the care of mentally ill.Disclosure of interestThe authors have not supplied their declaration of competing interest.
Collapse
|
40
|
Bews H, Zhang Y, Rigatto C, Sood M, Tangri N, Eng A, Komenda P, Jassal D. THE UTILITY OF BEDSIDE CLINICAL ASSESSMENT OF INTRAVASCULAR VOLUME STATUS WITH HAND CARRIED ULTRASOUND DEVICES IN HEMODIALYSIS CLINICS. Can J Cardiol 2015. [DOI: 10.1016/j.cjca.2015.07.430] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022] Open
|
41
|
Majumder P, Khandelwal SK, Sood M, Nehra A, Sharma BS. A comparative study of cognitive function following traumatic brain injury: Significance of initial Glasgow coma scale score to predict cognitive outcome. J Mental Health Hum Behav 2015. [DOI: 10.4103/0971-8990.174593] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/04/2022] Open
|
42
|
Griva K, Mooppil N, Pala Krishnan DS, McBain H, Newman SP, Tripepi G, Pannier B, Mallamaci F, London G, Zoccali C, Sood M, Manns B, Kappel J, Naimark D, Dart A, Komenda P, Rigatto C, Hiebert B, Tangri N, Perl J, Karaboyas A, Tentori F, Morgenstern H, Sen A, Rayner H, Vanholder R, Combe C, Hasegawa T, Mapes D, Robinson B, Pisoni R, Tentori F, Zepel L, Karaboyas A, Mendelssohn D, Ikizler T, Pisoni R, Fukuhara S, Gillespie B, Bieber B, Robinson B, Wilkie M, Karaboyas A, Rayner H, Fluck R, Morgenstern H, Li Y, Kerr P, Mendelssohn D, Wikstrom B, Tentori F, Pisoni R, Robinson B, Vanita Jassal S, Comment L, Karaboyas A, Bieber B, Morgenstern H, Sen A, De Sequera P, Marshall M, Fukuhara S, Robinson B, Pisoni R, Jin HM, Pan Y, Raimann JG, Etter M, Kooman J, Levin N, Marcelli D, Marelli C, van der Sande F, Thijssen S, Usvyat L, Kotanko P, Lu KC, Yang HY, Su SL, Palmer S, Saglimbene V, Ruospo M, Craig J, Celia E, Gelfman R, Stroumza P, Bednarek A, Dulawa J, Frazao J, Del Castillo D, Ecder T, Hegbrant J, Strippoli GFM, Hecking M, Bieber B, Ethier J, Kautzky-Willer A, Jadoul M, Saito A, Sunder-Plassmann G, Saemann M, Gillespie B, Horl W, Mariani L, Ramirez S, Pisoni R, Robinson B, Port F, Mallamaci F, Tripepi G, Leonardis D, Zoccali C, Fukuma S, Akizawa T, Akiba T, Saito A, Kurokawa K, Fukuhara S, Pannier B, Tripepi G, Mallamaci F, Zoccali C, London G, Stack AG, Casserly LF, Abdalla AA, Murthy BVR, Hegarty A, Cronin CJ, Hannigan A, Shaw C, Pitcher D, Sandford R, Spoto B, Pizzini P, Cutrupi S, D'Arrigo G, Tripepi G, Zoccali C, Mallamaci F, Ghalia K, Gubensek J, Arnol M, Ponikvar R, Buturovic-Ponikvar J, Palmer S, de Berardis G, Craig JC, Pellegrini F, Ruospo M, Tong A, Tonelli M, Hegbrant J, Strippoli GFM, Pizzini P, Torino C, Cutrupi S, Spoto B, D'Arrigo G, Tripepi R, Tripepi G, Zoccali C, Mallamaci F, von Gersdorff G, Usvyat L, Schaller M, Wong M, Thijssen S, Marcelli D, Barth C, Kotanko P, Torino C, D'Arrigo G, Postorino M, Tripepi G, Mallamaci F, Zoccali C, Chanouzas D, Ng KP, Baharani J, Endo M, Nakamura Y, Hara M, Murakami T, Tsukahara H, Watanabe Y, Matsuoka Y, Fujita K, Inoue M, Simizu T, Gotoh H, Goto Y, Delanaye P, Cavalier E, Moranne O, Krzesinski JM, Warling X, Smelten N, Pottel H, Schneider S, Malecki AK, Haller HG, Boenisch O, Kielstein JT, Movilli E, Camerini C, Gaggia P, Zubani R, Feller P, Poiatti P, Pola A, Carli O, Valzorio B, Possenti S, Bregoli L, Foini P, Cancarini G, Palmer S, Ruospo M, Natale P, Gargano L, Saglimbene V, Pellegrini F, Johnson DW, Craig JC, Hegbrant J, Strippoli GFM, Brunelli S, Krishnan M, Van Wyck D, Provenzano R, Goykhman I, Patel C, Nissenson A, De Mauri A, Conte MM, Chiarinotti D, David P, Capurro F, De Leo M, Postorino M, Marino C, Vilasi A, Tripepi G, Zoccali C, Dialysis C, Helps A, Edwards G, Mactier R, Coia J, Abe Y, Ito K, Ogahara S, Sasatomi Y, Saito T, Nakashima H, Jean-Charles C, Morgane V, Leila P, Carole S, Pierre-Louis C, Philippe Z, Jean-Francois T, Couchoud C, Dantony E, Guerrin MH, Villar E, Ecochard R, Nishi S, Goto S, Nakai K, Kono K, Yonekura Y, Ito J, Fujii H, Korkmaz S, Ersoy A, Gulten S, Ercan I, Koca N, Serdengecti K, Suleymanlar G, Altiparmak M, Seyahi N, Jager K, Trabulus S, Erek E, Cobo Jaramillo G, Gallar P, Di Gioia C, Rodriguez I, Ortega O, Herrero JC, Oliet A, Vigil A, Pechter U, Luman M, Ilmoja M, Sinimae E, Auerbach A, Lilienthal K, Kallaste M, Sepp K, Piel L, Seppet E, Muliin M, Telling K, Seppet E, Kolvald K, Veermae K, Ots-Rosenberg M, Ambrus C, Kerkovits L, Szegedi J, Benke A, Toth E, Nagy L, Borbas B, Rozinka A, Nemeth J, Varga G, Kulcsar I, Gergely L, Szakony S, Kiss I, Koo JR, Choi MJ, Yoon MH, Park JY, No EY, Seo JW, Lee YK, Noh JW. Epidemiology - CKD 5D II. Nephrol Dial Transplant 2013. [DOI: 10.1093/ndt/gft151] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
|
43
|
MacCall CA, Ritchie G, Sood M. Oral fluid testing as an alternative to urine testing for drugs of abuse in inpatient forensic settings: giving patients choice. Scott Med J 2013; 58:99-103. [DOI: 10.1177/0036933013482640] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
Background and aims The abuse of illicit substances is very common amongst forensic psychiatry populations and is known to be one of the most potent risk factors for interpersonal violence. Forensic psychiatry units hence strive to keep themselves as free as possible from illicit substances and in Scotland drugs of abuse have traditionally been screened for by means of urine testing. The aim of this study is to examine patients’ preferences for drug testing methods and to compare the acceptability of urine testing versus oral fluid testing (OFT) within a secure hospital setting. Methods Patients in three continuing care wards at the State Hospital, Carstairs were offered the choice of either urine or oral fluid testing. We developed protocols and recording forms and trained staff in the administration of the OFT. We recorded the sampling time for OFT and urine, and the views of patients and staff on the testing procedures over a six month period. Results Sixty-two samples were taken, with 53 (85%) opting for OFT and nine (15%) opting for urine sampling. The average time taken for OFT was 13 minutes, while the average time taken for urine sampling was 33 minutes. The majority of patients and staff rated oral fluid and urine testing as comfortable and easy. Patients recorded comments on 46 (87%) of OFT samples, only two of which were negative. In general they preferred the OFT because it was quicker and easier and they commented on it being more dignified and private. Patients recorded comments on five (55%) of urine samples, with one of the primary reasons for opting for urine sampling appearing to be a reluctance to try new things, though a few said they did not want to have anything in their mouths. Staff returned comments on 24 (45%) of OFT samples and one (11%) of urine samples. Comments on the OFT were overwhelmingly positive and pointed out the relative speed and ease of this sampling method. Conclusions We concluded that the pilot study was successful. OFT was found to be generally preferred by patients and staff. Although there was an additional financial cost, this was considered to be outweighed by the significant benefits arising from offering patients choice, the preservation of patient dignity and staff time savings. The option of OFT has now been extended to all patients within the State Hospital. Practitioners will wish to consider the value of OFT in forensic psychiatry inpatient settings given the benefits identified within this study.
Collapse
Affiliation(s)
- CA MacCall
- Consultant Forensic Psychiatrist, Department of Forensic Psychiatry, State Hospital, UK
| | - G Ritchie
- Consultant Nurse, Department of Nursing, State Hospital, UK
| | - M Sood
- Specialist Registrar in Forensic Psychiatry, Department of Forensic Psychiatry, Rowanbank Clinic, UK
| |
Collapse
|
44
|
Saeed M, Lim V, Malik A, Cordova F, Tappia P, Rigatto C, Shafer L, Sood M, Zieroth S. 488 Serial Measures of the Fractional Excretion of Urea(FEurea), Fractional Excretion of Sodium(FEna) and the Urea/Creatinine Ratio(UCr) for Predicting Changes in Renal Function in Ambulatory Heart Failure Patients. Can J Cardiol 2012. [DOI: 10.1016/j.cjca.2012.07.446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
45
|
Saeed M, Lim V, Tappia P, Cordova F, Malik A, Rigatto C, Shafer L, Sood M, Zieroth S. 492 Urinary NGAL is not Associated With Renal Function Changes or Hospitalization in Ambulatory Heart Failure Patients. Can J Cardiol 2012. [DOI: 10.1016/j.cjca.2012.07.450] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
|
46
|
Saeed M, Lim V, Tappia P, Cordova F, Malik A, Rigatto C, Shafer L, Sood M, Zieroth S. 490 Change in Renal Function and Association With Acute Hospitalization in Chronic Ambulatory Heart Failure Patients. Can J Cardiol 2012. [DOI: 10.1016/j.cjca.2012.07.448] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022] Open
|
47
|
Rizkallah J, Sood M, Reslerova M, Cordova F, Malik A, Zieroth S. 696 Peritoneal dialysis for the treatment of refractory congestive heart failure. Can J Cardiol 2011. [DOI: 10.1016/j.cjca.2011.07.580] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022] Open
|
48
|
Nagpal SJS, Mishra N, Chadda RK, Sood M, Garg R. Changing trends of services used as first contact by patients with mental health problems. Natl Med J India 2011; 24:148-150. [PMID: 21786843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/31/2023]
Abstract
BACKGROUND In the past, traditional faith healers and practitioners of alternative medicine have often been reported to be the first source of contact for Indian patients with mental health problems. However, over the past few decades, this trend seems to be changing. METHOD Using a semi-structured questionnaire, we assessed 200 new patients at a psychiatric outpatient service in a general hospital for the first service contact used by them for their mental health problems. RESULTS Psychiatrists, non-psychiatric physicians, traditional faith healers and practitioners of alternative medicine were the first service contact for 91 (45.5%), 88 (44%), 16 (8%) and 5 (2.5%) patients, respectively. Patients suffering from severe mental illnesses were more likely to choose a psychiatrist as the first contact, whereas those with neurotic, stress-related and organic mental disorders contacted a non-psychiatric physician. CONCLUSION In the current scenario, psychiatrists and nonpsychiatric physicians serve as the first service contact for most patients with mental health problems in India, though traditional faith healers and practitioners of alternative medicine are contacted by a minority.
Collapse
Affiliation(s)
- S J S Nagpal
- Department of Psychiatry, All India Institute of Medical Sciences, Ansari Nagar, New Delhi, India
| | | | | | | | | |
Collapse
|
49
|
Bedi P, Kaur H, Gupta B, Talreja J, Sood M. A Website Recommender System Based on an Analysis of the User's Access Log. Journal of Intelligent Systems 2009. [DOI: 10.1515/jisys.2009.18.4.333] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/15/2022] Open
|
50
|
Sood M, Chadda RK. Women physicians in India. Natl Med J India 2008; 21:154. [PMID: 19004152] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 05/27/2023]
|