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The coagulopathy of liver organ illness: any shift in pondering.
Age and BMI were significantly negatively correlated with PCQs score (
 = - 0.473;
 < 0.0001 and
 = - 0.136;
 = 0.046). PCQs scores were significantly lower in females (
 = 0.031). Total PCQs score had corresponding OR of 0.901 (
 = 0.002) towards knee OA after adjusting for age, gender and BMI. Multivariate model-based LOS resulted in a cut-off of 1.315, which had a sensitivity of 85.5%, specificity of 66.7% and PPV of 92.7%.
Severity of knee OA can be predicted based on PCQs. PCQs can predict severity of knee OA and patellofemoral or medial tibiofemoral compartment without radiographs. LOS based on demographics and total PCQs score can be developed as a screening tool for advanced knee OA.
Severity of knee OA can be predicted based on PCQs. PCQs can predict severity of knee OA and patellofemoral or medial tibiofemoral compartment without radiographs. LOS based on demographics and total PCQs score can be developed as a screening tool for advanced knee OA.
Osteoarthritis of knee is one of the important causes of knee pain in elderly patients and is a debilitating disease. It often leads to varus deformity of knee. Many treatment options are available for this progressive knee joint disorder. Proximal fibular osteotomy (PFO) is a novel yet simple procedure used to alleviate the symptoms of medial compartment knee osteoarthritis. The present study was undertaken to evaluate whether this procedure improves the symptoms, functions and limb alignment in patients with medial compartment knee osteoarthritis.
Following approval by the Institutional Review Board, this prospective study included 42 cases (56 knees) with Kellgren-Lawrence grade II and III medial compartment knee osteoarthritis and underwent proximal fibular osteotomy. Clinical assessment was done by visual analogue scale (VAS) score and The Western Ontario and McMaster universities osteoarthritis Index (WOMAC) score pre-operatively and at 3, 6 and 12months follow-up for pain and functional improvementMAC scores were significantly better at 3 months after surgery. However these did not show any significant improvement at 6 and 12 months. It does not change the alignment of knee at one year follow-up. Triton X-114 cost The authors conclude that proximal fibular osteotomy provides only short-term relief in patients of medial compartment knee osteo-arthritis.
The primary objective of this study was to evaluate the quality of life following limb lengthening surgery in patients with achondroplasia. The complications and different lengthening techniques have and effects on mid-term results were also investigated.
We performed a retrospective, multicenter study by evaluating the records of patients with achondroplasia operated in our clinic between 1999 and 2014 for limb lengthening with a minimum follow-up of 3years. Forty nine patients were underwent bilateral lower limb lengthening surgery and 21 of 49 patients underwent bilateral humerus lengthening surgery. Patients were evaluated by the Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales to assess the health-related quality of life (HRQOL) of children. Twenty patients with achondroplasia who had no lengthening surgery history were also evaluated with the PedsQL score as the control group.
The average age at the time of first surgery was 6.17years. The average follow-up period was 100.2months. Triton X-114 cost The average age at the time of study 14.70 ± 2.44 (11-18)years. There were significant differences between the patients with humeral lengthening and patients who did not undergo humeral lengthening in all scores. Transient complications had minimal effects on scores. Although all scores in the operated group were higher than non-operated patients with achondroplasia, there were no significant differences.
Quality of life was significantly improved as a result of humerus lengthening surgery of patients with achondroplasia, despite minor complications compared with Lower limb lengthening surgery.
Level III, case control study.
Level III, case control study.
Role of heritable blood clotting disorders, both thrombophilias and hypofibrinolysis in causing avascular necrosis (AVN) of femoral head have been studied in regions like Europe and U.S.A. This study was done to investigate the role of heritable thrombophilias in ethnic Indian population.
A case control study of 150 patients (100 cases and 50 age and sex matched controls) of Indian Ethnicity with clinico-radiographically documented idiopathic AVNof femoral head was done after ethics committee approval. DNA was extracted from the blood and PCR analysis was used to study heritable thrombophilic gene mutation (G1691A Factor V Leiden). Enzyme-linked immunosorbent assay (ELISA)-based assays, were utilized to measure antigen levels of protein C, antithrombin III levels and protein S.
Nine cases out of 100 showed deficiency of Protein C (9%) while no control showed deficiency of Protein C (
value 0.028-significant, Odds ratio 9.791) Ten cases showed deficiency of Protein S (10%) in study population as compared to one case (2%) in control population (
value 0.038-significant, Odds ratio 5.44). ATIII deficiency was more prevalent in control group i.e. 22% compared to 11% in study group. Factor V mutation was present in 3% cases as compared to one (2%) in control group. (
value is 0.393-not significant).
Difference in thrombophilic mutations in various populations indicates possible effect of ethnicity on genetic profile in the development of AVN. This risk stratification will enable in near future early diagnosis and possible role of antithrombotics in disease prevention.
Difference in thrombophilic mutations in various populations indicates possible effect of ethnicity on genetic profile in the development of AVN. This risk stratification will enable in near future early diagnosis and possible role of antithrombotics in disease prevention.
This study aimed to introduce the medulloscopy-assisted autologous bone graft for osteonecrosis of the knee following adolescent leukemia treatment and to report the mid-term clinical and radiological results.
We retrospectively reviewed records of eight consecutive knees in six patients with extensive osteonecrosis of the distal femoral condyles, from 2013 to 2015. All patients were treated with autologous bone grafts using medulloscopy. We evaluated functional and objective Knee Society Score (KSS) pre- and postoperatively. Clinical and radiological outcomes were evaluated at the last follow-up.
The mean age of the patients at the time of surgery was 21.5years. The mean follow-up period was 45months. No additional surgery was required during the follow-up period. The mean objective KSS significantly increased from 60.6 points (range 55-65) to 90.0 points (range 70-95), postoperatively (
 < 0.001). The mean functional KSS significantly improved from 48.8 points (range 45-55) to 90.0 points (range 80-100) postoperatively (
 < 0.