bluuebunny/crossref_metadata_2025 huggingface dataset:
Pine Emperor moths from KwaZulu-Natal use the same pheromone component previously isolated from Nudaurelia cytherea (Lepidoptera: Saturniidae) from the Western Cape
Authors: Scheepers Luki-Marie , Allison Jeremy D. , Slippers Bernard , Rohwer Egmont R. , Mc Millan Patrick M. , Bello Jan E. , Bouwer Marc C.
Published: February 2023

Nudaurelia spp. (Saturniidae) are sporadic pests of pine plantations in South Africa. Taxonomic uncertainty exists in South Africa with this group and represents an impediment to the development and implementation of pheromone-based management tactics. Populations from the Western Cape have been described as Nudaurelia cytherea while those from KwaZulu-Natal and Mpumalanga have been described as Nudaurelia clarki. We compared Cytochrome oxidase subunit I (COI) gene sequences from moths from the Western Cape, KwaZulu-Natal (KZN) and Mpumalanga regions. We also analysed female pheromone gland extracts with gas-chromatography electroantennographic detection (GC-EAD) and gas-chromatography-mass spectrometry (GC-MS) for moths from KwaZulu-Natal and Mpumalanga. COI gene barcoding sequences were identical for moths from the Western Cape, KwaZulu-Natal (KZN) and Mpumalanga regions providing preliminary evidence to suggest that these populations may be the same species. Based on the available literature, the morphology and origin of our samples suggests that pheromone analyses in this study were done on N. clarki. Male N. clarki antennae respond to two compounds in female extracts. One of these compounds was confirmed with a synthetic standard to be (Z)-dec-5-en-1-yl-3-methylbutanoate, the sex pheromone previously identified from N. cytherea. The identity of the second compound could not be confirmed. Both male and female antennae responded to four structurally related compounds in the synthetic pheromone standard. Field trials with custom-made traps confirmed attraction of N. clarki males to polydimethylsiloxane and polyisoprene lures loaded with synthetic (Z)-dec-5-en-1-yl-3-methylbutanoate.
Le concept de tout dans la théorie de l’art
Authors: Mukařovský Jan
Published: February 2023

La conférence d’aujourd’hui est, c’est le mot, «de circonstance», car elle se réfère au thème proposé à la discussion par le professeur Jan Bělehrádek dans ses conférences au Cercle linguistique de Prague. Lors de l’une de ces discussions, j’ai mentionné que l’un des thèmes analysés avec tant de fécondité, celui du tout, gagnerait à être concrétisé sur des matériaux divers pour montrer dans quelle mesure il peut se métamorphoser en fonction de la diversité de ces matériaux…
L’art comme fait sémiologique
Authors: Mukařovský Jan
Published: February 2023

Il est de plus en plus clair que la charpente de la conscience individuelle est donnée, jusque dans les couches les plus intimes, par des contenus appartenant à la conscience collective. Par conséquent, les problèmes du signe et du sens deviennent de plus en plus urgents, car tout contenu psychique dépassant les limites de la conscience individuelle acquiert par le fait même de sa communicabilité le caractère de signe…
Contradictions dialectiques dans l’art moderne
Authors: Mukařovský Jan
Published: February 2023

Si nous voulons tenter une esquisse de la dialectique dans l’art moderne, il convient tout d’abord de préciser ce que nous entendons par art moderne. Le concept de ‘modernité’ est très vague. Rien que du fait de son caractère fluctuant, on le considère tantôt comme une certaine valeur, tantôt au contraire comme une simple détermination temporelle…
La poétique du texte
Authors: Bílek Petr A.
Published: February 2023

L’élément le plus influent de la doctrine de l’École de Prague est le concept saussurien de sémiologie ou science des signes: elle y a à peu près toujours conservé une place centrale. Dans la réflexion critique de Mukařovský sur la littérature, elle se présente sous l’espèce de deux notions ou concepts-clés: système et signification…
Tradition de la forme
Authors: Mukařovský Jan
Published: February 2023

À une époque où la question de la spécificité de la culture nationale tchèque revêt une portée historique (car seule la capacité de vivre pleinement dans la société des autres nations, tout en transformant les idées et les influences étrangères à sa propre image donne à une nation le droit de participer sur un pied d’égalité à la compétition culturelle) et, dans un recueil consacré à un chercheur qui, dans toute son œuvre jusqu’à ce jour a répondu à la question de l’autonomie de la production écrite tchèque, cherchant sans relâche à y apporter une réponse plus complète, il n’est pas déplacé d’envisager la singularité qui caractérise l’évolution de la forme artistique dans la littérature tchèque…
Poésie française de Karel Čapek
Authors: Mukařovský Jan
Published: February 2023

Seize ans après sa parution, l’anthologie de poésies traduites par Čapek est rééditée. Tandis que la première édition était introduite par une préface de l’auteur, exposant son objectif et sa méthode, la seconde s’ouvre avec une préface de Nezval, qui évalue non seulement les traductions elles-mêmes, mais aussi leur influence sur l’évolution ultérieure de la poésie tchèque. Il est aujourd’hui tout à fait clair que l’importance du livre de Čapek ne se limite pas à son rôle de médiation entre la littérature française et le public tchèque, mais qu’il est devenu une étape importante dans l’évolution de la poésie tchèque, accomplissant ainsi une tâche qu’il est très rarement donné d’accomplir même aux ouvrages de poésie en langue originale…
Analyse sémantique d’une œuvre poétique
Authors: Mukařovský Jan
Published: February 2023

Dans la période actuelle, où l’être humain est rempli d’angoisse face au flot puissant des transformations de la réalité tant matérielle (voir les avancées de la technique moderne et les découvertes des sciences naturelles sur les fondements de la matière, sur la causalité, etc.) que sociale, économique et politique, la tâche principale de l’art ne consiste ni à procurer une émotion agréable ni à fournir des modèles de beauté équilibrée, mais bien à donner à l’être humain de quoi s’orienter dans le chaos apparent de cette évolution inhabituelle par son accélération, d’anticiper grâce à son toucher sensible les changements prochains et d’adapter la structure de la psyché humaine aux contours des certitudes nouvelles en passe de se créer tels qu’il commence à les deviner. C’est pourquoi au premier plan de l’intérêt pour l’art et de l’intérêt des artistes eux-mêmes ne figure aujourd’hui ni la perfection du détail ni la bonne facture de l’ensemble, mais bien la manière dont l’artiste, par son œuvre, se fraye un chemin vers la réalité…
Individu et évolution littéraire
Authors: Mukařovský Jan
Published: February 2023

Dans les sciences culturelles comme dans la vie courante, le problème de la personnalité se pose de manière toujours plus pressante. La théorie comme la pratique mènent à un regain d’intérêt pour l’individu. Dans la pratique, il s’agit de la responsabilité de l’individu, qui est surtout évidente là où il s’exerce une influence directe sur le cours des événements; quant à la théorie, elle ne peut pas impunément ignorer l’individu, si elle veut comprendre la complexité réelle du processus évolutif…
Intentionnalité et non-intentionnalité dans l’art
Authors: Mukařovský Jan
Published: February 2023

Parmi les artefacts humains, l’œuvre d’art paraît l’archétype même de la création intentionnelle. Certes, la création pratique est aussi intentionnelle, mais dans son cas on ne considère que les propriétés de l’objet manufacturé qui doivent servir au but envisagé, en négligeant toutes ses autres propriétés, indifférentes pour ce but…
L’œuvre poétique comme ensemble de valeurs
Authors: Mukařovský Jan
Published: February 2023

Une œuvre poétique contient quantité de valeurs les plus diverses. Mais aucune d’elle n’est indispensable à l’œuvre poétique envisagée comme expression artistique, hormis la valeur esthétique…
L’individu dans l’art
Authors: Mukařovský Jan
Published: February 2023

C’est une double fonction que l’individu exerce dans l’art: celle de créateur et celle de sujet percevant. À première vue, ces deux fonctions semblent inséparablement opposées l’une à l’autre, la première nommée supposant une attitude active, la seconde, une attitude passive. Cependant leur séparation mutuelle n’est ni nette ni absolue…
The relationship between colorectal polyps and colon cancer with Helicobacter pylori infection
Authors: Aghayeva Turaj , Arı Aziz , Büyükaşık Kenan , Özkan Atakan
Published: February 2023

Background:  Our aim in this study is to determine the relationship among Helicobacter pylori (HP) with colon cancer and colorectal polyps. Thus, colorectal cancers (CRC) can be diagnosed at an early stage, the progression of the disease can be prevented and a contribution can be made to prolonging the life span of the patients.
Methods: The 75 patients as the case group and 150 patients as the control group were included in the study. Patients with family history of CRC and clinical symptoms  who had total colonoscopy in a tertiary hospital between 31/09/2021 and 31/03/2022 and underwent gastroscopic gastric biopsy and evaluated for HP were included. The patients were divided into three groups as patients with colorectal polyps, CRC and normal patients.
Results: HP positivity was more common in patients with cancer history than those without cancer history (p<0.001). In the analyzes performed, HP positivity was more common in patients with cancer than in patients without cancer (p<0.001). Concordantly, more polyps were detected in HP positive patients than in non-HP patients (p=0.001). In the analyzes performed, HP infection was significantly higher in patients with CRC and colorectal polyps compared to normal controls.
Conclusions: HP positive patients can be evaluated in terms of CRC and colorectal polyp.
Understanding a standard approach to the treatment of interstitial cystitis
Authors: Sipahi Mahammad F. K. G. K. , Desai Jitesh , Bhatt Ravi , Patel Sujan , Agarwal Chetan
Published: February 2023

Background: Interstitial cystitis/bladder pain syndrome (IC/BPS) is a chronic and painful bladder-related disorder which is characterized by pain and urinary symptoms. It is divided into 2 varieties based on morphological findings i.e. presence of Hunner’s lesion (HL) or no Hunner’s lesion (NHL). It can cause other problems like cognitive, behavioural, emotional and sexual symptoms. Grading is done based on Copenhagen classification and following which a treatment is devised which consists of medical or intravesical or surgical therapy.
Methods: A prospective, case-control study was done from the period of January 2019 to July 2022, where the patients were treated by a staged and standard approach, following the treatment protocol strictly. Patients were subjected to a cystoscopy and therapeutic hydro-dissection under spinal anaesthesia and oral therapy. If first line doesn’t work, a cocktail was given via intravesical route following which surgery was done. Later for quality-of-life multiple scales are used on day 0 which is the day patient presented and 90 days after the treatment.
Results: Majority in earlier phase of disease required only first line of treatment. While with HL intravesical therapy showed promising results. Only a few required surgical interventions.
Conclusions: IC/BPS understanding suggest that multifactorial etiology of this disease require phenotypic classification to differentiate between bladder-centric and/or bladder-beyond patho-physiologies. The future research shall focus on exploring IC/BPS pathophysiology underscoring angiogenic and immunogenic abnormalities and evolution of novel therapeutic regimens for this multi-factorial disease.
A clinical study of effects of tamsulosin in ureteric stent related morbidity
Authors: Lad Vipul , Trivedi Mitesh , Shah Yash , Modi Jenish , Bochiya Girish
Published: February 2023

Background: Most of the Ureteric surgery involves DJ stent Insertion to prevent post operative ureter related morbidity of the patients. This study aims towards the role of tamsulosin in relieving DJ stent related symptoms.
Methods: Prospective study conducted between June 2018 to October 2020 in 58 patients randomised by random-number chart into two groups, group A (Non tamsulosin) group B (Tamsulosin). The international prostate symptom score (IPSS) questionnaire and quality of life (QoL) was assessed on admission as a baseline before patient underwent the surgery and reassessed when the patient came for stent removal.
Results: The mean age of patients in group A (non-tamsulosin) was 39.38 years with range of 20 to 60 years. The mean age of patients in group B (tamsulosin) was 38.55 with range of 20 to 68 years. In group A consisted of 16 men and 13 women whereas group B had 13 men and 16 women. On comparing non tamsulosin and tamsulosin group, patients in which stent is removed at or <28 post operative day, mean IPSS+QoL component of questionnaire score is 14.1 (SD 3.8) and 11.8 (SD 4.1) respectively. While on comparing non tamsulosin and tamsulosin group, patients in which stent removed after 28th post operative day, mean IPSS+QoL component of questionnaire score is 18.9 (SD 1.0) and 6.4 (SD 1.1) respectively.
Conclusions: Oral administration of tablet Tamsulosin 0.4 mg once a daily before sleep at night improves DJ stent related morbid symptoms.
Predicting difficulty in laparoscopic cholecystectomy preoperatively using modified Randhawa scoring system
Authors: Philip Abhay M. , A. Rakesh Rai
Published: February 2023

Background: Laparoscopic cholecystectomy is a low-risk, minimally invasive operation and currently the standard for treatment of gallstone and gallbladder disease. Preoperative assessment of difficulty is required to prevent problems, ensure readiness, and ensure an effective course of surgery.
Methods: In our work, we attempted to use a modified grading system developed by Randhawa et al. to preoperatively predict a difficult laparoscopic cholecystectomy. Age, gender, illness duration, history of prior GB disease, BMI, abdominal scar location (infra or supraumbilical), palpable gallbladder, and sonographic findings (gall bladder wall thickness, pericholecystic collection, and impacted stone) were assessed in patients who had been diagnosed with GB stones and required LC. Depending on the individual surgeon's assessment, a procedure is rated as easy, difficult, or very difficult.
Results: On comparison of the test group difficulty level predicted with the gold standard of difficulty level intra op the test group has a sensitivity of 51.9 % and specificity of 100%. The test has a positive predictive value of 100% and Negative predictive value of 91.5%. The test and the gold standard agree on 154 out of 167 having a diagnostic accuracy of 92.21%. The Kappa value of 0.644 indicates very good agreement with a p value of <0.001. Area under the curve indicates 96.1% of the difficulty is predicted by the Total score and significant with p value of <0.001
Conclusions: The current modified Randhawa and Pujahari scoring method is useful and appropriate for forecasting operative outcome in laparoscopic cholecystectomy.
Clinical and histopathological characteristics of breast cancer and their epidemiological trends in Trichy, Tamil Nadu: a retrospective study
Authors: S. Rathee Shree , T. Karunaharan
Published: February 2023

Background: Breast cancer despite being the 2nd most commonly diagnosed, with around 68,50,00 deaths globally in 2020, has only handful of resources on the baseline characteristics, along with clinical features and histopathological findings in India.
Methods: A retrospective study was done among 52 patients who presented with breast cancer proven histologically, having identified nodal status by histopathology. All the data were collected from the medical record department.
Results: The mean age was found to be 42.74±11.8 years ranging from 23 to 72 years. Majority of the patients were more than 51 years old. Invasive ductal carcinoma 73.08% was the most common type observed and majority of the patients presented with stage IIb 30.77% and IIIa 28.85%. The mean size of the tumour was found to be 4.12±2.09 cm and the mean number of nodes involves were 4.60. Luminal A 42.31% was the most common immunophenotype observed followed by 23.08% of luminal B and 23.08% triple negative and rest Her2neu positive. 90.38% of the patients underwent modified radical mastectomy. Breast conservative surgery was done only among patients with stage I and II. Invasive ductal carcinoma (IDC) and invasive lobular carcinoma (ILC) was most commonly observed in right side of the breast compared to left, with upper outer quadrant being the most common site.
Conclusions: Thus, comparing the results of corelation with baseline characters helps in better understanding of the traits and presentation of breast cancer in women from rural environment in Tamil Nadu.
Spectrum of breast diseases in North Western India: an analysis of 8604 pathologies
Authors: Patel Pinakin , Kumar Naina , Gera Kriti , Lakhera Kamal Kishore , Singh Suresh , Gurjar Bheru , Hussain Akhlaq , Singhal Pranav Mohan , Singh Gora Bhoopendra , Sharma Raj Govind
Published: February 2023

Background: There is paucity of data on the spectrum of breast diseases in India due to lack of reporting system. This study was conducted to understand the pattern of breast diseases in northwest India. It is by far the largest study to provide epidemiological data on breast disease spectrum in India.
Methods: Total of 8604 breast pathological reports were obtained from four major diagnostic centers in North West India. These included benign and malignant breast lesions.
Results: There were 5985 (69.56%) lesions in the benign group and 2619 (30.43%) lesions in malignant group. Women formed 92.73% (7978) of the study group. Among benign lesions, most common were discrete benign lumps 59.19% (3543) followed by fibrocystic changes 16.02% (959). The most common age group was ≤20 years for discrete benign lumps and gynecomastia whereas 31-40 years for fibrocystic changes. Among malignant lesions, the most common was infiltrating duct carcinoma (not otherwise specified) with 32.72% (857) followed by infiltrating duct carcinoma (moderately differentiated) 26.84% (703) with the most common age group of 41-50 years. Among breast lesions in men, male breast carcinoma formed 2.25% (59) of malignant breast lesions. Gynecomastia formed 0.65% (560) of all breast lesions.
Conclusions: Most common breast lesions were discrete breast lumps. Benign lesions are more common in early 20’s while malignant lesions are more common in the 5th decade. The study revealed a higher proportion of male breast carcinoma.
Comparative study of outcomes in patients where pneumoperitoneum is created by Veress needle versus open method in laparoscopic surgeries
Authors: Thakore Digpal , RAY M. S. , Modi Naresh , Panchal Brinda , Raval Aditya , Patel Vishal
Published: February 2023

Background: The establishment of pneumoperitoneum is the inevitable first step in laparoscopic surgery as it increases the distance between the anterior abdominal wall and intra-abdominal viscera, thus creating a working space.
Methods: This prospective study was conducted on 50 patients. Patients were randomly divided into two groups, in first group, pneumoperitoneum is created by Veress needle and in second group, pneumoperitoneum is created by open method.
Results: The open method takes less time to create pneumoperitoneum while leads to statistically significant more gas leaks as compared to the closed method.
Conclusions: The open technique is almost equal to closed technique or Veress technique in terms of the time taken to complete the operation and major and minor complications because there was no statistically significant difference in the frequency of these parameters between the two techniques. The open method takes less time to create pneumoperitoneum while leads to statistically significant more gas leaks as compared to the closed method.
A comparative study between Wagner’s classification and new wound based diabetic foot ulcer severity score
Authors: Ravoori Harish Babu , Hyndavi Chinnala , Vunnam Pradeep Kumar
Published: February 2023

Background: Diabetes is considered to be one of the most common health problems all over the world in 21st century. In fact, it has been coined the ‘Black death of the 21st century due to its stark similarities with the 14th century plague in terms of rapid increase in its prevalence, morbidity and mortality. According to WHO, the number of diabetic patients in 2000 reached to 171 million and was predicted to increase to 380 million by 2020. The Indian diabetic population is expected to increase to 57 million by the year 2025. Diabetic foot ulcers are one of the most distressing complications of diabetes affecting around 15% of people with diabetes. The annual incidence of diabetic foot ulcers is around 3% and the reported incidence in U.S and U.K studies ranges as high as 10%. It has been reported that 85% of the lower limb amputations in diabetic patients are preceded by foot ulceration. These systems are variously based on the site of ulcer, depth, and presence or absence of neuropathy, infection and peripheral arterial disease and have been used to compare the outcomes. Diabetic ulcer severity score (DUSS) is one of the latest wound-based systems of classification. However, there is paucity of enough data to validate whether DUSS system is better as compared to other established and commonly used scoring system like Wagner’s classification. Hence, it was decided to validate DUSS scoring system with Wagner’s classification by comparing both keeping in view outcome of the disease.
Methods: Patients admitted under various surgical units from January 2022-January 2023, at Mamata medical college and hospital, Khammam. Total of 40 diabetic patients with diabetic foot ulcers irrespective of their duration, attending surgical outpatient clinic or admitted into the hospital (Mamata general hospital) were recruited into the study based on the inclusion and exclusion criteria mentioned below.
Results: DUSS score and Wagner’s score were found to be almost equal in evaluating the scores for treatment as p value was found to be statistically significant (p=0.001) and by KAPPA stats there was an absolute agreement (score 1) between DUSS and Wagner’s scoring system.
Conclusions: The new severity scoring system (DUSS) is equal to gold standard Wagner’s scoring system for predictive analysis which also provides an early idea regarding hospital admission, local surgery and health care costs. Since this scoring system 72 can be easily applied in daily clinical practice, it may be suitable in estimating putative healthcare costs.
A case report of a rare strangulated incisional umbilical Richter’s hernia of the transverse colon
Authors: Sykes Blake A. , Kapadia Chitrakanti R.
Published: February 2023

Richter’s hernias are not uncommon, however there have been very few articles which describe this type of hernia of the transverse colon. This case report is regarding a 76-year-old gentleman who presented with periumbilical pain and obstipation and was found to have a Richter’s hernia of the anti-mesenteric transverse colon. He underwent an open extended right hemicolectomy to resect the strangulated contents of the hernia and made good recovery subsequently. Upon review of the literature, it is clear that this is a very rare content for a Richter’s hernia and we believe this is the second report of an incisional Richter’s hernia of this kind. This case report and the discussion of the literature reminds us of the pathology of a Richter’s hernia and the principles of its investigation and management.
Rare presentation of penile cancer: a case report
Authors: Deo Arpit , Borkar Mrinalini , Sagrule Dhiraj , Gadade Gopal , Borse Shilpa
Published: February 2023

Penile cancer is rare. Squamous cell cancer usually starts on glans or coronal sulcus as a nodule, foul smelly ulcer or cauliflower like mass, which invades corpora cavernosa as it progresses sparing the urethra until late in the course of the disease.We report a case of 32-year-old male with squamous cell carcinoma of penis in the form of ulcer involving shaft of penis at the base with surrounding inguinoscrotal region managed with en-mass wide local excision of the malignant ulcer taking 1 cm margin from all sides with total penectomy with partial left scrotal skin excision with left orchidectomy with perineal urethrostomy with local scrotal advancement flap reconstruction with bilateral superficial inguinal lymphnode biopsy. Post op period was satisfactory. At discharge, flap was healthy with well-functioning perineal urethrostomy. Patienthad received 6 cycles of adjuvant chemotherapy.Ca penis can be present in any rare form and hence early diagnosis and timely management is the key.
A diagnostic dilemma: unusual case report of a dermoid cyst embellished with a tattoo in the midline of neck
Authors: Dave Dhruva M. , Kavthiya Jaydip R. , Gajera Darshan J.
Published: February 2023

Dermoid cysts are benign congenital tumours of ectoderm origin usually arising from the midline where the fusion of embryonic structures of both sides occurs. They are true hamartomas focal malformations that can resemble neoplasms grossly and even microscopically. We hereby presented a case of a 25 year old male presented with complaints of a midline neck swelling for 5 years which was found just beneath a symbol tattooed in the skin overlying the swelling. The USG, fine needle aspiration cytology and multislice CT scan reports strongly suggested findings of a dermoid cyst. However, there was a diagnostic challenge faced when chest CT suggested old granulomatous changes around the swelling region. After thorough history taking, physical examination and radiological investigations, the swelling was successfully excised with a complete margin which was sent for histo-pathological examination, results of which correlated with the initial diagnosis of it being a dermoid cyst with foreign-body reactions.
A descriptive longitudinal study of functional outcome in intra-articular distal end radius fracture with volar displacement treated by locking compression plate
Authors: Bhosale Nanasaheb D. , Naikwade Deepak
Published: February 2023

Background: The distal radius metaphysis is composed mainly of cancellous bone. On articular surface there is a biconcave articulating surface with the proximally placed carpal row (scaphoid and lunate fossae) and also a notch for articulation with the ulna. Objective of the research was to study the functional outcome in distal end radius fracture with volar displacement treated by locking compression plate.
Methods: A hospital based descriptive, longitudinal study was conducted with 114 patients aged between 20-60 years to assess functional outcome in patients of distal end radius fracture with volar displacement treated by locking compression plate.
Results: According to demerit point score system of Gartland and Werley, 75 (69.4%) patients had excellent score while 24 (17.5%) and 15 (13.1%) patients had good and fair score respectively. No patient had poor score. 6 (5.3%) and 2 (1.8%) patients had superficial infection and hypertrophic scar respectively while 1 (0.9%) patient had developed malunion.
Conclusions: Volar plating has excellent functional outcome with minimal complications thus proving that it is the prime modality of treatment for distal radius fractures.
Clinical and epidemiological profile of the patients with anterior cruciate ligament tear attending a tertiary care hospital at Srinagar
Authors: Gilani Mohamad Azhar , Mir Naseer Ahmad , Lone Aadil Hussain
Published: February 2023

Background: Anterior cruciate ligament (ACL) is the most frequently injured knee ligament especially as regards sports that include movements with sudden direction changes as knee supports body weight during them. The ACL is crucial in stabilizing the knee joint. The objective of the study was to describe the general and clinical profile of the patients having ACL tear.
Methods: This was a hospital based cross-sectional observational study. It was conducted on patients with ACL tear presenting to the department of orthopaedics SKIMS medical college and hospital Bemina from-December 2019 to June 2021. Information was obtained about the general characteristics and clinical profile of the patients. Knee stability was assessed by stability tests, Lysholm knee scoring and international knee documentation committee (IKDC) scale.
Results: Of the 40 patients, 50% belonged to the age-group of 31-50 years, 90% were males and 57.5% (n=23) were from rural areas. Sports injury was most common 35%. Giving way was the most common presenting symptom (100%) followed by locking (57.5%). Maximum patients 25(62.5%) had a score of 2 for manual Lachman grading, anterior drawer test 28 (70%) and Pivot shift grading 21(52.5%) whereas for Tegner activity level 23 (57.5%) had a score of 3. The mean Lysholm knee scoring was 64.65±6.82 and the mean IKDC scoring was 51.88±6.70.
Conclusions: ACL injury is mostly found in young people with active lifestyle. Sports related activities and road traffic accidents are the most common cause of ACL injury. Giving way and locking of the knee are the most common symptoms.
Assessment patient satisfaction after total hip replacement in Indian population
Authors: Desai Mohan M. , Chopade Ranjit Indrajeet , Shahare Pratik , Shere Pranav
Published: February 2023

Background: We aim to assess the satisfaction of patients after total hip replacement in Indian population. Nоwаdаys tоtаl hiр аrthrорlаsty is the finаl treаtment орtiоn рrоvided tо раtients with unsаlvаgeаble, severely аrthritiс, раinful аnd defоrmed hiрs. Раtient sаtisfасtiоn hаs been meаsured in multiрle оrthораediс рrосedures, inсluding tоtаl hiр аrthrорlаsty. THА is а соmmоn surgiсаl рrосedure thаt imрrоves the lives оf раtients with end-stаge аrthritis by deсreаsing раin, аnd imрrоving mоtоr function and mоbility аs measured by vаlidаted heаlth-relаted оutсоme tооls.
Methods: Patients were assessed at OPD visit or with telephonic conversation scores are calculated and mentioned in excel sheet. Post-surgery satisfaction score is the score created to measure the satisfaction after total hip replacement. This score contains different questionnaires. These questions include inquiry about relieve of pain, ability to do daily routine activities, requirement of walking aids etc. Score contains total 7 questions with answers.
Results: Out of 95 patients we found through this study that about 92.63% of patients are satisfied after total hip replacement. 7.37% of patients are dissatisfied. Satisfaction rate is more as compared to dissatisfaction rate.
Conclusions: In present study we have tried to eliminate other factors responsible for dissatisfaction such as hospital ward cleanliness, hospital administration, patient and hospital staff communication. We recommend total hip replacement surgery for end stage arthritis and is more beneficial to the patients in terms of improvement in post-operative pain and function.
Correlation of magnetic resonance imaging findings and arthroscopy findings in diagnosis of intra articular ligament injuries of knee joint
Authors: Chintapalli Surya Sri Karun , Thekkada Pavith Janardhan
Published: February 2023

Background: The knee is the largest synovial joint in body with extra and intra articular ligaments which act as supporting structures around the joint. The intra articular ligaments of knee are more commonly injured. An accurate and early diagnosis of the internal derangement of knee is necessary for planning the treatment. In this study we compare the findings of magnetic resonance imaging (MRI) with arthroscopy and evaluate the accuracy of MRI in diagnosing intra-ligament injuries of knee.
Methods: It is a prospective study conducted in the department of orthopaedics, Raja Rajeswari medical college and hospital, Bangalore from July 2018 to May 2021. Selection criteria include 80 patients who presented with history of ligamentous injury to the knee. The MRI was obtained and selected cases were posted for arthroscopic surgery after obtaining the informed consent. The MRI findings and Arthroscopy findings were correlated and statistical data analysis is prepared to obtain accuracy of MRI.
Results:  In this study 80 patients were selected and data was prepared. ACL tear presented with 100% sensitivity and 95% accuracy, PCL injuries shows 100% sensitivity and 97% accuracy, medial meniscus tears presented with sensitivity 96.15% and accuracy 95%, lateral meniscus tears presented with sensitivity 95.83% and accuracy 97.50% of MRI.          
Conclusions: In our study the MRI has more capable in detecting anterior horn tears, multiple tears and underneath tears that may be overlooked in arthroscopy. However, appropriate sequences, analysed in different planes, newer techniques, powerful tomograms will improve the diagnostic accuracy and reduce errors.
Necessity of fixation of fibula in distal tibia fractures
Authors: Sonkusale Aashay , Jagtap Satyajeet , Khedekar Hanuman , Keswani Pranav
Published: February 2023

Background: Distal tibia fractures and concomitant fibula fracture associated with soft tissue injury present as common orthopedic problems. This study evaluates the need to fix fibula fractures which are associated with closed distal third tibia fractures.
Methods: An interventional observational study was undertaken to analyse the efficacy of fixation of fibula, in a Tertiary care hospital with a sample size of 78 patients which were divided into 2 groups of 39 patients each- one in which fibula was fixed (A)-with nail (A1); with plate (A2) and one in which fibula was not fixed (B). Cases were followed up for a mean period of six months post-operatively.
Results: The comparison of functional outcome among both groups showed that combined group A (A1+A2) had 4 (10.25%) excellent functional outcome as compared to 1 in group B (2.56%). Group A shows better functional outcome as compared to group B with significant statistical difference. The mean duration of bone union in Group A1 was 21.26±1.43 weeks, A2 was 21.08±1.38 weeks and in group B was 23.60±2.47 weeks showing a statistically significant difference.
Conclusions: Fixation of fibula proved to facilitate ease of reduction of tibia and better rotational and angular stability with a superior ankle range of motion. The method of fixation of fibula did not seem to impact the outcome as long as the alignment, length, rotation were not compromised. Wound complications are not uncommon with precarious skin around the ankle, and should be managed appropriately.
Prospective study comparing between plate osteosynthesis and antegrade interlocking nailing its functional and radiological outcome in treating humeral shaft fractures
Authors: Bhaktharahalli Ramachandra Harshavardhan , Narayan Praveen , Chintapalli Surya Sri Karun , Ram Pothuri Rishi
Published: February 2023

Humeral shaft fractures are common injuries making upto 1-3% of all fractures. They are widely treated by conservative methods leading to higher rates of non-union. Henceforth surgeons tend to perform operative procedures to treat them. To statistically analyse and compare the functional and radiological outcome of two treatment modalities of humeral shaft fractures, they are plate osteosyntheis and antegrade intramedullary nailing. A total of 22 patients of humeral shaft fractures were operated by either of two methods 12 in plating (P) group ,10 in nailing (N) group and their radiological outcome was assessed by rate of union, time taken for callus formation etc and their Functional outcome was analysed based on Rodriguez Merchan criteria. The commonest age group of patients operated is 21-40 years (70%) majority being males (70%) and road traffic accident being commonest mode of injury. The plate osteosynthesis group stands superior than nailing group in terms of duration of union (20 weeks), rate, percentage of union (100%), least risk of non-union (0). Statistically significant (p<0.05) improvement in shoulder joint function with minimal complications. The plate osteosynthesis method is the most promising surgical procedure for treating humeral shaft fracture due to negligible rates of non-union and early recovery of motion. Though nailing group has minimal need of soft tissue dissection, preserves fracture biology, decreased operative time and early rehabilitation period it still stands inferior when it comes to complications like rotator cuff injury, shoulder impingement pain and restriction of shoulder movements. Ultimately the post operative quality of life is equally good in both techniques.
Tibia fractures managed with minimally invasive internal fixation: a case series of 20 cases
Authors: Babu S. Narendra , Dhanraj Prashanth , Sayeed Ehtesham Raza , Amatul Ali Syeda Sakina
Published: February 2023

Distal tibia fractures are frequently associated with an extensive soft tissue injury, leading to a higher risk of complications such as skin complications, infection, non-union, and eventually poor overall outcome. This study aims to measure the outcome of open/closed distal tibia fractures treated with minimally invasive internal fixation. We aim to propose an algorithm for the management of distal tibia fractures by evaluating the treatment options, outcomes, and risk factors present. This study is a case series study of all distal tibia fractures treated surgically in Kamineni Academy of Medical Sciences, LB Nagar from 2018 to 2022. Patient records were reviewed to analyze the outcomes of surgical treatment and the risk factors associated with it.
Prospective evaluation of the role of limb reconstruction system in fracture non-union of femur: a case series
Authors: Biswas Rajeev , Banerjee Manideep , Roy Archak
Published: February 2023

Traditionally the Ilizarov’s ring fixator was used in the management of non-union of long bones, especially in the cases with infection. But limb reconstruction system (LRS) is a viable lightweight, technically easier alternative for the same. The aim of this study was to assess the functional outcome, the radiological outcome and the complications associated with the management of fracture non-union femur treated with LRS. A prospective case series was undertaken comprising of 10 patients. Both infected and non-infected shaft of femur fractures were enrolled. Patients underwent debridement, implant removal and definitive fixation with LRS. Post-operative radiological outcome and functional outcome using the ASAMI (Association for the Study and Application of the Method of Ilizarov group) score. In 70% cases the mechanism of injury was road traffic accident. Mean period of non-union before admission was 11.9 months, mean time for union was 10.10 months, with 90.0% cases successfully uniting. 70% cases underwent lengthening following Ilizarov’s principles. ASAMI radiological outcome was excellent in 70%, good in 10%, fair in 10% and poor in 10% cases. ASAMI functional outcome was excellent in 60%, good in 10%, fair in 10% and poor in 20% cases. Pin tract infection was the most common problem at 70.0% while knee stiffness at 40% was the most common true complication. Thus by this study it can be expressed that LRS is a feasible alternative to ring fixators for the management of fracture non-union shaft of femur.
Rotating hinge knee as a means of limb salvage in a patient operated on five times for periprosthetic joint infection: from despairs of darkness to lights of joy!
Authors: Shah Vikram , Pachore Javahir , Patil Jayesh , Gujjar Pranay , Sinha Amit Kumar
Published: February 2023

The demand for revision knee arthroplasty is increasing daily with the increase in the number of patients undergoing primary knee arthroplasty. The aim of revision arthroplasty therefore should be the restoration of the mechanical alignment of the limb with the restoration of joint line and biomechanics and these goals should be accomplished with the least possible use of constrained implants which otherwise depends on the degree of bone defects and integrity of collateral ligaments. We have hereby reported a case of a 51-year-old lady operated on five times before who was financially drained, mentally and psychologically depressed with the patient and her relative’s considering amputation of the limb as a last resort!
Modified dual osteotomy for Madelung’s deformity
Authors: Agarwal Aditya , Patel Rahul , Jain Mohit , Arora Shubham , Golwala Paresh , Agarwal Srishty
Published: February 2023

Madelung’s deformity is one of the rare congenital deformities of the forearm and wrist, typically seen as positive ulnar variance and increased volar tilt due to the “Vickers” ligament. Different corrective surgical methods for this have been done in the literature. In this case of a 9-year-old Madelung’s like deformity, we have performed a modified dual osteotomy with periosteal preservation allowing natural articulation and bone to be modified, especially in a younger child. This article gives the surgical option to orthopedics for the future, especially in a younger child with severe deformity. This is a level V evidence-based therapeutic study.
Tuberculosis of the talus in a 2-year-old: a diagnostic dilemma
Authors: Keny Swapnil A. , Prabhu Rudra M. , Mohanty Shubhranshu S. , Dakhode Shubham Y. , Rai Abhishek K.
Published: February 2023

Extra-pulmonary tuberculosis involving the ankle and foot is a rare entity with its prevalence being ever rarer in the pediatric population. Here, we report the case of a two-year-old female child who presented with a gradually progressive non-traumatic swelling involving the right foot and ankle since two months. The patient was initially managed by a local doctor with immobilization of the foot and ankle in a slab for three weeks. Blood investigations were suggestive of an inflammatory process and a lytic lesion involving the talus was seen on radiographs. The patient was managed with debridement and curettage of the lesion along with anti-tubercular chemotherapy as per pediatric dosage for one year. The patient was asymptomatic at latest follow-up of 1 year and radiographs showed that lytic lesion had resolved.
A solitary giant cell tumor of the tendon sheath of left third finger in a 23-year-old man: a case report
Authors: Panduranga B. V.  , S. Guruprasad
Published: February 2023

Giant cell tumor of the tendon sheath (GCTTS) is a common condition usually encountered in middle aged men, usually seen on the thumb, index, middle fingers. These benign tumors are known to reoccur. Re-occurrence can be attributed to poor surgical technique, excision of the tumor in toto is considered difficult given the close proximity of the digital nerves, blood vessels, tendons to the tumor. A magnifying loop is usually used in these cases to identify and resect the satellite lesions. In this case report, we are presenting a case of solitary GCTTS of the tendon sheath in a 23-year-old man with history of gradually progressive painless swelling over his left third finger. Musculo-skeletal ultrasound revealed a heterogeneously hypo-echoic well-defined lesion over the ventral aspect of the left third finger. Histopathology showed giant cell morphology. Patient underwent exploration, tumor excision in toto with primary suturing in our institute with an uneventful postoperative period. No loss of range of movements of the PIP, DIP joints was noted in the postoperative period. Good dissection with excision of the tumor in toto gives better outcomes.
Synovial lipoma of the ankle and foot: a rare case report
Authors: Wankhede Aniket K. , Rathod Rohit , Mote Girish , C. M. Badole  , Medhi Mrigank
Published: February 2023

Synovial lipomatosis is an extremely rare type of disease in which there is an excess of adipose tissue involving the synovium layer of joints or synovial sheath around the tendons causing pain, paraesthesia, and weakness. The most common site being reported till now is Knee joint or parapatellar space other joints such as elbows and shoulders are being reported after the knee joint, and the ankle joint is rarely reported 2 cases have been reported in the English literature. We report a case of a 28-year-old male presenting with swelling of the right foot for 12 years and developed symptoms of pain and tingling on the toes for 2-3 weeks. Multiple bony hard lesions were palpated on the base of the foot, ultrasonography (USG) showed a subcutaneous lesion around the extensor tendons of the foot and fine needle aspiration cytology (FNAC) had a picture of the synovial cyst. Surgical excision was done and histopathology was reported to be as a fibrofatty tissue with multiple adipocytes suggesting lipoma arborescent.
Extensive humeral hydatid cyst with extraosseous involvement: a case report
Authors: Patel Rahul , Rahul Parmar  , Jayraj Mehta  , Anshul Gupta  , Srishty Agarwal  , Aditya Agarwal
Published: February 2023

Hydatid cysts caused by Echinococcus species mainly involve visceral organs. Rarely skeletal involvement occurs. The spine and pelvis account for half of the cases of osseous hydatidosis, making humeral hydatid cysts one of the rarest conditions. We report a case of humeral hydatidosis in a 42-year male who presented to us with pain and swelling over the left upper arm, radiological investigations suggestive of osseous cystic lesions were inconclusive and diagnosis of hydatidosis was confirmed with a biopsy subsequently. Surgical excision and curettage of bone and surrounding soft tissue were done, and the void was filled using PMMA cement followed by antihelminthic chemotherapy. No complication or recurrence has been found postoperatively at the end of 6 months of follow-up, with preservation of limb function. To keep orthopedic surgeons aware of this morbid condition, due to its low prevalence, and advanced presentation which is likely misdiagnosed, and even after the early intervention, there is a high recurrence rate which makes this one of the rare cases of humeral hydatidosis notifiable.
When Autism Spectrum Disorder is Associated with Blindness : Diagnostic Challenges and Management (Case Report)
Authors: Jbilou Wafae , Rachidi Linda , El Oualidi Hasnaa , Seqqat Nisrine , Benjelloun Ghizlane , Sakhi Asmaa
Published: February 2023

Introduction: Autism spectrum disorder (ASD) is a neurodevelopmental disorder. The ADI-R and ADOS can be used to confirm ASD. These tools have not been tested in a non-sighted population.

Through our clinical case, we highlight the clinical and therapeutic complexity of visually impaired children with ASD.

Case report: A., 4 years and 7 months old, was admitted to the department for a diagnostic evaluation of a communication and language disorder concomitant with congenital blindness. At birth, bilateral anophthalmia was diagnosed. The complete pediatric evaluation was normal.

After profound clinical observation, the diagnosis of ASD in comorbidity with congenital blindness was retained. The management was multidisciplinary.

Discussion: ASD is the most clinically noted and scientifically studied disorder in visually impaired children. Specialists find difficulties in differentiating between the original developmental symptoms of visually impaired children and the symptoms relevant to ASD.

Diagnostic investigation has been based on clinical observation. Several authors have demonstrated that careful observation can differentiate social interaction disorders caused by blindness from those of ASD.

The treatment of children with ASD is essentially based on visual access to information, not adapted to ASD children with blindness.

Conclusion: Blindness associated with ASD is a dual handicap. Validation of diagnostic instruments for ASD, developing appropriate therapeutic interventions for these patients are crucial.