1.Prognostic value of routine haematological and biochemical parameters on 30 day fatality in patients with acute hypertensive intracerebral hemorrhage
Durgesh Kumar Gupta ; Virendra Atam ; RK Garg
Neurology Asia 2012;17(1):13-20
Objective: This prospective study aimed to study the prognostic value of routine haematological
and biochemical parameters in patients of acute hypertensive intracerebral hemorrhage (ICH) on
fatality occurring during fi rst 30 days, and to estimate its case fatality rate, demographic and clinical
correlates. Methods: One hundred and eleven consecutive patients with proved hypertensive ICH
within 72 hours of symptom onset were studied. After clinical evaluation and neuroimaging, blood
investigations including hemoglobin, total leukocyte count, platelet count, erythrocyte sedimentation
rate, random blood sugar, urea, creatinine, sodium, potassium, serum bilirubin, aspartate transaminase
(AST), alanine transaminase (ALT), alkaline phosphatase (ALP), albumin estimations were performed.
The patients were followed up for a maximum period of 30 days from the onset of stroke. Results:
Logistic regression analysis demonstrated that a low Glasgow Coma Scale (GCS) score (Odd`s ratio
(OR) 17.54, p=0.001); high serum bilirubin (OR=7.97, p=0.021), and low serum albumin (OR=13.31,
p=0.001) correlated signifi cantly with death.
Conclusions: Our study shows that low GCS, raised serum bilirubin, and low serum albumin are
marker of poor outcome in ICH.
2.Orthopaedic Surgery in Times of COVID-19 in India
Malaysian Orthopaedic Journal 2020;14(No.2):58-60
3.Comparison of Bone-Patellar Tendon-Bone Graft, Semitendinosus–Gracilis Graft and Semitendinosus–Gracilis with Preserved Tibial Insertion Graft in Anterior Cruciate Ligament Reconstruction in Sports Persons
Soni A ; Gupta RK ; Raghav M ; Masih GD ; Bansal P
Malaysian Orthopaedic Journal 2021;15(No.2):12-17
Introduction: Bone-patellar tendon-bone (BPTB) and
semitendinosus–gracilis (STG) are the commonest grafts
used for ACL reconstruction. However even after having
been debated for years, there is no consensus about the ideal
graft. Moreover, the literature is deficient about STG graft
with preserved tibial insertion (STGPI) which preserves the
proprioception. Our aim is to compare the outcome of BPTB,
free STG and STGPI grafts after ACL reconstruction in
professional sports persons. We compared the outcome in
terms of mechanical stability, functional outcome, return to
sports activity and degenerative changes.
Materials and Methods: Professional sports persons aged
between 16-50 years operated for ACL tear using BPTB, free
STG and STGPI grafts with minimum follow-up of two
years were identified from hospital records. Patients with
associated knee injuries were excluded. Patients, divided in
three groups according to graft used, were compared in terms
of mechanical stability (arthrometric examination KT-1000
score), functional outcome (Lysholm Score), return to sports
activity (Tegner score and difference in thigh circumference)
and degenerative changes (KL grading).
Results: BPTB graft group was found to be better than free
STG and STGPI graft groups in terms of KT-1000 score.
There was no statistically significant difference among the
groups in terms of Lysholm score, Tegner score, difference in
thigh circumference and KL grading.
Conclusion: BPTB graft is better than free STG and STGPI
grafts in terms of knee stability. When compared for patient
reported outcome, return to sports activity, osteoarthritic
changes and graft failure there is no significant difference
among the three types of grafts.