Browsing by Author "Nanda, Saurav Narayan"
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Item Biodegradable Implants in Orthopaedics.(2015-04) Vatchha, Sharookh P; Kohli, Amit; Tripathi, Sanjay Kumar; Nanda, Saurav Narayan; Pradhan, Prasant; Shiraz, Shaikh MuzammilBioabsorbable materials are more commonly used now days in orthopaedic surgeries. Bioabsorbable implants for fracture fixation, and meniscal repair. These implants provide the advantages of gradual load transfer to the healing tissue, reduced need for implant removal, and radiolucency, which facilitates postoperative radiographic evaluation and no hinderance in second surgery. These also carries disadvantages like, more expensive, having less strength than metals, tissue reactions including mild fluid accumulation, painful erythematous fluctuating papule, sterile sinus tract formation, osteolysis, synovitis, and hypertrophic fibrous encapsulation. We advocate more researches to be carried out for the best suitability of these materials in orthopaedic surgeries.Item Compression of Ulnar Nerve by Ganglionic Cyst in Guyon’s Canal: A Case Report.(2016-07) Tripathi, Sanjay Kumar; Nanda, Saurav Narayan; Kumar, Shalesh; Shah, Munjal S; Shiraz, Shaikh Muzammil; Pradhan, PrashantUlnar nerve compression at guyon’s canal is rare and very few cases have been reported in literature. It can be missed due to its rarity. Symptoms vary from pain and paresthesia to wasting and significant loss of muscle strength, with significant deformities of the hand. The diagnosis is made by detailed history and examination, electromyography, nerve conduction velocity test, ultrasound and magnetic resonance imaging. Early decompression of nerve is treatment of choice. Here we are presenting a case of compression of ulnar nerve in guyon’s canal due to ganglionic cyst.Item Cytohistopathological and ImmunohistochemicalCorrelation of Soft Tissue Lesions(Ibn Sina Academy of Medieval Medicine & Sciences, 2019-07) Dash, Ashok Kumar; Tripathy, Milan; Mohanty, Shushruta; Tripathy, Kiran; Nanda, Saurav Narayan; Mishra, Debi PrasadIntroduction: In the present era, FNAC has proved to be anessential primary diagnostic procedure for soft tissue lesions.To correlate its efficacy and to further subtype,histopathological examination is done aided by IHC if required.The present study aimed to evaluate the epidemiologicaldistribution of soft tissue lesions with reference to age, sex andsite and to assess the utility of FNAC in terms of sensitivity,specificity, positive and negative predictive values, and overallhistological correlation percentage of cytology in diagnosingvarious types of soft tissue lesions.Materials and Methods: Prospective study was carried outduring the period of Sept 2017 to May 2019 for FNAexamination of soft tissue lesions. Cytopathological andhistopathological examination was carried out in all cases withimmunostaining done in few cases.Results: Of 463 soft tissue lesions that could be successfullyfollowed up, 347 were benign lesions and rest were malignant.Most common age group affected were 31-40 years with slightmale preponderance (M:F=1.37:1). Most common site beingLower extremities. Lipomas were the most common soft tissuelesions (169 cases) and spindle cell sarcomas were the mostcommon malignant lesions. The cytological andhistopathological diagnosis correlated well in almost all casesexcept discordance was seen in 5 cases. The sensitivity andspecificity of the procedure were 97.4% and 99.4%respectively.Conclusion: FNAC was found to be a highly specific andsensitive tool in diagnosing soft tissue lesions and can be fairlyimplemented as it is well tolerated and cost effective forpatients.Item Distal End Radius Fracture Treatment by Different Modalities: A Comparative Study at Tertiary Hospital In Western Maharashtra.(2015-07) Tripathi, Sanjay Kumar; Nanda, Saurav Narayan; Warrier, Sudhir; Pradhan, Prashant; Shiraz, Shaikh Muzammil; Agarwal, Sanjay KumarBackground: A retrospective study was conducted in the department of orthopaedic surgery in a tertiary care hospital of western Maharashtra. Methods: Data of all the patients with fracture of distal end radius with or without ulna fracture who were admitted in our centre over a period of 4 years were recorded from case files, casuality admission register and operative records. A total of 204 patients were included in our study and mode of treatment was compared among the various available treatment modality such as cast/slab; percutation fixation with k-wire, external fixation & plate osteosynthesis. Results: Out of the total number of cases (n=204) for fracture distal end radius, nearly 10% case were managed with cast (n=21), 22% with percutaneous fixation with k-wire (n=45), 23.5% with external fixature (n=48), 19% with both external fixator and k-wire (n=38) and 25% with plate osteosynthesis (n=52). Hence when we assess the modality of treatment of distal end radius year wise from 2011 to 2014, the incidence of surgery by plate osteosynthesis has increased over a span of period. Conclusion: Retrospective study conducted at our tertiary care hospital concludes that incidence of plating for distal end radius fracture has increased over a period of time as compared to cast, percutaneous k -wire fixation and external fixator.Item Macrodystrophia Lipomatosa- A Rare Congenital Anomaly: A Case Report and Review of Literature.(2016-09) Tripathi, Sanjay Kumar; Nanda, Saurav Narayan; Kumar, Shalesh; Agrawal, Nitin Kumar; Shiraz, Shaikh Muzammil; Keshav, KumarMacrodystrophia lipomatosa is a rare presentation and only few cases are reported in scientific literature. We report a case of Macrodystrophia lipomatosa in a 7 year young girl from a tertiary care hospital Mumbai. Case presentation: A 7 year old female was presented to outpatient department with progressive enlargement of right lower limb with increase in size of right great toe since birth. On clinical examination there was non tender fluctuant soft tissue swelling with good functional limb. Scannogram showed reduction of the medial compartment of right knee joint and the right lower limb length was slightly longer compared to the left side with presence of soft tissue swelling on medial distal thigh and knee region. MRI showed un-encapsulated subcutaneous fatty tissue involving the entire right lower limb along its medial aspect up to the great toe with fatty infiltration of the vastus medialis muscle suggestive of macrodystrophia lipomatosa. Arterial and venous colour Doppler study of right lower limb was normal. Conclusion: Macrodystrophia lipomatosa is a rare congenital, non hereditary condition with localized macrodactyly and proliferation of mesenchymal element and marked increase in fibroadipose tissue. X-ray and MRI are investigation of choice. Doppler study shows normal vascularity.Item Post Partum Pubic Diastasis: A Case Report.(2016-09) Tripathi, Sanjay Kumar; Kumar, Shalesh; Agarwal, Nitin Kumar; Khan, Azad; Jain, Pulkit; Nanda, Saurav NarayanPost-partum pubic symphysis diastasis is termed as abnormally wide gap between the two pubic bones following vaginal delivery. It is a rare and under diagnosed condition following acute pelvic pain. We are presenting a case of post partum pubic diastasis, in a 31 year old female with complain of pain, tenderness over pubic area and unable to walk. Patient was diagnosed with x-ray and MRI and treated surgically.Item Recombinant Human Bone Morphogenic Protein-2 (BMP-2): A Newer & Novel Osteoinductive Treatment Modality for Non-union of Bones.(2016-09) Agrawal, Vinod; Nanda, Saurav Narayan; Tripathi, Sanjay; Shah, Munjal Satish; Lakhani, Karmesh; Agrawal, Aniruddha; Parmar, HimanshuBackground: The non-union of bones is a multifactorial phenomenon. In this study, it was emphasized to evaluate the efficacy and safety of bone morphogenetic protein-2 (BMP-2) as a bone-stimulating agent in the treatment of non-unions. Methods: Fifteen patients [5 males, mean age 51.06 years (range: 21—75)] with sixteen non-unions were treated with BMP-2. There were eleven femoral non-union, three humerus, one ulna, one distal fibula non-union. The mean follow-up was 22.06 months. Results: Both clinical and radiological union occurred in 15 (93.75%) non unions cases. Radiological union achieved within a mean time of 15.75 weeks. The remaining one show incomplete union with recalcitrant formation was asymptomatic and having good pain free range of movement, declines further intervention. No complications or adverse effects from the use of BMP-2 were encountered. Conclusion: In this study, it was observed that BMP-2 is a powerful adjunct and one of the safe armamentarium for the surgeon to handle difficult and challenging clinical conditions.Item Severe Hallux Varus; an Uncommon Deformity —A Case Report and Review of Literature.(2016-09) Tripathi, Sanjay Kumar; Nanda, Saurav Narayan; Agrawal, Nitin Kumar; Kumar, Shalesh; Khan, Azad; Warrier, SudhirHallux varus is relatively uncommon and few cases have been reported in the orthopedic literature. In this article, we report the case of a 63 years old, female patient with severe hallux varus deformity, associated with deformity of other toes. Here we describe the case report of hallux varus managed by surgical intervention at our tertiary care hospital in Mumbai, India.