Background/Purpose: Plantar Fasciitis is often a nuisance to treat because of its intractable nature. Corticosteroid injections have been conventionally used to treat such cases.One emerging therapeutic modality is the use of PlateletRich-Plasma.We compare the efficacy of the two modalities.Methods: 60 patients with intractable plantar fasciitis were randomised to receive either autologous PRP or Corticosteroid injection. All patients were assessed with the Visual Analogue Score (VAS) for pain and the Foot & Ankle Disability Index (FADI) Score.Data was collected prospectively on the cohort,pre-treatment,and at 1st,2nd,6th and 12th week post injection and the results were compared. Results:Both treatment cohorts had 30 patients, with the PRP injection group having an average age of 42.0 ± 12.98 years and Corticosteroid injection had an average age of 39.4 ± 10.09 years.PRP injection group had male to female ratio of 0.875 while corticosteroid injection group had a ratio of 0.67.Mean FADI scores and VAS scores on 2nd and 6th week of study were significantly higher in corticosteroid injection group as compared to the PRP injection group,while the mean of two scores had no significant difference between the two groups when measured on 1st and 12th week.Conclusion: Although both techniques have similar immediate and long term results,corticosteroid injection has better pain relief in short term
Background/Purpose: Hemiarthroplasty is the treatment of choice n neck of femur fractures in elderly patients. Unipolar and bipolar prostheses have their own advantages and disadvantages, creating confusion in which prothesis to use. 40 elderly patients (>65 years age) with intracaps Methods: ular neck of femur fractures were included and randomly divided equally in this study, 20 patients were treated with unipolar hemiarthroplasty and 20 patients with bipolar hemiarthroplasty. All patients were evaluated for functional outcome by using Harris Hip score and radiological outcomes using various parameters. The outcomes of both groups were then compared using Chi-square test. Results: Overall mean Harris hip score pre operatively for unipolar hemiarthroplasty was 36.2 and bipolar hemiarthroplasty was 39.1 which increased to 81.8 for unipolar and 85.05 for bipolar hemiarthroplasty respectively, with p-value of <0.561. Our results also shows that we have 35% excellent result in Bipolar whereas we have 15% excellent result in unipolar Hemiarthroplasty group. The results of our study shows that uncemented bipolar hemiarthroplasty Conclusion: gave better results when compared with uncemented unipolar hemiartheoplasty. Our results also shows that, cemented bipolar hemiarthroplasty gave better results when compared with cemented unipolar hemiarthroplasty clinically and radiologically. Thus, Bipolar hemiarthroplasty did better when compared with unipolar hemiarthroplasty in general
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