To find out the epidemiology of spine trauma involving various spinal level by categorization based on CT scan and association of various factors on spine trauma in tertiary care centre in Rajasthan Material and Method: This is a observational study based on patients admitted in a tertiary care centre from 1st June 2019 to 31st May 2020 Results: During this study 204 patients are admitted and treated, out of which 167(81.86%) were male and 37(18.14%) were female. The most common mode of injury was Road traffic accident and most common injury was at thoracic spine level followed by lumber spine level. And most common affected age group was between 30 to 45 yrs. Most common associated injury was head injury followed by chest injury. Conclusion:In spine trauma cases there is not much variation than developed country as there is Road traffic accident also the most common mode of injury but differs from North east India where fall from height is most common mode of injury. Road traffic accident are more common in younger age group and fall from height is common in elderly group.
Background: Depending on the severity of your ACL injury, treatment may include rest and rehabilitation exercises to help you regain strength and stability or surgery to replace the torn ligament followed by rehabilitation. Methods of femoral fixation in arthroscopic ACL reconstruction surgery are widely discussed in the literature. The cortical suspension technique is a popular option with a variety of adjustable loop and fixed closed loop devices available in the market. Aim: To evaluate short term outcome of arthroscopic ACL reconstruction using fixed closed loop fixation (CLF) and adjustable loop fixation (ALF) techniques. Study Design: Hospital based Prospective randomized comparative interventional study. Materials and Methods: 60 cases were included in this study, in which 30 cases were treated arthroscopically by using CLF and remaining 30 cases were operated arthroscopically by using ALF. Clinical outcome was assessed using Lachman and pivot shift, and results were graded using the International Knee Documentation Committee. Functional outcome was evaluated by using Lysholm score up to 8 months. Result: Lachman grading (mm) pre-operative in CLF group was 2.84±0.35 mm and in ALF group was 2.72±0.31. Maximum patients were from IKDC 2+ grade. 70.00% in CLF group and 56.67% in ALF group. Lysholm score pre-operative in CLF group was 63.00±1.29 and in ALF group was 62.90±1.86. Lachman grading (mm) post-operative in CLF group was 0.31±0.02 mm and in ALF group was 0.35±0. 06mm.post-operative 16.67% patients belong IKDC 2+ grade in CLF group and in 10.00% patients in ALF group. Lysholm score post-operative in CLF group was 92.36±0.95 and in ALF group was 91.9 ± 0.91There were no statistically significant differences. Conclusion:We concluded that in femoral fixation of ACL graft both CLF and ALF techniques may provide secure fixation, equal reduction of graft laxity, and similar functional outcome in ACL deficient knee.
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