No abstract

Rheumatoid arthritis (RA) is the most common inammatory joint disease lesions involving the hips, knees, and other large joints which can lead to joint deformity and dysfunction [1,2].Juvenile rheumatoid arthritis is chronic inammatory arthritis involving which may involve one or more joints with age of onset less than 16 years.With progressive hip disease, the deformed femoral head causes irregular abrasion of the acetabulum, secondarily shifting the femoral head inward and in turn triggering varying degrees of the acetabular protrusion, the incidence of which is about 5%.[3,4]THR in such cases provide improvement in function and pain but challenges posed by lack of bone stock, decient medial cup support, and medialization of the joint centre in those with protrusio acetabuli must be addressed during acetabular reconstruction.

Old unreduced and untreated fracture of the acetabulum is seen more commonly in developing countries and can be due to various reasons. Various methods can be used in the management of such cases which in general includes arthrodesis in young and total hip replacement in elderly patients. Acetabular fractures associated with acetabular defect pose challenge to the treating surgeon and the management of such defects plays an important role in the nal outcome of the surgery. We are here reporting a case of a 36 years old male patient who presented with 1 year 6 months old fracture of posterior wall of the acetabulum who is treated with THR with acetabular reconstruction using bone graft and acetabular augment. The patient was under regular follow up and now after 6 months of surgery patient is having good functional improvements with painless range of motions at index hip.

Poliomyelitis has created devastating complications and altered the physical, socioeconomic lives of patients suffering from it. Commonly it causes flaccid paresis or paralysis. Osteoarthritis can develop in knees of these patients over the years. Generally absent Quadriceps function is contraindication for total knee replacement. Here, we describe a case of middle aged female patient who underwent knee replacement using hinged implant for severe osteoarthritis of knee joint. At 6 month follow up patient reported excellent painless mobility.

Ossification of the posterior longitudinal ligament (OPLL) is seen most commonly in men, in the elderly, and in Asian population [1].The disease usually starts with minimal or no symptoms, but some patients slowly progress to develop symptoms of myelopathy and radiculopathy.The present study aims to find out the relationship between serum CRP and ESR levels in patients with OPLL and its relationship with radiological classification of OPLL. In this cross sectional correlation study we have included all patients fulfilling the inclusion criteria from the year July 2019 to December 2020 in tertiary care hospital.Our study comprising of total 50 patients will show the relationship between OPLL with level of serum CRP and ESR (normal or raised).In our study it was found that majority of the patients were above 50 years of age with male predominance.In the present study it was found that the level of CRP was raised in 83.4% cases of continuous type,100% cases of localised type,69.2% cases of mixed type and 92.8% cases of segmental type.In the present study it was found that the level of ESR was raised in 83.4% cases of continuous type,66.7% cases of localised type,61.5% cases of mixed type and 75.0% cases of segmental type. It is possible that raised serum levels of CRP and ESR may be associated with OPLL and thus inflammation may be the cause of OPLL.