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| 1 | Functional outcome of tibial fracture with acute compartment syndrome and correlation to deep posterior compartment pressure显示文摘AIM To measure single baseline deep posterior compartment pressure in tibial fracture complicated by acute compartment syndrome(ACS) and to correlate it with functional outcome.METHODS Thirty-two tibial fractures with ACS were evaluated clinically and the deep posterior compartment pressure was measured. Urgent fasciotomy was needed in 30 patients. Definite surgical fixation was performed either primarily or once fasciotomy wound was healthy. The patients were followed up at 3 mo, 6 mo and one year. At one year, the functional outcome [lower extremity functional scale(LEFS)] and complications were assessed.RESULTS Three limbs were amputated. In remaining 29 patients, the average times for clinical and radiological union were 25.2 ± 10.9 wk(10 to 54 wk) and 23.8 ± 9.2 wk(12 to 52 wk) respectively. Nine patients had delayed union and 2 had nonunion who needed bone grafting to augment healing. Most common complaint at follow up was ankle stiffness(76%) that caused difficulty in walking,running and squatting. Of 21 patients who had paralysis at diagnosis, 13(62%) did not recover and additional five patients developed paralysis at follow-up. On LEFS evaluation, there were 14 patients(48.3%) with severe disability, 10 patients(34.5%) with moderate disability and 5 patients(17.2%) with minimal disability. The mean pressures in patients with minimal disability, moderate disability and severe disability were 37.8, 48.4 and 58.79 mmH g respectively(P < 0.001).CONCLUSION ACS in tibial fractures causes severe functional disability in majority of patients. These patients are prone for delayed union and nonunion; however, long term disability is mainly because of severe soft tissue contracture. Intracompartmental pressure(ICP) correlates with functional disability; patients with relatively high ICP are prone for poor functional outcome. | Saumitra Goyal Monappa A Naik Sujit Kumar Tripathy Sharath K Rao | 2017 | World Journal of Orthopedics2017，8，5： | 3 |
| 2 | Giant solitary fibrous tumor of the mesentery : a rare case显示文摘 | Kudva R Monappa V Rao A | 2011 | J Cancer Res Ther2011，7，3： | 1 |
| 3 | Placental teratoma: A diagnostic dilemma with fetus acardius amorphous显示文摘 | Kudva R Monappa V Rai L | 2010 | Indian J Pathol Microbiol2010，53，： | 1 |
| 4 | Bilateral stress fractures of femoral neck in non-athletes: a report of four cases显示文摘大腿骨的颈压力破裂(FNSF ) 是稀罕的仅仅在年轻成年人组成 5% 所有压力破裂。这些破裂通常与内在的新陈代谢的疾病在运动员军人成员和病人被看见。因为与治疗过程联系的固有的复杂并发症, FNSF 的治疗仍然是争论的。我们在没有内在的多骨的混乱,是用手的劳动者的非运动的个人遇到了双边的 FNSF 的 4 个案例。有双方上的 FNSF 和臀部 vara 畸形的二个病人被 subtrochanteric 外翻足截骨术和动态新潮的螺丝钉固定管理。留下之一二个病人被 cannulated cancellous 螺丝钉固定在另外的方面上在一个方面和 subtrochanteric 外翻足截骨术上对待。一个方面上的第四耐心的收到的 subtrochanteric 外翻足截骨术和在没有通过的 cannulated 螺丝钉固定以后的另外的方面上的双极的 hemiarthroplasty。没有任何复杂并发症,所有破裂愈合了。avascular 坏死或关节炎的证据都没在我们的系列被注意。Subtrochanteric 外翻足截骨术在受不了与臀部 vara 畸形相结合的 FNSF 的病人恢复正常颈柄角度。而且它帮助带绕臀部行动到正常 biomechanical 的力量,导致的层次折断联合和更好的结果。 | Monappa A. Naik Premjit Sujir Sujit Kumar Tripathy Sandeep Vijayan Shamsi Hameed Sharath K. Rao | 2013 | Chinese Journal of Traumatology2013，16，2： | 1 |
| 5 | Multiple neural fibrolipomas with macrodactyly显示文摘 | Gupta A Geetha V Monappa V | | 0，，： | 1 |
| 6 | Thirty-day mortality of patients with hip fracture during COVID-19 pandemic and pre-pandemic periods:A systematic review and metaanalysis显示文摘BACKGROUND Timely intervention in hip fracture is essential to decrease the risks of perioperative morbidity and mortality.However,limitations of the resources,risk of disease transmission and redirection of medical attention to a more severe infective health problem during coronavirus disease 2019(COVID-19)pandemic period have affected the quality of care even in a surgical emergency.AIM To compare the 30-d mortality rate and complications of hip fracture patients treated during COVID-19 pandemic and pre-pandemic times.METHODS The search of electronic databases on 1st August 2020 revealed 45 studies related to mortality of hip fracture during the COVID-19 pandemic and pre-pandemic times.After careful screening,eight studies were eligible for quantitative and qualitative analysis of data.RESULTS The pooled data of eight studies(n=1586)revealed no significant difference in 30-d mortality rate between the hip fracture patients treated during the pandemic and pre-pandemic periods[9.63%vs 6.33%;odds ratio(OR),0.62;95%CI,0.33,1.17;P=0.14].Even the 30-d mortality rate was not different between COVID-19 non-infected patients who were treated during the pandemic time,and all hip fracture patients treated during the pre-pandemic period(OR,1.03;95%CI,0.61,1.75;P=0.91).A significant difference in mortality rate was observed between COVID-19 positive and COVID-19 negative patients(OR,6.99;95%CI,3.45,14.16;P<0.00001).There was no difference in the duration of hospital stay(OR,-1.52,95%CI,-3.85,0.81;P=0.20),overall complications(OR,1.62;P=0.15)and incidence of pulmonary complications(OR,1.46;P=0.38)in these two-time frames.Nevertheless,the preoperative morbidity was more severe,and there was less use of general anesthesia during the pandemic time.CONCLUSION There was no difference in 30-d mortality rate between hip fracture patients treated during the pandemic and pre-pandemic periods.However,the mortality risk was higher in COVID-19 positive patients compared to COVID-19 negative patients.There was no difference in time to surgery,complications and hospitalization time between these two time periods. | Sujit Kumar Tripathy Paulson Varghese Sibasish Panigrahi Bijnya Birajita Panda Sandeep Velagada Samrat Smrutiranjan Sahoo Monappa A Naik Sharath K Rao | 2021 | World Journal of Orthopedics2021，12，1： | 0 |
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