The Results of Single Bundle Versus Double Bundle ACL Reconstruction Surgery, a Retrospective Study and Review of Literature

2016-10-29T18-46-28Z
Source: Medical Archives
Ali Torkaman, Hamidreza Yazdi, Mohammad Ghorban Hosseini.
Objective: The purpose of this study was to evaluate the results of single bundle and double bundle surgical techniques for anterior cruciate ligament (ACL) reconstruction. Methods: In this study, all single bundle and double bundle ACL reconstruction surgeries that were done in our university hospital from January 2008 to December 2012 were enrolled. All patients were followed at 2,6,12, 24 weeks and 1 a 2 years post operatively. On last follow up all patients were evaluated by clinical examination, KT-1000 and Lysholm questionnaire. Results: Seventy five patients were operated using single bundle and eighty five patients with double bundle technique. Fifty seven percent of patients in single bundle and 80% of patients in double bundle group had experienced pain during follow-up period. None of cases had knee extension or flexion loss. The average side to side differences using KT-1000 was 3.5 ± 0.38 (2.9-4.1) millimeters in single bundle group and 3.39 ± 0.39 (2.8-4) millimeters in double bundle group. These results showed no significant difference between two groups (P= 0.31). Lysholm score improved significantly in both groups, but there was no significant difference between them. Conclusion: According to this study the clinical results of single bundle ACL reconstruction was similar to double bundle reconstruction in short term follow up. Further studies are needed to evaluate the long term results.


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Association of Beta-2 Microglobulin with Inflammation and Dislipidemia in High-Flux Membrane Hemodialysis Patients

2016-10-29T18-46-28Z
Source: Medical Archives
Valdete TopçiuShufta, Ramë Miftari, Valdete Haxhibeqiri, Shpend Haxhibeqiri.
Background: Higher than expected cardiovascular mortality in hemodialysis patients, has been attributed to dyslipidemia as well as inflammation. Beta2-Microglobulin (β2M) is an independent predictor of outcome for hemodialysis patients and a representative substance of middle molecules. Results: In 40 patients in high-flux membrane hemodialysis, we found negative correlation of β2M with high density lipoprotein (r=-0.73, p


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Arsenic induced squamous cell carcinoma of skin – atypical presentation with aggressiveness.

2016-10-29T04-45-55Z
Source: The Southeast Asian Journal of Case Report and Review
Santu Mondal, Soumita Poddar, Mridul Kanti Biswas.
A 68 year old gentleman from arsenic affected area presented with an ulceration at skin at the junction of neck and thorax (left side) and a lump at left upper neck. On examination, ulcer was 3×3 cm. In size. There was an enlarged lymph node at level I I cervical region. There were hyperkeratoses and hyperpigmentation at multiple site. Patient had lost one finger at left upper extremity. Biopsy and histopathological examination from the ulcer revealed squamous cell carcinoma. CT scan of whole abdomen showed multiple hypodence space occupying lesion in liver, consistent with metastasis. Patient was treated with chemotherapy with palliative intent. This case has atypical presentation with aggressiveness in behaviour. The case is described along with a review of literature.


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Retrogastric cyst due to perforated appendix

2016-10-29T04-45-55Z
Source: The Southeast Asian Journal of Case Report and Review
Digamber Chaubey, Anand Pandey, Archika Gupta, Shiv Narain Kureel.
Appendicitis is the most common abdominal emergency. The lifetime risk of having appendicitis is 8.6% for males and 6.7% for females; while the lifetime risk of appendicectomy is 12.0% for males and 23.1% for females. A very important complication of this entity is appendicular perforation. We treated a patient of appendicular perforation with extremely uncommon manifestation- retrogastric cyst leading to gastric outlet obstruction.


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Membranous Nephropathy With Transverse Myelitis

2016-10-29T04-45-55Z
Source: The Southeast Asian Journal of Case Report and Review
Mudasir Mushtaq, Maqbool Wani, Mushtaq Ahmed Wani, Rouf Asimi, Sawan Verma, Irfan Shah.
MGN is the most common form of glomerulonephritis causing nephritic syndrome in adults. Cases have been reported depicting association between MGN and neurological diseases like guillain-barre syndrome, multiple sclerosis and chronic inflammatory demyelinating polyneuropathy . However only one case has been reported with MGN and inflammatory myelopathy. Our patient was 36 yrs old female admitted with paraparesis and paresthesias in bilateral hands with bowel and bladder involvement and she had a biopsy documented episode of membranous nephropathy.


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