BACKGROUND
Anterior cruciate ligament (ACL) injuries are frequently associated with meniscal tears, which significantly influence knee biomechanics, long-term joint health, and surgical outcomes. Early ACL reconstruction may alter the pattern and frequency of associated meniscal injuries.
OBJECTIVE
The objective of the study is to estimate the prevalence and pattern of concomitant meniscal injuries in patients undergoing ACL reconstruction within 3 months of index injury.
MATERIALS AND METHODS
This hospital-based cross-sectional study was conducted in the Department of Orthopedics at a tertiary care center. Seventy patients with ACL injury who underwent arthroscopic ACL reconstruction within 3 months of injury were included. Arthroscopic findings were used to document the presence, side, and type of meniscal tears. Statistical analysis was performed using Pearson's Chi-square test to assess associations between meniscal injury and demographic or injury variables.
RESULTS
Meniscal tears were identified in 42 of 70 patients (60%). Lateral meniscal tears were most common (38.5%), followed by medial tears (17%) and combined tears (4.2%). Bucket-handle tears (36%) and radial tears (34%) were the predominant tear patterns. No statistically significant association was found between meniscal injury and age, gender, side of injury, or mechanism of injury (P > 0.05).
CONCLUSION
A high prevalence of concomitant meniscal injuries exists in patients undergoing early ACL reconstruction, with lateral meniscus involvement predominating. Early identification and management of these injuries are crucial to optimize functional outcomes and prevent long-term degenerative changes.
Gokul Gopan, Jeeva George, George Sonu et al.· Annals of African medicine· 0 citations
INTRODUCTION
In the geriatric age group, intertrochanteric hip fractures are a major public health concern. Definitive management is desired, considering age and associated comorbidities. This study was conducted to assess the functional outcome of unstable intertrochanteric femur fractures treated with proximal femoral nail antirotation II (PFNA-II) in the elderly population.
OBJECTIVE
To assess the functional outcome of fracture fixation using PFNA-II in elderly patients with unstable intertrochanteric fractures in a tertiary care center and study the complications associated with it.
METHODOLOGY
In this study, 64 patients fulfilling the criteria were included. The study setting was at the government medical college in Thiruvananthapuram. After admission according to the protocol, preoperative examination with detailed history taking was done. Then they were watched for any intraoperative complications and immediate postoperative complications, after 2 weeks in the outpatient department (OPD). Then, 3 months in OPD visit, the Harris Hip Score (HHS) was calculated, and finally, an average of the HHS was calculated as the final outcome, and a list of complications was also made.
RESULTS
The study included 64 patients with unstable intertrochanteric fractures who fulfilled the inclusion criteria. More than 75% of patients were with age more than 65 years, throwing light on to the fact that the incidence of fracture increase with old age. More than 70% of patients were female, and in about 89%, the mode of injury was fall at home. Among the 64 patients, 56 had a 31A2 type of injury according to the AO classification. Patients were treated depending on hospital protocols and were followed up on 2 weeks and after 3 months. They were functionally evaluated using the HHS, and complications were analyzed.
CONCLUSION
The study conducted at Government Medical College, Thiruvananthapuram, involving 64 patients with intertrochanteric fractures treated with PFNA-II, demonstrated a good functional outcome.
George Sonu, Gokul Gopan, Jeeva George et al.· Annals of African medicine· 0 citations
