Determinants of range of motion in cruciate retaining total knee arthroplasty: a prospective study

Background: Total knee replacement (TKR) is to provide a stable painless knee with adequate range of motion (ROM) for daily activities. The aim of the study is to evaluate various factors that influence ROM in cruciate retaining TKR postoperatively.Methods: Fourty four patients with osteoarthritis knee treated in our institute with TKR using cruciate retaining prosthesis are included in study and analysed prospectively. Mean follow up was 6 months. Patients are analyzed for following factors–age, gender, BMI, preoperative ROM, changes in posterior femoral condylar offset, posterior tibial slope after surgery. Statistical analysis of effect of all factors on knee ROM was done. Assessment was done preoperatively and 3 and 6 months postoperatively.Results: Gender did not affect the final ROM. Mean age of patients is 65. Age has negative correlation with ROM (p=-0.45). The mean knee range improved from 92˚ to 101˚. Factors that negatively affect ROM include, BMI (p=-0.04) and Preoperative flexion deformity (p=-0.03). Factors that positively affect ROM include, knee scores and good preoperative flexion (p=0.001). Males have good amount of flexion preoperatively and post operatively when compared to females.Conclusions: Preoperative ROM, flexion contracture and BMI are the important factors affecting the range of motion in total knee arthroplasty. Proper counselling of patient preoperatively regarding these various factors and appropriate selection of patient is of utmost important for satisfactory functional outcome

A Comprehensive Analysis of Nidana for Netra Rogas as explained by different Ayurveda instigators in the specific context of Netra Shalakya

Ayurvedic way of diagnosis has two basic components mainly Rogapariksha and Rogipariksha. Among them Rogapariksha gives us the detailed knowledge about a disease starting from the etiological aspects to the actual manifestion of disease. The five basic components of Rogapariksha are Nidana, Purvarupa, Rupa, Samprapti and Upashaya, which are collectively known as Nidana Panchakas. Nidana, the foremost component among them not only gives the knowledge of causative factors but also helps in treatment by avoiding them. Among all the Indriyas, Netra is said to be Pradhana, thus a special care and concern should be taken to protect it. Understanding the strength of the causative factors for eye diseses will help to execute the treatment appropriately and maintain the healthy vision. Thus an attempt is made to analyse the Netra Roga Nidana in this presentation

Lettuce: a promising leafy vegetable with functional properties

Lactuca sativa (lettuce) belongs to Asteraceae family important leafy vegetable known for its medicinal properties. The lettuce is a food that should not lack in our meals, we should keep in mind that its low fat and carbohydrate contents and its high contents of water, it provides caloric power of only 13 Kcal /100gm are very appropriate for weight loss diets. It is rich in minerals, especially potassium that is very necessary to maintain appropriate levels of liquids in the body, together with calcium and phosphorus makes it especially for the correct well being of the bones. It contains selenium, an antioxidant that has a medicinal property in prevention of certain type of cancers, colon, prostrate and lungs. It contains many necessary amino acids for the formation of the proteins, alanine, and necessary for the construction of muscular and nervous tissues, glycine for the correct operation of immunological system. The most of therapeutic properties of this plant is due to sesquiterpene lactones- lactucin, lactucopicrin the most bioactive compound of Lactuca sativa. This review mainly focuses on the pharmacological action of the Lettuce and active constituents for the wide spectrum biological properties, such as anti-oxidant, anti-inflammatory, anti-microbial, analgesic, neuroprotective and sedative properties etc. Since Lettuce has medicinal therapeutic potential its usage in dietary supplementation can be exploited. Lettuce has also acquired a folk reputation. More clinical studies are needed to further asses the efficiency and safety in therapeutic applicatio

Neuropathy in the setting of alcoholism-an entity less thought of

Disulfiram is a commonly used adjunctive treatment in the management of alcohol dependency.  It has been noted that disulfiram can induce peripheral neuropathy, the mechanism of which has not been clearly determined. A 35-year-old patient, reformed alcoholic, on disulfiram presented with complaints of painful distal dysesthesias and foot drop. Clinical examination revealed bilateral foot drop without any objective sensory loss. Patient was evaluated for the same and routine blood investigations including vitamin B-12, inflammatory and virological markers were found to be normal. Nerve conductions studies revealed in excitable bilateral common peroneal and tibial nerves. Possibility of disulfiram induced peripheral neuropathy was thought of and drug was withdrawn. Patient was followed up and after two months improvement in motor power and reduction in paraesthesia’s was noted. Disulfiram is a commonly used drug, the uncommon side effect of which is distal predominant axonal neuropathy. This must be kept be kept in mind when evaluating a patient presenting with features of peripheral neuropathy, on a background of alcohol abuse

Blind Assistance System using Image Processing

Eye diseases usually cause blindness and visual impairment As per the statistics there are over 285 million visually impaired people living worldwide They come across many troubles in their daily life especially while navigating from one place to another on their own They often depend on others for help to satisfy their day-to-day needs So it is quite a challenging task to implement a technological solution to assist them Several technologies were developed for the assistance of visually impaired people One such attempt is that we would wish to make an Integrated Machine Learning System that allows the blind victims to identify and classify real-time objects generating voice feedback and distance Which also produces warnings whether they are very close or far away from the thin

Anatomical variations of sinonasal region: a CT scan study

Multislice CT is currently the imaging modality of choice for evaluating PNS & adjacent structures. Such a method has been increasingly utilized in the assessment of anatomical variations, allowing their accurate identification with high anatomical details. Some anatomical variations may predispose to sinonasal disease, constituting areas of high risk for injuries & complications during surgical procedures. Therefore, the recognition of such variations is critical in the preoperative evaluation for endoscopic surgery