scholarly journals Hanging stump prosthesis without socket for bad above-knee stumps

1985 ◽  
Vol 9 (3) ◽  
pp. 154-156 ◽  
Author(s):  
N. Chand ◽  
R. K. Srivastava ◽  
A. R. Maish

This prosthesis was developed in the Department of Rehabilitation, Safdarjang Hospital, New Delhi, India to deal with the problems of badly formed or difficult above-knee stumps. Bad stumps are still a challenge for the rehabilitation team due to the difficulty in fitting the prosthesis which is the first stage in the total rehabilitation of the amputee. It is the author's observation that those cases with bad above-knee stumps who are fitted with a prosthesis with some type of socket keep attending the prosthetic section complaining of pain. The pain in most of these cases is due to local contact of the stump surface with the socket. None of the prostheses already available can deal with this problem effectively. The hanging stump prosthesis without socket has been developed on the principle of no socket, no contact, no pain. This prosthesis has no socket but a metallic ring consisting of a well padded, well moulded ischial seat. This metallic ring is attached to the hollowed out wooden thigh piece by medial and lateral vertical bars. The outer side of the metallic ring is attached to the pelvic belt through the hip joint. The rest of the prosthesis is similar to the standard above-knee prosthesis.

1999 ◽  
Vol 12 (04) ◽  
pp. 173-177 ◽  
Author(s):  
R. L. Aper ◽  
M. D. Brown ◽  
M. G. Conzemius

SummaryTreatment of canine hip dysplasia (CHD) via triple pelvic osteotomy (TPO) is widely accepted as the treatment that best preserves the existing hip joint. TPO, however, has several important disadvantages. In an effort to avoid some of the difficulties associated with TPO an alternative method of creating acetabular ventroversion (AW) was sought. The purpose of this study was to explore the effects of placement of a wedge in the sacroiliac (SI) joint on A W and to compare this to the effect of TPO on A W . On one hemipelvis a 30° pelvic osteotomy plate was used for TPO. The contralateral hemipelvis had a 28° SI wedge inserted into the SI joint. Pre- and postsurgical radiographs of each pelvis were taken and the angular measurements were recorded. On average, the 28° SI wedge resulted in 20.9° of A W, the 30° canine pelvic osteotomy plate resulted in 24.9° A W . Significant differences were not found (p >0.05) between the two techniques. Sacroiliac wedge rotation effectively creates A W and has several theoretical advantages when compared to TPO. The in vivo effects of sacroiliac wedge rotation should be studied in order to evaluate the clinical effect of the technique.Sacroiliac wedge rotation was tested as an alternative method to increase the angle of acetabular ventroversion. This technique effectively rotated the acetabulum and has several theoretical advantages when compared to triple pelvic osteotomy.


Author(s):  
Harimohan Garg ◽  
Haritej Anand Khirawari ◽  
Sona Priyadarshi

Background: Pancytopenia is diagnosed when there is a reduction in all three hematopoietic cell lines. Till date there is limited number of studies on the frequency of various causes of pancytopenia. Of these some have been reported from the Indian subcontinent. There appears to be a changing spectrum of pancytopenia over the past two decades. The objective was to study the etiopathological spectrum of adult patients with pancytopenia over a period of one and half year. Methods: The Prospective and retrospective observational study was conducted in the Department of Family Medicine, Batra Hospital and Medical Research Centre, New Delhi.  A total of 120 Patients were included in the study. All patients gave their consent to take part in the study and were subjected to a questionnaire regarding symptoms, past relevant history, lifestyle and detailed clinical examination and investigations as mentioned in materials and methods. Results: Six broad diagnostic groups could be identified in adults with pancytopenia. Megaloblastic anemia (D1) was the largest group comprising 57.5% of all patients. 11.7% of patients with pancytopenia were diagnosed as Aplastic anemia (D2).11.7% of patients with pancytopenia were diagnosed as leukemia/lymphoma (D3) such as lymphoma (1), metastatic anaplastic carcinoma (1), acute leukemia (11), and metastatic gastric carcinoma (1). 15% of patients with pancytopenia were diagnosed with infections (D4) such as complicated malaria cases (7), HIV (5), disseminated tuberculosis (4), viral (2). We also encountered (D5) 0.8% was Myelophthisis/Storage disorder as myelodysplastic syndrome (1) and 3.3% were other (D6) as reactive marrow (4). Conclusion: Pancytopenia is not a disease itself. It is a hematological feature of varying etiology with slight male preponderance. Megaloblastic anemia along with mixed nutritional anemia is leading cause of pancytopenia in India followed by infections being second and aplastic anemia and acute leukemia being third common causes. Keyword: Pancytopenia, Megaloblastic anemia, Nutritional anemia.


2007 ◽  
Vol 10 (3) ◽  
pp. E231-E234 ◽  
Author(s):  
Balram Airan ◽  
Sachin Talwar ◽  
Shiv Choudhary ◽  
Akshay Bisoi ◽  
Ujjwal Chowdhury ◽  
...  

2011 ◽  
Vol 3 (7) ◽  
pp. 132-133
Author(s):  
Dr. Harjindar Pal Singh Saluja Dr. Harjindar Pal Singh Saluja ◽  
◽  
Dr. Ravish Kumar Soni ◽  
Smt. Sangita Sakvar Mahuriya ◽  
Dr. Harjeet Singh Bhatiya
Keyword(s):  

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