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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 | Studies on induction hardening of gray iron and ductile iron 显示文摘 | Balaehandran G Vadiraj A Sharath B S | 2010 | Transactions of the Indian Institute of Metals2010，63，4： | 1 |
| 3 | Performance of Eucalyptus and OpenStack Clouds on Future Grid显示文摘 | SHARATH S BASU A | 2013 | International Journal of Computer Applications2013，80，13： | 1 |
| 4 | Comparative Evaluation of Platelet-Rich Fibrin Biomaterial and Open Flap Debridement in the Treatment of Two and Three Wall Intrabony Defects显示文摘 | Himanshu A Sharath S Dharmarajan G | 2015 | Journal of International Oral Health2015，7，4： | 1 |
| 5 | One and two femoral neck screws with intramedullary nails for unstable trochanteric fractures of femur in the elder ly randomized clinical trial显示文摘 | Vidyadhara A Sharath KR | 2007 | Injury2007，38，7： | 1 |
| 6 | Neuroleptic malignant syndrome : risk factors, pathophysiology, and trealment 显示文摘 | Jambur A Kamala A Sharath P | 2004 | Acta Neuropsychiatrica2004，16，： | 1 |
| 7 | An efficient blind modulation detec-tion algorithm for adaptive OFDM system显示文摘 | Sharath B R Tevfik Y Hiiseyin A | 2003 | VTC2003，3，： | 1 |
| 8 | Children,s behaviorpattern and behavior management techniques used in astructured postgraduate dental program显示文摘 | Sharath A Rekka P Muthu MS | 2009 | J Indian SocPedodont Prev Dent2009，27，1： | 1 |
| 9 | Effect of reactive oxygen species on cholinergic receptor function 显示文摘 | Venkatesham A Sharath Babu P Vidya Sagar J | 2005 | J India Pharmacal2005，6，： | 1 |
| 10 | Arthroscopic tibial spine avulsion fixation : a simple technique 显示文摘 | Vivek P Kiran A Sharath R | 2013 | Tech- niques in Orthopaedics2013，28，4： | 1 |
| 11 | Children's behav-ior pattern and behavior management techniques used in a struc- tured postgraduate dental program 显示文摘 | SHARATH A REKKA P MUTHU M S | 2009 | J Indian Soc Pedod Prey Dent2009，27，1： | 1 |
| 12 | Pressure- strain correlation modeling : towards achieving consis-tency with rapid distortion theory显示文摘 | Aashwin A Mishra Sharath S Girimaji | 2010 | Flow Turbu- lence and Combus2010，85，34： | 1 |
| 13 | 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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