KMC Hospital

Mangalore, India

KMC Hospital

Mangalore, India
SEARCH FILTERS
Time filter
Source Type

Satish B.R.J.,Ortho Center | Ranganadham A.V.,Sree Ortho Clinic | Ramalingam K.,Ortho Center | Tripathy S.K.,KMC Hospital | Tripathy S.K.,Ortho Center
Indian Journal of Orthopaedics | Year: 2013

Background: The treatment options for displaced femoral neck fracture in elderly are screw fixation, hemiarthroplasty and total hip arthroplasty based primarily on age of the patient. The issues in screw fixation are ideal patient selection, optimal number of screws, optimal screw configuration and positioning inside the head and neck of femur. The problems of screw fixation may be loss of fixation, joint penetration, avascular necrosis of femoral head, nonunion, prolonged rehabilitation period and the need for second surgery in failed cases. We hereby present results of a modified screw fixation technique in femoral neck fractures in patients ≥50 years of age. Materials and Methods: Patients ≥50 years of age (range 50-73 years) who sustained displaced femoral neck fracture and fulfilled the inclusion criteria were enrolled in this prospective study. They were treated with closed reduction under image intensifier control and cannulated cancellous screw fixation. Accurate anatomical reduction was not aimed and a cross sectional contact area of >75% without varus was accepted as good reduction. Four screws were positioned in four quadrants of femoral head and neck, as parallel and as peripheral as possible. Radiological and functional results were evaluated periodically. Sixty four patients who could complete a minimum followup of two years were analyzed. Results: Radiologically, all fractures healed after mean duration of 10 weeks (range 8-12 weeks). There was no avascular necrosis. Nonanatomical healing was observed in 45 cases (70%). All patients except one had excellent functional outcome and could do cross-legged sitting and squatting. Chondrolysis with progressive head resorption was seen in one case, which was converted to total hip arthroplasty. Conclusion: Closed reduction and cannulated cancellous screw fixation gives satisfactory functional results in large group of elderly patients. The four quadrant parallel peripheral (FQPP) screw fixation technique gives good stability, allows controlled collapse, avoids fixation failure and achieves predictable bone healing in displaced femoral neck fracture in patients ≥50 years of age.


Aithala J.P.,Mangalore University | Aithala J.P.,KMC Hospital
Journal of Orthopaedic Surgery and Research | Year: 2015

Background and aim of the study: In Indian patients, in view of language plurality and illiteracy, self-reporting of English version of Oswestry Disability Index (ODI) is not practical. Our study aim was to find out to what extent self-reporting of ODI was possible and in cases where self-reporting was not possible, to see validity and reliability of a translator-assisted ODI score. Materials and methods: Fifty patients with low backache and who could not use the English version were assessed with ODI with the use of two translators at a gap of 3 h in a test and retest manner. Patients were also asked to report the most important disabling activity in their day-to-day life. Results: A total of 58 questionnaires were filled during the study period out of which eight patients (14 %) self-reported English version; while 50 patients needed a translator. The Cronbach's alpha between two translators for the ODI scores of 50 patients was 0.866, but aggregate of difference between two scores for each ODI component shows high difference between two translators for question nos. 3, 9, and 10. Cronbach's alpha was best when item no. 3 was deleted (0.875, translator 1; 0.777, translator 2). Thirty-seven people did not answer the question related to sexual activity. Agreement between two values was assessed using Kendall's tau and was found good (0.585, Spearman's coefficient 0.741). Kendall's tau values correlating total ODI score and individual components show that all the items move together, but correlation was poor for question no. 3 (P value 0.16 for translator 2). Conclusions: Translator-assisted ODI is a good outcome assessment tool in backache assessment in places where validated local language versions are not available, but in Indian patients, inclusion of question nos. 3 and 8 related to weight lifting and sexual function needs to be reviewed. © 2015 Aithala.


Kamath S.U.,KMC Hospital | Manjunatha B.H.,KMC Hospital
Journal of the Indian Medical Association | Year: 2011

With the increase in the number of human immunodeficiency virus positive patients, more and more patients are referred with musculoskeletal or joint manifestations. It is important to differentiate between various causes resulting in musculoskeletal or joint manifestations. In this prospective study 30 patients out of 569 human immune deficiency virus positive patients presented with musculoskeletal or joint manifestations (incidence being 5.27%), simple arthralgia was the most common manifestation in 16 patients. Reactive arthritis was diagnosed in 6 patients and infective arthritis in 5 patients. After the treatment 16 patients had complete recovery, 9 patients had partial recovery and 3 patients had no recovery of joint manifestation. One patient expired due to septicaemia and another lost to follow-up.


Rai S.P.V.,KMC Hospital | Kamath M.,KMC Hospital | Shetty A.,KMC Hospital | Shenoy S.,KMC Hospital | Kumar A.,KMC Hospital
Journal of Emergencies, Trauma and Shock | Year: 2010

Hernia of Morgagni occurs through an anterior defect in the diaphragm. Symptoms of these hernias are attributable to the herniated viscera. In our case, there was partial obstruction due to herniation of the distal stomach and pylorus into the right hemithorax that was reduced surgically through a right thoracolapaorotomy. Of special emphasis are the various modalities used to diagnose this condition in our case.


Madi D.,KMC Hospital | Achappa B.,KMC Hospital | Rao S.,KMC Hospital | Adhikari P.,KMC Hospital | Mahalingam S.,KMC Hospital
Journal of Clinical and Diagnostic Research | Year: 2012

Focal neurological disease in patients with acquired immunodeficiency syndrome may be caused by various opportunistic infections and tumours. It was recognized early in the HIV epidemic, that the diagnosis of the focal CNS lesions would be difficult. A 21-year old female, known case of a retroviral disease, presented to our institute with complaints of fever, headache and vomiting. A computed tomography scan of her brain showed a single ring enhancing lesion in the left basal ganglia. Toxoplasma serology revealed raised IgG antibody levels. Based on the CT features and the positive toxoplasma serology, a diagnosis of cerebral toxoplasmosis was made. She was treated with trimethoprim/sulfamethoxazole and pyrimethamine/ sulfadoxine. The patient was symptomatically better after 72 hours. After 21 days, a repeat CT of brain was done, which showed significant resolution of the lesions. Cerebral toxoplasmosis is still the commonest cerebral opportunistic infection in HIV-infected patients.


Chacko J.,Manipal Hospital | Jahan N.,Manipal Hospital | Brar G.,Manipal Hospital | Moorthy R.,KMC Hospital
Indian Journal of Critical Care Medicine | Year: 2012

Background and Aims: Although smoke inhalation is well known to cause acute lung injury, there are few reports in literature that study the evolution, clinical course and outcomes of isolated inhalational lung injury in a modern intensive care setting. A major fire disaster provided us the opportunity to study victims of isolated inhalational injury admitted to our Multidisciplinary Intensive Care Unit (MICU). Materials and Methods: We studied the clinical course, ICU and hospital outcomes of 13 victims of a fire disaster who required mechanical ventilation for isolated inhalational lung injury. All patients were followed up at regular intervals, and their functional status was assessed at 8 months after hospital discharge. Results: The Lung Injury Scores (LIS) worsened to reach a nadir on Day 3 of injury. There was a significant correlation between the LIS on Day 3 and duration of mechanical ventilation (r = 0.8; P = 0.003), ICU (r = 0.8; P = 0.002) and hospital (r = 0.6; P = 0.02) days. Late-onset airway complications were encountered in four patients. Three of them required long-term artificial airways - two with a tracheostomy while the third patient required surgical insertion of a "T" tube. Persistent problems with phonation occurred in two patients. At 8 months postdischarge, all patients were independent with activities of daily living; all were back to work, except for two who continued to need artificial airways. Conclusions: Inhalational lung injury progresses over the first few days and is worst after 72 h. Late-onset airway complications may manifest after several weeks and require repeated intervention.


Kashyap K.,KMC Hospital | Thunga R.,KMC Hospital | Rao A.K.,Government Wenlock District Hospital | Balamurali N.P.,KMC Hospital
Indian Journal of Psychiatry | Year: 2012

Background: Mentally retarded and chronic mentally ill are being certified using IQ Assessment and Indian Disability Evaluation and Assessment Scale (IDEAS). They have been granted various benefits including monthly pension, from Ministry of Social Welfare, Government of India. The monthly pension appears to be the strongest reason for seeking certification and applying for government benefits. The caregivers appear to have only partial information and awareness about the remaining schemes. Objective: The study aims to assess the severity of disability in the mentally retarded and mentally ill who are certified for disability benefits, as well as to assess the trends of utilization of disability benefits over a 3 year period. Materials and Methods: This was a retrospective, file review based study of certificates of patients certified for mental disability in the period of January 2006 to December 2008. Certificates of a total of 1794 mentally retarded and 285 mentally ill were reviewed. The data regarding utilization of disability benefits was assessed. Results: Patients from rural areas did not avail any benefits other than the disability pension. Among Mentally Ill, Schizophrenia accounted for highest certifications. Males had higher disability compared to females, and Dementia showed highest disability as per IDEAS. Conclusion: Though initial hurdles due to disability measurement have been crossed, disability benefits are still elusive to the vast majority of the disabled. Proper awareness and education will help in reducing the stigma and in the effective utilization of benefits.


PubMed | KMC Hospital
Type: Case Reports | Journal: Journal of the Indian Medical Association | Year: 2010

A 40-year-old man was admitted with the complaint of rest anginal episodes since few hours prior to admission. His BP was 120/80 mm Hg. ECG revealed no evidence of acute ischaemia. Coronary angiography revealed 80% luminal narrowing by systolic compression in the mid segment of the left anterior descending coronary artery best seen in the left anterior oblique cranial view. He improved symptomatically with beta-blockers, antiplatelets, statins and nitrates and the case was diagnosed as unstable angina due to coronary artery muscle bridge.


PubMed | KMC Hospital
Type: Journal Article | Journal: Journal of the Indian Medical Association | Year: 2011

With the increase in the number of human immunodeficiency virus positive patients, more and more patients are referred with musculoskeletal or joint manifestations. It is important to differentiate between various causes resulting in musculoskeletal or joint manifestations. In this prospective study 30 patients out of 569 human immune deficiency virus positive patients presented with musculoskeletal or joint manifestations (incidence being 5.27%), simple arthralgia was the most common manifestation in 16 patients. Reactive arthritis was diagnosed in 6 patients and infective arthritis in 5 patients. After the treatment 16 patients had complete recovery, 9 patients had partial recovery and 3 patients had no recovery of joint manifestation. One patient expired due to septicaemia and another lost to follow-up.


PubMed | KMC Hospital
Type: Journal Article | Journal: Journal of emergencies, trauma, and shock | Year: 2010

Hernia of Morgagni occurs through an anterior defect in the diaphragm. Symptoms of these hernias are attributable to the herniated viscera. In our case, there was partial obstruction due to herniation of the distal stomach and pylorus into the right hemithorax that was reduced surgically through a right thoracolapaorotomy. Of special emphasis are the various modalities used to diagnose this condition in our case.

Loading KMC Hospital collaborators
Loading KMC Hospital collaborators