Gurudip Das | AIIMS BHUBANASWAR (original) (raw)

Papers by Gurudip Das

Research paper thumbnail of Evaluation of Pre-emptive Analgesia in Total Knee Arthroplasty During Early Post-operative Periods

Research paper thumbnail of Histological difference in ligament flavum between degenerative lumbar canal stenosis and non-stenotic group: A prospective, comparative study

World Journal of Orthopedics

Research paper thumbnail of Negative Pressure Wound Therapy Assisted Closure: An Effective Mode of Management for Infected and Contaminated Wound With Non-Union Fracture Femur

Cureus, 2020

High-energy open fractures are often associated with significant soft tissue damage and can have ... more High-energy open fractures are often associated with significant soft tissue damage and can have contamination. Infection of a fracture can be the most detrimental factor for fracture union. Control of infection and soft tissue coverage over exposed bone plays a vital role in its overall outcome. Negative pressure wound therapy (NPWT) assisted closure has depicted encouraging results for helping control of infection and wound closure. NPWT assisted closure promotes reduction of bacterial load in the wound, facilitates removal of secretion from the wound, promotes the formation of granulation tissue, and decreases wound size. We present a case of open fracture femur with severe infection and exposed bone. Along with infection and comminution of fracture, there was collection of necrotic tissue at the fracture site. Infection settled with debridement of wound and application of NPWT. With the application of NPWT, there was formation of granulation tissue and a decrease in wound size. The wound healed completely following application of secondary sutures. Any form of plastic procedures, such as muscle pedicle graft and split-thickness skin grafting, was not required for wound closure. NPWT-assisted closure is a promising mode of wound management in grossly infected wounds and obviates the need for further plastic procedures. The effect can be extrapolated to all open wounds with infection but must follow a thorough debridement and lavage.

Research paper thumbnail of Traumatized periosteum: Its histology, viability, and clinical significance

Research paper thumbnail of “Non-traumatic vertebral body compression fracture in a young patient on antiepileptic treatment: A rare case report”

Background: Non traumatic compression fracture are normally seen in old and osteoporotic patient ... more Background: Non traumatic compression fracture are normally seen in old and osteoporotic patient but rarely seen in young adult. We are presenting a rare case of a-traumatic thoracic vertebral body fracture in a young adult on antiepileptic treatment. Case characteristic: A 24 Years old male patient presented to us with chief complain of backache for 2 months. He was taking antiepileptic for last 6 month. There was no history of any other significant illness or trauma. On examination, mild localized tenderness with minimal round kyphosis over dorsal spine was present. On radiological evaluation, there was mild collapse of D5 and D9 vertebrae with T2 signal changes of adjacent vertebrae suggestive of osteoporotic compression fracture. Bone mineral density was less and both T and Z score were -1.9. Outcome: Patient was advised to stop antiepileptic drugs and bisphosphonate along with calcium and vitamin D3 were prescribed simultaneously resulted incomplete relief of pain as well his B...

Research paper thumbnail of Hydatid cyst of dorsal spine masquerading as tubercular infection: A case report and review of literature

Asian Journal of Neurosurgery, 2021

Hydatid cyst disease of the spine is rare, and only a few are reported in the scientific literatu... more Hydatid cyst disease of the spine is rare, and only a few are reported in the scientific literature. This infection is caused by the larvae of Echinococcus granulosus cestode. The presentation is usually late because the patient remains asymptomatic for a longer duration after the infection. The initial form of treatment is always surgical in a symptomatic patient for excision of the diseased tissue. A 35-year-old male presented in the outpatient department with a chief complaint of mid-back pain and intermittent history of fever following his back surgery for 4 years. The patient has taken presumptive treatment for tuberculosis before presenting it to us. Radiological investigations dictate the presence of hydatid cyst in the D4 vertebra. Intact cysts were excised with perioperative albendazole coverage. The patient was mobilized on postoperative day-1 with Taylor's brace, and the brace was continued for 6 weeks. The patient was followed up at regular intervals for 1 year, and no recurrence was found. Hydatid cyst disease in the spine is a rare disease but associated with high morbidity despite significant advances in diagnostic imaging techniques and surgical treatment. For a provisional diagnosis, magnetic resonance imaging is the investigation of choice. Surgical decompression is the main stray of treatment along with antihelminthic therapy. A close follow-up is required after the initial treatment to find the recurrence at the earliest.

Research paper thumbnail of Analysis of Spinopelvic Parameters with L5 as the New Sacrum after Fusion in High-Grade Spondylolisthesis: A Possible Explanation for Satisfactory Results with In-Situ Fusion

Asian Spine Journal

Study DesignRetrospective case series.PurposeTo correlate functional outcomes with spinopelvic pa... more Study DesignRetrospective case series.PurposeTo correlate functional outcomes with spinopelvic parameters in patients with high-grade spondylolisthesis (HGS) treated with instrumented in-situ surgery or reduction and fusion.Overview of LiteratureSatisfactory functional outcomes are reported with reduction and in-situ fusion strategies in HGS. However, reasons for this are unclear. We hypothesize that following lumbosacral fusion, the L5 becomes part of the sacrum, which improves spinopelvic parameters, resulting in equivalent functional outcomes in both surgical methods.MethodsTwenty-six patients undergoing HGS (reduction group A, 13; in-situ group B, 13) were clinically evaluated using the Oswestry Disability Index (ODI), short form-12 (SF-12), and Visual Analogue Scale (VAS) scores. Spinopelvic parameters, including pelvic incidence, pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), lumbosacral kyphosis (LSK) angle, and sacrofemoral distance (SFD) were measured preoperati...

Research paper thumbnail of Estimation of Femoral Neck Anteversion in Adults: A Comparison Between Clinical Method, Radiography, and Computed Tomography at a Tertiary-care Center in Eastern India

Cureus

Introduction Femoral anteversion is the anterior inclination of the femoral neck and head in rela... more Introduction Femoral anteversion is the anterior inclination of the femoral neck and head in relation to the shaft of the femur. Femoral anteversion provides torsional stability of the hip-an important clinical factor for conditions such as trauma, arthroplasty, developmental dysplasia of the hip, and Legg-Calve Perthes disease. Precise measurement is important to avoid instability in pathological conditions of the hip. Computed tomography (CT) measures the angle more accurately as compared to plain radiography and is considered the gold standard procedure for measurement. Patients are exposed to significantly more ionizing radiation in CT, especially the pediatric population, which is more susceptible. Material and methods A prospective study of 25 individuals was undertaken wherein the femoral anteversion angle was comparatively measured by clinical, radiographic, and CT methods. Results The radiological evaluation depicted mean values that were far from those of the CT evaluation as compared to the clinical evaluation. Conclusion The clinical method (trochanter prominence angle test) can be used to measure femoral anteversion to avoid exposure to ionizing radiation and cases where CT is unavailable.

Research paper thumbnail of Compartment syndrome as a late presentation of brachial artery pseudoaneurysm following shaft of humerus fracture

BMJ Case Reports

Peripheral artery pseudoaneurysm is rare in upper extremities compared with lower extremities. Ea... more Peripheral artery pseudoaneurysm is rare in upper extremities compared with lower extremities. Early diagnosis and prompt management are two cornerstones of successful outcomes in these cases. Delay can lead to limb and life-threatening complications. We present a case of compartment syndrome of upper limb as a sequel to pseudoaneurysm of brachial artery for which we had to do shoulder disarticulation. The patient recovered uneventfully.

Research paper thumbnail of Spinal Epidural Abscess in Melioidosis: A Rare Case Report from Eastern India

Cureus

A spinal epidural abscess (SEA) is a rare condition that has a devastating impact on the patient'... more A spinal epidural abscess (SEA) is a rare condition that has a devastating impact on the patient's health. It is difficult to diagnose and can present with a myriad of symptoms with or without the involvement of a neurological deficit. The conditions that lead to immunocompromised status, such as malnutrition, diabetes, intravenous drug abuse, previous surgical intervention, and human immunodeficiency virus (HIV) infection/acquired immune deficiency syndrome (AIDS) can predispose a patient to SEA. The most common organisms isolated from the affected patient include Staphylococcus aureus and Streptococcus species while an abscess in some cases can be caused by tuberculosis and fungal and parasitic infections. Among the other causative organisms is Burkholderia pseudomallei (B. pseudomallei), also known as Pseudomonas pseudomallei, which is a Gram-negative, bipolar, aerobic, motile, and rod-shaped bacterium. It is a soil-dwelling bacterium, which is endemic in tropical and subtropical regions worldwide, particularly in Thailand and northern Australia, and causes melioidosis. To our knowledge, SEA caused by B. pseudomallei from the Indian subcontinent has not been reported in the literature. In this case report, we present the case of a patient with SEA caused by B. pseudomallei.

Research paper thumbnail of Kyphotic Deformity Associated with Acute Tubercular Spondylodiscitis Treated by Single Stage Posterior only Surgery

Global Spine Journal, 2016

Research paper thumbnail of Septic as an arthritis cause of early neonatal sepsis in sick term newborn: Is it really uncommon?

Journal of Clinical Neonatology, 2015

Research paper thumbnail of Comparative Study of Treatment of High Grade Spondylolisthesis—Reduction Vs In-situ Fusion: Do we Need to Rethink Assessment of Pelvic Parameters?

Global Spine Journal, 2016

Research paper thumbnail of Evaluation of Pre-emptive Analgesia in Total Knee Arthroplasty During Early Post-operative Periods

Research paper thumbnail of Histological difference in ligament flavum between degenerative lumbar canal stenosis and non-stenotic group: A prospective, comparative study

World Journal of Orthopedics

Research paper thumbnail of Negative Pressure Wound Therapy Assisted Closure: An Effective Mode of Management for Infected and Contaminated Wound With Non-Union Fracture Femur

Cureus, 2020

High-energy open fractures are often associated with significant soft tissue damage and can have ... more High-energy open fractures are often associated with significant soft tissue damage and can have contamination. Infection of a fracture can be the most detrimental factor for fracture union. Control of infection and soft tissue coverage over exposed bone plays a vital role in its overall outcome. Negative pressure wound therapy (NPWT) assisted closure has depicted encouraging results for helping control of infection and wound closure. NPWT assisted closure promotes reduction of bacterial load in the wound, facilitates removal of secretion from the wound, promotes the formation of granulation tissue, and decreases wound size. We present a case of open fracture femur with severe infection and exposed bone. Along with infection and comminution of fracture, there was collection of necrotic tissue at the fracture site. Infection settled with debridement of wound and application of NPWT. With the application of NPWT, there was formation of granulation tissue and a decrease in wound size. The wound healed completely following application of secondary sutures. Any form of plastic procedures, such as muscle pedicle graft and split-thickness skin grafting, was not required for wound closure. NPWT-assisted closure is a promising mode of wound management in grossly infected wounds and obviates the need for further plastic procedures. The effect can be extrapolated to all open wounds with infection but must follow a thorough debridement and lavage.

Research paper thumbnail of Traumatized periosteum: Its histology, viability, and clinical significance

Research paper thumbnail of “Non-traumatic vertebral body compression fracture in a young patient on antiepileptic treatment: A rare case report”

Background: Non traumatic compression fracture are normally seen in old and osteoporotic patient ... more Background: Non traumatic compression fracture are normally seen in old and osteoporotic patient but rarely seen in young adult. We are presenting a rare case of a-traumatic thoracic vertebral body fracture in a young adult on antiepileptic treatment. Case characteristic: A 24 Years old male patient presented to us with chief complain of backache for 2 months. He was taking antiepileptic for last 6 month. There was no history of any other significant illness or trauma. On examination, mild localized tenderness with minimal round kyphosis over dorsal spine was present. On radiological evaluation, there was mild collapse of D5 and D9 vertebrae with T2 signal changes of adjacent vertebrae suggestive of osteoporotic compression fracture. Bone mineral density was less and both T and Z score were -1.9. Outcome: Patient was advised to stop antiepileptic drugs and bisphosphonate along with calcium and vitamin D3 were prescribed simultaneously resulted incomplete relief of pain as well his B...

Research paper thumbnail of Hydatid cyst of dorsal spine masquerading as tubercular infection: A case report and review of literature

Asian Journal of Neurosurgery, 2021

Hydatid cyst disease of the spine is rare, and only a few are reported in the scientific literatu... more Hydatid cyst disease of the spine is rare, and only a few are reported in the scientific literature. This infection is caused by the larvae of Echinococcus granulosus cestode. The presentation is usually late because the patient remains asymptomatic for a longer duration after the infection. The initial form of treatment is always surgical in a symptomatic patient for excision of the diseased tissue. A 35-year-old male presented in the outpatient department with a chief complaint of mid-back pain and intermittent history of fever following his back surgery for 4 years. The patient has taken presumptive treatment for tuberculosis before presenting it to us. Radiological investigations dictate the presence of hydatid cyst in the D4 vertebra. Intact cysts were excised with perioperative albendazole coverage. The patient was mobilized on postoperative day-1 with Taylor's brace, and the brace was continued for 6 weeks. The patient was followed up at regular intervals for 1 year, and no recurrence was found. Hydatid cyst disease in the spine is a rare disease but associated with high morbidity despite significant advances in diagnostic imaging techniques and surgical treatment. For a provisional diagnosis, magnetic resonance imaging is the investigation of choice. Surgical decompression is the main stray of treatment along with antihelminthic therapy. A close follow-up is required after the initial treatment to find the recurrence at the earliest.

Research paper thumbnail of Analysis of Spinopelvic Parameters with L5 as the New Sacrum after Fusion in High-Grade Spondylolisthesis: A Possible Explanation for Satisfactory Results with In-Situ Fusion

Asian Spine Journal

Study DesignRetrospective case series.PurposeTo correlate functional outcomes with spinopelvic pa... more Study DesignRetrospective case series.PurposeTo correlate functional outcomes with spinopelvic parameters in patients with high-grade spondylolisthesis (HGS) treated with instrumented in-situ surgery or reduction and fusion.Overview of LiteratureSatisfactory functional outcomes are reported with reduction and in-situ fusion strategies in HGS. However, reasons for this are unclear. We hypothesize that following lumbosacral fusion, the L5 becomes part of the sacrum, which improves spinopelvic parameters, resulting in equivalent functional outcomes in both surgical methods.MethodsTwenty-six patients undergoing HGS (reduction group A, 13; in-situ group B, 13) were clinically evaluated using the Oswestry Disability Index (ODI), short form-12 (SF-12), and Visual Analogue Scale (VAS) scores. Spinopelvic parameters, including pelvic incidence, pelvic tilt (PT), sacral slope (SS), lumbar lordosis (LL), lumbosacral kyphosis (LSK) angle, and sacrofemoral distance (SFD) were measured preoperati...

Research paper thumbnail of Estimation of Femoral Neck Anteversion in Adults: A Comparison Between Clinical Method, Radiography, and Computed Tomography at a Tertiary-care Center in Eastern India

Cureus

Introduction Femoral anteversion is the anterior inclination of the femoral neck and head in rela... more Introduction Femoral anteversion is the anterior inclination of the femoral neck and head in relation to the shaft of the femur. Femoral anteversion provides torsional stability of the hip-an important clinical factor for conditions such as trauma, arthroplasty, developmental dysplasia of the hip, and Legg-Calve Perthes disease. Precise measurement is important to avoid instability in pathological conditions of the hip. Computed tomography (CT) measures the angle more accurately as compared to plain radiography and is considered the gold standard procedure for measurement. Patients are exposed to significantly more ionizing radiation in CT, especially the pediatric population, which is more susceptible. Material and methods A prospective study of 25 individuals was undertaken wherein the femoral anteversion angle was comparatively measured by clinical, radiographic, and CT methods. Results The radiological evaluation depicted mean values that were far from those of the CT evaluation as compared to the clinical evaluation. Conclusion The clinical method (trochanter prominence angle test) can be used to measure femoral anteversion to avoid exposure to ionizing radiation and cases where CT is unavailable.

Research paper thumbnail of Compartment syndrome as a late presentation of brachial artery pseudoaneurysm following shaft of humerus fracture

BMJ Case Reports

Peripheral artery pseudoaneurysm is rare in upper extremities compared with lower extremities. Ea... more Peripheral artery pseudoaneurysm is rare in upper extremities compared with lower extremities. Early diagnosis and prompt management are two cornerstones of successful outcomes in these cases. Delay can lead to limb and life-threatening complications. We present a case of compartment syndrome of upper limb as a sequel to pseudoaneurysm of brachial artery for which we had to do shoulder disarticulation. The patient recovered uneventfully.

Research paper thumbnail of Spinal Epidural Abscess in Melioidosis: A Rare Case Report from Eastern India

Cureus

A spinal epidural abscess (SEA) is a rare condition that has a devastating impact on the patient'... more A spinal epidural abscess (SEA) is a rare condition that has a devastating impact on the patient's health. It is difficult to diagnose and can present with a myriad of symptoms with or without the involvement of a neurological deficit. The conditions that lead to immunocompromised status, such as malnutrition, diabetes, intravenous drug abuse, previous surgical intervention, and human immunodeficiency virus (HIV) infection/acquired immune deficiency syndrome (AIDS) can predispose a patient to SEA. The most common organisms isolated from the affected patient include Staphylococcus aureus and Streptococcus species while an abscess in some cases can be caused by tuberculosis and fungal and parasitic infections. Among the other causative organisms is Burkholderia pseudomallei (B. pseudomallei), also known as Pseudomonas pseudomallei, which is a Gram-negative, bipolar, aerobic, motile, and rod-shaped bacterium. It is a soil-dwelling bacterium, which is endemic in tropical and subtropical regions worldwide, particularly in Thailand and northern Australia, and causes melioidosis. To our knowledge, SEA caused by B. pseudomallei from the Indian subcontinent has not been reported in the literature. In this case report, we present the case of a patient with SEA caused by B. pseudomallei.

Research paper thumbnail of Kyphotic Deformity Associated with Acute Tubercular Spondylodiscitis Treated by Single Stage Posterior only Surgery

Global Spine Journal, 2016

Research paper thumbnail of Septic as an arthritis cause of early neonatal sepsis in sick term newborn: Is it really uncommon?

Journal of Clinical Neonatology, 2015

Research paper thumbnail of Comparative Study of Treatment of High Grade Spondylolisthesis—Reduction Vs In-situ Fusion: Do we Need to Rethink Assessment of Pelvic Parameters?

Global Spine Journal, 2016