Sarvdeep Dhatt - Academia.edu (original) (raw)
Papers by Sarvdeep Dhatt
Textbook of Orthopedics and Trauma (4 Volumes)
JOURNAL OF ORTHOPAEDIC CASE REPORTS
Introduction: Ozone therapy is one of the evolving, yet far from conclusive, alternative minimall... more Introduction: Ozone therapy is one of the evolving, yet far from conclusive, alternative minimally invasive treatment option in the management of herniated disc in the cervical and lumbar spine. It causes the decrease in the volume of herniated disc by dehydration. Case Report: We hereby present the first reported case of Mycobacterium infection of the spine secondary to ozone therapy with the aim to caution the surgeons regarding the complications of intradiscal ozone therapy. Conclusion: Lack of proper, adequate, and recommended precautions if not taken can inoculate the varied microorganisms into the intradiscal space leading to devastating and unforeseen complications. Keywords: tuberculosis, ozone therapy, infection.
SN Comprehensive Clinical Medicine
BMJ Case Reports
Post-traumatic spinal epidural haematoma (SEH) is a rare clinical entity in children. We are repo... more Post-traumatic spinal epidural haematoma (SEH) is a rare clinical entity in children. We are reporting the case of an 8-year-old child who presented with thoracolumbar SEH with neurological deficit. MRI confirmed SEH without bony disruption. Emergency evacuation of haematoma was done. There was an improvement in neurological status after removal of haematoma. Diagnosis of this rare condition is tricky in children owing to variable presenting symptoms, especially in an early stage with subtle neurological changes. There should be high clinical suspicion in children with atypical symptoms, and MRI should be done to confirm the diagnosis. Patients with acute neurological deficit should undergo urgent operative decompression. Conservative treatment has a limited role. Patients may be considered for non-operative management if they have medical contraindications, coagulation dysfunction or a small SEH without neurological deficit. These patients require serial MRI monitoring.
Journal of Postgraduate Medicine, Education and Research
Every six months we get the most intelligent crop of junior doctors from across the country. They... more Every six months we get the most intelligent crop of junior doctors from across the country. They come from every corner of the country focused to work here and try to do their best. They will over the next few years work in a premier institute of India and will be mentored by probably the most experienced faculty in their respective fields. In terms of variety of diseases and experience this is a gold mine. But, when they leave from here, are we justified in making them a full humane doctor? Can Compassion and Competence go hand in hand? Can we teach them both or it is not possible. The burning question behind all this is that "Can treating patients with medicine and compassion make a measurable difference on the wellbeing of both patients and doctors?" This very question was researched in detail by Trzeciak and Mazzarelli in their new book Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference. After considering more than 1,000 scientific abstracts and 250 research papers, Trzeciak and Mazzarelli were surprised to find that the answer was, resoundingly, yes.
Journal of Postgraduate Medicine, Education and Research
Orthobiologics are the biologically derived materials from the body to promote the repair and reg... more Orthobiologics are the biologically derived materials from the body to promote the repair and regeneration of muculoskeletal tissues. Orthobiologics has got special attention in recent past and become the focus of study of researchers in various traumatic and nontraumatic spinal pathologies. Efforts were made to develop materials capable of bone formation and which encourage healing of fractures. When they are used in higher concentrations than normally present in the body, they can potentially help speed up the healing process. The substances which are considered to be orthobiologics are: bone grafts, autologous blood, autologous conditioned serum (ACS), platelet-rich plasma (PRP), growth factors, and stem cells. Various clinical and animal studies have shown variable results. This review gives an outline regarding the currently available clinical information and application of orthobiologics in various spinal pathologies for therapeutic use.
The Journal of Spinal Surgery
Introduction: The quantitative understanding of cervical pedicle morphology minimizes the injury ... more Introduction: The quantitative understanding of cervical pedicle morphology minimizes the injury to the neurovascular structure and improves the surgical outcome. The aim of this study was to investigate the morphometry of the cervical pedicle using computed tomography (CT) scans. Materials and methods: The CT scan was performed in eleven cervical spine injury patients and the axial and sagittal images were used to calculate the four linear parameters-outer pedicle width (OPW), inner pedicle width (IPW), pedicle height (PH), pedicle axis length (PAL), and the pedicle transverse angle (PTA). Results: A total of 110 pedicles were measured and studied. The mean OPW, IPW, and PH showed gradual increase of the value from C3 to C7. The PTA showed maximum value at C4 vertebra and minimum value at C7 vertebra. Conclusion: The study demonstrated that pedicle dimensions were small in comparison to European and other Asian populations. To enhance the safety of cervical pedicle screw insertion, the pedicle dimensions and trajectories should be determined individually. The screw diameter should also be optimal to avoid pedicle violations because of narrow OPW in our study population.
Journal of Evolution of Medical and Dental Sciences
A 14 yrs. old male child, a known case of Down syndrome was referred to our center with chief com... more A 14 yrs. old male child, a known case of Down syndrome was referred to our center with chief complaints of gradual onset pain in mid-back region and inability to walk for the past 5 months. He also had impaired bladder and bowel control, evening rise of temperature and significant weight loss during this period. Patient was already on anti-tubercular chemotherapy for the past 2 months and was advised complete bed rest however; there was no improvement in general and clinical status as per history. There was also past history of microbiologically proven pulmonary tuberculosis 2 years back for which he took ATT for 6 months. On clinical examination, stigmata of down syndrome were noted (Moderate intellectual disability, umbilical hernia, stunted growth, short neck, anorectal malformation etc.). On local examination, angular type of kyphotic deformity was noted over T9-T10 region with para-spinal muscle spasm as well as direct and rotatory tenderness. On neurological examination, due to intellectual disability, accurate interpretation was not possible, however, there was decreased muscle bulk, positive Babinski sign, clasp knife spasticity in both the lower limbs along with exaggerated DTRs. Paraparesis was noted in both the lower limbs (Frankel Grade C) along with loss of bowel and bladder control without any involuntary movements. Sensory examination and spinal level could not be assessed accurately due to lack of patient cooperation. Nevertheless, loss of sensations below the level of umbilicus was apparent clinically.
International journal of environmental research and public health, Sep 6, 2018
Evidence from India, a country with unique and distinct food intake patterns often characterized ... more Evidence from India, a country with unique and distinct food intake patterns often characterized by lifelong adherence, may offer important insight into the role of diet in breast cancer etiology. We evaluated the association between Indian dietary patterns and breast cancer risk in a multi-centre case-control study conducted in the North Indian states of Punjab and Haryana. Eligible cases were women 30⁻69 years of age, with newly diagnosed, biopsy-confirmed breast cancer recruited from hospitals or population-based cancer registries. Controls (hospital- or population-based) were frequency matched to the cases on age and region (Punjab or Haryana). Information about diet, lifestyle, reproductive and socio-demographic factors was collected using a structured interviewer-administered questionnaire. All participants were characterized as non-vegetarians, lacto-vegetarians (those who consumed no animal products except dairy) or lacto-ovo-vegetarians (persons whose diet also included egg...
Journal of Clinical Orthopaedics and Trauma, 2016
Spinal epidural abscess (SEA) is a rare and serious condition which can lead to permanent neurolo... more Spinal epidural abscess (SEA) is a rare and serious condition which can lead to permanent neurological deficit. Spontaneous SEA is even rarer condition with an incidence of less than 1 per 10,000 person-year. Being spontaneous, it has high chances of being misdiagnosed, more so when the risk factors are not clearly explainable for the condition. This is a case report of such a case in a middle aged normoglycemic recently diagnosed diabetic man with atypical presentation. The diagnosis was made after magnetic resonance imaging and confirmed after surgical intervention in form of spinal decompression and patient recovered after appropriate antibiotics. This article also sums up the risk factors of spontaneous SEA. ß 2016
A unique case of a spin bowler in Cricket with multiple stress fractures in the dominant hand is ... more A unique case of a spin bowler in Cricket with multiple stress fractures in the dominant hand is presented for its rarity. The probable cause of this overuse injury was the way he held the ball, leading to abnormal force concentrations in the index, middle and ring fingers, with maximum strain at DIP joint of index finger and MP joint of the ring finger. It is postulated that this caused a cumulative stress injury at the head of the 4th metacarpal as well as distal phalanx. The stress lesion was cured after rest from bowling, and the patient went back to spin bowling under supervision and adequate precautions, as well as as altering the ball grip. This is the first case of its kind; the authors recommend routine analysis of the dominant hand of all finger spinners, along with video-graphic analysis of their grip and action, to pick up potential areas of stress concentration at an early stage.
European Spine Journal, 2011
The purpose of this study is to find the clinical outcome of decompression of Cauda Equina presen... more The purpose of this study is to find the clinical outcome of decompression of Cauda Equina presenting late in the course of disease. There were 33 males and 17 females with average age of 48 years, ranging from 25 to 85 years. All patients presented to us with a fully developed Cauda Equina syndrome (CES). All of them presented late with mean delay of 12.2 days. Time interval between bladder and bowel dysfunction and admission to hospital varied from 1 to 35 days. The average follow-up was 34.5 months, ranging from 12 to 60 months. There was no statistically significant difference in time of delay in surgery between the recovered and non-recovered group as tested by Student's t test. But there was a statistically significant positive correlation between duration taken for total recovery and delay in surgery. Anal wink as a predictor of bladder and bowel recovery also showed statistical significance, as patients with an absence had a poorer prognosis for bladder recovery. The result of surgery in CES is not as dramatic and fast as seen after routine disc surgery. Some improvement can be expected with decompression even in those patients presenting late and results are not universally poor as previously thought. The treating physicians of such patients should be aware that the recovery in this group of patients can take an exceptionally long time and hence should involve in constant reassurance and rehabilitation of the patient. Presence of anal wink is a very good predictor of bladder and bowel recovery.
Spine, 2010
A retrospective case report. The objective of the present article is to report an unusual complic... more A retrospective case report. The objective of the present article is to report an unusual complication of spinal instrumentation. Migration of spinal implants to distant site is quite unusual, and literature till date has only 2 case reports. For the first time, we are reporting a case of anterior spinal rod migration from the dorsolumbar spine to the knee joint in a young male patient after 4 years of its fixation following spinal injury. A 38-year-old man presented with pain, swelling, and restriction of movement of left knee joint. On clinical examination, a hard movable rod was palpable which was suspected to be a metallic foreign body initially. The detailed history of the patient revealed anterior spinal fixation following posttraumatic injury of L1 vertebra 4 years back. Radiograph showed a metallic rod lying around the knee joint with absence of anterior rod of dorsolumbar spine. The suspicion of migration of the rod was confirmed by surgical exploration. After 1 week of rem...
Journal of Pediatric Orthopaedics B, 2011
We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using t... more We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using the Ponseti principle in 12 children (mean age 7.3 years). The deformities were corrected around the talar head in the sequence of the cavus, adduction, varus and finally equinus (as per the Ponseti principle). Clinical and functional outcome after 2.5 years was significant (P<0.05) with a mean reduction of 11.7 in Dimeglio's score and an average Laaveg and Ponseti functional score of 75.47. The average time taken for correction was 4.2 weeks. Differential distraction according to the Ponseti principle leads to early correction with minimal number of residual deformities and complications.
First Aid and Emergency Management in Orthopedic Injuries, 2012
Muscles, ligaments and tendons journal
Platelet Rich Plasma (PRP) contains numerous growth factors; Platelet poor plasma (PPP) is plasma... more Platelet Rich Plasma (PRP) contains numerous growth factors; Platelet poor plasma (PPP) is plasma proteins without platelets, containing growth factors other than platelet derived. We planned to evaluate the effect of both autologous PRP & PPP on human ACL cell growth characteristics in culture conditions to see if one was better than the other. ACL remnants were collected from eleven patients during ACL reconstruction surgery; PPP and PRP were prepared from blood of these patients. Cells were isolated, identified and cultured and were then divided into six groups. Groups A-D had Fetal Bovine Serum (FBS) added to them along with different concentrations of PRP and PPP. Groups E and F had 5% and 10% PRP respectively but lacked FBS. Cell viability was assayed by MTT and Annexin V assay, and DNA content was evaluated by propidium iodide staining and flow cytometry. analysis of cultured cells showed that addition of PRP (5 or 10%) increased the viability of ACL cells in 4 out of 11 and ...
The treatment of pubic ramus nonunion is usually surgical. We report the successful healing of a ... more The treatment of pubic ramus nonunion is usually surgical. We report the successful healing of a hypertrophic nonunion of pubic ramus in a 46 year old active male patient who was treated conservatively with a lumbo-sacral corset. We believe that understanding the injury mechanics in pelvic injury is more important to employ a particular treatment method than to follow the conventional ways of treatment.
Textbook of Orthopedics and Trauma (4 Volumes)
JOURNAL OF ORTHOPAEDIC CASE REPORTS
Introduction: Ozone therapy is one of the evolving, yet far from conclusive, alternative minimall... more Introduction: Ozone therapy is one of the evolving, yet far from conclusive, alternative minimally invasive treatment option in the management of herniated disc in the cervical and lumbar spine. It causes the decrease in the volume of herniated disc by dehydration. Case Report: We hereby present the first reported case of Mycobacterium infection of the spine secondary to ozone therapy with the aim to caution the surgeons regarding the complications of intradiscal ozone therapy. Conclusion: Lack of proper, adequate, and recommended precautions if not taken can inoculate the varied microorganisms into the intradiscal space leading to devastating and unforeseen complications. Keywords: tuberculosis, ozone therapy, infection.
SN Comprehensive Clinical Medicine
BMJ Case Reports
Post-traumatic spinal epidural haematoma (SEH) is a rare clinical entity in children. We are repo... more Post-traumatic spinal epidural haematoma (SEH) is a rare clinical entity in children. We are reporting the case of an 8-year-old child who presented with thoracolumbar SEH with neurological deficit. MRI confirmed SEH without bony disruption. Emergency evacuation of haematoma was done. There was an improvement in neurological status after removal of haematoma. Diagnosis of this rare condition is tricky in children owing to variable presenting symptoms, especially in an early stage with subtle neurological changes. There should be high clinical suspicion in children with atypical symptoms, and MRI should be done to confirm the diagnosis. Patients with acute neurological deficit should undergo urgent operative decompression. Conservative treatment has a limited role. Patients may be considered for non-operative management if they have medical contraindications, coagulation dysfunction or a small SEH without neurological deficit. These patients require serial MRI monitoring.
Journal of Postgraduate Medicine, Education and Research
Every six months we get the most intelligent crop of junior doctors from across the country. They... more Every six months we get the most intelligent crop of junior doctors from across the country. They come from every corner of the country focused to work here and try to do their best. They will over the next few years work in a premier institute of India and will be mentored by probably the most experienced faculty in their respective fields. In terms of variety of diseases and experience this is a gold mine. But, when they leave from here, are we justified in making them a full humane doctor? Can Compassion and Competence go hand in hand? Can we teach them both or it is not possible. The burning question behind all this is that "Can treating patients with medicine and compassion make a measurable difference on the wellbeing of both patients and doctors?" This very question was researched in detail by Trzeciak and Mazzarelli in their new book Compassionomics: The Revolutionary Scientific Evidence that Caring Makes a Difference. After considering more than 1,000 scientific abstracts and 250 research papers, Trzeciak and Mazzarelli were surprised to find that the answer was, resoundingly, yes.
Journal of Postgraduate Medicine, Education and Research
Orthobiologics are the biologically derived materials from the body to promote the repair and reg... more Orthobiologics are the biologically derived materials from the body to promote the repair and regeneration of muculoskeletal tissues. Orthobiologics has got special attention in recent past and become the focus of study of researchers in various traumatic and nontraumatic spinal pathologies. Efforts were made to develop materials capable of bone formation and which encourage healing of fractures. When they are used in higher concentrations than normally present in the body, they can potentially help speed up the healing process. The substances which are considered to be orthobiologics are: bone grafts, autologous blood, autologous conditioned serum (ACS), platelet-rich plasma (PRP), growth factors, and stem cells. Various clinical and animal studies have shown variable results. This review gives an outline regarding the currently available clinical information and application of orthobiologics in various spinal pathologies for therapeutic use.
The Journal of Spinal Surgery
Introduction: The quantitative understanding of cervical pedicle morphology minimizes the injury ... more Introduction: The quantitative understanding of cervical pedicle morphology minimizes the injury to the neurovascular structure and improves the surgical outcome. The aim of this study was to investigate the morphometry of the cervical pedicle using computed tomography (CT) scans. Materials and methods: The CT scan was performed in eleven cervical spine injury patients and the axial and sagittal images were used to calculate the four linear parameters-outer pedicle width (OPW), inner pedicle width (IPW), pedicle height (PH), pedicle axis length (PAL), and the pedicle transverse angle (PTA). Results: A total of 110 pedicles were measured and studied. The mean OPW, IPW, and PH showed gradual increase of the value from C3 to C7. The PTA showed maximum value at C4 vertebra and minimum value at C7 vertebra. Conclusion: The study demonstrated that pedicle dimensions were small in comparison to European and other Asian populations. To enhance the safety of cervical pedicle screw insertion, the pedicle dimensions and trajectories should be determined individually. The screw diameter should also be optimal to avoid pedicle violations because of narrow OPW in our study population.
Journal of Evolution of Medical and Dental Sciences
A 14 yrs. old male child, a known case of Down syndrome was referred to our center with chief com... more A 14 yrs. old male child, a known case of Down syndrome was referred to our center with chief complaints of gradual onset pain in mid-back region and inability to walk for the past 5 months. He also had impaired bladder and bowel control, evening rise of temperature and significant weight loss during this period. Patient was already on anti-tubercular chemotherapy for the past 2 months and was advised complete bed rest however; there was no improvement in general and clinical status as per history. There was also past history of microbiologically proven pulmonary tuberculosis 2 years back for which he took ATT for 6 months. On clinical examination, stigmata of down syndrome were noted (Moderate intellectual disability, umbilical hernia, stunted growth, short neck, anorectal malformation etc.). On local examination, angular type of kyphotic deformity was noted over T9-T10 region with para-spinal muscle spasm as well as direct and rotatory tenderness. On neurological examination, due to intellectual disability, accurate interpretation was not possible, however, there was decreased muscle bulk, positive Babinski sign, clasp knife spasticity in both the lower limbs along with exaggerated DTRs. Paraparesis was noted in both the lower limbs (Frankel Grade C) along with loss of bowel and bladder control without any involuntary movements. Sensory examination and spinal level could not be assessed accurately due to lack of patient cooperation. Nevertheless, loss of sensations below the level of umbilicus was apparent clinically.
International journal of environmental research and public health, Sep 6, 2018
Evidence from India, a country with unique and distinct food intake patterns often characterized ... more Evidence from India, a country with unique and distinct food intake patterns often characterized by lifelong adherence, may offer important insight into the role of diet in breast cancer etiology. We evaluated the association between Indian dietary patterns and breast cancer risk in a multi-centre case-control study conducted in the North Indian states of Punjab and Haryana. Eligible cases were women 30⁻69 years of age, with newly diagnosed, biopsy-confirmed breast cancer recruited from hospitals or population-based cancer registries. Controls (hospital- or population-based) were frequency matched to the cases on age and region (Punjab or Haryana). Information about diet, lifestyle, reproductive and socio-demographic factors was collected using a structured interviewer-administered questionnaire. All participants were characterized as non-vegetarians, lacto-vegetarians (those who consumed no animal products except dairy) or lacto-ovo-vegetarians (persons whose diet also included egg...
Journal of Clinical Orthopaedics and Trauma, 2016
Spinal epidural abscess (SEA) is a rare and serious condition which can lead to permanent neurolo... more Spinal epidural abscess (SEA) is a rare and serious condition which can lead to permanent neurological deficit. Spontaneous SEA is even rarer condition with an incidence of less than 1 per 10,000 person-year. Being spontaneous, it has high chances of being misdiagnosed, more so when the risk factors are not clearly explainable for the condition. This is a case report of such a case in a middle aged normoglycemic recently diagnosed diabetic man with atypical presentation. The diagnosis was made after magnetic resonance imaging and confirmed after surgical intervention in form of spinal decompression and patient recovered after appropriate antibiotics. This article also sums up the risk factors of spontaneous SEA. ß 2016
A unique case of a spin bowler in Cricket with multiple stress fractures in the dominant hand is ... more A unique case of a spin bowler in Cricket with multiple stress fractures in the dominant hand is presented for its rarity. The probable cause of this overuse injury was the way he held the ball, leading to abnormal force concentrations in the index, middle and ring fingers, with maximum strain at DIP joint of index finger and MP joint of the ring finger. It is postulated that this caused a cumulative stress injury at the head of the 4th metacarpal as well as distal phalanx. The stress lesion was cured after rest from bowling, and the patient went back to spin bowling under supervision and adequate precautions, as well as as altering the ball grip. This is the first case of its kind; the authors recommend routine analysis of the dominant hand of all finger spinners, along with video-graphic analysis of their grip and action, to pick up potential areas of stress concentration at an early stage.
European Spine Journal, 2011
The purpose of this study is to find the clinical outcome of decompression of Cauda Equina presen... more The purpose of this study is to find the clinical outcome of decompression of Cauda Equina presenting late in the course of disease. There were 33 males and 17 females with average age of 48 years, ranging from 25 to 85 years. All patients presented to us with a fully developed Cauda Equina syndrome (CES). All of them presented late with mean delay of 12.2 days. Time interval between bladder and bowel dysfunction and admission to hospital varied from 1 to 35 days. The average follow-up was 34.5 months, ranging from 12 to 60 months. There was no statistically significant difference in time of delay in surgery between the recovered and non-recovered group as tested by Student's t test. But there was a statistically significant positive correlation between duration taken for total recovery and delay in surgery. Anal wink as a predictor of bladder and bowel recovery also showed statistical significance, as patients with an absence had a poorer prognosis for bladder recovery. The result of surgery in CES is not as dramatic and fast as seen after routine disc surgery. Some improvement can be expected with decompression even in those patients presenting late and results are not universally poor as previously thought. The treating physicians of such patients should be aware that the recovery in this group of patients can take an exceptionally long time and hence should involve in constant reassurance and rehabilitation of the patient. Presence of anal wink is a very good predictor of bladder and bowel recovery.
Spine, 2010
A retrospective case report. The objective of the present article is to report an unusual complic... more A retrospective case report. The objective of the present article is to report an unusual complication of spinal instrumentation. Migration of spinal implants to distant site is quite unusual, and literature till date has only 2 case reports. For the first time, we are reporting a case of anterior spinal rod migration from the dorsolumbar spine to the knee joint in a young male patient after 4 years of its fixation following spinal injury. A 38-year-old man presented with pain, swelling, and restriction of movement of left knee joint. On clinical examination, a hard movable rod was palpable which was suspected to be a metallic foreign body initially. The detailed history of the patient revealed anterior spinal fixation following posttraumatic injury of L1 vertebra 4 years back. Radiograph showed a metallic rod lying around the knee joint with absence of anterior rod of dorsolumbar spine. The suspicion of migration of the rod was confirmed by surgical exploration. After 1 week of rem...
Journal of Pediatric Orthopaedics B, 2011
We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using t... more We treated 15 cases of neglected and relapsed clubfeet by the Ilizarov distraction method using the Ponseti principle in 12 children (mean age 7.3 years). The deformities were corrected around the talar head in the sequence of the cavus, adduction, varus and finally equinus (as per the Ponseti principle). Clinical and functional outcome after 2.5 years was significant (P<0.05) with a mean reduction of 11.7 in Dimeglio's score and an average Laaveg and Ponseti functional score of 75.47. The average time taken for correction was 4.2 weeks. Differential distraction according to the Ponseti principle leads to early correction with minimal number of residual deformities and complications.
First Aid and Emergency Management in Orthopedic Injuries, 2012
Muscles, ligaments and tendons journal
Platelet Rich Plasma (PRP) contains numerous growth factors; Platelet poor plasma (PPP) is plasma... more Platelet Rich Plasma (PRP) contains numerous growth factors; Platelet poor plasma (PPP) is plasma proteins without platelets, containing growth factors other than platelet derived. We planned to evaluate the effect of both autologous PRP & PPP on human ACL cell growth characteristics in culture conditions to see if one was better than the other. ACL remnants were collected from eleven patients during ACL reconstruction surgery; PPP and PRP were prepared from blood of these patients. Cells were isolated, identified and cultured and were then divided into six groups. Groups A-D had Fetal Bovine Serum (FBS) added to them along with different concentrations of PRP and PPP. Groups E and F had 5% and 10% PRP respectively but lacked FBS. Cell viability was assayed by MTT and Annexin V assay, and DNA content was evaluated by propidium iodide staining and flow cytometry. analysis of cultured cells showed that addition of PRP (5 or 10%) increased the viability of ACL cells in 4 out of 11 and ...
The treatment of pubic ramus nonunion is usually surgical. We report the successful healing of a ... more The treatment of pubic ramus nonunion is usually surgical. We report the successful healing of a hypertrophic nonunion of pubic ramus in a 46 year old active male patient who was treated conservatively with a lumbo-sacral corset. We believe that understanding the injury mechanics in pelvic injury is more important to employ a particular treatment method than to follow the conventional ways of treatment.