“Tibial Blowout”- A Complication of Arthroscopic Anterior Cruciate Ligament Reconstruction | Chapter 14 | Innovations in Medicine and Medical Research Vol. 1

The reconstruction of Anterior Cruciate Ligament (ACL) has become the standard of care for a torn ACL in active, young athletes. Various technical complications during the surgery are documented. Of the complications pertaining to the bony tunnel preparation, the posterior femoral blow out is common. In this report we describe a complication that can occur while preparing the Tibial tunnel – “Tibial blow out”. This is a complication of anterior placement of the tibial tunnel and this has not been reported in the literature. We describe the identification, the possible mechanism, prevention and management of such an intra operative complication.

Author(s) Details

A. RavirajDepartment of Orthopaedic Surgery, Centre of Arthroscopy and Sports Medicine, Apollo Hospital, Bannerghatta Road, Bangalore -76, India.

Ashish Anand
Department of Orthopaedic Surgery, Centre of Arthroscopy and Sports Medicine, Apollo Hospital, Bannerghatta Road, Bangalore -76, India.

Dr. Vidyasagar
Department of Orthopaedic Surgery, Centre of Arthroscopy and Sports Medicine, Apollo Hospital, Bannerghatta Road, Bangalore -76, India.

Dr. Shivareddy
Department of Orthopaedic Surgery, Centre of Arthroscopy and Sports Medicine, Apollo Hospital, Bannerghatta Road, Bangalore -76, India.

Azhar Amin
Department of Orthopaedic Surgery, Centre of Arthroscopy and Sports Medicine, Apollo Hospital, Bannerghatta Road, Bangalore -76, India.

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Obesity and Pregnancy: Saudi Arabian Experience | Chapter 10 | Current Trends in Medicine and Medical Research Vol. 5

Objective: To determine the effect of obesity on pregnancy compared to non-obese pregnant Saudi women.

Methodology: This is a prospective cohort research conducted over seven months in Jeddah Maternity and Children Hospital (MCH), Jeddah, Saudi Arabia. Sample included pregnant women with single fetus and cephalic presentation came to the booking clinic. Participants were classified into 5 groups depending on their BMI according to WHO criteria as underweight, normal weight, overweight, obese & morbidly obese. SPSS was used with p-value of< 0.05 to calculate statistical significance.

Results: The frequency of abortion, postdated pregnancy and Caesarean section were higher in obese women compared to non-obese women.

Conclusion: Obese women pregnancy is a high risk for pregnancy and labor complications. It is advisable to achieve normal BMI before conception.

Author(s) Details

Dr. Mohammad Othman
Department of Obstetrics and Gynecology, Faculty of Medicine, Al Baha University, Saudi Arabia.

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Effect of Organotherapic Medicine on Glycaemia in Patients and Animals Receiving Antiretroviral Therapy | Chapter 09 | New Insights into Disease and Pathogen Research Vol. 2

Aims: To evaluate the effect of an organotherapic drug, produced from the pancreas of a young pig, on glycemic alterations in AIDS patients.

Methodology: Current study was carried out in a double-blind, placebo controlled and randomized design. AIDS patients who had high fasting glucose (>110 mg/dL) were selected so that the effect of the organotherapic drug could be evaluated. The patients were divided into two groups: Group I comprised patients who received the organotherapic drug diluted in 1×1012 alcohol/ water 8%, once a day, with a sublingual-administered fasting dose of 10 drops, during four months. Group II consisted of patients receiving placebo once a day at the same dosage. Glucose oxidase method and ELISA, following the manufacturer’s instructions, respectively determined levels of glucose and insulin before treatment and monthly until four months after the start of treatment.

Results: Results registered hyperglycemia in 30% of the patients (60/200), higher than in the population at large (7-15%). This fact could be related to the time of infection (10.0±4.78 years) and treatment (9.3±3.76 years) of the patients. On the other hand, patients who underwent treatment with organotherapic medicine showed a significant reduction (p<0,001) in blood glucose levels (from 204.5±86.63 to 86.63±16) and lower insulin levels after four months of treatment (organotherapic group with 8.02±3.598 versus placebo with 23.83±3.670 p<0,001) within normality, regardless of age, time of infection and time of treatment. This fact suggests that the organotherapic drug was effective to stabilize blood glucose levels in patients.

Conclusion: Current study evidences that the organotherapic drug obtained from the pancreas of a young pig, diluted 1×1012 in alcohol/ water 8% improves blood glucose levels in patients with hyperglycemia keeping within the normal range after four months of treatment. Considering the HAART therapy that significantly increases the life expectancy of AIDS patients but with significant metabolic alterations this study shows the possibility of utilization of complementary and alternative therapies. Although results indicate a significant effect of the organotherapic drug, additional studies are needed to evaluate the long-term effects.

Author(s) Details

A. R. T. Pupulin
Department of Basic Health Sciences, State University of Maringa, Maringa, Brazil.

L. Mortean
Department of Basic Health Sciences, State University of Maringa, Maringa, Brazil.

T. Sakurada Jr
Department of Basic Health Sciences, State University of Maringa, Maringa, Brazil.

M. Spack Jr
Department of Basic Health Sciences, State University of Maringa, Maringa, Brazil.

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View Volume: https://doi.org/10.9734/bpi/nidpr/v2