Publications by authors named "Manish Raj"

Introduction: Quadriceps tendon rupture is a traumatic injury where the quadriceps detaches from the patella, disrupting the knee's extensor mechanism. Bilateral ruptures, first documented in 1949, are rare, with an incidence of 0.17-2.

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Background: The scaphoid is the most commonly fractured carpal bone, often going into non-union and secondary complications. Despite this, no explicit guidelines exist for the management of its non-union till date. This study quantitatively analyses the existent research on scaphoid nonunions from 2013 to 2024 using bibliometric methodology.

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  • Premenstrual dysphoric disorder (PMDD) is a severe form of premenstrual syndrome (PMS) that affects mood and quality of life, prompting a study in India to assess its prevalence among young women.
  • The study surveyed 198 medical and nursing students aged 17-30, using the Premenstrual Symptoms Screening Tool to diagnose moderate to severe PMS or PMDD.
  • Results showed that 23.5% of participants had moderate-to-severe PMS, with a significant higher occurrence in younger students compared to working professionals, highlighting the need for awareness and education on this condition.
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  • This study aimed to assess how accurately AI algorithms can detect neck of femur fractures using plain X-rays.
  • After reviewing 437 articles, five met the criteria, showing that AI had a sensitivity of 85% and specificity of 87% in identifying these fractures.
  • The findings suggest that AI can be a helpful tool for doctors, enhancing diagnostic efficiency while maintaining a reasonable level of accuracy compared to human diagnoses.
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In India, unjustified and mass hysterectomy is an alarming issue in rural and semi-urban areas. Fear of cancer and reiterating the idea that uterus removal will alleviate unrelated somatic issues are two methods used to persuade women to have the surgery. It becomes easier to counsel them for hysterectomy, especially when they belong to the rural population, come from lower socioeconomic strata, are young and illiterate, and do nothing for their livelihood.

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  • Preeclampsia is a serious condition that occurs after 20 weeks of pregnancy, marked by high blood pressure, and is being researched for links to vitamin D levels.
  • The study involved 120 patients, comparing those with preeclampsia (high blood pressure) to those with normal blood pressure, to examine the connection between vitamin D levels and the outcomes for mothers and babies.
  • Results showed that women with preeclampsia had significantly lower vitamin D levels compared to normal patients, indicating a potential relationship, though more research is needed on how vitamin D supplementation might affect pregnancy outcomes.
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Background Non-union, chronic pain, functional disability, and infection are all things that have been associated with open fractures with severe soft tissue damage leading to the need for additional hospitalization, and sometimes even subsequent surgeries and weeks or months of rehabilitation. Open fractures and severe musculoskeletal injuries are occasionally treated with hyperbaric oxygen therapy (HBOT) in an effort to reduce the risk of complications and increase the likelihood of a successful recovery. Methods A prospective randomized controlled study was done between January 2019 and August 2022 at a tertiary health care center including 60 patients with a severe soft tissue injury (Grade II and III) divided into two groups - group-CT (30 patients who received conventional treatment) and group HT (30 patients, who received HBOT in addition to conventional treatment).

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Background: Limb salvage surgery in osteosarcoma requires a multidisciplinary team of experts, due to which research interest has remained limited globally. This article analyzes research trends over 15 years from 2007 to 2022.

Materials And Methods: Publications on limb salvage surgery in osteosarcoma were retrieved using the Web of Science.

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Introduction In the present study, we aimed to compare the clinical and radiological results of the single lateral locking plate fixation method to the dual plate (DP) fixation method in cases of unstable bicondylar proximal tibial plateau fractures. Materials and methods Fifty-six patients managed surgically with internal fixation for unstable bicondylar tibial plateau fractures (UBTF) (Schatzker type V and type VI or Arbeitsgemeinschaft für Osteosynthesefragen/Orthopaedic Trauma Association {AO/OTA} type 41-C) over 36 months from January 2017 to December 2020 were included in this prospective study. All the fractures were fixed surgically either using dual locking plates through double incisions (DP group) or with a single lateral locking plate (single plate {SP} group).

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Objective: The aim of this pilot study was to analyze the need and feasibility of conducting prospective research on the epidemiological factors of bone mineral density (BMD) in the at-risk population in a rural and tribal-dominated area based on a screening test.

Methods: This community-based retrospective cross-sectional study was based on data from the medical records from July 2021 to September 2021 at community camps organized in a rural area of Deoghar district of Jharkhand, India, and the at-risk patients who had undergone ultrasound-based BMD measurement were included in this study.

Results: The mean age of the patients (N = 216) was 68.

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Background: The aim of this study is to describe the usage of PROM, its use or lack of use, barriers in using it and its future prospect among the arthroplasty surgeons from a developing country like India.

Methods: An online survey was conducted by emailing an anonymous questionnaire to orthopaedic surgeons working in three tertiary care academic institutions and two tertiary care private hospitals. All orthopaedic surgeons or residents who have been performing or assisting in arthroplasty and arthroscopy were included in the study.

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Introduction The proximal femoral nail (PFN) is a widely accepted fixation method for the management of unstable intertrochanteric fractures. Reconstructing the lateral trochanteric wall and ensuring the stability of the trochanteric fragments are considered to be essential for enhancing the prognosis of unstable intertrochanteric fractures. The aim of this study is to evaluate and compare the results of the management of unstable intertrochanteric fracture of the femur using PFN and the screw-augmented PFN (aPFN).

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Background The coronavirus disease 2019 (COVID-19) pandemic created an aberrant challenge for healthcare delivery systems, forcing public health policies across the globe to be shifted from traditional medical care in hospitals to virtual care in the homes of patients. To tackle this pandemic, telemedicine had taken center stage. This study aims to learn about patient satisfaction, feasibility, and acceptability of the use of telemedicine for clinical encounters during the COVID-19 pandemic.

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Yoga is a 5000-year-old practice developed in ancient India by the Indus-Sarasvati civilization. The word yoga means deep association and union of mind with the body. It is used to keep both mind and body in equilibration in all flip-flops of life by means of asana, meditation, and several other techniques.

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  • Cross channel scripting (XCS) is a type of web application vulnerability that operates similarly to cross-site scripting (XSS) and can be exploited through devices with web interfaces like routers and cameras.
  • XCS allows attackers to inject malicious code into networked devices, which can then affect client browsers, using various protocols like FTP and SMTP.
  • The paper reviews detection and mitigation techniques for XCS, discusses different web application scanners, and evaluates their characteristics while also addressing the limitations and potential future developments in computational methods for XCS.
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Surgery is one of the mainstays of treatment in breast cancers. Typically, modified radical mastectomy (MRM) is done under general anesthesia (GA). However, GA is not a reasonable choice in patients with multiple comorbidities and difficult airways.

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Background: Hyaluronic acid (HA) fillers are quite commonly used since several years for soft tissue augmentation.

Aim: The purpose of this study was to evaluate primarily the safety and secondarily the clinical effectiveness of Cross-Linked Sodium Hyaluronate 24 mg with Lidocaine 3 mg (Jeunesso 24L) injection, in subjects undergoing treatment for facial wrinkles and lip augmentation.

Method: Patients between the age groups of 18 and 75 years, who were seeking soft tissue augmentation treatment on the face and with wrinkle severity score (WSS) ≥2 for bilateral Nasolabial Folds (NLF), were included in the study.

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Introduction: Despite recent evolution in the operating techniques and surgical implants, debate continues around the choice of implant for management of distal femur fractures. High rates of complications and union difficulties continues to make them a momentous therapeutic challenge.

Aim: To compare the outcome of locked compressive plating versus retrograde nailing in the management of extra articular supracondylar femur fractures.

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Distraction osteogenesis and bone transport has been used to reconstruct bone loss defect by allowing new bone to form in the gap. Plate-guided bone transport has been successfully described in literature to treat bone loss defect in the femur, tibia, and mandible. This study reports two cases of fracture of femur with segmental bone loss treated with locking plate fixation and bone transport with Ilizarov ring fixator.

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Introduction: The application of controlled levels of negative or sub atmospheric pressure for a prolonged period of time on a wound had shown to accelerate removal of excess fluid and promote hyperaemia, which eventually promote wound healing.

Aim: The study was conducted with the aim to evaluate the effectiveness of Vacuum Assisted Closure (VAC) therapy for soft tissue injury in open musculoskeletal trauma.

Materials And Methods: Twenty cases of complex musculoskeletal wound involving different parts of body were included in this progressive randomized study.

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Introduction: Management of compound grade III fractures of both bone leg includes external stabilization for long period, followed by various soft tissue coverage procedures. Primary interlocking of tibia had been also done with variable results. External fixation for long time without any bone loss often leads to infected nonunion, loss of reduction, pin tract infection and failure of fixation, primary interlocking in compound grade III fractures had shown high medullary infection rate.

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