Publications by authors named "Srinivas Kasha"

Article Synopsis
  • - A 38-year-old man with no prior health issues experienced pain and swelling in his knee after recovering from severe COVID-19, leading to the discovery of Mucorales fungal infection in his femur, maxillary sinus, and right lung.
  • - The infection required a combined surgical approach that included an above-knee amputation, debridement of the left maxillary sinus, and removal of the lower lobe of the right lung to reduce the fungal load.
  • - The case emphasizes the importance of prompt imaging and surgical intervention for fungal infections in individuals with weakened immune systems to improve outcomes.
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Article Synopsis
  • - Effective management of intertrochanteric fractures focuses on early recovery and minimizing complications, with intramedullary devices like the proximal femoral nail offering biomechanical benefits, especially for unstable fractures.
  • - New reduction strategies, including medial cortical support classification and subtype classification systems, help refine surgical techniques, but issues like implant failures and complications such as the 'Z' effect continue to occur with current designs.
  • - Recent advancements in implant design—such as the Gamma nail and TFN-Advanced—aim to improve outcomes, but understanding the fundamental principles of reduction and specific design features is essential for successful fracture management.
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Aims: Musculoskeletal infection is a devastating complication in both trauma and elective orthopaedic surgeries that can result in significant morbidity. Aim of this study was to assess the effectiveness and complications of local antibiotic impregnated dissolvable synthetic calcium sulphate beads (Stimulan Rapid Cure) in the hands of different surgeons from multiple centres in surgically managed bone and joint infections.

Methods: Between January 2019 and December 2022, 106 patients with bone and joint infections were treated by five surgeons in five hospitals.

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Extruded talus is a rare injury pattern that occurs following a high velocity injury loading on a supinated and plantar flexed foot. Treatment for such rare presentation varies from talectomy to arthrodesis. Reimplantation than excision has been favoured in literature, but it carries its own subset of issues to tackle from avascular necrosis to infection.

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Acetabular impaction fractures when not adequately addressed leads to early arthritis. Dome impaction injuries and marginal impaction injuries have to be properly planned pre-operatively with respect to surgical approach, disimpaction techniques and fixation strategies. CT scan is the best modality to analyse the site, extent of impaction and plan strategies to reduce.

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Introduction: Subtrochanteric fractures of femur remain most challenging injuries faced by orthopaedic surgeons. The implant choice shifted from extra medullary to intramedullary nails over the last two decades. Effort to achieve anatomical reduction before nail insertion for better outcomes has been emphasized well in literature.

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Background: Open fractures are a difficult entity, often complicated by infection and nonunion. Bone loss in such fractures adds to the complexity. Conventional techniques of bone defect management are mainly directed toward fracture union but not against preventing infection or joint stiffness.

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Introduction: Bilateral posterior fracture dislocation of both shoulders is a rare condition which can easily be missed due to its imprecise presentation. In this case report, we emphasize its diagnosis and summarize the various treatment options available for bilateral posterior fracture-dislocation of shoulders and also its management in conjunction with cavernous sinus venous thrombosis (CSVT).

Case Report: A 29-year-old gentleman had bilateral posterior fracture-dislocation of shoulders, with comminuted three-part fractures of both humeral heads, after two episodes of seizures, following CSVT.

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Introduction: Injuries causing fracture dislocation of shoulder and brachial plexus palsy are extremely rare. As per authors' knowledge, three part fracture of proximal humerus with shoulder dislocation and brachial plexus palsy has not been reported in the literature.

Case Presentation: A 53 year old female sustained a three part fracture of right proximal humerus along with dislocation of shoulder joint and brachial plexus palsy following a fall from a flight of stairs.

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