iosr-JDMS   Volume-14 ~ Issue-11 ~ November-2015

Abstract: purpose:It is always seen that the difficulty is encountered by physician in arriving at definite diagnosis and etiology of Cervical Spondylotic Myelopathy. Accurate and early diagnosis is of paramount importance for proper treatment and better outcome. Clinical manifestation is different with some special signs such as Hoffman's sign, finger escape sign and inverted supinator sign which guide to further investigate patient with radiological modalities to understand its severity level and to decide possible management such as non-operative or operative

[1]. Abramovits, J. N., and Srinivasan M. : Painless arm weakness without leg symptoms in cervical spondylotic myelopathy. Poster exhibit at the Annual Meeting of the congress of Neurological Surgeons, Seattle, Washington, Sept. 24-29. 1988[1]
[2]. Epstein, J. A. : Management of cervical spinal stenosis, spondylosis, and myeloradiculopathy. In Contemporary Neurosurgery, edited by G. T. Tindall. Vol. 2, pp. 1-6. Baltimore, Williams and Wilkins, 1985.[PUBMED]
[3]. Hayashi, Haruki; Okada, Kozo; Hamada, Masayuki; Tada, Koichi; and Ueno, Ryozo: Etiologic factors of myelopathy. A radiographic evaluation of the aging changes in the cervical spine. C/in. Orthop., 214: 200-209, 1987.[PUBMED]
[4]. Okamoto, Noriaki; Murakami, Yumio; Baba, Itsushi; and Kubo, Takeshi: H-reflex of the upper extremities in cervical myelopathy Internat.Orthop.,4: 193-203. 1980.[PUBMED]
[5]. Crandall H, Gregorius FK. Long term follow-up of surgical treatment of cervical spondylotic myelopathy. Spine 1977;2:139-46.[SPINE]
[6]. Epstein JA. The surgical management of cervical spinal stenosis, spondylosis and myeloradiculopathy by means of the posterior approach. Spine 1988;13: 864-9.[PUBMED]

Abstract: Objective: To study the prevalence, etiological factors, maternal and foetal outcome in multiple gestation Methods: All women with multiple gestation admitted at Government Maternity Hospital, Tirupathi from January 2012 to August 2013 were studied. Results: Incidence of multiple pregnancies in present study was 1.09%.Of which 235 are twins, 6 triplets and 1
quadruplet. 60.3% of multiple pregnancies is found in age group of 21-25, 41.3% incidence is noted in primigravidas.7.36% have family history of multiple pregnancy ,5.3% in maternal side and 2.06% in paternal side.9.09% taken ovulation induction drugs, 3.3% had past history of twin pregnancy. Maternal complications were preterm labour 43.3%, anaemia 26.03%, hypertensive disorders 19.4%, and severe postpartum haemorrhage 2.4% were seen.

[1]. Anna dera,Grzegorz H. Breborowicz, Louis Keith: Twin Pregnancy – Physiology, complications and mode of delivery. Archives of
perinatal Medicine, 2007; 13(3): 7-16.
[2]. Joyce A.Martin, Brady Hamilton, Michelle J.K. Osterman: Three Decades of Twin Births in the United states, 1980-2009.NCHS
Data Brief No.80.Jan 2012.1-7.
[3]. Fernado Arias, Shirish N Daftary, Amarnath G Bhide :Multifetal Gestation chapter 12 , In Practical Guide to high risk pregnancy
and delivery-A south Asian perspective ,3rd edition, Elsevier ppublications, 2008, pg 293-322.
[4]. NaushabaRizwan, Razia Mustafa Abbasi, Razia Mughal: Maternal morbidity and perinatal outcome with in twin pregnancy. J Ayub
Med Coll Abbottabad 2010 ; 22(2) : 105-107.
[5]. Yuel Veronica Irene, Kaur Vaneet. An Analytical study of pregnancy outcome in multifetal gestation. J ObstetGynaecol India
Vol.57, No.6: Nov/Dec 2007. Pg 509-512.
[6]. Hung GiKweon, Jin Sin Lee, Woan Suk Cho,Geon O Kim, Ihn Goo Kang, Yong Tak Kim, et. al; : Statistical Analysis of Multi fetal
pregnancy for 6 years (1984 to 1989), Vol.35, No.5, May 1992 :
674-681.

Abstract: Tibial plateau fractures continue to be a challenge for the orthopaedic surgeons. Restoration of normal anatomy is the goal and results are dependent on timely intervention, good surgical technique and soft tissue condition . Preventing malunion is one of the major hurdle of treating tibial plateau fractures. Joint depression , angular malunion in coronal or saggital plane are commonly seen consequently, malunion will lead to instability and functional disability at knee joint. Prevalence of post traumatic osteoarthritis after tibial plateau fractures estimated to be 30%1.In such cases corrective surgery is necessary to improve functional status. The surgical approach and technique will depend on the direction and amount of the deformity, the presence of preexisting implants and the condition of the soft tissue. Corrective surgery for such cases are always challenging , strategy is to restore joint congruency and enhance stability through osseous alignment2. We would like to share our experience of treating such fractures in our institute

[1]. Combined intra-articular and varus opening wedge osteotomy for lateral depression and valgus malunion of the proximal part of the tibia. Surgical technique.Kerkhoffs GM, Rademakers MV, Altena M, Marti RK.J Bone Joint Surg Am. 2009 Mar 1;91 Suppl 2 Pt 1:101-15 [2]. Proximal tibial varus osteotomy. Indications, technique, and five to twenty-one-year results.Marti RK, Verhagen RA, Kerkhoffs GM, Moojen TM J Bone Joint Surg Am. 2001 Feb;83-A(2):164-70.
[3]. Open wedge osteotomy of the proximal medial tibia for malunited tibial plateau fractures . Harpreet Singh, Vikas Rajesh Singh, P Yuvarajan, Lalit Maini, VK Gautam Journal of Orthopaedic Surgery 2011;19(1):57-9 [4]. Opening-wedge osteotomy of the proximal tibia Acta Chir Orthop Traumatol Cech. 2005;72(5):308-12.

Abstract: Material sciences have experienced immense progress in the evolvement of new materials, especially in the past 30 years. Some of the materials like Glass Ionomer, Composite, Mineral trioxide aggregate have proved their excellence but hunt for a material which could fulfill all the requirements in dentistry is still going on. Materials used in the replacement of tissues have come a long way from being inert to compatible, and now regenerative. Larry Hench developed a material using silica (glass) as the host material, incorporated with calcium and phosphorous to fuse broken bones.

[1] Hench LL, Wilson J. An introduction to bioceramics. Singapore: World Scientific Publishing, 1993.

[2] Hench LL, Bioceramics, J. Am. Ceram. Soc. 1998; 81: 1705-1728.

[3] Xynos ID, Edgar AJ, Buttery LDK, Hench LL, Polak M, Gene expression profiling of human osteoblasts following treatment with the ionic products of BioglassR 45S5 dissolution, J Biomed Mater Res, 2001; 55:151-7.

[4] Paolinelis G, Banarjee A, Watson TF. An in vitro investigation of the effect and retention of bioactive glass air-abrasive on sound and carious dentine. Journal of dentistry 2008;36:214-18.

[5] Andersson OH, Karlsson KH, Kangasniemi K. Calcium phosphate formation at the surface of bioactive glasses in vivo. J Non-Cryst Solids 1990;119:290-6.

[6] Hench LL, Wilson J. Surface-active biomaterials. Science 1984;226:630-6.