Browsing by Author "Bhattachan, Sijan"
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Publication Functional Outcome of Single-Stage Reconstruction for the Multi-Ligament Injuries of the Knee(Nepal Health Research Council, 2024) Hamal, Bhadra; Karmacharya, Mahesh; Bhattachan, Sijan; Hamal, Pawan KumarBackground: Multi-ligament injuries of the knee are rare injuries that can cause significant impairment of the knee function. There is controversy in the treatment regarding staged versus single-stage surgery. This study was performed to assess the outcome of the single-staged reconstruction of the multi-ligament injury of the knee. Methods: This prospective observational study was done from January 15, 2022 to January 14, 2023. The outcome was analyzed by comparing the preoperative and 12-month postoperative Visual Analog Scale score, Lysholm Score, and International Knee Documentation Committee Score. Results: The mean age of the patients was 28.35 years. among 12 patients 9 were male and 3 were female. Single-staged multi-ligament reconstruction was done in all the cases. The Lysholm score was improved from preoperatively 36.42 ± 1.46 to 95.36 ± 2.84, IKDC score was improved from 24.38 ± 1.64 to 93.86 ± 3.14, VAS score 8.14 ± 1.44 to 0.40 ± 0.60 at 12 months postoperative follow-up which all came to be clinically significant with p-value < 0.001. Conclusions: Single-stage multi-ligament reconstruction of the knee is an effective method of treatment and has excellent outcomes. Keywords: Multi-ligament injury; reconstruction; single-stage.Publication Open Pelvic Fracture with Rectal Laceration: A Case Report(Nepal Medical Association, 2021) Bhattachan, SijanAbstract: Open pelvic fractures are rare but represent a serious clinical problem with high mortality rates. Acute mortality is often associated with haemorrhage and delayed mortality is most often associated with sepsis and multiple organ failure. An aggressive multidisciplinary approach is of paramount importance to prevent catastrophe. It involves emergency resuscitation, stabilization of unstable fracture with an external fixator, and faecal diversion for rectal injury. Here, a case of open pelvic fracture with rectal laceration has been presented.