Browsing by Author "Karki, Netra"
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Publication Anterior Cruciate Ligament Reconstruction with Semitendinosus Tendon Autograft among Paramilitary Patients Undergoing Arthroscopic Surgery in a Tertiary Care Centre(Nepal Medical Association, 2024) Shrestha, Sailendra Kumar Duwal; Nepal, Prabin; Karki, Umash; Karki, Netra; KC, Samir; Tamrakar, Rojan; Shrestha, Kumar; Joshi, PramodAbstract Introduction: In orthopaedic practice, injuries to the anterior cruciate ligaments occur almost on an epidemic scale, yet it continues to be of interest in orthopaedic surgery whether semitendinosus or gracilis hamstring autografts can be used for better anterior cruciate ligament reconstruction. This study aimed to determine the prevalence of anterior cruciate ligament reconstruction using semitendinosus tendon autografts among paramilitary patients undergoing arthroscopic surgery in a tertiary care centre. Methods: This descriptive cross-sectional study was conducted among paramilitary individuals who had knee injuries and were admitted between 6 february 2020 and 26 January 2022 for arthroscopic surgery after obtaining ethical approval from the Institutional Review Committee. Demographic details and the mode of injury were obtained from the patients. The treating orthopaedic surgeons evaluated the pre- and post-analysis Lysholm Knee Score and Lysholm Knee Scale based on the patient's response. A convenience sampling method was used. The point estimate was calculated at a 95% Confidence Interval. Results: Among 166 patients, anterior cruciate ligament reconstruction using a semitendinosus tendon autograft was done in 58 (34.94%) (27.69-42.19, 95% Confidence Interval). Most of the patients in the pre-analysis had mild/periodic limp issues 52 (89.66%), followed by instability during athletics or other severe exertion 43 (74.14%). Conclusions: The prevalence of anterior cruciate ligament injuries in our study is higher than other studies done in similar settings.Publication Correlation of Spinopelvic Parameters in Lumbar Prolapsed Disc in Armed Police Personnel(Rapti Academy of Health Sciences (RAHS), 2024) Karki, Sunder; Chapagain, Sunder; Karki, Netra; Nepal, Prabin; Shrestha, Sailendra Kumar Duwal; Lamichhane, SumanAbstract: Introduction: A prolapsed intervertebral disc is a common problem in armed police personnel due to their demanding job nature. Spinopelvic parameters affect the stability of the spine and play a role in the load sharing of the intervertebral disc, contributing to the disc degeneration. Spinopelvic parameters measured in standing radiographs may provide a hint to disc degeneration. This study was conducted to assess the correlation of spinopelvic parameters in lumbar prolapsed intervertebral discs. Methods: An observational, retrospective study was conducted at Nepal Armed Police Force Hospital over a period from January 01, 2020, to October 10, 2023. The spinopelvic parameters were measured on lateral lumbar X-rays of the armed police personnel and were collected from the PACS system. The correlation between the spinopelvic parameters pelvic incidence (PI), sacral slope (SS), lumbar lordosis (LL), and pelvic tilt (PT) and prolapsed intervertebral disc (PIVD) was done. Results: A total of 73 patients (55 M/18 F) with the most common site for PIVD being L4-L5 (50%), and L5-S1 (28%). The measured mean spinopelvic parameters were LL (30.43°±5.77°), PT (15.67°±8.04°), PI (48.99°±9.52°), and SS (30.02°±9.5°). Statistically significant weak correlations were found between LL and PIVD at the L4-L5 level as well as between PI and PIVD at the L4-L5 level. Conclusion: There exists a negative correlation between the lumbar lordosis and pelvic incidence with PIVD at the most common site, L4-L5. So, patients with lower lumbar lordosis and pelvic incidence have a high chance of PIVD.