Browsing by Author "Neupane, Kabin"
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Publication Radial Head Arthroplasty among Patients with Radial Head Fracture in a Tertiary Care Centre: A Descriptive Cross-sectional Study(Nepal Medical Association, 2022) Kandel, Manoj; Banjade, Deepak; Thapa, Shrawan Kumar; Kandel, Prakash; Adhikari, Bishwa Raj; Neupane, KabinAbstract Introduction: Proximal radial fractures are a common type of fracture around the elbow joint. Among these comminuted radial head fractures are commonly associated with secondary injuries and instability of the elbow joint. Management of the radial head in such cases is very important in restoring the stability of the elbow joint and starting early mobilization. The aim of this study was to find out the prevalence of radial head arthroplasty among patients with radial head fracture in a tertiary care centre. Methods: A descriptive cross-sectional study was conducted from 25 January 2019 to 25 December 2020 among patients with a radial head fracture at the Department of Orthopaedics of a tertiary care centre. Ethical approval was obtained from the Institutional Review Committee (Reference number: 076/77-08A). A convenience sampling method was used. The study group consisted of patients between 20 to 60 years of age with isolated radial head fractures. Radial head arthroplasty was done for Mason types III and IV fractures and functional outcome was calculated postoperatively with Mayo elbow score on follow-up at 3-, 6- and 12-month intervals. Point estimate and 95% Confidence Interval were calculated. Results: Out of 96 patients with radial head fracture, 22 (22.92%) (17.59-28.25, 95% Confidence Interval) underwent radial head arthroplasty. The mean Mayo elbow score was 96.33±7.74 at 12 months of follow-up. Conclusions: The prevalence of radial head arthroplasty among irreparable radial head fractures was similar compared to other studies done in a similar setting.Publication Ultrasound Guided Hydrodissection of Median Nerve with the Use of 5% Dextrose in Carpal Tunnel Syndrome: A Case Report(Nepal Medical Association, 2024) Pokharel, Sangam; Silwal, Shirish; Shrestha, Prakash; Neupane, KabinAbstract Carpal tunnel syndrome is an entrapment neuropathy of median nerve in wrist presenting with symptoms like pain, numbness, and paresthesia in hand and lateral three fingers. Conservative treatments are effective for mild to moderate cases, whereas severe or refractory carpal tunnel syndrome may require surgical intervention. Hydrodissection, a technique involving the separation of the nerve from surrounding tissues, has emerged as a minimally invasive and effective treatment option for carpal tunnel syndrome, leading to faster recovery and lower complication. In this case report, a 48 years female with two years history of severe pain and paresthesia in right hand, underwent ultrasound-guided hydrodissection of median nerve with 5% dextrose. Following intervention, the patient reported decreased symptoms and expressed satisfaction with the treatment during subsequent follow-up after 2 weeks. Ultrasound-guided hydrodissection of median nerve with 5% dextrose is effective treatment modality for patients with failed conservative management of carpal tunnel syndrome.