Browsing by Author "Rokaya, PK"
Now showing 1 - 2 of 2
Results Per Page
Sort Options
Publication Outcomes of Treatment of Thoracolumbar Burst Fractures with Intact Neurology Treated in Karnali Academy of Health Sciences, Nepal(Kathmandu University, 2025) Kathayat, TS; Rokaya, PK; Rawal, M; Karki, PD; Dhakal, B; Thapa, S; Maharjan, AABSTRACT Background The vulnerability of the thoracolumbar junction for a higher incidence of fracture with neural injury is mainly due to its anatomical peculiarity. The management of thoracolumbar burst fractures remains controversial due to the potential for further neurological deterioration and vertebral collapse at the thoracolumbar junction. Objective To investigate the outcomes of treatment of thoracolumbar burst fractures with intact neurology treated in Karnali Academy of Health Sciences, Nepal. Method This retrospective comparative study was done at Karnali Academy of Health Sciences, which included patients with thoracolumbar burst fractures classified as AO type A3 and A4, treated conservatively or operatively at 2 years follow-up. Data on demographics, kyphotic angles at injury were collected and at 2 years follow-up, and Patient-Reported Outcomes with the Nepali version (PROST) and Visual Analog Scale (VAS) scores for pain assessment. Result The results showed that 32 patients had a mean age of 43.47 years, with a majority in the 30-49 age group, showed a female predominance (56.3%) and fall injuries as the most common cause (78.2%). A total of 18 cases of AO type A3 and A4 were managed conservatively, while 14 cases were managed operatively of AO type A4. There was a significant difference in the kyphotic angle correction in operative cases (19.57 ± 8.19 vs 13.21 ± 5.57 degree (p-value < 0.001). In addition, there was no statistically significant improvement in functional outcome via PROST scores (p-value = 0.718) and VAS score (p-value = 0.450) in conservative and operative treatment. Conclusion Surgical intervention significantly improved kyphotic angles in AO type A4 patients, but the conservative management in both AO type A3 and AO A4 showed no significant change in kyphotic angle. However, PROST Nepali score and VAS score among conservative and operative cases were comparable and not statistically significant. KEY WORDS Burst fracture, PROST Nepali, Thoracolumbar vertebra, Treatment outcome, Visual analog scalePublication Radiographic evaluation of Calcaneal angles in patients presenting to tertiary care center of Nepal(Institute of Medicine, 2016) Rokaya, PK; Pokharel, RK; Lamichhane, APAbstract Introduction: Fractures of the calcaneus are the most common tarsal fracture and they account for approximately 2% of all fractures. Recognizing the normal limits of the calcaneal angles is important in determining the degree of deformity and quality of reduction, and can thus help to predict the morbidity after calcaneal fractures. No study about the normal ranges of the calcaneal angles in the Nepalese populations is to our knowledge till date. Methods: Lateral plain radiographs of foot and ankle of 140 patients without a calcaneal fracture were analyzed at Department of Orthopedics TUTH, Maharajgunj, Kathmandu between February2012 to September2013. Böhler angle and Gissane angle were measured. The distribution characteristics of these angles with respect to age, gender, and side of the body were analyzed and compared with those of previous studies. Results: The mean BA was 31.3 plus/minus 5.28 deg (range of 18-47°) and the mean GA was 108.4 plus/minus 10.59 deg (range of 85-135°) There were no significant differences for calcaneal angles with respect to side (for BA, p = 0.728 for GA, P ^ =0.091) and for sex (for BA, P = 0.555 for GA, p = 0.212 ) There were no significant differences between the age groups for calcaneal angles (for BA, p = 0.659 for GA, p = 0.912 ) Conclusion: Calcaneal parameters specific to the Nepalese population have to be taken into consideration by the orthopedic surgeons to improve the standard of calcaneal fracture treatment in Nepal. The range herein reported of ( 47 deg for BA, 35 - 135 deg for GA) may be used as reference values for the Nepalese population. Keywords: Böhler angle, Calcaneus, Radiograph, Gissane angle