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COVID-19 contact tracing in a tertiary care hospital: A retrospective chart review

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Infectious Disease Modelling 2021年第1期6卷 1-4页

作者： Pinki Tak Jitendra rohilla General Medicine Jawaharlal Nehru Medical CollegeAjmerRajasthan305001India Psychiatry AII India Institute of Medical SciencesRishikeshUttarakhand249203India

Background:Contact tracing is one of the strategies used to control COVID-19 *** played an important role in the beginning to identify all contacts and minimise the spread of the ***:A retrospective chart review was carried out of contact tracing records during the one-month period,starting from the onset of the first lockdown in *** largest wave of 372 contacts was analysed in detail to find out the association between the result of COVID-19 test and various factors(age,gender,type of contact).Results:A total of 372 contacts(214 males and 158 females)were traced and around 21%contacts were tested positive on COVID-19 RT-PCR ***-square test didn’t find the significant difference between COVID-19 test result and proportions of male and female contacts,X^(2)(1)0.033,p=*** positive contacts had lower mean age compared to male positive contacts,though not statistically significant,t(75)=-1.809,p=*** difference was found in either median or mean age of contacts with respect to COVID-19 test *** of tested COVID-19 positive among household contacts much higher than community contacts,OR=24.52,95%CI 12.45e48.29,p<***:No difference was noted in the rate of contracting infection with respect to age and gender of *** of contact,household or community,significantly affected the probability of becoming infected with the *** of primary case was probably responsible for large number of contacts found positive for COVID-19.

关键词： Covid-19 Contact tracing Rapid response team Infection spread

To evaluate the role of platelet-rich plasma in healing of acute diaphyseal fractures of the femur

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Chinese Journal of Traumatology 2017年第1期20卷 39-44页

作者： Roop Singh Rajesh rohilla Jeetesh Gawande Paramjit Kumar Sehgal Department of Orthopaedic Surgery Paraplegia d~ Rehabilitation Pt. B.D. Sharma PGIMS Rohtak 124001 Haryana India Department of Blood Transfusion Pt. B.D. Sharma PGIMS Rohtak 124001 Haryana India

Purpose： New research is focusing on the use of autologous growth factors to increase the effect of bone fracture healing while decreasing the amount of healing time for the patient. Platelets have been demonstrated to be the natural storage vessel for several growth factors and cytokines that promote blood coagulation, tissue repair, and the process of bone mineralization. The present study aims to evaluate the role of platelet-rich plasma （PRP） in healing of acute femoral shaft fractures radiologically. We hypothesize that it provides artificial hematoma and releases various growth factors. Methods： This prospective randomized study was carried out in 72 patients of traumatic fracture of the femoral shaft operated with interlocking nails （closed or open）. Patients were divided into two groups： study group A （n - 33） treated with intramedullary nailing ＆ PRP injection/gel application in the same setting; and control group B （n - 39） treated with intramedullary nailing without PRP application. Both groups were further divided into two subgroups. Study group included subgroup AI （n = 14） operated with closed intTamedullary nailing and PRP injection at the fracture site under radiological control, and subgroup A2 （n = 19） operated with open intramedullary nailing and PRP gel along with fibrin membrane application at the fracture site; while control group included subgroup B1 （n - 16） operated with closed intramedullary nailing, and subgroup B2 （n -- 23） operated with open intramedullary nailing. Radiological assessment of fracture healing was done by measuring the cortex to callus ratio every month till union at 6 months. Results： Measurements of mean cortex to callus ratio revealed significant difference between the groups A ＆ B at third and fourth months. Measurements of mean cortex to callus ratio did not reveal significant difference between the subgroups at first and sixth months. A statistically significant difference was observed between subgroups A1 ＆ B2 and B

关键词： Platelet-rich plasma Femoral fractures Fracture fixation Intramedullary

Primary Combined Intra-articular and Extra-articular Synovial Osteochondromatosis of Shoulder: a Case Report

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Chinese Medical Sciences Journal 2014年第4期29卷 248-250页

作者： Ashish Devgan Vinay Gupta Narender K Magu Rajesh rohilla Department of Orthopaedic Surgery Paraplegia & Rehabilitation Pt. B.D. SharmaPost Graduate Institute of Medical Sciences

PRIMARY synovial chondromatosis is a rarecondition in which foci of cartilage develop in thesynovial membrane of joints, bursae and tendonsheaths. It typically involves a single large jointin a young adult male.1 The ectopic foci of cartilage canresult in painful joint effusion, and the generation of loosebodies can cause mechanical symptoms.2,3 The etiology ofprimary synovial chondromatosis remains unknown, butmetaplastic theory is the most popular hypothesis. Thecommonly involved joints are knee, elbow, and hip.^4 Theshoulder is a rare site of synovial chondromatosis2,3,5 andthe extra-articular involvement even rarer, with only fewcases presented in literature. This report presents a rarecase of primary combined intra-articular andextra-articular synovial chondromatosis of shoulder jointtreated with arthroscopy.

关键词： synovial chondromatosis shoulder intra-articular extra-articular arthroscopy

Pseudoarthrosis of medial tibial plateau fracture——role of alignment procedure

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中华创伤杂志(英文版) 2013年第2期16卷 118-121页

作者： Ashish Devgan Pradeep Kamboj Vinay Gupta Narender K Magu Rajesh rohilla Department of Orthopaedics TraumatologyParaplegia and RehabilitationPandit BD Sharma Post Graduate Institute of Medical SciencesRohtak 124001HaryanaIndia

Nonunion in tibial plateau fractures is very *** literature is available on Pubmed search on intraarticular tibial *** of the cases reported have been following failed surgical treatment and none was neglected *** patients of isolated and neglected medial tibial plateau nonunion with almost similar demographic profile are reported in this *** the three patients were managed by minimally invasive compression fixation using lag screws supplemented with limb realignment procedure of high tibial *** discussed the injury mechanism,management and rehabilitation in such cases and reviewed the available literature regarding such a presentation.

关键词： Fracture healing Tibial fractures Fracture fixation Osteotomy

Implantless patellar fixation in medial patellofemoral ligament reconstruction

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Chinese Journal of Traumatology 2019年第5期22卷 281-285页

作者： Ashish Devgan Umesh Yadav Pankaj Sharma Rajesh rohilla Radhika Devgan Pravesh Mudgil Aman Verma Vasudha Dhupper Department of Orthopaedics PG1MSRohtakHaryanaIndia GMERS Medical College SolaAhemdabadGujratIndia Department of Biochemistry PG1MSRohtakIndia

Purpose:The medial patellofemoral ligament(MPFL)acts as primary restraint to lateral patellar dislocation and its rupture has been reported in almost all cases of acute patellar *** surgical techniques have been described for MPFL reconstruction,using many femoral and patellar fixation techniques and different *** article details our technique for MPFL reconstruction using semitendinosus graft which avoids the use of implant at patellar ***:Twenty patients(8 males and 12 females)with complaints regarding acute and chronic lateral patellar instability were evaluated and treated by MPFL reconstruction *** mean age of patients was 21 years(range 17-34 years).MPFL reconstruction was performed using semitendinosus graft passing through two parallel,obliquely directed tunnels created in *** of graft was done with an interference screw only at the femoral *** follow-up period after intervention was 26.4 months(range 23-30 months).Results were evaluated using Kujala ***:All patients gained adequate patellar stability and full arc of *** incidence of patella fracture was *** were no postoperative complications related to the *** was no recurrence of instability in patella at final ***:Passing the graft through the tunnels in patella without use of any implant has given excellent functional outcome and moreover has the advantages of less implant-related complications and cost-effectiveness.

关键词： Patellar dislocation Patellar instability Medial patellofemoral ligament Semitendinosus graft

Combined radial and median nerve injury in diaphyseal fracture of humerus:a case report

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Chinese Journal of Traumatology 2013年第6期16卷 365-367页

作者： Rajesh rohilla Rohit Singla Narender Kumar Magu Roop Singh Ashish Devgun Reetadyuti Mukhopadhyay Paritosh Gogna Department of Orthopaedic Surgery Paraplegia & Rehabilitation PtBD Sharma PGIMSRohtak 124001(Haryana)India

Radial nerve palsy is the most common neurological involvement in humeral shaft *** combined radial and median nerve injury in a closed diaphyseal fracture of the humerus is *** injury to both radial and median nerve can cause significant disability. A detailed clinical examination is therefore necessary following humeral shaft *** report a patient with closed diaphyseal humeral fracture(AO 12A-2.3) together with radial and median nerve palsy,its management and review of the *** the patient had two nerves involved,surgical exploration was *** was reduced and fixed with a 4.5 mm narrow dynamic compression *** was no external injury to both radial and median nerves on surgical *** recovery started at 3 weeks’ *** recovery was seen at 12 *** clinical examination is of the utmost importance in early diagnosis of combined nerve injuries,which allows better management and rehabilitation of the patient.

关键词： Humeral fractures Radial nerve Median nerve Diaphyses Paralysis

Dsteosynthesis with long volar locking plates for meta- physeal-diaphyseal fractures of the distal radius

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Chinese Journal of Traumatology 2013年第6期16卷 339-343页

作者： Paritosh Gogna Harpal Singh Selhi Rohit Singla Mukul Mohindra Amit Batra Reetadyuti Mukhopadhyay Rajesh rohilla Umesh Yadav Department of Orthopaedics and Rehabilitation Pt BDSharma Postgraduate Institute of Medical SciencesRohtak Haryana India Department of Orthopaedics Dayanand Medical Col-lege and Hospital Ludhiana Punjab India

Objective：Metaphyseal-diaphyseal fractures of the distal radius are a major treatment dilemma and orthopaedic surgeons have to pay due consideration to restoration of anatomy of distal radius together with rotation of the radial shaft and maintenance of radial bow and interosseous *** performed this study to evaluate the clinic-radiological outcome of metaphyseal-diaphyseal fractures of the distal radius treated with long volar locking ***：This prospective study involved 27 patients （22 males and 5 females） with metaphyseal-diaphyseal fracture of the distal *** mean age was （30.12±11.48） years （range 19-52 years） and the follow-up was 26.8 months （range 22-34 months）.All patients underwent open reduction and internal fixation with a long volar locking *** to AO/OTA classification,there were 7 type A3,13 type C2 and 7 type C3 *** assessment was done based on the disabilities of the arm,shoulder and hand （DASH） *** evaluation was done by measuring grip strength and range of motion around the wrist and the radiological determinants included radial angle,radial length,volar angle and ulnar *** final assessment was done according to Gartland and Werley scoring ***：Postoperative radiological parameters were well maintained throughout the trial,and there was significant improvement in the functional parameters from 6 weeks to final *** average DASH scores improved from 37.5 at 6 weeks to 4.2 at final *** assessment using Gartland and Werley scoring system revealed 66.67%（n=l8） excellent and 33.33% （n=9） good *** was one case of superficial infection which responded to antibiotics and another carpel tunnel syndrome which was managed ***：Volar locking plate fixation for metaphyseal-diaphyseal fractures of distal radius is associated with excellent to good functional outcome,early rehabilitation and minimal complications.

关键词： Radius fractures Fracture fixation,internal Bone plates

Pulmonary Embolism after Bilateral Upper Limb Surgeries: A Case Report and Review of Literature

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Surgical Science 2019年第10期10卷 362-367页

作者： Mujeeb rohilla Mohammad Waseem Beeharry Gurudat Sisodia Department of Trauma and Orthopaedics Royal Surrey County Hospital Guildford UK

Pulmonary embolism following upper limb surgery is a very rare complication. Here we present a unique case report of a 54-year-old young, fit and healthy, and non-smoker male who developed bilateral pulmonary embolism (PE) 26 days post-operatively with no associated upper or lower limb Deep Vein Thrombosis (DVT). This patient had minimal preoperative as well as intra-operative risk factors. He did not develop any thromboembolic symptoms until the 26th-day post-surgery when he developed sudden, sharp, pleuritic chest pain and laboured breathing. Initial baseline bloods showed a raised D-Dimer and the patient subsequently had a CT pulmonary angiogram that confirmed the presence of bilateral massive PEs. However, subsequent extremity ultrasound showed no upper or lower deep venous thrombosis. Thorough review of literature suggests that sudden development of PEs after upper limb surgery is possible, with a few cases being reported in the past. Symptoms such as sudden upper limb swelling, troubled breathing and systemic symptoms should be evaluated aggressively with a CT pulmonary angiogram, given the fact that an ultrasound of the extremities may be negative for deep venous thrombosis.

关键词： CT Pulmonary Angiogram D-Dimer Deep Vein Thrombosis Pulmonary Embolism Ultrasound

Combined radial and median nerve injury in diaphysea fracture of humerus： a case report

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Chinese Journal of Traumatology 2013年第6期16卷 365-367页

作者： Rajesh rohilla Rohit Singla Narender Kumar Magu Roop Singh Ashish Devgun Reetadyuti Mukhopadhyay Paritosh Gogna Department of Orthopaedic Surgery Paraplegia & Re-habilitation PtBD Sharma PGIMS Rohtak 124001

Radial nerve palsy is the most common neurological involvement in humeral shaft *** combined radial and median nerve injury in a closed diaphyseal fracture of the humerus is *** injury to both radial and median nerve can cause significant disability.A detailed clinical examination is therefore necessary following humeral shaft *** report a patient with closed diaphyseal humeral fracture （AO 12A-2.3） together with radial and median nerve palsy,its management and review of the *** the patient had two nerves involved,surgical exploration was *** was reduced and fixed with a 4.5 mm narrow dynamic compression pla *** was no external injury to both radial and median nerves on surgical *** recovery started at 3 weeks＇ *** recovery was seen at 12 *** clinical examination is of the utmost importance in early diagnosis of combined nerve injuries,which allows better management and rehabilitation of the patient.

关键词： Humeral fractures Radial nerve Me-dian nerve Diaphyses Paralysis