Browsing by Author "S.V. Sharma"

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A modified method of Achilles tendon lengthening
(1978) S.V. Sharma
A modified technique of tendo achillis lengthening which takes advantage of the tendon sheath is described. Lengthening of the tendon is achieved by feel under direct vision.
Allogenic decalbone in glenoplasty for recurrent anterior dislocation of shoulder.
(1995) G.N. Khare; T.P. Singh; S.C. Goel; S.K. Saraf; S.V. Sharma
31 patients of recurrent anterior dislocation of shoulder treated by anterior glenoplasty using allogenic decalbone had good results. It is proposed that generalised congenital or developmental disorder may be an important etiological factor in pathogenesis of recurrence of the dislocation.
Allogenic decalbone in the repair of benign cystic lesions of bone
(Springer-Verlag, 1992) S.C. Goel; S.M. Tuli; H.P. Singh; S.V. Sharma; S.K. Saraf; T.P. Srivastava
Forty-six cases of benign cystic lesions of bone were treated by curettage and compact filling using partially decalcified allogenic bone graft (Decalbone); of these, 35 were available for study. Decalbone was prepared by partial decalcification with 0.6 N hydrochloric acid (HCl) of human bones generally obtained from freshly amputated limbs. The commonest lesions of bone were giant cell tumours (14) and aneurysmal bone cysts (15), and the commonest bones involved were the femur (23) and the tibia (12). There was one failure and four recurrences. Five cases were infected but this did not interfere with healing of the primary lesion. Radiological incorporation of the graft was seen at about 3 months in unicameral bone cysts, at 4-6 months in aneurysmal bone cysts and at 6-9 months in giant cell tumours. There was no recurrence in any case of giant cell tumour, but three aneurysmal bone cysts recurred. There was no clinical immune reaction. © 1992 Springer-Verlag.
Atlanto-axial dislocation associated with suboccipital cold abscess
(1978) S. Mohanty; S.V. Sharma; T.P. Shrivastav
A case of atlanto-axial dislocation with quadriparesis, diagnosed preoperatively as cranio-vertebral anomaly, was found to have a tubercular cold abscess in the suboccipital region. Literature on cranio-vertebral tuberculosis reveals such presentation to be unusual.
Changing profile of haematogenous osteomyelitis in a teaching hospital.
(1993) S.V. Sharma; G.N. Khare; N. Bhalla; S.K. Saraf
A total of 155 consecutive patients of osteomyelitis were studied clinically, radiologically and bacteriologically. The follow up ranged from 2 1/2 to 4 1/2 yr (average 3.5 yr). Age varied from 8 months to 50 yr. Onset of the disease was acute in 106 and insidious in 49 patients. Of these 116 cases were treated conservatively which include 12 treated by incision and drainage. The rest underwent surgery (saucerization, curettage, sequestrectomy etc.). There was a trend for osteomyelitis to shift from the known incidence in early age to adulthood, acute to insidious onset and infection by Gram positive to Gram negative organisms.
Comparative study of bone formation by allogenic decalcified bone matrix and by plaster of Paris in osteo-periosteal gaps
(1980) S.V. Sharma; Y.S.N. Murthy; S.M. Tuli
A comparative study of the bone forming potential of demineralised homologous bone matrix and plaster of Paris implants was made by implanting an appropriate size of each implant, in a large circumferential osteo-periosteal gap of the diaphysis of the ulna in rabbits. Periodic observations of the implants were made clinically, radiologically, histologically and by tetracycline fluorescence up to 14 weeks. By 12 weeks after operation 78.5% of the animals revealed bone formation in the demineralised bone matrix implant and complete bridging of the proximal part of the gap. The distal part of the gap having plaster of Paris implant, however, was absorbed by 6 weeks and evoked no bone formation; the gap had been filled with fibrous tissue. Plaster of Paris was considered to act only as a space occupying inert material with no osteo-inductive property. The osteoinductive property of demineralised bone matrix was further confirmed by this study.
Cystic skeletal tuberculosis
(1978) S.V. Sharma
[No abstract available]
Dystrophic calcification in tubercular lesions of bursae
(Informa Healthcare, 1978) S.V. Sharma; B.P. Varma; S. Khanna
Four patients with extensive dystrophic calcification, in osteoarticular tubercular lesions of relatively short duration, are described. All lesions healed satisfactorily after treatment with antitubercular drugs combined in some cases with en bloc excision. © 1978 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
Epithelioid sarcoma of the thigh--a case report.
(1992) N.C. Aryya; S.V. Sharma; B.L. Rastogi
[No abstract available]
Fungal bone cyst developed at the site of a healed compound fracture
(Springer-Verlag, 1978) S. Khanna; S.V. Sharma
Six years after apparently successful treatment of a compound fracture of both bones of the forearm, a boy developed a cystic lesion at the fracture site in the radius. Exploration showed this to be of fungal origin. The case is reported because of its unusual presentation. © 1979 Springer-Verlag.
Habitual dislocation of the patella
(Springer-Verlag, 1990) S.V. Sharma
A case of bilateral habitual dislocation of the patella associated with cleft lip and palate, and short metatarsals, metacarpals and phalanges is reported. The possible cause of habitual dislocation is discussed in the light of 20 cases which have been seen by the author. © 1990 Springer-Verlag.
HLA class-I and class-II antigen association in rheumatoid arthritis at Varanasi, India
(1996) Vibha Agrawal; Ratan Mala Gupta; Usha; S.V. Sharma
Clinical presentation of rheumatoid arthritis (RA) and its severity differs in different races. Genetic factors play a significant role in its predeliction. The present study was undertaken to find out association of HLA class I and class II antigens with rheumatoid arthritis prevalent in Asian Indians residing at Varanasi. Ninety rheumatoid arthritis patients strictly fulfilling American Rheumatism Association criteria were screened for prevalent HLA class I and class II antigen by Terasaki Microlympho-cytotoxicity test. Results were compared with 100 healthy controls and 35 Seronegative Spondyloarthritides cases (SSA). Rheumatoid arthritis patients showed increased frequency of HLA-A2 and B40 antigens compared to healthy controls (p<.001). SSA patients showed significantly increased Phenotype frequency (PF) of HLA-B27 (p<.0001) and 840 (p<-001). Significant detection of HLA-A2 exclusively in RA patients suggests a more positive association of A2 in rheumatoid arthritis at Varanasi. HLA-B40 could not be attributed absolute significance of association with SSA or RA as it showed increased frequency in both diseases.
Macrodystrophia lipomatosa: Radiographic observations
(1992) S.K. Gupta; O.P. Sharma; S.V. Sharma; B. Sood; S. Gupta
23 cases of macrodystrophia lipomatosa (MDL) are reported showing a wide spectrum of radiographic findings. Typical findings were hypertrophy of all the mesodermal tissues of the affected digits with dramatic overgrowth of fat. Phalanges were enlarged both in length and transverse diameter, but the trabecular pattern was maintained. In one patient, the phalanges and metatarsals were elongated but thinned. In another case, all the phalanges and metatarsals of the great toe were small. The little toe was also involved in two cases. Articular surfaces were slanting. There was a high incidence of palmar and plantar involvement. In a few cases the forearm and leg were also involved. Other uncommon features observed were early maturation of epiphyseal centres of ossification of phalanges and metatarsals, syndactyly, polydactyly, brachydactyly and symphalangism. Angiography was uncharacteristic.
Malignancy and aggressiveness in giant cell tumour of the bone: A preliminary report
(1996) A. Rastogi; S.V. Sharma; N.C. Aryya
23 patients with histologically proven 'benign' giant cell tumours of the bone were graded and analysed with reference to aggressiveness and malignancy. Increasing histological grade did not indicate increasing aggressiveness. Although abnormal mitoses increased as the grade increased, the overall tumour behaviour did not reflect changes in cellular pattern. Other histological features also did not have any correlation with tumours exhibiting aggressive behaviour, clinicoradiologically. We conclude that low grade (nonmalignant) giant cell tumours should not be graded as histology does not offer any prognostic guidelines and may prejudice treatment. The latter should be based on clinicoradiologic grounds with histology being used as a diagnostic tool only.
Management of open, infected and ununited fractures of long standing by 'telescopy'
(1992) S.V. Sharma
[No abstract available]
'Super' Girdlestone for tumours of proximal femur
(1992) S.V. Sharma
[No abstract available]
Surgery in non-traumatic dislocations of patella
(1982) S.V. Sharma
[No abstract available]
The bridging of large osteoperiosteal gaps using 'Decalbone'
(Springer-Verlag, 1988) S.M. Tuli; T.P. Srivastava; S.V. Sharma; S.C. Goel; D. Gupta; S. Khanna
'Decalbone' was prepared by partial decalcification of human bones obtained from recently amputated specimens. It was then stored in 80 to 90% ethanol in a domestic refrigerator. The decalbone was used to fill large osteoperiosteal gaps in 25 patients. The commonest lesion was a giant cell tumour (21 cases) and various long bones were affected. There were 6 failures with recurrence of the tumour in 3 and uncontrolled infection in 3. The remaining 19 cases were followed up for from 2 1/2 to 7 years. In 10 the decalbone incorporated well, but further reconstructive procedures were needed in 9. Our studies showed that incorporation began at around 6 to 9 months and was complete at about 2 years in the upper limb and 4 years in the lower limb. There was no clinical evidence of an immune response. © 1988 Springer-Verlag.
Urinary excretion of acid mucopolysaccharide in normal human beings and generalised musculo skeletal affections
(1974) S.V. Sharma; S.M. Tuli
A study of excretion of acid mucopolysaccharide (AMPS) in normal healthy individuals and in patients with generalised musculoskeletal affections is presented. Overall normal AMPS values were found to vary in a very wide range and the figures were found to be higher as compared to Western literature, probably due to racial and dietetic factors. The AMPS excretion was found to be increased in muscular dystrophy (pseudohypertropic type), osteopetrosis, myositis ossificans progressiva, mongolism, achondroplasia, Hurler's syndrome and in 2 out of 8 cases of osteogenesis imperfecta. The excretion was found to be within normal limits in the following conditions: Pyle's disease, polyostotic fibrous dysplasia, metaphyseal aclasis, Morquio Brailsford's disease, Ollier's disease, osteopoikilosis and neurofibromatosis.