13 / 13
Page 51
November 13-14, 2019 | London, UK
ORTHOPEDICS, OSTEOPOROSIS & TRAUMA
12
th
International Conference on
Journal of Orthopaedics Trauma Surgery and
Related Research
Orthopedics 2019
November 13-14, 2019
J Orthop Trauma Surg Rel Res, Volume 14
Volume: 14 | ISSN: 1897-2276
Steroid vs my special preparation for Osteoarthritis/PFPS
Kiran Kumar Shah
St. Michael Hospital, China
Introduction
: In osteoarthritis most surgeons prefer steroid namely triamcinolone or methyl prednisolone for Intra-Articular
injection, but its efficacy is very limited, source can be proved from various article review. But I prefer my special preparation
which consists of combination of triamcinolone hexacetonide or hydrocortisone or methyl prednisolone plus vit. B1 plus vit.
B12 plus lidocaine plus normal saline. In my clinical practice as Orthopaedic Surgeon I have given IA for 15 cases of OA.
Their follow-up was made at 2 weeks, then at 1 month for three consecutive months, then at 6 months, then finally at 2 months.
After one single shot of my special preparation patient was pain free for over 1 year in which 15 days physiotherapy course was
included in 1st 2 weeks after IA. All 15 cases were known cases of DM-2 with HTN and age between 49 to79.
Discussion
: Since all patients had comorbid conditions and already under lots of drugs for DM and HTN, so my special
preparation for OA, does not include any oral meds just single shot of my preparation. This puts patients in favourable state and
puts patients in no risk or harm from long term analgesic use.
Conclusion
: My special preparation single shot is superior and cost effective in comparison to other steroid repetitive use. It
uses help avoid long term analgesic use and its complications in patients with DM and HTN as their renal function and Heart
function are always at risk.