The Effect of the Intercondylar Notch Shape and Notch Width Index on Anterior Cruciate Ligament Injuries.

Background: Anterior cruciate ligament is one of the commonly injured ligaments in knee. The shape and dimension of the femoral notch has been linked with the risk of anterior cruciate ligament injury. The aim of this study was to study the risk of Anterior cruciate ligament injury with notch morphology in the Nepalese population.

Outline of Hand and Wrist Injuries Presenting to an Emergency of a Tertiary Care Centre in Nepal.

Background: Hand and wrist injuries are getting commoner with increasing incidence of injuries and accidents. This study aims to identify the prevalence and pattern of hand and wrist injuries presenting to the emergency department of a tertiary care center of Nepal.

Methods: The study was conducted through review of electronic data of the patient in the emergency department database for the period of 1 Nov 2005 till 31 Oct 2015.

Impact of Miniaturization on Early Outcome of Percutaneous Nephrolithotomy.

Background: Percutaneous nephrolithotomy has become the standard procedure for large renal stones but still remains highly challenging due to complications such as bleeding and sepsis, even though it has high stone free rate (SFR). We report the early outcomes of more than 1000 percutaneous nephrolithotomys done in our center.

Methods: A retrospective study of all patients undergoing percutaneous nephrolithotomy from January 2010 to December 2017 in single institution was conducted.

Fluoroscopy Guided Percutaneous Transpedicular Biopsy of Vertebral Body Lesion.

Background: The common causes of vertebral body lesion are metastasis, infection, primary malignancies or osteoporotic fractures. Histopathological examination is necessary to confirm the diagnosis. There are different approaches to collect the biopsy samples and they have different adequacy and accuracy rates and also possible complications.

Safety and Efficacy of Bilateral Simultaneous Percutaneous Nephrolithotomy.

Background: To evaluate the safety and efficacy of bilateral simultaneous percutaneous nephrolithotomy in one tertiary hospital in Nepal.

Methods: Retrospective study was done for all patients that underwent bilateral simultaneous percutaneous nephrolithotomy in our center from January 2010 to December 2017. The study included 36 male and 16 female patients with totalof 104renal units at an average age of 37 years (range 3 -65 years).

Subclavian vein dialysis access catheter-complications are low.

Internal jugular vein has been recommended as the vascular access for haemodialysis because it is associated with less thrombotic/stenotic complication. Despite this recommendation, subclavian vein access is still being frequently used. This paper aims at reviewing the rate of complications associated with temporary double lumen subclavian vein dialysis access catheter in a personal series.

Neuroarthropathy of the hip following spinal cord injury.

We present the case of a 33-year-old male who sustained a burst fracture D12 vertebrae with spinal cord injury (ASIA impairment scale A) and a right mid-diaphysial femoral shaft fracture around 1.5 years back. The patient reported 1.

Paratesticular fibrous pseudotumor arising from tunica vaginalis.

Intrascrotal benign fibrous proliferations are uncommon and mostly arise from paratesticular region falling into the category of fibrous pseudotumor which is characterized by nodular growth composed of probably reactive proliferation of fibroblasts and inflammatory cells. Although benign, this often clinically mimics intrascrotal malignancy and usually remains undiagnosed preoperatively. Here, we report a case of paratesticular fibrous pseudotumor arising from testicular tunica vaginalis and involving epididymis, in a 32 year male presenting with huge left scrotal mass.