Aryal, Rajendra
Bhusal, Rajan
Pandey, Nitesh Raj
Banskota, Ashok Kumar
Banskota, Bibek
Article History
Received: 17 November 2025
Accepted: 20 March 2026
First Online: 31 March 2026
Declarations
:
: This study was conducted in adherence to the principles outlined in the Declaration of Helsinki. Ethical approval was obtained from the B&B Institutional Review Committee (IRC) (Reg: IRC_2021_12_27_2) of B&B Hospital before initiation. Given the study’s retrospective nature and the use of de-identified clinical records, the requirement for written informed consent was waived. Nevertheless, verbal consent was obtained from all participants (or their legally authorised representatives) contacted via telephone for functional outcome assessments. Data confidentiality and participant anonymity were strictly maintained, and all data were stored in encrypted, password-protected systems accessible only to authorised research personnel.
: Not applicable. This manuscript does not contain any person’s data in any form (including individual details, images, or videos).
: The authors declare no competing interests.