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Indian Journal of Orthopaedics

Mandeep Singh Dhillon
No abstract text is available yet for this article.
November 2018: Indian Journal of Orthopaedics
Prashant Narhari, Amber Haseeb, Serene Lee, Vivek Ajit Singh
No abstract text is available yet for this article.
November 2018: Indian Journal of Orthopaedics
Mahmood Dhahir Al-Mendalawi
No abstract text is available yet for this article.
November 2018: Indian Journal of Orthopaedics
Alaric Aroojis, Varun Narula, Darshana Sanghvi
Pediatric elbow dislocations are rare injuries and are often accompanied by concomitant fractures. We report a rare case of medial dislocation of the right elbow without accompanying fracture in a 10.5-year-old boy after fall from a bicycle. After radiographic and magnetic resonance imaging evaluation, closed reduction under general anesthesia was performed and the elbow was immobilized in a posterior above-elbow slab. Elbow mobilization was started after 2 weeks and the posterior slab was discontinued after 4 weeks...
November 2018: Indian Journal of Orthopaedics
Anand Prahalad Rao, Pooja Prakash Mallya, Shashi Ranjani, Jyothi Raghuram
Background: Chronic recurrent multifocal osteomyelitis (CRMO) is a rare auto-inflammatory disease of the bone. It tends to be multifocal and usually the symptoms tend to run for months and years before diagnosis is usually made. The objective of our study was to understand the clinical presentation and short-term response to treatment of CRMO patients. Materials and Methods: A retrospective analysis of patients diagnosed with CRMO between 2011 and 2016 was done...
November 2018: Indian Journal of Orthopaedics
Hoon-Sang Sohn, Jong-Keon Oh, Ha Sol Yang, Hyeong Rang Kim
Background: The treatment of comminuted tibia plafond fractures remains clinically challenging due to the complexity of the articular fracture pattern despite using the anatomically precontoured locked plates. This study describes the morphologic characteristics of the anterolateral fragment and to evaluate the fixability of the anterolateral fragment with the anatomically precontoured locked plate in the pilon fracture. Materials and Methods: One hundred and twenty five cases of AO 43-B and C fracture were evaluated using the computed tomography (CT) scan...
November 2018: Indian Journal of Orthopaedics
Ismail Emre Ketenci, Hakan Serhat Yanik, Ayhan Ulusoy, Serdar Demiroz, Sevki Erdem
Background: The most appropriate fusion levels remains challenging, especially in Lenke type 5 curves. In Lenke 5 adolescent idiopathic scoliosis (AIS) generally fusion includes the lower end vertebra (LEV). This study determines whether it is appropriate to fuse mild to moderate Lenke 5 curves to LEV-1, if possible. Materials and Methods: Forty-two patients with mild to moderate Lenke 5 AIS that underwent posterior fusion were retrospectively evaluated. The preoperative goal was to stop the instrumentation at LEV-1 in all patients if possible...
November 2018: Indian Journal of Orthopaedics
Wei Chen, Xiang-Ming Fang, Ping-Yan Qian, P S Sanjeev Kumar, Hong-Wei Chen, H U Xiao-Yun
Background: Cervical pedicle screw fixation through posterior approach has shown greater cervical stability advantage. The cervical pedicle screw fixation technique through posterior approach is demanding. The key to the technique is the choice of point and angle of screw entrance. The angle of screw placement is variable. Morphometric measurements of the cervical pedicle are a prerequisite for individualized screw. CT imaging has become the most reliable and important means to obtain cervical pedicle's measurement data and morphology in vivo ...
November 2018: Indian Journal of Orthopaedics
Pulak Sharma, Rahul Verma, Sanjiv Gaur
Background: Ponseti method is the gold standard treatment for idiopathic congenital clubfoot. Pirani clubfoot severity score is a vital tool in assessing treatment of clubfoot. This study determines whether, after a short training in the Pirani scoring, a nonmedical personnel can be as accurate as a doctor in assessing the degree of deformity in clubfoot. Materials and Methods: This was a prospective observational study from January to September 2016. Pirani scoring of all children ≤6 months was done by the counsellor, an orthopedic resident, and a consultant separately...
November 2018: Indian Journal of Orthopaedics
Sudeep Kumar, Anup Kumar, Subhash Kumar, Prem Kumar
Background: Magnetic resonance imaging (MRI) has been gold standard investigation for diagnosing anterior cruciate ligament (ACL) tear. Availability and cost are two main factors limiting the universal use of MRI in all those patients in whom ligament injury is suspected. We compared the outcome of functional USG with gold standard MRI scan in this prospective study. Materials and Methods: In this study, we included the patients coming to orthopedics outpatient department with sign and symptoms of ACL injury...
November 2018: Indian Journal of Orthopaedics
Akshay Ganpatsinh Chavda, Nadeem A Lil, Pankaj R Patel
Background: Floating knee is a condition resulting from high energy trauma usually associated with minor to life threatening injuries making it challanging to treat There are no studies available in literature describing cross leg sitting and squatting after surgical management of floating knee. This study analyzes prognostic factors, plan of management, functional outcomes (special attention to squatting and cross legged sitting), complications. Materials and Methods: 52 patients with floating knee injuries treated over a period of 3 years were included in this study...
November 2018: Indian Journal of Orthopaedics
Gennadiy M Kavalerskiy, Valeriy Y Murylev, Yaroslav A Rukin, Pavel M Elizarov, Alexey V Lychagin, Evgeniya Y Tselisheva
Background: Careful preoperative planning in revision cases with complex acetabular defects is crucial for optimal surgery outcome. However, in many cases, computed tomography (CT) scans cannot give a clear understanding of the pelvic destruction. Three-dimensional (3D) models-based on CT data can help surgeon in planning of complex acetabular reconstruction. Materials and Methods: We used 3D plaster pelvic models in 17 revision cases. There were 5 patients with Paprosky II C acetabular defects, 2 patients with Paprosky IIIA defects, and 10 patients with Paprosky IIIB defects (3 patients among them with pelvic discontinuity)...
November 2018: Indian Journal of Orthopaedics
E G Mohan Kumar, G M Yathisha Kumar, M Abdul Rasheed
Background: Perthes disease is a condition in which a self-limiting avascular event affects the capital epiphysis of the femur with a very variable course. It has been shown frequently, however, that there is a group of patients who definitely benefit from containment, either surgical or nonsurgical, better with surgical. We studied midterm to long term outcome of closed wedge varus derotation osteotomy (VDRO) with trochanteric apophysiodesis in Perthes disease. Materials and Methods: 88 children with mean age of 7...
November 2018: Indian Journal of Orthopaedics
Yueh-Hsiu Lu, Chia-Chieh Wu, Chen-Pu Hsieh
Background: A variety of surgical techniques for treating mallet fracture finger has been reported with different outcomes and complications. However, the optimal procedure remains controversial. This study describes surgical outcomes of mallet fractures of the finger with distal phalanx treated by modified pull-out wire fixation with Kirschner wire (K-wire) stabilization of the DIP joint in hyperextension. Materials and Methods: 30 patients who had mallet fracture finger injuries (Doyle's classification type IVC) with DIP joint subluxation between January 2009 and January 2015 were included in this study...
November 2018: Indian Journal of Orthopaedics
Qiang Fu, Lei Zhu, Peng Yang, Aimin Chen
Background: Volar locking plate (VP) and external fixation (EF) are the two most commonly used methods for treating distal radius fractures. The aim of this study was to identify which of the two treatments leads to better outcomes (clinically and radiographically) with fewer complications. Materials and Methods: A metaanalysis was performed. All available randomized controlled trials (RCTs) which compared the clinical results of VP to EF were obtained and the reported means and standard deviations were extracted to perform data synthesis...
November 2018: Indian Journal of Orthopaedics
Ji Hun Park, Jong Woong Park
Background: Tears of the triangular fibrocartilage complex (TFCC) can result in instability of the distal radioulnar joint (DRUJ) and ulnar-sided wrist pain. This study evaluates clinical results of arthroscopic transosseous repair for both proximal and distal components of TFCC tear with DRUJ instability. Materials and Methods: Ten patients who underwent both proximal component and distal component of TFCC repair were retrospectively reviewed. The proximal component of TFCC was repaired through arthroscopic one-tunnel transosseous suture technique, and the combined distal component tear was repaired to the ulnar capsule using same transosseous tunnel in all cases...
November 2018: Indian Journal of Orthopaedics
Seung Min Ryu, Sam-Guk Park, Ji-Hoon Kim, Han Seok Yang, Ho Dong Na, Jae-Sung Seo
Background: The treatment of modified Mason Type III or IV fractures is controversial. Many authors report open reduction and internal fixation (ORIF) with reconstruction of the radial head, but others advocate radial head arthroplasty (RHA). This study compares the clinical and radiological outcomes of ORIF and RHA in modified Mason Type III or IV radial head fracture and evaluates correlations between prognostic factors and postoperative clinical outcomes. Materials and Methods: 42 patients with modified Mason Type III or IV radial head fractures who were surgically treated between January 2010 and January 2014 were retrospectively analyzed (20 patients with RHA and 22 patients with ORIF group were selected)...
November 2018: Indian Journal of Orthopaedics
Milan Krticka, Daniel Ira, Martin Flek, Jan Svancara, Radek Pikula
Background: Elbow dislocation is the second most frequent type of large joint dislocations in adults. Standard treatment of simple elbow dislocation (SED) without manifestation of instability includes closed reduction, short-term immobilization of the elbow followed by functional aftercare. This study evaluates SED treatment, comparing outcomes of conservative functional treatment and surgical therapy. Materials and Methods: 54 adult patients with SED without manifest instability treated in tertiary hospital between January 2008 and June 2015 were analyzed in this retrospective study...
November 2018: Indian Journal of Orthopaedics
Shakti A Goel, Hitesh N Modi
In the current clinical scenario, restenosis following the primary surgical procedure for lumbar canal stenosis is being frequently noticed. A number of studies have evaluated the reoperation rates following different surgical procedures for lumbar canal stenosis. However, a dilemma still exists about the surgical procedures, associated comorbidities and reoperation rates. In this study, we have reviewed the existing literature for lumbar canal stenosis surgery and their reoperation rates. A PubMed search for all papers stating "reoperation after spinal stenosis," "revision surgery after spinal stenosis," and "reoperations and lumbar canal stenosis" were explored...
November 2018: Indian Journal of Orthopaedics
Ish Kumar Dhammi, Rehan Ul Haq
No abstract text is available yet for this article.
November 2018: Indian Journal of Orthopaedics
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