International Journal of Orthopaedics Sciences最新文献

{"title":"Scoliosis in infantry","authors":"Kaletsi Eleni, Evgenia Trevlaki, Dalatsi Aggeliki Konstantina, Emmanouil Trevlakis","doi":"10.22271/ortho.2023.v9.i3a.3402","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3a.3402","url":null,"abstract":"Background: Improper posture is one of the main causes of scoliosis, a common spinal condition. While scoliosis can develop at any age, this review focuses on infantile scoliosis and aims to organize therapeutic thinking around the treatment of infantile scoliosis and to report modern therapeutic approaches with physical therapy as the main focus. Methods: A comprehensive literature review was conducted to gather relevant research articles on the effectiveness of exercise methods in managing infantile scoliosis. The included studies provided data on various outcome measures, including the Cobb angle, trunk rotation angle, spinal flexibility, vital capacity, posture, and respiratory function. The researchers reviewed and synthesized the findings from these studies, noting significant results and discrepancies between different exercise methods. Results: The results of this study demonstrate that the Schroth method effectively improves the Cobb angle, reduces trunk rotation angle, increases spinal flexibility, enhances vital capacity, and promotes improved posture. Furthermore, exercises with the Dobomed method have shown significant improvements in respiratory function, while the Side Shift method did not yield significant differences compared to other exercise methods. Additionally, Niederhofferv exercises have been found to be crucial for improving posture, muscle strength, maintaining mobility, and facilitating respiratory function. Conclusion: These different exercise methods provide a range of benefits in the management of scoliosis, targeting various aspects such as spinal alignment, respiratory function, and overall musculoskeletal well-being. The applicability of the mentioned exercise methods to toddlers wearing a guardian has not been clarified in the available data.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85251108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Medical teacher in Tamil Nadu government sector: A role model for youngsters in India","authors":"Dr. Surendhar Rathinasamy, Dr. V Arun, Dr. Sajith Kurian","doi":"10.22271/ortho.2023.v9.i1f.3326","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1f.3326","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81697293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on bone marrow derived stem cells and its application on ACL graft regeneration in partial ACL tears","authors":"Dr. R Aswin Sundar, D. Ak, D. A. Kumar, Dr. Abin Mahmood Nizar, Dr. Yeshwanth Subash","doi":"10.22271/ortho.2023.v9.i3d.3433","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3d.3433","url":null,"abstract":"Background: Partial tears of the anterior cruciate ligament (ACL) are frequent, and there is still considerable controversy surrounding their diagnosis, natural history and treatment. Aim: To examine patient-reported outcomes, physical examination and magnetic resonance imaging (MRI) findings of partial ACL tears treated with an intraarticular injection of BMAC and to evaluate both subjective and objective clinical results as to compare the outcomes Pre Procedure, at 3 weeks and 3 months following the procedure, as well as functional recovery time. Methods: From April to July 2023, consecutive patients from a single institution with partial ACL tears treated nonoperatively were prospectively evaluated. Partial tears were defined as a positive Lachman test with clear endpoint, a negative pivot-shift and MRI were taken and were classified and graded on the basis of VAN MEER Radiological Classification. Patients were treated with one intraarticular injection of BMAC and specific physical therapy protocol. Prospective analyzed data included physical examination and Lysholm and International Knee Documentation Committee scores were taken Pre Procedure, at 3 weeks and 3 months. Baseline MRI findings and at 3 months follow-up were reviewed. Failure was defined as those patients with clinical instability at follow-up that required ACL reconstruction at 3 months. Results: A total of 30 patients where included, all 30 treated with BMAC injection with a mean follow-up of 3 months. Their Mean Age was 40. 20 (60%) of them were men and 40 % of them were females, Overall failure rate was (n = 3). One patient (5.0%) was unable to RTS due to subjective instability. The other 95.0% in each group were able to return to their previous sports level. Regarding objective stability, at 6 month follow-up in group 1, 19 presented a decrease in the side-to-side difference, 10 remained with the same difference, and 1 had 2 mm more, over all, mean RTS time was 3 months. Significant differences were observed regarding subjective outcomes, return to sport Following Procedure. MRI findings revealed an improvement in the ACL signal in half of the patients. However, we did not find a significant relationship between MRI findings and clinical outcomes. Conclusion: Overall, 95.0% of patients returned to sports at a mean follow-up of 3 mo. Mean time to return to sports was 3 months. The addition of BMAC shows promise in the treatment of grade 1, 2, and possibly grade 3 ACL tears without retraction. Further investigation using a controlled study design is warranted.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80832795","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Observational study of delay in surgical management of trauma patients at a tertiary care hospital: A retrospective study","authors":"Dr. Javed Iqbal Wani, Dr. Abdul Ghani, Dr.Sanjeev Gupta","doi":"10.22271/ortho.2023.v9.i3d.3432","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3d.3432","url":null,"abstract":"Traumatic injuries are the major leading causes of death in India and in other countries. The delay in operating the trauma patients due to any reason may lead to increased morbidity, mortality, length of hospital stays and overall cost. It may also lead to dissatisfaction among patients and reflects the inefficiency of the operating staff. Purpose: To decrease the delay in surgical management of trauma patients due to organisational reasons. Materials and Methods: The present retrospective observational study was conducted in the Department of Orthopedics, GMC Jammu, over a period of seven months with the aim assess the magnitude and causes of the cancellation of elective surgical cases in a tertiary hospital. The data from 452 patients were collected and analysed. Results: The mean age of the study subjects was 41±15.5 years. The majority of the study subjects were males (67.2%), most of the patients were living in rural area (64.2%) and 69% subjects had cancellation of surgery. Elective case cancellation rate in our study was 31% and lack of OT space was major contributing factor in delay of the surgery. Conclusion: The present study concluded that majority of the surgical delays were due to organizational reasons which are avoidable and there is a room for improvement and most importantly the patient care will have a positive outcome.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81405777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effect of pilates on the balance of older adults at high risk of falling: A narrative review","authors":"Sevasti Theodoridou, Paris Iakovidis, D. Lytras, Konstantinos Kasimis, Antonis Fetlis, Katerina Kalitsiou","doi":"10.22271/ortho.2023.v9.i1d.3297","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1d.3297","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82992063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A study on transforaminal fluoroscopy guided autologous platelet rich plasma injections in patients with lumbar radicular pain","authors":"Dr. Abin Mahmood Nizar, Dr. Aswin Sundar, Dr. AK Prabhakaran, D. A. Kumar, Dr. Yeshwanth Subash","doi":"10.22271/ortho.2023.v9.i3e.3442","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3e.3442","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89759715","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional outcome of diaphyseal fractures of humerus in adults treated with closed interlocking nails: A prospective study","authors":"Somnath Ghosh, B. Nayak, Dhananjoy Bera, S. Samanta","doi":"10.22271/ortho.2023.v9.i1g.3328","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1g.3328","url":null,"abstract":"Background: Diaphyseal fractures of humerus are common, representing 3% of all fractures and 20% of all humerus fractures. Though compression plate osteosynthesis is the gold standard, interlocking intramedullary nailing is also a reliable option. In this present study we evaluated the functional outcome of diaphyseal fractures of humerus treated with interlocking nails. A total of 36 patients with diaphyseal fractures of humerus, selected Materials and Methods: between OCTOBER 2020 to MAY 2021 were managed by closed interlocking nail of humerus. This was a prospective study and all patients were followed up to a minimum of 6 months. The primary outcome measures were functional outcome assessed using DASH Score (The Disabilities of the Arm, Shoulder & Hand Score) & Constant-Murley scoring system respectively. Secondary outcomes were intra-operative conditions such as operative time and blood loss and post-operative complications. The mean time of radiological union was 15.7 weeks ranging from14-26 Results: weeks. All 36 fractures were united including one delayed union which united at 26 weeks. In our series, 4 patients had post operative shoulder stiffness including one prominent nail, 1 patient developed radial nerve neuropraxia which recovered in 8 weeks. All patients were evaluated on the basis of Constant Murley score for shoulder function and DASH score. In our study of 36 patients 69.4% got excellent results, 19.4% got good results, 8.3% got moderate/fair results and 2.8% got poor results. Interlocking nailing is a relatively quick, minimally invasive, biomechanica Conclusion: lly sound, cosmetically better method of internal stabilization of shaft humerus fractures with less union time, less infection and lesser threat to radial nerve and other complications. Besides it allows early mobilization. With correct anatomical knowledge, preoperative planning, good surgical techniques and postoperative rehabilitation interlocking humeral nailing is a viable option in the management of fracture shaft humerus promising excellent outcome.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"2019 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87858317","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of KIASTM technique applied only quadriceps muscle for knee pain","authors":"Dr. Chirag Purbia","doi":"10.22271/ortho.2023.v9.i3e.3450","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3e.3450","url":null,"abstract":"Background: It is believed that knee pain results from factors that may be biological and/or psycho-social in origin. Among biological factors, data suggest that quadriceps muscle weakness may contribute to worsening of knee pain. Recent investigations have provided evidence that higher quadriceps strength may inhibit worsening of knee joint structure. Objective: To study the effectiveness of strengthening exercise with and without the use of K-IASTM tool in reducing knee pain. Methods: 30 samples will be divided into two groups – Group A-K-IASTM and strengthening exercises; Group B-strengthening exercises. Subjects will be selected by alternative systematic random sampling method based on inclusion and exclusion criteria along with a written consent form which will be taken from the participants. K-IASTM will be done on Quadriceps muscle using scanning, combing, scouring and gliding technique for 90 seconds-2 minutes on each muscle.One-way ANOVA were used to determine the statistical significance of the quadriceps strength, related ratios, knee joint passive stiffness, and pain threshold in each technique. The significance level was set at α= 0.05. Results: The IASTM group showed greater improvement in the peak quadriceps strength (p value <0.001), the significant decrease in VAS score was observed ( p <0.05) and it was found the reduction in VAS score was highest of IASTM as compared to group B. Conclusion: The present comparative study provided first clinical evidence that IASTM technique is a best soft tissue mobilization technique to improve the strength, associated strength ratio, knee joint passive stiffness, and pain threshold among individuals with Quadriceps weakness.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"71 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86079230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of a rare case of un-displaced steida process fracture in a young adult male","authors":"Dr. Raviteja Karumuri","doi":"10.22271/ortho.2023.v9.i3f.3456","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3f.3456","url":null,"abstract":"Background: Data on the diagnosis and management of posterior talus fractures in India is limited. Here, we present a rare case report describing the diagnosis and management of a young adult male who presented with posterior process fracture.Case Description: A 21-year male adult presented with complaints of ankle pain for 10 days after a history of twisting injury while playing football. Since the patient refused to undergo any imaging, he was conservatively managed with cold fomentation and painkillers. Nearly three months after the first visit, the patient agreed to undergo a magnetic resonance imaging, which confirmed a linear un-displaced steida process fracture. The patient was finally managed with a below-knee cast for a month and advised to resume brisk walking after another month of the cast removal.Clinical significance: Fractures of the posterior talar may frequently be missed on plain radiography and must be suspected for early diagnosis using detailed clinical examination. Early recognition by computed tomography scan or magnetic resonance imaging can achieve timely management for restoring functional status, reducing disability and improving patient outcomes.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135843766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A case report of tendoachillis tear and repair","authors":"Dhruvinkumar Patel, Dr. Jayesh Thummar, Dr. Brijesh Vinodbhai Parakhiya, Dr. Shlok Viralbhai Patel","doi":"10.22271/ortho.2023.v9.i1d.3298","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1d.3298","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"29 8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85927764","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}