International Journal of Orthopaedics Sciences最新文献_第5页

Evaluation of neck shaft angle achieved immediately after surgical fixation of intertrochanteric fracture 股骨粗隆间骨折手术固定后即刻评价颈轴角

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2c.3371

Shubham Gupta, A. Bhandari

引用次数: 0

To study correlation between the tip apex distance and the functional outcome of fracture intertrochanteric femur treated with trochanteric femoral nail 目的:探讨股骨粗隆间钉治疗股骨粗隆间骨折尖端距离与功能预后的关系

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2b.3357

Dr. Pravishi Pingle, D. R. Shukla, Dr. Pravee Jain, Dr. Srajan Jain

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Urine for fat globulin levels in long bone fractures 长骨骨折患者尿液中的脂肪球蛋白水平

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2c.3367

Dr. Vishanth Rai, D. Tm, Dr. Rathin Shetty

{"title":"Urine for fat globulin levels in long bone fractures","authors":"Dr. Vishanth Rai, D. Tm, Dr. Rathin Shetty","doi":"10.22271/ortho.2023.v9.i2c.3367","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3367","url":null,"abstract":"Introduction: With the increasing incidence of trauma worldwide there has been an increase in the incidence of fractures involving the long bones globally as compared to the past (1, 2). There are a variety of associated injuries that occur along with the complex fractures in cases of trauma. Materials and Methods: The study was conducted after institutional research board clearance and after approval from the human ethics committee. All patients fulfilling the inclusion and exclusion criteria admitted at A.J.I.M.S. will be considered for the study after obtaining informed written consent. Once the patient was fit for surgery patient were operated by senior staff. Preoperatively the urine was sent for detection of fat globulin and Postoperatively the urine was sent for detection of fat globulin evaluation within 3 hours of surgery. The collected data was analysed by SPSS 17.0 version software. Observations and Results: Males were 88% p =0.008, left side 52% p =0.078. 33% were admitted within 4-5 Among all bones tibia was the commonest of the bone fracture involved 67 cases, combination of tibia and fibula was the commonest seen in 44.00%.The examination of urine for fat globulin post operatively was negative in all 100 of the cases. The examination of urine for fat globulin pre operatively was positive in 2% of the cases. Conclusion: 1 The present study we found that urine fat globulins in fractures involving the long bone are present in two percent of cases. In both cases the patients had sustained multiple bone fractures. There was a delay in presentation to the hospital of more than 4 hours in both cases. Both patients had an elevated BMI fat in urine in fractures involving the long bone have no correlation to complications.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73281827","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}

引用次数: 0

Role of epidural analgesia in improving post-operative rehabilitation after primary definitive fixation of periarticular knee fractures followed by orthopaedic trauma 硬膜外镇痛在改善膝关节周围骨折骨科创伤后初次确定固定术后康复中的作用

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2c.3373

Dr. Ismail Pandor, Dr. Mohit Nadkarni, Dr. Prateek Agrawal, Dr. Swapnil Chitnavis, Dr. Aloukika Patil

{"title":"Role of epidural analgesia in improving post-operative rehabilitation after primary definitive fixation of periarticular knee fractures followed by orthopaedic trauma","authors":"Dr. Ismail Pandor, Dr. Mohit Nadkarni, Dr. Prateek Agrawal, Dr. Swapnil Chitnavis, Dr. Aloukika Patil","doi":"10.22271/ortho.2023.v9.i2c.3373","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2c.3373","url":null,"abstract":"INTRODUCTION:intra-articular fractures of the lower limb are one of the most common fractures associated with knee stiffness. Even after an adequate and rigid fracture fixation early rehabilitation is necessary to drastically improve the outcome and reduce stiffness. Lack of effective pain control postoperatively can significantly reduce participation in therapy regimens and thus contribute to reaccumulation of fibrotic tissue in the joint after artholysis. Hence, epidural anaesthesia through a lumbar epidural catheter is an established procedure to reduce post operative pain. 1 gm preservative free morphine and 2ml of 0.5 % Bupivacaine diluted with normal saline to make a total of 10 ml is the most commonly used protocol in top up after surgery for post operative analgesia. MATERIALS AND METHODS:This is a prospective study. A total of 40 patients with peri-articular of distal femur and proximal tibia were included in the study. Patients were randomised into 2 groups. Group A was given spinal anaesthesia for surgery and Group B was given combined spinal plus epidural anaesthesia with a lumbar epidural catheter. DISCUSSION: Main aim of medical science is to balance the wanted and unwanted effect optimally to provide patient safety as well as comfort and to facilitate rapid recovery and rehabilitation","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86052879","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}

引用次数: 0

Hip instability following Arthroplasty, is it related to ASA grading? 髋关节置换术后的不稳定是否与ASA分级有关?

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2c.3374

Raghavendra Y. Srinivas, Srikanth Kn

引用次数: 0

Autologous drill dust bone graft a novel technique of bone graft harvesting 自体钻尘骨移植是一种新型的骨移植收获技术

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2c.3370

Dr. Sivaraman B, Dr. Manu Mathew, D. Loganathan, D. Ss

引用次数: 0

Dynamic Suzuki frame for the interphalangeal joint fracture: A case report 动态铃木框架治疗指间关节骨折1例

International Journal of Orthopaedics Sciences Pub Date : 2023-05-01 DOI: 10.22271/ortho.2023.v9.i2b.3361

Dr. Adarsh U Thuppad, D. Br, Dr. Shashiraj K Shetty, Dr. Edward L Nazareth, D. Ks

引用次数: 0

Total hip replacement in tuberculosis of hip: A retrospective and prospective study 全髋关节置换术治疗髋关节结核:回顾性和前瞻性研究

International Journal of Orthopaedics Sciences Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2d.3384

Dr. Parvez Ahmed, Dr. Azad Khan, Dr. Rahul Gupta, D. N. Singh

{"title":"Total hip replacement in tuberculosis of hip: A retrospective and prospective study","authors":"Dr. Parvez Ahmed, Dr. Azad Khan, Dr. Rahul Gupta, D. N. Singh","doi":"10.22271/ortho.2023.v9.i2d.3384","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2d.3384","url":null,"abstract":"Aim: This study evaluates the functional outcome in patients with active tuberculosis of hip treated with total hip replacement. Material and Methods: 15 patients were analyzed having unilateral babhulkar and pande stage 2, 3 and 4 hip tuberculosis and with regular antituberculosis treatment for more than 4 weeks before surgery treated by total hip replacement. Result: There was a consistent rise in the mean value of the Harris Hip Score which was 33.47 at the time of preoperative assessment and at the 6 months it got raised to 87.93, the comparison between the mean values of the intra group also came up with a significant P value of 0.01 for each and every segment and the mean values of Hip Harris Score was also noticed to be significant as well along with the competition of the same across the intra group. Conclusion: Finally, it can be concluded from the study that total hip replacement for arthritis following the tuberculosis of the hip acts as a proper method for the patients who suffer from tuberculosis and restores them back to a good function that helps them to get back to their daily life. But a proper intraoperative workup is also very much necessary for ruling out if any residual disease is left, with proper follow up of the patience to identify if there is any recurrence. Sometimes a chance for recurrence remains during the first-year post completion of the surgery despite complete resolution of the radiological sign. But that can be taken care of with the help advanced antitubercular regimen therapy.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73222788","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}

引用次数: 0

Study of monteggia fracture and dislocation and its treatment with plating 蒙特吉亚断裂位错的研究及电镀处理

International Journal of Orthopaedics Sciences Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2e.3388

Dr. Yogesh C Patel, Dr. Jaydeep S Kansara, Dr. Ravikumar N Desai

{"title":"Study of monteggia fracture and dislocation and its treatment with plating","authors":"Dr. Yogesh C Patel, Dr. Jaydeep S Kansara, Dr. Ravikumar N Desai","doi":"10.22271/ortho.2023.v9.i2e.3388","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2e.3388","url":null,"abstract":"Aim: The aim of this study was to assess the effectiveness of surgical treatment by open reduction and internal fixation of Monteggia fracture dislocation and evaluate the union of fracture, complications encountered during treatment and assess the functional outcome of the results. Methods: The present study consists of 20 cases of Monteggia fracture dislocation in adults treated by 3.5mm Dynamic compression plate/Locking Compression plates/Buttress plates and screws in the Department of Orthopaedics, SSG Hospital, Govt. Medical College, Baroda over the period of 1 year (2019-2020). There were fifteen male patients and five female patients who underwent surgery. Results: In our study patients are of age group between 19-59 years. Majority of our patients belonged to 21-40 age group. The ratio between Male to Female is 3:1. In our study labourers (manual & farm) were 13 (65%). Most of patients had sustained fracture with fall. 16 (80%) patients had Monteggia fracture with anterior radial head dislocation (Type 1). 1(5%) patient had Monteggia fracture with posterior radial head dislocation (Type 2). 1(5%) patient had Monteggia fracture with lateral radial head dislocation (Type 3). 2(10%) patients had Monteggia fracture with upper third radius fracture (Type 4). Both infections were superficial and healed eventually. 1(5%) patient went under non-union. Majority of patients are having excellent results 10 (50%). 9 patients had good result (45%). 1 patient had poor result (5%). Conclusion: The treatment plan in Monteggia Fracture dislocation depends on fracture pattern, soft tissue injury, patient co-morbidity, fixation resources. Fracture pattern, condition of soft tissue are important factors to be considered before selection of fixation method. The present case series showed that open reduction and internal fixation with DCP/Locking Plate is an effective treatment method in terms of better fixation with better outcome in terms of union time and complications rate.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"356 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76498848","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}

引用次数: 0

Usage of elastic intramedullary nailing in highly unstable pediatric femur shaft fracture: A case report 弹性髓内钉治疗小儿高度不稳定股骨骨干骨折1例

International Journal of Orthopaedics Sciences Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2c.3368

Deya Alwadi, Ahmad K. Almigdad

引用次数: 0