National Journal of Clinical Orthopaedics最新文献_第7页

Role platelet rich plasma in supraspinatus tendinitis 富血小板血浆在冈上肌腱炎中的作用

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1a.346

Dr. Abhishek Kumar Rai, Dixit Bansal, Dr. Bhushan Sunil Hadole, Dr. Geekesh Kumar K G

引用次数: 0

Primary benign fibrous histiocytoma of bone: A case report 原发性骨良性纤维组织细胞瘤1例

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i2a.360

Dr. Tathagata Bose, Dr.Anirban Chatterjee, Dr. Vikash Kapoor, Dr. Ejaz Bari

引用次数: 0

A study of closed reduction and percutaneous pinning with plaster in distal end radius fracture in post menopausal women 绝经后妇女桡骨远端骨折闭合复位经皮钉钉治疗的研究

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1b.350

Dr. Janak Rathod, Dr. Viraj Banker, Dr.Sachin Patel

引用次数: 0

Functional outcome of midshaft humerus fracture treated with minimally invasive anterior plate osteosynthesis 微创前钢板内固定治疗肱骨中轴骨折的功能效果

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1a.342

Dr. Prasad Bhimbarwad, Dr. Siddharth Jadhav, Dr. Aakash Gaurav

引用次数: 0

Study of outcome of fluoroscopic guided transforaminal lumbar epidural steroid injection in patients with low back pain with radiculopathy 透视引导下经椎间孔腰椎硬膜外类固醇注射治疗腰痛伴神经根病的疗效研究

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1b.352

Dr. Janak Rathod, Dr. Dhruvit Vora, Dhaval G. Prajapati

{"title":"Study of outcome of fluoroscopic guided transforaminal lumbar epidural steroid injection in patients with low back pain with radiculopathy","authors":"Dr. Janak Rathod, Dr. Dhruvit Vora, Dhaval G. Prajapati","doi":"10.33545/orthor.2022.v6.i1b.352","DOIUrl":"https://doi.org/10.33545/orthor.2022.v6.i1b.352","url":null,"abstract":"Objectives: Evaluation of the outcome and the effects of fluoroscopic transforaminal epidural steroid injections in long term in patients having back pain with radicular leg pain. Background Data: Many studies have evaluated the efficacy of traditional trans sacral (caudal) or translaminar (lumbar) administration of epidural steroids, no studies have assessed specifically the therapeutic value of fluoroscopic transforaminal epidural steroids. Study Design: A prospective study that investigated the outcome of patients with radicular leg pain due to lumbar herniated disc who were injected with fluoroscopic transforaminal epidural steroid injections. Methods: All the patients included in our study received contrast-enhanced, fluoroscopically guided, transforaminal epidural injection of steroid at the documented pathological site. Patients’ evaluation was done by the independent observer. All the patients received sequential questionnaires pre-and postinjection, documenting pain, activity, and patient satisfaction. Results: 20 patients taken in this study and follow up taken for an average 52 weeks; 14 patients had a good outcome, reporting at least a >50% reduction between pre-injection and post-injection pain scores, as well as an ability to return to their activity of daily living after only 1.5 injections per patient. Out of 20 patients 16 were happy with their outcomes. Conclusions: Fluoroscopic transforaminal epidural injection of steroids are an effective conservative treatment option for patients with lumbar disc prolapse and radiculopathy when other conservative treatments are not so effective and before undergoing surgical intervention.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117096761","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

A study on incidence of early surgical site infections in postoperative orthopaedic cases 骨科术后早期手术部位感染发生率的研究

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1b.355

Dr. Abhishek Kumar Rai, Dr. Syed Hifzur Rahman, Dr. Ajinkya Ramesh Bandebuche, Dixit Bansal, Dr. Furqan Ulhaque

{"title":"A study on incidence of early surgical site infections in postoperative orthopaedic cases","authors":"Dr. Abhishek Kumar Rai, Dr. Syed Hifzur Rahman, Dr. Ajinkya Ramesh Bandebuche, Dixit Bansal, Dr. Furqan Ulhaque","doi":"10.33545/orthor.2022.v6.i1b.355","DOIUrl":"https://doi.org/10.33545/orthor.2022.v6.i1b.355","url":null,"abstract":"Background: Surgical site infection (SSI) has always been a major complication of surgery and trauma and has been documented for 4000-5000 years. The present study analysed the various organisms causing infections and to study the incidence of surgical site infections in postoperative orthopaedic cases in tertiary care hospital in India. Materials & Methods: The present study comprised of 100 orthopaedic cases of both genders in the department of Orthopaedics at a tertiary care centre. Patients with wound infection (pain or tenderness, localized swelling, redness or heat), a sample was taken of surgical site and transported to the microbiology laboratory for culture. Any surgical site infection (increased tempt, redness, discharge, suture gaping, and Southampton wound scoring system) was recorded. Follow up on post op day 3, 6, 14 and 30 days was performed. Southampton wound grading system was followed. Results: Open reduction internal fixation surgeries were performed the most (22%), followed by plating (20%), dynamic hip screw placement (14%) and fixation by nailing (10%). Arthroplasty and tendon repair were done in 8% patients each. Fixation using proximal femoral nail, total knee replacement and total hip replacement were done in 7%, 6% and 5% patients respectively. SSI positive was seen among 14% and SSI negative in 86%. Conclusion: The incidence of SSI in orthopaedics and trauma patients was comparable with the reported incidence in the literature.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"117 5 Pt 1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129152336","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

A study of functional outcome of anatomical distal femur locking plate for management of distal femur fractures 解剖性股骨远端锁定钢板治疗股骨远端骨折的功能效果研究

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1b.351

Dr. Janak Rathod, Dr. Ekta Mehta, Dr. Vikram Jasoliya, Dr. Kirti Sonaviya, Dr. Yogesh Kucha

引用次数: 0

Posterior malleolus fractures and their role in prognosis of malleolar fractures 后外踝骨折及其在外踝骨折预后中的作用

National Journal of Clinical Orthopaedics Pub Date : 2022-01-01 DOI: 10.33545/orthor.2022.v6.i1a.345

Dr. Janak Rathod, D. Patel, Dr. Sanjay Modi, Dr. Yogesh Kucha, D. R. Patel

{"title":"Posterior malleolus fractures and their role in prognosis of malleolar fractures","authors":"Dr. Janak Rathod, D. Patel, Dr. Sanjay Modi, Dr. Yogesh Kucha, D. R. Patel","doi":"10.33545/orthor.2022.v6.i1a.345","DOIUrl":"https://doi.org/10.33545/orthor.2022.v6.i1a.345","url":null,"abstract":"Introduction: The treatment of ankle fractures with involvement of the posterior tibial margin remains a subject of debate. We have evaluated the clinical, radiological, and functional outcome of such fractures in 25 patients, all of which were managed surgically over an average follow- up period of 6 months. The treatment options available for malleolar fractures, to attain a proper anatomical alignment and stability of ankle joint, can lead to rewarding outcome for the patient. Materials and Methods : 25 patients with posterior malleolus fractures were managed surgically between June 2019 to November2021 were included in this series. The mean age, gender ratio, mode of trauma, fracture union time, and complications were noted. The AOFAS Hindfoot scores were used for assessing the Ankle function. Results : Of the 25 patients in the study, 21 were males and 4 were females. The mean age was 38.12 years. The mean fracture union (radiological) time was 14.04 weeks (range: 10–18 weeks). However Ankle function was excellent in 17 cases (68%) on the AOFAS hindfoot score with a average AOFAS score of 94.8. Also platting gives a better result than using cannulated cancellous screws. Better syndesmotic stability is observed after surgically treating posterior malleolus fractures. Conclusion : Fixation of the posterior malleolus to reduce persistent fragment displacement, regardless of size, as well as to restore syndesmotic stability, may lead to improved outcomes. We conclude that posterior malleolar fractures encountered in clinical practice need thorough assessment and meticulous surgical intervention. We achieved stable fixation and performed early mobilization of the ankle joint, which limits the complications of mainly ankle stiffness and have achieved excellent clinical and functional outcomes of surgically fixing the posterior malleolus fractures.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133308381","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

Functional outcome following internal fixation of rare type IV capitellum fractures using varied fixation methods: A case series 采用不同固定方法内固定罕见IV型小头骨折后的功能结果:一个病例系列

National Journal of Clinical Orthopaedics Pub Date : 2021-10-01 DOI: 10.33545/orthor.2021.v5.i4b.329

Wanlamkupar Khongwir, D. T. G. Khonglah

{"title":"Functional outcome following internal fixation of rare type IV capitellum fractures using varied fixation methods: A case series","authors":"Wanlamkupar Khongwir, D. T. G. Khonglah","doi":"10.33545/orthor.2021.v5.i4b.329","DOIUrl":"https://doi.org/10.33545/orthor.2021.v5.i4b.329","url":null,"abstract":"Background: Capitellum fractures are very rare injuries, accounting for less than 1% of elbow fractures. These fractures are difficult to interpret on a plain radiograph and usually require a computed tomography scan to understand the complexity of the fracture. Treatment of such fractures vary from conservative treatment in the form of closed reduction and immobilization, excision of the fragment to open reduction and internal fixation with K wires, partially threaded 4mm cancellous screws or Herbert screws. In this paper we present the outcome of four cases of Type IV capitellum fractures that were managed operatively by different methods. Materials & Methods: Four patients were treated in our hospital from 2018 to 2019, for Type IV capitellum fractures. The mechanism of injury was a fall on the out stretched hand in three patients while the fourth patient was involved in a motor cycle accident. The fractures were equally distributed on either elbows, two on each side. The three males patients were aged between 18 to 30 years while the lone female was 40 years of age. All patients were operated in the supine position under general anaesthesia, using a tourniquet and with fluoroscopic guidance. Surgery was performed through an extended lateral Kocher’s approach. Definitive fixation in two patients was by using 2.7mm Herbert screws alone while in one with a lateral condyle humerus fracture, fixation was supplemented using plate and screws. K-wire fixation was used for one patient. Results: 2 patient attained a score of excellent in the Mayo Elbow Performance Score evaluation while 1 patient each had a good and a fair score. There was no evidence of arthritis, avascular necrosis or heterotopic ossification till 1 year of follow-up. Conclusion: Flawless reduction and fixation of the fragment with appropriate postoperative rehabilitation protocol are crucial to achieving optimal results.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"862 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124904523","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: 1

Correction of medial compartmental osteoarthritis knee joint by high tibial closed wedge osteotomy with tension band wiring and cortical screw fixation in a rural set up 胫骨高位闭合楔形截骨加张力带钢丝及皮质螺钉固定矫治膝关节内侧室状骨关节炎

National Journal of Clinical Orthopaedics Pub Date : 2021-10-01 DOI: 10.33545/orthor.2021.v5.i4a.322

Deepak Datrange

引用次数: 0