C. Dharmayuda, Dewa Gede Bracika, Kenji Arnaya, Sri Mahadana, Putu Teguh Aryanugraha, Benedictus Deriano, Nariswati Anggapadmi Wiraputri, I. K. G. Surya Pranata
{"title":"A Systematic Review And Meta-Analysis: Postoperative Outcome Comparison Of Intramedullary Nailing And External Fixation In Charcot Neuroarthropathy","authors":"C. Dharmayuda, Dewa Gede Bracika, Kenji Arnaya, Sri Mahadana, Putu Teguh Aryanugraha, Benedictus Deriano, Nariswati Anggapadmi Wiraputri, I. K. G. Surya Pranata","doi":"10.13107/jcorth.2022.v07i01.473","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.473","url":null,"abstract":"Charcot neuropathic osteoarthropathy or neuroarthropathy of the foot and ankle is due to sensory and motor neuropathies which lead to a chronic and progressive destruction of the foot architecture involving bones, joints, and soft tissues. The aim of the present study was to compare the results of EF and retrograde IMN in ankle arthrodesis for patients with Charcot neuroarthropathy of the ankle joint. This study conducted following the Preferred Reporting Items for Systematic Reviews and Meta-analysis statement. Literature Search was done on using the databases of PubMed, EMBASE, and Cochrane Library were systematically retrieved. From the selected databases, 205 references were obtained. By screening the titles and abstracts, 48 references were excluded The remaining potentially relevant 12 studies underwent a detailed and comprehensive evaluation. Finally, five studies were included in our meta-analysis. Based on the report in this meta-analysis, IMN could showed better results compared to EF for Charcot joint arthrodesis, with IMN showing higher rate of fusion, and lesser risk of complication.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"51 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79385603","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}
Sandeep Kelshikar, Lata Ghanshamnani, Leena Kelshikar
{"title":"Citizens Make Cities","authors":"Sandeep Kelshikar, Lata Ghanshamnani, Leena Kelshikar","doi":"10.13107/jcorth.2022.v07i01.499","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.499","url":null,"abstract":"","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"49 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75688368","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":"Posterolateral approach to the thoracic spine for spinal tuberculosis: A Technical Note and an Analysis of Results","authors":"G. Zaveri","doi":"10.13107/jcorth.2022.v07i01.465","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.465","url":null,"abstract":"Surgical pathologies in the thoracic spine are principally located anteriorly within the vertebral body resulting in vertebral body destruction, kyphotic deformity, and anterior or anterolateral compression of the spinal cord. Adequate decompression of the neural elements and vertebral body reconstruction requires access to the anterior spinal column. The posterolateral approach through a posterior midline incision allows circumferential spinal cord decompression, anterior column reconstruction, correction of thoracic kyphosis, and posterior spinal stabilization to be safely performed through a single incision, at a single sitting with excellent outcomes.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74971046","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 periprosthetic femoral fractures following total hip replacement; A Case Series","authors":"Lokesh Kumar Yogi, Vijayshree Shinde, Moti Janardhan Naik, Vikash Kumar","doi":"10.13107/jcorth.2022.v07i01.485","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.485","url":null,"abstract":"Background: Periprosthetic femoral fractures following total hip arthroplasty (THA) are not very uncommon. At present the Vancouver classification provides management algorithm for deciding treatment options but treatment options may vary between surgeons, where as in this study most patients managed were according to Vancouver classification management algorithm. The most common treatment modality for treating periprosthetic femoral fractures around a well-fixed stem is with osteosynthesis, but fracture with loose stem requires revision arthroplasty and fracture with poor bone requires bone graft augmentation. Methods: We reviewed 21 consecutive cases with periprosthetic femoral fractures in association with THA between June 2018 and December 2020. Locking and non locking compression plates, wires, cables system were used for osteosynthesis. Most of fractures were managed according to Vancouver classification management algorithm but modified in some cases according to the surgeon’s skills and judgment. Results: According to Vancouver classification, two patients had AL fractures, two patients had AG fractures, twelve Patients had B1, five patients had B2, two patients had B3 and one patient had type C fracture. Of these two cases were treated by conservatively, sixteen cases were treated by osteosynthesis, three cases by revision arthroplasty. Conclusion: The careful analysis of implant stability and fracture patterns is crucial for the optimal treatment of Periprosthetic femoral fractures. Expert Surgeon’s skills are needed to deal with periprosthetic femoral fractures.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76606784","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}
N. Marathe, Shivakumar A Bali, R. Prabhu, Harsh Agarwal, A. Naseem, A. Shakya, Ayush Sharma
{"title":"Current Trends in Degenerative Cervical Myelopathy","authors":"N. Marathe, Shivakumar A Bali, R. Prabhu, Harsh Agarwal, A. Naseem, A. Shakya, Ayush Sharma","doi":"10.13107/jcorth.2022.v07i01.459","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.459","url":null,"abstract":"Advances in patient selection, surgical techniques, and postoperative care have facilitated spine surgeons to manage complex spine cases with shorter operative times, reduced hospital stay and improved outcomes. We focus this article on a few areas which have shown maximum developments in management of degenerative cervical myelopathy and also throw a glimpse into the future ahead. Imaging modalities, surgical decision making, robotics and neuro-navigation, minimally invasive spinal surgery, motion preservation, use of biologics are few of them. Through this review article, we hope to provide the readers with an insight into the present state of art in cervical myelopathy and what the future has in store for us.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76674170","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":"From the Desk of BOS President & Secretary","authors":"R. Gandhi, Neeraj Bijlani","doi":"10.13107/jcorth.2022.v07i02.503","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i02.503","url":null,"abstract":"","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"107 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79575470","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 chronic palmar distal radio-ulnar joint (DRUJ) dislocation of wrist: A case report on young gymnast with one year follow up","authors":"Parag B. Lad, Pankaj Ahire","doi":"10.13107/jcorth.2022.v07i01.475","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.475","url":null,"abstract":"Background: A palmar dislocation of distal radio-ulnar joint (DRUJ) is rare and causes gross functional restriction of pronation. It is certainly major cosmetic concern for the patient as keeps the forearm supinated because of dislocation. Usually, such injuries are caused due to high velocity trauma and fall on supinated hand. The literature is sparse on the management of palmar dislocation of DRUJ. Materials and Methods: We present a case report on the management of chronic palmar dislocation in a 27-year-old professional gymnast trainer with 1-year follow-up. We describe the surgical technique of open reduction by palmar approach and reconstruction of triangular fibrocartilage complex ligament by suture anchor. The post-operative rehabilitation protocol is also mentioned in detail. Results: The patient has 80° pronation and painless wrist range of movements at 1-year follow-up. She is able to perform all activities of daily living though not confident in weight bearing on affected wrist. Conclusion: As per our knowledge, this is described for the 1st time about the management of chronic palmar DRUJ case in young gymnast. The restricted pronation is important sign of palmar DRUJ dislocation. The return of pronation gives immense satisfaction to the patient.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89092039","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":"Managing a pulled elbow in the clinic","authors":"Shalin Shah, M. Agashe","doi":"10.13107/jcorth.2022.v07i02.513","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i02.513","url":null,"abstract":"","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75129416","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":"Classification of thoracolumbar fractures: A Narrative review","authors":"H. Chhabra, Jitesh Manghwani","doi":"10.13107/jcorth.2022.v07i01.479","DOIUrl":"https://doi.org/10.13107/jcorth.2022.v07i01.479","url":null,"abstract":"Thoracolumbar fractures constitute 75% of the cases of spine trauma. Thoracolumbar classification systems are important to diagnose, stage, determine the management of vertebral lesions, and predict the results of the different treatment options. This narrative review describes how the classification systems evolved over time with the unique features of each historically. Radiographs are the initial step of investigation. Magnetic resonance imaging and computed tomography help in delineating the injury better. This article narrates diagnosing instability and the role of each classification system in aiding to make a decision of a particular thoracolumbar fracture with merits and demerits of each.","PeriodicalId":15476,"journal":{"name":"Journal of Clinical Orthopaedics","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79671469","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}