Journal of Orthopaedic Case Reports最新文献

{"title":"Challenges in Management of a Post-Traumatic Stiff Elbow - When to Perform Open Arthrolysis: A Case Report.","authors":"S Adithyaa, K R Tarun Prashanth, M R Thirunthaiyan, R Dorai Kumar, B Sundararaja","doi":"10.13107/jocr.2025.v15.i06.5670","DOIUrl":"10.13107/jocr.2025.v15.i06.5670","url":null,"abstract":"<p><strong>Introduction: </strong>Elbow stiffness can be a debilitating condition that significantly impacts a individual's ability to perform activities of daily living (ADL). Neglected distal humerus fractures when left untreated result in malunion causing the elbow joint to undergo arthrofibrosis with capsular contracture with interspersed osteophytes and formation of loose bodies. The elbow joint is particularly susceptible to stiffness due to its highly congruent bony anatomy, relatively confined joint space tightly stabilizing collateral ligament complex, and the close relationship of the surrounding muscles acting as secondary stabilizers.</p><p><strong>Case report: </strong>A 31-year-old man presented to the OPD 5 months after injury following 3 cycles of native splinting for distal humerus fracture. He had severe painful restriction of movements, with diffuse tenderness and deformity over the elbow joint affecting his ADL. He underwent a left elbow manipulation under anaesthesia after capsular release.</p><p><strong>Discussion: </strong>Late presentation of distal humerus intra-articular comminuted fracture which has undergone mal-union can present with gross elbow stiffness commonly. Moreover, if the fracture was treated with native splinting or prolonged immobilisation it is prone for stiffness and other complications. Open approach confers additional advantage of addressing the bony hindrance in addition to soft-tissue release.</p><p><strong>Conclusion: </strong>The clinical decision of choosing open approach versus arthroscopic approach is determined by the severity of the stiffness. In our case, since the patient has severe stiffness with only 30° arc of motion, we decided to go ahead with an open arthrolysis and the patient had good functional improvement.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"74-79"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159613/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302320","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Tracking Pin Site Fractures and Measures to Overcome During Robotic-Assisted Total Knee Arthroplasty: Two Case Reports.","authors":"Hyun-Min Lee, Yong-Chan Ha","doi":"10.13107/jocr.2025.v15.i06.5676","DOIUrl":"10.13107/jocr.2025.v15.i06.5676","url":null,"abstract":"<p><strong>Introduction: </strong>With the increasing use of robotic-assisted total knee arthroplasty (RATKA), pin-related complications are uncommon, but can be distressing to both the surgeon and patient. We encountered two cases of tracking pin-related distal femoral and proximal tibial fractures and treated them surgically.</p><p><strong>Case report: </strong>Two patients developed fractures in the postoperative period following RATKA. A 67-year-old female presented with a minimally displaced tibial fracture, which was treated with open reduction and internal fixation using a narrow plate. A 69-year-old female developed a minimally displaced femoral fracture and underwent internal fixation with a broad plate.</p><p><strong>Conclusion: </strong>At the latest follow-up, the fractures healed completely. After changing the position of the tracking pin from the diaphysis of the femur and tibia to the metaphyseal area of the distal femur and proximal tibia using a 3.2 mm diameter pin, we have not yet encountered any more pin site fractures.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"92-96"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302368","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional and Radiological Outcome of Displaced Lateral End Clavicle Fractures Treated With Open Reduction and Endobutton Fixation.","authors":"Sree Shangamithra, Prem Kumar Kothimbakkam, Sanjay Nallagounder Krishnasamy, Thirumal Ranganathan, Bharath Vadivel Kumar, Vijayashankar Murugesan","doi":"10.13107/jocr.2025.v15.i06.5736","DOIUrl":"10.13107/jocr.2025.v15.i06.5736","url":null,"abstract":"<p><strong>Introduction: </strong>Displaced lateral end clavicle fractures are challenging injuries with a high risk of non-union and functional impairment when treated conservatively. Open reduction and endobutton fixation is a novel surgical technique that aims to provide stable fixation while preserving shoulder biomechanics, potentially improving functional and radiological outcomes compared to traditional methods.</p><p><strong>Materials and methods: </strong>This prospective study included 20 male patients (mean age: 35.2 years, range: 18-56) with displaced lateral clavicle fractures (Neer type IIB and type V). All patients underwent open reduction and fixation using a twin coracoclavicular endobutton construct. Functional outcomes were assessed using the Constant-Murley scores at 6 weeks, 3 months, 6 months, and 12 months. Radiological outcomes, including fracture union and residual displacement, were evaluated with serial radiographs. Complications, return to activity, and patient satisfaction were also analyzed.</p><p><strong>Results: </strong>The mean Constant-Murley score improved significantly from 60.3 ± 8.1 at 6 weeks to 87.4 ± 4.8 at 6 months (P < 0.01), stabilizing at 88.1 ± 5.2 by 12 months. Union was achieved in 95% of cases by 6 months, with a mean residual displacement of 1.1 mm. Complications were minimal (5% each for superficial infection and mild stiffness). All patients returned to sedentary work within 8 weeks and full manual labor or sports by 6 months. Patient satisfaction was high, with 90% reporting being \"highly satisfied\" at the end of 1 year.</p><p><strong>Conclusion: </strong>Open reduction and endobutton fixation for displaced lateral clavicle fractures provide excellent functional recovery, high union rates, and minimal complications. This technique offers a reliable alternative to traditional fixation methods, particularly for young and active individuals. Further comparative studies and long-term follow-up are warranted to establish its role as the gold standard.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"276-281"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159631/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302330","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Functional and Radiological Outcome of Proximal Humerus Fractures Treated with Proximal Humerus Internal Locking Osteosynthesis System Plating - A Prospective Study.","authors":"Panthala Priyan Sathavu, Prem Kumar Kothimbakkam, P Bala Murugan, Sheik Mohideen, Vijayashankar Murugesan, Thirumal Ranganathan","doi":"10.13107/jocr.2025.v15.i06.5742","DOIUrl":"10.13107/jocr.2025.v15.i06.5742","url":null,"abstract":"<p><strong>Introduction: </strong>Fractures of the proximal humerus are the second most common upper extremity fracture and the third most common fracture, after hip and distal radial fractures. The fractures can occur at any age, but the incidence rapidly increases with age. Common complications following non-operative management of proximal humeral are pain, stiffness, and loss of function. The following study was conducted to evaluate the functional and radiological outcome of displaced proximal humeral fractures treated with the proximal humerus internal locking osteosynthesis system (PHILOS).</p><p><strong>Materials and methods: </strong>The study was conducted in patients treated for displaced proximal humerus fracture (Neer's 2-part, 3-part, 4-part, and associated with dislocation) between the period of April 2022-April 2024. Twenty proximal humerus fracture patients were taken into the study; all were fixed with PHILOS plate. Patients' ages ranged from 18 to 75 years, with a mean of 53.6 years.</p><p><strong>Results: </strong>In our study, the sample size of twenty patients of proximal humeral fractures. 10 were males and 10 were females. The patients' ages ranged from 18 to 75 years, with a mean age of 53.6 years. The causes of fractures were self-fall in 12 patients and road traffic accident in 8 patients. Fourteen fractures involved the right side and 6 involved the left. Patients were followed up from 4 weeks, 12 weeks, and 6 months. Functional outcome was rated as per Constant-Murley Shoulder score, we got excellent results in 07 patients, good in 10 patients, moderate in 02 patients, and poor in 01 patient. The mean Constant-Murley score of this study at the end of the final follow-up period was 81.26.</p><p><strong>Conclusion: </strong>The majority of proximal humerus fractures in elderly people results from fall on outstretched hand in an osteoporotic bone. As PHILOS plate has options for more number of screws for humeral head than conventional locking plate, it will lead to more stable fixation of fracture fragments and early mobilization of the patients. The functional outcome of Neer's 2- and 3-part fractures is better than Neer's 4-part fractures. The radiological outcome, assessed through quality of reduction and bony union, is better in Neer's 2- and 3-part fractures as compared to Neer's 4-part fractures. We concluded that proximal humeral fractures, when treated surgically, especially using the PHILOS plate, provided stability, early mobilization, and good range of motion.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"294-299"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159620/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302331","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Management of a Rare Case of Complex and Irreducible Dislocation of the Metacarpophalangeal Joint in the Little Finger - A Case Report.","authors":"Vasileios Panagiotopoulos, Christos Konstantinidis, Sotiris Plakoutsis, Christos Kotsias, Dimitrios Vardakas, Dimitrios Giotis","doi":"10.13107/jocr.2025.v15.i06.5646","DOIUrl":"10.13107/jocr.2025.v15.i06.5646","url":null,"abstract":"<p><strong>Introduction: </strong>Pure dislocations of the digits of the hand are predominantly dorsal and typically result from a forceful hyperextension of the metacarpophalangeal joint. This report aims to present a rare case of a complex and irreducible dislocation of the metacarpophalangeal joint of the little finger with an emphasis on the management strategy for a successful outcome.</p><p><strong>Case report: </strong>A 48-year-old male presented to the Emergency Department after sustaining an injury to his left hand during a soccer match. On clinical examination, he exhibited pain, deformity, and a significant restriction of motion in the little finger. Radiological evaluation confirmed a dorsal dislocation of the metacarpophalangeal joint. Two attempts at closed reduction were unsuccessful, and the patient was subsequently taken to surgery. Using a volar approach, the A1 pulley was released. Reduction was challenging due to the volar plate's dorsal displacement, where it became trapped between the proximal phalanx and the metacarpal head. Using a Freer elevator as a lever and applying gentle traction and flexion, the proximal phalanx was reduced through the volar plate. The volar plate was then repaired with absorbable sutures. To stabilize the finger, a dorsal K-wire was placed at a 45° angle and removed 15 days later. Following removal of the K-wire, the patient began progressive mobilization of the finger through its full range of motion. Two months postoperatively, the patient regained full, pain-free mobility and returned to his pre-injury activities.</p><p><strong>Conclusion: </strong>Although metacarpophalangeal joint dislocations can be easily diagnosed, their management should not be underestimated. In cases where closed reduction is unsuccessful, clinicians should consider the possibility of complex dislocations, which often necessitate open reduction.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"14-18"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302340","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Postoperative Contralateral Facet Cyst after Endoscopic Unilateral Laminectomy for Bilateral Decompression: A Case Report.","authors":"WeonMin Cho, Jae Won Shin, Si Young Park, Hak Sun Kim, Seong Hwan Moon","doi":"10.13107/jocr.2025.v15.i06.5662","DOIUrl":"10.13107/jocr.2025.v15.i06.5662","url":null,"abstract":"<p><strong>Introduction: </strong>Endoscopic unilateral laminectomy for bilateral decompression (Endo-ULBD) is a minimally invasive, motion-preserving surgical technique designed to decompress neural elements while preserving the posterior spinal structures. Because it maintains spinal integrity, the risk of postoperative instability is generally lower than that of conventional decompression techniques. However, microinstability-related complications, such as facet cyst formation, can still occur and may lead to recurrent symptoms.</p><p><strong>Case report: </strong>A 63-year-old male underwent ULBD for L4-5 lumbar stenosis and showed notable symptom improvement, which enabled his discharge without complications. However, on postoperative day 5, he developed low back pain and right-sided radiating leg pain. At the 3-month follow-up, these symptoms persisted, prompting an MRI, which revealed a right-sided facet cyst formation. Conservative management, including analgesics, was initiated. By the 4-month follow-up, the patient reported significant symptom improvement.</p><p><strong>Conclusion: </strong>This case highlights that despite the minimally invasive nature of Endo-ULBD and its intent to reduce instability, complications related to microinstability, such as facet cyst formation, can still occur. Awareness of such potential complications is crucial for early diagnosis and management.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"52-55"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159634/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Prospective Analysis of Functional Outcome of Pediatric Supracondylar Humerus Fracture Treated with Closed Reduction and Percutaneous Pinning.","authors":"Saravanan Alagesan, Sheik Mohideen, E Pradeep, K V Arun Kumar, V Y Ashwin, B S Rithik Ajay","doi":"10.13107/jocr.2025.v15.i06.5738","DOIUrl":"10.13107/jocr.2025.v15.i06.5738","url":null,"abstract":"<p><strong>Introduction: </strong>Supracondylar humerus fractures are the most common elbow injuries in children, accounting for approximately 60% of all pediatric elbow fractures, primarily occurring in the first decade of life. These fractures are often associated with complications such as compartment syndrome, neurovascular injury, Volkmann's ischemic contracture, and malunion. The most common complication is cubitus varus deformity. The preferred pinning techniques include either a crossed pin construct or two lateral pins. Among various treatment approaches, closed reduction with percutaneous K-wire fixation has been found to be the most effective, with minimal complications. This study aims to assess the functional and radiological outcomes of pediatric displaced supracondylar humerus fractures managed with closed reduction and percutaneous K-wire fixation.</p><p><strong>Materials and methods: </strong>35 consecutive patients meeting the study's inclusion and exclusion criteria were enrolled. Data are collected and analyzed using Microsoft Excel for statistical calculations.</p><p><strong>Results: </strong>In this study, 25 children (62%) sustained the fracture within the first decade of life. Males showed a higher incidence than females. The Mayo elbow scores recorded at 6 months was 96.01 ± 2.80. Pin tract infections were observed in 10 patients, while 3 cases presented with cubitus rectus. Clinical outcomes, evaluated using Flynn's criteria, showed fair outcome in 1 case, good outcomes in 3 cases, and excellent outcomes in 31 cases.</p><p><strong>Conclusion: </strong>Percutaneous pinning after closed reduction, whether using a crossed configuration or lateral pinning remains the preferred treatment for supracondylar fracture of the humerus in pediatric patients. When performed with the proper technique, both configurations yield successful outcomes. This approach is a safe, economical, and least invasive option with low morbidity.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"282-286"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159628/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Baastrup's Disease, a Rare Cause of Cauda Equina Syndrome: Case Report.","authors":"Aniruddha Vaidya, Sushil Mankar, Nitin Pothare, Vismay Harkare","doi":"10.13107/jocr.2025.v15.i06.5666","DOIUrl":"10.13107/jocr.2025.v15.i06.5666","url":null,"abstract":"<p><strong>Introduction: </strong>Baastrup's disease, more commonly known as kissing spines, has been implicated as a cause for low back pain and extension of the synovial cavity to the intraspinal space, resulting in extradural compression. However, this is the first report in the literature of a cyst responsible for cauda equina syndrome.</p><p><strong>Case report: </strong>We present a case of a 60-year-old male having an epidural synovial cyst as an extension of Baastrup's disease, causing cauda equina syndrome, and to review the relevant literature. Radiographs were normal, and magnetic resonance imaging showed the presence of a cyst in the posterior epidural space at the L4-L5 level causing dural compression. Moreover, the cysts were excised, and spinal decompression was performed. The patient had good relief of symptoms.</p><p><strong>Conclusion: </strong>This case highlights the importance of considering Baastrup's disease as a potential, though uncommon, cause of neurological deficits in patients presenting with cauda equina syndrome. Early diagnosis and prompt surgical decompression are critical to improving neurological outcomes and preventing long-term complications.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"63-67"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159625/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302305","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Significance of Vacuum assisted Closure in Management of Infected Wound: An Observational, Comparative Study.","authors":"Arvind Suhagpure, Yogesh Rathod, Rajendra Baitule, Ganesh Pundkar, Sanjeev Jaiswal, Arnav Rathod","doi":"10.13107/jocr.2025.v15.i06.5732","DOIUrl":"10.13107/jocr.2025.v15.i06.5732","url":null,"abstract":"<p><strong>Introduction: </strong>Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses negative pressure to prepare the wound for spontaneous healing or for lesser reconstructive options.Aims and Objectives: To determine the effectiveness of VAC dressings in the healing of chronic wounds, as compared to normal wound dressings.</p><p><strong>Materials and methods: </strong>The study was conducted among 60 patients with chronic wounds randomly divided into groups of 30 each, to compare VAC dressing with conventional dressings.</p><p><strong>Results: </strong>There was a significant difference in total hospital stay, granulation tissue fill up and graft take up in both groups. The mean duration of hospital stay in Group A and Group B was 22.4 ± 5.61 and 28.57 ± 6.45 days, respectively. The mean percentage of granulation tissue formation in Group A was 94.12 ± 6.03, and in Group B was 91.2 ± 2.71.</p><p><strong>Conclusion: </strong>Activated Carbon dressing was found to be more beneficial and patient- patient friendly with lesser hospital stay and thus lesser cost than conventional dressings.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"264-268"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159661/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302321","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Comparative Study of Functional Outcome and Pain Control with Non-steroidal Anti-inflammatory Drugs (NSAIDs) and Non-NSAIDs in Early Post-operative Period in Total Knee Arthroplasty.","authors":"Siddhart Yadav, K P Chiranjeevi, Akash Singh Jadon, Ranjeet Vishwakarma, Dharm Bedwal","doi":"10.13107/jocr.2025.v15.i06.5724","DOIUrl":"10.13107/jocr.2025.v15.i06.5724","url":null,"abstract":"<p><strong>Introduction: </strong>Primary aim - To evaluate the pain control with non-steroidal anti-inflammatory drugs (NSAIDs) and non-NSAIDs in early post-operative period during hospital stays in total knee arthroplasty (TKA) and compare them. Secondary aim - To evaluate the functional outcome with NSAIDs and non-NSAIDs in early post-operative period after 28 days, 3 months, and 6 months in TKA and compare them.</p><p><strong>Objectives: </strong>The objectives are as follows: (1) To assess the effectiveness of NSAIDs and non-NSAIDs in pain control during early post-operative period after TKA, using Visual Analog Scale (VAS) during hospital stay-every 4 hourly. (2) To compare the VAS pain scores in NSAIDs and non-NSAID patients during hospital stays. (3) To assess the functional outcome in NSAIDs and non-NSAIDs patients using Oxford Knee Score (OKS) and knee society score (KSS) after 28 days, 3 months, and 6 months. (4) To compare the functional outcome obtained by OKS and KSS in NSAIDs and non-NSAIDs patients after 28 days, 3 months, and 6 months.</p><p><strong>Materials and methods: </strong>Study duration: This study was 12 months (April 1st, 2023-March 31st, 2024).</p><p><strong>Study design: </strong>This was a comparative prospective study.</p><p><strong>Conclusion: </strong>Evaluation of Oxford KSSs for pain management post-surgery for long duration showed statistically significant 44 difference in the OKS score at 1 month and 3-months (p = 0.05) between the two groups. Thus, at 6 months, the NSAID and non-NSAID group patients report similar pain scores with minimal or no pain.</p>","PeriodicalId":16647,"journal":{"name":"Journal of Orthopaedic Case Reports","volume":"15 6","pages":"232-241"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12159652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144302322","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}