Journal of Bone and Joint Diseases最新文献

{"title":"Comparative prospective study between medial and lateral distal tibial locking compression plates for distal third tibial fractures","authors":"Johney Juneja, M. Pradhan, Mahendra Prakash, N. Saini, Anurag Talesra, R. Sen","doi":"10.4103/jbjd.jbjd_6_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_6_23","url":null,"abstract":"Purpose: The surgical method of repairing distal tibial fractures remains controversial. Open reduction and plating constitute a popular method that can result in good fixation and retention of the achieved position. The usual approach for open plating is anterior. Although it offers good exposure to the tibia, the medial plating is at high risk of wound problems and nonunions. Also, if fixation of the fibula is required, an additional incision must be made on the lateral side of the shin. Lateral plating using a single lateral approach for treating distal tibial and fibular fractures has been reported to have good results; however, most of these studies were small series. Materials and Methods: This prospective clinical study involved 40 patients with distal tibial fractures admitted in Department of Orthopaedics, RNT Medical College and Hospital, Udaipur, Rajasthan, India, from December 2021 to November 2022. Of these, 20 patients were allotted in each group, that is, Group A and Group B. Group A is designated for patients those are operated with distal tibia medial locking compression plate (LCP). Group B is designated for patients those are operated with distal tibia anterolateral LCP. Results: All patients achieved union at the end of study. The mean time for fracture union was 24.6 weeks with medial plating group and 24.2 weeks with anterolateral plating group. In medial plating group, callus appeared at an average of 13 weeks and in anterolateral plating group, callus appeared at 12 weeks. Out of 20 patients in medial plating group, 11 patients had excellent Olerud and Molander ankle (OMAS) score and nine had good OMAS score at final follow-up. Out of 20 patients in anterolateral plating group, 13 patients had excellent OMAS score and seven patients had good OMAS score. The average OMAS score for Group A was 88.5 and for Group B, it was 90. Conclusion: Lateral plating of distal tibia is safe and feasible, which can provide biological fixation and prevent the soft tissue complications associated with medial plating.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"41 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113975919","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":"To assess the functional and radiological outcomes of intra-articular fractures of distal end radius by open reduction and internal fixation with locking distal radius volar plate","authors":"Ashutosh Verma, A. Saroj, Ankit Kumar, U. Patel, M. Prajwal","doi":"10.4103/jbjd.jbjd_46_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_46_22","url":null,"abstract":"Background: Intra-articular fracture distal radius is a common fracture and remains one of the most challenging fractures to treat without any complications. In unstable intra-articular fractures, re-establishment of intra-articular integrity of the wrist and maintaining the radiological parameters are often not possible with close methods. In such cases where an open reduction is required, various surgical methods and fixation materials can be used. Materials and Methods: A total of 35 patients with clinico-radiological diagnoses of intra-articular fractures of the distal end of the radius participated in the study. All the patients were followed up for a minimum of 6 months after the procedure, and the observations thus made were tabulated. Results: Functional outcome in terms of Quick DASH was excellent to good in 88.6% patients on the basis of Quick Dash Score Grading with no significant loss of radiographic reduction and a better range of movements throughout the follow-up period. Conclusion: Volar plate fixation is viable and one of the most favorable means of management with maximum anatomical restoration and functional gain.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"18 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":"126779088","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":"Conjoint bicondylar Hoffa’s fracture with associated supracondylar fracture: A rare case","authors":"A. Anwer, Y. Siddiqui, M. Abbas, Madhav Chowdhry","doi":"10.4103/jbjd.jbjd_10_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_10_23","url":null,"abstract":"Conjoint bicondylar Hoffa’s fracture is a rare fracture pattern with a coronal split of posterior femoral condyles with an interconnecting bridge of bone. This fracture pattern generally occurs in high-velocity road traffic accidents and is associated with injuries around distal femur, proximal tibia, patella, or extensor mechanism at the knee joint. Due to extensive associated injury patterns, definitive surgical management often varies. This is a case of conjoint bicondylar Hoffa’s fracture with associated comminuted supracondylar fracture of femur. A 40-year-old male presented to the emergency room after sustaining injury to his right knee, previously ambulating on a malunited tibia. Radiographic examination demonstrated conjoint bicondylar Hoffa’s fracture with associated supracondylar fracture right distal femur. Open reduction and internal fixation was done using two T-plates fixed with screws. Due to malunited tibial and fibular fracture with intra-articular extension of the implant, the patient had a decreased range of motion (ROM) up to 120° preoperatively. Early physiotherapy was emphasized, and postoperatively similar ROM was achieved. Conjoint bicondylar Hoffa’s fracture is a rare fracture pattern, which can be associated with a supracondylar fracture of the femur. For this combined fracture fixation, open reduction internal fixation with two T-plates and screws offers a viable treatment option. The patient achieved complete preoperative ROM.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"117 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":"124353167","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":"Tibial hemimelia-polysyndactyly-triphalangeal thumb syndrome: Case report and review of literature","authors":"A. Anwer, Y. Siddiqui, M. Abbas, Madhav Chowdhry","doi":"10.4103/jbjd.jbjd_12_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_12_23","url":null,"abstract":"Triphalangeal thumb (TPT) is a rare clinical entity, with majority of cases being hereditary in origin. Two syndromes associated with TPT are triphalangeal thumb-polysyndactyly syndrome (TPTPS) and tibial hemimelia-polysyndactyly-triphalangeal thumb syndrome (THPTTS). Hypoplasia or aplasia of tibia is the primary difference between them. Although having many common clinical features, TPTPS and THPTTS are considered two different entities. Here, we report a rare situation of these two conditions occurring in the same family: a mother with TPTPS and her son with THPTTS. A 4-month-old male child presented to outpatient clinic with complaints of 2.5 cm shortening and clubfoot present on the right side. The child had five-fingered hands without thumbs or thenar muscles along with preaxial polydactyly with seven toes in the left foot and six toes in the right foot. Radiographic examination revealed hypoplasia of the right tibia (tibial hemimelia) with thickened and superolaterally displaced fibula. While applying cast for club foot to the child, his mother’s hands came into notice. The lady was 26 years old, born to nonconsanguineous parents, with no similar history in parents or siblings. Clinical examination of hands revealed TPTs in both hands. She had no difficulty in her activities of daily living. Her legs appeared normal. Her feet were normal except for the duplicated right great toe with fused nails and duplicated left great toe floating separately. TPTs, polydactyly of hands, and feet along with syndactyly of digits are cardinal findings seen in both TPTPS and THPTTS. Both can also be traced to 7q36. The presence of a tibial defect seems to be the only difference between the two disorders. In this case report, we highlight the occurrence of two seemingly different clinical entities within the same family, suggesting the possibility of an overlying common entity with a wide spectrum of clinical presentations.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"84 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":"121572767","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":"Long PFNA-II versus dynamic hip screw for treatment of unstable intertrochanteric femur fracture: A prospective comparative study","authors":"A. Saroj, Surinder Kumar, P. Agarwal, Deepak Kumar, Ashish Kumar, Ashutosh Verma, Rishabh Agarwal","doi":"10.4103/jbjd.jbjd_11_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_11_23","url":null,"abstract":"Background: Intertrochanteric femur fractures are one amongst the most common hip fracture presenting to our centre. Clinical efficacy and safety of PFNA and DHS in the treatment of unstable intertrochanteric fractures in elderly patients and found that compared with the control group (DHS), the observation group (PFNA) experienced shorter operation time and fracture healing time and less intraoperative blood loss, and suffered a shorter incision. The purpose of this study was to compare the functional outcomes and related complications between DHS and PFNA in treatment of unstable intertrochanteric femur fracture. Methodology: Total of 60 patients having unstable intertrochanteric femur fracture were included in this study and was equally divided into two groups. Group-P included patients with unstable intertrochanteric femur fracture managed by PFN-A II while Group-D patients managed by DHS. The result was analysed using descriptive statistics and making comparisons among various groups. Categorial data were summarized as in proportions and percentage (%) while discrete as mean ± SD. Results: At final follow-up; it was found that 72.4% of the cases of PFNA have achieved excellent union as compared to 44.4% for DHS group, 24.1% cases of PFNA have good union as compared to 51.9% in DHS group and the difference of mean DHS was significantly higher for PFNA group (p=0.001). Conclusion: PFNA-II have benefits like minimally invasive procedure, less soft tissue dissection, less amount of blood loss and provides better result in terms of union. Therefore PFNA-II is recommended as a better choice as compared to DHS in management of unstable intertrochanteric fractures in terms of functional outcome.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"19 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":"125690353","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":"Single-stage bilateral revision knee arthroplasty with unilateral tibial tubercle osteotomy: A rare case study in the management of bilateral aseptic loosening with literature review","authors":"Gaurav Govil, L. Tomar, Pawan Dhawan","doi":"10.4103/jbjd.jbjd_42_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_42_22","url":null,"abstract":"A revision total knee arthroplasty (Rev-TKA) for bilateral affection presents surgical complexities. Rev-TKA as a single stage has been rarely advocated. A 76-year-old woman presented with painful bilateral knees and a history of bilateral TKA done fourteen years ago. The right knee required unilateral tibial tubercle osteotomy with cerclage wire fixation to remove the incarcerated cemented tibial extension rod and extensile medial parapatellar approach for the left knee in single-stage. The osteotomy united at 14 weeks. At 2-year follow-up, range of movements improved, allowing pain-free walking without support and laxity. No radiological evidence of loosening or wear. Rev-TKA challenges include obtaining adequate joint exposure without compromising the integrity of the extensor mechanism. The crucial factors for achieving an uneventful single-stage surgery include thorough pre-operative planning, prophylactic thromboprophylaxis, measures to reduce blood loss, and meticulous execution of planned surgery. The bilateral Rev-TKA should be planned after the stratification of the risk-benefit ratio.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"21 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":"125912854","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 traumatic proximal tibia fracture with migrated bioscrew after anterior cruciate ligament reconstruction: A case report and a brief review of literature","authors":"Santanu Kar, Mohit M. Singh, Sarvesh Pandey, A. Yadav, R. Khare, Satish Kumar","doi":"10.4103/jbjd.jbjd_47_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_47_22","url":null,"abstract":"The anterior cruciate ligament (ACL) is injured most during sports activity, which has to be reconstructed to regain painless, functional, and stable knee. Tibial plateau fractures after arthroscopic ACL reconstruction (ACLR) are being increasingly reported in the literature. Revision ACLR may be required after fracture union due to possible disruption of the previous reconstruction. Here is the case of operated bicondylar tibial plateau fracture with the excellent outcome at 2-year follow-up with a previous history of ACLR 5 years back with abutting of the tibial-sided biodegradable screw to the knee joint in a recreational soccer player. This case report of a 46-year-old male patient hereby describes the management of the fracture and possible factors responsible for bioscrew migration.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"1 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":"116849358","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 rare case report of extradural cervical spine meningioma","authors":"Parwej Ahmed, Rahul Gupta, Azad Khan, Areeba Siddiqui","doi":"10.4103/jbjd.jbjd_3_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_3_23","url":null,"abstract":"Introduction: Extradural spinal meningiomas of the cervical spine are relatively uncommon. The vast majority of meningiomas develop in intracranial, intradural locations, and the majority of meningiomas affect the thoracic spine. History: A 39-year-old man presented with complaints of weakness in all four limbs for the last 8 months with bowel bladder involvement. Clinical Features: The patient had spastic quadriparesis with bowel and bladder involvement with planter extensors and the presence of patellar and ankle clonus. Investigation: Histopathopathology and immunohistochemical markers were sent and diagnosis of meningioma was made.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","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":"127781487","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":"Bicondylar hoffa fracture: A rare variant of intra-articular fracture","authors":"R. Mohan, S. Singh, Prakhar Mishra, Deepak Kumar, Arpit Singh","doi":"10.4103/jbjd.jbjd_38_22","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_38_22","url":null,"abstract":"A Shear fracture of posterior aspect of femoral condyles in coronal plane is known as Hoffa fracture. This fracture pattern, originally described by Hoffa, is an intra-articular fracture and radiologically and clinically silent most of the times and thus commonly missed. The bicondylar variant of this fracture is a rare injury. We report a case of 38-year old male patient presenting with one day old bicondylar Hoffa fracture managed with headless compression screw and cannulated cancellous screws.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"23 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":"123415991","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":"Tubercular flexor tenosynovitis with carpal tunnel syndrome mimicking as compound palmar ganglion: A rare case report","authors":"Jeetesh V. Patel, S. Mahapatra, Madhusudan Mishra, Prakhar Mishra, Devta Singh","doi":"10.4103/jbjd.jbjd_8_23","DOIUrl":"https://doi.org/10.4103/jbjd.jbjd_8_23","url":null,"abstract":"Introduction: Tubercular flexor tenosynovitis is an infrequent condition, which has a mixed clinical picture, but with careful examination and investigation, it should be diagnosed earlier before the involvement of underlying bones and nerves. Case Report: We present a case of a 69-year-old man who came with complaints of progressive swelling over the palm and forearm. He was presented as compound palmar ganglion but finally diagnosed as a case of chronic flexor tenosynovitis with association of carpal tunnel syndrome of tubercular origin without involvement of the underlying bones and was treated by complete excision and antitubercular therapy. Conclusion: Tuberculous flexor tenosynovitis is a condition that can be managed by excision and antitubercular therapy. However, it presents as a challenge to the surgeons when the presentation is very late. Hence, early identification and treatment are the main goals of this article.","PeriodicalId":232675,"journal":{"name":"Journal of Bone and Joint Diseases","volume":"418 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":"114002440","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}