IP International Journal of Orthopaedic Rheumatology最新文献

{"title":"To study functional outcome of single level discectomy by fenestration method in lumber disc prolapse- A prospective study","authors":"Sachin Pachori, Saksham Sharma, Jiya Lal Bairwa, Harishankar Meena, Mahendra Singh Tak","doi":"10.18231/j.ijor.2023.007","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.007","url":null,"abstract":": Low backache pain affects every population and is one of the most common clinical symptoms encountered in medical practice. Approximately 70 - 80% of people have experienced low back pain at some point of time in life. The annual prevalence of low back pain ranges from 15-45%. The major cause of low back pain leading to severe morbidity throughout the world that affects mainly the young working-class population is lumbar disc prolapsed. Various retrospective and some prospective reviews of fenestration disc surgeries orthopaedicvary greatly, with good results ranging from 46-97% and a reoperation rate of 09%. The present study was conducted to evaluate the results of single-level discectomy by fenestration method in Lumbar disc prolapse. Total thirty cases of lumber disc prolapsed treated with fenestration and discectomy satisfying inclusion and exclusion criteria treated in the Facility based tertiary care centre department of Orthopedics of Dr. S. N. Medical College and associated group of hospital, Jodhpur were studied.In our study,Out of 30 patients majority of 25 (83.3%) patients showed good outcomes, followed by 04 (13.33%) patients had fair outcomes, and 01(3.33%) patient had poor outcomes. Total complications are 4 (13.33%), and the most common complication is superficial wound infection 2 (6.67%). By considering all aspects, fenestration, and discectomy is a better technique with the advantage of less tissue injury, good spinal function, smooth patient recovery, improved working status with early rehabilitation and maintained clinical efficacy","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129004282","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":"Rheumatoid arthritis and hand surgery- A systematic review","authors":"P. Das, C. Das, Navonil Gupta","doi":"10.18231/j.ijor.2022.013","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.013","url":null,"abstract":"0.5-1% of World Population is affected by Rheumatoid Arthritis (RA). The Prevalence of the disease in Indians is about 0.7%. Hand is the earliest and most common presentation in Rheumatoid Arthritis. Though there has been a lot of advancement in the medical management of RA patients with the advent of newer and safer drugs, hand surgery still plays an important role in the treatment of the patients. As with the medical field, there has been development in the surgical modalities too in the management of deformities and in the improvement of functional outcomes of Hand Surgery in RA patients. This review assesses the efficacy of operative management in Rheumatoid Hand.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"60 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123487049","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":"Surgical outcome of total hip arthroplasty in bony ankylosed hips in ankylosing spondylosis —Systematic review","authors":"Saurabh Pagdal","doi":"10.18231/j.ijor.2022.015","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.015","url":null,"abstract":"Incidence of bony ankylosis in hip joint with AS is approximately 40%. Bony ankylosis of hips joints comes with very unique management challenges. There is no specific review article in the literature only for total hip replacement in bony ankylosed hips. We run a literature review to evaluate surgical outcomes and postoperative complications of Total Hip Arthroplasty in Bony ankylosing hip joints. Total five studies, which satisfied inclusion criteria, selected for this review process. Outcome measures like HHS, VAS, ROM and complications were noted and compared. Total number of hips included in this study were 220 in 136 patients. Average patient age was 35.74 years. The mean post-operative Harris Hip Score was 84.9 which was improved from pre-operative HHS 31.1. All studies reported an improvement in hip Range of motion (ROM). Complications were heterotopic ossification, femur fracture, nerve injury, infection, dislocation. Heterotopic ossification (HO) occurred in total 25 hips in 4 studies except Kanniyan et al study. This literature review put forward that total hip arthroplasty of bony ankylosed hips in AS brings improvements in functional outcome measures such as Harris Hip Score, range of motion and ambulatory status.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122065267","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":"Cartilage regeneration techniques with concomitant high tibial osteotomy (HTO), An innovative biomechanical therapy for osteoarthritis (OA) knee – Systematic review","authors":"Dushyant Chaudhary, Rajni Ranjan, Rakesh Kumar","doi":"10.18231/j.ijor.2022.014","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.014","url":null,"abstract":"In orthopedic surgery, a high tibial osteotomy (HTO) is a common treatment. Indications, patient selection, pre-operative planning, surgical procedure, fixation methods, and complications are all covered in detail. This research concentrated on the factors that should be examined in order to produce positive long-term results. To examine the stated hypothesis “medium- to long-term outcomes of high tibial osteotomy and therapies for cartilage healing”. A thorough search of the database like MEDLINE was done. A clinical outcome investigation employing HTO as the main technique, the usage of a sort of cartilage repair, & a minimum follow-up period of 2 years were all necessary. Everything from the research layout to the patient demographics to the sorts of procedures conducted, the clinical consequences to eventual overall knee arthroplasty progression and consequences was investigated in depth. As a result of a combination of HTO and cartilage regeneration procedures, patients may avoid or delay knee arthroplasty surgery in the medium to long term.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"259 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123686074","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":"Uncemented total hip replacement with impaction bone grafting in protrusio acetabuli","authors":"Aman Agrawal","doi":"10.18231/j.ijor.2022.018","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.018","url":null,"abstract":"Protrusio acetabuli is a central acetabular defect resulting from migration of femoral head medial to Kohler’s line. Idiopathic central displacement of femoral head within the acetabulum is quite rare. However, it may be seen in arthritic hips secondary to rheumatoid arthritis, ankylosing spondylitis, previous trauma, osteomalacia, etc. Primary Total Hip Replacement (THR) in such cases is difficult because of the deficient medial bone, decreased peripheral bony support to the acetabular component and proximal and medial migration of the joint centre. Several techniques described previously in the surgical management of protrusio acetabuli include cemented acetabular components with cement alone or in association with morselized bone graft to reconstruct the acetabulum. However, cement has high rates of migration and loosening of cemented acetabular components in young patients leads to more revision surgeries within the first decade of implantation. The purpose of the study is to describe the technique and results of using impacted morselized bone graft with a porous coated cementless acetabular component in patients with protrusio acetabuli.A total of 20 primary THR’s (10 unilateral and 5 bilateral) in 15 patients (8 females and 7 males) with protrusio acetabuli were performed between 2018 and 2021, out of which 4 had mild,7 had moderate and 9 had a severe grade of protrusion.  A total of 10 hips were affected by rheumatoid arthritis,3 by ankylosing spondylitis and 7 had unknown etiology. After the surgery, all bone grafts had united by the sixth month with no perceptible change in acetabular component position in any case. The mean preoperative Harris Hip Score was 48 which improved to 82 at the latest follow-up. 45% had excellent,33% had good, and 22% had fair results. There was no dislocation. The use of impacted morselized autograft with a cementless porous acetabular component is a good technique of restoration of hip biomechanics and sound fixation in cases of protrusio acetabuli.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"38 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133242432","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":"Intra-articular steroid using lor technique in managing frozen shoulder","authors":"Saksham Sharma, Y. Agrawal, Sachin Pachori, Abhinav K. Sharma","doi":"10.18231/j.ijor.2022.017","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.017","url":null,"abstract":"Frozen shoulder a condition very commonly encountered in Orthopaedics OPD with multiple variable treatment options. The study was done to infer out the efficacy of intraatricular steroid in shoulder joint in managing frozen shoulder.study encompassed 28 female patients, coming in Orthopaedics OPD of RBM Hospital and medical College, Bharatpur, Rajasthan.30 min post procedure 22 patients gained significant range of motion of shoulder with minimal pain. 24 patients completed their follow up of 6 weeks with significant overhead abduction and rotation.4 patients had limited rotationIntra atricular steroid injections in managing frozen shoulder is a cost effective, simple and safe method with clinical evaluation to exclude tendinopathy and radiography to exclude glenohumeral arthritis a mainstay before procedure.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115907424","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":"Trilogy of Covid-19 pandemic inactivity, Vitamin D deficiency and Genu Valgus knee deformation: Indolent manifestation of concern in preadolescents","authors":"Gaurav Govil, L. Tomar","doi":"10.18231/j.ijor.2022.020","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.020","url":null,"abstract":"The Covid-19 pandemic has affected the health in myriad ways. The direct affection may lead to respiratory infection. An indirect effect of Covid-19 has manifestations on the physical, mental and behavioural attributes in majority of the age groups. The forced restrictions, limited activities, and changed lifestyle have aggravated the deleterious effects of the sedentary lifestyles. The management of the physical activity for all age groups especially pre-adolescents took a relative back-seat during the Covid-19 restrictions with no immediate suggestions for an active treatment protocol strategy. The clinicians in general, emphasised on the conservative measures to manage the increased incidence of vitamin deficiency and osteopenia majorly with consultations based on telecommunication without clinical evaluation. The subsequent delayed assessment showed a profound negative impact amongst the pre-adolescents with significant progression of knee deformation and increased outpatient clinic presentation of genu valgus for management in later phase of pandemic. This has posed a unique Covid-19 post-pandemic manifestation of concern.The trilogy of Covid-19 restrictions induced poor physical activity, vitamin-D deficiency, and deformation of knees to valgus angulation have crippling effect in the pre-adolescent age-group. The delay in timely identification and medical management for the pre-adolescents has aggravated the joint deformation compromising the functional outcomes. The orthopaedic surgeons are now challenged and burdened to manage pre-adolescents knee deformity for corrective medical and surgical measures. On literature review, the guidelines are sparse for the paediatric orthopaedic management. The silent worsening with increased morbidity presents a matter of substantial concerns.An individualized management strategy for pre-adolescents is strongly recommended to manage this “silent” morbidity.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128516753","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":"Disease activity and flares after total knee arthroplasty in rheumatoid arthritis - Systematic review","authors":"T. Jayakumar, Poornasri S Nayak","doi":"10.18231/j.ijor.2022.016","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.016","url":null,"abstract":"Despite the continuous therapeutic development of biological DMARDs which has delayed disease progression in Rheumatoid arthritis, joint destruction is inevitable and end-stage arthritis remains the ultimate outcome, following which surgical intervention becomes a necessity. Controversy still exists about the systemic effects following Total Knee Arthroplasty (TKA) on patients in terms of disease activity and flares during the peri-operative period since most patients present with varying levels of disease activity at the time of surgery. The objective of this review is to determine the influence of TKA on longitudinal disease activity and flares in patients with rheumatoid arthritis and to determine its influence on quality of life, laboratory parameters, and medication requirement during the peri-operative period and subsequent long-term follow-ups. A complete search was conducted according to the PRISMA guidelines in Pubmed/MEDLINE, Scopus, Google Scholar, Web of Science electronic databases and trial registries on disease activity or flares in patients suffering from rheumatoid arthritis after total knee replacement in September 2022. A total of 16 studies were identified for final review. Flares (RA-FQ), DAS-28, CDAI, mHAQ, ESR, CRP and medication requirement were evaluated in serial follow-ups before and after TKA. Majority of the studies show confirm that a combination of TKA and pharmacological therapy can achieve better therapeutic effects and maintain disease activity at low/ remission levels in patients with end stage rheumatoid arthritis. Patients with high disease activity during the perioperative period are less compliant to rehabilitation and physiotherapy, thereby affecting their overall function scores and satisfaction with the procedure and are found to be more prone to flares. TKA is found to reduce overall disease activity in RA and reduce the need for medication requirement. However, patients with a high disease activity pre-operatively remain at risk for flares and are unable to reach remission levels of activity after TKA and require supplemental long term pharmacological therapy thereby highlighting the need for adequate pre-operative optimization.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"49 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128216293","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 standing Brodie’s abscess of the diaphysis of the upper tibia in a young male","authors":"Javed Ahmad, M. K. Singh, Brijmohan Patel, V. Shrivastava, A. Rajan, Satyajeet Verma","doi":"10.18231/j.ijor.2022.019","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.019","url":null,"abstract":"Brodie’s abscess is a long standing localized form of osteomyelitis seen in cases where either the virulence of the infecting organism is low or the immunity of the host is good. Brodie’s abscess is relatively uncommon type of osteomyelitis that is a diagnostic challenge due to its indolent onset and limited systemic response. We here present a case of Brodie’s abscess in a young male with long standing pain and swelling over the right upper leg from 8 years. The diagnosis was made on X-Ray showed a large osteolytic lesion in the upper tibia with surrounding sclerosis and supported by the CT scan and confirmed by the open biopsy and curettage. On bone drilling frank pus came out and culture showed Staphylococcus aureus. Post-operatively the patient was managed by prolonged course of antibiotics. In this case patient showed complete resolution of symptoms with no signs of recurrence.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114719462","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":"Platelet-rich plasma for treatment of rheumatoid arthritis","authors":"Ashim Gupta, M. Khanna","doi":"10.18231/j.ijor.2022.011","DOIUrl":"https://doi.org/10.18231/j.ijor.2022.011","url":null,"abstract":"Rheumatoid Arthritis (RA) is a chronic, inflammatory, autoimmune ailment which involves joint pathogenesis, bone and cartilage irregularities, together with systemic comorbidities, impacting over 75 million people worldwide. At present there is no remedy for RA and the existing treatment modalities utilized have shortcomings and side effects. Recently, there has been an increased interest in use of biologics, such as platelet-rich plasma (PRP), for regenerative medicine applications, including for musculoskeletal ailments. This prompted consideration of use of PRP in patients suffering with RA. In this editorial, we highlighted the safety and efficacy of PRP to treat RA based on recently published clinical studies. These studies, despite preliminary, demonstrated that use of PRP is safe and laid the foundation for multi-center prospective open-label non-randomized trials and double-blinded randomized controlled trials with larger sample size to further evaluate the efficacy of PRP to alleviate symptoms of RA for potential clinical usage.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127313363","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}