IP International Journal of Orthopaedic Rheumatology最新文献_第6页

Effectiveness of intra-articular injection of platelet-rich plasma versus triamcinolone in osteoarthritis of knee – A hospital-based randomized clinical trial 关节内注射富血小板血浆与曲安奈德治疗膝关节骨性关节炎的疗效——一项基于医院的随机临床试验

IP International Journal of Orthopaedic Rheumatology Pub Date : 2021-06-15 DOI: 10.18231/j.ijor.2021.003

R. Uppin, K. Nitish, G. Bhuti, S. Saidapur, Satish Bachchu

{"title":"Effectiveness of intra-articular injection of platelet-rich plasma versus triamcinolone in osteoarthritis of knee – A hospital-based randomized clinical trial","authors":"R. Uppin, K. Nitish, G. Bhuti, S. Saidapur, Satish Bachchu","doi":"10.18231/j.ijor.2021.003","DOIUrl":"https://doi.org/10.18231/j.ijor.2021.003","url":null,"abstract":"Osteoarthritis of the knee is one of the most common conditions which clinicians have to deal with in their day-to-day practice. There are various pharmacologic therapies recommended for OA knee. Intra-articular Platelet Rich Plasma (PRP) and Intra-articular Triamcinolone have been shown to relieve pain and improve quality of life in patients with OA knee. This study is conducted to compare the effectiveness of PRP and Triamcinolone intra-articular injections in Grade 1 & 2 OA knee.We conducted a randomized control study including 70 patients with Grade 1 & 2 (Kellgrenn & Lawrence grading) OA knee. 35 patients each were divided into the PRP group and Triamcinolone group. Intra-articular PRP 5ml and Intra-articular Triamcinolone 80mg were injected twice 3 weeks apart. The effectiveness of the treatment was evaluated by using VAS, KOOS, and WOMAC scores at 3 weeks, 3 months, and 6 months of the follow-up period.At 3 weeks follow up both the groups showed similar results decreasing pain and improving quality of life. At 6 months follow-up, the PRP group showed better results, and the same effect was observed at 6 months of follow-up. Overall, the PRP group showed better VAS, KOOS, and WOMAC scores compared to the Triamcinolone group.In the present study both the groups showed improvement in function and reduction in pain in patients with Osteoarthritis of the knee but Triamcinolone had a short-term effect compared to PRP. The study showed the effect of intra-articular injection of platelet-rich plasma was better than triamcinolone in early osteoarthritis of the knee.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"35 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124975556","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

Ochronotic Knee Arthropathy: A rare cause of arthritic knee pain and literature review of surgical considerations during knee arthroplasty 老年性膝关节病变:一种罕见的膝关节关节炎疼痛的原因和文献回顾手术考虑在膝关节置换术

IP International Journal of Orthopaedic Rheumatology Pub Date : 2021-01-15 DOI: 10.18231/J.IJOR.2020.021

L. Tomar, Gaurav Govil, Pawan Dhawan

{"title":"Ochronotic Knee Arthropathy: A rare cause of arthritic knee pain and literature review of surgical considerations during knee arthroplasty","authors":"L. Tomar, Gaurav Govil, Pawan Dhawan","doi":"10.18231/J.IJOR.2020.021","DOIUrl":"https://doi.org/10.18231/J.IJOR.2020.021","url":null,"abstract":"Introduction: Knee osteoarthritis is a common disabling affection in the elderlies. Rarely the arthritis of knee may be due to ochronotic arthropathy. It is often missed or misdiagnosed as osteoarthritis. An autosomal recessive metabolic disorder characterized by the deficiency of homogentisic acid oxidase enzyme preventing metabolism of homogentisic acid lead to homogentisic aciduria. Alkaptonuria progresses to ochronotic degeneration and arthritis. Early management of ochronotic arthropathy is challenging and is mainly limited to control of symptoms. Advanced cases may necessitate surgery.\u0000Case Report: A 65-year-old male presents with persistent progressive pain in both knees, not responding to conservative measures. Patient required simultaneous bilateral cemented total knee arthroplasty for management of arthritic knee pain. Arthrotomy revealed black joints with pigment deposition throughout the articular cartilage and neighboring tissues. Meticulous surgical technique allowed uneventful procedure. Postoperatively patient gained pain-free functional knee movements and was able to ambulate without support within six weeks of arthroplasty. The Knee Society Score improved to 95 bilaterally. At two years,\u0000radiologically there was good alignment with no loosening.\u0000Discussion: Arthroplasty is an excellent choice for patients with ochronotic arthropathy. However, more information and experience are needed for uniform implant selection and techniques. We report this rare, often missed cause of common knee pain. We review the literature to discuss the specific surgical considerations during knee arthroplasty in such an unusual presentation.\u0000\u0000Keywords: Alkaptonuria, Ochronosis, Arthropathy, Black joints, Knee arthroplasty..","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126078669","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

Proceedings of the convocation of the first batch of Fellowship in Orthopaedic Rheumatology (FEIORA) 第一批骨科风湿病学奖学金(FEIORA)召集会议纪要

IP International Journal of Orthopaedic Rheumatology Pub Date : 2021-01-15 DOI: 10.18231/j.ijor.2020.011

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引用次数: 0

Orthopaedic rheumatology strategic recommendations and practice principles in SARS-CoV-2 Era SARS-CoV-2时代骨科风湿病学策略建议及实践原则

IP International Journal of Orthopaedic Rheumatology Pub Date : 2021-01-15 DOI: 10.18231/J.IJOR.2020.010

S. Muthu, Madhan Jeyaraman, Girinivasan Chellamuthu, A. Manivannan, M. Khanna

{"title":"Orthopaedic rheumatology strategic recommendations and practice principles in SARS-CoV-2 Era","authors":"S. Muthu, Madhan Jeyaraman, Girinivasan Chellamuthu, A. Manivannan, M. Khanna","doi":"10.18231/J.IJOR.2020.010","DOIUrl":"https://doi.org/10.18231/J.IJOR.2020.010","url":null,"abstract":"WHO declared SARS-CoV-2 as a pandemic disease on 11th March 2020. Due to global lockdown and restricted social movements, there is a rising curve in the morbidity of health of non- SARS-CoV-2 orthopaedic rheumatology patients and an impairment in the functional quality of life necessitating a pandemic response protocol into action in all fields of patient care. The development of ideal strategies and recommendations for the management of orthopaedic rheumatologically predisposed population and principles to be followed in their practice is the need of the hour. We hereby give a comprehensive list of strategies that can be followed in orthopaedic rheumatology practice by encompassing the recommendations given by the European League Against Rheumatism (EULAR), The American College of Rheumatologists (ACR), and Indian Association of Orthopaedic Rheumatology - Indian Orthopaedic Association (IORA-IOA). SARS-CoV-2 pandemic has put enormous pressure on patients with Rheumatic Diseases (RD) due to their innate weakness and shared treatment protocols in management. Though RD\u0000needs a multidisciplinary approach, which remains a challenge in this pandemic scenario, these strategic recommendations would aid in their optimal care amidst the adversity of SARS-CoV-2.\u0000\u0000Keywords: Orthopaedic Rheumatology, SARSCoV2, COVID19, Rheumatic Diseases.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"97 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-01-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117318614","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

Bipartite Scaphoid - First case report? 舟骨裂-第一例报告?

IP International Journal of Orthopaedic Rheumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-6777.2018.0006

引用次数: 0

Osteochondroma of the talus presenting with tarsal tunnel syndrome - A case report 以跗骨隧道综合征为表现的距骨骨软骨瘤1例

IP International Journal of Orthopaedic Rheumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-6777.2018.0009

P. Kothiyal, Puneet Gupta, K. Vij, A. Kushwaha

引用次数: 2

Extra-Articular Proximal Tibia fractures: Proximal tibia plate versus intramedullary nailing 胫骨近端关节外骨折:胫骨近端钢板与髓内钉

IP International Journal of Orthopaedic Rheumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-6777.2018.0003

引用次数: 4

Haemorrhagic knee- just the tip of an iceberg 膝盖出血，只是冰山一角

IP International Journal of Orthopaedic Rheumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-6777.2018.0008

引用次数: 0

Ultrasound-guided steroid injection: A scintillating dimension in managing de Quervain's tenosynovitis 超声引导类固醇注射:治疗de Quervain腱鞘炎的一个闪烁维度

IP International Journal of Orthopaedic Rheumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-6777.2018.0002

A. Mathew, L. Leo

{"title":"Ultrasound-guided steroid injection: A scintillating dimension in managing de Quervain's tenosynovitis","authors":"A. Mathew, L. Leo","doi":"10.18231/2455-6777.2018.0002","DOIUrl":"https://doi.org/10.18231/2455-6777.2018.0002","url":null,"abstract":"Introduction: de Quervain's tenosynovitis is a stenosing tenosynovitis of the first extensor compartment of the wrist and leads to wrist pain along with impaired function of the wrist and hand. Local steroid injection and surgical release forms the mainstay treatment in the conservative and surgical line of treatment respectively till date. This study aims to bring out the effectiveness of local steroid injection given accurately under ultrasound guidance making it comparable to surgical release in the short term period, thereby emerging as an immediate and cost – effective line of management. \u0000Materials and Methods: Twenty three patients diagnosed with de Quervain’s tenosynovitis were included in this study triamciniolone and 1 ml of 1% lidocaine hydrochloride was taken under aseptic precautions and was injected into the involved compartment under expert guidance with help of ultrasound imaging. Clinical improvement was later evaluated by analyzing the pre procedural and post procedural DASH (Disabilities of the Arm, the Shoulder and the Hand) score indexes comparing it to surgical release.8whom did not show any relief of symptoms when conservative mode was used namely rest and analgesics and splinting in certain cases. Clinically patients were assessed using DASH score based on the severity of condition before the procedure and after the procedure. A mixture of 1 ml of \u0000\u0000Results: 22 patients (96% were symptom-free) out of the 23 patients that were included, after the 1st injection at two weeks. At the end 6 months 22 (96%) patients were symptom free and were fully satisfied with the gratifying outcome. No recurrence in these patients after a 1 year of follow-up was recorded. \u0000The one failed patient underwent surgery for release of the first extensor compartment and was symptom-free at the 2 weeks post –op after assessment. Adverse reaction of the steroids were incidentally seen in 2/23 (16%) of the patients, which eventually subsided in 20 weeks. Inciden","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121983425","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

Epidemology of glove perforation in orthopaedic surgeries 骨科手术中手套穿孔的流行病学

IP International Journal of Orthopaedic Rheumatology Pub Date : 2020-12-15 DOI: 10.18231/2455-6777.2018.0001

K. Madhukar, K. Basha, Cheemala Vikram Reddy

{"title":"Epidemology of glove perforation in orthopaedic surgeries","authors":"K. Madhukar, K. Basha, Cheemala Vikram Reddy","doi":"10.18231/2455-6777.2018.0001","DOIUrl":"https://doi.org/10.18231/2455-6777.2018.0001","url":null,"abstract":"Introduction: Surgical glove perforation is one of cause for percutaneous transfer of disease. Among many HIV HBV & HCV are deadliest diseases. Among the other surgical specialities, orthopaedics has the highest rate of glove perforation. Hence this study was conducted to study the incidence of glove perforation & their pattern in our institute.\u0000Materials and Methods: all the gloves (1444) collected from 286 operations which occurred during 3months period were tested, out of which 172 were major procedures and 114 were minor procedures. During the procedure, if any perforation was detected to naked eye examination then they were labelled as perforated. And rest the gloves were tested as per American society for testing and material standard (ASTM d5151 - 06) guidelines for any perforations. \u0000Results: In our prospective study, perforation occurred in 74(26%) surgeries. Total of 173(12%) gloves were perforated, 51(17.83%) from major & 23(8.04%) from minor procedures, the primary surgeon was most commonly involved (68%). Only 53(30.6%) glove perforation was detected during the procedure. Among the double glove users, inner glove perforation was seen in only 5% of cases. The most common fingers involved was left index (38%), then right index finger (28%) followed by left thumb (20%) and right thumb was (14%).the primary surgeon was most commonly involved (68%). The mean duration of the surgery in which perforation was noticed was 76+6minutes.\u0000Conclusion: Double glove practice is better than the use of the single glove. Gloves have to be changed regularly in prolonged procedures. \u0000\u0000Keywords: Glove perforation, Orthopaedic surgeries, Double glove.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128868946","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