IP International Journal of Orthopaedic Rheumatology最新文献_第8页

Evaluation of results in intracapsular fracture neck of femur with Austin Moore’s prosthesis Austin Moore假体治疗股骨颈囊内骨折疗效评价

IP International Journal of Orthopaedic Rheumatology Pub Date : 2019-07-15 DOI: 10.18231/j.ijor.2019.001

C. A. Anil Kumar, K. Hareesh, A. Acharya

{"title":"Evaluation of results in intracapsular fracture neck of femur with Austin Moore’s prosthesis","authors":"C. A. Anil Kumar, K. Hareesh, A. Acharya","doi":"10.18231/j.ijor.2019.001","DOIUrl":"https://doi.org/10.18231/j.ijor.2019.001","url":null,"abstract":"Introduction: Fracture neck of femur remains an unsolved fracture to the orthopaedic surgeon as far as treatment and results are concerned. Present study is designed to assess the results of primary hemireplacement arthroplasty of hip for displaced femoral neck fracture in the elderly patients by Austin Moore prosthesis. To reduce the hospital stay and provide better functional results like early easy mobilization and weight bearing and to reduce the incidence of Fracture Disease. To assess the complications of primary hemireplacement arthroplasty by Austin Moore prosthesis. Materials and Methods: In this study, primary hemireplacement arthroplasty of the hip was done in 30 patients with fracture neck of femur using Austin Moore prosthesis who were admitted in the Department of Orthopaedics in Konaseema institute of medical science amalapuram, from August 2014 to August 2016. Intra capsular fracture neck of femur in patients of age 60 years and above, Non-united fracture neck of femur, all types of fracture under Gardens classification are considered. Result: In 43% (13) patients fracture was in right side and 57% (17) patients fracture was in left side. Garden type-4 fracture was present in 14(46.7%) patients, Garden type-3 fracture was present in 12(40%) patients. 13.3% (4) patients were having Garden type 2 fracture. Average blood loss during the procedure was less than 500ml in 20pts, between 500-700ml in eight patients, and more than 750ml in 2 patients. The final Harris hip score was excellent in 46.7% of the patients, good in 8(26.7%) patients, fair in 6(20%) patients and poor in 2 (6%) patients. Discussion and Conclusion: We conclude that hemiarthroplasty for fracture neck of femur is a good option in elderly patients. The mortality and morbidity are not high, operative procedure is simple, complications are less disabling. Early functional results are satisfactory.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121844133","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

Tubercular compound palmar ganglion – A review 结核性复合掌神经节综述

IP International Journal of Orthopaedic Rheumatology Pub Date : 2019-07-15 DOI: 10.18231/j.ijor.2019.006

Javed Ahmad, Vivek Kumar Shrivastava, M. Khanna, Ahmad Ayaz

引用次数: 1

Fibrodysplasia ossificans progressiva – A rare case 进行性骨化性纤维发育不良-罕见病例

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-30 DOI: 10.18231/2455-6777.2018.0017

N. S. Dhaniwala, Venkatesh Dasari, Malhar Jadhav, Vrushabh Kumbhare

引用次数: 1

Operative Management of closed fracture shaft humerus: comparative study between MIPPO anterior bridge platting Vs conventional ORIF 闭合性肱骨柄骨折的手术治疗:MIPPO前桥钢板与常规ORIF的比较研究

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-30 DOI: 10.18231/2455-6777.2018.0016

Nirav Mungalpara, K. Anand, Abhishek K Gol, Sagar Usdadia, Rasik Shiyal

{"title":"Operative Management of closed fracture shaft humerus: comparative study between MIPPO anterior bridge platting Vs conventional ORIF","authors":"Nirav Mungalpara, K. Anand, Abhishek K Gol, Sagar Usdadia, Rasik Shiyal","doi":"10.18231/2455-6777.2018.0016","DOIUrl":"https://doi.org/10.18231/2455-6777.2018.0016","url":null,"abstract":"Aim: Operative treatment of shaft humerus fracture continues to evolve. MIPPO is one of such emerging operative procedure which does give excellent results over conventional ORIF platting. We are comparing overall functional outcome and surgical complexity of MIPPO (Minimal Invasive Percutaneous Plate Osteosynthesis) vs conventional ORIF (Open Reduction and Internal Fixation) by posterior approach in this study. Materials and Methods: A retrospective clinical study was done on 50 patients with shaft humerus fractures treated with MIPPO anterior bridge plating and posterior platting by trained single surgeon at a tertiary trauma care centre in the Department of Orthopaedics, BJ medical college, Civil hospital Ahmedabad between October 2016 and May 2018. Follow up data was collected and patients were called for clinical and radiological evaluation. Results: 24 of the 25 (96%) MIPPO patients and 22 of the 25 (88%) ORIF patients achieved union. Average union times for the MIPPO and ORIF groups were 19.3 and 16.1 weeks respectively. At the end functional outcome of both the technique is as follows: the Mayo Elbow Performance Score (MEPS; range 95–100) were 90% in 20 cases (n = 20) operated with conventional ORIF posterior plating and 20 cases operated with MIPPO plating which is excellent scores. Two cases operated with ORIF posterior plating and three cases with MIPPO plating are showing a good MEPS score. Conclusions: Even though MIPPO is surgically demanding, fracture hematoma is not disturbed in it therefore it gives better and fast union than conventional ORIF.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127947701","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

Low back pain in a teenager rare cause – Morquios syndrome 青少年腰痛的罕见原因——莫奇奥斯综合症

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-30 DOI: 10.18231/2455-6777.2018.0020

S. Nallasivan, Radha Mahadevan

引用次数: 0

Non-traumatic fracture neck bilateral femur in patients on Anti-retroviral therapy 非外伤性颈双侧股骨骨折患者抗逆转录病毒治疗

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-30 DOI: 10.18231/2455-6777.2018.0019

N. Dhaniwala, M. Dhaniwala, Malhar Jadhav, Venkatesh Dasari

{"title":"Non-traumatic fracture neck bilateral femur in patients on Anti-retroviral therapy","authors":"N. Dhaniwala, M. Dhaniwala, Malhar Jadhav, Venkatesh Dasari","doi":"10.18231/2455-6777.2018.0019","DOIUrl":"https://doi.org/10.18231/2455-6777.2018.0019","url":null,"abstract":"Introduction: Anti-Retroviral Therapy (ART) in HIV+ patients is known to cause decrease in bone mineral density (BMD). HIV infection and ART are included as risk factors for Osteoporosis and fragility fractures by National Osteoporosis Foundation in US. In our country, not many reports are available in this regard. The present article reports two HIV + patients of different age group, on ART for variable periods, who developed bilateral fracture neck femur without any trauma. The cases were managed suitably and are being reported due to its rarity and to stress the need of careful evaluation in HIV+ patients. Case Reports: Case 1: A HIV+ male patient of age 37 years on regular ART presented with pain in his both hips region for 1-year duration without any trauma or fall. X-ray pelvis with both hips showed transcervical minimally displaced fracture neck of both femora. The young patient was managed with multiple cancellous screw fixation in situ and is under regular follow up for 15 months. Case 2: A HIV+ male patient of 65 years under regular ART presented with the complaints of pain right hip with difficulty in walking for 1 month without any trauma. X-ray pelvis showed displaced fracture neck right femur and incomplete fracture of superior cortex of neck left femur. The patient was treated by Austin Moore prosthetic replacement of head femur on right side and observation for the left femur neck incomplete fracture. The case is under follow up and continuing ART also. Clinical Message: Spontaneous nontraumatic fracture should be suspected in HIV + patients having persistent localized pain in an area even without history of any trauma or classical features of fracture on physical examination. Radiological examination must be carried out before excluding fracture.","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115890653","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

Radial neck fracture reduction and fixation by titanium elastic nail (Metaizeau): A method used in adults too 钛弹性钉桡骨颈骨折复位固定:一种适用于成人的方法

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-30 DOI: 10.18231/2455-6777.2018.0014

Pathik Vala, Shreyas P. Gandhi, A. Salunke, Ajay Devda, Rutvik Shah

{"title":"Radial neck fracture reduction and fixation by titanium elastic nail (Metaizeau): A method used in adults too","authors":"Pathik Vala, Shreyas P. Gandhi, A. Salunke, Ajay Devda, Rutvik Shah","doi":"10.18231/2455-6777.2018.0014","DOIUrl":"https://doi.org/10.18231/2455-6777.2018.0014","url":null,"abstract":"Radial neck fractures comprises of less than 1% of all fractures in adults. They are more common in children than adults. Majority of cases require surgical management especially in adults. Surgically preferred management comprises of closed/open reduction and internal fixation using various types of plates/wires .We have performed Metaizeau technique in seven adults with successful treatment and functional outcome. This technique is very well described in children. Background In adults, isolated radial neck fractures are very rare with incidence of 1% of all fractures. The prognosis depends upon the degree of displacement, the age of the patient, associated elbow injury and the method the treatment. Less than 30 degree of angulation is generally acceptable. Restoration of radial neck angulation and displacement is essential to restore the normal biomechanics and stability of the elbow. Open reduction and internal fixation (ORIF) is associated with non-union, implant related complications, reduced range of motion, heterotrophic bone formation and avascular necrosis of the radial head. The standard procedure accepted for isolated radial neck in pediatric age group is centromedullary pinning (Metaizeau technique). Methodology Between January 2016-January 2017, 7 patients were operated with TENS(Metaizeau technique).Chosen patients were diagnosed with isolated radial neck fractures without elbow joint instability. Fracture morphology in all the patients had angulation more than 30 degrees and were displaced. All the patients had type 3 fracture according to Mason’s classification and type 2 or 3 according to Judet classification. The mean age of the patients was 32 years old and all were operated with 7 days of suffering the injury. The mean followup was for the duration of 9 months. Fig. 1: Anterior posterior and lateral view of radial","PeriodicalId":274774,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2018-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128290518","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

JAK inhibitors: Evolving therapies in rheumatoid arthritis JAK抑制剂:类风湿关节炎的新疗法

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-15 DOI: 10.18231/2455-6777.2018.0011

S. Jha

引用次数: 0

Diffuse idiopathic skeletal hyperostosis (DISH) – A case report 弥漫性特发性骨骼增生症(DISH) 1例报告

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-15 DOI: 10.18231/2455-6777.2018.0018

Madhan Jeyaraman, R. Ramesh, S PrajwalG.

引用次数: 1

Various Facets of Osteoarthritis Management of Osteoarthritis Are we getting it right? 骨关节炎的各个方面骨关节炎的治疗我们做对了吗?

IP International Journal of Orthopaedic Rheumatology Pub Date : 2018-12-15 DOI: 10.18231/2455-6777.2018.0010

S. Jha

引用次数: 0