Journal of Orthopaedics and Allied Sciences最新文献_第10页

Idiopathic chondrolysis of the hip 髋关节特发性软骨松解

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-07-01 DOI: 10.4103/2319-2585.167978

Shefali Gupta, M. Choudhary

引用次数: 1

Fibrolipomatous hamartoma of median nerve: A rare cause of carpal tunnel syndrome and macrodactyly 正中神经纤维脂肪瘤错构瘤:引起腕管综合征和大指畸形的罕见原因

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-07-01 DOI: 10.4103/2319-2585.158517

A. Bansal, A. Verma, Chandan Mourya

引用次数: 4

Is dislocation rate higher in total hip arthroplasty done for acute displaced fracture neck of femur? 急性移位股骨颈骨折行全髋关节置换术脱位率高吗?

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-07-01 DOI: 10.4103/2319-2585.167976

G. Ganesan, Vijayaraghavan Phagal Varthi

{"title":"Is dislocation rate higher in total hip arthroplasty done for acute displaced fracture neck of femur?","authors":"G. Ganesan, Vijayaraghavan Phagal Varthi","doi":"10.4103/2319-2585.167976","DOIUrl":"https://doi.org/10.4103/2319-2585.167976","url":null,"abstract":"Background Hip replacement has transformed the lives of hundreds of thousands of people regardless of the underlying aetiology. Debate about the role of arthroplasty for an acute displaced femoral neck fracture has been ongoing for decades. In this article we are going to evaluate whether dislocation rate is higher in total hip replacement done for acute displaced fracture neck of femur. Materials and Methods: Retrospective study of sixty two patients who underwent total hip replacement in Sri Ramachandra medical center. The minimum follow-up was taken as 5 years. Patients were divided into two group; traumatic and non traumatic group. We had 38 patient who underwent hip replacement for non traumatic indications. Traumatic group had 24 patients. The inclusion criteria for the traumatic group were acute displaced fracture neck of femur above 50 years and fracture neck with fracture head with dislocation above 50 years. We used the Harris hip score (Modified) for clinical and functional evaluation. Results: We had 89% excellent/good results in non traumatic group 75% excellent/good result in traumatic group. We had one dislocation in non-traumatic group and four dislocations in traumatic group. Conclusions: There is an increase rate of dislocation in patient who underwent total hip replacement for a traumatic condition when compared to their non traumatic counterpart.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70435040","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

Patellar tendon reconstruction with ipsilateral free semi-tendinosus and gracilis autograft for neglected patellar tendon rupture 同侧游离半腱和股薄肌移植修复被忽视的髌腱断裂

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.155927

Appalaraju Sanaboyina, V. Rao

引用次数: 1

Reasons for patient′s withdrawal from clinical trials of rheumatoid arthritis in India 印度类风湿关节炎患者退出临床试验的原因

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.152144

S. Dabhade, Padmakar Pandit, S. Tiwari, D. Pandit, A. Chopra

{"title":"Reasons for patient′s withdrawal from clinical trials of rheumatoid arthritis in India","authors":"S. Dabhade, Padmakar Pandit, S. Tiwari, D. Pandit, A. Chopra","doi":"10.4103/2319-2585.152144","DOIUrl":"https://doi.org/10.4103/2319-2585.152144","url":null,"abstract":"Introduction: Rheumatoid arthritis (RA) affects 0.5-1% of population all over the world. As the duration of treatment is more in RA, patient′s adherence to treatment is less. Controlling the number of patients lost to follow-up is essential for the successful completion of randomized clinical trials. Also, patient adherence is critical in clinical trial setting as it has impact on validity of clinical data and also it remains an issue of utmost importance to pharmaceutical manufacturers as well as scientific and regulatory community. The studies which show reasons for withdrawal from clinical trials are done for diseases like tuberculosis (TB). None of the study is available to find reasons for withdrawal from clinical trials in RA. Hence, this study is planned. Aims and Objectives: Find reasons and effect of age, sex, duration of therapy, and distance from home on withdrawal from clinical trial. Materials and Methods: This study is a retrospective observational data analysis. Primary outcome are to find reasons for withdrawal from trial. Results: Withdrawal from clinical trial in patients of RA is more in female. In this study, reasons for withdrawal from study are change in location, loss to follow-up, failure of therapy, concomitant illness, patient withdrew consent, and adverse effects is the common reason for withdrawal from clinical trial in both patient and investigator-related reason for withdrawal.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70434336","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: 4

Fibrocartilagenous dysplasia: A rare variant of fibrous dysplasia 纤维软骨发育不良:一种罕见的纤维性发育不良

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.155925

Sajitha Kaliyath, H. K. Kishan Prasad, Netra M Sajjan, L. Mathias, K. Shetty, C. Rao

引用次数: 2

Apophyses and physeal equivalents in the pediatric pelvis 小儿骨盆的骨突和物理等同物

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.155908

V. Tyagi, S. Milla

引用次数: 1

Delayed presentation of fracture of lateral condyle of humerus in pediatric age group treated by ORIF and ulnar peg grafting: A case series ORIF联合尺骨钉植入术治疗儿童肱骨外侧髁骨折的延迟表现:一个病例系列

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.155911

N. Kumar, A. Mehtani, C. Yadav, R. Raj, S. Meena, Nilesh Barwar

{"title":"Delayed presentation of fracture of lateral condyle of humerus in pediatric age group treated by ORIF and ulnar peg grafting: A case series","authors":"N. Kumar, A. Mehtani, C. Yadav, R. Raj, S. Meena, Nilesh Barwar","doi":"10.4103/2319-2585.155911","DOIUrl":"https://doi.org/10.4103/2319-2585.155911","url":null,"abstract":"Background: Fractures of lateral condyle of humerus in pediatric age group, the most common being distal humerus epiphyseal injury, are commonly associated with delayed presentation to terminal health care providers. Reasons accounted might be at every level, right from the patient to the physician. In the backdrop of existing disputed treatment strategy operative v/s non-operative treatment of fractures having more than 3-week duration of injury, same were treated by open reduction and k wire fixation using ulnar peg graft. Final functional result was evaluated with longest follow up of over 1 year. Materials and Methods: Twenty children having fracture of lateral condyle of humerus with duration of trauma more than 3 week were included in the prospective study. Age ranged from 5 years to 15 years. Average age was 8 years. Among the 20 patients, 8 were male and 12 were female. Average time of presentation was after 5 weeks of injury. Seven patients had milch type 1 injury and 13 patients had milch type II injury. All patients were treated by open reduction and internal fixation using k wires and ulnar peg graft. The follow-up period was over 1 year. Result: Results were evaluated using radiograph, and functional results were evaluated using the Liverpool elbow scoring system. In the present series, all fractures united with 92% excellent, 5% good, and 3% poor results. Poor results were associated with greater displacement of fracture, prior repeated attempts of close reduction, and history of massage. Conclusion: Being an epiphyseal injury and a common occurrence, fracture of lateral condyle of humerus in pediatric age group are commonly maltreated, with error contributed right from parents to even physician. Common reasons of delayed presentation are ignorance on parents′ side, malpractice by some bone-setters, poorly done radiograph, inaccurate radiographic interpretation by the physician, and poor selection of treatment methods.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70434572","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: 4

Bilateral post-traumatic gluteal compartment syndrome: A case report and review of literature 双侧创伤后臀间室综合征1例报告及文献复习

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.155922

Devashis Barick, A. Nemade

{"title":"Bilateral post-traumatic gluteal compartment syndrome: A case report and review of literature","authors":"Devashis Barick, A. Nemade","doi":"10.4103/2319-2585.155922","DOIUrl":"https://doi.org/10.4103/2319-2585.155922","url":null,"abstract":"Gluteal compartment is a rare site for compartment syndrome. Gluteal compartment syndrome has most commonly been described in the literature as occurring after prolonged immobility associated with substance abuse, improper operative positioning, sickle cell-induced infarct, post-traumatic and spontaneous superior gluteal artery rupture, exercise, and post-arterial embolization of the internal iliac artery prior to abdominal aortic aneurysm repair. Trauma is rarely associated with this syndrome. Gluteal compartment syndrome occurs in approximately 0.9% of trauma patients. Posttraumatic gluteal compartment syndrome develops because of edema with traumatic contusions, crush injuries and hematoma formation due to blunt superior or inferior gluteal artery injuries in all compartments of the gluteal region Only 6 previous cases have been reported in the literature. Two previous cases involved positioning for urological procedures, while the other cited causes of bilateral gluteal compartment syndrome include exercise-induced, trauma, and prolonged immobilization from substance abuse. One of the most immediately devastating results of a missed compartment syndrome is the risk of the development of rhabdomyolysis with the resulting squeal of myoglobinuria, hyperkalemia, and acidosis resulting in renal failure, shock, multiple organ failure, disseminated intravascular coagulation, and possibly death. Here we report a case of posttraumatic bilateral compartment syndrome which developed secondary to pressure due to patient being trapped under a vehicle following a vehicular accident. He was operated upon and a bilateral fasciotomy was done. Although he did not develop any renal complications, the sciatic nerve palsy on the left side did not recover. The patient is still under follow up.","PeriodicalId":31882,"journal":{"name":"Journal of Orthopaedics and Allied Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2015-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70434345","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: 2

Polyostotic fibrous dysplasia with secondary aneurysmal bone cyst in tibia 胫骨多骨纤维发育不良伴继发性动脉瘤样骨囊肿

Journal of Orthopaedics and Allied Sciences Pub Date : 2015-01-01 DOI: 10.4103/2319-2585.152143

V. Gaopande, M. Kulkarni, S. Deshmukh, V. Rangankar

引用次数: 1