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The Internet Journal of Orthopedic Surgery最新文献

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Morbidities Following Anterior Cruciate Ligament Reconstruction Using Semitendinosis-Gracilis Autograft 自体股薄肌半腱膜重建前交叉韧带的并发症
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/2457
Manjappa Cn, Srinivas Bs
{"title":"Morbidities Following Anterior Cruciate Ligament Reconstruction Using Semitendinosis-Gracilis Autograft","authors":"Manjappa Cn, Srinivas Bs","doi":"10.5580/2457","DOIUrl":"https://doi.org/10.5580/2457","url":null,"abstract":"Aims and objectives: To evaluate the performance of ST-G graft in ACL reconstruction and to study the associated morbidities in short term follow-up. Evaluation of hamstring strength following use of semitendinosus and gracilis graft to reconstruct ACL was also done.Methodology: The prospective study was done in a tertiary care center involving subjects with clinically confirmed ACL rupture who underwent ACL reconstruction with semitendinosus and gracilis quadruple graft with distal titanium endobuters and tractopexy proximally (ST-G Graft) during the study period. Post-operatively, the muscle strength was assessed at 2, 4 and 6 post-operative months. Results: The average flexion of the knee at first and third month of follow-up was 44.5 (range: 10-90) and 115 (range: 90-140) respectively. The mean power at 3 month was 4.7 kg (range: 4kg-6kg).Conclusion: In the series of evaluation of hamstring strength following ST-G graft to reconstruct ACL, we found that most of the study subjects had regained hamstring strength by 3 post-op month.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117198885","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
The Role Of Dynamic Condylar Screw In The Management Of Fractures Of The Distal End Of Femur 动态髁螺钉在股骨远端骨折治疗中的作用
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/1399
T. Motten, Rakesh K. Gupta, Nipun Kalsotra, Younis Kamal, Nidhi Mahajan, U. Kiran
{"title":"The Role Of Dynamic Condylar Screw In The Management Of Fractures Of The Distal End Of Femur","authors":"T. Motten, Rakesh K. Gupta, Nipun Kalsotra, Younis Kamal, Nidhi Mahajan, U. Kiran","doi":"10.5580/1399","DOIUrl":"https://doi.org/10.5580/1399","url":null,"abstract":"A series of 25 cases of supracondyar and intercondylar fractures of femur were treated with Dynamic condylar screw and reviewed after surgery. The technique involved open reduction and internal fixation with lag screw of appropriate length and 95* angled plate for supracondylar and intercondylar fractures of femur. Out of 25, 12 cases showed excellent results, 9 have good results while as 2 each have fair and poor results. Average time taken for union was 12.6 weeks and main complications were knee stiffness and loss of length (<1.2 cm). So it was found that dynamic condylar screw is an effective and technically undemanding method for treatment of supracondylar and intercondylar fractures of femur.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134025125","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
Unreamed Solid Locked Nailing In The Treatment Of Compound Diaphyseal Fractures Of The Tibia. 未扩孔实心锁钉治疗胫骨骨干复合骨折。
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/25f2
Ravinder p Singh, T. Motten, Nipun Kalsotra, Rakesh K. Gupta, Vinit Gupta, Rishabh Gupta
{"title":"Unreamed Solid Locked Nailing In The Treatment Of Compound Diaphyseal Fractures Of The Tibia.","authors":"Ravinder p Singh, T. Motten, Nipun Kalsotra, Rakesh K. Gupta, Vinit Gupta, Rishabh Gupta","doi":"10.5580/25f2","DOIUrl":"https://doi.org/10.5580/25f2","url":null,"abstract":"This is a prospective study based on 30 cases of compound tibial diaphyseal fractures fulfilling our inclusion criteria and stabilised with primary unreamed solid AO tibial locked nailing with a follow up ranging from 6-18 months.26 cases (87%) were males and 4(13%) were females. 63% of the patients were in the age group of 21-40 years. Open fractures were classified as per Gustillo’s. Road traffic accidents were responsible for most of the fractures (80%) followed by fall from height(10%). 16 cases(53.3%) were statically locked and 14 cases(46.6%) were locked dynamically. All the fractures united in an average period of 22weeks.Evaluation of results was done after one year follow up as per criteria laid down by Johner & Wruhs(1983).Postoperatively, there were 4 cases of superficial infection(13.3%) & 2 cases(6.6%) of deep infection.2 cases(6.6%) had skin necrosis leading to sloughing of skin. Delayed union occurred in 8cases(26.6%).Shortening of >1cm was noticed in one case.As per criteria laid down by Johner & Wruhs 40% cases had excellent result, 50% good results, 10% cases fair & none had poor result. Results were evaluated and compared with various studies.On the basis of above study it was concluded that unreamed solid AO locked nailing is a good mode of primary internal fixation of compound fractures of tibia(grade I-IIIB) and has proved to be a one time procedure, which allows early weight bearing, minimises the chances of infection and delayed union.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133422735","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
Tibial Lengthening using the classic Ilizarov Technique 使用经典的Ilizarov技术延长胫骨
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/10f6
R. Rose
{"title":"Tibial Lengthening using the classic Ilizarov Technique","authors":"R. Rose","doi":"10.5580/10f6","DOIUrl":"https://doi.org/10.5580/10f6","url":null,"abstract":"Objective: To evaluate the results of tibial lengthening using the classic Ilizarov technique.Method: A retrospective study was performed between June 2005 and August 2009 on six patients who underwent tibial lengthening using the Ilizarov distraction technique.Results: Of the six patients, four were males and two were females. Mean age was 17 years (range 8 � 43 years). Mean tibial length gain was 4.9cm (range 3 � 9cm). Mean time in the frame was 9 months (range 7 � 11 months). The complications were: six superficial pin tract infections, four axial deviations, two residual leg length discrepancies, on delayed union, and one equinus contracture.Conclusion: Tibial lengthening can be successfully achieved by the conventional Ilizarov technique. However, this method is time-consuming, and is associated with many complications.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131658493","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
Simultaneous Bilateral Femoral Neck Fracture in a Patient with Osteoporosis- A Case Report 骨质疏松症并发双侧股骨颈骨折1例
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/cb4
Arijit Ghosh, K. Vemulapalli
{"title":"Simultaneous Bilateral Femoral Neck Fracture in a Patient with Osteoporosis- A Case Report","authors":"Arijit Ghosh, K. Vemulapalli","doi":"10.5580/cb4","DOIUrl":"https://doi.org/10.5580/cb4","url":null,"abstract":"We report a case of bilateral neck of femur fracture in a patient in osteoporotic bone, as a result of a fall from a standing position. A literature review shows all similar fractures are documented to have been associated with high velocity trauma, seizures and/or osteoporosis secondary to steroid use. As far as we are aware this is the first reported case of this fracture pattern in connection with this patient profile and history, which is similar to the vast majority of trauma patients seen.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129494062","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
Bilateral Asymmetrical Radial Head Fracture: An Unusual Case Report 双侧不对称桡骨头骨折1例
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/1104
R. Verma, R. Bansiwal, G. Ramachandran, L. Dagdia
{"title":"Bilateral Asymmetrical Radial Head Fracture: An Unusual Case Report","authors":"R. Verma, R. Bansiwal, G. Ramachandran, L. Dagdia","doi":"10.5580/1104","DOIUrl":"https://doi.org/10.5580/1104","url":null,"abstract":"Isolated radial head fractures constitute about 5.4% of all fractures and 33% of all elbow fractures, while Bilateral fracture of radial head is an unusual injury. It usually occurs by fall on outstretched hand. We report an unusual case of bilateral asymmetrical radial head fracture mason type2 and type3 on right and left sides respectively, due to a fall on elbows.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128395311","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: 3
OBESITY AND TOTAL KNEE ARTHROPLASTY: IS IT MORE TIME CONSUMING AND DO THEY STAY LONGER? 肥胖和全膝关节置换术:是否更耗时，是否持续时间更长?
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/160d
D. Bryson, D. Dias, A. Gulihar, S. Williams
{"title":"OBESITY AND TOTAL KNEE ARTHROPLASTY: IS IT MORE TIME CONSUMING AND DO THEY STAY LONGER?","authors":"D. Bryson, D. Dias, A. Gulihar, S. Williams","doi":"10.5580/160d","DOIUrl":"https://doi.org/10.5580/160d","url":null,"abstract":"Introduction: This observational study assessed the influence of obesity on operating time and duration of hospital admission following Total Knee Arthroplasty (TKA). Materials and Methods: 263 patients who underwent 276 TKAs between 1st January and December 31st 2005 at the Glenfield General Hospital were identified from the Trent (and Wales) Arthoplasty Audit Group. Patients were grouped into three weight categories based upon BMI. We examined hospital records for 265 of the 276 procedures and compared operating time, length of hospital admission and complication rates between the three BMI groups. Patient perceived outcomes including patient satisfaction, post-operative pain and frequency of walking were compared at 1-year post TKA. Results: Obesity did not adversely influence operating time and duration of hospital stay. The mean operating time was 82 minutes in patients with a BMI ≤ 25.0, 84 min in those with a BMI 25.1–30.0 and 88 minutes for those with a BMI>30.0 (p=0.2). The mean hospital stay was 7.7 days in patients with a BMI ≤ 25.0, 7.2 days in the BMI 25.1–30.0 group, and 6.7 days in those with a BMI >30.0 (p=0.8). There were no significant differences between the three BMI groups and post-operative complications (p = 0.7), patient satisfaction (p=0.1) or pain levels (p=0.7) at 1-year post-TKA. As has been demonstrated previously, increasing BMI negatively influenced post operative walking frequency (p=0.02) Conclusion: BMI did not influence operating time, length of stay, complication rates, post operative pain and patient satisfaction post Total Knee Arthroplasty, but was associated with decreased post operative mobility.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129781058","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
Pin site care with the Ilizarov circular fixator 伊利扎洛夫环形固定器的针脚部位护理
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/28c0
R. Rose
{"title":"Pin site care with the Ilizarov circular fixator","authors":"R. Rose","doi":"10.5580/28c0","DOIUrl":"https://doi.org/10.5580/28c0","url":null,"abstract":"Objective: To determine the incidence of pin tract infections in patients who have undergone femoral and tibial lengthening with the Ilizarov fixator.Method: A retrospective study was undertaken of 21 patients who were treated with the Ilizarov method for limb length discrepancies in the lower limbs, between 2001 and 2009. All patients received the same protocol for pin site care. The following information was recorded for each infected pin site: location, whether the implant or the wire or half-pin, time of onset of the first pin site infection in each patient and treatment.Results: Of the 21 patients, 11 were males and 10 were females with an average of 19.7 years (range 2�48 years). Sixty-two wires and 95 half-pins were studied. Half-pin infection site was 6.3%; wire site infection was 18.7%. Total pin site infection was 25%. Periarticular pin site infections accounted for 13.6% and diaphyseal infections 1.36%. Of the 21 patients studied, 19 had pin tract infections.Conclusion: Pin tract infections are common with external fixation. The consequences of pin tract infections can range from trivial to severe. Most pin site infections respond well to local pin care and oral antibiotics.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129798653","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: 13
Pattern, Management, Results And Complications Of Vascular Injuries Of The Extremities. Report From A Hospital In Jammu 四肢血管损伤的模式、处理、结果和并发症。查谟一家医院报道
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/22c7
Sharief Ahmed Wani, B. Dev, H. Dang, G. Singh
{"title":"Pattern, Management, Results And Complications Of Vascular Injuries Of The Extremities. Report From A Hospital In Jammu","authors":"Sharief Ahmed Wani, B. Dev, H. Dang, G. Singh","doi":"10.5580/22c7","DOIUrl":"https://doi.org/10.5580/22c7","url":null,"abstract":"","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127215697","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
An Audit of Consenting Practises in Trauma 创伤患者同意行为的审计
The Internet Journal of Orthopedic Surgery Pub Date : 2009-12-31 DOI: 10.5580/121f
Arijit Ghosh, Wathik El Alami Mbchb
{"title":"An Audit of Consenting Practises in Trauma","authors":"Arijit Ghosh, Wathik El Alami Mbchb","doi":"10.5580/121f","DOIUrl":"https://doi.org/10.5580/121f","url":null,"abstract":"It is a requirement by law for every surgical patient to have informed consent. The literature suggests that consenting of elective patients, which is usually performed by senior staff, is of a higher standard than that for emergency cases (1). However the consenting of trauma patients is often left to junior doctors who may have no previous orthopaedic experience. It has also been noted in the literature that a significant proportion of medical negligence claims are as a result of poorly informed consent (2). The aim of this study was to determine the quality of informed consent in trauma patients in a busy district general hospital.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"282 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2009-12-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121047771","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
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