The Internet Journal of Orthopedic Surgery最新文献

{"title":"Bilateral Neck Femur Fractures, Rickets And Severe Osteoporosis In Oculocerebrorenal Syndrome Of Lowe","authors":"S. Hameed, Hitesh Shah","doi":"10.5580/add","DOIUrl":"https://doi.org/10.5580/add","url":null,"abstract":"The Lowe syndrome is constellation of eye, central nervous system and kidney involvement. We report about a child with bilateral neck femur, rickets and severe osteoporosis in Lowe syndrome.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"100 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":"121468467","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":"Subtrochanteric Fractures- Current Management Options","authors":"Mohd Iqbal Wani, M. Wani, A. Sultan, T. Dar","doi":"10.5580/16a9","DOIUrl":"https://doi.org/10.5580/16a9","url":null,"abstract":"The Subtrochanteric fractures account for 10-34% of all hip fractures (David G Lavelle 2003).These fractures have long been recognized as the most difficult of femoral fractures in terms of treatment (Delong William G. 2001). These are the fractures between lesser trochanter and 5cm distally. They may occur as singly but sometimes extension of intertrochanteric fractures. Prior to twentieth century these fractures were less common but more complicating to the patient. As the treatment options were few therefore, the situation used to be life threatening (Delong William G. 2001).","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"47 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":"133225951","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":"High-grade (Grade III) Degenerative spondylolisthesis at L4/5 Treated Successfully by Transforaminal Interbody Fusion (TLIF): A Case Report","authors":"S. Fukuta, K. Miyamoto, Minoru Yoshida, H. Kodama, Y. Kanamori, H. Hosoe, K. Shimizu","doi":"10.5580/1ca9","DOIUrl":"https://doi.org/10.5580/1ca9","url":null,"abstract":"We report a rare case of High grade degenerative spondylolisthesis. Degenerative spondylolisthesis is not necessarily rare. However the degree of degenerative spondylolisthesis rarely exceeds Meyerding grade II. The patient 66 years old female present exceed Meyerding Grade III degenerative spondylolithesis with back pain and gait disturbance for over 20 years. Conservative treatment had no effect. Functional radiographs CT and MRI of the lumbar spine revealed the high grade slippage of L4/5 hypermobility and cauda equine was severe compressed. There was not spondylolysis at L4 lamina. The Bilateral facetectomy and partial reduction and transforaminal lumbar interbody fusion (TLIF) at L4/5 was performed, the back pain disappeared and her neurological deficit and activity of daily living ameliorated. There has not been any adjacent level degeneration after 4 years after TLIF operation.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"83 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":"133522783","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 treatment of transthalamic fractures of the calcaneum","authors":"E. S. Camara, G. Copin","doi":"10.5580/24d7","DOIUrl":"https://doi.org/10.5580/24d7","url":null,"abstract":"Stulz recommends a reconstruction – arthrodesis from the age 65 years, but with the time, there is a tendency to the occurrence of a primitive deformation. He recommends an astragalo-calcaneal arthrodesis sacrifying the sub astragal articulation, subsequently stiffness occurs in 45% of cases, also there might be difficulty of the walk and arthrosis. After describing the technique, the authors propose raising the calcaneum and a sub astragal arthrodesis in severe and multi fragment thalamic fractures with erosion of the cartilage. In all cases, an ostheosynthesis of the calcaneum was performed using a multiperforated plaque type GECO.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"18 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":"131791927","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":"An Abbreviated cementing technique for Thompson’s Hemiarthroplasty.","authors":"S. Naqvi, R. Spencer","doi":"10.5580/6d5","DOIUrl":"https://doi.org/10.5580/6d5","url":null,"abstract":"Thompsons Prosthesis is one of the most commonly used hemiarthroplasty for the neck of femur fractures. We describe an abbreviated cementing technique for Thompson Hemiarthroplasty which has the benefit of preserving the bone stock and reduction in operating time. We looked at 24 patients who underwent hemiarthroplasty using this technique with a very good outcome.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"117 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":"115027963","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":"Study of Knee Angle Development in Healthy Children aged 3-16 years in Ahwaz, IRAN","authors":"M. Fakoor, Z. Safikhani, S. Razi, H. Javaherizadeh","doi":"10.5580/2302","DOIUrl":"https://doi.org/10.5580/2302","url":null,"abstract":"Introduction and aim: In the evaluation of genu varum-genu valgum, tibiofemoral angle (TF angle) and intercondylar (IC) and intermalleolar (IM) distance are commonly measured. This study was to performed to identify the chronological changes of the knee tibiofemoral angle(TF angle) and intercondylar(IC) and intermaleolar(IM) distances in normal healthy children in Khuzestan province. In this study also we considered the effect of epidemiologic factors such as flat foot, height, leg length, weight and delivery kind on TF angle, IC and IM.Methods and Materials: this cross-sectional study was carried out in Ahwaz in 853(M=398, F=455) males and females. The lower limb of children aged from 3-16 years were included in this study. Cases were selected randomly from kinder gardens, preschool care centers and schools of four parts of Ahwaz city. The clinical TF angle was measured with a goniometer in standing position. Superior iliac spine, the center of the patella, and the midpoint of the ankle joint were marked with a pen. After the marking the TF axis, the examiner measured the angle carefully. IC/IM distances were measured using a tape with the child standing with either knees or ankle just touching. The anterior-posterior (AP) radiography of both lower limb were taken in a standing position in some persons, randomly. Weight, height, and leg length were also measured. Information about volunteers delivery have been taken by questionnaires that completed by their families.Results: in the current study, TF angle was 6.16±1.45 (Min=3.5, Max 9.3) with range (4.46±0.5,8.45±0.41). Mean of TF angle in female 6.18 an in male=6.13. Min and Max of TF angle in female were 3.5 and 9.3 respectively. Min and Max of TF angle in male were 4 and 9 respectively. In both sexes TF angle was decreased when age increment. In boys aged 8-9 yrs and 10-11yrs, TF angle showed increment. In girls, increment in TF angle was seen in 3-4, 8-10,11-12, and 14-15 years group.Conclusion: TF angle was significantly higher in cases who born with cesarean section than normal vaginal delivery (p<0.002). Mean of TF angle was lower in cases with flat foot(P<0.035). Mean of IM was significantly higher in cases with flat foot than normal cases(P=0.03). Mean of IC in cases with normal feet was higher than cases with flat feet. Correlation coefficient between IC, IM with weight were -0.4, 0.14 respectively. the TF alignment of children living in Ahwaz is similar to Europe, North America and Turkish children but different from Chinese children. INTRODUCTION AND AIM Knowledge about changes in alignment of lower extremities during grow and its relationship to age are very important to differentiation pathologic and physiologic lower extremities condition. The bowleggedness and knock-knees are frequently encountered in pediatric orthopaedic clinics. Although benign and self-limiting in most cases, these deformities some times cause a great concern to the parents and the relatives1 . At birth, thib","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":"123994070","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":"Idiopathic Thoracic Spinal Epidural Lipomatosis With Relapsing And Remitting Symptoms","authors":"A. Karageorgos, A. Petsanas, I. Gelalis, N. Gkantaifis, Diamando Aretha","doi":"10.5580/2657","DOIUrl":"https://doi.org/10.5580/2657","url":null,"abstract":"Background context: Spinal epidural lipomatosis (SEL) is a disease consisting of an excessive deposition of normal adipose tissue in the spinal canal. It is a quite uncommon disease, which can end to severe neurological deterioration. Method: This report presents a patient with idiopathic SEL with relapsing and remitting course. After a 16-month period with clinical improvement, following conservative treatment, the patient was presented with rapid neurological deterioration, consisting in spastic paraparesis. Such a fluctuating presentation is rare in patients with SEL, and mimics a demyelinization disease. Multilevel laminectomy from Th6 to Th10, and resection of thick non-capsulated fatty tissue, was performed. Results: Postoperatively the patient regained gradually lower extremity power. Fifteen days postoperatively he developed an epidural haematoma, due to treatment with high doses of anticoagulants for unstable angina. He presented with rapid neurologic deterioration and operated on for haematoma evacuation. The symptoms resolved the next 24 hours and on follow-up six months later he was able to walk and climb stairs without assistance.Conclusions: These patients have high operative risks due to accompanied medical problems. We suggest conservative treatment for patients with minor symptoms, reserving surgical decompression for cases with progressive neurological deterioration.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"18 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":"129423263","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":"The Cincinnati Approach To Ctev Correction; A Study On 43 Feet Treated By The Modified Mckay Procedure","authors":"Sukhjeet Singh, Shabir Hassan Rawa, M. Wani, Nasir Muzaffer, M. Mussa, Khurshid Kangoo","doi":"10.5580/baf","DOIUrl":"https://doi.org/10.5580/baf","url":null,"abstract":"Aim: Adequate surgical correction of congenital talipes equinovarus (CTEV) is a challenge to orthopedicians aiming to address all aspects of this complex foot deformity. Various exposures have been elucidated with varying results. This study discusses the Cincinnati approach advocated by McKay and whether it addresses the various aspects of clubfoot correction.Materials and methods: Pantalar release using the circumferential Cincinnati incision was done in 43 feet of 30 patients aged between 9 months to 3 years. The right side was involved in 11, the left in 6 and bilateral involvement present in 13 cases. All cases were found to be resistant to correction by the conservative method proposed by Ponseti.Results: The patients were followed up for a minimum period of 2 years. Excellent results were seen in 18%, good in 46%, fair in 20% and poor in 14% cases. More than half of the cases had a preop talocalcaneal index of 21-30 percent which converted to 51-60 percent after surgery.Conclusion: The Cincinnati approach is ideal to achieve pantalar reduction, is cosmetically more acceptable and gives a better range of motion.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"318 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":"116121132","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":"What Is The Best Graft To Use For Anterior Cruciate Ligament (ACL) Reconstruction In Adult, Male Football Players; Bone-Patellar Tendon-Bone Autograft Versus Hamstring Tendon Autograft?","authors":"Mark Gindlesperger","doi":"10.5580/d09","DOIUrl":"https://doi.org/10.5580/d09","url":null,"abstract":"This paper is a review of two studies comparing hamstring tendon autograft reconstruction with patellar tendon autograft reconstruction for the repair of ACL tendon rupture. The two studies being reviewed are “Patellar Tendon Versus Hamstring Tendon Autografts for Reconstructing the Anterior Cruciate Ligament” and “Patellar Tendon Versus Hamstring Tendon Autografts for Reconstructing the Anterior Cruciate Ligament: A Meta-Analysis Based on Individual Patient Data.” The purpose of the review is to answer the question, “What is the best graft to use for ACL reconstruction in adult, male football players; bone-patellar tendon-bone autografts versus hamstring tendon autografts?”","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"14 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":"129201478","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":"Wrist Block For Dupuytren’s Fasciectomies -Is This A Viable Option Of Regional Anaesthesia?","authors":"S. Giri, M. Kyi, M. Thibbiah, G. Krishnamurthy","doi":"10.5580/24b1","DOIUrl":"https://doi.org/10.5580/24b1","url":null,"abstract":"Background and Purpose: As there is little literature regarding wrist block, our study is an attempt to demonstrates that wrist block is a viable option of regional anaesthesia for dupuytren contracture release making this procedure to be performed as a day case.Patients and Methods: A consecutive cohort of 70 patients (81 digits) undergoing dupuytren contracture release under wrist block anaesthesia and upper arm tourniquet were studied retrospectively. Results: Wrist block was effective in all but 1 patient. All our patients tolerated the upper arm tourniquet except 3 patients. The average correction of deformity was 47 degrees at the PIP joint and 33 degrees at MCP joint of little finger and 37 degrees at the PIP joint and 31 degree at MCP joint of ring finger. Conclusions: Our study demonstrates that if certain simple measures are taken to minimize tourniquet time then wrist block anaesthesia can be considered as an option for duputyren contracture release.","PeriodicalId":322846,"journal":{"name":"The Internet Journal of Orthopedic Surgery","volume":"3 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":"134113338","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}