Journal of Orthopedics Traumatology and Rehabilitation最新文献_第6页

A retrospective study to compare early outcomes of bilateral total knee replacement done in single sitting versus double sitting 一项回顾性研究比较单坐与双坐双侧全膝关节置换术的早期结果

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_78_21

J. Wadhwani, R. Siwach, Ravi Sihag, P. Kamboj, Karan Siwach

{"title":"A retrospective study to compare early outcomes of bilateral total knee replacement done in single sitting versus double sitting","authors":"J. Wadhwani, R. Siwach, Ravi Sihag, P. Kamboj, Karan Siwach","doi":"10.4103/jotr.jotr_78_21","DOIUrl":"https://doi.org/10.4103/jotr.jotr_78_21","url":null,"abstract":"Aim: We aimed to conduct a study comparing early outcomes of bilateral total knee replacement (BTKR) done in single sitting versus double sitting. Materials and Methods: The study included 58 patients who were already operated case of BTKR done in single sitting (sequential BTKR) – Group I (n = 30) and double sitting (staged BTKR) – Group II (n = 27), during time period April 2016 to May 2019. At follow-up, functional outcome in both the groups was assessed by Knee Injury and Osteoarthritis (OA) Outcome Score, Western Ontario and McMaster Universities OA Index score, and Visual Analog Scale scores. Results: The mean age in Group I was 64.5 ± 10.52 years and in Group II was 63.92 ± 5.76 years. The mean body mass index (BMI) in Group I was 28.42 ± 1.365 kg/m2, whereas the mean BMI in Group II was 29.19 ± 1.898 kg/m2. The mean length of hospital stay in Group I was 15.23 ± 2.921 days as compared to 23.69 ± 5.259 days in Group II. There was no mortality in both the groups within 90 days after operation in both the groups. There was significantly less requirement of hospital stay in Group I as compared to Group II (P = 0.001, Mann–Whitney U-test). Conclusion: We found that the single sitting BTKR is cost-effective and a relatively safe surgery. There was significantly lower length of hospital stay in single sitting BTKR along with no major complication in our study. Thus we advocate BTKR as a single sitting surgery with proper patient selection and preanesthetic workup.","PeriodicalId":34195,"journal":{"name":"Journal of Orthopedics Traumatology and Rehabilitation","volume":"25 1","pages":"13 - 17"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83373964","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 floating knee: A rare case report 双侧浮动膝1例

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_50_21

Jayachandran Ganesh, Sabari Selvam

引用次数: 0

Spinal tuberculosis and neurological deficit: A 10-year study in rural tertiary care center of central India 脊柱结核和神经功能缺损:印度中部农村三级保健中心的10年研究

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_29_21

R. Patil, G. Mote, A. Wankhede, K. Wandile, C. Badole

{"title":"Spinal tuberculosis and neurological deficit: A 10-year study in rural tertiary care center of central India","authors":"R. Patil, G. Mote, A. Wankhede, K. Wandile, C. Badole","doi":"10.4103/jotr.jotr_29_21","DOIUrl":"https://doi.org/10.4103/jotr.jotr_29_21","url":null,"abstract":"Background: India is a home for 27% of the world's tuberculosis (TB) cases. When compared, extrapulmonary TB (EPTB) cases have a lower incidence than pulmonary TB (PTB), but there is no significant reduction in the incidence of EPTB than PTB. Spinal TB is most common of skeletal TB. Aims: We aimed to study and to identify the clinical-radiological features in spinal TB and the incidence of neurological involvement along with factors associated with it. Settings and Design: This was a retrospective study in a tertiary care center of Central India. Subjects and Methods: A total of 114 cases with spinal TB were included in the study. Data collected retrospectively from January 2008 to December 2018 using a picture archiving and picture archiving and communication system of the hospital. Radiographs, magnetic resonance imaging scan, computed tomography, and ultrasound findings were studied. History and clinical examination findings were thoroughly analyzed. Statistical Analysis Used: Data were analyzed using Epi Info Software. Results: There were 74 (64.9%) male cases and 40 (35.1%) female cases. Most of the cases belong to rural 85 (74.5%) than urban 29 (24.5%) area. After neurological evaluation, paraparesis/paraplegia was observed in 52 (45.6%) cases and tetraplegia in 2 (1.7%) cases. Sensory deficit was observed in 10 (10.5%) cases. Bowel/bladder involvement was present in 5 (4.4% cases). Most of the cases with neurodeficit had dorsal vertebral involvement 30 (61.1%). Conclusions: The pattern of spinal TB is varied and is difficult to get diagnosed. We observed a high proportion of cases with neurodeficit. Most of them were with late-onset TB. This highlights that early diagnosis and complete treatment are very important in the treatment of TB of the spine.","PeriodicalId":34195,"journal":{"name":"Journal of Orthopedics Traumatology and Rehabilitation","volume":"19 1","pages":"55 - 58"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83931157","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

Prevalence of osteoporosis in Eastern Odisha – A cross-sectional study of bone mineral density 东奥里萨邦骨质疏松症的流行-骨密度的横断面研究

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_60_21

Madhuchhanda Pattnaik, Tanmoy Mohanty, S. Jena

{"title":"Prevalence of osteoporosis in Eastern Odisha – A cross-sectional study of bone mineral density","authors":"Madhuchhanda Pattnaik, Tanmoy Mohanty, S. Jena","doi":"10.4103/jotr.jotr_60_21","DOIUrl":"https://doi.org/10.4103/jotr.jotr_60_21","url":null,"abstract":"Introduction: Osteoporosis is a common metabolic disease of the bone characterized by decreased bone mass and micro-architectural deterioration in bone tissues that results in increased susceptibility to fractures. Osteoporosis is a significant public health problem in many parts of the world, also in India. The primary purpose of the article is to find out the prevalence of osteoporosis in Eastern Odisha through the cross-sectional study of bone mineral density (BMD). Materials and Methods: Two thousand and one hundred individuals within the age range of 20–82 years were included in the study. It was conducted between February 2016 and August 2017. The instrument to measure BMD was the Achilles Express Bone Ultradensitometer. Their average BMD was calculated according to T score by using the World Health Organization guidelines for the classification into normal, osteopenic, and osteoporotic. The findings were statistically analyzed. The results were compared with the results of other authors. Statistical analysis was performed using the SPSS software version 16 (IBM Corporation, Armonk, New York USA). Results: Prevalence of osteoporosis was found to be 22.4% and osteopenia 37.9%. There was a significant difference in the prevalence of osteoporosis between premenopausal and postmenopausal women. Conclusion: In India, no centralized data are available to show the prevalence of osteoporosis. This study was an effort to find out the prevalence of osteoporosis in Eastern part of Odisha, India. Ultrasonic heel densitometry is a safe and noninvasive method for the assessment of BMD to diagnose and assess the osteoporotic individuals so that adequate steps can be taken in them to prevent fracture and other complications of osteoporosis.","PeriodicalId":34195,"journal":{"name":"Journal of Orthopedics Traumatology and Rehabilitation","volume":"7 1","pages":"1 - 4"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84813142","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

Comparative analysis of functional and radiological outcome of proximal femoral nail versus dynamic hip screw in treatment of intertrochanteric fractures 股骨近端钉与动力髋螺钉治疗股骨粗隆间骨折的功能及影像学效果比较分析

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_73_21

R. Shukla, Prateek Pathak, Arpit Choyal

{"title":"Comparative analysis of functional and radiological outcome of proximal femoral nail versus dynamic hip screw in treatment of intertrochanteric fractures","authors":"R. Shukla, Prateek Pathak, Arpit Choyal","doi":"10.4103/jotr.jotr_73_21","DOIUrl":"https://doi.org/10.4103/jotr.jotr_73_21","url":null,"abstract":"Background: Intertrochanteric fracture is one of the most common fractures of the hip, especially in the elderly with osteoporotic bones, usually due to low-energy trauma like simple falls. This study was done to compare the functional and radiological outcome of PFN with dynamic hip screw (DHS) in treatment of type 31-A2, intertrochanteric fractures. Materials and Methods: From June 2019 to June 2021, prospective randomized and comparative study was conducted on the 162 patients of type 31-A2 intertrochanteric fractures of hip who were operated using PFN or DHS. Intraoperative complications were noted. Functional outcome was assessed using Harris hip score (HHS) and radiological findings were compared at 6, 12, and 24 months postoperatively. Results: In our study, out of 162 patients, 77 patients are managed with DHS, while 85 patients are managed with PFN. The average age group of the patients was 61–70 years. In our series, we found that patients with DHS had longer duration of surgery (111 min) and required longer time for mobilization, while patients who underwent PFN had shorter duration of surgery (97 min) and allowed early mobilization. In addition, complications such as DVT, lag screw cutout, shortening, and superficial infection are more in DHS group as compared to PFN group. The patients treated with PFN started early ambulation as they had better HHS in the early postoperative period as well as late postoperative period. Conclusion: PFN is better than DHS in type 31-A2 intertrochanteric fractures in terms of decreased blood loss, reduced duration of surgery, early weight-bearing and mobilization, reduced hospital stay, decreased risk of infection, and decreased complications.","PeriodicalId":34195,"journal":{"name":"Journal of Orthopedics Traumatology and Rehabilitation","volume":"19 1","pages":"24 - 31"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86220150","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

The safety and efficacy of biceps tenodesis performed using a novel suture anchor 使用新型缝合锚钉进行二头肌肌腱固定术的安全性和有效性

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_83_21

Andrea Johnson, M. Fowler, Michaline West, Justin J. Turcotte, Daniel E. Redziniak

{"title":"The safety and efficacy of biceps tenodesis performed using a novel suture anchor","authors":"Andrea Johnson, M. Fowler, Michaline West, Justin J. Turcotte, Daniel E. Redziniak","doi":"10.4103/jotr.jotr_83_21","DOIUrl":"https://doi.org/10.4103/jotr.jotr_83_21","url":null,"abstract":"Introduction: Biceps tendon degeneration or tearing is a significant cause of shoulder discomfort and dysfunction. Biceps tenodesis is commonly performed to treat symptomatic biceps tendon pathology. A variety of fixation techniques can be used including screw fixation, endobutton, or suture anchor techniques. This study examines the patient outcomes when the FOOTPRINT™ Ultra suture anchor system is used for biceps tenodesis. Materials and Methods: Retrospective review of consecutive patients undergoing biceps tenodesis was conducted. All patients underwent biceps tenodesis using the FOOTPRINT™ Ultra suture anchor. The primary endpoint was any device-related complication during the intraoperative or postoperative period. Descriptive and inferential statistics were performed to assess patient characteristics and outcomes. Results: Twenty-nine patients were included in this study; 20 (69.0%) underwent arthroscopic biceps tenodesis and the remainder underwent open surgery. The mean follow-up time was 8.51 ± 5.28 months postoperatively. One patient experienced a postoperative infection within the first 30 days requiring a return to the operating room. Two patients experienced a complication within the first 6 months postoperatively. No patients experienced a device-related complication. No patients experienced a retear of their biceps tendon; two patients experienced a retear to their rotator cuff repair. The mean pain Numeric Rating Scale improved from 5.88 ± 2.58 on a scale of 0–10 preoperatively to 1.94 ± 2.32 postoperatively (P < 0.001). Conclusion: The FOOTPRINT™ Ultra suture anchor appears to be safe for the use in patients undergoing arthroscopic or open biceps tenodesis.","PeriodicalId":34195,"journal":{"name":"Journal of Orthopedics Traumatology and Rehabilitation","volume":"38 19","pages":"38 - 41"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72409383","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

Predicting short-term outcome of Metal-on-Metal Hip Resurfacing (MOMHR): A multivariate analysis using 14 independent variables 金属对金属髋关节表面置换(MOMHR)的短期预后预测:一项使用14个自变量的多变量分析

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2022-01-01 DOI: 10.4103/jotr.jotr_18_21

Amrit Goyal, W. Macaulay, J. Geller, Wenbao Wang, Jonathon Nyce

{"title":"Predicting short-term outcome of Metal-on-Metal Hip Resurfacing (MOMHR): A multivariate analysis using 14 independent variables","authors":"Amrit Goyal, W. Macaulay, J. Geller, Wenbao Wang, Jonathon Nyce","doi":"10.4103/jotr.jotr_18_21","DOIUrl":"https://doi.org/10.4103/jotr.jotr_18_21","url":null,"abstract":"Introduction: The aim of this study was to research factors affecting the short-term outcome of metal-on-metal hip resurfacing (MOMHR) and develop a multivariate regression model that may predict outcome. Materials and Methods: This was a prospective study of 154 patients who underwent MOMHR and were followed for a minimum of 1 year. Fourteen independent variables (age, gender, diagnosis, co-morbidities, body mass index (BMI), pr-operative Western Ontario and McMaster Universities Osteoarthritis (WOMAC) physical component/stiffness (S)/pain (P), short form 12 (SF-12) physical (SP), SF-12 mental (SM), acetabular and femoral component sizes, operative time, and estimated blood loss) were analyzed using correlation and multivariate regression analyses. Multivariate regression model was tested by using an independent cohort for validation. Results: Correlation analyses found four variables that significantly influence short term MOMHR outcome. These include comorbidities (C, P = 0.0001), preoperative SF-12 mental (SM, P = 0.0004), BMI (P = 0.0006), and gender (G, P = 0.0454). By multivariate analysis, the subsequent regression model was obtained with an R2 value of 0.3816: Outcome = G*4.72 ‒ BMI*0.70 ‒ C*0.11 + SM*0.31 + 87.44. The average predicted outcome using this equation did not differ significantly from the observed WOMAC physical function outcome at a minimum of 1 year postoperatively. Conclusion: To the best of our knowledge, this study is the first reported multivariate analysis of factors affecting MOMHR and confirms the correlation of some of the previously proposed factors such as gender, BMI, comorbidities, and preoperative function. The multivariate regression equation can be used to predict the short-term outcome of MOMHR.","PeriodicalId":34195,"journal":{"name":"Journal of Orthopedics Traumatology and Rehabilitation","volume":"33 1","pages":"75 - 80"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85215241","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

一本の馬尾に蔓状に発生した長大な神経鞘腫の一例在一根马尾上呈蔓状生长的大型神经鞘瘤的一个例子

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2021-09-25 DOI: 10.5035/nishiseisai.70.721

達也柴田, 秀樹大田, 佳之松本, 吉城木田, 洋平井口, 政人巽, 健一田原, 京一眞田, 秀祐萩原, 浩隆木田, 義治竹光

引用次数: 0

高校空手選手における貧血調査高中空手道选手贫血调查

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2021-09-25 DOI: 10.5035/nishiseisai.70.703

義隆木戸, 卓也田島, 奈美山口, 誠長澤, 智美大田, 雄大森田, 琢示横江, 秀一川越, 悦男帖佐

引用次数: 0

高度関節水腫を呈した両膝樹枝状脂肪腫の1例呈高度关节水肿的双膝树枝状脂肪瘤一例

Journal of Orthopedics Traumatology and Rehabilitation Pub Date : 2021-09-25 DOI: 10.5035/nishiseisai.70.653

彰小畑, 雅士平川, 昌悟松田, 弘津村

引用次数: 0