Journal of Orthopaedic Diseases and Traumatology最新文献

{"title":"Traditional bonesetters clinics: Prospective trends and work assessment on 915 bonesetters operating in parts of Uttar Pradesh and Haryana, India","authors":"Nishit Palo, Sidharth S. Chandel, Chhavi Malik, A. Shukla, Govind Choudhary, Veerendra Mannan","doi":"10.4103/jodp.jodp_126_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_126_22","url":null,"abstract":"Introduction: In India, majority patients with musculoskeletal injuries are attended by traditional medicine treatment provider. Bone setting services data from Subcontinent is not available. Methods: Prospective epidemiological study across 10 cities. Objective: To document bonesetter's spectrum of services and work-based information; radiological services use, treatment methods, treatment cost, treatment duration, referral timing, complication incidence and success rates. Results: Study encompasses 915 Traditional Bone Setters working over area of 6725 km2. Meerut houses most bonesetters (n=130); industry dominated by men (98.5%). 55% bonesetters are of 51-70 years. Overall experience 53.75 years. 9.50 % Bonesetters have radiograph machines. 55.95% practicing bonesetters are 3rd generation lineage. 32.67% bonesetters prescribe allopathic medications. For treatment, Males visit more (55%) followed by Females (25%) and Third gender (15%) patients. Patients age group 5-94 years. 22.4 patients visit each bonesetter daily. An average treatment lasts 4-5 sessions; treatment cost 300-400 Indian Rupees per sitting (3.60-4.80 USD). Patient report 2.75 days post injury & treatment lasts 14.5 days. 90% Bonesetters take time till 3rd bandage (9-10days) to decide on referral. Patient's satisfaction is 64% and 45% complication rates. Discussion: Traditional Bone Setters form largest specialised group offering services for musculoskeletal injuries in India; attracting 25-40 patients per practitioner daily. High complication and referral rates are worrisome. Conclusion: Clientele visiting bonesetters form major chunk of patients that should be treated by Orthopaedic Surgeons. Policies should be made to integrate bonesetters into structured health services; to benefit community at larger scale with fewer complications and man hours lost to work.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"194 - 199"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44522445","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":"Functional outcome of open-wedge high tibial osteotomy in medial compartmental osteoarthritis of knee joint","authors":"Gangdayal Sharma, V. Sagar, Raman Kumar, A. Sharma, Manish Kumar, S. Sinha","doi":"10.4103/jodp.jodp_55_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_55_22","url":null,"abstract":"Introduction: Due to the shifting of weight more on the medial side of the knee, more cartilage destruction occurs medially, and subsequently, varus deformity occurs. A corrective osteotomy to alter the weight-bearing axis will be ideal to slow down the degenerative process. The success of an osteotomy around the knee depends on the biomechanics of the lower extremity, load distribution in the knee, and also on the mechanical properties of the implants used for osteotomy fixation. The aim of the study is to know the functional outcome of open-wedge high tibial osteotomy in medial compartmental osteoarthritis of the knee joint. Materials and Methods: This prospective study was done at the tertiary center of Bihar between May 2016 and September 2018. Bilateral weight-bearing anteroposterior view in full extension and standing scannogram was taken preoperatively. Patients were operated and evaluated at 3, 6, and 12 months by the Japanese Orthopaedic association knee score and Japanese Orthopaedic association system. Results: Medial opening-wedge osteotomy was performed in 26 knees of 24 in which there were 10 male and 14 female patients. Of the 26 knees operated, 16 were of the left side and 10 of the right side. Of the 26 knees operated, 6 (23%) had excellent outcome, 12 (47%) had good outcome, 4 (15%) had fair, and 4 (15%) had poor outcome. The poor result of three patients was correlated to superficial infection and the other patients due to inadequate correction. Five patients had superficial infection and one patient had hardware prominence causing pain and two patients had under correction of varus. Conclusion: From this prospective study, it can be concluded that medial open-wedge high tibial osteotomy is a useful option in medial compartmental osteoarthritis of the knee joint and relieves pain and improves functional outcomes in patients.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"190 - 193"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44639227","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":"Retrospective analysis of efficacy of the National Emergency X-Radiography Utilization Study low-risk criteria and the Canadian cervical spine rules for cervical spine trauma","authors":"K. Pawan Kumar, P. Madhuchandra, G. Santhosh","doi":"10.4103/jodp.jodp_96_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_96_22","url":null,"abstract":"Background: With increasing road traffic accidents, cervical spine injuries are a major health hazard in the developed as well as the developing world. Over the years, the National Emergency X-radiography Utilization Study (NEXUS) low-risk criteria and the Canadian cervical spine rules (CCRs) have acted as primary guidelines in emergency departments around the world to decide on the need for cervical spine X-ray in emergency settings. The aim of this study was to retrospectively analyze the efficiency of both the NEXUS low-risk criteria and CCR in confirming positive cervical spine injuries in emergency department settings. Aims and Objectives: The aim was to retrospectively analyze the efficiency of both the NEXUS low-risk criteria and CCR in confirming positive cervical spine injuries. Methods: A retrospective study involving 631 patients for 4 years aged above 18 years, who underwent a cervical spine X-ray from June 2018 to June 2022, were included in the study. From the eligible case records, the data pertaining to the NEXUS low-risk criteria and CCR were recorded. Along with this, the final diagnosis regarding the cervical spine injury, confirmed by subsequent computed tomography (CT) scan or magnetic resonance imaging (MRI), was also recorded. Results: The NEXUS low-risk criteria and CCR were met in 92.7% and 98.6% of the patients, respectively. The cervical spine X-rays were normal in 87.8% of the patients, fractures were recorded in 9.5% of the patients, and in 2.7% of the patients, doubtful lesions were present, which needed additional investigations in the form of CT scan or MRI or both. Conclusion: Both the Nexus and CCR guidelines act as a good guiding light in deciding about the need for the cervical spine X-ray in the emergency setup. Both guidelines are effective in ruling out cervical spine injuries in the majority of cases.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"154 - 156"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44210527","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":"Functional outcome of autologus platelet rich plasma injection as treatment for patients with lateral epicondylitis","authors":"Akshay Halkude, C. Manjappa, S. Shivaprakash, N. Shivakumar","doi":"10.4103/jodp.jodp_122_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_122_22","url":null,"abstract":"Background: Lateral epicondylitis is the most common chronic disabling painful condition affecting 1% to 3% of the population predominantly those between 35 and 55 years of age. Elbow pain with tenderness and restricted wrist extension is its common manifestations. Although a few conservative methods of treatment are available, recent studies have suggested platelet-rich plasma (PRP) to be a safe and effective therapy in relieving pain and improving function for tennis elbow. Aim: This study aims to study the efficacy of autologous PRP in tennis elbow. Materials and Methods: A prospective observational study was conducted in our hospital. Fifty patients with chronic lateral epicondylitis aged above 18 years were included in the study. All the patients had a minimum of 3 months of symptoms, were selected based on the inclusion and exclusion criteria and underwent the same method of treatment. All patients had a baseline assessment of numerical pain score and were repeated at 2 weeks, 4 weeks, 8 weeks, 3 months, and 6 months posttreatment. The PRP was prepared from venous whole blood. All patients had a single-dose injection of autologous PRP in their extensor tendons at the elbow through a peppering needling technique. Results: The patients were more often successfully treated. When baseline numerical pain scores were compared with those at 8 weeks, 12 weeks, and 24 weeks follow-up, they showed improvement over time. There were no complications observed related to the use of PRP. The difference between 1-, 2-, 4-, and 6-month pain reduction was tested for significance by Friedman's test and found that there was no significant difference in pain reduction between 2 months and 3 months, 2 months and 6 months, and 3 months and 6 months scores. However, there was a statistically significant difference in pain score in 1 and 2 months. Duration of symptoms suggests the chronic nature of disease. In this study, analysis was done based on the duration of symptoms. Thirty-two out of the 50 patients had pain for <6 months, 16 out of 50 patients between 6 and 12 months, and 2 out of 50 had symptoms of >1 year. In our study, it was found that mean pain score at the end of 6 months for patients with symptoms <6 months was 0.59, whereas the mean pain score of patients with symptoms from 6 to 12 months was 1.81. This indicates that duration of symptoms had a significant correlation with the clinical outcome after injection. Conclusion: Autologous PRP injection is a safe and useful modality of treatment in the treatment of tennis elbow. Maximum benefit after PRP injection was observed at 2 months and had sustained for at least 6 months. More trials are required to optimize the technique for separating PRP. These improvements were maintained over in our follow-up period without any significant complications. Long-term follow-up with more number of patients is needed to evaluate the lasting benefits of pain relief and functional improvement in lateral epicondylitis","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"169 - 173"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42693858","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":"Efficacy of tranexamic acid in reducing blood loss in posterior lumbar spine surgery for lumbar canal stenosis with/without instability: A prospective randomized double-blinded placebo control study","authors":"S. Srinivasalu, Milen Arouje, B. Mallikarjunaswamy, M. Mohan, N. Ankith, Mahesh Shekoba","doi":"10.4103/jodp.jodp_60_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_60_22","url":null,"abstract":"Introduction: Lumbar stenosis is a common disorder, commonly occurring at L4-5, with up to 91% of patients having neural compression at this level. Degenerative spinal stenosis with or without instability requiring multilevel spine surgery is associated with large blood loss. Tranexamic acid (TXA), a synthetic antifibrinolytic drug, has been reported to reduce blood loss in orthopedic surgery, but there have been few reports of its use in spine surgery. The objectives of the study were to assess the efficacy of TXA in reducing perioperative blood loss and assess the complications associated with its administration and need for blood transfusion during posterior lumbar spine surgery for lumbar canal stenosis (LCS). Methodology: Between November 2018 and August 2020, 130 adult patients (age 18–70 years) with LCS undergoing posterior lumbar instrumented spinal fusions at our institution were divided into TXA and control groups. Outcomes assessed are intraoperative blood loss (IOBL) and postoperative blood loss (POBL), hematocrit, need for allogeneic blood transfusion, and complications such as deep vein thrombosis, myocardial infarction, stroke, and seizures postoperatively. Results: There was a statistically highly significant reduction in the mean IOBL, POBL, mean postoperative hemoglobin, and postoperative packed cell volume in the tranexamic group compared to the control group. There was no significant statistical difference in need for blood transfusion among the two groups. No complications were observed in either group associated with administration of TXA. Conclusion: Prophylactic use of low-dose TXA provides an effective and safe method for reduction of blood loss during and after LCS surgeries. Low-dose TXA does not significantly affect the duration of surgery or need for blood transfusion. Higher-level multicentric studies are required to evaluate the safety of TXA in multilevel lumbar spine surgeries.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"137 - 141"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42148650","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":"Transosseous suture-aided proximal humeral internal locking osteosynthesis plate in proximal humerus fractures: A prospective study","authors":"Vishnu Bhargavan, A. Shyam Roy, R. Shibu","doi":"10.4103/jodp.jodp_52_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_52_22","url":null,"abstract":"Background: Fracture of the proximal humerus is the commonest fracture affecting the shoulder girdle in adults. Neer's 2, 3, and 4 part fractures are managed by operative fixation. Proximal humeral internal locking osteosynthesis (PHILOS) plate fixation is the treatment nowadays. However, accurate reduction of greater and lesser tuberosities may not be possible with a plate alone, which may lead to avascular necrosis of the humeral head. Transosseous suture fixation can accurately reduce the greater and lesser tuberosity fragments to shaft and head, but cannot maintain the reduction. A combination of transosseous suture fixation with PHILOS plate may be a viable option. Objective of Study: Our study was to evaluate functional outcome of transosseous sutures along with PHILOS plating for patients with proximal humerus fractures. Materials and Methods: The study was done as a prospective observational study of 40 consecutive patients with proximal humerus fractures, managed with transosseous suturing aided PHILOS plating. They were followed up for 6 months and evaluated using Constant Murley Scoring system. Results: The mean age of our patients was 52.86 years. The mechanism of injury was due to road traffic accident in 42.5% (17) and domestic falls in 57.5% (23). There were 20% two-part, 52.5% three-part, and 27.5% four-part fractures. Overall functional outcome was found to be good to excellent in 77.5% of our patients. The mean Constant Murley score achieved was 80.35. We found that patients with Neer's two-part and three-part fractures had the highest Constant scores (88.1 and 79.7. respectively) while patients with four-part had the lowest Constant scores (76). Patients <60 years showed better results. Conclusion: Transosseous suturing-aided PHILOS plating can be an excellent treatment option for osteosynthesis of complex proximal humerus fractures allowing early mobilization and good functional outcome. Transosseous suturing along with PHILOS plate can counteract the varus forces which can reduce complications such as late fracture displacement and avascular necrosis. There is no need for additional hardware, fibular graft, or exposure for the combined procedure to achieve a good outcome. Thorough knowledge of anatomy, proper fracture reduction and proper placement of locking plate are equally important for a superior outcome in these difficult fractures.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"124 - 131"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44383192","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":"Outcome analysis following posterior instrumentation, decompression, and intertransverse fusion for degenerative lumbar spondylolisthesis","authors":"P. Madhuchandra, G. Santhosh, K. Raju","doi":"10.4103/jodp.jodp_89_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_89_22","url":null,"abstract":"Background: Degenerative spondylolisthesis is one of the most common causes for low back ache and radiculopathy and causes disability. Various surgical procedures have been described to achieve fusion. Intertransverse fusion (ITF) is the simplest of all with very less rates of complications. Objectives: The objective of this study was to analyze the outcomes of posterior instrumentation with pedicle screws, decompression, and ITF in degenerative lumbar spondylolisthesis based on the clinical outcome with Oswestry Disability Index (ODI) questionnaire and also to assess the fusion rates. Materials and Methods: A single-grouped, prospective interventional study was conducted from June 2015 to June 2019 in a tertiary care hospital. A total of 44 patients with Grades I and II degenerative lumbar spondylolisthesis of the Meyerding radiological grading system were included in the study. Posterior instrumentation with pedicle screws, decompression, and ITF was performed in all these patients. Patients were assessed preoperatively and postoperatively using ODI-based questionnaire. Results: The mean preoperative Oswestry score was 58.33 ± 10.66 and the mean postoperative score was 24.26 ± 12.80 at 1-year follow-up. Fifty percent had excellent and another 50% had better results with overall 100% satisfactory results, with a mean preoperative and postoperative difference of 34.07 ± 18.00 for ODI. All patients achieved radiological fusion. Conclusion: The study observed that ITF for Grades I and II degenerative lumbar spondylolistheses is a safe and simple fusion procedure with lesser rates of complications and higher rates of radiological fusion.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"149 - 153"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48455092","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":"Correlation of short form 36 health survey with other relevant clinical scores in patients with degenerative lumbar spinal stenosis","authors":"Siddhartha Gupta, Tungish Bansal, Abhishek Kashyap, S. Sural, Vish Kumar","doi":"10.4103/jodp.jodp_57_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_57_22","url":null,"abstract":"Study Design: Observational study. Objectives: To investigate the correlation of Short Form Health Survey (SF-36) score with various relevant clinical scoring systems, in patients with degenerative lumbar spinal stenosis (LSS). Materials and Methods: Eighty-two patients aged more than 40 years with clinicoradiological features suggestive of degenerative LSS were enrolled. All patients completed 10 clinical scoring questionnaires, which included SF-36, Oswestry Disability Index, Swiss Spinal Stenosis (SSS) Questionnaire, Quebec Pain Disability, Visual Analog Scale (VAS) (back pain), Modified Japanese Orthopaedic Association (mJOA), Pain Disability Index (PDI), Self-paced Walking Test (SPWT), VAS (leg pain), and Neurogenic Claudication Outcome Score. A comparison of 8 health concepts of SF-36 and health change was done with other 9 clinical scores and they were statistically analyzed and correlated. Results: The mean age was 53.02 years and included 51 females (62.2%) and 31 (37.8%) males. Out of 8 health concepts, 3 of them, pain, emotional well-being, and energy/fatigue, showed a statistically significant moderate correlation with 6 clinical scores (SSS, QPD, VAS back pain, mJOA, PDI, and SPWT) (P < 0.05, r > 0.3). The mJOA scale showed a moderate negative correlation with 4 other components also namely, role limitations due to physical health, role limitations due to emotional problems, social functioning, physical functioning as well as health change (P < 0.05, r > 0.3). Role limitations due to physical health had a moderate negative correlation with QPD scale also (P < 0.05, r > 0.3). Conclusions: Pain, emotional well-being, and energy/fatigue showed a moderate correlation with maximum number of scores and mJOA scale had a moderate negative correlation with 7 out of 8 components of SF-36 as well as Health change.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"132 - 136"},"PeriodicalIF":0.0,"publicationDate":"2023-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70813697","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":"Predictability of degenerative disc disease by lumbar sagittal alignment on conventional radiograph in comparison with cross-sectional magnetic resonance imaging","authors":"P. Madhuchandra, K. Pawankumar, G. Santhosh, K. Raju","doi":"10.4103/jodp.jodp_79_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_79_22","url":null,"abstract":"Background: Degenerative disc disease (DDD) affects approximately 80% of the population. Changes in the magnitude of lumbar lordosis significantly change the weight-bearing patterns in lumbar facet joints and intervertebral discs. It is essential to understand the contribution of hypo and hyperlordosis toward the development of disc degeneration disease. Materials and Methods: A retrospective study of X-ray and magnetic resonance imaging (MRI) of the lumbosacral spine of 200 patients with chronic low back ache. The lumbar lordotic angle was measured in a standing lateral radiograph using Cobb's method (between the lines drawn along the inferior end plate of D12 and the superior end plate of S1 vertebrae). DDD was assessed on MRI based on the Pfirrmann grading system. The correlation between the lordosis measured on the radiograph and DDD on MRI was assessed. Results: We analyzed the lumbar sagittal alignment effect on the degree of disc degenerative disease. Out of 200 patients, 70 had no disc degenerative disease (Grade I, II) whose Cobb's angle was 45°–75°. The remaining 130 patients showed disc changes (Grades III-V) on MRI and had Cobb's angle <45° or >75°. There was a statistically significant difference between Cobb's angle in normal and DDD patients with P = 0.009 (P < 0.05). Conclusion: DDD correlated with deviation from an optimal lumbar lordotic angle (Cobb's angle) of 45° to 75°. Deviation from optimal values would compromise the optimal weight-bearing conditions on the lumbar spine resulting in DDD. These results may well have implications for the diagnosis, prevention, treatment, and rehabilitation of DDD.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"106 - 110"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41746271","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":"Vitamin D deficiency in proximal femur fractures: An observational, cross-sectional study","authors":"M. Al-Mendalawi","doi":"10.4103/jodp.jodp_81_22","DOIUrl":"https://doi.org/10.4103/jodp.jodp_81_22","url":null,"abstract":"","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"6 1","pages":"120 - 120"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45373149","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}