Journal of Orthopaedic Diseases and Traumatology最新文献

{"title":"Women in orthopaedics: The missing wow factor","authors":"G. Dharmshaktu, Ishwar S. Dharmshaktu","doi":"10.4103/jodp.jodp_31_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_31_21","url":null,"abstract":"","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"115 - 116"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43723773","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 lateral extra-articular tenodesis on anterior cruciate ligament reconstruction with quadrupled hamstring graft: Magnetic resonance imaging evidence and clinical follow-up","authors":"L. Singh, S. Sinha, I. Kumar, A. Verma, S. Saraf, Tejbali Singh, S. Pandey","doi":"10.4103/jodp.jodp_17_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_17_21","url":null,"abstract":"Background: Isolated anterior cruciate ligament (ACL) reconstruction is frequently associated with anterolateral ligament injury (ALL) and results in residual instability at follow-up. It was hypothesized that patients who underwent combined ACL and lateral extra-articular tenodesis (LET) reconstruction would exhibit less residual laxity, better clinical outcomes, and better graft incorporation on follow-up magnetic resonance imaging (MRI) as well. Patient and Methods: Sixty-four patients with concomitant ACL and ALL injuries who were operated over a period of 2 years were enrolled between 2016 and 2018. Two groups of patients were evaluated prospectively. Eighteen patients in control Group B underwent anatomical ACL reconstruction alone, and 20 in test Group A underwent ACL reconstruction combined with LET. Exclusions were multiligament injuries, chondral injury, meniscus tear, and ramp lesion. Follow-up by Lysholm and modified Cincinnati knee rating was done and MRI for status of graft at least 1-year postoperative. Results: After excluding dropout or inadequate follow-up, Group A (n = 20) with ACL + LET was compared with Group B (n = 18), with isolated ACL reconstruction, at final median follow-up of 18 months. There were no significant differences between groups regarding gender, age, and duration of injury. Regarding functional outcome scores, patients in the LET group presented better results on both the clinical scoring (P < 0.0001). In addition, patients in the LET group had better graft uptake on MRI and no pivoting at physical examination. Regarding graft failures, the isolated ACL reconstruction group had 5 and the LET group had 1 failure. Conclusion: The combined ACL and LET reconstruction in patients with ACL injury is an effective and safe solution and leads to good functional outcomes with no increase in complications and aids in early return to preinjury activities with a surviving healthy graft.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"72 - 79"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47675464","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 proximal fibular osteotomy in medial compartment knee osteoarthritis","authors":"Priya Ranjan, R. Anand, Rakesh Choudhary","doi":"10.4103/jodp.jodp_29_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_29_21","url":null,"abstract":"Aims: Medial compartment arthritis is very common in the Asian population because of a preponderance of varus knees. High tibial osteotomy and total knee replacement are technically demanding procedures, while proximal fibular osteotomy (PFO) significantly relieves pain and improves joint function in knee osteoarthritis (OA). This retrospective study was conducted at Patna Medical College and Hospital. The objective of this study was to assess functional outcomes after PFO and its correlation with bone mineral density. Settings and Design: The study design was a retrospective study. Subjects and Methods: Twenty patients with unicompartmental OA with varus deformity were included in the study. Inclusion criteria included patients with moderate-to-severe symptomatic medial unicompartmental OA of the knee, who had an indication for a surgical procedure, and who were able to give informed consent for the surgery. Exclusion criteria included patients with posttraumatic knee OA or inflammatory joint disease and patients with a history of previous operations or fractures the primary outcome was measured by calculating the ratio of knee joint space. The secondary outcome measure was pain measured by the visual analog scale (VAS). Statistical Analysis Used: Statistical analysis was performed by measurement of study variable. Results: Immediate postoperative pain relieved was noticed in all twenty patients. While at 1-, 3-, and 6-month follow-up, pain relieved was noticed maximum in osteoporotic group patients (n = 12). At 9-month follow-up, pain relieved was noticed equally in all patients. Radiographs of the weight-bearing lower extremity showed an average increase in the medial knee joint space postoperatively compared with preoperatively. The ratio of the knee joint space (medial/lateral compartment) improved significantly from 0.50 ± 0.30 preoperatively to 0.58 ± 0.28 postoperatively. Conclusions: PFO is a simple, safe, fast, and affordable surgery to relieve pain and improve joint function and the medial joint space in knee osteoarthritis, particularly in osteoporotic individuals.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"107 - 110"},"PeriodicalIF":0.0,"publicationDate":"2021-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42690163","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":"Graft diameter as a predictor for functional outcome following arthroscopic anterior cruciate ligament reconstruction: A prospective study","authors":"Sudeep Kumar, Anup Kumar, Ravi Kumar","doi":"10.4103/jodp.jodp_9_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_9_21","url":null,"abstract":"Background: The purpose of the study was to find the effect of autologous hamstring tendon graft size on patient reported outcome (PRO) measures following Arthroscopic Anterior cruciate ligament (ACL) reconstruction. Materials and Methods: A review of prospectively collected cohort data of 90 patients who had undergone primary ACL reconstruction using hamstring tendon autograft was evaluated. Patient's age, sex, graft diameter at the time of surgery, and minimum of 2 years postoperative functional outcome were assessed using PRO measures, i.e. Tegner Lysholm Knee (TLK) Scoring Scale, Knee Injury and Osteoarthritis Outcome Score (KOOS), and International Knee Documentation Committee score. Mean of the three scores was calculated along with that of graft diameter, and Pearson correlation coefficient was calculated to find the relation between graft diameter and the three-PRO measure scores independently. Two-tailed test was used to compute the statistical significance of parameter inferred from the data sheet. Results: There was a positive linear correlation between the graft diameter and three PRO measures independently; however, two-tailed tests for statistical significance were significant only for TLK Score and KOOS. Conclusion: We conclude that hamstring autograft diameter is one of the important predictor for postoperative functional outcome, and hence, a thicker diameter graft is desirable.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"42 - 46"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46199722","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":"Orthopaedics in covid era","authors":"A. Dube","doi":"10.4103/2665-9352.324639","DOIUrl":"https://doi.org/10.4103/2665-9352.324639","url":null,"abstract":"","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"19 - 19"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46465034","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":"Effect of embolization in the definitive and palliative management of bone and soft tissue tumors of the extremities","authors":"Ravikant Thakur, V. Aggarwal, Ekta Dogra, A. Salaria, R. Bhardwaj, Shashikant Sharma, Pooja Thakur","doi":"10.4103/jodp.jodp_2_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_2_21","url":null,"abstract":"Introduction: Surgery may be complex in some bone and soft tissue tumors. Preoperative intra-arterial embolization is a developing method for benign and malignant tumors. The present study was done to assess the outcome on the size of tumor and blood loss by preoperative tumor embolization and pain relief in patients with inoperable tumors. Materials and Methods: Twenty-five patients with biopsy-proven bony tumors of extremities were subjected to embolization. In 12 cases, embolization was done preoperatively to decrease the blood loss. In 13 patients, it was done as a palliative treatment to reduce pain, as patients were inoperable. The embolization was done with the right Judkins catheter. Some cases were done with a microcatheter. The material used for embolization was either polyvinyl alcohol (PVA) particles, microcoils, or gel foam used in various combinations, selectively into the feeding vessel. Results: Mean age of the patients was 44.5 years. Fifteen were male and 10 were female. A total of 60 vessels were embolized, 25 with gel foam, 24 with PVA particles, and 11 with microcoils. In 90% of operated patients, gel foam was used, whereas, in almost 100% of nonoperated patients, PVA particles were used. There was a significant decrease in blood loss in patients with preoperative embolization (865 ± 420 vs. 1633 ± 660 ml). In patients with palliative embolization, the mean pain score before embolization was 6.32–2.58, which was decreased to 3. 2–1.53. Conclusion: Preoperative and palliative transarterial embolization of soft tissue and bony tumors is a safe, effective, and minimally invasive modality for pain relief and de-vascularization of large bony tumors in anatomically difficult locations.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"26 - 31"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47475118","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":"How long can secondary resurfacing surgery be delayed with continuous irrigation therapy for gustilo-anderson type iii fracture? A retrospective clinical study","authors":"M. Fujioka, K. Fukui, Miho Noguchi","doi":"10.4103/jodp.jodp_4_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_4_21","url":null,"abstract":"Background: The resurfacing of Gustilo–Anderson (GA) IIIB and C fractures remains challenging. Immediate debridement and external stabilization of the fracture followed by early internal fixation along with wound closure using flaps are recommended. Although it requires early soft tissue reconstruction, it is not always possible. We considered that continuous wound irrigation might reduce the chance of infection and extend the delay period until the secondary surgery. Patients and Methods: A total of 19 patients with GA IIIB and C fractures who underwent debridement and external fixation were evaluated. Among them, 18 cases were examined, excluding one who received amputation. Ten underwent wound-resurfacing surgery within 10 days after injury, and the other 8 did so after 11 days. We examined the frequency of osteomyelitis development depending on the timing of wound closure and predicted how long secondary wound closure surgery could be delayed on the application of continuous irrigation therapy. Results: Eight patients developed osteomyelitis. The number of days until wound closure in the group that developed osteomyelitis was significantly greater than in those who did not develop osteomyelitis group (P < 0.05). Only one patient (10%) developed osteomyelitis in the early resurfacing group, while 7 (87%) did so in the late resurfacing group. There was a significant difference between the groups (P < 0.01). Conclusion: This study showed that that the continuous irrigation method could extend the delay time until the secondary surgery for GA III fractures. However, it suggested that the waiting should be limited to a maximum of 10 days.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"36 - 41"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44565683","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":"Pitfalls of ultrasonic bone scalpel: A case-based discussion","authors":"Vishal Kumar, A. Salaria, Ashish Daggar, D. Neradi, S. Dhatt","doi":"10.4103/jodp.jodp_5_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_5_21","url":null,"abstract":"The role of ultrasonic bone scalpel (UBS) in the field of spine surgery is well known. There are numerous studies in the literature advocating its use where bone cutting in the form of laminectomy, laminotomy, foraminotomy, or vertebral body resection is required. Its principal advantage is the relative sparing of the soft tissues. The literature mentioning the complications and technical difficulties of UBS use is scarce and scanty. We report a unique complication encountered during its use and discuss some of the technical difficulties which need to be addressed with the aim and intent to caution the surgeons regarding its proper use. While performing laminectomy we encountered a unique complication of breakage of the blade of UBS. Although well-known for greater accuracy, reduced bleeding, reduced operative time, and en bloc removal of the bone as compared to traditional bone cutting devices even then it has to be used with great caution, and there is a learning curve of the technique which needs to be mastered.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"47 - 49"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48745972","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":"Epidemiology of cervical spine injury in Northern India: A retrospective study","authors":"Ashish Dagar, A. Salaria, Vishal Kumar, Karthick Rangasamy, S. Dhatt","doi":"10.4103/jodp.jodp_3_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_3_21","url":null,"abstract":"Background: The epidemiology of cervical spine injuries in trauma patients of Northern India is largely unknown. Study Design: Retrospective study. Objectives: To find out the epidemiology and demographic factors associated with patients of traumatic cervical spinal injury presented to a level 1 trauma center. Patients and Methods: The study sample includes patients with cervical spine injury admitted to our level one trauma centre from the period of July 2018 to June 2019. Those patients who succumbed to their injuries due to various reasons before imaging or brought dead having suspected cervical spine injury were excluded from the study. Results: During the study period, 83 patients having cervical spine injury were admitted and treated. Out of 83, 75.9% (63) were male and the remaining 24.1% (20) were female. The most common mode of injury was fall from height (66.3%) followed by road traffic accidents (24%). About 64% of the patient population belonged to rural areas. The most affected age group in this study was 20–39 years. The most common associated injury is Extremities fracture (9.6%) followed by head injury (8.4%). C5C6 was the most common level and 69.9% underwent surgery. Pressure sore was presented in 12% of cases. Conclusion: The epidemiology of cervical spine injury in Northern India is different from developed countries. In the present study, the most common cause of cervical spine injury was fall from height followed by motor vehicle accidents. Proper awareness program, educating people, national policymaking, and involvement of NGOs and training primary health care workers will help in reducing the incidence of cervical spine injuries in this region","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"32 - 35"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46352693","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":"Lateral elbow dislocation with medial epicondyle fracture in a kabaddi player: A case report of rare association","authors":"D. Pratap, N. Agarwal, T. Ansari, G. Dharmshaktu","doi":"10.4103/jodp.jodp_7_21","DOIUrl":"https://doi.org/10.4103/jodp.jodp_7_21","url":null,"abstract":"Lateral elbow dislocation is a rare injury with few reported cases. Most elbow dislocations are posterior and many have associated fractures of either humeral condyles. The medial epicondyle fracture in the setting of lateral elbow dislocation is a rare injury pattern. We report a case of lateral elbow dislocation with medial epicondyle displaced fracture in a 15-year-old male patient following a contact-sports-related injury. The elbow was reduced in the emergency and the medial fracture was fixed later with a pin and screw. There was no ulnar nerve injury associated primarily with the injury and was also not observed after surgery or during follow-up. The functional outcome was good and fracture united uneventfully. The patient had stable elbow with good range of motion and no clinical instability noted in the follow-up of 13 months. There was, however, gradual loosening of the screws noted in the follow-up and implants were removed at 9 months. There was 10° of cubitus valgus noted at last follow-up and the Mayo Elbow Performance Score was 90 depicting excellent outcome. The lateral elbow dislocation requires careful identification and exclusion of any associated nerve injury, soft tissue injury or bony fracture or their incarceration. The standard management and early rehabilitation leads to the optimum outcome.","PeriodicalId":34809,"journal":{"name":"Journal of Orthopaedic Diseases and Traumatology","volume":"4 1","pages":"50 - 52"},"PeriodicalIF":0.0,"publicationDate":"2021-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43810448","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}