Journal of Orthopedics and Joint Surgery最新文献

{"title":"Efficacy of Single Intra-articular Injection of Hyaluronic Acid for Osteoarthritis of the Knee Joint in South Indian Population","authors":"V. Sengodan, Jenny J Pynadath","doi":"10.5005/jp-journals-10079-1094","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1094","url":null,"abstract":"","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132632269","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":"Computed Tomography-based Morphometric Analysis of Dorsal Vertebral Pedicle in South Indian Population","authors":"V. Sengodan, Jenny J Pynadath, Pranesh K Manivel","doi":"10.5005/jp-journals-10079-1101","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1101","url":null,"abstract":"","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"164 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122054273","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":"Management of Rare Case of Solitary Metastasis Shaft of Humerus with Pathological Fracture with Intercalary Resection and Nail Cement Implantation: A Case Report","authors":"Karthik Velayudham, Rajavarman Solayapan, Subin Sugath","doi":"10.5005/jp-journals-10079-1086","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1086","url":null,"abstract":"with an Osteolytic Lesion around the fracture site (Fig. 1 and 2). There was significant osteoporosis over the entire humerus. Oncologist was consulted then, he suggested MRI of Full length humerus with blood investigations including markers for multiple myeloma. General surgeon, gastroenterologists, and pulmonologist consultations were made to rule out any tumor and to look for primary lesion. MRI–suggested hypo dense lesion T1 at the diaphysis region with soft tissue extension–mostly suggestive of Metastasis, Lymphoma, Osteosarcoma. After these consultations, patient was investigated with PET scan, USG thyroid, CT-chest, CT-abdomen and pelvis, stool occult blood to look for signs of primary lesion and metastatic lesions. CECT–chest suggested? Squamous cell carcinoma in right lower quadrant. Bronchoalveolar lavage and biopsy did which showed EGFR TKI positive tumor. So patient has been started on Erlotinib, Afatinib as 1st line chemotherapy drugs and maintenance therapy for 4–6 cycles for tumour bulk reduction and as a palliative therapy. CECT abdomen was normal and there were no lesions in breast, prostate, thyroid, and adrenals. In t r o d u c t I o n","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"80 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114442813","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":"Budding Well: A Fun and Sharing-based Rehabilitation Program through Music and Arts for the Children and Teenagers with Extremity Anomalies","authors":"W. Chau, P. Ho, J. M. Wong, Alice Cheung, H. Wong, Gabby S-S Hui, Edwin G. Lee, Judia Sau-Chun Yue, M. Mak, W. Tse","doi":"10.5005/jp-journals-10079-1041","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1041","url":null,"abstract":"the functional development but also affect their selfconfidence in getting along with peers as well as their self-esteem due to the unfavorable cosmesis of their limbs. While parents may expect improvements in their children’s hand functions and cosmesis through surgery and subsequent rehabilitation program, they may still feel stressed when they must spend extra time to take care of the children. In t r o d u c t I o n","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124428406","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 Kinds of Cosmetic Appearances were Improved after Scoliosis Surgery in Adolescent Idiopathic Patients? A Longitudinal Long-term Postoperative 7-year Study Using Spinal Appearance Questionnaire","authors":"W. Chau, B. Ng","doi":"10.5005/jp-journals-10079-1048","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1048","url":null,"abstract":"were Improved A Longitudinal Background and aim: The primary purpose of spinal corrective surgery is to prevent scoliosis progression by spinal fusion at the regions of involvement. Patients would like to see corrections on their trunk appearance along with the spinal correction. Long-term longitudinal follow-up of cosmetic trunk appearance in surgical adolescent idiopathic scoliosis (AIS) patients using solely an appearance-specific questionnaire has not yet been reported. Materials and methods: All severe AIS patients operated on from the year 2014 to 2016 were recruited. They completed a spinal appearance questionnaire (SAQ) at a time point from <1 year to 6–7 years after surgery (7 time points). Spinal appearance questionnaire domain scores from the 7 time points were compared using ANOVA with multiple comparison corrections. Results: There were 76 severe AIS patients recruited, of which 74.1% were females, and the mean age at operation was 15.97. Mean”General,” “Waist,” and “Chest” SAQ domain scores were consistently scored high across the 7 time points. The “surgical scars” domain consistently scored the lowest among the nine SAQ domains. Female patients observed significantly better mean “Curve” and “Trunk shift” domain scores at 4–6 years compared with <2 years despite none found in male patients. Conclusion: Postoperative AIS patients were highly satisfied with their general appearance, waist, and chest 7 years after surgery. “Surgical scars” was persistently the least satisfied domain across the 7 years after surgery. Gender difference existed of which female patients felt significantly better on their “curves” and “trunk shift” after 4 years of surgery but the significance was not found in male patients.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131464484","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":"Research and Publication of Orthopedics in Tamil Nadu","authors":"P. S. V. Chezian","doi":"10.5005/jojs-4-1-v","DOIUrl":"https://doi.org/10.5005/jojs-4-1-v","url":null,"abstract":"","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115593417","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 Bipolar Hemiarthroplasty for Proximal Femoral Neck Fractures in Elderly: A Prospective Study","authors":"Vijayanand A Ramasamy, Rajkumar Nallan","doi":"10.5005/jp-journals-10079-1053","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1053","url":null,"abstract":"Aim and background: Hip fractures are the most frequently seen injuries by orthopedic surgeons and are particularly prevailing in the geriatric community. This study was performed to evaluate the efficacy of the bipolar hemiarthroplasty among elderly patients with a proximal femoral neck fracture. methods: This was a prospective study undertaken at the Department of Orthopedic Surgery at a tertiary care institute from January 2014 to December 2015. The patients were selected based on the convenience sampling (Judgment sampling) method. Bipolar hemiarthroplasty was performed. The majority had cemented implants, with three having uncemented. Functional outcome was assessed periodically at 6 weeks, 3 months, 6 months, and 1 year using modified Harris hip scoring system using coGuide for statistical analysis and p value set at 0.05. Results: A total of 43 patients >50 years of age with 23 (54.5%) males and 20 (45.5%) females, among which 39 (90.69%) with fractured neck of femur and 4 (9.31%) with trochanteric fracture were studied. Forty (93%) had cemented implants. Harris hips ROM score 5 was noted in 50% of the participants, scores 4 and 3 in 42.5 and 7.5%, respectively. Excellent functional score was noted in 16 (40%), good in 18 (45%), satisfactory in 3 (7.5%), and 3 (7.5%) had poor score. Only two (5%) participants had radiolucent zone >2 mm and one (2.5%) had subsidence of prosthesis >5 mm. Conclusion: Cemented bipolar hemiarthroplasty is present in mobile geriatric patients above 50 years of age with a proximal femoral neck fracture. Clinical significance: A bipolar hemiarthroplasty is a reliable option in treating fracture neck of femur in the elderly with several comorbidities. All the participants had a sufficient functional outcome in regular daily activity, less hospital stay, residual pain, postoperative functionality, and fewer postoperative complications. It can be used in day-to-day clinical practice.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114873714","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":"Traumatic Hip Dislocation: An Experience from a Public General Hospital of Brunei","authors":"P. Devkota, Shiraz Ahmad","doi":"10.5005/jp-journals-10079-1052","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1052","url":null,"abstract":"from August 2011 to March 2018. Computed tomography (CT) scan was not done regularly and also not required. Inclusion criteria were: (1) Patient managed at the hospital with TDH, dislocation reduced closely and surgical intervention done for acetabular fractures or other associated injuries; (2) Information available of the patient of 1 year after a dislocation. Exclusion criteria were: Dislocation of the hip due to pathological and congenital reasons, dislocation reduced by open surgical intervention, dislocation with acetabular fractures which was operated and adequate information not available on the records of the patient. Emergency reduction done and immobilization with skin tractions for 3 weeks in the hospital done. Discharged from the hospital and advised for non-weight bearing (NWB) crutch walk for another 3 weeks advised. We analyzed the epidemiological parameters like gender, age, and nationalities for each patient. The common causes of dislocations, a pattern of dislocation and associated injuries, In t r o d u c t I o n","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"12 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129257362","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":"Effectiveness of Standalone Weight-bearing Radiographs in Guiding the Management of Supination External Rotation Type Isolated Lateral Malleolar Fractures in Indian Population: A Prospective Clinical Study","authors":"Singaravadivelu Vaidyanathan, Vignesh Murali, Aju Bosco","doi":"10.5005/jp-journals-10079-1084","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1084","url":null,"abstract":"Aim and objective: To assess the effectiveness of standalone weight-bearing radiographs (WBR) in guiding the management of Supination External Rotation (SER), type of isolated lateral malleolar fractures in Indian population. Materials and methods: In a prospective study involving 19 consecutive patients with SER type of isolated lateral malleolar fractures, stability of the ankle was assessed using both WBR and external rotation stress radiographs. The decision toward conservative or surgical management was made solely on the assessment of ankle stability on WBR alone. Fractures with a medial clear space of <5 mm were deemed stable and managed conservatively (full weight-bearing in cast), while unstable ones were managed surgically (with open reduction and fibular plating). Periodic follow-up was done to assess radiological union and functional outcomes using the American Orthopaedic Foot and Ankle Society (AOFAS) score. Patient’s pain score visual analogue scale (VAS) and compliance was assessed during radiographic assessment. Results: Based on WBR alone, 17/19 (89.5%) fractures were found to be stable and treated conservatively, while 2/19 (10.5%) fractures were unstable and managed surgically. The mean AOFAS score in the conservative group [92.9 ± 3.4 (excellent)] and surgical group [91.5 ± 1.5 (excellent)] were comparable at latest follow-up. Complete radiological union was seen at 8.8 ± 1.9 (range, 8–14) weeks in 82% (14/17), while delayed union (union taking place >8 weeks) was seen in three patients in the conservative group. Four patients (21%), who would have been operated had external rotation stress views been used in decision making, were managed conservatively with successful clinical outcome and excellent AOFAS scores. Patient compliance was good with WBR as compared to external rotation stress radiographs. Conclusion: Standalone WBR are feasible, and reliable in detecting injury of the deep deltoid ligament and the consequent instability of the tibiotalar joint, in Weber type B fractures. They are associated with better patient compliance. Clinical significance: Standalone WBR serve as a useful guide in decision making between conservative and surgical treatment, in SER type isolated lateral malleolar fractures.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130057025","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":"A Novel Idea to Reduce the Consumption of Povidone-iodine in the Operation Theater: A Need of the Hour for Developing Countries","authors":"V. Sengodan, Kumaravel Ramakrishnan, S. Purushothaman, Karthikeyan Kandasamy, Murugesh Munusamy","doi":"10.5005/jp-journals-10079-1054","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1054","url":null,"abstract":"Introduction: Surgical site infection (SSI) is the most common hospital-related infection in developing countries. Antiseptics are used to prevent SSIs. Iodine, alcohol, and chlorhexidine are commonly used for preoperative skin preparation. Of these, povidone-iodine is most commonly used in the operation theater. Aim and objective: Our study aims to compare the quantity of povidone-iodine used in operation theater by a conventional method with the measurable spraying device method. Materials and methods: This prospective study was conducted in Government Coimbatore Medical College Hospital at Institute of Orthopedics and Traumatology, Coimbatore, Tamil Nadu from 2018 to 2019 in its four elective theaters and one 24 × 7 emergency operation theater. We sprayed povidone-iodine over the skin during the preoperative skin preparation and calculated the usage for every patient with measurement in the bottle and compared it with the conventional method of skin preparation with the gauze soaked in povidone-iodine solution in a sterile bowl. Results: The average amount of povidone-iodine solution used per case for the years 2018 and 2019 were 120.08 and 35.83 mL, respectively, thereby reducing 70% of the usage of povidone-iodine consumption. Conclusion: By using a transparent spraying bottle with measurement on the container, the quantity of povidone-iodine utilization in the operating room can be drastically reduced, thereby reducing the cost spent for antiseptics in health care.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115606600","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}