Indian Journal of Orthopaedics Surgery最新文献_第4页

Entry point decision in intramedullary fixation of radial shaft fractures in paediatric population- Should we care? 小儿桡骨干骨折髓内固定的切入点决定-我们应该关注吗?

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.007

Ankit Singh, A. Jawed, Vikas Gupta

{"title":"Entry point decision in intramedullary fixation of radial shaft fractures in paediatric population- Should we care?","authors":"Ankit Singh, A. Jawed, Vikas Gupta","doi":"10.18231/j.ijos.2023.007","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.007","url":null,"abstract":"Children and adolescents are prone to diaphyseal both bone forearm or radial shaft fractures. The use of ESIN (Elastic stable intramedullary nailing) for intramedullary fixation is recommended in such fractures with significant angulation/malrotation. Comparative study of complications resulted by the two most common entry points: Lister’s entry point and lateral entry was done. We report a prospective one-year comparative study of seventeen patients who were operated with ESIN (Lister’s entry/Lateral entry) and complications were ascertained of either entry points using CHOP parameters.All seventeen patients underwent surgical intervention.Two out of eight cases with lister’s entry developed EI (Extensor indicis ) and EPL injury respectively whereas none of the patients with lateral entry showed any long term complications. No complications of infections, malunion or non-union was seen.We recommend using a lateral entry point based on our findings. Dorsal entry/Lister’s entry point complicating in extensor tendon injury often results in long term complications prolonging period of rehabilitation.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121073589","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

Validity of percutaneous external fixator for calcaneal fractures to allow early weight bearing 经皮外固定架治疗跟骨骨折早期负重的有效性

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.006

Marimuthu Sivagnanam, Surendhar Rathinasamy, R. Selvaraj, Anbuvigneshwaran Balakumaran

{"title":"Validity of percutaneous external fixator for calcaneal fractures to allow early weight bearing","authors":"Marimuthu Sivagnanam, Surendhar Rathinasamy, R. Selvaraj, Anbuvigneshwaran Balakumaran","doi":"10.18231/j.ijos.2023.006","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.006","url":null,"abstract":"Calcaneum, the most common tarsal bone to fracture affecting manual labourers who were sole breadwinners of the family. Generally treated with below knee pop and ORIF, commonly associated with complications and delayed weight bearing. This study analyses functional outcome of early weight bearing with minimally invasive skeletal stabilisation of calcaneal fractures.This study was conducted at Institute of orthopaedics and traumatology, Coimbatore medical college and Meenakshi medical college hospital and research institute, Kanchipuram between July 2019 to October 2021. 15 patients in age group 20-65 years with 19 calcaneal fractures less than 4 weeks duration are included in study.Surgery averaged 1.6 days after injury. Full weight-bearing was achieved in 11.7 days for unilateral calcaneal fractures (range 9 to 15 days) and 43.5 days for bilateral fractures (40 to 49 days). Patients returned to work in 35.6 days on average (range 24 to 52 days). All 19 calcaneal fractures healed in 52.63 days. External fixator removal averaged 56.57 days. Two patients had postoperative pin site infections. No bones were infected. Six-month AOFAS scores averaged 86.15.In our study calcaneal fractures are fixed with mini external fixator percutaneously and it can be used in presence of compound fractures and with skin blisters. Though anatomical reduction cannot be attained completely weight bearing is possible from 2nd day after surgery and full weight bearing was possible in 2nd week. The limitations of our study include a smaller number of cases. A large multi-centric study may be necessary to confirm our results.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134542625","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

Aid in need - Manageable but not ideal a tale of knee replacement in distal femur fracture for early mobilisation 需要的援助-股骨远端骨折早期活动的膝关节置换术可控制但不理想

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.010

Ravitheja Jampani, Vasireddy Nayanatara, Jagadeesh Nallamothu

引用次数: 0

Morphometric study of patella to assess the feasiblity of patellar resurfacing in patients undergoing total knee replacement 髌骨形态计量学研究评估全膝关节置换术患者髌骨表面置换的可行性

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.002

Rohan Krishnan, R. Lalchandani, Jaiveer Singh, Mohit Singh, Askash Tomar

{"title":"Morphometric study of patella to assess the feasiblity of patellar resurfacing in patients undergoing total knee replacement","authors":"Rohan Krishnan, R. Lalchandani, Jaiveer Singh, Mohit Singh, Askash Tomar","doi":"10.18231/j.ijos.2023.002","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.002","url":null,"abstract":": We aimed at determining about the suitability of implants available for Indian population by assessing the intra op measurement of patella in all its dimensions viz anteroposterior, superioinferior and mediolateral diameter in Indian patients.Also, we aimed at proving that whether any co-relation exists between radiological and intraoperative morphometry of patella. We also wanted to study whether any correlation exists between patellar size and anthropometric parameters like height and age.: 55 patients of grade 4 OA knee were selected for this study and pre op x-rays were obtained, AP View, Lat View, Skyline view and Merchant view. Preop Morphometery of patella was recorded on x-ray findings. All patients were operated by standard midline incision with medial parapatellar arthrotomy.Intra op measurement of patella was done via Vernier caliper and measurements were recorded.: Prospective cohort study. The smallest available patellar implant in India is about 8 mm in size which is not suitable for Indian patient.most of the patients were having patellar morphometery lower than the expected size for patellar resurfacement. Hence patellar resurfacement was not an option for many of the patients because of unavailability of patellar implants of appropriate size.: Hence in this study we conclude that there is a need of better designed implants for Indian patients as the presently available implants are mainly designed for western population making it unfeasible to resurface patella for Indian surgeons.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132211307","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

Technique of tension band wiring in patella fracture management-our experience 张力带钢丝在髌骨骨折治疗中的应用经验

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.001

Veerabhadra Javali

{"title":"Technique of tension band wiring in patella fracture management-our experience","authors":"Veerabhadra Javali","doi":"10.18231/j.ijos.2023.001","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.001","url":null,"abstract":": Fractures of the patella account for about 1% of all skeletal injuries. Displaced patella fractures often result in disruption of the extensor mechanism of the knee. Open reduction and internal fixation is the recommended treatment to restore the extensor mechanism Tension band wiring (TBW) technique using K-wires and stainless steel wires is the most commonly used. The purpose of this study is to study surgical outcome of patella fractures treated with, tension band wiring (TBW) technique and functional outcome of patella fractures treated with TBW technique. It is a Retrospective study of 21 patients carried out from July 2019 to February 2021 admitted to orthopedic ward at our institution. All patients underwent same surgical technique and similar postoperative and physiotherapy protocol. Bostman scoring system was used to perform functional assessment.: In our study there were 14 males and 7 females. Fracture union was achieved in all patients. The mean bostman score was 26.54 at the final follow up.we had 4 complications 1 superficial infection of the surgical wound, 1 knee stiffness and 2 cases of symptomatic implant. We had 8 excellent, 9 good and 4 satisfactory result.: Tension band wiring technique for transverse patella fractures can be a very good option with effective fixation method and relatively easy surgical procedure.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115107086","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

Single dorsal incision approach for plate fixation of radius ulna midshaft fracture; interesting case report 单背切口入路治疗桡骨尺骨中轴骨折钢板固定有趣的病例报告

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.009

A. Mane, Neel Kamal Sourav, Ankit B Waghela, Vijay M. Panchnadikar

{"title":"Single dorsal incision approach for plate fixation of radius ulna midshaft fracture; interesting case report","authors":"A. Mane, Neel Kamal Sourav, Ankit B Waghela, Vijay M. Panchnadikar","doi":"10.18231/j.ijos.2023.009","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.009","url":null,"abstract":"Radius and ulna shaft fractures, also known as both bone forearm fractures, are common fractures caused due to direct or indirect trauma. Open reduction and internal fixation with plating by two separate incisions is a standard and widely accepted mode of fixation. We report a case where we approached the fracture with a single dorsal incision. An eighty years old female had fractures of both radius and ulna shaft with Gustilo Anderson type two open injury. We managed the patient with single-stage debridement, open reduction, and dynamic compression plate (DCP) fixation of both bones with a single dorsal curvilinear incision and followed up postoperatively for one year. At the end of the last follow-up, the patient had no pain with a full range of movement. There were no wound-related issues. Radiologically complete union occurred without complications mentioned in the literature, such as synostosis.: We found that under specific circumstances such as open injury where two separate incisions for radius and ulna are inappropriate, a single dorsal curvilinear incision for radius and Ulna midshaft fractures is a safe and effective alternative method.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115803124","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

Terrible than terrible triad of elbow 比可怕的肘部三重奏更可怕

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.008

Abhishek Shinde, Monika Verma

引用次数: 0

A rare case report of tuberculosis osteomyelitis of pubic symphysis 耻骨联合结核性骨髓炎1例

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.012

Avinash Meda, Raju Kulkarni, Shivraj A C

{"title":"A rare case report of tuberculosis osteomyelitis of pubic symphysis","authors":"Avinash Meda, Raju Kulkarni, Shivraj A C","doi":"10.18231/j.ijos.2023.012","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.012","url":null,"abstract":"Less than 2% of all hematogenous osteomyelitis occurs in the pubic symphysis, making it a very uncommon condition. 10-15% of all instances of extra-pulmonary tuberculosis are caused by skeletal TB. We describe a rare instance of pubic osteomyelitis caused by tuberculosis in a 58-year-old woman who initially complained of discharge in the suprapubic region for 8 months. Patient was admitted due to suspected pubic symphysis osteomyelitis caused by TB. Based on preoperative studies, surgery was planned. Due to a suspicion of tuberculosis, debridement was performed and stimulan antibiotic beads were inserted. CB-NAAT and histopathology samples were sent. When CB-NAAT tested positive for multidrug-resistant tuberculosis (MDR-TB) and started on antitubercular therapy (ATT), HPR indicated granulomatous inflammation. After receiving MDR-TB treatment, there was no discharge from the location. Following surgery, there was a year of follow-up. Patient made a full recovery without any site discharge. This example serves to illustrate our approach to treating pubic symphysis osteomyelitis caused by TB. Osteomyelitis of the pubic symphysis, stimulating antibiotic cement beads, CB-NAAT, MDRTB, ATT.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"2008 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127317790","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

Mucormycosis in compound grade IIIa tibial plafond with medial malleolus fracture: A case report 复合IIIa级胫骨平台伴内踝骨折毛霉菌病1例

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.011

Vamanagiri Rahul Yadav, Vamshi Krishna Reddy C

{"title":"Mucormycosis in compound grade IIIa tibial plafond with medial malleolus fracture: A case report","authors":"Vamanagiri Rahul Yadav, Vamshi Krishna Reddy C","doi":"10.18231/j.ijos.2023.011","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.011","url":null,"abstract":"Tibial plafond fracture is defined by intra articular involvement of the distal tibia with metaphyseal extension. The plafond fracture accounts for less than 1% of lower limb injuries and 3–10% of tibial fractures. The rate of deep infection in open ankle fractures is approximately 5%. Pilon fractures are frequently associated with severe soft- tissue injuries that alter the management plan. Here we describe the case of 35year old man brought to ER after sustaining machinery injury to right ankle. On local examination a Laceration of 7x2x2 cms present over left ankle anteriorly extending from Medial Malleolus to Lateral Malleolus and cut ends of tendons of extensor digitorum longus, extensor hallucis longus and Tibialis anterior were identified. X-ray left ankle Ap and Lateral views were taken. X-ray showed Left Distal Tibia fracture. Thorough Wound wash given. Under spinal anesthesia debridement of wound was done and K-wire fixation done for distal tibia fracture. Tendon repair for extensor digitorum longus, extensor hallucis longus and tibialis anterior done using Ethibond suture material using Modified Kessler Technique. On 2 Post operative day a swab from the wound site sent for culture and sensitivity which revealed fungal growth of zygomycetes species. In view of angioinvasive properties of Zygomycetes, after checking Renal parameters patient was started on Inj Amphotericin B 1mg/kg for 4 days and later converted to Tablet Posaconazole 600mg BD. Patient was kept on posaconazole tablet for 6weeks. Regular dressings were done. On regular follow ups and regular dressings wound healed well.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"208 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123253833","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

Ultrasound guided percutaneous tenotomy for lateral epicondylosis 超声引导下经皮肌腱切开术治疗外侧上髁病

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.003

Irfan Chhipa, Z. Wells, C. Leinberry, S. Namdari, Michael J. Gutman, L. Banner

{"title":"Ultrasound guided percutaneous tenotomy for lateral epicondylosis","authors":"Irfan Chhipa, Z. Wells, C. Leinberry, S. Namdari, Michael J. Gutman, L. Banner","doi":"10.18231/j.ijos.2023.003","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.003","url":null,"abstract":"Lateral elbow tendinopathy is a common condition affecting two to three percent of the population. While non-operative management is the mainstay of treatment, 10-15% remain refractory. Ultrasonic percutaneous tenotomy is a recent therapeutic option for clinicians to treat lateral elbow tendinopathy. The goal of this study was to evaluate the survival rate of ultrasonic percutaneous tenotomy in the treatment of lateral elbow tendinopathy. 83 patients underwent ultrasonic percutaneous tenotomy from September 2015 to August 2018 and met full inclusion criteria to participate. 63 patients consented to enroll in the study, with 50 (79.4%) completing the postoperative questionnaire. Data obtained included range of motion, patients’ report of improvement, Quick Dash Score (Q-Dash), Visual Analogue Scale (VAS) pain, VR 12, Mayo Elbow Performance, patient satisfaction, further post-operative adjunct procedures which included additional steroid injections, platelet-rich plasma (PRP) injections or need for reoperation at a minimum of 12 months post procedure. Overall survival rate for ultrasonic percutaneous tendinopathy was 94% (47/50). Three patients required post-operative adjunct procedures, two received steroid injections and one required PRP injection. Mean VAS score improved from 8.1 to 2.8 in the no failure group vs 7.9 to 2.7 in the failure group. Mean postoperative Mayo Elbow score and Q-DASH score was 89 (range 60 to 100) and 12.7 (range 2.3 to 61.4), respectively. 84 percent of patients were either very satisfied (N=31) or satisfied (N=11) with their procedure. This three year study demonstrates that ultrasonic percutaneous tenotomy appears to be a safe and efficacious therapeutic option with a high survival rate for patients with recalcitrant lateral elbow tendinopathy.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127462624","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