Indian Journal of Orthopaedics Surgery最新文献_第5页

Evaluation of functional and radiological outcome of transverse cancellous lag screw fixation technique in pauwels type 3 fracture neck of femur 横松质螺钉固定技术治疗3型股骨颈骨折的功能及影像学评价

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.005

Gourav Mazumdar, A. Singh, Alif Nidal Vilangil, Fazlur Rahmon

{"title":"Evaluation of functional and radiological outcome of transverse cancellous lag screw fixation technique in pauwels type 3 fracture neck of femur","authors":"Gourav Mazumdar, A. Singh, Alif Nidal Vilangil, Fazlur Rahmon","doi":"10.18231/j.ijos.2023.005","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.005","url":null,"abstract":"The study was conducted to evaluate the outcomes of transverse cancellous lag screw (TCLS) fixation in pauwels type 3 fracture neck of femur (NOF). 29 patients with pauwels type 3 fracture neck of femur were operated with transverse cancellous lag screws. Functional outcome was evaluated using Harris hip score while RUSH score was used to evaluate radiological outcome. The follow up period was 6 months. Quantitative variables were compared using unpaired t- test/Mann- Whitney test. Qualitative variables were compared using Chi-Square test /Fisher’s exact test. Pearson correlation coefficient/Spearman rank correlation coefficient was used to find out the correlation between quantitative variables. A p value of <0.05 was considered statistically significant. Mean Harris hip score was 84.86 with excellent outcomes in 44.82% of patients. Mean RUSH score was 26.55 at the end of 6 month follow up. The mean time to union was 4 months and the union rate was 93.10%. Over all TCLS fixation technique had good results in our study. This construction not only improves the compression pressure across the fracture site, also offer a multi-plane structure to lock the fracture ends. The addition of the transverse lag screw (inserted perpendicularly to the fracture line) allows optimum control of shear forces in the fracture ends. The transverse screw also provides rigid cortical support by transferring the bending moments from the femoral head and neck to the enhanced posterior lateral cortical support, which harmonized the function of the calcar femorale.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"9 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":"131306070","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

Functional outcome analysis of ilizarov ring fixator as definitive fixation of open tibial fractures ilizarov环固定架作为开放性胫骨骨折最终固定的功能结果分析

Indian Journal of Orthopaedics Surgery Pub Date : 2023-03-15 DOI: 10.18231/j.ijos.2023.004

N. D. Bhosale, D. Naikwade

{"title":"Functional outcome analysis of ilizarov ring fixator as definitive fixation of open tibial fractures","authors":"N. D. Bhosale, D. Naikwade","doi":"10.18231/j.ijos.2023.004","DOIUrl":"https://doi.org/10.18231/j.ijos.2023.004","url":null,"abstract":": Ilizarov fixator for open tibia fractures permits axial micro mobility at fracture site to encourage bone regrowth. Literature search revealed dearth of studies from Indian centres which have evaluated its utility in open tibia fractures. : This was an observational prospective study conducted by Department of Orthopaedics at VVPF Medical College, Ahmednagar in Maharashtra, between July 2021 to June 2022. All patients who had open tibia fractures and managed by Ilizarov ring fixator were included. Duration of treatment with fixator was evaluated, along with range of motion at knee and ankle, union status and complications.: 30 patients were enrolled, majority being males (n=22, 73.33%). Most patients suffered from fractures of right side (n=21, 70%) confined to metaphyseal region (n=16, 53.33%). Commonest mode of injury was road traffic accidents (n=26, 86.67%). Based on Gustilo-Anderson classification, majority cases were grade IIIA (n=16, 53.33%). 23 cases (76.67%) were managed initially with external fixators, while 7 cases were directly managed with Ilizarov ring fixator. Most cases (n=15, 50%) received definitive fixation on day-3 of injury. Commonest complication noted was pin site infection (n=11, 36.67%) and delayed union (n=4, 13.33%). Knee stiffness at 30was noted in 3 cases, corrected by physiotherapy. All patients attained fracture union, with the earliest evidence of radiological union observed after 2 months of surgery. : As it allows for early full weight bearing mobilisation, has higher union rates and lesser incidences of malunion, use of Ilizarov external fixator maintains its importance in the management of open tibial fractures.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"24 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":"127652131","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

Right foot – osteochondroma - A case report 右脚骨软骨瘤1例报告

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.055

Joseph Sajeev, J. Cherian, Jerin Jeevo, Ken Philip

{"title":"Right foot – osteochondroma - A case report","authors":"Joseph Sajeev, J. Cherian, Jerin Jeevo, Ken Philip","doi":"10.18231/j.ijos.2022.055","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.055","url":null,"abstract":"Osteochondromas are thought of as benign bone tumours, however they are actually developmental defects.A long tubular bone that may be sessile or pedunculated has an outgrowth with cartilage covering it that is visible on radiographs. Additionally, the cartilage cap can harden. Any changes in radiological appearance are strongly indicative of chondrosarcoma, particularly those with ill-defined border development and thickening of the cartilage cap >15 mm.: An insidious onset, slow progression, and lack of aggravating or alleviating variables were all complaints made by a 21-year-old male patient with swelling and pain across the right foot dorsal side for the past two years Upon examination, there was a firm, irregularly shaped, 5 to 6 cm swelling over the dorsal part of the right foot that was attached to the underlying bone.: The majority of benign bone tumours, or 36% to 41% of all benign bone tumours, are conventional osteochondromas. Osteochondromas are uncommon in the foot and ankle regions, but if a big osteochondroma develops in these areas and is interfering with function, it should be removed. The amount of the lesion, any soft tissue involvement, and the depth and placement of the cartilage cap can all be seen on an MRI, which is helpful in the workup of an osteochondroma that is symptomatic or worrisome.According to histology, the osteochondroma's cap is made of hyaline cartilage, with well-differentiated cells abundantly spaced out by cartilage matrix and oriented in columns that mimic the epiphyseal growth plate in the deepest levels of the cap.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"193 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115640282","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

A comparative study of outcome of radial head fracture treated with radial head replacement and radial head excision alone 桡骨头置换术与单纯桡骨头切除术治疗桡骨头骨折的疗效比较

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.045

Boblee James, Narendra Varma, Gokul Anand

{"title":"A comparative study of outcome of radial head fracture treated with radial head replacement and radial head excision alone","authors":"Boblee James, Narendra Varma, Gokul Anand","doi":"10.18231/j.ijos.2022.045","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.045","url":null,"abstract":": Radial head fractures are the most common fractures of the elbow with an estimated incidence of 2.5 to 2.9/10,000 people/ year. The incidence of radial head fractures is reported to be between 1.7 to 5.4 percent of all fractures. : This study aims to assess the clinical outcome of excision arthroplasty and prosthesis replacement in treatment of comminuted radial head fractures. : Patients with radial head fracture presenting to orthopaedics department and emergency room were included for the study. Excision arthroplasty was performed in 25 patients and replacement arthroplasty was performed in 25 patients. The functional outcome of both the procedure were compared using DASH, MEPS and Broberg and morrey scoring system. : Based on the DASH score Replacement group showed good improvement at the end of the 6 month follow-up with the mean score of 15.9 (P=0.042). Based on the MEPS score the mean MEPS score showed replacement group had a good improvement at the end of 6 month follow-up with the mean score of 15.9 (P=0.042). : From this study we concluded, radial head replacement is a reasonable option for unreconstructable radial head fractures. Radial head replacement can achieve effective radiocapitellar contact that will improve the stability in valgus, posterolateral, and axial loading of the forearm. This treatment option has satisfactory short- and mid-term results even with other combined elbow injuries.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114760010","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

Biomechanical effects of the tibial slope angle change on total knee prosthesis: 3D finite elements analysis 胫骨斜角变化对全膝关节假体的生物力学影响:三维有限元分析

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.049

B. Arı, M. Korkmaz, Alaettin Özer

{"title":"Biomechanical effects of the tibial slope angle change on total knee prosthesis: 3D finite elements analysis","authors":"B. Arı, M. Korkmaz, Alaettin Özer","doi":"10.18231/j.ijos.2022.049","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.049","url":null,"abstract":": In total knee arthroplasty, finding the correct tibial slope angle while placing the prosthesis affects the joint load. In our study; the load on the tibial insert and the notch of the insert as a result of flexion of the knee joint 0-30-60-90 degrees at each inclination in prostheses applied with posterior inclination angles of 0,3,5 and 7 degrees was examined in the three-dimensional right knee finite element structural model. In this way, it was aimed to reveal at which slope the resulting load is the lowest. The finite element structural model was created using the 3D 2.5 number right knee solid model. Two types of analysis were performed to examine the effect of angle change of the PE Insert on tibia component; static structural analysis with static loads at certain fixed flexion angles, and transient analysis with time for varying loadings at dynamically changing flexion angles with rotation of the knee between 0-90 degrees. In the 0 and 30 degree models, the least load on the tibial insert was found at 7 degree tibial slop angle (11.6 and 9.87 mpa, respectively), in 60 and 90 degree models at 5 degree tibial slop angle (9.07 and 11.4 mpa respectively). In the models of 0 and 30 degrees, no pressure occured on the tibial insert notch at 3,5,7 degrees of tibial slop angles, while in the 60 degree model, a pressure of 0,153 MPa occured at all 0,3,5,7 degrees at 0 degrees tibial insert slop angle and this pressure was centered at the junction with the tibial insert. The higher the load on the tibial insert, the greater wear of the tibial insert in the knee prosthesis. For this reason, it is important with which slop angle the tibial insert should be placed during surgery.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"928 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127016714","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

Proximal phalanx fracture treated with extension block Splint: An observational study at a tertiary care centre 用延伸块夹板治疗近端指骨骨折:三级保健中心的观察性研究

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.050

Sushant Kishor, Sayantani Misra

引用次数: 0

Variety of cases: after Covid era 病例种类:新冠肺炎之后

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.044

P. Upadhyaya

引用次数: 0

Spinal tuberculosis at an uncommon site (L5-S1): A case report and review of literature 脊柱结核罕见部位(L5-S1): 1例报告及文献复习

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.057

Sagar Arora, K. Bansal, R. Bahadur, N. Garg, J. Kaur

引用次数: 0

Functional outcome of percutaneous Kirschner wire fixation of proximal humerus fractures 经皮克氏针固定肱骨近端骨折的功能效果

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.048

Tushar Kant Singla, H. Selhi, D. Jain

{"title":"Functional outcome of percutaneous Kirschner wire fixation of proximal humerus fractures","authors":"Tushar Kant Singla, H. Selhi, D. Jain","doi":"10.18231/j.ijos.2022.048","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.048","url":null,"abstract":"Proximal humerus fractures are prevalent in both elderly and young patients and can be managed with a variety of treatment options ranging from conservative management to arthroplasty. Due to frequent injury to blood supply of humeral head and various other anatomic considerations, no treatment modality gives good results in all patients. 20 patients with proximal humerus fracture were treated with Closed Reduction and K-wire fixation in and were followed up for a period of 6 months. Functional outcome was measured with Constant Murley score and modified UCLA score. Out of 20, 17 patients were available for follow up and final analysis. 9 patients had 3 part, 2 patients had 2 part and 6 patients had 4 part fractures as per Neer’s Classification. According to AO/OTA classification, 13 patients had Type B fracture, 2 had Type A fracture and 2 patients had Type C fracture. Average age of the group was 61.76 years with an average time to union of 6.18 weeks. 13 out of 17 patients had good to excellent results according to Constant Murley score with an average score of 65.47 while 9 out of 17 patients had good to excellent results as per modified UCLA score. Most common complication was loosening of K wires. Closed reduction and K-wire fixation of proximal humerus fracture has satisfactory results with good functional outcome in majority of patients. It has several advantages over open methods of fixation especially in elderly patients as it is less invasive and biological environment of the fracture is maintained. We conclude that Closed Reduction and K-wire fixation is a good alternative to open methods of fixation in treatment of 2 part, 3 part fractures and in certain 4 part fractures.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123045037","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

Fixation stability scoring in inter-trochanteric femur fractures treated with osteosynthesis: A retrospective observational study 股骨粗隆间骨折植骨治疗的固定稳定性评分:一项回顾性观察研究

Indian Journal of Orthopaedics Surgery Pub Date : 2022-11-15 DOI: 10.18231/j.ijos.2022.052

Pradeep H, Venkatesh V, Kambam Gowtham Reddy, Markandaiya Acharya

{"title":"Fixation stability scoring in inter-trochanteric femur fractures treated with osteosynthesis: A retrospective observational study","authors":"Pradeep H, Venkatesh V, Kambam Gowtham Reddy, Markandaiya Acharya","doi":"10.18231/j.ijos.2022.052","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.052","url":null,"abstract":"To find out the validity of a newly proposed fixation stability scoring system in IT fractures treated with osteosynthesis and its limitations if any.: Retrospective analysis of hospital records of patients with various types of intertrochanteric fractures treated surgically at Sri Siddhartha medical college, Tumkur from January 2021 till August 2022. The exclusion criteria were non-ambulatory patients prior to fall, non surgically treated patients, patients loosing follow up or patients who are not alive at the time of study. The scoring was done by three different observers for each patient’s immediate post operative x-ray, repeated at 1 month interval. Radiographs at the final follow up were assessed for fracture union or fixation failure. Parameters of the scoring system: 1) cortical buttress in AP view radiograph, 2) cortical buttress in lateral view radiograph, 3) Tip apex distance (TAD) of principle lag screw, 4) Entry point (in case of IM nail), 5) Location of tip of principle screw in the desired Cleveland zone. 6) Placement of Richard screw in the inferior half of neck (in case of DHS), 7) Use of additional derotation screw (DRS) (in case of DHS). Scores of all the observers showed statistically significant correlation with fixation failure rates. Results were good with the score of 7.5 and above, fair with 6.5 and above and poor when the score was below 6.5. The minimum acceptable score was 6.5 for extra-medullary devices and 7 for intra-medullary devices.: The newly proposed scoring system appears to be valid and promising intra operative guide for fixation of intertrochanteric fractures with a few limitations. Large scale multi centre prospective studies are needed in the future to support the current study or to further simplify this scoring system.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121281623","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