Indian Journal of Orthopaedics Surgery最新文献

{"title":"A case of staged revision cementless Total Hip Arthroplasty following post traumatic periprosthetic Vancouver type B fracture after hemiarthroplasty","authors":"Prithviraj A. Paigude, Rahul Puranik, Shubham N. Katti, Saiel Kumarjuvekar, Hitarth J. Gathani, Rohit Jadhav","doi":"10.18231/j.ijos.2022.056","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.056","url":null,"abstract":"The overall incidence of different types of periprosthetic fractures is on the rise constantly due to the increasing volume of primary joint arthroplasties and revision arthroplasties. Skills pertaining to advanced complex trauma and arthroplasty are necessary to manage these injuries. Inspite of various algorithms and classifications available regarding management of these injuries, it is necessary for the treating surgeon to understand that the treatment of periprosthetic fractures needs to be individualised optimal for that particular patient. We present our experience in a case of post traumatic periprosthetic Vancouver type B fracture after hemiarthroplasty treated with staged revision cementless long stem Total Hip Arthroplasty(THA).","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"76 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":"134000577","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":"Analysis on the functional results of distal tibial fractures in adults treated with distal tibial medial locking plates","authors":"Naveen Sathyan, Anurag Goyal, R. Ghosliya, Mahaveer Meena, Purushottam Jhanwar","doi":"10.18231/j.ijos.2022.046","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.046","url":null,"abstract":"Even today, distal tibial fractures provide a substantial challenge to the majority of surgeons because they account for only 1–10% of lower extremity fractures and have severe consequences. Despite improvements in both non-operative and surgical therapy, distal tibia fractures are still a contentious topic. The goal of a distal tibia fracture is early functional recovery and realignment of the fracture and limb length.This research was carried out at the Jhalawar Medical College Hospital's Orthopaedics Department. Adult patients who met the inclusion criteria and had 15 occurrences of distal tibial fractures treated with a distal tibial medial locking plate. Patients were assessed clinically and radiologically with the relevant X-rays at each follow-up.At the ending of the follow-up period, patients were evaluated using the \"Ovadia and Beals\" scoring method, which incorporates both an objective and subjective assessment of the patients. An average of 18 weeks passed before all the fractures healed. One delayed union had a radiological callus development indication that was present for 22 weeks. Six patients (40%) with fractures healed in 16 weeks, six patients (40%) with fractures healed in 18 weeks, two patients (13%) with fractures healed in 20 weeks, and one patient (7%) with fractures healed in 22 weeks. In this study, 60% of the patients (9 patients) had outstanding outcomes, while 13% of the patients (2 patients) had poor results based on objective criteria, and 54% of the patients (8 patients) had excellent results, but 13% of the patients (2 patients) had terrible results based on subjective criteria.Through the use of locking compression plates and MIPPO methods, the distal tibia fractures have obtained close reduction. These fractures have been successfully stabilised as a result of this approach. It does allow for early mobility and offers sufficient stability. Because it makes it easier to preserve the blood supply to the fragment and anatomically reduce the fracture, the close reduction aids in quick union.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"31 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":"132331127","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":"Role of platelet rich fibrin matrix in wound bed preparation in degloving injury","authors":"R. Chittoria, S. Hosamani, Barath Kumar Singh","doi":"10.18231/j.ijos.2022.051","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.051","url":null,"abstract":"Degloving Injury are major debilitating conditions and its treatment is also challenging. The treatment of post traumatic degloving injury requires a multimodal approach. Adjuvant platelet rich fibrin matrix can be tried for post traumatic wounds as a modality for wound bed preparation. In this study we share our experience regarding the use of platelet rich fibrin matrix as an adjunct in the management of post traumatic degloving wounds of the lower extremity.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"4 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":"115529805","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":"Bilateral intraosseous ganglion of the talus","authors":"Vishwanath Pratap Singh, Anand Ghodela","doi":"10.18231/j.ijos.2022.053","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.053","url":null,"abstract":"A bony cyst that is an intraosseous ganglion of benign nature that includes epiphyseal and metaphyseal zones of large bones. Intraosseous ganglion is an uncommon ganglion in talus and in all the cases described in literature where patient had unilateral cyst and had symptoms over ankle joint. No case has been reported with bilateral talus region causing complication with the subtalar joint. A 28-yr-old male presented to our OPD with complain of pain over bilateral ankle for last 9 months. Although ankle motions were within acceptable norms, painful, the subtalar movement was painfully reduced. The radiographic examination of both the foot and ankle confirmed no abnormalities. MRI testing of bilateral ankle revealed cystic lesion involving posterior aspect of talus communicated with the subtalar joint, measuring (1.6x1.2cm) over right and (1.3x1.0cm) over left side. The patient was treated by multiple drill hole and PRP installation. After three months, the clinical outcome was outstanding, and the patient was able to resume his usual activities with full painless range of motion. Bilateral intraosseous ganglion of talus is incredibly rare. Multiple drill holes or curettage should be employed to treat symptomatic patients.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"10 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":"121978252","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 costovertebral hydatid cyst: A case report and review of the literature","authors":"A. Machboua, S. Hamraoui, R. Marouf, I. Alloubi","doi":"10.18231/j.ijos.2022.054","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.054","url":null,"abstract":"The hydatid bone cyst is very rare; it represents 2% for all locations combined. Vertebral involvement is often asymptomatic with an incidence of 40%; the diagnosis is made when complications arise related to the extension of the lesions inside towards the medullary canal or outside towards the rib grill. Surgery alone or in combination with medical treatment is essential whenever possible. Often emergency relief for neurological disorders; it must be carcinological in order to compensate for recurrences which are frequent. We report the observation of a 26-year-old young patient with a costovertebral hydatid cyst revealed by chest pain with paraparesis. The evolution was favorable after surgical excision associated with albendazol.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"18 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":"123409572","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":"Challenges in discharging elderly patients post hip fracture – Functional outcomes","authors":"Rashmi Yadav, P. Chawla, Ritabh Kumar","doi":"10.18231/j.ijos.2022.047","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.047","url":null,"abstract":"The purpose of this study is to realize the challenges experienced by elderly patients with hip fracture and their caregivers after discharge. A total of 65 files of elderly hip fracture operated patients were assessed and out of them responses from 53 patients collected through telephonic conversation over a period of 3 weeks. The responses received from the patient and their attendants were evaluated using the EQ-5D quality of life tool and their challenges noted. The most common fractures reported in the elderly are at the wrist, spine and hip. Hip fractures in elderly generally occur after a simple fall. If timely medical attention is not provided or appropriate care not taken the future of the patient after a hip fracture is certain – a dramatic reduction in the quality of life and possibly the beginning of the end of life. The purpose of this study is to evaluate the outcomes of elderly patients with hip fracture following surgery and the challenges they experienced after discharge from the hospital. A total of 53 patients were selected for the study who underwent hip surgery at Indian Spinal Injuries Centre. This is a descriptive study carried over a period of 13 months from August 2019 to August 2020. EQ-5D is used to characterize current health status of the patients. It consists of five domains and a visual analogue score. Feedback was collected from the patients and their attendants over telephone with a minimum follow up of 3 months. VAS score was calculated for every patient individually. Collected data was entered in MS Excel sheet. Challenges faced by the patients and their caregivers were documented. Out of 53 patients, 12 had died (22.6%), 07 patients responded themselves to the call and 34 calls were responded by the care givers. Most of the patients had intertrochanteric fractures 56.6% (30 patients) followed by neck femur fracture 24.5% (13 patients). On average every patient was suffering from a minimum of two comorbidities. The average length of hospitalization was 6.8 days. : This study suggests that integrated care involving geriatricians in pre-operative optimization of the patient should come in immediate practice. The role of post-surgery rehabilitation is invaluable but often an underestimated modality. The concerns of the patients and their family members regarding home care after discharge are genuine and need to be addressed. Information sharing is the key to reducing anxiety. Consideration for a cost-effective step-down facility must be considered by private institutes and government authorities.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"11 2","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113989439","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 comparative study of one day versus three days peri-operative use of prophylactic antibiotics in orthopedic surgery","authors":"N. Dhaniwala, M. Dhaniwala, R. Bukhari, Parth S. Shah","doi":"10.18231/j.ijos.2022.039","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.039","url":null,"abstract":"Prophylactic systemic antibiotics is the standard practice to prevent surgical site infections in orthopedic surgery including arthroplasty. There is enough evidence showing its utility in preventing or reducing surgical site infection. Timing of administration, antibiotics to be used and duration of antibiotics are controversial points regarding this practice. The present study using Ceftriaxone 1 gram intravenously 3 doses during 24 hours peri-operative period (group 1 n =58) versus 3 days (group 2 n= 57) has been carried out on planned orthopedic surgeries with specific exclusion and followed up for 1 year. None of the cases of either group developed any infection. The study demonstrates the utility of antibiotics prophylaxis and is a step in deciding guidelines about antibiotics use in our country.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122910165","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":"Humerus nail for tibial reconstruction in adolescent with osteogenesis imperfecta – A rare surgical case report","authors":"Ravikumar A S, Pradeep H, Appu G Pillai","doi":"10.18231/j.ijos.2022.042","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.042","url":null,"abstract":"Osteogenesis Imperfecta (OI) is a rare connective tissue disorder known for excessive bone fragility caused by collagen mutations. The common orthopaedic problems related to bone fragility include frequent multiple bone fractures, progressive deformity of long bones leading to impaired ambulation. Surgical correction of long bone deformities in OI is conventionally done using distraction osteogenesis (illizarov fixator), elastic intramedullary nailing, rigid extramedullary fixation using plates, after osteotomy. Intramedullary fixation appears to be an ideal choice for correction of recurrent deformity in the long bone and the devices used previously include telescoping rods, single or dual non-elongating nails (rush nail, TENS). Recently in a case report of 3 individual patients, a humerus nail has been used to reconstruct femur in adolescents with OI. We report a case of humerus nailing for reconstruction of tibia in an adolescent OI male with excellent outcomes which is first of its kind and not reported previously by any other authors.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116732693","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":"Role of fibula in healing of closed diaphyseal tibial fractures treated with intramedullary interlocking nail","authors":"Aswin Deepak Rajan, M. Borgohain, Kiran Sonowal, D. Abraham, Madhujya Sharma, Mandar Deb","doi":"10.18231/j.ijos.2022.032","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.032","url":null,"abstract":"Isolated tibial shaft fractures with intact fibula are a fairly common injury. Hospital records often fail to mention the intact fibula in such injuries. Many studies blame that with an intact fibula, tibiofibular length discrepancy develops resulting complications associated with the management of tibia fractures like delayed union, non-union, and malunion. A prospective study in 59 patients of tibial shaft fractures with 33 having fibula fracture (FF) and 26 patients with an intact fibula(IF) were treated by closed intramedullary interlocking nail between June 2019 to July 2020. Radiological follow up were at 6 weeks, 3 months, 6 months. The final functional evaluation was done with Johner and Wruh’s criteria at the end of 6 months.The mean duration of surgery in group IF was 106.62 minutes wherein group FF was 97.91 minutes The radiological union was early with a mean union rate of 19.09 weeks in group FF compared to group IF where the mean was 22.23 weeks. The percentage of nonunion was 3.85% in group IF. 4 patients had a deformity where the level of tibia fracture was lower 1/3 diaphyseal with fibula fracture at the same level. At the final follow up the functional score had no significance. The union of a tibial shaft fracture was slower in patients with an intact fibula compared to those with a fractured fibula. Although the intact fibula was more proven for the delayed union, non-union, it prevents malalignment.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133898935","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 of bilateral total hip replacement in patients of avascular necrosis of femoral head","authors":"Amol Dubepuria, A. Gohiya, Deependra Sonkar, Jyoti Choudhary","doi":"10.18231/j.ijos.2022.031","DOIUrl":"https://doi.org/10.18231/j.ijos.2022.031","url":null,"abstract":"Avascular necrosis (AVN) of the femoral head is one of the common causes of painful hip in a young adult. Bilateral presentation is frequently seen and males are more commonly affected. Total hip replacement (THR) is one of the most successful surgical procedures for AVN. THR is a time tested surgery giving good outcome in terms of relieving pain, restoring function & improving quality of life in patients of AVN. The purpose of the study was to analyse the outcome of bilateral THR & comparing the outcome of one stage THR with Two stage THR. In this study, 40 patients with AVN of bilateral femoral head who were presented in the Department of Orthopaedics, Hamidia Hospital, Bhopal from April 2016 to April 2020 who fulfilled the inclusion criteria were included in the study. THR of all the patients was done on elective basis by senior surgeons of the department. All patients were followed up clinically and radiologically for a period of 6 months after the surgery. Any complications if present were also noted. This study concludes that in patients of AVN of bilateral femoral head, THR gives excellent functional outcome with early walking & early return to work. As compared to Two stage bilateral THR, One stage bilateral THR has advantage of less blood loss, less need of parenteral analgesics & antibiotics & less hospital stay. However, there is no significant advantage in terms of functional outcome, walking capability & return to work.","PeriodicalId":407871,"journal":{"name":"Indian Journal of Orthopaedics Surgery","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124588515","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}