IP International Journal of Orthopaedic Rheumatology最新文献

{"title":"Treatment of osteoarthritis knee with bone marrow aspirate concentrate injection","authors":"Somesh Saha, Chinmoy Das, P. Das, Navonil Gupta","doi":"10.18231/j.ijor.2023.013","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.013","url":null,"abstract":"To assess the clinical effectiveness and safety of bone marrow aspirate concentrate (BMAC) injections given intraarticularly as a potential treatment for knee osteoarthritis (OA). Data from 60 patients with knee osteoarthritis treated with BMAC injection at a single centre between December 2021 and December 2022 were retrospectively examined. We only included patients with idiopathic osteoarthritis. Post-traumatic osteoarthritis, prior knee surgery, ageless then 50 years or over 85 years, an active infection, uncontrolled diabetes mellitus, rheumatological or another systemic condition, cancer, or immunosuppressive medication use were all exclusion factors. A single-spin manual approach was used to aspirate and concentrate bone marrow from the iliac crest. The Numeric pain scale (NPS) and Oxford knee score (OKS) were used to evaluate patients both before and after the treatment. A 12-month follow-up period was used. The statistical analysis comprised a total of 60 patients. With a mean age of 67 years (range 50-85), there were 42 females and 18 males. At the end of the follow-up period, the mean NPS reduced from 8.12 to 4.31 (p< 0.001) and the mean OKS rise from 22.30 to 34.74 (p <0.001). There were no problems. A single BMAC intra-articular injection is a dependable and safe technique that improves the clinical condition of knee OA.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"114 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776706","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":"Gap non-union of fracture patella: Case report","authors":"Hanumantharaya G H, Prathap C, Md Khalid K, Asheem Kumar","doi":"10.18231/j.ijor.2023.021","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.021","url":null,"abstract":"Fractures of the patella contribute almost 1% of all skeletal injuries. We report a case of an 8 cms gap non-union patella fracture in a patient and single staged surgery with functional outcome. A 45 year female patient came with complaints of instability and defect in his right knee since 3 years. On examination we found that gap nonunion of fracture patella. Patellar fracture was approached by anterior approach. V-Y quadriceps-plasty was done to mobilize the proximal fragment. Fracture was fixed with tension band wiring fixation with k- wires. Quadriceps and retinaculum were repaired. Postoperatively physiotherapy was started and follow up of patient was done at 6 weeks, 3 months and 6 months. Improvement of knee range of movement was noticed in follow-up period. V-Yquadriceps-plasty with TBW and encirclage gives good functional outcome in gap non-union patella fractures.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"3 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774056","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":"Expert opinions on the prevalence, diagnosis and treatment choice for osteoarthritis management in Indian settings","authors":"Manjula S, Krishna Kumar M","doi":"10.18231/j.ijor.2023.014","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.014","url":null,"abstract":"Studies have reported the capability of bisphosphonates to delay the progression of structural deterioration associated with osteoarthritis (OA). Limited studies exist regarding OA management in India and the determinants influencing patients' decisions regarding surgical interventions. So, this study aimed to assess the prevalence, diagnostic practices, and treatment options available for OA management in Indian clinical practice with a special focus on alendronate, a bisphosphonate medication for OA pain management. The cross-sectional, multiple-response questionnaire-based study collected a survey response using a 25-item questionnaire from 276 clinicians across India. Additionally, the survey focused on determining the diagnostic practices helpful in determining osteoporosis and the preference of treatment options for OA management. Based on the responses of 276 participants, 43% indicated that the diagnosis of OA was predominant in both genders. Moreover, about 51% of the respondents suggested that mass screening for osteoporosis in Indian patients should be conducted using the one-minute risk test developed by the International Osteoporosis Foundation. Additionally, 47% of the respondents highlighted hip fractures as the most common type of bone fracture observed in these patients. Furthermore, around 51% of the study participants emphasized that adequate calcium consumption during childhood can potentially reduce the incidence of osteoporosis. For the effective management of OA, alendronate was preferred by 49% of respondents over the other bisphosphonates.As per the expert consensus,patients who have osteoporosis risk factors and osteopenia without fragility fractures were recommended to adhere to dietary and lifestyle modifications, coupled with calcium and vitamin D supplementation, and bisphosphonate therapy. Alendronate was preferred over other bisphosphonates for the effective management of OA.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774302","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":"Isolated first metatarsal tubercular osteomyelitis of the foot in a boy: A case report with review of literature","authors":"Brijmohan Patel, Vivek Kumar Shrivastava, Ajeet Kumar Yadav, Javed Ahmad, Mohit Kumar Singh","doi":"10.18231/j.ijor.2023.018","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.018","url":null,"abstract":"Isolated tubercular lesions of the metatarsal bones are rare, with an incidence of less than 0.5%. Because of ambiguous signs and symptoms, and reasonably normal laboratory investigations, these lesions pose a diagnostic challenge and there are chances of misinterpretation of radiographic images. We present a case of tubercular osteomyelitis of the first metatarsal of right foot in a 9-year-old boy. The diagnosis was initially made using plain X-ray, which was supported by magnetic resonance imaging and confirmed by the histopathological examination of the resected samples and microbiological culture combined with polymerase chain reaction. The patient was managed with open biopsy and curettage followed by a prolonged course of anti-tubercular treatment. The patient showed complete resolution of symptoms with no sign of recurrence.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"115 22","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139776909","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":"Giant cell tumour of tendon sheath (GCTTS) – 2 Most common tumour of hand after ganglion cyst","authors":"Naman Kandpal, Ozair Khan, Tahir Husain, V.A Senthil Kumar, B. S. Murthy, Amit Dhond","doi":"10.18231/j.ijor.2023.019","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.019","url":null,"abstract":"Probably one of the most common benign neoplasm in the human hand, the Giant Cell Tumour of Tendon Sheath (GCTTS) has been studied by many authors over the years as a popular tumour. There have been studies on the etilogical factors, however, limited attention has been given to etiology, prognostic factors, and recurrence rate. Because there are several factors that predispose to recurrence, it is imperative that medical practitioners ensure complete excision of the tumour, including removal of residual satellite nodules. This study is a focus on 0.5cm swelling over dorsal part of the interphalangeal joint of middle finger of the right hand of a 55-year old female that was initially unilobulated, which eventually increased to 3cm and was bilobed over 6 months. With meticulous dissection and the use of magnification loupe to obtain a low recurrence rate, thereby emphasising the key role of surgery as the first prognostic factor of GCTTS.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"342 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139835543","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":"Isolated first metatarsal tubercular osteomyelitis of the foot in a boy: A case report with review of literature","authors":"Brijmohan Patel, Vivek Kumar Shrivastava, Ajeet Kumar Yadav, Javed Ahmad, Mohit Kumar Singh","doi":"10.18231/j.ijor.2023.018","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.018","url":null,"abstract":"Isolated tubercular lesions of the metatarsal bones are rare, with an incidence of less than 0.5%. Because of ambiguous signs and symptoms, and reasonably normal laboratory investigations, these lesions pose a diagnostic challenge and there are chances of misinterpretation of radiographic images. We present a case of tubercular osteomyelitis of the first metatarsal of right foot in a 9-year-old boy. The diagnosis was initially made using plain X-ray, which was supported by magnetic resonance imaging and confirmed by the histopathological examination of the resected samples and microbiological culture combined with polymerase chain reaction. The patient was managed with open biopsy and curettage followed by a prolonged course of anti-tubercular treatment. The patient showed complete resolution of symptoms with no sign of recurrence.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"41 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139836268","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":"Gap non-union of fracture patella: Case report","authors":"Hanumantharaya G H, Prathap C, Md Khalid K, Asheem Kumar","doi":"10.18231/j.ijor.2023.021","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.021","url":null,"abstract":"Fractures of the patella contribute almost 1% of all skeletal injuries. We report a case of an 8 cms gap non-union patella fracture in a patient and single staged surgery with functional outcome. A 45 year female patient came with complaints of instability and defect in his right knee since 3 years. On examination we found that gap nonunion of fracture patella. Patellar fracture was approached by anterior approach. V-Y quadriceps-plasty was done to mobilize the proximal fragment. Fracture was fixed with tension band wiring fixation with k- wires. Quadriceps and retinaculum were repaired. Postoperatively physiotherapy was started and follow up of patient was done at 6 weeks, 3 months and 6 months. Improvement of knee range of movement was noticed in follow-up period. V-Yquadriceps-plasty with TBW and encirclage gives good functional outcome in gap non-union patella fractures.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"209 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833545","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":"Shoelace and honey technique: An innovative and inexpensive method of wound healing","authors":"Tushar Pimpale, Anubhuti Mondhe","doi":"10.18231/j.ijor.2023.015","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.015","url":null,"abstract":"Wound closure and wound infection have been a great enemy to orthopaedic surgeons since the beginning of time. Many wound closure technique have been described and controversy exists as a optimal method. Healing by secondary intension used to be commonly employed technique but less popular nowadays. Most wound closure require split skin thickness grafting which increases morbidity and scarring and additional wound at donor site .gradual mechanical dermal apposition technique that is shoelace technique have gained popularity and have shown to be effective in closure of wounds .Shoelace technique for wound closure is widely used in other medico-surgical specialties, this technique is unusual in orthopedics surgery, but the simplicity of the procedure, demanded us to follow to our cases.Honey is most ancient wound dressing biomaterial .Honey is known for its anti-oxidant, anti-bacterial and anti-inflammatory properties which were used for better and faster wound healing. Both the methods combined together make it a magic formula for the wound healing.We have 21 patients presenting to VDGMC, LATUR from a period from May 2020 to December 2023, with difficult primary wound closure were included in the study. The patients underwent the surgical fracture fixation (if any), followed by application of shoelace technique and honey dressing for the patient. An infant feeding tube and skin staples were used for the technique. Patients were followed till the complete wound healing occurred. The average time required for the wound healing using this technique was 3.2 weeks. Once the skin was approximated by dermatotraction, delayed primary suturing was done and regular dressing protocol was followed.Our study showed an excellent wound healing in 20 cases with duration of wound healing less den 3 weeks, which also waived of the need for an extra procedure of skin grafting. 1wound had continuous wound discharge which needed an extra debridement procedure longer duration for closure.The successful out-come observed in these cases, and at a very low cost, allows for its consideration as indicated for situations similar to that presented in this study, especially in patients with poor economic background.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774490","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":"Expert opinions on the prevalence, diagnosis and treatment choice for osteoarthritis management in Indian settings","authors":"Manjula S, Krishna Kumar M","doi":"10.18231/j.ijor.2023.014","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.014","url":null,"abstract":"Studies have reported the capability of bisphosphonates to delay the progression of structural deterioration associated with osteoarthritis (OA). Limited studies exist regarding OA management in India and the determinants influencing patients' decisions regarding surgical interventions. So, this study aimed to assess the prevalence, diagnostic practices, and treatment options available for OA management in Indian clinical practice with a special focus on alendronate, a bisphosphonate medication for OA pain management. The cross-sectional, multiple-response questionnaire-based study collected a survey response using a 25-item questionnaire from 276 clinicians across India. Additionally, the survey focused on determining the diagnostic practices helpful in determining osteoporosis and the preference of treatment options for OA management. Based on the responses of 276 participants, 43% indicated that the diagnosis of OA was predominant in both genders. Moreover, about 51% of the respondents suggested that mass screening for osteoporosis in Indian patients should be conducted using the one-minute risk test developed by the International Osteoporosis Foundation. Additionally, 47% of the respondents highlighted hip fractures as the most common type of bone fracture observed in these patients. Furthermore, around 51% of the study participants emphasized that adequate calcium consumption during childhood can potentially reduce the incidence of osteoporosis. For the effective management of OA, alendronate was preferred by 49% of respondents over the other bisphosphonates.As per the expert consensus,patients who have osteoporosis risk factors and osteopenia without fragility fractures were recommended to adhere to dietary and lifestyle modifications, coupled with calcium and vitamin D supplementation, and bisphosphonate therapy. Alendronate was preferred over other bisphosphonates for the effective management of OA.","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"457 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139833941","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 combination of bone marrow aspiration concentrate (BMAC) and platelet-rich plasma (PRP) in anterior cruciate ligament reconstruction","authors":"Ashim Gupta, Surya Prakash Sharma","doi":"10.18231/j.ijor.2023.022","DOIUrl":"https://doi.org/10.18231/j.ijor.2023.022","url":null,"abstract":"","PeriodicalId":483250,"journal":{"name":"IP International Journal of Orthopaedic Rheumatology","volume":"3 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139774331","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}