journal
https://read.qxmd.com/read/38425832/comparison-of-functional-outcomes-and-complications-of-inlay-and-onlay-reverse-shoulder-arthroplasty-in-neer-type-4-proximal-humerus-fractures-and-cuff-tear-arthropathy-a-multicentric-study
#1
JOURNAL ARTICLE
Sinan Kahraman, Bulent Karslioglu, Yunus Imren, Ahmet Keskin, Kerem Bilsel, Suleyman Semih Dedeoglu
BACKGROUND: This multicenter retrospective study was conducted with the objective of comparing the outcomes and complications between inlay and onlay reverse shoulder arthroplasty (RSA) in patients presenting Neer Type 4 proximal humerus fractures and cuff tear arthropathy. The primary aim of this investigation was to assess and juxtapose the clinical as well as functional outcomes of individuals who underwent onlay reverse shoulder arthroplasty with those who underwent inlay reverse shoulder arthroplasty...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425831/the-effect-of-prone-and-supine-limb-positioning-on-the-radiographic-evaluation-of-posterolateral-plate-fixation-of-the-posterior-malleolus
#2
JOURNAL ARTICLE
Preemal Patel, Zoe Little, Phillip Beak, Rachel Williams, Alex Trompeter
AIM: To facilitate the posterolateral approach to the posterior malleolus patients are often positioned prone initially, then turned supine to complete fixation at the medial malleolus. We sought to define observed differences in the radiographic appearance of implants relative to the joint line, in prone and supine positions. METHODS: A 3.5 mm tubular plate and a 3.5 mm posterior distal tibial periarticular plate were applied sequentially to 3 individual cadaveric legs, via a posterolateral approach...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425830/does-the-who-surgical-safety-checklist-need-modification-for-orthopaedic-surgery-practices-a-cross-sectional-survey-among-indian-orthopaedic-surgeons
#3
JOURNAL ARTICLE
Karthick Rangasamy, Madhan Jeyaraman, Preethi Selvaraj, Nirmal Raj Gopinathan, Divyalakshmi Arumugam, Mandeep Singh Dhillon
BACKGROUND: It is well known that the implementation of the WHO surgical safety checklist (SSC) leads to improved operating room team coordination and reduced perioperative complication and mortality rates. Although it is proven to be beneficial worldwide, its awareness and usage need to be evaluated in a diverse country like India. As orthopaedic surgeries involve implants and tourniquet usage, it is important to evaluate the applicability of WHO SSC specifically to orthopaedic surgeries, and whether any modifications are needed...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425829/correction-knowledge-attitude-and-practices-regarding-radiation-and-its-hazards-among-orthopaedic-surgeons-in-india-a-questionnaire-based-study
#4
Sandeep Kumar, Siddhartha Sinha, Yasim Khan, Arvind Kumar, Owais A Qureshi, Javed Jameel
[This corrects the article DOI: 10.1007/s43465-023-01068-1.].
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425828/surgical-technique-for-lateral-patellofemoral-ligament-reconstruction-using-bone-tunnels-a-new-method
#5
JOURNAL ARTICLE
M Arora, T Shukla, P M Rathod
Medial patellar instability (lateral patellofemoral ligament tear) is a rare condition which is commonly associated with lateral release for lateral patellar instability. LPFL is a lateral stabilizer of the patellofemoral joint. Reconstruction of LPFL is necessary to provide stability to the patella-femoral joint in patients with instability. We describe a novel technique of trans-osseous reconstruction of LPFL to gain stability and have better graft incorporation. A doubled peroneus longus graft is inserted into the patellar tunnel and secured with an endo button on the anteromedial aspect of the patella; the other end is then inserted into the insertional point on the femur and secured with an interference screw...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425827/bailout-options-for-intra-operative-implant-and-instrumentation-related-incidents-and-complications-during-arthroscopic-knee-surgery-a-retrospective-study
#6
JOURNAL ARTICLE
Sunil Lakshmipura Krishnamurthy, Rahul Shah, Rinju Krishnan, Abhey Wasdev, Y S Kaushik, Mevin Mathew Nedumparampil, Rajkumar S Amaravathi
BACKGROUND: Arthroscopic knee procedures are one amongst the common surgical interventions for problems in the knee. It is technically more demanding than an open procedure and is associated with several potential complications. During arthroscopy procedures, several technical challenges may arise, and even experienced surgeons may encounter new issues. However, careful attention to the surgical technique can help prevent or resolve them. METHODOLOGY: The study was conducted on all patients who underwent knee arthroscopy procedure during study period...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425826/mid-to-long-term-results-of-total-knee-arthroplasty-for-charcot-arthropathy-of-the-knee
#7
JOURNAL ARTICLE
Yuma Onoi, Tomoyuki Matsumoto, Naoki Nakano, Masanori Tsubosaka, Tomoyuki Kamenaga, Yuichi Kuroda, Kazunari Ishida, Shinya Hayashi, Ryosuke Kuroda
BACKGROUND: Total knee arthroplasty (TKA) for Charcot arthropathy of the knee is considered controversial because of its higher complication rate compared with that of TKA for osteoarthritis. In this study, we investigated the clinical outcomes, survival rates, and complications of primary TKA for Charcot arthropathy. METHODS: We conducted a retrospective analysis of nine patients (12 knees) with Charcot arthropathy who underwent TKA. The mean age of the patients was 63...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425825/early-outcomes-of-lisfranc-injuries-treated-with-arthrex-internalbrace-a-case-series
#8
JOURNAL ARTICLE
Meloria Hoskins, Patrick Wise, Alicia Unangst, Philip Shaheen, Christopher Kreulen, Michael Aynardi, Eric Giza
INTRODUCTION: The treatment of Lisfranc injuries continues to evolve with time. The purpose of this study was to report early outcomes of patients with Lisfranc ligamentous injuries treated with the Arthrex InternalBrace, which has benefits to other previously described techniques. MATERIALS AND METHODS: We retrospectively identified 15 adult patients with Lisfranc injuries that were treated via open reduction internal fixation with the Arthrex InternalBrace (Naples, Fl)...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425824/the-global-prevalence-of-vitamin-d-deficiency-in-the-elderly-a-meta-analysis
#9
REVIEW
Ahmad Meshkin, Fatemeh Badiee, Nader Salari, Masoud Hassanabadi, Ali Asghar Khaleghi, Masoud Mohammadi
BACKGROUND: Vitamin D deficiency is widely prevalent among the elderly, posing significant health risks. This study aims to determine the global prevalence of vitamin D deficiency in the elderly. METHODS: A systematic review and meta-analysis was conducted, examining databases including Scientific Information Database (SID), Medline (PubMed), ScienceDirect, Scopus, Embase, and Google Scholar until January 2023. The publication bias of the studies was assessed using the I 2 test of heterogeneity and the Egger test...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425823/the-effect-of-unintended-facet-arthrodesis-on-the-treatment-outcome-of-dynamic-neutralization-system-for-lumbar-degenerative-diseases
#10
JOURNAL ARTICLE
Lei Miao, Bo Jin, Ma Ning, Xi Zhang, Zhaowei Wang, Ruopeng Mai, Lijun Cai, Yinong Wang
PURPOSE: This study aimed to examine the influence of unintended facet arthrodesis on the therapeutic effectiveness of the dynamic neutralization system (Dynesys). METHODS: This retrospective study enrolled consecutive patients who underwent posterior decompression and dynamic stabilization for lumbar spondylosis or spinal stenosis. Follow-up assessments included lumbar radiography, lumbar vertebral computerized tomography (CT), visual analog scale (VAS), and Oswestry disability index (ODI)...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425822/prevalence-of-poor-nutrition-in-knee-osteoarthritis-patients-a-hospital-based-cohort-study-in-indian-population
#11
JOURNAL ARTICLE
Vikas Maheshwari, Arghya Kundu Choudhury, Robin Yadav, Mohit Dhingra, Ravi Kant, Roop Bhushan Kalia
PURPOSE: Malnourished adults with knee osteoarthritis (OA) have a lower propensity for physical activities, leading to post-surgical stress and poorer clinic-functional outcomes. The study is aimed to propose an integrative screening procedure for patients and to identify a subset of patients who are undernourished or at risk of undernutrition in the Indian population. METHODS: A hospital-based cross-sectional study was conducted at a tertiary care, a university-level teaching hospital for seven months, which included knee OA patients above the age of 45 years, and the following criteria were evaluated anthropometric measurement and blood biochemical parameters and nutritional scoring system...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425821/a-new-method-of-krackow-suture-combined-with-nice-knot-for-the-treatment-of-inferior-patellar-fractures
#12
REVIEW
Xinhui Du, Yansheng Huang, Pengxia Duan, Yajing Wang, Yibin Meng, Sibo Wang
INTRODUCTION: We present a new surgical technique of Krackow suture combined with vertical Nice knot for the treatment of inferior patellar fractures and report the clinical results. PATIENTS AND METHODS: Seventeen consecutive patients admitted with inferior patellar fractures over a 2-year period from June 2019 to February 2022 were prospectively enrolled. The AO classification was 34-A1. All patients underwent open reduction and fixation with Krackow sutures in combination with vertical Nice knot...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425820/hinged-external-fixation-combined-with-open-debridement-for-post-traumatic-elbow-stiffness-a-systematic-review-and-meta-analysis
#13
JOURNAL ARTICLE
Wenzhi Bi, Yuan Lu, Yunkang Kang, Yuncong Ji, Jian Xu, Biao Guo
BACKGROUND: Open debridement remains the gold standard for the clinical treatment of post-traumatic elbow stiffness. However, postoperative complications, such as re-contraction and heterotopic ossification of the elbow joint, are highly prevalent. Hinged external fixation appears to offer the potential for greater improvement of joint function and reduction of complications. The purpose of this article is to provide the latest evidence on the effectiveness and safety of hinged external fixation combined with open debridement for the treatment of post-traumatic elbow stiffness...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425819/proximal-femur-megaprostheses-in-orthopedic-oncology-evaluation-of-a-standardized-post-operative-rehabilitation-protocol
#14
JOURNAL ARTICLE
Lorenzo Andreani, Edoardo Ipponi, Federico Falcinelli, Martina Cordoni, Elena Bechini, Lorenzo Vannucci, Antonio D'Arienzo, Rodolfo Capanna
BACKGROUND: Reconstructions of the proximal femur after massive resections represent one of the main challenges in orthopedic oncology. Among the possible treatments, megaprostheses represent one of the most used and reliable reconstructive approaches. Although literature about their outcomes has flourished through the last decades, a consensus rehabilitative treatment is still far from being established. MATERIALS AND METHODS: We evaluated the functional results of all our oncologic cases treated between 2016 and 2022 that could follow our standardized post-operative rehabilitative approach, consisting in progressive hip mobilization and early weight-bearing...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38425818/can-99m-tc-mdp-spect-ct-differentiate-loosening-and-infection-after-hip-and-knee-replacements
#15
JOURNAL ARTICLE
Yaxin Tian, Yanghongyan Jiang, Bei Feng, Tingting Zhao, Wenjiao Cai, Yiyuan Dong, Qian Zhao
BACKGROUND: Prosthetic loosening and infection are still common complications after joint replacement. Over the past few years, single-photon emission computed tomography-computed tomography (SPECT/CT) was widely used and showed unique value based on the combination of anatomic and metabolic information of foci. However, its performance in differentiating between prosthetic loosening and periprosthetic infection after joint replacement is still the focus of clinicians and deserves further investigation...
March 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38312909/defining-the-learning-period-of-a-novel-imageless-navigation-system-for-posterior-approach-total-hip-arthroplasty-analysis-of-surgical-time-and-accuracy
#16
JOURNAL ARTICLE
Christian B Ong, Justin M Ong, Jacqueline Grubel, Yu-Fen Chiu, Ajay Premkumar, Gwo-Chin Lee, Alejandro Gonzalez Della Valle
INTRODUCTION: The use of imageless navigation in total hip arthroplasty (THA) is frequently associated with prolonged surgical times, predominantly during the learning period. The purpose of the present study was to characterize the learning period of a novel imageless navigation system, specifically as it related to surgical time and acetabular navigation accuracy. MATERIALS AND METHODS: This was a retrospective observational study of a consecutive group of 158 patients who underwent primary unilateral THA for osteoarthritis by a team headed by a single surgeon...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38312908/arthroscopic-and-radiographic-features-distinguish-femoral-head-deformity-from-idiopathic-cam-slipped-capital-femoral-epiphysis-and-recurrent-cam-after-slipped-epiphysis
#17
JOURNAL ARTICLE
Prasad Gourineni, Durgaprasad Valleri, Nirav Mungalpara, Sudhir Mahapatra, Vishnu Senthil
INTRODUCTION: Hip impingement from slipped epiphysis and idiopathic cam is well known but not fully differentiated. Idiopathic cam can be a result of an undiagnosed slip. The mechanism of remodeling of slipped epiphysis deformity has also been controversial. The causes of recurrent femoral head deformity and new impingement beyond progression of the slip have not been studied. MATERIALS AND METHODS: A consecutive series of hips treated by arthroscopic femoral neck osteoplasty for impingement from slipped epiphysis were compared with a series of hips treated for idiopathic cam impingement...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38312907/does-prophylactic-pinning-affect-the-proximal-femur-morphology-in-slipped-capital-femoral-epiphysis
#18
JOURNAL ARTICLE
K Venkatadass, Deepak Jain, S Rajasekaran
BACKGROUND: The role of prophylactic pinning of the contralateral hip in unilateral SCFE is well established in patients with risk factors for developing contralateral slip. The effect of prophylactic pinning on the growth and morphology of the hip is not well documented in the literature. We aimed to study the effect of prophylactic pinning on the residual growth and morphology of the proximal femur. MATERIALS & METHODS: The institutional database was searched for all unilateral SCFE cases for the period 2011 to 2020...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38312906/systemic-absorption-resulting-from-tobramycin-loaded-antibiotic-cement-spacers-used-in-the-treatment-of-prosthetic-joint-infection
#19
JOURNAL ARTICLE
James D Como, Rasha Abdulmassih, Anthony J Guarascio, Timothy Sauber, Jeffrey Sewecke, Edward Westrick, Nitin Bhanot
PURPOSE: Antimicrobial cement spacer (ACS) placement has been a cornerstone of two-stage management of prosthetic hip and knee infection. Pharmacokinetic modelling has described peak systemic antibiotic concentrations within the first 24-48 h post-operatively, followed by rapid clearance. A few studies have, however, identified detectable tobramycin levels in patients with a post-operative decline in creatinine clearance. Our study sought to determine how frequently detectable serum tobramycin levels occurred within the first 72 h following ACS placement in all patients regardless of baseline or subsequent changes in renal function, whether these levels correlated with tobramycin spacer dosage, creatinine clearance, or potential nephrotoxicity risk factors, and whether any patients developed acute kidney injury within the 14-day post-operative period...
February 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38312905/placement-of-standard-sized-acetabular-cup-between-true-and-false-acetabulum-in-patients-with-crowe-iii-iv-dysplasia-a-safe-option-in-tha-without-femoral-osteotomy
#20
JOURNAL ARTICLE
Çetin Işık, Mesut Tahta, Fahri Emre
INTRODUCTION: There is no consensus in literature on the surgical treatment of patients with Crowe type III/IV patients. Each arthroplasty procedure has its own advantages and disadvantages. In this study by placing the acetabular cup between the true and false acetabulum, we aimed to share our experience about criteria of patient selection, surgical technique, and mid-term results of THA (total hip arthroplasty) in which the risk of dislocation was minimized using a standard-sized acetabular cup...
February 2024: Indian Journal of Orthopaedics
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