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Indian Journal of Orthopaedics

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https://www.readbyqxmd.com/read/29887639/legends-of-indian-orthopedics-prof-b-mukhopadhaya
#1
D K Taneja, Bhavuk Garg
No abstract text is available yet for this article.
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887638/combined-ipsilateral-fracture-of-the-tibial-pilon-talar-body-and-calcaneus-outcome-at-4-years
#2
Henriette Bretschneider, Stefan Rammelt
Combined fractures of the talar body and the adjacent bones are rare. We present a case of a 35-year-old male with a complex foot and ankle trauma resulting in an unusual combined ipsilateral fracture of the anterolateral tibial plafond, talar body, and sustentaculum tali of the calcaneus. To the best of our knowledge, this particular combination of fractures has not yet been reported in the literature. The combination of talar body fracture with fractures of the adjacent bones was treated by a bilateral open reduction with anatomic reconstruction of the joint surfaces resulting in an excellent clinical outcome at 4-year followup...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887637/the-use-of-tubular-retractors-for-translaminar-discectomy-for-cranially-and-caudally-extruded-discs
#3
Arvind G Kulkarni, Shashidhar Bangalore Kantharajanna, Abhilash N Dhruv
Background: The conventional interlaminar approach is adequate for access to most disc herniations in lumbar spine surgery. The access to cranially and caudally migrated disc fragments, by conventional interlaminar fenestration, requires an extension of the fenestration with the potential destruction of the facet joint complex and consequent postsurgical instability. To describe the technique and results of the translaminar technique of targeted discectomy using tubular retractors for the surgical treatment of cranially and caudally extruded discs...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887636/screw-intramedullary-elastic-nail-fixation-in-midshaft-clavicle-fractures-a-clinical-outcome-in-36-patients
#4
Wasudeo Mahadeo Gadegone, Vijayanand Lokhande
Background: Surgical stabilization of displaced midshaft clavicle fracture can be achieved by an intramedullary nail or plate. When intramedullary nail is used, one of the dreaded complications is the migration of nail. We have used a screw intramedullary device with screw mechanism at one end which can get hold in the medial cancellous bone, thus preventing chances of nail migration. The aim of our study was to evaluate the clinical outcome following elastic stable screw intramedullary nailing for the fixation of midshaft clavicle fractures...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887635/a-modified-brostr%C3%A3-m-repair-with-transosseous-fixation-for-chronic-ankle-instability-a-midterm-followup-study-in-soldiers
#5
Pei-Wei Weng, Chih-Yu Chen, Yang-Hwei Tsuang, Jui-Sheng Sun, Chian-Her Lee, Cheng-Kung Cheng
Background: Various surgical techniques are available to reduce chronic instability of the lateral ankle ligament complex. The most effective method for these procedures remains controversial. This report presents a surgical technique that is similar to the Broström procedure and uses a modified, nonaugmented repair technique. Materials and Methods: 38 soldiers with a history of chronic lateral ankle instability and poor ankle function underwent plication of the anterior talofibular ligament-lateral capsule complex with transosseous fixation of the calcaneofibular ligament through a fibular bone tunnel between 2004 and 2007...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887634/posterior-malleolus-fractures-in-trimalleolar-ankle-fractures-malleolus-versus-transyndesmal-fixation
#6
Bilgehan Tosun, Ozgur Selek, Umit Gok, Halil Ceylan
Background: In ankle fractures involving the posterior malleolus, the issue of which types of fractures require posterior malleolus fixation is still controversial. Recent studies have demonstrated that trimalleolar fractures adversely affect the functional outcomes in comparison to bimalleolar fractures of the lateral and medial malleolus. The purpose of this study was to assess the effects of posterior malleolus fixation on the functional and radiological outcomes. Materials and Methods: Reduction quality, development of posttraumatic ankle osteoarthritis, and functional outcomes in 49 consecutive trimalleolar ankle fractures were evaluated retrospectively in patients with and without posterior malleolus fixation...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887633/arthroscopic-and-endoscopic-management-of-posttraumatic-hindfoot-stiffness
#7
Tun Hing Lui
Ankle, hindfoot, and toe stiffness can result from hindfoot trauma. It can be due to capsular fibrosis, tendon adhesion, muscle fibrosis, or malunion. For symptomatic stiffness that is resistant to nonoperative treatment, operative treatment should be considered. It is important to tackle the sources of stiffness, and careful preoperative clinical assessment is the key for proper formulation of the surgical plan. Whenever possible, arthroscopic/endoscopic surgery is preferable to open surgery because less extensive dissection and small surgical incisions allow immediate vigorous mobilization of the foot and ankle...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887632/cuboid-injuries
#8
Ippokratis Pountos, Michalis Panteli, Peter V Giannoudis
Cuboid fractures are rare injuries. A number of different treatment methods have been proposed including plaster immobilization, open reduction, and internal fixation or external fixation. Bone grafting is commonly used to restore bony length. The majority of the current literature suggests that the loss of length of the lateral column and articular congruency are the two criteria opting for the surgical management of these fractures. Nevertheless, the exact indications and ideal management of these fractures are not established mainly due to the rarity of these injuries and the paucity of literature...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887631/management-options-in-avascular-necrosis-of-talus
#9
Mandeep S Dhillon, Balvinder Rana, Inayat Panda, Sandeep Patel, Prasoon Kumar
Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched MEDLINE and PUBMED using keywords and MESH terminology...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887630/talar-body-reconstruction-for-nonunions-and-malunions
#10
Marcos Hideyo Sakaki, Rodrigo Sousa Macedo, Alexandre Leme Godoy Dos Santos, Rafael Trevisan Ortiz, Rafael Barban Sposeto, Túlio Diniz Fernandes
Background: Talar body and neck nonunions and malunions may undergo a reconstructive surgery when joint cartilage is still viable, and no talar collapse or infection has occurred. This is a rare condition and the studies supporting the procedure have small number of cases. The objective of the present study is to report a case series of six patients who underwent talar reconstructions. Materials and Methods: Six patients with talar malunions or nonunions who underwent surgical treatment were reviewed in this retrospective study...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887629/surgical-treatment-of-posteromedial-talus-fractures-technique-description-and-results-of-10-cases
#11
Michael Swords, John Shank, Stephen Benirschke
Background: The aim of this study is to describe a surgical technique for successful treatment of posteromedial talar body fractures and establish treatment recommendations for fractures of the posterior aspect of the talus. Materials and Methods: Ten patients treated operatively for a posteromedial talar body fractures entering both the subtalar and ankle articulations with a minimum of 1-year followup were identified from a trauma database. Age, mechanism of injury, associated injuries, time to surgery, complications, the range of motion, secondary procedures, and need for arthrodesis were evaluated...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887628/management-of-talar-body-fractures
#12
S R Sundararajan, Abdul Azeem Badurudeen, R Ramakanth, Shanmuganathan Rajasekaran
Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. They occur as a result of high-velocity trauma and are therefore associated with considerable soft tissue damage. Axial compression with supination or pronation is the common mechanism of injury...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887627/plate-fixation-of-talus-fractures-where-when-and-how
#13
Michael Swords, Harrison Lakehomer, Michael McDonald, Jay Patel
Talus fractures are rare orthopedic injuries. Surgical fixation is challenging for treating surgeons. The clear majority of fractures require operative treatment. The indication and use of plates in fixation of talus fractures are reviewed. Specific applications including fractures of the lateral process, posterior fractures, extreme comminution, bone grafting, and spring plating to hold key segments are reviewed in this article.
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887626/crush-fractures-of-the-anterior-end-of-calcaneum
#14
Mandeep Dhillon, Ankit Khurana, Sharad Prabhakar, Siddharth Sharma
The anterior end of calcaneum fractures can present as inversion injuries, stress fractures or as a part of displaced intraarticular calcaneum fracture. Rarely, these may occur due to abduction injury from a laterally directed force that crushes the anterior calcaneum instead of the cuboid, and has associated medial column injuries which are unrecognized. Compression fractures of the anterior calcaneum are actually lateral column shortening injuries with poor outcomes in the few published reports. We describe three patients with compression fractures of the anterior end of calcaneum resulting from foot abduction injury which were managed by reduction and column length restoration via distraction by external fixator...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887625/the-posterolateral-approach-for-calcaneal-fractures
#15
Dror Lakstein, Alexander Bermant, Evgeny Shoihetman, David Hendel, Zeev Feldbrin
Background: Conventionally, the extended lateral approach (ELA) served as the standard extensile approach for intraarticular calcaneal fracture fixation. However, this approach has a high rate of wound complications. The purpose of this study was to describe an alternative approach, the posteriorlateral approach (PLA) and compare it to the ELA regarding soft tissue complications and functional outcome. Materials and Methods: 32 patients operated through PLA and 66 patients treated through ELA were included in this retrospective study...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887624/the-open-envelope-approach-a-limited-open-approach-for-calcaneal-fracture-fixation
#16
Sharad Prabhakar, Mandeep S Dhillon, Ankit Khurana, Rakesh John
Background: Minimally invasive surgery (MIS) has a significant and evolving role in the treatment of displaced intra articular calcaneal fractures (DIACFs), but there is limited literature on this subject. The objective was hence to assess the clinicoradiological outcomes of DIACFs fixed with an innovative open-envelope MIS technique. Materials and Methods: 42 closed Sanders Type 2 and 3; DIACFs were included in this study. The Open-envelope approach was developed, which is essentially a limited open, dual incision, modified posterior longitudinal approach allowing excellent visualisation and direct fragment manipulation...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887623/calcaneal-fractures-should-we-or-should-we-not-operate
#17
Stefan Rammelt, Bruce J Sangeorzan, Michael P Swords
The best treatment for displaced, intraarticular fractures of the calcaneum remains controversial. Surgical treatment of these injuries is challenging and have a considerable learning curve. Studies comparing operative with nonoperative treatment including randomized trials and meta-analyses are fraught with a considerable number of confounders including highly variable fracture patterns, soft-tissue conditions, patient characteristics, surgeon experience, limited sensitivity of outcome measures, and rehabilitation protocols...
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29887622/complex-hindfoot-and-ankle-trauma-the-management-status-in-2018
#18
EDITORIAL
Mandeep S Dhillon
No abstract text is available yet for this article.
May 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29576654/legends-of-indian-orthopedics-pramod-karan-sethi
#19
Bhavuk Garg
No abstract text is available yet for this article.
March 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29576653/making-the-surgeons-safe-in-india
#20
Raju Vaishya, Lalit Maini, Abhishek Vaish
No abstract text is available yet for this article.
March 2018: Indian Journal of Orthopaedics
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