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Indian Journal of Orthopaedics

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https://www.readbyqxmd.com/read/28566795/legends-of-indian-orthopedics-prof-m-natarajan
#1
Mayil Vahanan Natarajan
No abstract text is available yet for this article.
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566794/author-s-reply
#2
Anil Kumar Jain
No abstract text is available yet for this article.
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566793/current-state-of-orthopedic-education-in-india
#3
B V Murlimanju, P R Krishnaprasad, P V Santosh Rai, K V N Dinesh, Latha V Prabhu
No abstract text is available yet for this article.
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566792/author-s-reply
#4
Sampat S Dumbre Patil, Sachin S Karkamkar, Vaishali S Dumbre Patil, Shailesh S Patil, Abhijeet S Ranaware
No abstract text is available yet for this article.
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566791/reverse-distal-femoral-locking-compression-plate-a-salvage-option-in-nonunion-of-proximal-femoral-fractures
#5
Yasir Salam Siddiqui, Mohd Khalid Anwar Sherwani
No abstract text is available yet for this article.
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566790/one-stage-revision-single-bundle-anterior-cruciate-ligament-reconstruction-with-impacted-morselized-bone-graft-following-a-failed-double-bundle-reconstruction
#6
Ho Jong Ra, Jeong Ku Ha, Jin Goo Kim, Do-Yon Hwang
Although double-bundle anterior cruciate ligament (ACL) reconstruction has theoretical benefits such as more accurate reproduction of ACL anatomy, it is technically more demanding surgery. This report describes the case of a one stage revision single-bundle ACL reconstruction after primary double-bundle ACL reconstruction. A professional dancer had an ACL previously reconstructed with a double-bundle technique, but the femoral tunnels were malpositioned resulting in residual laxity and rotational instability...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566789/prosthetic-knee-joint-infection-due-to-mycobacterium-abscessus
#7
Priyadarshi Amit, Sumeet Rastogi, Sks Marya
Infected total knee arthroplasty (TKA) due to Mycobacterium abscessus is very rare with only three such cases described in literature. Only one case was managed successfully, however, with a prolonged course of anti tubercular therapy. In this case report, we present an elderly lady with infected TKA after 2 years of the primary procedure. Although initially it grew different bacteriae, M. abscessus was isolated during the second debridement. She was successfully treated with total of 5 months of second line anti tubercular drugs with revision prosthesis performed during chemotherapy...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566788/patellar-tendon-re-rupture-on-the-opposite-end-of-the-previous-site-of-surgical-repair
#8
Bryan Thean Howe Koh, Andrew A Sayampanathan, Keng Thiam Lee
We describe a rare case of a patellar tendon "re-rupture" at the opposite end of a previous proximal tendon repair. A 32-year-old male with a history of surgically repaired right proximal patellar tendon rupture presented with an acute non-traumatic right knee pain and instability during sports. Magnetic resonance imaging confirmed a complete rupture of his distal patellar tendon at the tibial tuberosity. The patellar tendon was repaired using two 5.5 mm BioCorkscrews (Arthrex) inserted into the tibial tuberosity; the tendon was stitched with the No...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566787/acute-flaccid-paraparesis-cauda-equina-syndrome-in-a-patient-with-bardet-biedl-syndrome
#9
Vibhu Krishnan Viswanathan, Rishi Mugesh Kanna, Ajoy Prasad Shetty, S Rajasekaran
Bardet-Biedl syndrome (BBS) is a rare, autosomal-recessive, debilitating genetic disorder, which can present with multitudinous systemic clinical features including rod-cone dystrophy, polydactyly, Frohlich-like central obesity, mental retardation, hypogonadism, and renal anomalies. Diverse neuromuscular manifestations in patients afflicted by this heterogeneous disorder include ataxia, cervical, and thoracic canal stenoses, presenting as spastic quadriparesis and other gait disturbances. We report a young patient with BBS, who had presented with acute flaccid paraparesis due to severe primary lumbar canal stenosis...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566786/short-and-mid-term-results-of-revision-total-knee-arthroplasty-with-global-modular-replacement-system
#10
Dariusz Marczak, Jacek Kowalczewski, Jarosław Czubak, Tomasz Okoń, Marek Synder, Marcin Sibiński
BACKGROUND: The original knee megaprostheses with fixed or rotating hinge articulation were custom made and only used for reconstruction of the knee following distal femoral or proximal tibial tumor resections. The aim of the study was to analyze the short- and mid-term results of revision total knee arthroplasty with Global Modular Replacement System (GMRS) used in difficult situations not amenable to reconstruction with standard total knee replacement implants. MATERIALS AND METHODS: Nine patients (9 knees) were treated with this comprehensive modular implant system, with a mean age of 73...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566785/combined-negative-pressure-wound-therapy-with-open-bone-graft-for-infected-wounds-with-bone-defects-an-experimental-study
#11
Ramesh Kumar Jha, Chengyan Xia, Zonghuan Li, Weiyang Wang, Kai Deng
BACKGROUND: Bone and soft-tissue defects in infected wound have been an intractable problem to many surgical consultations. Infected wounds with bone defects are physical and financial burden to society. Nowadays, infected wounds with compound defect of bone and soft tissues are common in orthopedics department. Currently, no simple and efficient treatment has been found to solve this problem. This study investigates the effects of combining negative pressure wound therapy (NPWT) with open bone graft on this focus...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566784/management-of-open-fractures-using-a-noncontact-locking-plate-as-an-internal-fixator
#12
Azad Yıldırım, Ahmet Kapukaya, Yılmaz Mertsoy, Şehmus Yiğit, Mehmet Akif Çaçan, Ramazan Atiç
BACKGROUND: The treatment of open fractures leads to major problems which may be due to various reasons. It mainly causes soft tissue problems due to the absorption of a large amount of energy by the soft tissues and bone tissues. Although some recent treatment protocols have eliminated many problems regarding delayed soft tissue closure, it still remains a big challange. This study uses a method called the internal fixator technique with noncontact locking plate (NC-LP) which involves the use of a combination of advantages of open and closed fixation techniques...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566783/a-comparative-study-to-evaluate-the-efficacy-of-platelet-rich-plasma-and-triamcinolone-to-treat-tennis-elbow
#13
Vanamali B Seetharamaiah, Amrit Gantaguru, Sunil Basavarajanna
BACKGROUND: Lateral elbow pain is common with a population prevalence of 1%-3%. The study was a comparative trial to validate the efficacy of single injection of platelet-rich plasma (PRP) for tennis elbow as compared with single injections of triamcinolone and placebo (normal saline) over a short term period. MATERIALS AND METHODS: Comparative trial with 3- and 6-month followup evaluated with visual analog scale (VAS) and facial pain scale (FPS). Our study included a total of eighty patients with unilateral or bilateral tennis elbows...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566782/early-results-of-an-intraosseous-device-for-arthrodesis-of-the-hallux-metatarsophalangeal-joint
#14
Efstathios Drampalos, Shen Hwa Vun, Levent Bayam, Irfan Fayyaz
BACKGROUND: Arthrodesis of the hallux metatarsophalangeal (MTP) joint is commonly done as a primary procedure either to correct severe hallux valgus deformities or for rheumatoid arthritis, hallux rigidus, in patients with neuromuscular disorders and as a salvage procedure for failed bunion surgery or infection. Prominent metalwork frequently can cause soft tissue impingement and thus require removal. In contrast, osteosynthesis with a completely intraosseous implant has the advantage of less damage to the periosteal circulation...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566781/a-comparative-study-of-intramedullary-interlocking-nailing-and-minimally-invasive-plate-osteosynthesis-in-extra-articular-distal-tibial-fractures
#15
Arup K Daolagupu, Ashwani Mudgal, Vikash Agarwala, Kaushik K Dutta
BACKGROUND: Extraarticular distal tibial fractures are among the most challenging fractures encountered by an orthopedician for treatment because of its subcutaneous location, poor blood supply and decreased muscular cover anteriorly, complications such as delayed union, nonunion, wound infection, and wound dehiscence are often seen as a great challenge to the surgeon. Minimally invasive plate osteosynthesis (MIPO) and intramedullary interlocking nail (IMLN) are two well-accepted and effective methods, but each has been historically related to complications...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566780/radiologic-assessment-of-femoral-and-tibial-tunnel-placement-based-on-anatomic-landmarks-in-arthroscopic-single-bundle-anterior-cruciate-ligament-reconstruction
#16
Sandeep Kumar Nema, Gopisankar Balaji, Sujiv Akkilagunta, Jagdish Menon, Murali Poduval, Dilip Patro
BACKGROUND: Accurate tibial and femoral tunnel placement has a significant effect on outcomes after anterior cruciate ligament reconstruction (ACLR). Postoperative radiographs provide a reliable and valid way for the assessment of anatomical tunnel placement after ACLR. The aim of this study was to examine the radiographic location of tibial and femoral tunnels in patients who underwent arthroscopic ACLR using anatomic landmarks. Patients who underwent arthroscopic ACLR from January 2014 to March 2016 were included in this retrospective cohort study...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566779/pain-management-in-total-knee-arthroplasty-by-intraoperative-local-anesthetic-application-and-one-shot-femoral-block
#17
Aykut Sigirci
BACKGROUND: Pain after total knee arthroplasty (TKA) is a big problem in orthopaedic surgery. Although opioids and continuous epidural analgesia remain the major options for the postoperative pain management of TKA, they have some undesirable side effects. Epidural analgesia is technically demanding, and the patient requires close monitoring. Different types of local anesthetic applications can successfully treat TKA pain. Local anesthetics have the advantage of minimizing pain at the source...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566778/nonunion-of-greater-trochanter-following-total-hip-arthroplasty-treated-by-an-articulated-hook-plate-and-bone-grafting
#18
Diego L Fernandez, John T Capo, Eduardo Gonzalez-Hernandez, Richard M Hinds, Maurice E Müller
BACKGROUND: Trochanteric osteotomy still has an important role in hip arthroplasty in cases of (1) preexisting developmental hip dysplasia with superior subluxation, (2) revision arthroplasty, specifically with acetabular component revision in the face of well-fixed femoral component, and (3) recurrent dislocation without component loosening or malalignment, in treatment of complicated trochanteric fixation in osteoporotic bone and nonunions may be difficult. This study reports the clinical outcomes of trochanteric fixation following total hip arthroplasty (THA) utilizing a hook plate construct in a cohort of ten patients...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566777/surgical-treatment-of-secondary-fractures-after-percutaneous-vertebroplasty-a-retrospective-study
#19
Jiang-Jun Zhu, Dong-Sheng Zhang, Su-Liang Lou, Yong-Hong Yang
BACKGROUND: Percutaneous vertebroplasty (PVP) and percutaneous kyphoplasty (PKP) are effective procedures for the treatment of vertebral compression fractures (VCFs). However, recent studies have reported that secondary VCFs develop in patients after PVP or PKP treatment. This study aimed to investigate the clinical characteristics and management of secondary fractures after PVP or PKP. MATERIALS AND METHODS: 599 cases who had vertebral compression fracture and underwent PVP or PKP between September 2008 and June 2014 were enrolled, including 121 males and 478 females...
May 2017: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/28566776/infected-nonunion-of-tibia
#20
Milind Madhav Chaudhary
Infected nonunions of tibia pose many challenges to the treating surgeon and the patient. Challenges include recalcitrant infection, complex deformities, sclerotic bone ends, large bone gaps, shortening, and joint stiffness. They are easy to diagnose and difficult to treat. The ASAMI classification helps decide treatment. The nonunion severity score proposed by Calori measures many parameters to give a prognosis. The infection severity score uses simple clinical signs to grade severity of infection. This determines number of surgeries and allows choice of hardware, either external or internal for definitive treatment...
May 2017: Indian Journal of Orthopaedics
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