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Indian Journal of Orthopaedics

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July 2018: Indian Journal of Orthopaedics
Vineet Sharma, Bhavuk Garg
No abstract text is available yet for this article.
July 2018: Indian Journal of Orthopaedics
Ish Kumar Dhammi, Rehan Ul Haq
No abstract text is available yet for this article.
July 2018: Indian Journal of Orthopaedics
Raju Vaishya
No abstract text is available yet for this article.
July 2018: Indian Journal of Orthopaedics
Jae-Hyuk Yang, Jung-Ro Yoon
The cases of revision total knee arthroplasty (TKA) are increasing. In this report, snapping phenomenon after final implantation of revision TKA has been presented. Snapping was caused by adhered iliotibial band (ITB) impinging against the lateral part of femoral component. Fractional lengthening the ITB by puncture resolved the snapping phenomenon. Surgeons should be aware of the presence of such a case which should be identified during operation to avoid secondary operations.
July 2018: Indian Journal of Orthopaedics
Ping Zhang, Chunping Zhu, Jingchun Xiao, Youqing Zhou
Background: Extensive arterial damage of arteries that were too small in diameter precluded finger replantation. Venous arterialization in which arterial blood inflows through a proximal arterial-to-distal venous anastomosis, allows performing replantation that was previously considered as impossible and has resulted in a successful outcome. The aim is to introduce the distinctive phenomenon of the reperfusion delay in finger replantation by vein arterialization and to analyze its clinical significance...
July 2018: Indian Journal of Orthopaedics
Rahul Ranjan, Abhinav Sinha, Naiyer Asif, Syed Ifthekar, Ashish Kumar, Suresh Chand
Background: Implant for fixation of neglected fracture lateral condyle humerus remains an issue of controversy. This study compares the clinical and radiological outcome of fixation with Kirschner wire (K-wire) and with cancellous screw (CS) in neglected fracture lateral condyle humerus. Materials and Methods: 42 patients of neglected lateral condyle humerus fracture, treated either by open reduction and internal fixation (ORIF) with K-wire or ORIF with CS were included in study...
July 2018: Indian Journal of Orthopaedics
Ravi Gupta, Munish Sood, Anubhav Malhotra, Gladson David Masih, Tanu Khanna, Mukta Raghav
Background: The debate about the ideal surgical procedure for acromioclavicular joint (ACJ) dislocation is still unresolved and newer techniques are being evolved continuously. The present study evaluates functional outcome of ACJ reconstruction using the modified Weaver Dunn procedure. Materials and Methods: 35 patients (26 males, 9 females) with ACJ dislocation, between the age group of 18-48 years (mean age 31 years), were operated using modified Weaver Dunn procedure at our center from May 2005 to June 2010...
July 2018: Indian Journal of Orthopaedics
Rui Hu, Yi-Jun Ren, Li Yan, Xin-Cheng Yi, Fan Ding, Qiong Han, Wen-Jun Cheng
Background: Gustilo Anderson III B/C open tibial fractures are more difficult to manage than I, II, and III A fractures. These open tibial fractures are often associated with wound infection, soft tissue necrosis, bone nonunion, osteomyelitis or amputation. Staged treatment for this severe trauma is very necessary. Materials and Methods: 25 cases of Gustilo Anderson IIIB/C open tibial fractures with serious soft-tissue defects treated between January 2010 and January 2015 were included in this study...
July 2018: Indian Journal of Orthopaedics
Amritpal Singh, Jonathan Tan Jiong Hao, Desmond Tan Wei, Chua Wei Liang, Diarmuid Murphy, Joseph Thambiah, Chee Yu Han
Background: Gustilo IIIB tibial fractures are associated with high rates of infection and nonunion. This study evaluates the impact of factors such as patient demographics, mechanism of injury, time to the first debridement, and time to flap coverage on the union and infection rates. Materials and Methods: A retrospective analysis was performed on all patients with open tibial fractures who presented to our tertiary trauma center over 13 years from April 2000 to August 2013...
July 2018: Indian Journal of Orthopaedics
Ravi Gupta, Munish Sood, Anubhav Malhotra, Gladson David Masih, Mukta Raghav, Tanu Khanna
Background: Infection after anterior cruciate ligament reconstruction surgery (ACLRS) is a rare complication. Although there are number of studies from various Caucasian population but only few studies are available from Asian population. The aim of the study is to assess the incidence, risk factors and, clinical outcome using our treatment protocol. Materials and Methods: Out of 1468 arthroscopic ACLRS, 26 patients with clinical suspicion of infection were critically analysed in terms of laboratory reports of arthrocentesis, erythrocyte sedimentation rate, C-reactive protein and risk factors such as the type of graft, gender, diabetes mellitus, smoking, intraarticular steroid injection, and obesity...
July 2018: Indian Journal of Orthopaedics
Sanjay Agarwala, Vivek Shetty, Lnvsl Kishore Karumuri, Mayank Vijayvargiya
Background: Anterior knee pain following total knee arthroplasty (TKA) remains one of the important reasons for patient dissatisfaction. The management of patellofemoral joint is controversial and a decision whether to resurface the patella or not, is important. The present study compares the clinical and radiological outcomes between patellar resurfacing and nonresurfacing in patients undergoing bilateral TKA. Materials and Methods: This is a prospective comparative study with 60 patients undergoing bilateral simultaneous TKA (120 knees) with posterior stabilized Hi flex fixed bearing knee (Zimmer, Warsaw, Indiana), by two surgeons...
July 2018: Indian Journal of Orthopaedics
Sivashanmugam Raju, Karthikeyan Chinnakkannu, Ashok Selvaraj, Balasubramanian Balakumar, Mohan K Puttaswamy, P V Jayasankar
Background: Total knee arthroplasty (TKA) has been proved to be a successful and cost-effective treatment for improving pain and function in patients with knee arthritis. Total knee arthroplasty (TKA) is one of the most common orthopaedic surgeries performed worldwide and advancement in surgical techniques and prosthetic designs have improved the patient outcomes. However, concerns and priorities of patients and surgeons relating to joint replacement may differ. Materials and Methods: 306 TKAs in 223 patients were evaluated for functional outcome using surgeon reported American Knee Society Knee Score (KS)/Functional Score (FS) and patient-reported Oxford Knee Score (OKS)...
July 2018: Indian Journal of Orthopaedics
Yu-Pin Chen, Amyla Tan, Wei-Pin Ho, Tai-Yuan Chuang, Wei-Chuan Chen, Chih-Hwa Chen
Background: Legg-Calve-Perthes disease (LCPD) causes osteonecrosis of the femoral head (ONFH) by temporarily interrupting the blood supply in children. Even with potential toward bone regeneration and revascularization in LCPD, the prognosis depends on the deformity of femoral heads, and successful rate with the current treatments varies. Antiresorptive therapy such as bisphosphonate, which maintains mechanical stability of the femoral head by inhibiting necrotic bone resorption, has proven effective in animal models...
July 2018: Indian Journal of Orthopaedics
Murat Altay, İsmail Demirkale, Mehmet Faruk Çatma, Hakan Şeşen, Serhan Ünlü, Mert Karaduman
Background: Crowe type IV developmental dysplasia of hip (DDH), subtrochanteric shortening osteotomy is required to restore the hip joint. Several approaches have been described for subtrochanteric shortening osteotomy. Several osteotomy fixation techniques have been defined for Crowe type IV DDH. This study evaluates the outcomes of subtrochanteric shortening osteotomy fixed with a combination of split onlay autograft and distal fluted femoral stem. Materials and Methods: A retrospective study was carried out on 41 hips of 37 patients treated with total hip replacement for Crowe type IV developmental dysplasia of the hip by subtrochanteric transverse osteotomy and fixed with split intercalary autograft by two cables...
July 2018: Indian Journal of Orthopaedics
Kyung-Soon Park, Chee-Ken Chan, Dong-Hyun Lee, Taek-Rim Yoon
Background: Conversion from failed bipolar hemiarthroplasty (HA) to total hip arthroplasty (THA) presents a great challenge to orthopedic surgeons for bipolar head removal and cup placement with or without change of femoral stem. Conversion THA after failed bipolar arthroplasty is known to offer both symptomatic and functional improvement. This study evaluates the midterm functional outcome and complications, especially dislocation associated with femoral head diameter, after conversion THA...
July 2018: Indian Journal of Orthopaedics
Arun-Kumar Kaliya-Perumal, Yu-Cheng Yeh, Chi-Chien Niu, Lih-Huei Chen, Wen-Jer Chen, Po-Liang Lai
Background: Correcting the scoliosis and stabilizing the spine in the corrected position is the basis of treatment for adolescent idiopathic scoliosis (AIS). Spinal instrumentation and derotation are the principle steps of surgery for any type of AIS. A perspicuous understanding needs to be attained regarding derotation maneuvers in practice; therefore, we intend to compare radiological outcomes following concave and convex rod derotation maneuvers to analyze their efficacy to correct selective Lenke's Type-1 scoliosis...
July 2018: Indian Journal of Orthopaedics
Sang-Il Kim, Kee-Yong Ha, Young-Hoon Kim, Young-Ho Kim, In-Soo Oh
Background: For Grade I degenerative lumbar spondylolisthesis (DLS), both decompression alone and decompression with fusion are effective surgical treatments. Which of the two techniques is superior is still under debate. The purpose of this study was to compare clinical outcomes after decompression alone versus decompression with fusion for Grade I DLS. Materials and Methods: 139 patients who underwent surgery for Grade I DLS at L4-L5 were prospectively enrolled...
July 2018: Indian Journal of Orthopaedics
Vishal Gupta, Neema Agarwal, Barin Prasad Baruah
Background: In the past, few studies have been done to objectively measure the sacrococcygeal (SC) and intercoccygeal (IC) angles in the population and in patients with coccydynia. Coccydynia is an age-old disorder, the exact incidence of which has not been determined. It is reported to be more common in females and the obese. The magnetic resonance imaging (MRI) studies done in the past have calculated the curvature indices. In this study, we used MRI to objectively measure the angles in the normal participants as well as those with idiopathic coccydynia...
July 2018: Indian Journal of Orthopaedics
Vinod Kumar, Nishit Bhatnagar, Jeetendra Singh Lodhi
Background: Osteochondritis dissecans (OCD) is a disorder primarily affecting subchondral bone, with secondary effects on the overlying articular cartilage. Knee joint (75%) and radiocapitellar joint (6%) are the most common sites for OCD lesions. The presence of an open growth plate differentiates juvenile osteochondritis dissecans from adult form of osteochondritis. Early diagnosis and treatment produce best long term results. The objective of this study is to determine the best mode of management of a Grade I osteochondritis lesion in a young athlete...
July 2018: Indian Journal of Orthopaedics
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