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Journal of Clinical Orthopaedics and Trauma

Anurag Tiwari, Nishit Bhatnagar, Ankit Thora, Amit Sharma, Hari Kishan, Saikat Jena
Trapping of fingers in metallic bands is a commonly encountered situation. The children, elderly people, and psychiatric patients are the usual victims. The constricting object in the digit causes obstruction to lymphatic and venous drainage leading to oedema distal to the constriction, which leads to further neurovascular compromise and presents as a surgical emergency. A 7-year-old boy presented to us with his right middle finger being stuck in a steel door latch. Multiple attempts were made to remove the trapped finger with conventional methods, and subsequently, it was removed by electric-driven metal cutting saw, which was not previously described in medical literature to the best of our knowledge...
July 2016: Journal of Clinical Orthopaedics and Trauma
Anshul Dahuja, Jae Hyuk Yang, Jung-Ro Yoon, Shiraz Bhatty
In this report, we present a case with difficult arthroscopic posterolateral portal formation due to loose body located in posterior compartment. These loose bodies are responsible for pain, decreased range of motion and cartilage damage in the knee joint. By making the posterior trans-septal portal prior, posterolateral portal could be made without difficulty completing the planned arthroscopic procedure.
July 2016: Journal of Clinical Orthopaedics and Trauma
R John, M S Dhillon, K Syam, S Prabhakar, P Behera, H Singh
BACKGROUND: Sports-related knee injuries occur commonly in athletes. However, there is no published epidemiological study from India till date. OBJECTIVES: The purpose of this study was to identify common injuries sustained by Indian athletes participating in different sports and to study various associated demographic features. A secondary objective was to investigate different factors, which may affect return to sport by the athlete. STUDY DESIGN: Cross-sectional study (observational study)...
July 2016: Journal of Clinical Orthopaedics and Trauma
Ashish Devgan, Rajesh Rohilla, Milind Tanwar, Aditya Jain, Karan Siwach, Radika Devgan
BACKGROUND: Arthroscopic debridement has been a gold standard procedure for anterior ankle impingement, both in cases of osseous and soft tissue impingement. There is sparse literature on comparative outcome with respect to functional results between the two types of impingement post-arthroscopic debridement. METHODS: Our study included 14 patients diagnosed as cases of anterior ankle impingement on the basis of clinical and radiological examination. They were segregated into two groups (on the basis of cause of impingement (osseous versus soft tissue))...
July 2016: Journal of Clinical Orthopaedics and Trauma
Raju Vaishya, Amit Kumar Agarwal, Sachin Ingole, Vipul Vijay
BACKGROUND: The aim of this study was to determine the current practices and preferences of the arthroscopic surgeons of Delhi in the diagnosis, treatment and rehabilitation of patients with anterior cruciate ligament (ACL) injury. METHODS: It was a cross-sectional descriptive study conducted among arthroscopic surgeons of Delhi. A survey was conducted using a questionnaire that was sent either by e-mail or by direct contact to all sixty arthroscopic surgeons of Delhi...
July 2016: Journal of Clinical Orthopaedics and Trauma
Ravi Gupta, Tanu Khanna, Gladson David Masih, Anubhav Malhotra, Anil Kapoor, Pawan Kumar
BACKGROUND: Anterior cruciate ligament (ACL) tear rates are known to vary from sport to sport. To the best of our knowledge, the relationship of ACL injury with different sports is not reported earlier. The objective of the present study is to investigate the association of ACL injury with different sports and to document various associated ligamentous, meniscal, and chondral lesions of the knee. MATERIALS AND METHODS: Descriptive epidemiological study was carried out in a tertiary care center over a 10-year period...
July 2016: Journal of Clinical Orthopaedics and Trauma
Jack Farr, Andreas H Gomoll
Cartilage restoration has flourished since the 1990s. The early pioneering work included cell therapy by Peterson, marrow stimulation by Johnson, osteochondral autograft treatments by Hangody, and osteochondral allografts by Gross. Since those early days, many scientists and clinicians have created "variations on a theme", markedly expanding the potential options for treating patients with symptomatic chondral lesions. Nevertheless, a variety of barriers exist between these new cartilage products and their clinical applications...
July 2016: Journal of Clinical Orthopaedics and Trauma
Hassan Afizah, James Hoi Po Hui
The versatility of mesenchymal stem cells (MSCs) as a treatment modality has landed it another repair target: osteoarthritis, a crippling cartilage disease that frequently afflicts the aged population. Through many studies, this newly discovered method has been shown to significantly alleviate the pain experienced by osteoarthritic patients. Notwithstanding the effectiveness of MSCs in this regard, varying degrees of success rates have also been reported, which is probably attributable to the different approaches adopted in harnessing MSCs' therapeutic value...
July 2016: Journal of Clinical Orthopaedics and Trauma
Raju Vaishya, Godfrey B Pariyo, Amit Kumar Agarwal, Vipul Vijay
Osteoarthritis is a chronic disorder of synovial joints in which there is progressive softening and disintegration of articular cartilage accompanied by the growth of osteophytes. Treatment designed for osteoarthritis should aim at reducing pain, improve joint mobility, and limit functional impairment. It can be achieved by pharmacological and non-pharmacological means. Non-operative treatment of OA is useful for patients with KL grade 1-3, which are early stages of OA. However, in an advanced stage of OA (KL grade 4), surgical treatment is needed as definitive treatment...
July 2016: Journal of Clinical Orthopaedics and Trauma
Asode Ananthram Shetty, Seok Jung Kim, Vishvas Shetty, Jae Deog Jang, Sung Woo Huh, Dong Hwan Lee
The defects of articular cartilage in the knee joint are a common degenerative disease and currently there are several established techniques to treat this problem, each with their own advantages and shortcomings. Autologous chondrocyte implantation is the current gold standard but the technique is expensive, time-consuming and most versions require two stage procedures and an arthrotomy. Autologous collagen induced chondrogenesis (ACIC) is a single-stage arthroscopic procedure and we developed. This method uses microfracture technique with atelocollagen mixed with fibrin gel to treat articular cartilage defects...
July 2016: Journal of Clinical Orthopaedics and Trauma
Yukihiko Yasui, Wataru Ando, Kazunori Shimomura, Kota Koizumi, Chijimatsu Ryota, Shuichi Hamamoto, Masato Kobayashi, Hideki Yoshikawa, Norimasa Nakamura
Various approaches to treat articular cartilage have been widely investigated due to its poor intrinsic healing capacity. Stem cell-based therapy could be a promising approach as an alternative to chondrocyte-based therapy and some of these therapies have been already applied in clinical condition. This review discusses the current development of stem cell-based therapies in cartilage repair, specifically focusing on scaffold-free approaches.
July 2016: Journal of Clinical Orthopaedics and Trauma
Sung Woo Huh, Asode Ananthram Shetty, Saif Ahmed, Dong Hwan Lee, Seok Jung Kim
Degenerative and traumatic articular cartilage defects are common, difficult to treat, and progressive lesions that cause significant morbidity in the general population. There have been multiple approaches to treat such lesions, including arthroscopic debridement, microfracture, multiple drilling, osteochondral transplantation and autologous chondrocyte implantation (ACI) that are currently being used in clinical practice. Autologous bone-marrow mesenchymal cell induced chondrogenesis (MCIC) is a single-staged arthroscopic procedure...
July 2016: Journal of Clinical Orthopaedics and Trauma
Christoph Erggelet, P Vavken
The evidence for the effectiveness of the microfracture procedure is largely derived from case series and few randomized trials. Clinical outcomes improve with microfracture for the most part, but in some studies these effects are not sustained. The quality of cartilage repair following microfracture is variable and inconsistent due to unknown reasons. Younger patients have better clinical outcomes and quality of cartilage repair than older patients. When lesion location was shown to affect microfracture outcome, patients with lesions of the femoral condyle have the best clinical improvements and quality of cartilage repair compared with patients who had lesions in other areas...
July 2016: Journal of Clinical Orthopaedics and Trauma
Adam W Anz, Asawari Bapat, William D Murrell
Regenerative medicine is emerging with great interest and hope from patients, industry, academia, and medical professionals. Cartilage regeneration, restoration, or repair is one of the prime targets that remains largely unsolved, and many believe that regenerative medicine can possibly deliver solutions that can be widely used to address the current gap(s) in treatment. In the United States, Europe, Australia, and India the regulation of regenerative based treatments has become a big debate. Although the rules and regulations remain unclear, clinicians that are interested should carry-on with the best available guidelines to ensure safety and compliance during delivery in clinical practice to avoid regulatory infraction...
July 2016: Journal of Clinical Orthopaedics and Trauma
Raju Vaishya
No abstract text is available yet for this article.
July 2016: Journal of Clinical Orthopaedics and Trauma
Sonam Sharma, Sansar Chand Sharma
Primary total hip replacement has become a routine procedure these days. With improvement in surgical techniques and implant designs, the survival rate of prosthesis has increased significantly but unfortunately, prosthetic infections though uncommon continue to be a threatening complication. We present a detailed review of the literature along with a case report of infected total hip prosthesis in a 36-year-old female who had been operated 6 years back. The causative organism was found to be Actinomyces israelii which was related to an infected intrauterine device used for contraception that had been forgotten after being implanted 8 years earlier...
April 2016: Journal of Clinical Orthopaedics and Trauma
Varun Kumar Singh, Abhishek Kashyap, Harekrushna Sahu, Geetika Khanna, Vinay Prabhat
INTRODUCTION: Filariasis is caused by parasitic infections, most commonly Brugia malayi and Wuchereria bancrofti. India is one of the endemic countries for such disease. The usually involved organs are lower limbs and external genitalia. Neck region is rarely involved and only a few cases have been reported in literature. CASE REPORT: We reported such a case where filarial involvement has involved the neck region and reached up to the level of upper cervical vertebra...
April 2016: Journal of Clinical Orthopaedics and Trauma
Vikas Saxena, Pavan Pradhan
INTRODUCTION: Cerebrotendinous xanthomatosis is a rare lipid storage disease characterized by infantile onset diarrhea, cataract, tendon xanthomas, and progressive neurologic dysfunction. Cerebrotendinous xanthomatosis is exceptionally rare in Indian population with only few case reports till now. CASE REPORT: An 18-year-old male presented to orthopedic outpatients clinic with complaints of insidious onset swelling of both achilles over last 3 years, with history of learning and visual difficulties...
April 2016: Journal of Clinical Orthopaedics and Trauma
Gaurav Sharma, Deepak Chahar, Ravi Sreenivasan, Nikhil Verma, Amite Pankaj
Hip and knee dislocations are not uncommon but simultaneous ipsilateral dislocation of the hip and knee joint is rare; consequently, there is an inadequate amount of literature on the subject. We identified only 11 such cases reported in English literature. In the present report, we describe the case of a 23-year-old male patient who presented with ipsilateral hip and knee dislocation on the right side after being involved in a road traffic accident. The hip dislocation was associated with a posterior wall acetabular fracture...
April 2016: Journal of Clinical Orthopaedics and Trauma
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