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Journal of Clinical Orthopaedics and Trauma

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https://www.readbyqxmd.com/read/30449983/autologous-stem-cell-implantation-with-core-decompression-for-avascular-necrosis-of-the-femoral-head
#1
Nakul S Talathi, Atul F Kamath
Objective: Avascular necrosis (AVN) of the femoral head is a painful, progressive disease that can lead to limited mobility and early hip replacement. Autologous stem cell implantation into the necrotic lesion of the femoral head has been described, on the basis that patients with AVN have a reduced number of stem cells in the marrow. In this study, we aim to describe our technique for decompression of the hip with autologous implantation of stem cells for AVN of the femoral head, as well as retrospectively analyze our results...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449982/current-status-of-top-10-nutraceuticals-used-for-knee-osteoarthritis-in-india
#2
REVIEW
Raju Vaishya, Amit Kumar Agarwal, Amish Shah, Vipul Vijay, Abhishek Vaish
Knee Osteoarthritis (OA) is a progressive degenerative joint disease affecting the quality of life of the elderly population. There is considerable evidence that nutraceuticals from natural herbs may play a significant role in inflammation and joint destruction in OA. We review the current status of some of the commonly used nutraceuticals in Indian market - Boswellia, Aflapin, Chondroitin sulphate, Glucosamine sulphate, Collagen peptide, Curcumin, Fish Oil, Ginger, Green tea, and Rosehip extract. We have summarized their mechanism of action, biological effects, toxicities and efficacy in the management of Knee OA...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449981/radiological-evaluation-of-pelvic-inlet-and-outlet-radiographic-view-in-indian-population
#3
Yugal Karkhur, Anurag Tiwari, Lalit Maini, Vivek Bansal, Abhimanyu Kakralia
Background: Pelvic fractures represent one of the most challenging clinical problems in which an urgent multidisciplinary approach is required. The early management in a suspected pelvic fracture starts with the good radiological evaluation. The standard radiographic view includes the anteroposterior, inlet and outlet views. The inlet and outlet views are taken with 45° tilt from anteroposterior plane. However, recent studies have shown that there is significant individual variation within the population and these values should be redefined...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449980/growth-modulation-by-hemi-epiphysiodesis-using-eight-plate-in-genu-valgum-in-paediatric-population
#4
Raju Vaishya, Malkesh Shah, Amit Kumar Agarwal, Vipul Vijay
Introduction: Genu valgum is an angular deformity of the knee, often treated surgically by osteotomy or by growth modulation (using tension band, staples, transphyseal screws and eight-plate which require removal after correction). With this study, we attempt to evaluate the efficacy, rate of correction and complications with the use of 8-plate in the correction of genu valgum deformity in children. Material and method: In a retrospective study of 24 patients with 11 bilateral and 13 unilateral (35 knees) genu valgum deformity which required surgical corrections were included...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449979/is-nail-dynamization-beneficial-after-twelve-weeks-an-analysis-of-37-cases
#5
Ramesh Perumal, Vijay Shankar, Rizwan Basha, Dheenadayalan Jayaramaraju, Shanmuganathan Rajasekaran
Purpose: Although nail dynamization in femoral and tibial fractures is an effective method of promoting healing, its role beyond twelve weeks is still not clear. It is usually done two to three months following interlocking nailing. This study was done to evaluate the efficacy of late dynamization (after 12 weeks) and factors affecting union. Materials and methods: In this retrospective study, thirty seven patients who underwent dynamization for reamed intramedullary interlocking nails of femur (18) and tibia (20) after twelve weeks from index surgery and with a minimum followup of six months were included...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449978/what-is-the-fracture-displacement-influence-to-fracture-non-union-in-intramedullary-nail-treatment-in-subtrochanteric-fracture
#6
Liangjun Jiang, Qiang Zheng, Zhijun Pan
Introduction: The fracture displacement in intramedullary nail in femoral subtrochanteric fracture may cause fracture non-union. We retrospectively analysed our recent experience to clear the influence about fracture displacement in intramedullary nail in femoral subtrochanteric fracture. Materials and methods: This study includes 36 patients in the intramedullary nail group followed up for more than 12 months; these patients suffered from femoral subtrochanteric fracture from 2009...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449977/anterolateral-ligament-injuries-on-magnetic-resonance-imaging-and-pivot-shift-testing-for-rotational-laxity
#7
Carlos M Barrera, Azael Arizpe, Ross Wodicka, Bryson P Lesniak, Michael G Baraga, Lee Kaplan, Jean Jose
Maintaining anterolateral rotational stability of the knee requires a complex set of structures, most notably the anterior cruciate ligament. However, lateral knee structures such as the anterolateral ligament (ALL) also play an important role. There has been controversy over the role the ALL plays in an ACL deficient knee to maintain rotational stability. In this study, we examined ACL deficient knees with and without intact ALLs, for rotatory laxity using a pivot shift examination. This was graded using International Knee Document Committee (IKDC) criteria...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449976/anterior-knee-pain-following-bptb-graft-harvest-reality-or-overhyped
#8
Reetadyuti Mukhopadhyay, Nishith Shah, Rohan Vakta, Jaymin Bhatt
Introduction: The patellar tendon graft has long been the gold standard for ACL reconstruction. Recently semitendinosus and gracilis tendons graft have been used increasingly. We hypothetise that the Bone-Patella Tendon-Bone graft is a good and economical graft for the Indian population with no adverse effects of anterior knee pain or patellar tendon shortening. We believe that the early squatting and cross-legged sitting causes early and constant stretching of the tendon in our patients...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449975/a-critical-appraisal-of-medial-open-wedge-high-tibial-osteotomy-for-knee-osteoarthritis
#9
REVIEW
Raju Vaishya, Anuj Raj Bijukchhe, Amit Kumar Agarwal, Vipul Vijay
A medial open wedge high tibial osteotomy (MOWHTO) is an effective surgical procedure to correct varus deformity related to Knee Osteoarthritis. It consistently provides relief in knee pain and improves knee function. This technique is recommended for active, middle and old aged individuals with an isolated medial compartment knee OA. The MOWHTO scores several advantages over lateral closed wedge osteotomy and hence is now a preferred choice of HTO.
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449974/knee-manipulation-for-reduced-flexion-after-total-knee-arthroplasty-is-timing-critical
#10
R Pagoti, S O'Brien, J Blaney, E Doran, D Beverland
Background: Reduced flexion following knee arthroplasty (TKA) may compromise patient's function and outcome. The timing of manipulation under anaesthesia (MUA) has been controversial. We present our experience in a high volume practice and analyse the impact of timing. Methods: All TKA patients requiring MUA from February 1996 to June 2015 under the care of a single surgeon were analysed. MUA was offered to patients who had ≤ 75° of flexion post-op, providing that they had 30° more flexion preoperatively...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449973/which-do-patients-prefer-unicompartmental-or-total-knee-arthroplasty
#11
Nicholas Danford, Matthew Grosso, Matthew S Heller, Taylor Murtaugh, Roshan P Shah, H John Cooper, Akshay Lakra, Jeffrey A Geller
Objective: Unicompartmental knee arthroplasty (UKA) is a viable option for relieving pain and improving function in patients with isolated compartment knee osteoarthritis (OA). Certain surgeons prefer total knee arthroplasty (TKA) over UKA even when patients are candidates for UKA. Therefore, the decision to perform a UKA or a TKA when both are indicated is not straightforward. The goal of this study was to compare pre-operative and post-operative patient-reported outcome (PRO) scores for patients who underwent both a UKA and a contralateral TKA...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449972/is-the-fracture-pattern-in-periprosthetic-fractures-around-the-knee-related-with-the-anterior-femoral-notch
#12
José Carlos Minarro, María Teresa Urbano-Luque, Alberto López-Jordán, Manuel Jesús López-Pulido, Ángel González-Fernández, Alberto Damián Delgado-Martínez
Introduction: Periprosthetic fractures around the knee (PPF) are a devastating complication of total knee arthroplasty (TKA). Anterior femoral notching during TKA is considered a risk factor for PPF. The aim of this paper is to determine if an anterior femoral notch after total knee arthroplasty may affect the fracture pattern when a PPF appears postoperatively. Material and methods: 50 patients diagnosed in our centre of a PPF from January 2010 to December 2013 were retrospectively enrolled...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449971/birmingham-hip-resurfacing-versus-cementless-total-hip-arthroplasty-in-patients-55-years-or-younger-a-minimum-five-year-follow-up
#13
Mohamad J Halawi, Sameer R Oak, David Brigati, Aretha Siggers, William Messner, Peter J Brooks
Objective: The optimal reconstructive method for advanced degenerative hip disease in young adults is a topic of ongoing discussion. The purpose of this study is to report the largest single institution experience from the United States on the outcomes of Birmingham hip resurfacing (BHR) vs. cementless total hip arthroplasty (THA) in patients 55 years or younger at a minimum follow-up of five years. Currently, BHR is the only FDA-approved hip resurfacing implant available in the US. Methods: A cohort of 505 patients representing all BHR cases performed at our institution between 2006 and 2010 was compared with an identical size cohort of consecutive patients who underwent primary cementless THA...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449970/has-the-risk-of-dislocation-after-total-hip-arthroplasty-performed-for-displaced-femoral-neck-fracture-improved-with-modern-implants
#14
Manish Noticewala, Taylor S Murtaugh, Jonathan Danoff, Gregory J Cunn, Roshan P Shah, Jeffrey Geller
Background: Displaced femoral neck fractures (DFNF) in the elderly can be treated with hemiarthroplasty or total hip arthroplasty (THA). One concern with utilizing THA in this setting is post-operative dislocation. The purposes of this study were to determine the incidence of hip dislocation following THA for DFNF and to identify risk factors for dislocation. Methods: The charts of 66 posterior-approach THA cases performed for DFNF with mean post-operative follow-up of 4...
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30449969/a-journey-of-the-journal-of-clinical-orthopaedics-and-trauma
#15
EDITORIAL
Raju Vaishya, Lalit Maini, Hitesh Lal
No abstract text is available yet for this article.
October 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30202161/4d-printing-and-its-applications-in-orthopaedics
#16
Abid Haleem, Mohd Javaid, Raju Vaishya
No abstract text is available yet for this article.
July 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30202160/the-evolution-of-three-dimensional-technology-in-musculoskeletal-oncology
#17
REVIEW
Vishaal Nanik Thadani, Muhammad Jahangir Riaz, Gurpal Singh
Musculoskeletal tumours pose considerable challenges for the orthopaedic surgeon during pre-operative planning, resection and reconstruction. Improvements in imaging technology have improved the diagnostic process of these tumours. Despite this, studies have highlighted the difficulties in achieving consistent resection free margins especially in tumours of the pelvis and spine when using conventional methods. Three-dimensional technology - three-dimensional printing and navigation technology - while relatively new, may have the potential to prove useful in the musculoskeletal tumour surgeon's arsenal...
July 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30202159/3d-printing-and-its-applications-in-orthopaedic-trauma-a-technological-marvel
#18
REVIEW
Hitesh Lal, Mohit Kumar Patralekh
Background: With rapid emergence of 3D printing technology, surgeons have recently started to apply this for nearly all areas of orthopaedic trauma surgery. Computed tomography or magnetic resonance images of trauma patients can be utilized for making graspable objects from 3D reconstructed images. Patient specific anatomical models can thereby be created. They enhance surgeon's knowledge of their patients' precise patho-anatomy, regarding both traumatized bones and soft tissue as well as normal areas, and therefore help in accurate preoperative planning...
July 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30202158/computed-tomography-based-3d-printed-patient-specific-blocks-for-total-knee-replacement
#19
REVIEW
Raju Vaishya, Vipul Vijay, Abhishek Vaish, Amit K Agarwal
Objectives: 3D printing is an emerging technology and its use in orthopaedics is being explored. We discuss the role of computed tomography based 3D printed patient specific jigs in total knee replacement. We also discuss the various advantages of 3D printed patient specific jigs and the future scope of their use in total knee replacement. Methods: A search of English literature was done and articles discussing the role of CT scan based 3D printed patient specific jigs in total knee replacement were included in the study...
July 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/30202157/meniscal-repair-and-regeneration-current-strategies-and-future-perspectives
#20
REVIEW
Kazunori Shimomura, Shuichi Hamamoto, David A Hart, Hideki Yoshikawa, Norimasa Nakamura
The management of meniscal injuries remains difficult and challenging. Although several clinical options exist for the treatment of such injuries, complete regeneration of the damaged meniscus has proved difficult due to the limited healing capacity of the tissue. With the advancements in tissue engineering and cell-based technologies, new therapeutic options for patients with currently incurable meniscal lesions now potentially exist. This review will discuss basic anatomy, current repair techniques and treatment options for loss of meniscal integrity...
July 2018: Journal of Clinical Orthopaedics and Trauma
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