{"title":"A Study effectiveness of TXA in reducing peri operative blood loss in various orthopedic surgeries at tertiary health care centre","authors":"Milind Nivrutti Kolhe, Tushar P. Patil","doi":"10.26611/10201321","DOIUrl":"https://doi.org/10.26611/10201321","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128888457","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A study of single extra articular humerus plating and bipillar plating for distal humerus fracture at tertiary health care centre","authors":"Vaibhav Bhadbhade, N SandeepD, M. Dayanand","doi":"10.26611/10201021","DOIUrl":"https://doi.org/10.26611/10201021","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131667456","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: Ligaments are fi brous bands or sheets of connective tissue linking two or more bones, cartilages or structures together. The ligaments provide stability to a joint during rest and movement. Excessive movements such as hyperextension or hyperfl exion or rotations may be restricted by ligaments. In the spine, the ligament helps to provide structural stability. Materials and Methods: The study of 32 patients, with acute dorsolumbar and cervical fractures, admitted to hospital was carried out. Thorough clinical assessment in the form of mechanism of injury, inspection and palpation of spinous process, and neurological examination was carried out. Patients were investigated in the form of X-ray, computed tomography (CT) scan, magnetic resonance imaging, and CT scan showed a pattern of bony injury. White and Punjabi criteria were used to identify instability in vertebral column and treated (conservatively/operatively) accordingly. Fractures are classifi ed by McAfee and modifi ed Magerl (AO/Association for the Study of Internal Fixation) classifi cation system. Results: In our experience of spine fractures, very minor cases can be treated with bed rest and physiotherapy; 30% of lesions can be managed with closed treatment; only 60% will require surgery. Distraction posteriorly requires intact anterior longitudinal ligament (ALL) (to prevent over distraction-anatomical hinge) with or without intact posterior longitudinal ligament (PLL) but for indirect reduction of fracture fragments retropulsed into spinal canal by ligamentotaxis intact PLL is required. If PLL is ruptured surgeon considered either anterior or posterior approach to directly decompress spinal canal and fusion rather than relying on posterior distraction and fusion alone. Conclusion: PLL forms important structure stabilizing spine along with ALL and ligamentum fl avum and other ligaments, helps in resisting excess of fl exion, lateral bending, and spinal rotation to lesser extent. It aids in the indirect reduction of fracture fragments by ligamentotaxis.
简介:韧带是连接两个或多个骨骼、软骨或结构的纤维带或片状结缔组织。韧带在休息和运动时为关节提供稳定性。过度的运动，如过度伸展或过度外展或旋转可能受到韧带的限制。在脊柱中，韧带有助于提供结构稳定性。材料与方法:对收治的32例急性腰、颈骨折患者进行研究。以损伤机制、棘突检查触诊、神经学检查等形式进行临床评估。通过x线、计算机断层扫描(CT)、磁共振成像对患者进行调查，CT扫描显示骨损伤的模式。White和Punjabi标准用于识别脊柱不稳定并进行相应的治疗(保守/手术)。骨折采用McAfee和改良的Magerl (AO/Association for the Study of Internal fixed)分类系统进行分类。结果:根据我们的经验，非常轻微的病例可以采用卧床休息和物理治疗;30%的病变可以通过封闭治疗得到控制;只有60%的患者需要手术治疗。后牵张需要完整的前纵韧带(ALL)(以防止过度牵张-解剖铰链)，有或没有完整的后纵韧带(PLL)，但为了间接复位通过韧带收缩后返入椎管的骨折碎片，需要完整的前纵韧带。如果PLL发生破裂，外科医生可考虑采用前路或后路直接对椎管进行减压和融合，而不是单纯依靠后路撑开和融合。结论:PLL与ALL及空韧带等韧带共同构成稳定脊柱的重要结构，在一定程度上有助于抵抗过度的前屈、侧屈和脊柱旋转。它有助于通过韧带趋向性间接复位骨折碎片。
{"title":"Evaluation of effective role of posterior longitudinal ligament in management of traumatic spine injuries","authors":"Chirag Prajapati, V. Makwana","doi":"10.26611/10201131","DOIUrl":"https://doi.org/10.26611/10201131","url":null,"abstract":"Introduction: Ligaments are fi brous bands or sheets of connective tissue linking two or more bones, cartilages or structures together. The ligaments provide stability to a joint during rest and movement. Excessive movements such as hyperextension or hyperfl exion or rotations may be restricted by ligaments. In the spine, the ligament helps to provide structural stability. Materials and Methods: The study of 32 patients, with acute dorsolumbar and cervical fractures, admitted to hospital was carried out. Thorough clinical assessment in the form of mechanism of injury, inspection and palpation of spinous process, and neurological examination was carried out. Patients were investigated in the form of X-ray, computed tomography (CT) scan, magnetic resonance imaging, and CT scan showed a pattern of bony injury. White and Punjabi criteria were used to identify instability in vertebral column and treated (conservatively/operatively) accordingly. Fractures are classifi ed by McAfee and modifi ed Magerl (AO/Association for the Study of Internal Fixation) classifi cation system. Results: In our experience of spine fractures, very minor cases can be treated with bed rest and physiotherapy; 30% of lesions can be managed with closed treatment; only 60% will require surgery. Distraction posteriorly requires intact anterior longitudinal ligament (ALL) (to prevent over distraction-anatomical hinge) with or without intact posterior longitudinal ligament (PLL) but for indirect reduction of fracture fragments retropulsed into spinal canal by ligamentotaxis intact PLL is required. If PLL is ruptured surgeon considered either anterior or posterior approach to directly decompress spinal canal and fusion rather than relying on posterior distraction and fusion alone. Conclusion: PLL forms important structure stabilizing spine along with ALL and ligamentum fl avum and other ligaments, helps in resisting excess of fl exion, lateral bending, and spinal rotation to lesser extent. It aids in the indirect reduction of fracture fragments by ligamentotaxis.","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"78 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124465962","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Influence of accelerated cast change interval in the Ponseti method: Study from rural and semi urban","authors":"B. S. Rao, C. S. K. Rao, G. Moorthy","doi":"10.26611/10201023","DOIUrl":"https://doi.org/10.26611/10201023","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128737422","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional outcome of proximal humeral interlocking system plating for displaced proximal humerus fractures: A prospective study","authors":"T. Raghavendra, T. Venkatesh, Jaipalsinh R Mahida","doi":"10.26611/10201213","DOIUrl":"https://doi.org/10.26611/10201213","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128155763","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study of fixation of fractures olecranon process of the ulna by tension band wiring in tribal population: A case series","authors":"N. Goyal, P. More, B. Patel, A. Rai","doi":"10.26611/10201221","DOIUrl":"https://doi.org/10.26611/10201221","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"47 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129118840","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Functional outcomes of calcaneal fractures managed with external fixator application","authors":"S. Malhotra","doi":"10.26611/10201821","DOIUrl":"https://doi.org/10.26611/10201821","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131057569","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Comparative analysis of the functional outcome in intertrochanteric fractures between dynamic hip screw and proximal femoral nailing","authors":"P. Patil","doi":"10.26611/10202033","DOIUrl":"https://doi.org/10.26611/10202033","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130609426","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"A study of Functional outcome and complications of open reduction and internal fixation with plate for displaced midshaft clavicle fractures at a tertiary health care centre","authors":"S. K. Rao","doi":"10.26611/10202024","DOIUrl":"https://doi.org/10.26611/10202024","url":null,"abstract":"","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130771502","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: High tibial osteotomy (HTO) is an established procedure for the treatment of medial compartment osteoarthritis of knee with varus deformity and it has become a popular procedure. In elective knee surgeries such as total knee arthroplasty (TKA) and HTO, it is well recognized that those are associated with a substantial risk of developing deep vein thrombosis (DVT) which carries a risk of fatal pulmonary embolism. Materials and Methods: In this prospective study, we analysed 110 patients, operated with MOW-HTO, for medial compartment osteoarthritis, for evidence of DVT, after dividing the patients into a trial group which received chemoprophylaxis in the form of Fondaparinux and a control group which did not receive any DVT prophylaxis. Results: At postoperative day 6, overall DVT was diagnosed in 6 (15.78%) patients in control group and in 5 (7.1%) patients in fondapariux group (P > 0.05). All patients with DVT were asymptomatic clinically. Proximal DVT was diagnosed in only 1 patient (2.5%) in control group, however none of the patient in fondapariux group had proximal DVT (P>0.05). There was no case of symptomatic DVT and symptomatic PE in either group during the entire study period. Among demographic characteristic, age and body mass index (BMI) showed association (P<0.5) with postoperative incidences of DVT in univariate analysis, however multivariate analysis showed patients with age more than 55 years had significant correlation with post- operative DVT. Incidences of overall DVT diagnosed by Doppler USG and CT venography were not different statistically. Conclusion: Our data demonstrates that the incidences of DVT following MOW-HTO were lower than incidences following TKA in Asian patients. therefore it would not be advisable to use routine chemoprophylaxis following MOW-HTO in a low DVT incidence population
{"title":"Incidence of DVT following medial open wedge high tibial osteotomy (MOW-HTO): Prospective study","authors":"M. Naser","doi":"10.26611/10202035","DOIUrl":"https://doi.org/10.26611/10202035","url":null,"abstract":"Background: High tibial osteotomy (HTO) is an established procedure for the treatment of medial compartment osteoarthritis of knee with varus deformity and it has become a popular procedure. In elective knee surgeries such as total knee arthroplasty (TKA) and HTO, it is well recognized that those are associated with a substantial risk of developing deep vein thrombosis (DVT) which carries a risk of fatal pulmonary embolism. Materials and Methods: In this prospective study, we analysed 110 patients, operated with MOW-HTO, for medial compartment osteoarthritis, for evidence of DVT, after dividing the patients into a trial group which received chemoprophylaxis in the form of Fondaparinux and a control group which did not receive any DVT prophylaxis. Results: At postoperative day 6, overall DVT was diagnosed in 6 (15.78%) patients in control group and in 5 (7.1%) patients in fondapariux group (P > 0.05). All patients with DVT were asymptomatic clinically. Proximal DVT was diagnosed in only 1 patient (2.5%) in control group, however none of the patient in fondapariux group had proximal DVT (P>0.05). There was no case of symptomatic DVT and symptomatic PE in either group during the entire study period. Among demographic characteristic, age and body mass index (BMI) showed association (P<0.5) with postoperative incidences of DVT in univariate analysis, however multivariate analysis showed patients with age more than 55 years had significant correlation with post- operative DVT. Incidences of overall DVT diagnosed by Doppler USG and CT venography were not different statistically. Conclusion: Our data demonstrates that the incidences of DVT following MOW-HTO were lower than incidences following TKA in Asian patients. therefore it would not be advisable to use routine chemoprophylaxis following MOW-HTO in a low DVT incidence population","PeriodicalId":126695,"journal":{"name":"MedPulse International Journal of Orthopedics","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125457479","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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