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Trends of C-reactive protein and erythrocytes sedimentation rate following total hip and knee arthroplasties and hemiarthroplasty in Western Rajasthan: A prospective study 拉贾斯坦邦西部全髋关节和膝关节置换术和半髋关节置换术后c反应蛋白和红细胞沉降率的趋势:一项前瞻性研究
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2d.3378
A. Sharma, Gaurav Nain, Pawan Kumar, Vishal Singh Charan
Introduction: Primary diagnosis of infection can be made by serological inflammatory markers like erythrocytes sedimentation rate (ESR) and C-reactive protein (CRP). This study was planned to determine this normal temporal distribution of ESR and CRP in arthroplasty and hemiarthroplasty in Western Rajasthan. Materials and Methods: This Hospital based Observational Analytical study was conducted in Tertiary care facility, Jodhpur from January 2022 to October 2022. The study population was patients undergoing Total Knee Arthroplasty (TKA) & Total Hip Replacement (THR) and Hemi Arthroplasty (HRA) operation with no history of inflammation, infection, chronic disease, and any autoimmune disease like rheumatoid arthritis. We have enrolled 52 uncomplicated cases. ESR and CRP was analysed over the time. Results: The mean ESR and CRP value is maximum at day 3 in all three groups. The mean ESR value is highest in the THR group, and lowest in the Unilateral TKR group. Values of ESR continue to remain elevated at four weeks.
简介:血清学炎症标志物如红细胞沉降率(ESR)和c反应蛋白(CRP)可初步诊断感染。本研究旨在确定拉贾斯坦邦西部地区关节成形术和半关节成形术中ESR和CRP的正常时间分布。材料和方法:这项基于医院的观察性分析研究于2022年1月至2022年10月在焦特布尔的三级医疗机构进行。研究人群为接受全膝关节置换术(TKA)、全髋关节置换术(THR)和半关节置换术(HRA)手术的患者,无炎症、感染、慢性疾病和任何自身免疫性疾病(如类风湿关节炎)史。我们登记了52例不复杂的病例。随时间分析ESR和CRP。结果:三组患者的平均ESR和CRP值均在第3天达到最大值。平均ESR值THR组最高,单侧TKR组最低。4周时ESR值继续升高。
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引用次数: 0
A comparative study of functional outcome between DHS and PFN in Basicervical femur fracture DHS与PFN治疗基底颈型股骨骨折功能预后的比较研究
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2a.3347
Dr. D Ravikumar, Dr. Ujwal George, Dr Suraj Shetty
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引用次数: 0
Genu valgum deformity correction by distal femur translation osteotomy and anterograde intramedullary nailing 股骨远端平移截骨及顺行髓内钉矫治膝外翻畸形
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2a.3354
Dr. Pranit Pawaskar, Dr. Sujay M Kulkarni, Dr. Anjan Nadange, Dr. Garimella Rohith Kumar, Dr. Saurabh Supare, Dr. Tejas Jalandar Tathe
Background: Corrective ostetomy for deformity correction in adult patient with genu valgum has been performed in past but associated with many complications like wound complications, hardware irritation, delayed union long period of immobilization. Here we use intramedullary nailing along with osteotomy to reduce these complications. Material and Method: 22 osteotomy (7 females, 15 males) with moderate to severe genu valgum (Intermalleolar distance more than 10 cm) with age > 12 years who presented to the OPD department, where epiphysial stapling is unpredictable, were selected. 4 patients had bilateral disease. 2 patients had metabolic disorder. Rest all patients had idiopathic genu valgum. Results: 22 osteotomy, with mean age of 20.6 of which 7 were female and 15male were performed for deformity correction over femur interlocking nail. Patient were discharged after 4 post-operative day and advised physiotherapy. Patient advised follow up after 1 month, 3month, 6month, 1 year and 2 years. All osteotomies united within 3 months except in 3 patient which showed union after 4month duration. There were no cases compartment syndrome, neurovascular injury, limb length discrepancy, implant failure, delayed union and malunion. Full range of motion were achieved post operatively at hip and knee joint. Pre op and Post op difference in intermalleolar distance, tibiofemoral angle, mean lateral distal femoral angle and mean mechanical axis of deviation was found to be statistically significant. Conclusion: We conclude that translation osteotomy, being closest to the apex of the deformity i.e. The knee, is a biomechanically sound osteotomy, which leads to complete axial realignment and excellent apposition of osteotomy fragments without limb length alteration.
背景:成人膝外翻畸形矫形术既往有应用,但存在创伤并发症、硬体刺激、愈合延迟、长时间固定等并发症。我们使用髓内钉和截骨术来减少这些并发症。材料与方法:选择22例(女性7例,男性15例),年龄> 12岁,就诊于OPD的中度至重度膝外翻(踝间距离大于10 cm)患者,骨骺粘连不可预测。双侧病变4例。2例有代谢紊乱。其余均为特发性膝外翻。结果:股骨交锁钉矫形共行截骨术22例,平均年龄20.6岁,其中女性7例,男性15例。术后4天出院,给予物理治疗。患者建议随访时间分别为1个月、3个月、6个月、1年、2年。除3例患者术后4个月愈合外,其余患者均在3个月内愈合。无间室综合征、神经血管损伤、肢体长度不一致、假体失败、延迟愈合和畸形愈合。术后髋关节和膝关节均可实现全范围活动。手术前后踝间距离、胫股角、平均股骨远端外侧角和平均机械轴偏差的差异均有统计学意义。结论:我们得出的结论是,最接近畸形顶点即膝关节的平移截骨术是一种生物力学上良好的截骨术,它可以导致完全的轴向调整和良好的截骨碎片对齐,而不会改变肢体长度。
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引用次数: 0
Comparison of suprascapular block with physiotherapy for the treatment of adhesive capsulitis of shoulder 肩胛上阻滞与物理治疗肩关节粘连性囊炎的比较
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2a.3355
Nadeem Tufail Raina, Arvinder Singh, Asif Bashir Thoker
Frozen shoulder or adhesive capsulitis, is a common problem in general practice presenting as pain that may be severe, accompanied by a progressive loss of movements resulting in a loss of function.In 1934 Codman introduced the term “frozen shoulder”, stating that it was characterized by insidious onset, pain near the insertion of the deltoid, inability to sleep on the affected side, painful and restricted elevation and external rotation, but normal radiological appearance. Later in 1945, based upon his findings of synovial changes in the glenohumeral joint, Neviaser introduced the term “adhesive capsulitis” Methodology: This present observational study was carried out in SKIMS Medical College Hospital, Bemina, Srinagar from November 2020 to June 2022. A total of 50 patients with adhesive capsulitis of shoulder were included in the study. Ethical clearance was obtained from Institutional Ethical Committee and proper informed consent was taken from all patients. Patients were explained in detail about the procedure and need for follow up. Diagnosis of adhesive capsulitis was made clinically and/or on imaging.Each participant in
冻结性肩或粘连性囊炎是一种常见的问题,通常表现为严重的疼痛,并伴有进行性运动丧失,导致功能丧失。1934年,Codman提出了“肩周炎”一词,指出肩周炎的特点是发病隐匿,在三角肌止点附近疼痛,无法在受累一侧睡觉,疼痛,抬高和外旋受限,但放射学表现正常。1945年晚些时候,根据他对盂-肱骨关节滑膜变化的发现,Neviaser引入了“粘连性囊炎”一词。方法:本观察性研究于2020年11月至2022年6月在斯利那加贝米纳的SKIMS医学院医院进行。本研究共纳入50例肩关节粘连性囊炎患者。获得了机构伦理委员会的伦理许可,并获得了所有患者的适当知情同意。向患者详细解释手术过程及随访需求。粘连性囊炎的诊断是通过临床和/或影像学检查。每个参与者
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引用次数: 0
Functional and radiological outcome of surgical management of distal femur fracture with distal femoral locking plate at Chhindwara Institute of Medical Sciences: Chhindwara 股骨远端骨折用股骨远端锁定钢板手术治疗的功能和放射学结果:Chhindwara医学研究所
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2d.3383
Dr. Kishore Uikey, Dr. Mona Bhalavi, Dr. Morin Joy Daya, Dr. Premchand Ahirwar
Introduction: Distal femoral fractures account for approximately 4-6% of all fractures of the femur. The treatment of distal femur fractures presents a considerable challenge due to the notable morbidity and complication rate, despite the utilisation of sophisticated surgical techniques and implants. Currently, the Open Reduction and Internal Fixation (ORIF) technique utilising a pre-contoured Distal Femoral Locking Compression Plate (DF-LCP) is widely regarded as a favourable surgical intervention. Methodology: This prospective study was conducted at CIMS, Chindwara, with 32 patients. Patients 18 years or older with Type A, B, or C distal femur fractures, both closed and open, who were willing to participate in the study and follow-up visits were included. Pathological fractures, previous surgery revisions, Grade 111 A, B, C open fractures, and bilateral distal end of femur fractures were excluded. Distal femoral plating with locking compression plate was done through lateral parapatellar approach. They were checked monthly until 6 months post-op and then at 1 year. Radiological and functional assessments were done postoperatively. Results: Out of the 21 patients of distal femur fractures, Male: female ratio was 3:1 among the total n = 32 subjects, with n = 24 (75%) male cases and n = 8 (25%) female cases. In n = 24 (75%) cases, motor vehicle accidents were the cause of the fractures Muller's Type A1 fractures comprised n = 4 (12.5%) of the distal femur's fractures, Type C1 fractures comprised n = 11 (34.37%), Type C2 fractures n = 11 (34.37%) and Type C3 fractures N = 6 (18.75%) (Table 2). Six subjects (18.75%) had open-type fractures, while 26 (81.25%) had closed-type fractures. According to Neers' Functional scoring 19 subject having excellent coring while 6 were having satisfactory 5 subject shows unsatisfactory scoring while failure is present in 2 subject. Conclusion: Distal Femoral Locking Plate is one of the best implant to be used as fixation method for both extra-articular and intra-articular distal femur fracture.
股骨远端骨折约占所有股骨骨折的4-6%。尽管采用了复杂的手术技术和植入物,但股骨远端骨折的治疗由于其显著的发病率和并发症率而面临相当大的挑战。目前,使用预成形股骨远端锁定加压钢板(DF-LCP)的切开复位内固定(ORIF)技术被广泛认为是一种有利的手术干预方法。方法:这项前瞻性研究是在CIMS, Chindwara进行的,有32名患者。18岁及以上的A、B、C型股骨远端骨折患者,包括闭合性和开放性,并愿意参与研究和随访。排除病理性骨折、既往手术修复、111级A、B、C开放性骨折和双侧股骨远端骨折。经外侧髌旁入路行锁定加压钢板股骨远端钢板置入。术后6个月和1年后每月检查一次。术后进行放射学和功能评估。结果:21例股骨远端骨折患者共n = 32例,男女比例为3:1,其中男性24例(75%),女性8例(25%)。在24例(75%)病例中,机动车事故导致的骨折为Muller’s A1型骨折占股骨远端骨折的4例(12.5%),C1型骨折占11例(34.37%),C2型骨折占11例(34.37%),C3型骨折占6例(18.75%)(表2)。6例(18.75%)为开放式骨折,26例(81.25%)为封闭式骨折。根据Neers的功能评分,19个科目得分优秀,6个科目得分满意,5个科目得分不理想,2个科目得分不合格。结论:股骨远端锁定钢板是治疗股骨远端关节外和关节内骨折的最佳内固定方法之一。
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引用次数: 0
A prospective study in surgical management of neck of femur fracture using cementless modular bipolar prosthesis 应用无骨水泥模块化双极假体治疗股骨颈骨折的前瞻性研究
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2d.3381
Dr. Subodh Shetty, D. H. K. Rao, Dr. Prajwal J
Hip fractures are one of the most common injuries, mainly seen in the elderly in the emergency setting. It can also be seen in young patients like athletes or one who met with a high energy trauma. The objective of treatment of NOF fractures in mobile elderly population is early restoration of pre-morbid walking ability and quality of life. The modular prosthesis allows adjustment of neck length with interchangeable stems. It can be converted to a total hip replacement easily because only the acetabular component is added. Cemented prostheses are associated with increased incidence of peri-operative morbidity like hemodynamic instability, deep vein thrombosis, cardiopulmonary complications, etc and mortality. Cementless stems do not lead to such complications and therefore no chance of so-called ‘cement reaction’ or bone cement implantation syndrome (BCIS).
髋部骨折是最常见的损伤之一,主要见于老年人急诊。它也可以在年轻的病人身上看到,比如运动员或遇到高能量创伤的人。老年流动人群非of骨折的治疗目标是早日恢复发病前的行走能力和生活质量。模块化假体允许调整颈部长度与可互换的茎。它可以很容易地转换为全髋关节置换术,因为只增加了髋臼部分。骨水泥假体与血流动力学不稳定、深静脉血栓形成、心肺并发症等围手术期发病率和死亡率增加有关。无骨水泥茎不会导致此类并发症,因此不会发生所谓的“骨水泥反应”或骨水泥植入综合征(BCIS)。
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引用次数: 0
Ruptured baker cyst: A misdiagnosis 破裂的贝克囊肿:误诊
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2a.3351
D. N. Singh, Dr. Shashank Ramola, Dr. Shashank Sharma
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引用次数: 0
Posterior cruciate ligament retaining versus sacrificing total knee replacement surgery: A comparison of the functional outcome 保留后交叉韧带与牺牲全膝关节置换术:功能结果的比较
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2d.3386
Dr. Sujay Gupta, Dr. Lokesh Jangir, Dr. Ram Prasad Meena, D. Bairwa
Background: Theoretically, the role of Posterior cruciate ligament in total knee replacement it has been suggested that PCL retaining knees can produce femoral rollback, which helps to increase the range of flexion and prevents posterior translation in the patients. However, this in effect, reduces loosening and excessive polyethylene wear by decreasing the shear stresses at the fixation surfaces. We conducted a prospective study to compare the retention of PCL using a standard PCL–retaining with cruciate sacrificing cemented total knee replacement and assesed the functional outcome of both using functional knee scores and WOMAC score during the period between December 2020 to December 2022
背景:从理论上讲,后交叉韧带在全膝关节置换术中的作用,有研究表明PCL保留膝关节可产生股骨回退,有助于增加患者屈曲范围,防止患者后侧移位。然而,这实际上通过减少固定表面的剪切应力来减少松动和过度聚乙烯磨损。在2020年12月至2022年12月期间,我们进行了一项前瞻性研究,比较使用标准PCL保留与十字牺牲骨水泥全膝关节置换术的PCL保留,并使用功能膝关节评分和WOMAC评分评估功能结果
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引用次数: 0
Surgical treatment of rare case of scapula osteochondroma: A case report 罕见肩胛骨软骨瘤的手术治疗1例
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2d.3380
Dr. Chetankumar R Valvi, Dr. Viswanath H Chavali, Dr. Tarun Verma, Dr. Maunikkumar Patel, Dr. Haresh K Hadiya
{"title":"Surgical treatment of rare case of scapula osteochondroma: A case report","authors":"Dr. Chetankumar R Valvi, Dr. Viswanath H Chavali, Dr. Tarun Verma, Dr. Maunikkumar Patel, Dr. Haresh K Hadiya","doi":"10.22271/ortho.2023.v9.i2d.3380","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2d.3380","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72789390","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}
引用次数: 0
Prevalence of associated ligamentous ankle injuries with an isolated lateral malleolus fracture 孤立性外踝骨折伴韧带踝关节损伤的发生率
Pub Date : 2023-04-01 DOI: 10.22271/ortho.2023.v9.i2e.3390
Mohamed Gamal Abdel-Rahman, A. El-Tantawy, M. Nagy, A. Eltabbaa
{"title":"Prevalence of associated ligamentous ankle injuries with an isolated lateral malleolus fracture","authors":"Mohamed Gamal Abdel-Rahman, A. El-Tantawy, M. Nagy, A. Eltabbaa","doi":"10.22271/ortho.2023.v9.i2e.3390","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2e.3390","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74092925","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}
引用次数: 0
期刊
International Journal of Orthopaedics Sciences
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