Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2a.3349
Ahmed Mostafa El Sayed Nasef, M. Romeih, Abdel Hafez Abd El Hafez Mougahed, N. Gharbo
{"title":"Evaluation of the results of intertrochanteric femur fractures fixation by dynamic hip screw versus gamma nail","authors":"Ahmed Mostafa El Sayed Nasef, M. Romeih, Abdel Hafez Abd El Hafez Mougahed, N. Gharbo","doi":"10.22271/ortho.2023.v9.i2a.3349","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2a.3349","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"198 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72943991","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}
Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2a.3352
D. R. Shukla, Dr. Narayan Masand, Dr. Nishant Singh Verma, D. A. S. Keshav, Dr. Srajan Jain
{"title":"Analysis of factors influencing outcome following primary total knee arthroplasty","authors":"D. R. Shukla, Dr. Narayan Masand, Dr. Nishant Singh Verma, D. A. S. Keshav, Dr. Srajan Jain","doi":"10.22271/ortho.2023.v9.i2a.3352","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2a.3352","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76690123","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}
Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2a.3348
Dr. RC Thakur
A study was conducted on 25 cases of tibial fractures (between April 2021 to April 2022) in which RCT tibial nail introducer was used as a nail-positioner-cum-nail-introducer (Group 1) to treat the tibial fractures. The results of this study was retrospectively compared with 25 cases of tibial fractures treated by Dr Thakur Innovative Technique of Suprapatellar Nailing of Tibia (between March 2020 to March 2021) in which infrapatellar-tibial-nail-extractor was used as nail-positioner-cum-introducer (Group 2). It was found that the surgical time and fluoroscopy time was slightly less in Group 1 compared to Group 2. But the nail could be kept in proper position by deroation while hammering was more easily and accurately done in Group 1 compared to Group 2. In both groups, the fixation was done by Dr Thakur Innovative Technique of Suprapatellar Nailing of Tibia and locking was done by free hand technique both proximally as well as distally.
{"title":"A comparative study of RCT nail introducer-cum-positioner with colour-coded tibial nail extractor in Dr. Thakur innovative technique of suprapatellar nailing of tibia","authors":"Dr. RC Thakur","doi":"10.22271/ortho.2023.v9.i2a.3348","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2a.3348","url":null,"abstract":"A study was conducted on 25 cases of tibial fractures (between April 2021 to April 2022) in which RCT tibial nail introducer was used as a nail-positioner-cum-nail-introducer (Group 1) to treat the tibial fractures. The results of this study was retrospectively compared with 25 cases of tibial fractures treated by Dr Thakur Innovative Technique of Suprapatellar Nailing of Tibia (between March 2020 to March 2021) in which infrapatellar-tibial-nail-extractor was used as nail-positioner-cum-introducer (Group 2). It was found that the surgical time and fluoroscopy time was slightly less in Group 1 compared to Group 2. But the nail could be kept in proper position by deroation while hammering was more easily and accurately done in Group 1 compared to Group 2. In both groups, the fixation was done by Dr Thakur Innovative Technique of Suprapatellar Nailing of Tibia and locking was done by free hand technique both proximally as well as distally.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"81 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134987373","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}
Pub Date : 2023-04-01DOI: 10.22271/ortho.2023.v9.i2d.3377
D. Kumar, Dr. Mithun Shetty, Dr. Bhaskar Bhandary, Dr. Manjunath S
Introduction: Lowback pain is one of the most common chronic pain disorders, with 2-3% incidence of lumbar disk herniations among population. Epidural corticosteroid injections have been used since 1952 for treatment of lumbar radiculopathy with or without discogenic back pain in patient with failed medical and conservative management. Local Steroids such as triamcinolone acetate acts by limiting inflammatory response. Several approaches are available; interlaminar, transforaminal and caudal. This study was conducted to compare the efficacy of triamcinolone acetate injection by interlaminar vs transforaminal approach. AIM: To compare the efficacy of triamcinolone acetate in terms of pain relief between interlaminar approach and transforaminal approach. Methodology: In this study 60 patients with low back pain are randomly allocated to one of the two groups of 30 patients each. In both group 40mg of triamcinolone acetate solution is used. In IL approach, drug is injected blindly in the epidural space, while in TF approach drug is injected under fluoroscopic guidance using dye. Outcome consists of measuring pain relief at 2nd and 4th week after injection using Numerical Scale and Verbal Rating Scale. Data was collected after 15mins, at 2nd week and at 4th week after the injection. RESULTS : The pain relief in NRS and VAS at 2 nd week was more in patient who received triamcinolone acetate via transforaminal approach. Conclusion: Transforaminal is superior to interlaminar, as it gives target specific administration of triamcinolone acetate and is more effective than ILESI comparing the NRS and VAS score in terms of pain relief.
{"title":"Role of triamcinolone acetate in treatment of symptomatic intervertebral disc herniations via interlaminar vs transforaminal approach","authors":"D. Kumar, Dr. Mithun Shetty, Dr. Bhaskar Bhandary, Dr. Manjunath S","doi":"10.22271/ortho.2023.v9.i2d.3377","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i2d.3377","url":null,"abstract":"Introduction: Lowback pain is one of the most common chronic pain disorders, with 2-3% incidence of lumbar disk herniations among population. Epidural corticosteroid injections have been used since 1952 for treatment of lumbar radiculopathy with or without discogenic back pain in patient with failed medical and conservative management. Local Steroids such as triamcinolone acetate acts by limiting inflammatory response. Several approaches are available; interlaminar, transforaminal and caudal. This study was conducted to compare the efficacy of triamcinolone acetate injection by interlaminar vs transforaminal approach. AIM: To compare the efficacy of triamcinolone acetate in terms of pain relief between interlaminar approach and transforaminal approach. Methodology: In this study 60 patients with low back pain are randomly allocated to one of the two groups of 30 patients each. In both group 40mg of triamcinolone acetate solution is used. In IL approach, drug is injected blindly in the epidural space, while in TF approach drug is injected under fluoroscopic guidance using dye. Outcome consists of measuring pain relief at 2nd and 4th week after injection using Numerical Scale and Verbal Rating Scale. Data was collected after 15mins, at 2nd week and at 4th week after the injection. RESULTS : The pain relief in NRS and VAS at 2 nd week was more in patient who received triamcinolone acetate via transforaminal approach. Conclusion: Transforaminal is superior to interlaminar, as it gives target specific administration of triamcinolone acetate and is more effective than ILESI comparing the NRS and VAS score in terms of pain relief.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86422711","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}
Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i1e.3316
Dr. Prajwal Shankar Sadalagi, Dr. Sharanabasava S Yadav, Dr. Nagappa Parasappa Byakod, D. S
{"title":"Management of comminuted intra-articular fractures of distal radius by external fixator using principle of ligamentotaxis: A prospective study","authors":"Dr. Prajwal Shankar Sadalagi, Dr. Sharanabasava S Yadav, Dr. Nagappa Parasappa Byakod, D. S","doi":"10.22271/ortho.2023.v9.i1e.3316","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1e.3316","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"7 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74626409","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}
Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i1c.3290
Dr. Archak Roy, Debojyoti Mukherjee
{"title":"A study on the outcome of open tibial fractures managed definitively by external fixator","authors":"Dr. Archak Roy, Debojyoti Mukherjee","doi":"10.22271/ortho.2023.v9.i1c.3290","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1c.3290","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"128 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74189703","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}
Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i1c.3294
Dr. Col. Sudhir Sachar, Dr. Prabhakaran, Dr. Kundeti Rakesh Yadav, Dr. G. Vigneshwaran
{"title":"Rare case of primary sternal osteomyelitis in immunocompetent patient caused by Candida albicans","authors":"Dr. Col. Sudhir Sachar, Dr. Prabhakaran, Dr. Kundeti Rakesh Yadav, Dr. G. Vigneshwaran","doi":"10.22271/ortho.2023.v9.i1c.3294","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1c.3294","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74845151","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}
Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i3d.3431
Dr. Rajashekar M, Dr. Himanshu Singh, Dr. Rishab R Diwakar
Introduction: Bilateral Spontaneous Quadriceps tendon rupture is a rare occurrence and a few handful cases have been reported in literature worldwide. Case Presentation: A 57-year-old patient with Vitiligo and on oral steroids falls while trying to get up from a chair and complains of weakness in both knees, unable to get up. Patient was found to have osteo-tendinous rupture of Quadriceps tendon in both knees which occurred spontaneously leading to weakness and fall. Conclusion: Prompt Orthopaedic attention is required with such conditions instead of giving priority to neurological review and consult for weakness as results are better in early diagnosis & surgery.
{"title":"Spontaneous bilateral quadriceps rupture in a vitiligo patient: A case report","authors":"Dr. Rajashekar M, Dr. Himanshu Singh, Dr. Rishab R Diwakar","doi":"10.22271/ortho.2023.v9.i3d.3431","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3d.3431","url":null,"abstract":"Introduction: Bilateral Spontaneous Quadriceps tendon rupture is a rare occurrence and a few handful cases have been reported in literature worldwide. Case Presentation: A 57-year-old patient with Vitiligo and on oral steroids falls while trying to get up from a chair and complains of weakness in both knees, unable to get up. Patient was found to have osteo-tendinous rupture of Quadriceps tendon in both knees which occurred spontaneously leading to weakness and fall. Conclusion: Prompt Orthopaedic attention is required with such conditions instead of giving priority to neurological review and consult for weakness as results are better in early diagnosis & surgery.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"99 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77567182","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}
Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i1b.3285
Dr.Arun Kumar, Dr. P Krishna Sandeep, D. S. Ramkumar, D. A. Ravi, Dr. Yeshwanth Subash
Background: Lateral epicondylitis affects people mainly in middle-aged groups. Despite numerous studies, it is still a poorly understood illness with no clear treatment guidelines. The goal of the study was to compare deep friction massage vs corticosteroid injection for the management of lateral epicondylitis. Methods: To compare outcomes, a randomised controlled trial was conducted. The patients were divided into 2 different groups. The first group was given a corticosteroid injection, while the second was given a deep friction massage. Disabilities of the Arm, Shoulder, and Hand (DASH) scores, visual analogue scale (VAS), and grip strength were measured before and after treatment. Results: The results were expected in 6-12 weeks, with a 6-month follow-up. At the 6-to 12-week follow-up, both groups showed significant improvements in VAS pain score, DASH score, and grip strength. At the 6-month follow-up, all three end measures, VAS pain score, grip strength, and DASH score, indicated a substantial improvement in group 2 deep friction massage. Conclusion: For lateral epicondylitis, deep friction massage is the best line of management and can be utilized in patients for whom various treatment options have failed. This form of treatment gives good functional outcomes without any complications as compared to a corticosteroid injection.
{"title":"Efficacy of corticosteroid injection vs deep friction massage in lateral epicondylitis","authors":"Dr.Arun Kumar, Dr. P Krishna Sandeep, D. S. Ramkumar, D. A. Ravi, Dr. Yeshwanth Subash","doi":"10.22271/ortho.2023.v9.i1b.3285","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1b.3285","url":null,"abstract":"Background: Lateral epicondylitis affects people mainly in middle-aged groups. Despite numerous studies, it is still a poorly understood illness with no clear treatment guidelines. The goal of the study was to compare deep friction massage vs corticosteroid injection for the management of lateral epicondylitis. Methods: To compare outcomes, a randomised controlled trial was conducted. The patients were divided into 2 different groups. The first group was given a corticosteroid injection, while the second was given a deep friction massage. Disabilities of the Arm, Shoulder, and Hand (DASH) scores, visual analogue scale (VAS), and grip strength were measured before and after treatment. Results: The results were expected in 6-12 weeks, with a 6-month follow-up. At the 6-to 12-week follow-up, both groups showed significant improvements in VAS pain score, DASH score, and grip strength. At the 6-month follow-up, all three end measures, VAS pain score, grip strength, and DASH score, indicated a substantial improvement in group 2 deep friction massage. Conclusion: For lateral epicondylitis, deep friction massage is the best line of management and can be utilized in patients for whom various treatment options have failed. This form of treatment gives good functional outcomes without any complications as compared to a corticosteroid injection.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"201 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80395039","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}
Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i3a.3401
Dr. Gaurav Nain
Introduction: Infected tibial non-union has always posed a challenge for orthopaedic surgeons. The primary aim of our study is to analyze the role of Ilizarov circular ring fixation in infected non-union tibia, to assess osteogenesis, infection rates, bony union, and limb lengthening along with functional outcomes and associated complications. Materials and Methods: This observational study was conducted at the Department of Orthopedics in Tertiary Care Centre of western India. A total 20 cases of infected non-union of diaphyseal # of Tibia with chronic discharging sinus of at least 3 months duration were included in our study. All procedures were performed after the patients had signed a written consent and after approval by the institutional ethical committee. Results: In our 20 cases, union was achieved in 19 cases. One patient required bone grafting and one patient had refracture. Union time ranged between 3 to 7 months. Smoking, persistent, infection, patient himself not able to walk, these factors affect the union. Early docking of the non-union site was observed to shorten the union time.
{"title":"A study to evaluate the functional and radiological outcome of the Ilizarov ring fixator in the treatment of infected non-union fracture shaft of Tibia","authors":"Dr. Gaurav Nain","doi":"10.22271/ortho.2023.v9.i3a.3401","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3a.3401","url":null,"abstract":"Introduction: Infected tibial non-union has always posed a challenge for orthopaedic surgeons. The primary aim of our study is to analyze the role of Ilizarov circular ring fixation in infected non-union tibia, to assess osteogenesis, infection rates, bony union, and limb lengthening along with functional outcomes and associated complications. Materials and Methods: This observational study was conducted at the Department of Orthopedics in Tertiary Care Centre of western India. A total 20 cases of infected non-union of diaphyseal # of Tibia with chronic discharging sinus of at least 3 months duration were included in our study. All procedures were performed after the patients had signed a written consent and after approval by the institutional ethical committee. Results: In our 20 cases, union was achieved in 19 cases. One patient required bone grafting and one patient had refracture. Union time ranged between 3 to 7 months. Smoking, persistent, infection, patient himself not able to walk, these factors affect the union. Early docking of the non-union site was observed to shorten the union time.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81805865","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：