Pub Date : 2023-01-01DOI: 10.22271/ortho.2023.v9.i1d.3300
D. Abilash, Dr. Abhay Vikram Singh
{"title":"Herbert screws fixation of high-energy navicular body fractures","authors":"D. Abilash, Dr. Abhay Vikram Singh","doi":"10.22271/ortho.2023.v9.i1d.3300","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1d.3300","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84284615","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.i1d.3303
D. R. Reddy, Dr. K Mahitha Priyadarshini
{"title":"Modular bipolar prosthesis and total hip replacement in a case of bilateral osteoarthritis of hip: Case report","authors":"D. R. Reddy, Dr. K Mahitha Priyadarshini","doi":"10.22271/ortho.2023.v9.i1d.3303","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1d.3303","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"41 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84888675","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.i1h.3339
Dr. Somesh P Singh, Dr. Harshil Patel, Dr. Sanyam Panchani, Dr. Parth Patel, Dr. Hardik Hadiya, Dr. Khanjan Ayar
{"title":"Results of revision lumbar spine surgery","authors":"Dr. Somesh P Singh, Dr. Harshil Patel, Dr. Sanyam Panchani, Dr. Parth Patel, Dr. Hardik Hadiya, Dr. Khanjan Ayar","doi":"10.22271/ortho.2023.v9.i1h.3339","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1h.3339","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"91 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77190718","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.i3e.3447
Dr. M Meenakshi Rakesh, Dr. G Arjun Krishnan, Dr. Nitheesh, Deepak R Kumar, Dr. Yeshwanth Subash
Objective : Patient-related pain is commonly observed after surgically treated fractures. Studies have examined pain and function improvements as well as complications after elective implant removal. Outcomes vary based on factors like implant location and patient characteristics. However, most patients with initial pain and dysfunction show improvements in standardized scoring systems. Previous studies relied on subjective pain scores and patient satisfaction, but newer tools like PROMIS offer better assessment. Certain questions remain unanswered, such as outcomes in terms of MCID. The study aims to predict patient-reported outcomes after elective implant removal by analyzing preoperative factors. To determine preoperative factors predictive of improvement in pain and function after elective implant removal. We hypothesized that patients undergoing orthopaedic implant removal to relieve pain would have significant improvements in both pain and function. Methods : Retrospective cohort study. Level I Trauma Center. 36 were enrolled after consenting for orthopaedic implant removal to address residual pain. 30 were available for 3-month follow-up. Results : Preoperative and postoperative outcome measures including Patient Reported Outcomes Measurement Information System (PROMIS) scores were compared. Preoperative scores, surgeon prediction of pain improvement were analyzed as predictors of outcomes. Median PROMIS physical function and pain interference scores and visual analogue scale significantly improved by 6, 8, and 2 points, respectively. Worse preinjury scores predicted improvement in respective postoperative outcomes. Surgeon prediction of improvement was associated with improved PROMIS pain interference, patient subjective assessment of pain improvement, and subjective percent of pain remaining at 3 months. Conclusions : Although the primary indication for implant removal in this population was pain relief, many patients also had a clinically relevant improvement in physical function. In addition, patients who start with worse global indices of pain and function are more likely to improve after implant removal. This suggests that implant-related pain directly contributes to global dysfunction.
{"title":"Factors predicting enhanced early clinical outcomes following elective implant removal","authors":"Dr. M Meenakshi Rakesh, Dr. G Arjun Krishnan, Dr. Nitheesh, Deepak R Kumar, Dr. Yeshwanth Subash","doi":"10.22271/ortho.2023.v9.i3e.3447","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3e.3447","url":null,"abstract":"Objective : Patient-related pain is commonly observed after surgically treated fractures. Studies have examined pain and function improvements as well as complications after elective implant removal. Outcomes vary based on factors like implant location and patient characteristics. However, most patients with initial pain and dysfunction show improvements in standardized scoring systems. Previous studies relied on subjective pain scores and patient satisfaction, but newer tools like PROMIS offer better assessment. Certain questions remain unanswered, such as outcomes in terms of MCID. The study aims to predict patient-reported outcomes after elective implant removal by analyzing preoperative factors. To determine preoperative factors predictive of improvement in pain and function after elective implant removal. We hypothesized that patients undergoing orthopaedic implant removal to relieve pain would have significant improvements in both pain and function. Methods : Retrospective cohort study. Level I Trauma Center. 36 were enrolled after consenting for orthopaedic implant removal to address residual pain. 30 were available for 3-month follow-up. Results : Preoperative and postoperative outcome measures including Patient Reported Outcomes Measurement Information System (PROMIS) scores were compared. Preoperative scores, surgeon prediction of pain improvement were analyzed as predictors of outcomes. Median PROMIS physical function and pain interference scores and visual analogue scale significantly improved by 6, 8, and 2 points, respectively. Worse preinjury scores predicted improvement in respective postoperative outcomes. Surgeon prediction of improvement was associated with improved PROMIS pain interference, patient subjective assessment of pain improvement, and subjective percent of pain remaining at 3 months. Conclusions : Although the primary indication for implant removal in this population was pain relief, many patients also had a clinically relevant improvement in physical function. In addition, patients who start with worse global indices of pain and function are more likely to improve after implant removal. This suggests that implant-related pain directly contributes to global dysfunction.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82371352","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.i3e.3446
H. Pandit, Aadil Mohi Ud Din Bhat, Dr. Yawar Naseer, Dr. Zubair Younis, Dr. Suhail Bashir
{"title":"Pronator quadratus pedicled bone graft for scaphoid non-unions","authors":"H. Pandit, Aadil Mohi Ud Din Bhat, Dr. Yawar Naseer, Dr. Zubair Younis, Dr. Suhail Bashir","doi":"10.22271/ortho.2023.v9.i3e.3446","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3e.3446","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82470798","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.i1g.3327
B. Nayak, Somnath Ghosh, Dhananjoy Bera, S. Samanta
{"title":"Comparative study between suprascapular nerve block versus platelet rich plasma in the treatment of adhesive capsulitis of shoulder joint","authors":"B. Nayak, Somnath Ghosh, Dhananjoy Bera, S. Samanta","doi":"10.22271/ortho.2023.v9.i1g.3327","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1g.3327","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76228308","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.3282
Dr. Shri Vishnu M, Dr. Nissanth C, Dr. Gadhamsetty Sai Ganesh, Dr. Harish Babu J, Dr. Yeshwanth Subash
Introduction: Suprapatellar (SP)-nailing versus infrapatellar (IP)-nailing for distal shaft tibia fractures and post-operative complications like anterior knee pain and sequelae such as malalignment, retropatellar chondropathy and infection, as well as physical functioning and quality of life were the primary objectives of this study. Methods: Department of Orthopaedics is conducting a study on this topic. Group A (16 cases) underwent Supra Patellar Nail Fixation, while Group B (14 cases) underwent Infra Patellar Nail Fixation in 30 patients with Distal Shaft of Tibia Fractures. Results: Analyses of the 30 patient study were performed. Anterior knee pain occurred in 25% of patients after SPN and in 35% of patients after IPN, with a 5% malalignment rate following SPN and a 25% malalignment rate following IPN. Complications such as infection and retro patellar chondropathy were not significantly different between the two groups, and neither was physical functionality or postoperative quality of life. Conclusions: Patients who underwent SPN (group A) had much lower malalignment rates than those who underwent IPN (group B), according to this study. In terms of infection rates, physical functioning, or overall health, this study found no significant difference. The surgeon's expertise should play a major role in determining the best course of action.
{"title":"Comparative study on functional and clinical outcomes of distal shaft of tibia fractures treated with suprapatellar and infrapatellar nailing","authors":"Dr. Shri Vishnu M, Dr. Nissanth C, Dr. Gadhamsetty Sai Ganesh, Dr. Harish Babu J, Dr. Yeshwanth Subash","doi":"10.22271/ortho.2023.v9.i1b.3282","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1b.3282","url":null,"abstract":"Introduction: Suprapatellar (SP)-nailing versus infrapatellar (IP)-nailing for distal shaft tibia fractures and post-operative complications like anterior knee pain and sequelae such as malalignment, retropatellar chondropathy and infection, as well as physical functioning and quality of life were the primary objectives of this study. Methods: Department of Orthopaedics is conducting a study on this topic. Group A (16 cases) underwent Supra Patellar Nail Fixation, while Group B (14 cases) underwent Infra Patellar Nail Fixation in 30 patients with Distal Shaft of Tibia Fractures. Results: Analyses of the 30 patient study were performed. Anterior knee pain occurred in 25% of patients after SPN and in 35% of patients after IPN, with a 5% malalignment rate following SPN and a 25% malalignment rate following IPN. Complications such as infection and retro patellar chondropathy were not significantly different between the two groups, and neither was physical functionality or postoperative quality of life. Conclusions: Patients who underwent SPN (group A) had much lower malalignment rates than those who underwent IPN (group B), according to this study. In terms of infection rates, physical functioning, or overall health, this study found no significant difference. The surgeon's expertise should play a major role in determining the best course of action.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88401702","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.3400
Mabrouk S Bhalfaya, H. M. Nouh, Fatma M Alkufifi
Background: Polytrauma is still the major cause of death in children all over the world. Initial evaluation and management should be approached by teamwork that includes pediatric physicians, pediatric intensive care physicians, and trauma surgeons. Trauma care provides injured children with life-and limb-saving treatment, but it is unclear if the proper tools have been developed to measure the quality of care delivered. Objective: To review quality indicators for evaluating care delivered to pediatric polytrauma patients aged ≤ 12 years and illustrate various complaints, shortages, suggestions, and possible solutions in the management of children at Aljalla Trauma Hospital–Benghazi/Libya. Methods: This study was conducted during a period of the Benghazi War (From July 2015 to July 2016). A retrospective records review of 228 children admitted as PPPs was done. All types of injury were included with a focus on the hospital stage of PPPs management. A questionnaire form for evaluation of the quality indicators of emergency management of pediatric polytrauma patients was prepared and filled out by the staff in charge. Results: The questionnaire has been answered by 93 of the staff who work in an adult emergency room, adult intensive care unit, and trauma surgeons. Our results enhance the findings of epidemiological studies for musculoskeletal injuries in PPPs and positively confirm the need to establish educational courses and continuous evaluation of performance for personage included in pediatric polytrauma patients management. Conclusion: Trauma centers may not have the resources to care for all the injured children within their referral region at any given time, and pediatric trauma centers should serve as referral points in major urban areas.
{"title":"Quality Indicators of pediatric polytrauma care","authors":"Mabrouk S Bhalfaya, H. M. Nouh, Fatma M Alkufifi","doi":"10.22271/ortho.2023.v9.i3a.3400","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i3a.3400","url":null,"abstract":"Background: Polytrauma is still the major cause of death in children all over the world. Initial evaluation and management should be approached by teamwork that includes pediatric physicians, pediatric intensive care physicians, and trauma surgeons. Trauma care provides injured children with life-and limb-saving treatment, but it is unclear if the proper tools have been developed to measure the quality of care delivered. Objective: To review quality indicators for evaluating care delivered to pediatric polytrauma patients aged ≤ 12 years and illustrate various complaints, shortages, suggestions, and possible solutions in the management of children at Aljalla Trauma Hospital–Benghazi/Libya. Methods: This study was conducted during a period of the Benghazi War (From July 2015 to July 2016). A retrospective records review of 228 children admitted as PPPs was done. All types of injury were included with a focus on the hospital stage of PPPs management. A questionnaire form for evaluation of the quality indicators of emergency management of pediatric polytrauma patients was prepared and filled out by the staff in charge. Results: The questionnaire has been answered by 93 of the staff who work in an adult emergency room, adult intensive care unit, and trauma surgeons. Our results enhance the findings of epidemiological studies for musculoskeletal injuries in PPPs and positively confirm the need to establish educational courses and continuous evaluation of performance for personage included in pediatric polytrauma patients management. Conclusion: Trauma centers may not have the resources to care for all the injured children within their referral region at any given time, and pediatric trauma centers should serve as referral points in major urban areas.","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"50 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83291861","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.i1h.3341
Dr. Yogesh C Patel, D. S. Shah
{"title":"Study of outcome of calcaneum fractures treated with calcaneum plate or cc screw","authors":"Dr. Yogesh C Patel, D. S. Shah","doi":"10.22271/ortho.2023.v9.i1h.3341","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1h.3341","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"25 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78335076","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.i1g.3333
D. Ts, D. Hb, Dr. Manju Jayaram, Dr. Yatish R, Dr. Harshitha S
{"title":"Brodies abscess in distal tibia: A case report","authors":"D. Ts, D. Hb, Dr. Manju Jayaram, Dr. Yatish R, Dr. Harshitha S","doi":"10.22271/ortho.2023.v9.i1g.3333","DOIUrl":"https://doi.org/10.22271/ortho.2023.v9.i1g.3333","url":null,"abstract":"","PeriodicalId":14302,"journal":{"name":"International Journal of Orthopaedics Sciences","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84646121","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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