Pub Date : 2023-04-01DOI: 10.33545/orthor.2023.v7.i2a.399
Dr.Parth thakor, Dr. C Sai Sabharish Reddy, D. A. Agrawal, Dr. Jeet Patel, Dr.Sarvang desai
Introduction: Generally Anterolateral and posterior surgical approaches are most commonly used approaches for fractures of middle thirds and distal third of the humerus. In posterior approach, usually splitting of triceps is done for exploring humerus. We studied an alternative, triceps reflecting para tricipital approach which spares the extensor mechanism. We are using it for the lower third extra articular humerus fracture to achieve good exposure of humerus so as to avoid muscle splitting and gaining the early ROM range of motion [1, 2] . Materials and Methods: We studied 15 skeletally mature distal humerus fractures at our center treated by Triceps sparing approach with minimum follow up for a period of 6 months. They were functionally assessed with MAYO score [3] , measurements of ROM and radiological union. Mean duration of follow up was 10 months with range from 6-14 months. Results: The average Mayo score was 95 indicating an excellent performance with a mean functional ROM 132 degree with range from 120-140 degree. Only 1 patient had complication of infection which was not related to approach. Conclusion: The triceps reflecting approach (TRA) is a valuable option for ORIF in distal shaft humerus fractures. The extensor mechanism-sparing Paratricipital approach is an invaluable approach for fixation of lower third fractures of the humerus without negative effects on triceps strength. The clinical outcome parameters of our series revealed excellent maintenance of strength compared to the contralateral side. This approach gives us liberty to mobilize elbow joint actively as well passively and also avoids complications related to triceps adhesions.
{"title":"Extensor mechanism sparing para tricipital posterior approach to the distal humeral shaft fractures: An alternative approach for fracture treatment","authors":"Dr.Parth thakor, Dr. C Sai Sabharish Reddy, D. A. Agrawal, Dr. Jeet Patel, Dr.Sarvang desai","doi":"10.33545/orthor.2023.v7.i2a.399","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.399","url":null,"abstract":"Introduction: Generally Anterolateral and posterior surgical approaches are most commonly used approaches for fractures of middle thirds and distal third of the humerus. In posterior approach, usually splitting of triceps is done for exploring humerus. We studied an alternative, triceps reflecting para tricipital approach which spares the extensor mechanism. We are using it for the lower third extra articular humerus fracture to achieve good exposure of humerus so as to avoid muscle splitting and gaining the early ROM range of motion [1, 2] . Materials and Methods: We studied 15 skeletally mature distal humerus fractures at our center treated by Triceps sparing approach with minimum follow up for a period of 6 months. They were functionally assessed with MAYO score [3] , measurements of ROM and radiological union. Mean duration of follow up was 10 months with range from 6-14 months. Results: The average Mayo score was 95 indicating an excellent performance with a mean functional ROM 132 degree with range from 120-140 degree. Only 1 patient had complication of infection which was not related to approach. Conclusion: The triceps reflecting approach (TRA) is a valuable option for ORIF in distal shaft humerus fractures. The extensor mechanism-sparing Paratricipital approach is an invaluable approach for fixation of lower third fractures of the humerus without negative effects on triceps strength. The clinical outcome parameters of our series revealed excellent maintenance of strength compared to the contralateral side. This approach gives us liberty to mobilize elbow joint actively as well passively and also avoids complications related to triceps adhesions.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"14 4 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":"123800581","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: 10.33545/orthor.2023.v7.i2a.400
Faisal Khursheed, Wajahat Ahmad Mir, Aasif Ashraf Vaid
{"title":"Role of platelet rich plasma in the treatment of plantar fasciitis","authors":"Faisal Khursheed, Wajahat Ahmad Mir, Aasif Ashraf Vaid","doi":"10.33545/orthor.2023.v7.i2a.400","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.400","url":null,"abstract":"","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"15 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":"117178799","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: 10.33545/orthor.2023.v7.i2a.401
Dr. Nikhil Digra, Dr. Ramkrishna Verma, D. Singh, D. Shikha, Dr. Navjot Kaur, Dr. Pawandeep Kaur Sarao
Background: Proximal tibial fractures refer to fractures that occur in the upper part of the tibia, which is the larger bone in the lower leg. The present study was conducted to assess management of proximal tibial fractures by locking compression plate. Materials & Methods: 70 proximal tibial fractures of both genders were treated with MIPO and ORIF. Parameters such as side, type of fracture, type of reduction, principal, operative time, blood loss, hospital stay, healing time etc. were recorded. Results: Out of 70 patients, males were 40 and females were 30. Side was left in 32 and right in 38. Type of fracture was pure cleavage in 29, cleavage with depression in 15, central depression in 5 cases, medial condyle fracture in 6, bicondylar fracture in 8 and metaphysio diaphyseal dissociation in 7 cases. Method of reduction was MIPO in 48 and ORIF in 22. Principle of reduction was compression in 42, bridging in 18 and combined in 10 cases. The difference was significant ( p <0.05). The mean operative time (min) was 92.3, blood loss (ml) was 121.5, hospital stay (days) was 11.4, healing time (weeks) was 9.2 and time of recovery to work (days) was 11.4 days. Common complications were infection in 4, varus deformity in 2, knee instability in 1 and knee joint stiffness in 3 cases. The difference was significant ( p <0.05). Conclusion: Open reduction and internal fixation with LCP is an excellent technique for treatment of proximal tibia fractures.
{"title":"Assessment of proximal tibial fractures managed with locking compression plate","authors":"Dr. Nikhil Digra, Dr. Ramkrishna Verma, D. Singh, D. Shikha, Dr. Navjot Kaur, Dr. Pawandeep Kaur Sarao","doi":"10.33545/orthor.2023.v7.i2a.401","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.401","url":null,"abstract":"Background: Proximal tibial fractures refer to fractures that occur in the upper part of the tibia, which is the larger bone in the lower leg. The present study was conducted to assess management of proximal tibial fractures by locking compression plate. Materials & Methods: 70 proximal tibial fractures of both genders were treated with MIPO and ORIF. Parameters such as side, type of fracture, type of reduction, principal, operative time, blood loss, hospital stay, healing time etc. were recorded. Results: Out of 70 patients, males were 40 and females were 30. Side was left in 32 and right in 38. Type of fracture was pure cleavage in 29, cleavage with depression in 15, central depression in 5 cases, medial condyle fracture in 6, bicondylar fracture in 8 and metaphysio diaphyseal dissociation in 7 cases. Method of reduction was MIPO in 48 and ORIF in 22. Principle of reduction was compression in 42, bridging in 18 and combined in 10 cases. The difference was significant ( p <0.05). The mean operative time (min) was 92.3, blood loss (ml) was 121.5, hospital stay (days) was 11.4, healing time (weeks) was 9.2 and time of recovery to work (days) was 11.4 days. Common complications were infection in 4, varus deformity in 2, knee instability in 1 and knee joint stiffness in 3 cases. The difference was significant ( p <0.05). Conclusion: Open reduction and internal fixation with LCP is an excellent technique for treatment of proximal tibia fractures.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"15 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":"123375756","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: 10.33545/orthor.2023.v7.i2a.402
Dr. Gagan Khanna, Dr. Sumit Bhatia, Dr. Aarti Dewan, Divyant Randhawa
Background: MIPO technique, with less periosteal stripping, may facilitate bone healing by preserving soft tissue and promoting oxygen tension in the fracture hematoma. The present study was conducted to assess the functional and clinical outcomes of Minimal Invasive Plate Osteosynthesis in comminuted fracture of long bones. Materials & Methods: A total of 28 patient’s patients were selected for the study. After a patient with comminuted fractures of long bones was admitted to the hospital, all the necessary clinical details were recorded in proforma prepared for surgery. The cases were studied on the basis of gender, age, site of injury, classification and mode of injury. Postoperatively, patients were evaluated for radiological investigations and functional outcome. Results: The mean age of the patients was 38.03 years and 24 (86%) were males. Outcome was excellent in 16 patients (61.54%) followed by Good in 7 patients (26.93%) and Poor in 3 patients (11.53%) due to non-union. Conclusion: Minimally Invasive Plate Osteosynthesis (MIPO) technique using Locking Compression Plate (LCP) is a safer and better procedure than the conventional techniques used to manage comminuted fractures of long bones.
{"title":"Clinical outcomes of minimal invasive plate osteosynthesis in comminuted fracture of long bones","authors":"Dr. Gagan Khanna, Dr. Sumit Bhatia, Dr. Aarti Dewan, Divyant Randhawa","doi":"10.33545/orthor.2023.v7.i2a.402","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.402","url":null,"abstract":"Background: MIPO technique, with less periosteal stripping, may facilitate bone healing by preserving soft tissue and promoting oxygen tension in the fracture hematoma. The present study was conducted to assess the functional and clinical outcomes of Minimal Invasive Plate Osteosynthesis in comminuted fracture of long bones. Materials & Methods: A total of 28 patient’s patients were selected for the study. After a patient with comminuted fractures of long bones was admitted to the hospital, all the necessary clinical details were recorded in proforma prepared for surgery. The cases were studied on the basis of gender, age, site of injury, classification and mode of injury. Postoperatively, patients were evaluated for radiological investigations and functional outcome. Results: The mean age of the patients was 38.03 years and 24 (86%) were males. Outcome was excellent in 16 patients (61.54%) followed by Good in 7 patients (26.93%) and Poor in 3 patients (11.53%) due to non-union. Conclusion: Minimally Invasive Plate Osteosynthesis (MIPO) technique using Locking Compression Plate (LCP) is a safer and better procedure than the conventional techniques used to manage comminuted fractures of long bones.","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"10 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":"125317757","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: 10.33545/orthor.2023.v7.i2a.407
Dr. Ajaz Ahmad Ganai, Dr. Mariya Shafiki, Dr. Imran Jan
{"title":"A comparative study between plating versus titanium elastic nail system in the management of mid-shaft clavicle fractures","authors":"Dr. Ajaz Ahmad Ganai, Dr. Mariya Shafiki, Dr. Imran Jan","doi":"10.33545/orthor.2023.v7.i2a.407","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.407","url":null,"abstract":"","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"127 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117348440","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: 10.33545/orthor.2023.v7.i1a.388
Dr. Asif Ali Dar, Dr. Imtiyaz Hussain Dar, Dr. Ansarul Haq Lone, Dr. Sayar Ahmad Manto
{"title":"Evaluation of the neck shaft angle after DHS fixation in intertrochanteric hip fractures","authors":"Dr. Asif Ali Dar, Dr. Imtiyaz Hussain Dar, Dr. Ansarul Haq Lone, Dr. Sayar Ahmad Manto","doi":"10.33545/orthor.2023.v7.i1a.388","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i1a.388","url":null,"abstract":"","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129804840","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: 10.33545/orthor.2023.v7.i1b.391
Dr. Shailendra Kumar Mehta
{"title":"Effectiveness of thrust manipulation on restricted shoulder mobility in patients with adhesive capsulitis","authors":"Dr. Shailendra Kumar Mehta","doi":"10.33545/orthor.2023.v7.i1b.391","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i1b.391","url":null,"abstract":"","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121493511","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: 10.33545/orthor.2023.v7.i1b.395
Dr. Imran Jan, Dr. Mariya Shafiki, Dr. Aijaz Ahmad Ganai
{"title":"Effectiveness of platelet rich plasma in accelerating the healing of wounds","authors":"Dr. Imran Jan, Dr. Mariya Shafiki, Dr. Aijaz Ahmad Ganai","doi":"10.33545/orthor.2023.v7.i1b.395","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i1b.395","url":null,"abstract":"","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"59 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130848102","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: 10.33545/orthor.2023.v7.i2a.404
Akhil Sharma, S. Parekh
{"title":"Clinical viability of novel safety-engineered sharps device in wound closure for foot and ankle surgery","authors":"Akhil Sharma, S. Parekh","doi":"10.33545/orthor.2023.v7.i2a.404","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.404","url":null,"abstract":"","PeriodicalId":151163,"journal":{"name":"National Journal of Clinical Orthopaedics","volume":"52 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131654255","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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