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Treatment of aneurysmal bone cysts using polidocanol: Is it useful? 聚多坎醇治疗动脉瘤性骨囊肿是否有效?
Pub Date : 2022-07-01 DOI: 10.33545/orthor.2022.v6.i3a.372
Dr. Marouf Aslam, Dr. Mufti Noumaan, Dr. Malik Jahangir, Dr. Iram Bhat
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引用次数: 0
Comparison of intra-oral and extra-oral approaches in mandibular angle fractures 下颌角骨折口内入路与口外入路的比较
Pub Date : 2022-07-01 DOI: 10.33545/orthor.2022.v6.i2a.365
Mandeep Khokhar, Bipin S Sadhwan, S. Tailor
Aims and Objective: The aim of this study was to compare the outcomes of intra-oral and extra-oral approaches to mandibular angle fractures. Material and Methods: A Retrospective study was conducted in the Department of Maxillofacial surgery, Government Dental College and Hospital, Ahmedabad, India, for 1 year. Total 80 Patients with angle fracture that required open reduction and internal fixation were include in this study. All the Patients were reviewed for age, gender, presence of other fractures, type of surgical approach, OT time, which was calculated from the beginning of the incision till the closure. Length of admission and complications such as malocclusion, non-union, re-operation, post-op infection, neurosensory deficit, facial nerve injury, implant retrieval, scarring and wound dehiscence were also studied. Result: There were a total of 80 patients with mandibular angle fracture who underwent open reduction and internal fixation, 40 (50%) of them were treated intra-orally and the remaining 40 (50%) of them extra orally. The main etiology of injury was RTA in both the groups 30 (75%) in extra-oral group and 25 (62.5%) in intra-oral approaches. The mean operating room time for intra-oral approach was 81.89 minutes when compared to 99.8 minutes for extra-oral approach ( p < 0.05). Intra-oral approach had a mean length of stay of 2.1 days and 2.69 days for extra-oral approach (p=>0.05). Malocclusion was seen in 5(12.5%) subjects of extra-oral group and 8 (20%) subjects of intra-oral approach patients (p=>0.05). Conclusion: We conclude the use of intraoral approach while clinically favorable with single miniplate along the superior border.
目的和目的:本研究的目的是比较口内入路和口外入路治疗下颌角骨折的结果。材料和方法:在印度艾哈迈达巴德政府牙科学院和医院颌面外科进行了为期1年的回顾性研究。本研究共纳入80例需要切开复位内固定的角度骨折患者。对所有患者的年龄、性别、有无其他骨折、手术入路类型、手术时间(从切口开始到闭合)进行回顾。入院时间和并发症如错牙合、不愈合、再手术、术后感染、神经感觉缺损、面神经损伤、种植体回收、瘢痕形成和创面裂开等也进行了研究。结果:共80例下颌骨角骨折患者行切开复位内固定,其中40例(50%)采用口腔内固定,其余40例(50%)采用口腔外固定。两组损伤的主要病因均为RTA,口外组30例(75%),口内入路25例(62.5%)。口内入路平均手术室时间为81.89分钟,口外入路平均手术室时间为99.8分钟(p < 0.05)。口内入路平均住院时间2.1 d,口外入路平均住院时间2.69 d (p=>0.05)。口外入路组5例(12.5%),口内入路组8例(20%),差异有统计学意义(p=>0.05)。结论:我们认为口腔内入路在临床上是可行的,而沿上缘使用单个微型钢板是有利的。
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引用次数: 0
Assessment of outcome of results of fixation with 3 cancellous screws versus 2 cancellous screws and fibular graft in femur neck fracture 3颗松质螺钉与2颗松质螺钉联合腓骨植骨固定治疗股骨颈骨折的疗效比较
Pub Date : 2022-07-01 DOI: 10.33545/orthor.2022.v6.i3a.371
Dr. Ashish Chauhan, Dixit Bansal, Dr. Vishal Preet Singh Mahi, Dr. Rahul Singla, Dr. Parminderjeet Singh Bhullar
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引用次数: 0
Supracondylar fractures of the humerus in children 儿童肱骨髁上骨折
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.358
Dr. Vidyasagar Boraiah, D. As
The supracondylar fractures of the humerus are the commonest type of elbow fractures in children. They occur in either extension or flexion pattern. Both patterns have three types distinguished by degree of displacement. This article deals with anatomy and embriology of the distal part of the humerus, reviews the symptoms, outlines treatment principles and describes the general accepted methods of treatment and the treatment complications of supracondylar fractures.
肱骨髁上骨折是儿童肘部骨折最常见的类型。它们发生在伸展或屈曲模式。这两种模式都有三种类型,根据位移程度来区分。本文介绍肱骨远端部的解剖学和胚胎学,回顾其症状,概述治疗原则,并介绍一般接受的治疗方法和治疗髁上骨折的并发症。
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引用次数: 0
Role of vitamin C in prevention of complex regional pain syndrome (CRPS) after distal radius fractures 维生素C在预防桡骨远端骨折后复杂区域疼痛综合征(CRPS)中的作用
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.359
Dr. Shariq Hussain Malik, Dr. Muneeb Ul Islam
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引用次数: 0
Osteoarthritis and its treatment modalities: A review of literature 骨关节炎及其治疗方法:文献综述
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.361
Dr.Amit Lakhani, Dr. Aman Hooda, Dr. Vikram Jassal, Dr.Aniketa Sharma
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引用次数: 0
Intertrochanteric fracture PFN vs DHS 转子间骨折PFN与DHS比较
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.357
Dr. Vidyasagar Boraiah, D. As
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引用次数: 1
A prospective study of management of distal end of radius fractures in adults by ligamentotaxis using external fixator with distracton 带牵张的外固定架韧带固定治疗成人桡骨远端骨折的前瞻性研究
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.364
Dr. Arunkumar G, Dr. Ajeet Hundekar, Dr. Satish Nesri
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引用次数: 0
Utility of the 30° oblique tangential view for evaluation of anteromedial cortical reduction in reconstruction of intertrochanteric fractures 30°斜切向位评估股骨粗隆间骨折重建中前内侧皮质复位的应用
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.363
Dr. Mrudev V Gandhi, Dr. Vimal P Gandhi, Dr. Yash P Oza
Background: Intertrochanteric fractures are one of the most commonly presented cases at a tertiary care center. While operating them reduction of the fracture is a prime factor deciding the prognosis. Anatomical reduction of anteromedial cortex per se is the key parameter for stable reconstruction of the fracture. To evaluate this reduction conventional AP and Lateral projections are in wide use. A study was done to check the utility a novel 30 degree oblique tangential fluoroscopic projection to evaluate the quality of anteromedial cortical reduction. Methods: To conduct this study normal side calibration confirmation was used in initial cases. Using steel wires along five anatomic landmarks: Greater trochanter, Lesser trochanter, Intertrochanteric line, Anterolateral tubercle and the Anteromedial cortical line were identified, after which conventional AP and lateral fluoroscopic views were taken. The C-arm of the machine was then rotated by every 10°increments until a clear tangential view of the anteromedial-inferior corner cortex was observed. 100 operative cases of intertrochanteric hip fractures were studied from September 2021 to May 2022. In all of those intra-operative AP, Lateral and 30degree oblique tangential views were used after reduction as well as after final fixation to assess the quality of anteromedial cortical reduction. For 28 cases fluoroscopic results were compared with the post-operative 3D-CT reconstruction images. Results: The study on normal specimens showed that internal rotation of the C-arm to approximately 30° can remove all the obscure shadows and clearly display the anteromedial cortical tangent line. Intraoperative positive, neutral and negative apposition of anterior and medial cortices showed 78, 22 and 0 cases of medial cortical apposition in AP views; 17, 75 and 8 cases of anterior cortices in lateral views; and 70, 28 and 2 cases of anteromedial cortical apposition in oblique views respectively. The postoperative 3D-CT reconstruction images revealed that the final anteromedial cortical contact was noted in 72 cases (72.0%), and lost in 28 cases (28%). The coincidence rate between intra-operative fluoroscopy and post-operative 3D-CT was 89.0% (89/100) in AP view, 78.0% (78/ 100) in lateral view, and 82.0% (82/100) in oblique view ( p <0.001). Conclusions: Along with conventional AP and lateral projections, an additional oblique view of 30° becomes a very useful means for evaluation of the intra-operative anteromedial cortical reduction of fracture.
背景:转子间骨折是三级医疗中心最常见的病例之一。在手术中,骨折复位是决定预后的主要因素。前内侧皮质本身的解剖复位是骨折稳定重建的关键参数。为了评估这种减少,传统的AP和横向投影被广泛使用。一项研究检查了一种新的30度斜切线透视投影评估前内侧皮质复位质量的效用。方法:对初始病例采用正侧校正法进行研究。钢丝沿着五个解剖标志:大转子、小转子、转子间线、前外侧结节和前内侧皮质线进行识别,然后进行常规AP和侧位透视。然后每10°旋转机器的c臂,直到观察到清晰的前内侧-下角皮层切线视图。研究了2021年9月至2022年5月100例股骨粗隆间骨折的手术治疗。在所有术中AP中,复位后和最终固定后均使用外侧和30度斜切线位来评估前内侧皮质复位的质量。对28例患者的透视结果与术后3D-CT重建图像进行比较。结果:对正常标本的研究表明,c臂内旋转约30°可去除所有模糊阴影,清晰显示前内侧皮质切线。术中前、内侧皮质呈阳性、中性和阴性,AP图显示内侧皮质呈阳性78例、中性22例和阴性0例;侧位位前皮质17例、75例、8例;斜位位前内侧皮质对位分别为70例、28例和2例。术后3D-CT重建图像显示,72例(72.0%)患者出现了最终的前内侧皮质接触,28例(28%)患者丢失。术中透视与术后3D-CT的符合率分别为正位片89.0%(89/100)、侧位片78.0%(78/ 100)、斜位片82.0% (82/100)(p <0.001)。结论:与传统的AP和侧位投影一样,30°的额外斜位视图成为评估术中骨折前内侧皮质复位的非常有用的手段。
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引用次数: 0
Location of anterior cruciate ligament tears: A prospective study using magnetic resonance imaging 前交叉韧带撕裂的位置:磁共振成像的前瞻性研究
Pub Date : 2022-04-01 DOI: 10.33545/orthor.2022.v6.i2a.356
Dr. Muneeb Ul Islam, Dr. Mudasir Nazir Bhat, Dr. Basharat Mumin
Introduction: Knee injuries associated with ligament injuries are common among population because of increasing indulgence in sports. Most common ligament injured is Anterior Cruciate Ligament.. The incidence of ACL injury has increased in the general population with the rise of participation in sports. Approximately 70% of all ACL injuries occur by noncontact mechanisms. ACL deficiency causes knee instability so decreases the performance of sports person in sports. Patient needs clinical and diagnostic MRI to see the status of ACL and other structures in the knee and to ascertain what sort of treatment patient needs conservative or operative. Even though the arthroscopy is the gold standard for diagnosing ACL tears but a non-invasive and less expansive MRI is preferred. Aims and Objectives: To find out location of ACL tear within the knee joint. Materials and Methods: This prospective study was held from February 2021 to December 2021 in orthopedic department of Govt. Medical College Srinagar for diagnosing site of ACL tear in the knee joint using Magnetic Resonance Imaging modality. This study consisted of 50 patients both males and females. Patients with age group 20 to 45 years were included in the study with history of knee trauma associated with functional knee instability with positive Lachman test, pivot shift test and anterior drawer test. Patients with previous ACL surgery and fractures around the knee were excluded. Results: In our study of 50 patients, 32(64%) patients were males and 18 patients (36%) were females. In 60% of patients had right side knee ACL tear. Majority of patients were in 25 -29 years of age group. Mean time from injury to MRI was 10+-7days (range 0-35days). Most common mechanism of ACL tear was sports injury in 30(60%) patients. Road Traffic Accident was in 15(30%) patients and others in 5(10%) patients. Majority of the ACL tears were intrasubstance tears with type III seen in 48% 0f patients seen on MRI. Conclusion: Main findings were that 44% of the ACL tear were located in proximal quarter of ACL with 20% tears type I and 22% tears type II. Majority of the tears were type three with 48% Incidence.
导读:由于人们越来越沉迷于体育运动,膝关节损伤伴韧带损伤在人群中很常见。最常见的韧带损伤是前交叉韧带。随着体育运动的增加,前交叉韧带损伤的发生率在普通人群中有所增加。大约70%的前交叉韧带损伤是由非接触机制造成的。前交叉韧带缺陷会导致膝关节不稳定,从而降低运动员在运动中的表现。患者需要临床和诊断性MRI检查前交叉韧带和膝关节其他结构的状态,以确定患者需要保守治疗还是手术治疗。尽管关节镜是诊断前交叉韧带撕裂的金标准,但非侵入性和较少扩展的MRI是首选。目的:探讨膝关节前交叉韧带撕裂的位置。材料和方法:本前瞻性研究于2021年2月至2021年12月在斯利那加政府医学院骨科进行,使用磁共振成像方式诊断膝关节前交叉韧带撕裂部位。本研究包括50名男性和女性患者。年龄在20 - 45岁之间的患者均有膝外伤史并伴有功能性膝不稳定,Lachman试验、枢轴移位试验和前抽屉试验阳性。既往ACL手术和膝关节周围骨折的患者被排除在外。结果:50例患者中,男性32例(64%),女性18例(36%)。60%的患者右侧膝关节前交叉韧带撕裂。患者以25 ~ 29岁年龄组居多。从损伤到MRI平均时间为10+-7天(范围0-35天)。30例(60%)患者中最常见的前交叉韧带撕裂机制是运动损伤。道路交通事故15例(30%),其他5例(10%)。大多数前交叉韧带撕裂为实质内撕裂,MRI上48%的患者为III型撕裂。结论:主要发现前交叉韧带撕裂44%位于前交叉韧带近四分之一,其中ⅰ型撕裂占20%,ⅱ型撕裂占22%。泪液以三型为主,发生率为48%。
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National Journal of Clinical Orthopaedics
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