Pub Date : 2021-08-10DOI: 10.13107/jkoa.2021.v09i02.042
Vijay A. Malshikare
Many years distal end radius fractures (DRF) are the most encountered type of fracture. In standard form, extra-articular distal end radius fractures were fixed after manual reduction and then pinned extra-articular by drilling distal cortex and passing fracture site to fix proximal fragment (Figure 1). But after 2 to 3 weeks depending upon osteoporosis fracture collapse(cancellous bone heal by collapse) and flexibility of the K wire distal fragment moves back until the K wire abut the inferior edge of the proximal fragment and does not avoid secondary displacement (Figure 2) [1].
{"title":"Intra Focal K-Wiring for Distal End Radius (Kapandji Technique): Surgical Technique","authors":"Vijay A. Malshikare","doi":"10.13107/jkoa.2021.v09i02.042","DOIUrl":"https://doi.org/10.13107/jkoa.2021.v09i02.042","url":null,"abstract":"Many years distal end radius fractures (DRF) are the most encountered type of fracture. In standard form, extra-articular distal end radius fractures were fixed after manual reduction and then pinned extra-articular by drilling distal cortex and passing fracture site to fix proximal fragment (Figure 1). But after 2 to 3 weeks depending upon osteoporosis fracture collapse(cancellous bone heal by collapse) and flexibility of the K wire distal fragment moves back until the K wire abut the inferior edge of the proximal fragment and does not avoid secondary displacement (Figure 2) [1].","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132669133","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 : 2021-08-10DOI: 10.13107/jkoa.2021.v09i02.040
V. V. Mundewadi, Harshavardhan B R, A. P R
Subtalar dislocation is an unusual clinical case with very little mention in literature constituting nearly 1% of all traumatic dislocations. Here a 40 year old male who sustained fall over inverted foot was diagnosed as closed isolated medial subtalar dislocation with no associated fractures. This is an even more rare entity. Immediate closed reduction was done and immobilised for 4 weeks with below knee cast. This case report describes the mechanism of injury, ligaments involved, manoeuvre of closed reduction. This case report highlights the importance of prompt and urgent reduction and short period of immobilisation to avoid complications and better prognosis. Keywords: Subtalar dislocation, Basketball foot, Isolated, Medial, Arthritis.
{"title":"Isolated Closed Medial Subtalar Dislocation Without Ankle Fracture: A Rare Case Report","authors":"V. V. Mundewadi, Harshavardhan B R, A. P R","doi":"10.13107/jkoa.2021.v09i02.040","DOIUrl":"https://doi.org/10.13107/jkoa.2021.v09i02.040","url":null,"abstract":"Subtalar dislocation is an unusual clinical case with very little mention in literature constituting nearly 1% of all traumatic dislocations. Here a 40 year old male who sustained fall over inverted foot was diagnosed as closed isolated medial subtalar dislocation with no associated fractures. This is an even more rare entity. Immediate closed reduction was done and immobilised for 4 weeks with below knee cast. This case report describes the mechanism of injury, ligaments involved, manoeuvre of closed reduction. This case report highlights the importance of prompt and urgent reduction and short period of immobilisation to avoid complications and better prognosis.\u0000Keywords: Subtalar dislocation, Basketball foot, Isolated, Medial, Arthritis.","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"2013 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127411598","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 : 2021-08-10DOI: 10.13107/jkoa.2021.v09i02.041
Ansahe Jamal P K, Mithun Pai G, A. Acharya, A. Bhat
Synovial osteochondromatosis is a disease of the synovium characterized by the formation of multiple cartilaginous bodies. The disease is characteristically monarticular, most commonly involving the knee. Despite frequent mention of elbow involvement in various texts and articles, we wish to review the clinical, radiologic, and histologic features of synovial osteochondromatosis of the elbow by presenting a case in an elderly male. By correct preoperative diagnosis and complete excision, full range of motion can be achieved in an relatively unforgivable elbow joint even with a delayed presentation. Keywords: Loose bodies, Elbow, Synovial
{"title":"Primary Synovial Chondromatosis of Elbow: A Bowl Full of Tumors","authors":"Ansahe Jamal P K, Mithun Pai G, A. Acharya, A. Bhat","doi":"10.13107/jkoa.2021.v09i02.041","DOIUrl":"https://doi.org/10.13107/jkoa.2021.v09i02.041","url":null,"abstract":"Synovial osteochondromatosis is a disease of the synovium characterized by the formation of multiple cartilaginous bodies. The disease is characteristically monarticular, most commonly involving the knee. Despite frequent mention of elbow involvement in various texts and articles, we wish to review the clinical, radiologic, and histologic features of synovial osteochondromatosis of the elbow by presenting a case in an elderly male. By correct preoperative diagnosis and complete excision, full range of motion can be achieved in an relatively unforgivable elbow joint even with a delayed presentation.\u0000Keywords: Loose bodies, Elbow, Synovial","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"13 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125253549","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 : 2021-08-10DOI: 10.13107/jkoa.2021.v09i02.038
S. Vijayan, Nikhilanand Hegde, M. Kulkarni, M. N. Aroor, V. Bhat, Sharath K. Rao
Introduction: Fractures involving the neck of the femur constitute a small proportion of total fractures in the body. Though these fractures mainly occur in the elderly population, their occurrence in youngsters due to high-velocity trauma is not uncommon. These fractures are commonly termed the ‘unsolved fractures’ as the outcome of these fractures are highly variable. The peculiar anatomy and precarious blood supply to the proximal femur and intracapsular location create an unfavourable biological environment for fracture union. The lack of prospective clinical trials which have evaluated the ideal surgical timing, technique and construct of the implant further adds to the confusion. Discussion: The aim of this review was to go through the recent relevant literature on the management of femoral neck fractures to find out the answers to the debated questions and to summarize the current diagnostic and management approaches to a patient with a suspected fracture neck of the femur. Conclusion: Knowing the patient and fracture related factors which influence the outcome are extremely important to achieve the goal of early uncomplicated fracture healing. This would help the surgeon in the thoughtful selection of the operative intervention for each patient on an individual basis and facilitate a thorough discussion between the surgeon and the patient which is vital in decision making. Keywords: Closed reduction, Hemiarthroplasty, Hip fractures, Intracapsular, Neck of Femur, Pauwel
{"title":"The ‘Unsolved’ Fracture Neck of Femur– A Comprehensive Review","authors":"S. Vijayan, Nikhilanand Hegde, M. Kulkarni, M. N. Aroor, V. Bhat, Sharath K. Rao","doi":"10.13107/jkoa.2021.v09i02.038","DOIUrl":"https://doi.org/10.13107/jkoa.2021.v09i02.038","url":null,"abstract":"Introduction: Fractures involving the neck of the femur constitute a small proportion of total fractures in the body. Though these fractures mainly occur in the elderly population, their occurrence in youngsters due to high-velocity trauma is not uncommon. These fractures are commonly termed the ‘unsolved fractures’ as the outcome of these fractures are highly variable. The peculiar anatomy and precarious blood supply to the proximal femur and intracapsular location create an unfavourable biological environment for fracture union. The lack of prospective clinical trials which have evaluated the ideal surgical timing, technique and construct of the implant further adds to the confusion.\u0000Discussion: The aim of this review was to go through the recent relevant literature on the management of femoral neck fractures to find out the answers to the debated questions and to summarize the current diagnostic and management approaches to a patient with a suspected fracture neck of the femur.\u0000Conclusion: Knowing the patient and fracture related factors which influence the outcome are extremely important to achieve the goal of early uncomplicated fracture healing. This would help the surgeon in the thoughtful selection of the operative intervention for each patient on an individual basis and facilitate a thorough discussion between the surgeon and the patient which is vital in decision making.\u0000Keywords: Closed reduction, Hemiarthroplasty, Hip fractures, Intracapsular, Neck of Femur, Pauwel","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115575931","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 : 2021-08-10DOI: 10.13107/jkoa.2021.v09i02.039
Sukesh A N, George Jacob, Jacob Varughese
Introduction: Lateral collateral ligament calcification is a rare cause of knee pain. There are only a handful of case reports, and the findings are usually incidental and asymptomatic. The exact mechanism for calcific deposit remains unclear. We present a case of symptomatic calcification within the lateral collateral ligament treated by surgical enucleation. Case presentation: A 52-year-old active woman presented with complaints of pain over the lateral aspect of the left knee of 6 months’ duration. Her pain was severe, aggravated on descending stairs but relieved on rest. Clinical examination revealed tenderness over the lateral aspect of the knee joint. Standard standing anterior-posterior radiograph of the left knee revealed a homogenous dense opacity adjacent to the lateral femoral condyle. Conclusion: Calcification within the lateral collateral ligament is rare and treatment is determined by whether the patient is symptomatic or not. If symptoms of the patient cannot be alleviated with a conservative approach, we recommend a surgical enucleation of the calcification, which in our case had good results. Keywords: Calcification, Knee pain, Lateral collateral ligament
{"title":"Symptomatic Calcification within the Lateral Collateral Ligament of Knee: A Case Report on Rare Abnormality","authors":"Sukesh A N, George Jacob, Jacob Varughese","doi":"10.13107/jkoa.2021.v09i02.039","DOIUrl":"https://doi.org/10.13107/jkoa.2021.v09i02.039","url":null,"abstract":"Introduction: Lateral collateral ligament calcification is a rare cause of knee pain. There are only a handful of case reports, and the findings are usually incidental and asymptomatic. The exact mechanism for calcific deposit remains unclear. We present a case of symptomatic calcification within the lateral collateral ligament treated by surgical enucleation.\u0000Case presentation: A 52-year-old active woman presented with complaints of pain over the lateral aspect of the left knee of 6 months’ duration. Her pain was severe, aggravated on descending stairs but relieved on rest. Clinical examination revealed tenderness over the lateral aspect of the knee joint. Standard standing anterior-posterior radiograph of the left knee revealed a homogenous dense opacity adjacent to the lateral femoral condyle.\u0000Conclusion: Calcification within the lateral collateral ligament is rare and treatment is determined by whether the patient is symptomatic or not. If symptoms of the patient cannot be alleviated with a conservative approach, we recommend a surgical enucleation of the calcification, which in our case had good results.\u0000Keywords: Calcification, Knee pain, Lateral collateral ligament","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126358131","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 : 1900-01-01DOI: 10.13107/jkoa.2023.v11i01.061
S. Shetty, E. Nazareth, Nirath S Hegde, Ajay Kumar, Shushruth M Devanna
Introduction: Open fracture is one of the most common and challenging healthcare problem in orthopedic practice1.Despite improvements in implant design, management of open fractures remain a challenge for the orthopedic surgeon. Locked compression plates (LCP) have advantages of angular stability from the locking-head mechanism and less irritation when compared with traditional external fixators due to their low profiles. Here is a case report of the same. Case Report: A 50-year-old lady, a municipal worker by occupation, came to casualty with alleged history of road traffic accident and injury to right thigh and knee. Plain radiograph of of right femur with knee revealed a supracondylar fracture of right femur. As a definitive treatment, patient underwent open reduction and supercutaneous plating. Skin grafting was done for the external wound over distal thigh. The External fixation plate for right distal knee was removed after 6 weeks and knee ROM of 0 to 100 degree flexion was achieved by one year. Conclusion: Open fractures can be treated by external fixation using the LCP plates, which are safe, reliable and have acceptable functional outcomes with minimal complication rates. Its advantages also include ease of performing surgery and ease of removing plate after fracture healing. Keywords: Supercutaneous plating, LCP- locking compression plate, External fixator
{"title":"Supercutaneous Plating Technique: A Case Report of Locking Plate Used as an External Fixator","authors":"S. Shetty, E. Nazareth, Nirath S Hegde, Ajay Kumar, Shushruth M Devanna","doi":"10.13107/jkoa.2023.v11i01.061","DOIUrl":"https://doi.org/10.13107/jkoa.2023.v11i01.061","url":null,"abstract":"Introduction: Open fracture is one of the most common and challenging healthcare problem in orthopedic practice1.Despite improvements in implant design, management of open fractures remain a challenge for the orthopedic surgeon. Locked compression plates (LCP) have advantages of angular stability from the locking-head mechanism and less irritation when compared with traditional external fixators due to their low profiles. Here is a case report of the same. Case Report: A 50-year-old lady, a municipal worker by occupation, came to casualty with alleged history of road traffic accident and injury to right thigh and knee. Plain radiograph of of right femur with knee revealed a supracondylar fracture of right femur. As a definitive treatment, patient underwent open reduction and supercutaneous plating. Skin grafting was done for the external wound over distal thigh. The External fixation plate for right distal knee was removed after 6 weeks and knee ROM of 0 to 100 degree flexion was achieved by one year. Conclusion: Open fractures can be treated by external fixation using the LCP plates, which are safe, reliable and have acceptable functional outcomes with minimal complication rates. Its advantages also include ease of performing surgery and ease of removing plate after fracture healing. Keywords: Supercutaneous plating, LCP- locking compression plate, External fixator","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"56 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124455825","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 : 1900-01-01DOI: 10.13107/jkoa.2022.v10i01.044
K. Singh, H. Shah
A child with Perthes disease presents at or after an advanced stage of advanced fragmentation is considered a late presentation. The maximum femoral head deformation happens at the stage of advanced fragmentation. Preventive strategies are needed if the child presents before the advanced stage of fragmentation. The corrective strategies are deliberated if the child presents as a late presenter. The natural history of late presented Perthes is poorer than early presentation. Clinical features, investigation, various prognostic factors, management options and decision making of late presented Perthes disease have been revealed. Keywords: Late presented Perthes disease, Hinge abduction, Severe collapse, Extrusion, Poor prognosis
{"title":"Management of Late Presented Perthes Disease","authors":"K. Singh, H. Shah","doi":"10.13107/jkoa.2022.v10i01.044","DOIUrl":"https://doi.org/10.13107/jkoa.2022.v10i01.044","url":null,"abstract":"A child with Perthes disease presents at or after an advanced stage of advanced fragmentation is considered a late presentation. The maximum femoral head deformation happens at the stage of advanced fragmentation. Preventive strategies are needed if the child presents before the advanced stage of fragmentation. The corrective strategies are deliberated if the child presents as a late presenter. The natural history of late presented Perthes is poorer than early presentation. Clinical features, investigation, various prognostic factors, management options and decision making of late presented Perthes disease have been revealed. Keywords: Late presented Perthes disease, Hinge abduction, Severe collapse, Extrusion, Poor prognosis","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130249038","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 : 1900-01-01DOI: 10.13107/jkoa.2023.v11i01.059
A. P, Karthik Sangani, Pavith Janardhan T, Prajwal Kn, A. Krishna, P. K
Introduction: THR is one of the commonly performed adult arthroplasties in the world. Over the past 6 decades, Charnley low friction arthroplasty has evolved in design and concept. One among those recent advances is the use of 3D printing technology in arthroplasties. Purpose of this article is to discuss and share the details of a hip arthroplasty case where a customized 3D printed acetabulum component was used. Case: A 3 year postop case of acetabulum fracture fixation presented with arthritis of hip. CT revealed a periacetabular massive bone loss. After considering all options, decision was made to use a 3D printed acetabulum shell. Discussion: Complex THRs with special instrumentation and augmented implants are frequently seen in revision surgeries and post acetabulum fracture cases. Based on the size and pattern of the defect, IlioIschial cages, Triflange cups, Trabecular metal augments, CupCage constructs, Jumbo cups are some common options at a surgeons disposal while tackling an acetabulum bone loss challenge. A 3D manufactured component can be of aid when the defect is too large. It gives the advantage of being anatomically contoured. It also allows a porous structure for bone ingrowth. Conclusion: Life size models of the pelvis and the component gives an explicit simulation of the surgery, including the component placement and trajectory of the screws. This effective preoperative planning can improve the surgical precision and reduce the complications. Literature on the survival rates and long term complications of such 3d printed acetabulum shells is limited. Studies on the long term outcomes with usage of these implants would be insightful Keywords: 3D Printing, Complex THR, Customised acetabular shell
{"title":"THR Using a 3D Printed Custom Made Acetabulum Component: A Case Report","authors":"A. P, Karthik Sangani, Pavith Janardhan T, Prajwal Kn, A. Krishna, P. K","doi":"10.13107/jkoa.2023.v11i01.059","DOIUrl":"https://doi.org/10.13107/jkoa.2023.v11i01.059","url":null,"abstract":"Introduction: THR is one of the commonly performed adult arthroplasties in the world. Over the past 6 decades, Charnley low friction arthroplasty has evolved in design and concept. One among those recent advances is the use of 3D printing technology in arthroplasties. Purpose of this article is to discuss and share the details of a hip arthroplasty case where a customized 3D printed acetabulum component was used. Case: A 3 year postop case of acetabulum fracture fixation presented with arthritis of hip. CT revealed a periacetabular massive bone loss. After considering all options, decision was made to use a 3D printed acetabulum shell. Discussion: Complex THRs with special instrumentation and augmented implants are frequently seen in revision surgeries and post acetabulum fracture cases. Based on the size and pattern of the defect, IlioIschial cages, Triflange cups, Trabecular metal augments, CupCage constructs, Jumbo cups are some common options at a surgeons disposal while tackling an acetabulum bone loss challenge. A 3D manufactured component can be of aid when the defect is too large. It gives the advantage of being anatomically contoured. It also allows a porous structure for bone ingrowth. Conclusion: Life size models of the pelvis and the component gives an explicit simulation of the surgery, including the component placement and trajectory of the screws. This effective preoperative planning can improve the surgical precision and reduce the complications. Literature on the survival rates and long term complications of such 3d printed acetabulum shells is limited. Studies on the long term outcomes with usage of these implants would be insightful Keywords: 3D Printing, Complex THR, Customised acetabular shell","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"20 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115071232","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 : 1900-01-01DOI: 10.13107/jkoa.2022.v10i01.046
H. Chandrashekar, Mohan N S, A. S, Syed Farhan Bukhari, Nithin S M
Background: Cervical spondylotic radiculopathy and myelopathy are common problems for which anterior cervical discectomy and fusion is a gold standard procedure. There are various implant options available, two of which are commonly used in practice. Anterior cervical cage with plate and locking standalone cage. Our study aims to compare these two methods to know the functional and radiological outcomes after Anterior cervical discectomy and fusion procedure. Materials and Methods: We performed a prospective comparative study of 60 patients with single or two level degenerative cervical spine disease with failed conservative management. They were divided randomly into 2 groups of 30 patients each one group treated using locking standalone cage and the other with anterior cervical plate with cage using Smith Robinson approach. The clinical outcome was measured using visual analogue scores, Robinson’s criteria and Neck disability index and the radiological outcome was assessed using cobb’s angle, segmental height and segment angle with a follow up period of 2 years. Results: At 2 years follow up, good functional outcomes were obtained in both implant groups in terms of Robinson criteria, neck disability index and visual analogue scale. And good radiological outcomes were obtained in both implant groups with 93.3% fusion rates in both groups. Significant dysphagia was seen in the cage with plate group(26.6%) and significant cage subsidence was noted in the standalone cage group(20%). Conclusion: The functional and radiological outcomes are superior at 2 years follow up in both implant groups. Hence standalone cage and cage with plate technique both are equally safe and effective treatment options in 1 or 2 level degenerative cervical spine disease. Keywords: Anterior cervical discectomy and fusion, Neck Disability Index, Visual Analogue scale, Locking standalone cage, Anterior cervical plate, cage subsidence, Robinson criteria
背景:神经根型颈椎病和脊髓病是常见的问题，颈前路椎间盘切除术和融合是一个金标准程序。有多种可选择的植入物，其中两种在实践中常用。颈椎前路固定器，带钢板和锁定的独立式固定器。我们的研究旨在比较这两种方法，以了解颈椎前路椎间盘切除术和融合手术后的功能和影像学结果。材料和方法:我们对60例保守治疗失败的单级或双级颈椎退行性疾病患者进行了前瞻性比较研究。将患者随机分为2组，每组30例，每组采用Smith Robinson入路，一组采用颈椎前路钢板加颈椎前路固定器。临床结果采用视觉模拟评分、罗宾逊标准和颈部残疾指数进行测量，影像学结果采用cobb角、节段高度和节段角度进行评估，随访2年。结果:随访2年，两组患者在罗宾逊标准、颈部残疾指数和视觉模拟评分方面均获得良好的功能结局。两组均获得了良好的影像学结果，融合率均为93.3%。有板笼组出现明显的吞咽困难(26.6%)，独立笼组出现明显的笼下陷(20%)。结论:两组术后随访2年，功能和影像学结果均优于对照组。因此，在治疗1级或2级退行性颈椎疾病时，独立cage和cage with plate技术都是同样安全有效的选择。关键词:颈前路椎间盘切除术及融合术，颈部残疾指数，视觉模拟量表，锁定独立椎笼，颈椎前路钢板，椎笼沉降，罗宾逊标准
{"title":"A Comparative Study Between the Functional and Radiological Outcomes of ACDF Using Locking Stand Alone Cage And Anterior Cervical Plate With Titanium Disc Cage in Degenerative Cervical Spine Disease","authors":"H. Chandrashekar, Mohan N S, A. S, Syed Farhan Bukhari, Nithin S M","doi":"10.13107/jkoa.2022.v10i01.046","DOIUrl":"https://doi.org/10.13107/jkoa.2022.v10i01.046","url":null,"abstract":"Background: Cervical spondylotic radiculopathy and myelopathy are common problems for which anterior cervical discectomy and fusion is a gold standard procedure. There are various implant options available, two of which are commonly used in practice. Anterior cervical cage with plate and locking standalone cage. Our study aims to compare these two methods to know the functional and radiological outcomes after Anterior cervical discectomy and fusion procedure. Materials and Methods: We performed a prospective comparative study of 60 patients with single or two level degenerative cervical spine disease with failed conservative management. They were divided randomly into 2 groups of 30 patients each one group treated using locking standalone cage and the other with anterior cervical plate with cage using Smith Robinson approach. The clinical outcome was measured using visual analogue scores, Robinson’s criteria and Neck disability index and the radiological outcome was assessed using cobb’s angle, segmental height and segment angle with a follow up period of 2 years. Results: At 2 years follow up, good functional outcomes were obtained in both implant groups in terms of Robinson criteria, neck disability index and visual analogue scale. And good radiological outcomes were obtained in both implant groups with 93.3% fusion rates in both groups. Significant dysphagia was seen in the cage with plate group(26.6%) and significant cage subsidence was noted in the standalone cage group(20%). Conclusion: The functional and radiological outcomes are superior at 2 years follow up in both implant groups. Hence standalone cage and cage with plate technique both are equally safe and effective treatment options in 1 or 2 level degenerative cervical spine disease. Keywords: Anterior cervical discectomy and fusion, Neck Disability Index, Visual Analogue scale, Locking standalone cage, Anterior cervical plate, cage subsidence, Robinson criteria","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"53 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115653244","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 : 1900-01-01DOI: 10.13107/jkoa.2023.v11i01.057
R. Mukartihal, Rajdeep Das, Chandan S, Vikram G K Bhat, Balakrishna Nallabolu, Sreedhish K, Bharath Krishna S, S. Patil
Total Knee Arthroplasty (TKA) is a very impelling treatment for severe osteoarthritis. But, prosthesis longevity along with clinical and functional outcome of patients are intricately related to proper alignment and position of the prosthesis and how perfectly the artificial joint can mimic the native knee anatomy and kinematics. To minimize outliers and improve accuracy, precision and patients’ outcome, promising new technologies have been developed in knee arthroplasty. TKA is advancing by leaps and bounds with the advent and introduction and application of technologies in its domain. The aim of this article is to put up and brief about the technologies in TKA, their concepts, advantages, and limitations. Keywords: Total knee arthroplasty, Knee arthroplasty, Total knee replacement, Osteoarthritis, Technology, Biomedical Technology, Robot-assisted surgery, Artificial intelligence, Augmented reality
{"title":"Technologies in Total Knee Arthroplasty","authors":"R. Mukartihal, Rajdeep Das, Chandan S, Vikram G K Bhat, Balakrishna Nallabolu, Sreedhish K, Bharath Krishna S, S. Patil","doi":"10.13107/jkoa.2023.v11i01.057","DOIUrl":"https://doi.org/10.13107/jkoa.2023.v11i01.057","url":null,"abstract":"Total Knee Arthroplasty (TKA) is a very impelling treatment for severe osteoarthritis. But, prosthesis longevity along with clinical and functional outcome of patients are intricately related to proper alignment and position of the prosthesis and how perfectly the artificial joint can mimic the native knee anatomy and kinematics. To minimize outliers and improve accuracy, precision and patients’ outcome, promising new technologies have been developed in knee arthroplasty. TKA is advancing by leaps and bounds with the advent and introduction and application of technologies in its domain. The aim of this article is to put up and brief about the technologies in TKA, their concepts, advantages, and limitations. Keywords: Total knee arthroplasty, Knee arthroplasty, Total knee replacement, Osteoarthritis, Technology, Biomedical Technology, Robot-assisted surgery, Artificial intelligence, Augmented reality","PeriodicalId":167557,"journal":{"name":"Journal of Karnataka Orthopaedic Association","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"1900-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128905294","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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