Pub Date : 2022-01-28DOI: 10.5005/jp-journals-10079-1082
S. Balasubramanian, D. Loganathan, Venkataraman Manian, R. Gusain, Bobby Mathiyarasu
recent times arthroscopy is considered the gold standard for the same. Our novel technique helps us to collect a sufficient amount of soft tissue which elevates the concern of inadequate soft tissue collection especially when small joints are considered. Technique: Gauze barrier technique. Conclusion: This novel technique allows us to collect a sufficient amount of intra-articular soft tissues especially when small joints are considered which results in easy collection of tissue and saves time and effort for the surgeons. Clinical significance: Minimum ports, less operative time, easy maneuverability, and comparatively easy way to collect sufficient tissue.
{"title":"A Novel Technique in Collecting Biopsy in Arthroscopy","authors":"S. Balasubramanian, D. Loganathan, Venkataraman Manian, R. Gusain, Bobby Mathiyarasu","doi":"10.5005/jp-journals-10079-1082","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1082","url":null,"abstract":"recent times arthroscopy is considered the gold standard for the same. Our novel technique helps us to collect a sufficient amount of soft tissue which elevates the concern of inadequate soft tissue collection especially when small joints are considered. Technique: Gauze barrier technique. Conclusion: This novel technique allows us to collect a sufficient amount of intra-articular soft tissues especially when small joints are considered which results in easy collection of tissue and saves time and effort for the surgeons. Clinical significance: Minimum ports, less operative time, easy maneuverability, and comparatively easy way to collect sufficient tissue.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"22 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133971869","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}
The International Osteoporosis Foundation has estimated that worldwide, approximately 30–50% of people older than 50 years are at risk for the development of fragility fractures secondary to osteoporosis.1 Vertebral compression fractures occur in 20% of people older than 70 years and in 16% of postmenopausal women.2 The majority of fractures heal with conservative treatment after 8–10 weeks. Surgery is indicated for patients who present with neurological deficits, deformities, and incapacitating pain with conservative treatment failure. Three percent of the patients with OVFs develop cord compression3–5 for whom the treatment is very challenging. This study aimed to identify the clinical presentation and predictors of clinical outcomes among patients operated for delayed neurological deficits after OVFs.
{"title":"Delayed Neurological Deficit in Osteoporotic Vertebral Compression Fracture: An Analysis of Surgical Outcome","authors":"Thirumalai Murugan, Arivasan Rathinam, Sathiya Prakash","doi":"10.5005/jp-journals-10079-1080","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1080","url":null,"abstract":"The International Osteoporosis Foundation has estimated that worldwide, approximately 30–50% of people older than 50 years are at risk for the development of fragility fractures secondary to osteoporosis.1 Vertebral compression fractures occur in 20% of people older than 70 years and in 16% of postmenopausal women.2 The majority of fractures heal with conservative treatment after 8–10 weeks. Surgery is indicated for patients who present with neurological deficits, deformities, and incapacitating pain with conservative treatment failure. Three percent of the patients with OVFs develop cord compression3–5 for whom the treatment is very challenging. This study aimed to identify the clinical presentation and predictors of clinical outcomes among patients operated for delayed neurological deficits after OVFs.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114834462","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 : 2022-01-28DOI: 10.5005/jp-journals-10079-1050
P. Bhardwaj, Nilesh D Darawade, R. Shanmuganathan
Operative Technique The procedure was done under the brachial plexus block. Under fluoroscopic control, the fracture dislocation was reduced by longitudinal traction and flexion of the joint. The aim was to get the fracture fragments into the best possible alignment by molding, using the soft tissue envelope around the site of the fracture and correct joint subluxation. We did not attempt any percutaneous/ invasive technique for fracture reduction. A preliminary reduction also indicated the amount of traction needed to maintain joint alignment and the degree of flexion required. The material needed for the traction assembly is—plaster roll, malleable aluminum splint, no. 1 polypropylene suture, cotton bandages, and adhesive tape (Fig. 1A ). The splint is bent by 20–30° In t r o d u c t I o n
{"title":"Static Traction and Early Mobilization Protocol for Intra-articular Fractures of Proximal Interphalangeal Joint: Technique and Outcome","authors":"P. Bhardwaj, Nilesh D Darawade, R. Shanmuganathan","doi":"10.5005/jp-journals-10079-1050","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1050","url":null,"abstract":"Operative Technique The procedure was done under the brachial plexus block. Under fluoroscopic control, the fracture dislocation was reduced by longitudinal traction and flexion of the joint. The aim was to get the fracture fragments into the best possible alignment by molding, using the soft tissue envelope around the site of the fracture and correct joint subluxation. We did not attempt any percutaneous/ invasive technique for fracture reduction. A preliminary reduction also indicated the amount of traction needed to maintain joint alignment and the degree of flexion required. The material needed for the traction assembly is—plaster roll, malleable aluminum splint, no. 1 polypropylene suture, cotton bandages, and adhesive tape (Fig. 1A ). The splint is bent by 20–30° In t r o d u c t I o n","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"1051 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116281866","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 : 2022-01-28DOI: 10.5005/jp-journals-10079-1081
C. Rex, M. H. Kumar, C. Premanand, Aswini Kumar
Aim and objective: To elaborate the current stand on K-wire usage in orthopedic clinical practice. Background: K-wire is a commonly used implant, and is an inevitable instrument in orthopedic practice. Even with the rampant usage of this implant for centuries, the literature stating the basic details, principles of use, current clinical indications, complications encountered and techniques to avoid the same is not many. In this review article, we have taken into consideration the essential details, techniques, various clinical scenarios and extended indications for which a K-wire can be used. We believe that this article will comprehensively enlighten all the perspectives of K-wire usage, yet unmentioned and highlighted so far in any available literature. Review results: K-wire has been introduced into orthopedic practice more than 100 years ago. This is the oldest implant that has stood the test of time in the management of many fractures of both upper and lower limbs. The indications for which the K-wire was invented has changed completely and current indications are totally diverse. With recent developments of newer technologies to stabilize fractures or reconstructive procedures with the newer implants, K-wire still has an important role in the management of fractures. This flexible implant has an immense role in minimally invasive surgical management. Conclusion: A gap exists in the literature on the techniques and procedures employed using K-wires, which warrants more research. This article serves to enlighten the current rationale of the use of K-wires in orthopedic practice and its future perspectives. Clinical significance: Considering the cost of healthcare, this implant satisfies cost-effective management with good functional outcomes in fixation of a certain peripheral skeleton and pediatric fractures with the least complication rate. K-wire has many advantages like ease of application, minimally invasive, easy availability on the shelves of operating rooms, in any nook and corner of the world, and the versatility of its use in difficult scenarios.
{"title":"A Legendary Implant that has Stood the Test of Time and its Current Utilization","authors":"C. Rex, M. H. Kumar, C. Premanand, Aswini Kumar","doi":"10.5005/jp-journals-10079-1081","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1081","url":null,"abstract":"Aim and objective: To elaborate the current stand on K-wire usage in orthopedic clinical practice. Background: K-wire is a commonly used implant, and is an inevitable instrument in orthopedic practice. Even with the rampant usage of this implant for centuries, the literature stating the basic details, principles of use, current clinical indications, complications encountered and techniques to avoid the same is not many. In this review article, we have taken into consideration the essential details, techniques, various clinical scenarios and extended indications for which a K-wire can be used. We believe that this article will comprehensively enlighten all the perspectives of K-wire usage, yet unmentioned and highlighted so far in any available literature. Review results: K-wire has been introduced into orthopedic practice more than 100 years ago. This is the oldest implant that has stood the test of time in the management of many fractures of both upper and lower limbs. The indications for which the K-wire was invented has changed completely and current indications are totally diverse. With recent developments of newer technologies to stabilize fractures or reconstructive procedures with the newer implants, K-wire still has an important role in the management of fractures. This flexible implant has an immense role in minimally invasive surgical management. Conclusion: A gap exists in the literature on the techniques and procedures employed using K-wires, which warrants more research. This article serves to enlighten the current rationale of the use of K-wires in orthopedic practice and its future perspectives. Clinical significance: Considering the cost of healthcare, this implant satisfies cost-effective management with good functional outcomes in fixation of a certain peripheral skeleton and pediatric fractures with the least complication rate. K-wire has many advantages like ease of application, minimally invasive, easy availability on the shelves of operating rooms, in any nook and corner of the world, and the versatility of its use in difficult scenarios.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"29 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127786897","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 : 2021-09-22DOI: 10.5005/jp-journals-10079-1042
J. Balasubramaniam, S. Negi, SV Akshay Kumar, R. Deivanayagam, S. Rajkumar
{"title":"Proximal Humerus Osteosarcoma: Limb Salvage Surgery Using Custom-made Shoulder Arthroplasty and Capsule Reconstruction with the Aortic Synthetic Graft","authors":"J. Balasubramaniam, S. Negi, SV Akshay Kumar, R. Deivanayagam, S. Rajkumar","doi":"10.5005/jp-journals-10079-1042","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1042","url":null,"abstract":"","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123889169","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 : 2021-09-22DOI: 10.5005/jp-journals-10079-1034
Periakaruppan Ramasamy, M. Kalaivanan
Variation in the branching pattern of the posterior cord of the brachial plexus is a rare occurrence when compared with the variations in the branching pattern of the medial and lateral cords. Even more rarer is the variation in the branching pattern of the radial nerve. This article is a report of the observation made during surgical fixation of humerus shaft fracture through the anterior approach wherein radial nerve was seen as anterior and posterior divisions rather than a single nerve bundle. The anterior division continued as the main radial nerve and posterior division gave branches to the triceps muscle. An orthopedic surgeon should be aware of radial nerve divisions while exposing the humerus shaft and butterfly fragment for fracture fixations. Bone clamps should be applied with caution.
{"title":"Abnormal Division of Radial Nerve Encountered during Fixation of Fracture of Shaft of Humerus through Anterior Approach","authors":"Periakaruppan Ramasamy, M. Kalaivanan","doi":"10.5005/jp-journals-10079-1034","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1034","url":null,"abstract":"Variation in the branching pattern of the posterior cord of the brachial plexus is a rare occurrence when compared with the variations in the branching pattern of the medial and lateral cords. Even more rarer is the variation in the branching pattern of the radial nerve. This article is a report of the observation made during surgical fixation of humerus shaft fracture through the anterior approach wherein radial nerve was seen as anterior and posterior divisions rather than a single nerve bundle. The anterior division continued as the main radial nerve and posterior division gave branches to the triceps muscle. An orthopedic surgeon should be aware of radial nerve divisions while exposing the humerus shaft and butterfly fragment for fracture fixations. Bone clamps should be applied with caution.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131637928","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 : 2021-09-22DOI: 10.5005/jp-journals-10079-1049
P. Agrawal, N. Rajkumar, Murali Mothilal, SV Sunny Deol, V. A. Jothi
Background: The present study was aimed to assess the efficacy of antibiotic cement-coated nails and cement beads among the cases of infected nonunion of long bones. Materials and methods: This prospective interventional study was conducted among the cases admitted in the emergency and outpatient department of Orthopedics in Patna Medical College and Hospital, Patna, with infected nonunion of long bones, during the month of June 2010 to August 2012. All cases with an infected nonunion of extremities with implants were included. A total of 44 cases were included. Data analysis was done using SPSS version 17. Results: In this study, out of 44 infected nonunion, 40 were cured of infection, 3 cases had occasional discharge, and 1 case had a continuous discharge. Secondary procedures were done for the 40 cured cases and among them, 37 showed complete achievement of union, and 3 cases had occasional discharge and no case had a continuous discharge. Conclusion: The use of antibiotic cement-coated nails and cement beads among the cases with infected nonunion of long bones significantly reduced the requirement of a further surgical procedure like debridement of the wound site.
{"title":"An Interventional Study on Antibiotic Cement-coated Nails and Cement Beads in the Management of Infected Nonunion of Long Bones","authors":"P. Agrawal, N. Rajkumar, Murali Mothilal, SV Sunny Deol, V. A. Jothi","doi":"10.5005/jp-journals-10079-1049","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1049","url":null,"abstract":"Background: The present study was aimed to assess the efficacy of antibiotic cement-coated nails and cement beads among the cases of infected nonunion of long bones. Materials and methods: This prospective interventional study was conducted among the cases admitted in the emergency and outpatient department of Orthopedics in Patna Medical College and Hospital, Patna, with infected nonunion of long bones, during the month of June 2010 to August 2012. All cases with an infected nonunion of extremities with implants were included. A total of 44 cases were included. Data analysis was done using SPSS version 17. Results: In this study, out of 44 infected nonunion, 40 were cured of infection, 3 cases had occasional discharge, and 1 case had a continuous discharge. Secondary procedures were done for the 40 cured cases and among them, 37 showed complete achievement of union, and 3 cases had occasional discharge and no case had a continuous discharge. Conclusion: The use of antibiotic cement-coated nails and cement beads among the cases with infected nonunion of long bones significantly reduced the requirement of a further surgical procedure like debridement of the wound site.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127541987","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}
{"title":"Genesis of Orthopedics in Tamil Nadu","authors":"S. V. Chezian","doi":"10.5005/jojs-3-2-v","DOIUrl":"https://doi.org/10.5005/jojs-3-2-v","url":null,"abstract":"","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"312 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115221184","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 : 2021-09-22DOI: 10.5005/jp-journals-10079-1047
A. Subramanian, V. Sengodan
Ab s t r Ac t Introduction: Metatarsal fractures are common among foot injuries. This study aimed to evaluate and analyze the functional outcomes of compound metatarsal fractures using the anterograde retrograde fixation technique under the Tamil Nadu Accident and Emergency Care Initiative. Materials and methods: This is a prospective study done on patients admitted with compound metatarsal fractures in emergency orthopedic unit, Government Coimbatore Medical Hospital under Tamil Nadu Accident and Emergency Care Initiative between January 2020 and December 2020. The displaced compound metatarsal fractures are treated with limited internal fixation using Kirschner’s wires within the golden period of 6 hours and they were covered under Government of Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme–Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (TNCMCHIS-AB-PMJAY). Anterograde retrograde technique was used for the fixation of compound metatarsal fractures. Results: The American Orthopaedic Foot and Ankle Society score was used to assess the functional outcome of compound metatarsal fractures. Good results were observed in 32 patients and excellent results were observed in 5 patients. Fair results were seen in three patients. Conclusion: The compound undisplaced metatarsal fractures can be treated conservatively. The displaced metatarsal fractures need limited internal fixation with Kirschner’s wires. The Tamil Nadu accident and emergency care initiative provide early treatment and early discharge of the patients. The health department is no more an expenditure department for the government since it generates money from TNCMCHIS– AB-PMJAY which is very useful for the patients from below poverty line.
导读:跖骨骨折在足部损伤中很常见。本研究旨在评估和分析泰米尔纳德邦事故和紧急护理倡议下使用顺行逆行固定技术治疗复合跖骨骨折的功能结果。材料和方法:这是一项前瞻性研究，研究对象是2020年1月至2020年12月在泰米尔纳德邦事故和紧急护理倡议下的哥印拜陀政府医院急诊骨科收治的复合跖骨骨折患者。移位的复合跖骨骨折在6小时的黄金时间内使用克氏针进行有限内固定治疗，并在泰米尔纳德邦政府首席部长综合健康保险计划(tncmchis - b - pmjay)下进行保险。采用顺行逆行技术固定复合跖骨骨折。结果:采用美国骨科足踝学会评分评估复合跖骨骨折的功能结局。良32例，优5例。在3例患者中观察到良好的结果。结论:复合跖骨未移位骨折可保守治疗。移位的跖骨骨折需要用克氏针进行有限内固定。泰米尔纳德邦的事故和紧急护理倡议提供早期治疗和病人的早期出院。卫生部门不再是政府的支出部门，因为它从TNCMCHIS - AB-PMJAY中获得资金，这对贫困线以下的患者非常有用。
{"title":"Management of Compound Metatarsal Fractures under Tamil Nadu Accident and Emergency Care Initiative","authors":"A. Subramanian, V. Sengodan","doi":"10.5005/jp-journals-10079-1047","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1047","url":null,"abstract":"Ab s t r Ac t Introduction: Metatarsal fractures are common among foot injuries. This study aimed to evaluate and analyze the functional outcomes of compound metatarsal fractures using the anterograde retrograde fixation technique under the Tamil Nadu Accident and Emergency Care Initiative. Materials and methods: This is a prospective study done on patients admitted with compound metatarsal fractures in emergency orthopedic unit, Government Coimbatore Medical Hospital under Tamil Nadu Accident and Emergency Care Initiative between January 2020 and December 2020. The displaced compound metatarsal fractures are treated with limited internal fixation using Kirschner’s wires within the golden period of 6 hours and they were covered under Government of Tamil Nadu Chief Minister’s Comprehensive Health Insurance Scheme–Ayushman Bharat Pradhan Mantri Jan Arogya Yojana (TNCMCHIS-AB-PMJAY). Anterograde retrograde technique was used for the fixation of compound metatarsal fractures. Results: The American Orthopaedic Foot and Ankle Society score was used to assess the functional outcome of compound metatarsal fractures. Good results were observed in 32 patients and excellent results were observed in 5 patients. Fair results were seen in three patients. Conclusion: The compound undisplaced metatarsal fractures can be treated conservatively. The displaced metatarsal fractures need limited internal fixation with Kirschner’s wires. The Tamil Nadu accident and emergency care initiative provide early treatment and early discharge of the patients. The health department is no more an expenditure department for the government since it generates money from TNCMCHIS– AB-PMJAY which is very useful for the patients from below poverty line.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130563064","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 : 2021-09-22DOI: 10.5005/jp-journals-10079-1037
V. Sengodan, Suresh Kumar Vadivelu
Background: Femoral neck fractures in the elderly are serious injuries, often occurring in the terminal years of life and they have a major impact on society, our healthcare system, and the cost of care. It has a high incidence rate and complications. A successful surgery at the hip joint should provide a painless and stable hip. Hemiarthroplasty is the common method of treating displaced femoral neck fractures in Garden’s type III and IV in the elderly. This study aims to evaluate the clinical outcome and quality of life following hemiarthroplasty. Materials and methods: It is a retrospective study including a total of 101 patients who underwent hemiarthroplasty (cemented/uncemented) using unipolar or bipolar prosthesis due to femoral neck fracture at the Institute of Orthopaedics and Traumatology, Coimbatore Medical College Hospital, Coimbatore, during the period of 2 years between 2017 and 2019. In this analytical retrospective study, we studied several variables including age, sex, socioeconomic status, medical comorbidities, clinical outcome, postoperative complications, quality of life, frequency of follow-up, and mortality. Results: In our study, most of the patients were in the age-group of 60–70 years with a mean age of 65 years. This study was carried out on 43 males and 58 females. There was no intraoperative complication/mortality. A total of 21 patients had complications. These were (a) posterior dislocation (3), (b) aseptic loosening (1), (c) periprosthetic fracture (1), (d) superficial infection (11), (e) deep infection (1), and other minor complications like persistent hip pain and muscle wasting. The mortality rate was about 23.7% at 1-year follow-up. Conclusion: The overall complications following hemiarthroplasty were acceptable. The immediate complications rate was about 8.9% and the late complication rate was about 17.8%. Targeted medical intervention that focuses upon susceptible patient groups may reduce morbidity, mortality, and improve survival.
{"title":"Clinical Outcome after Hemiarthroplasty among Patients with Fracture Neck of Femur in South Indian Population","authors":"V. Sengodan, Suresh Kumar Vadivelu","doi":"10.5005/jp-journals-10079-1037","DOIUrl":"https://doi.org/10.5005/jp-journals-10079-1037","url":null,"abstract":"Background: Femoral neck fractures in the elderly are serious injuries, often occurring in the terminal years of life and they have a major impact on society, our healthcare system, and the cost of care. It has a high incidence rate and complications. A successful surgery at the hip joint should provide a painless and stable hip. Hemiarthroplasty is the common method of treating displaced femoral neck fractures in Garden’s type III and IV in the elderly. This study aims to evaluate the clinical outcome and quality of life following hemiarthroplasty. Materials and methods: It is a retrospective study including a total of 101 patients who underwent hemiarthroplasty (cemented/uncemented) using unipolar or bipolar prosthesis due to femoral neck fracture at the Institute of Orthopaedics and Traumatology, Coimbatore Medical College Hospital, Coimbatore, during the period of 2 years between 2017 and 2019. In this analytical retrospective study, we studied several variables including age, sex, socioeconomic status, medical comorbidities, clinical outcome, postoperative complications, quality of life, frequency of follow-up, and mortality. Results: In our study, most of the patients were in the age-group of 60–70 years with a mean age of 65 years. This study was carried out on 43 males and 58 females. There was no intraoperative complication/mortality. A total of 21 patients had complications. These were (a) posterior dislocation (3), (b) aseptic loosening (1), (c) periprosthetic fracture (1), (d) superficial infection (11), (e) deep infection (1), and other minor complications like persistent hip pain and muscle wasting. The mortality rate was about 23.7% at 1-year follow-up. Conclusion: The overall complications following hemiarthroplasty were acceptable. The immediate complications rate was about 8.9% and the late complication rate was about 17.8%. Targeted medical intervention that focuses upon susceptible patient groups may reduce morbidity, mortality, and improve survival.","PeriodicalId":369299,"journal":{"name":"Journal of Orthopedics and Joint Surgery","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121860453","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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