{"title":"Sagittal pelvic tilt change after total hip arthroplasty: An evaluation using supine frontal pelvic radiographs","authors":"MMohamed Sameer, K. Deep, Siddharth M. Shah","doi":"10.4103/jajs.jajs_13_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_13_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70780313","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}
D. Rastogi, Shailendra Singh, S. Waliullah, S. Singh, Ahmad Ozair
{"title":"Functional outcomes after modified Blair's procedure for ankle arthritis secondary to Hawkins type III talus injuries: A retrospective cohort study","authors":"D. Rastogi, Shailendra Singh, S. Waliullah, S. Singh, Ahmad Ozair","doi":"10.4103/jajs.jajs_66_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_66_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70780578","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}
S. Supreeth, Aliya Sarhan Al Barwani, Khalid Al Manei, Suwailim Al Ghanami, S. Shanmugasundaram, VijayKumar Kotnoor
{"title":"Is posterior tibial slope and mechanism of failure crucial for an anatomically reconstructed primary hamstring graft anterior cruciate ligament?","authors":"S. Supreeth, Aliya Sarhan Al Barwani, Khalid Al Manei, Suwailim Al Ghanami, S. Shanmugasundaram, VijayKumar Kotnoor","doi":"10.4103/jajs.jajs_87_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_87_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70780473","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 : 2022-01-01DOI: 10.4103/jajs.jajs_102_22
V. Bagaria, Anjali Tiwari, AmitKumar Yadav, R. Bhansali
{"title":"Current status of preventive and therapeutic strategies against biofilm formation in arthroplasty","authors":"V. Bagaria, Anjali Tiwari, AmitKumar Yadav, R. Bhansali","doi":"10.4103/jajs.jajs_102_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_102_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70780177","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":"Regeneration of a discoid meniscus after saucerization, reinsertion of the anterior segment, and platelet-rich plasma injection in a 17-year-old girl","authors":"F. Borim, Mikèl Sanchez, F. Soldado, J. Knorr","doi":"10.4103/jajs.jajs_73_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_73_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70780712","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}
G. Jain, Ram Datt, H. Nag, A. Mahmood, S. Shekhar, T. Nag
Background: In the present study, we have examined the ultrastructure of chronically failed reconstructed anterior cruciate ligament (ACL). We aimed to investigate a faulty ligamentization process of a failed reconstructed anterior cruciate ligament. In other words, we want to study ultrastructural alterations a failed ACL graft undergoes. Methods: Two patients who underwent revision ACL reconstruction for nontraumatic failure without discontinuity of the graft were included in the study. The first patient was a 40-year-old male who had undergone ACL reconstruction of his right knee 21 years back using the bone-patellar tendon-bone autograft. The second patient was a 23-year-old male who had sustained an ACL tear with a medial collateral ligament injury treated by isolated ACL reconstruction 3 years back using hamstring tendon autograft. We collected punch biopsy specimens from the failed ligaments of both the patients during revision ACL reconstruction. These specimens were examined for the density of collagen fibrils within a fascicle (per 1.5 μm2), cellular metabolism, and fibril diameter (nm) by transmission electron microscopy. Results: Fibroblasts of both the ligaments showed features of increased metabolism, more so in the first patient. Compared to the second patient, the fascicles of the first specimen were more loosely arranged. Both ligaments had a unimodal distribution of collagen fibrils. The first patient had a mean fibril diameter of 45.2 (+/−8.5) nm and an average fibril density of 376.8 fibrils per 1.5 μm2. The second patient had an average fibril diameter of 64.1 nm (+/−7) and a mean fibril density of 152.9 fibrils/1.5 μm2. The difference in these parameters of the two patients was statistically significant (P < 0.001). Conclusion: Our study suggests that the absence of thicker collagen fibrils with unimodal distribution, the altered density of the collagen fibrils within a fascicle, and ovoid fibroblasts with increased metabolism may symbolize bad ligamentization changes.
{"title":"Ultrastructural characteristics of chronically failed reconstructed anterior cruciate ligament","authors":"G. Jain, Ram Datt, H. Nag, A. Mahmood, S. Shekhar, T. Nag","doi":"10.4103/jajs.jajs_41_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_41_22","url":null,"abstract":"Background: In the present study, we have examined the ultrastructure of chronically failed reconstructed anterior cruciate ligament (ACL). We aimed to investigate a faulty ligamentization process of a failed reconstructed anterior cruciate ligament. In other words, we want to study ultrastructural alterations a failed ACL graft undergoes. Methods: Two patients who underwent revision ACL reconstruction for nontraumatic failure without discontinuity of the graft were included in the study. The first patient was a 40-year-old male who had undergone ACL reconstruction of his right knee 21 years back using the bone-patellar tendon-bone autograft. The second patient was a 23-year-old male who had sustained an ACL tear with a medial collateral ligament injury treated by isolated ACL reconstruction 3 years back using hamstring tendon autograft. We collected punch biopsy specimens from the failed ligaments of both the patients during revision ACL reconstruction. These specimens were examined for the density of collagen fibrils within a fascicle (per 1.5 μm2), cellular metabolism, and fibril diameter (nm) by transmission electron microscopy. Results: Fibroblasts of both the ligaments showed features of increased metabolism, more so in the first patient. Compared to the second patient, the fascicles of the first specimen were more loosely arranged. Both ligaments had a unimodal distribution of collagen fibrils. The first patient had a mean fibril diameter of 45.2 (+/−8.5) nm and an average fibril density of 376.8 fibrils per 1.5 μm2. The second patient had an average fibril diameter of 64.1 nm (+/−7) and a mean fibril density of 152.9 fibrils/1.5 μm2. The difference in these parameters of the two patients was statistically significant (P < 0.001). Conclusion: Our study suggests that the absence of thicker collagen fibrils with unimodal distribution, the altered density of the collagen fibrils within a fascicle, and ovoid fibroblasts with increased metabolism may symbolize bad ligamentization changes.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"9 1","pages":"17 - 21"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49534754","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}
Quadrupled arthroplasties of the lower limb are required mostly in cases with chronic and severe inflammatory arthritis. There may be a requirement of additional surgery for the foot and ankle or joints of an upper limb, especially in inflammatory arthritis, to improve the functional outcomes. The patient's self-motivation and patient selection for four joint arthroplasties are necessary for favorable outcomes. Surgical technique, prosthetic design, and postoperative rehabilitation play a vital role in functional outcomes. More multicenter, large series and registries are required with long-term follow-up in the future to frame the clinical practice guidelines.
{"title":"Functional outcomes in quadruple arthroplasty of the hips and knees: A literature review of 306 cases with a minimum follow-up of 2 years","authors":"A. Vaish, Raju Vaishya, C. Yadav","doi":"10.4103/jajs.jajs_2_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_2_22","url":null,"abstract":"Quadrupled arthroplasties of the lower limb are required mostly in cases with chronic and severe inflammatory arthritis. There may be a requirement of additional surgery for the foot and ankle or joints of an upper limb, especially in inflammatory arthritis, to improve the functional outcomes. The patient's self-motivation and patient selection for four joint arthroplasties are necessary for favorable outcomes. Surgical technique, prosthetic design, and postoperative rehabilitation play a vital role in functional outcomes. More multicenter, large series and registries are required with long-term follow-up in the future to frame the clinical practice guidelines.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"9 1","pages":"8 - 16"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43700753","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}
S. Sharkey, Ikechukwu Ejiofor, B. V. van Duren, H. Akrawi, H. Pandit, S. Anand, V. Veysi, J. Palan
Extensor mechanism failure following total knee arthroplasty is a rare but potentially devastating complication with an overall incidence of 0.17%–2.5%. The 3 main causes of disruption include quadriceps tendon rupture, patellar fracture, or patellar tendon rupture. Clinical presentation can vary from asymptomatic to the acutely painful and swollen knee, but for most patients, there will be evidence of extensor lag and/or difficulty performing straight leg raise. A variety of treatment options have been described in the literature to date including nonoperative management with immobilization, particularly for patients with an extensor lag of <20°. Direct repair may be useful in the management of acute tendon ruptures; however, augmentation is now also recommended in addition. Options for augmentation include tendon autografts or synthetic materials. The use of allografts such as Achilles tendon allografts or complete extensor mechanism allografts and rotational flaps has also been described. Treatment of patellar fractures varies depending on fracture pattern, degree of extensor lag, presence of patellar component loosening, and patellar bone stock. The potential options for treatment include nonoperative management with immobilization, open reduction and internal fixation, patellectomy (either partial or complete), or revision surgery, although this list is not exhaustive. Outcomes are poor with complications including rerupture, postoperative infection, nonunion, or residual extensor lag with associated poor functional outcomes and high reoperation rates. There is a distinct lack of high-quality evidence in the literature at present, and as such, further research is required to make any recommendations for treatment.
{"title":"Extensor mechanism failure following total knee arthroplasty","authors":"S. Sharkey, Ikechukwu Ejiofor, B. V. van Duren, H. Akrawi, H. Pandit, S. Anand, V. Veysi, J. Palan","doi":"10.4103/jajs.jajs_29_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_29_22","url":null,"abstract":"Extensor mechanism failure following total knee arthroplasty is a rare but potentially devastating complication with an overall incidence of 0.17%–2.5%. The 3 main causes of disruption include quadriceps tendon rupture, patellar fracture, or patellar tendon rupture. Clinical presentation can vary from asymptomatic to the acutely painful and swollen knee, but for most patients, there will be evidence of extensor lag and/or difficulty performing straight leg raise. A variety of treatment options have been described in the literature to date including nonoperative management with immobilization, particularly for patients with an extensor lag of <20°. Direct repair may be useful in the management of acute tendon ruptures; however, augmentation is now also recommended in addition. Options for augmentation include tendon autografts or synthetic materials. The use of allografts such as Achilles tendon allografts or complete extensor mechanism allografts and rotational flaps has also been described. Treatment of patellar fractures varies depending on fracture pattern, degree of extensor lag, presence of patellar component loosening, and patellar bone stock. The potential options for treatment include nonoperative management with immobilization, open reduction and internal fixation, patellectomy (either partial or complete), or revision surgery, although this list is not exhaustive. Outcomes are poor with complications including rerupture, postoperative infection, nonunion, or residual extensor lag with associated poor functional outcomes and high reoperation rates. There is a distinct lack of high-quality evidence in the literature at present, and as such, further research is required to make any recommendations for treatment.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"9 1","pages":"1 - 7"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48623221","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}
U. Oduoza, M. Stoddart, A. Majed, D. Butt, M. Falworth, W. Rudge
Purpose: Glenohumeral joint (GHJ) osteoarthritis (OA) in younger patients represents a challenging problem. This study assessed the efficacy of intra-articular hyaluronate injection in patients below the age of 55 years. Methods: We reviewed our patient database from August 2013 to December 2016 for patients who received a fluoroscopic-guided intra-articular injection of hyaluronate. Those who had received interventional procedures within the preceding 12 months were excluded. We evaluated the response to the injection using the Oxford Shoulder Score (OSS). These scores were recorded before injection and at 6 weeks, 12 weeks, and 26 weeks postinjection. Radiographs were reviewed independently by two evaluators, and the severity of GHJ OA was categorized (mild, moderate, or severe) using the Samilson–Prieto classification. Results: Fifty-five patients were identified, with a mean age of 43 years (18.6–54.6 years). These cases were classified as being mild in 11 (20%), moderate in 21 (38%), and severe in 23 (42%) using Samilson-Prieto classification. In the severe group, there was a statistically significant improvement in the OSS at all time points. In the moderate group, there were statistically significant improvements at 6 weeks and 12 weeks but not at 6 months. In the mild group, there were no statistically significant changes. Conclusion: In patients under the age of 55 years with moderate-to-severe GHJ OA, there is a significant improvement in the OSS up to 12 weeks after intra-articular injection of hyaluronate, with improvements lasting up to 26 weeks in more severe cases. Hyaluronate is, therefore, a useful treatment option in younger patients and may potentially delay the need for arthroplasty.
{"title":"The effects of intra-articular hyaluronate injections in young (<55 years) patients with glenohumeral joint osteoarthritis","authors":"U. Oduoza, M. Stoddart, A. Majed, D. Butt, M. Falworth, W. Rudge","doi":"10.4103/jajs.jajs_4_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_4_22","url":null,"abstract":"Purpose: Glenohumeral joint (GHJ) osteoarthritis (OA) in younger patients represents a challenging problem. This study assessed the efficacy of intra-articular hyaluronate injection in patients below the age of 55 years. Methods: We reviewed our patient database from August 2013 to December 2016 for patients who received a fluoroscopic-guided intra-articular injection of hyaluronate. Those who had received interventional procedures within the preceding 12 months were excluded. We evaluated the response to the injection using the Oxford Shoulder Score (OSS). These scores were recorded before injection and at 6 weeks, 12 weeks, and 26 weeks postinjection. Radiographs were reviewed independently by two evaluators, and the severity of GHJ OA was categorized (mild, moderate, or severe) using the Samilson–Prieto classification. Results: Fifty-five patients were identified, with a mean age of 43 years (18.6–54.6 years). These cases were classified as being mild in 11 (20%), moderate in 21 (38%), and severe in 23 (42%) using Samilson-Prieto classification. In the severe group, there was a statistically significant improvement in the OSS at all time points. In the moderate group, there were statistically significant improvements at 6 weeks and 12 weeks but not at 6 months. In the mild group, there were no statistically significant changes. Conclusion: In patients under the age of 55 years with moderate-to-severe GHJ OA, there is a significant improvement in the OSS up to 12 weeks after intra-articular injection of hyaluronate, with improvements lasting up to 26 weeks in more severe cases. Hyaluronate is, therefore, a useful treatment option in younger patients and may potentially delay the need for arthroplasty.","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"9 1","pages":"28 - 33"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43337352","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":"A prospective observational study on short-term functional outcomes of primary reverse shoulder arthroplasty in the Indian population","authors":"J. Chitten, M. Arora, Gaurav Bathla","doi":"10.4103/jajs.jajs_37_22","DOIUrl":"https://doi.org/10.4103/jajs.jajs_37_22","url":null,"abstract":"","PeriodicalId":38088,"journal":{"name":"Journal of Arthroscopy and Joint Surgery","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70779988","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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