Pub Date : 2024-01-01DOI: 10.33545/orthor.2024.v8.i1a.430
Dr. Bilal Ahmad Lone, Dr. Suheel Mushtaq, Dr. Ishfaq Sadiq Mir, Dr. Inayat Rahim, Dr. Shahid Shabir
Introduction: The surgical reconstruction of the anterior cruciate ligament with Bone - Patellar tendon - Bone auto-graft represents an attempt to re-establish knee kinematics. It has the added advantage of bone to bone healing and it does not sacrifice the knee stabilizers. The present study was carried out to assess the outcome of arthroscopic assisted ACL reconstruction using Bone Patellar Tendon Bone auto-graft in Kashmiri population. Materials and Methods: This prospective study was carried on 30 patients with correlative findings of ACL injury on clinical examination and MRI analysis. All patients were managed with arthroscopic reconstruction using Bone Patellar Tendon Bone auto-graft. Postoperative evaluation was done on the basis of IKDC subjective score, Manual Lachman grading, Anterior Drawer value, Pivot Shifting grading and Lysholm scoring. Results: In our study median pre-operative and post-operative Lachman grading value was 3 (range 1-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative anterior drawer value was 3 (range 0-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative pivot shift grading value in our study was 2 (range 1-3) and 0 (range 0-2) respectively. The mean pre-operative IKDC subjective score was 49.86 (49.9-52.8) while the mean postoperative score was 89.48 (87.9-91.2). According to Lysholm knee score 15 (50%) patients had excellent functional outcome while 10 (33%) patients had good outcome and the remaining 5 (17%) patients had a fair outcome. Conclusion: Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft is an excellent treatment option for anterior cruciate ligament deficient knees and provides a stable knee with minimal complications.
{"title":"Assessment of outcome of arthroscopic assisted ACL reconstruction using bone patellar tendon bone auto-graft in Kashmiri population","authors":"Dr. Bilal Ahmad Lone, Dr. Suheel Mushtaq, Dr. Ishfaq Sadiq Mir, Dr. Inayat Rahim, Dr. Shahid Shabir","doi":"10.33545/orthor.2024.v8.i1a.430","DOIUrl":"https://doi.org/10.33545/orthor.2024.v8.i1a.430","url":null,"abstract":"Introduction: The surgical reconstruction of the anterior cruciate ligament with Bone - Patellar tendon - Bone auto-graft represents an attempt to re-establish knee kinematics. It has the added advantage of bone to bone healing and it does not sacrifice the knee stabilizers. The present study was carried out to assess the outcome of arthroscopic assisted ACL reconstruction using Bone Patellar Tendon Bone auto-graft in Kashmiri population. Materials and Methods: This prospective study was carried on 30 patients with correlative findings of ACL injury on clinical examination and MRI analysis. All patients were managed with arthroscopic reconstruction using Bone Patellar Tendon Bone auto-graft. Postoperative evaluation was done on the basis of IKDC subjective score, Manual Lachman grading, Anterior Drawer value, Pivot Shifting grading and Lysholm scoring. Results: In our study median pre-operative and post-operative Lachman grading value was 3 (range 1-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative anterior drawer value was 3 (range 0-3) and 0 (range 0-1) respectively. Median pre-operative and post-operative pivot shift grading value in our study was 2 (range 1-3) and 0 (range 0-2) respectively. The mean pre-operative IKDC subjective score was 49.86 (49.9-52.8) while the mean postoperative score was 89.48 (87.9-91.2). According to Lysholm knee score 15 (50%) patients had excellent functional outcome while 10 (33%) patients had good outcome and the remaining 5 (17%) patients had a fair outcome. Conclusion: Arthroscopic anterior cruciate ligament reconstruction with bone-patellar tendon-bone graft is an excellent treatment option for anterior cruciate ligament deficient knees and provides a stable knee with minimal complications.","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"29 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140523839","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 : 2024-01-01DOI: 10.33545/orthor.2024.v8.i1a.425
Saqib Ayaz, Waseem Ahmad Sheikh, Imran Ahmed Hajam, Z. A. Lone, Mohamad Waseem Dar
{"title":"To study functional and radiological outcome of proximal humerus fractures treated with Philos plate","authors":"Saqib Ayaz, Waseem Ahmad Sheikh, Imran Ahmed Hajam, Z. A. Lone, Mohamad Waseem Dar","doi":"10.33545/orthor.2024.v8.i1a.425","DOIUrl":"https://doi.org/10.33545/orthor.2024.v8.i1a.425","url":null,"abstract":"","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"16 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140516894","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 : 2024-01-01DOI: 10.33545/orthor.2024.v8.i1a.423
Yasir M Fadhil, Ahmed A Al-Ali
{"title":"Evaluation of marginal adaptation of 4 different modified cement-retained implant prostheses: An in vitro study","authors":"Yasir M Fadhil, Ahmed A Al-Ali","doi":"10.33545/orthor.2024.v8.i1a.423","DOIUrl":"https://doi.org/10.33545/orthor.2024.v8.i1a.423","url":null,"abstract":"","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"53 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139540156","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/orthor.2023.v7.i2a.416
Suray W Madeeh, Saad S Gasgoos
Objectives: to evaluate the skeletal alterations in young adult patients with maxillary transverse deficiency by maxillary skeletal expander (MSE) appliance, using Cone Beam Computed Tomography (CBCT). Methods: Twenty-four patients (12 females and 12 males) with transverse maxillary deficiency were treated with the MSE II (Biomaterials Korea, Inc., Seoul, Korea). Their ages ranged from 17 to 22 years, The MSE II device consists of a central expansion screw welded to four tubes that acted as guides for the mini-implants. The mini-implants have a diameter of 1.8 mm and a length of 13 mm. The appliance activation varied according to the patient's chronological age. CBCT scans were captured before treatment (T1) and immediately post-expansion (T2). Measurements were performed to evaluate the skeletal expansion. Results: within the limits of this study, the mid-palatal suture was separated successfully in 21 of the patients there is a highzly significant between measurements before and after the expansion treatment. The change of nasal cavity width (N-N) was also significantly different before and after expansion treatment by miniscrew-assisted rated perceived exertion (MARPE), however, the study shows there is no significant difference between males and females in the result for measurements after expansion. Conclusion: MARPE appliances, such as the MSE II, can be used to manage transverse maxillary deficiency in young adult patients.
目的:应用锥形束计算机断层扫描(CBCT)评价上颌骨扩张器(MSE)对上颌横向缺损青年患者的骨改变。方法:采用MSE II (Biomaterials Korea, Inc.， Seoul, Korea)对24例上颌横向缺损患者(男女各12例)进行治疗。他们的年龄从17岁到22岁不等。MSE II装置由一个中央膨胀螺钉焊接到四个管，作为微型植入物的导向。微型植入物的直径为1.8毫米，长度为13毫米。器具的激活根据患者的实际年龄而变化。在治疗前(T1)和扩张后立即(T2)采集CBCT扫描。通过测量来评估骨骼的扩张。结果:在本研究范围内，21例患者成功分离了中腭缝线，扩张治疗前后的测量结果具有高度显著性。扩鼻治疗前后鼻腔宽度(N-N)的变化也有显著性差异，但研究显示扩鼻后测量结果男女无显著性差异。结论:MARPE矫治器，如MSE II，可用于治疗青壮年患者的上颌横向缺损。
{"title":"Evaluation of skeletal changes after mini-implant assisted rapid maxillary expansion in young adults: CBCT study","authors":"Suray W Madeeh, Saad S Gasgoos","doi":"10.33545/orthor.2023.v7.i2a.416","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i2a.416","url":null,"abstract":"Objectives: to evaluate the skeletal alterations in young adult patients with maxillary transverse deficiency by maxillary skeletal expander (MSE) appliance, using Cone Beam Computed Tomography (CBCT). Methods: Twenty-four patients (12 females and 12 males) with transverse maxillary deficiency were treated with the MSE II (Biomaterials Korea, Inc., Seoul, Korea). Their ages ranged from 17 to 22 years, The MSE II device consists of a central expansion screw welded to four tubes that acted as guides for the mini-implants. The mini-implants have a diameter of 1.8 mm and a length of 13 mm. The appliance activation varied according to the patient's chronological age. CBCT scans were captured before treatment (T1) and immediately post-expansion (T2). Measurements were performed to evaluate the skeletal expansion. Results: within the limits of this study, the mid-palatal suture was separated successfully in 21 of the patients there is a highzly significant between measurements before and after the expansion treatment. The change of nasal cavity width (N-N) was also significantly different before and after expansion treatment by miniscrew-assisted rated perceived exertion (MARPE), however, the study shows there is no significant difference between males and females in the result for measurements after expansion. Conclusion: MARPE appliances, such as the MSE II, can be used to manage transverse maxillary deficiency in young adult patients.","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136306604","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/orthor.2023.v7.i3a.414
Dr. Sameer Mohammad Zargar, Dr. Rajkumar Prasad, Dr. Uroosa Fayaz Mir
Introduction: Ilizarov external fixator is a versatile system, applicable in vast number of Orthopaedics cases which has its own advantages as well as associated complications. Present study was done with an aim to analyze and evaluate the complications in patients managed with ilizarov method.Materials and Methods: A total of 112 patients were enrolled in this study who were managed with Ilizarov technique for different indications. The complications were classified into two categories I (minor) and category II (major). Results were graded as excellent, good, fair and poor as per modified ASAMI (Association for the Study and Application of Methods of Ilizarov) classification based on radiological and clinical criteria.Results: In this study the complications encountered were pin tract infection in 41 (36.61%) patients, muscle contracture in 3 (2.68%) patients, joint stiffness in 17 (15.18%) patients, mal-union in 7 (6.25%) patients, non-union in 5 (4.46%) patients, 3 (2.68%) patients had RSD (reflex sympathetic dystrophy) which were treated with physiotherapy and 2 (1.79%) patients had bleeding from pin site which was managed conservatively.Conclusion: Complications of Ilizarov can be minimized by following standard Ilizarov principles. Pin tracts care must be done, motion exercises must be followed to reduce stiffness of joints.
{"title":"Complications of ilizarov external fixator","authors":"Dr. Sameer Mohammad Zargar, Dr. Rajkumar Prasad, Dr. Uroosa Fayaz Mir","doi":"10.33545/orthor.2023.v7.i3a.414","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i3a.414","url":null,"abstract":"Introduction: Ilizarov external fixator is a versatile system, applicable in vast number of Orthopaedics cases which has its own advantages as well as associated complications. Present study was done with an aim to analyze and evaluate the complications in patients managed with ilizarov method.Materials and Methods: A total of 112 patients were enrolled in this study who were managed with Ilizarov technique for different indications. The complications were classified into two categories I (minor) and category II (major). Results were graded as excellent, good, fair and poor as per modified ASAMI (Association for the Study and Application of Methods of Ilizarov) classification based on radiological and clinical criteria.Results: In this study the complications encountered were pin tract infection in 41 (36.61%) patients, muscle contracture in 3 (2.68%) patients, joint stiffness in 17 (15.18%) patients, mal-union in 7 (6.25%) patients, non-union in 5 (4.46%) patients, 3 (2.68%) patients had RSD (reflex sympathetic dystrophy) which were treated with physiotherapy and 2 (1.79%) patients had bleeding from pin site which was managed conservatively.Conclusion: Complications of Ilizarov can be minimized by following standard Ilizarov principles. Pin tracts care must be done, motion exercises must be followed to reduce stiffness of joints.","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135799779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/orthor.2023.v7.i3a.413
Dr. Nagesh Sherikar, Dr. Anirudha M, Dr. Vilasagarapu Trilok, Dr. Rakshith Chakravarthy HY
Introduction: Total knee arthroplasty (TKA) is considered to be a highly effective procedure and a definitive solution for severe degenerative knee arthritis. In recent decades, most total knee replacements have been performed with modular metal-backed polyethylene (MBT) tibial components. All-polyethylene (APT) tibial implants are a newer introduction and have proven equally effective compared to the MBT. In this study we try and compare the two over a period of two years.Methodology: A prospective study was conducted to compare the clinical outcomes of APT and MBT in TKA. A total of 200 patients were enrolled in the study. The patients were randomly assigned to receive either an APT or an MBT. The primary outcome was the Knee Society Score (KSS) at 1 and 2 years after surgery. Secondary outcomes included the range of motion of the knee, the incidence of complications, and the need for revision surgery.Results: The results of the study showed that there was no significant difference in the clinical outcomes of all-polyethylene tibial components (APT) and metal-backed tibial components (MBT) in total knee arthroplasty (TKA) at 1 or 2 years of follow-up. The mean Knee Society Score (KSS) was 90 in the APT group and 88 in the MBT group at 1 year, and 89 and 87, respectively, at 2 years. The range of motion (ROM) of the knee was also similar in the two groups at both 1 and 2 years. The incidence of complications was 2% in the APT group and 3% in the MBT group at 1 year, and 0% at 2 years in both the groups. There were no cases of revision surgery in either group at either time point. The p-values for all of the comparisons were >0.05, indicating that the differences between the two groups were not statistically significant.Conclusion: The study found no significant difference in the clinical outcomes of APT and MBT in TKA. The decision of which type of implant to use should be made on a case-by-case basis, taking into account the patient's individual needs and preferences.
{"title":"A prospective study comparing all poly versus metal backed equivalent in total knee arthroplasty","authors":"Dr. Nagesh Sherikar, Dr. Anirudha M, Dr. Vilasagarapu Trilok, Dr. Rakshith Chakravarthy HY","doi":"10.33545/orthor.2023.v7.i3a.413","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i3a.413","url":null,"abstract":"Introduction: Total knee arthroplasty (TKA) is considered to be a highly effective procedure and a definitive solution for severe degenerative knee arthritis. In recent decades, most total knee replacements have been performed with modular metal-backed polyethylene (MBT) tibial components. All-polyethylene (APT) tibial implants are a newer introduction and have proven equally effective compared to the MBT. In this study we try and compare the two over a period of two years.Methodology: A prospective study was conducted to compare the clinical outcomes of APT and MBT in TKA. A total of 200 patients were enrolled in the study. The patients were randomly assigned to receive either an APT or an MBT. The primary outcome was the Knee Society Score (KSS) at 1 and 2 years after surgery. Secondary outcomes included the range of motion of the knee, the incidence of complications, and the need for revision surgery.Results: The results of the study showed that there was no significant difference in the clinical outcomes of all-polyethylene tibial components (APT) and metal-backed tibial components (MBT) in total knee arthroplasty (TKA) at 1 or 2 years of follow-up. The mean Knee Society Score (KSS) was 90 in the APT group and 88 in the MBT group at 1 year, and 89 and 87, respectively, at 2 years. The range of motion (ROM) of the knee was also similar in the two groups at both 1 and 2 years. The incidence of complications was 2% in the APT group and 3% in the MBT group at 1 year, and 0% at 2 years in both the groups. There were no cases of revision surgery in either group at either time point. The p-values for all of the comparisons were >0.05, indicating that the differences between the two groups were not statistically significant.Conclusion: The study found no significant difference in the clinical outcomes of APT and MBT in TKA. The decision of which type of implant to use should be made on a case-by-case basis, taking into account the patient's individual needs and preferences.","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135445127","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/orthor.2023.v7.i3a.415
Dr. Suhail Shabnum Wani, Dr. Mir Sami Ullah, Dr. Shariq Hussain Malik
Treatment options in proximal tibia fractures vary from closed reduction, cast immobilization, nailing to open reduction and internal fixation with plating. We conducted a study on management of these fractures by using minimally invasive plate osteosynthesis (MIPO) technique. The aim of this study was to evaluate the efficacy of minimally invasive plate osteosynthesis (MIPO) technique in the management of proximal tibia fractures. This study was conducted in the Department of Orthopaedics of Govt. Medical College Srinagar. This was study a prospective study where 30 patients with proximal tibia fractures were enrolled. Mean age of patients was 47.23 years (range 20-70 years). The enrolled patients were evaluated from the emergency department. The mean operative time was 49.57 minutes. Mean time for radiological union was 15.6 weeks. Superficial wound infection was found in 5(16.67%) patients, which resolved with daily dressings and antibiotics. Delayed union occurred in 3(10%) of patients and nonunion in 1(3.33%) patients. Wound necrosis found in 2(4%) patients. Minimally invasive plate osteosynthesis (MIPO) technique in the treatment of proximal tibia fractures gives stable as well as optimal internal fixation and complete recovery of limb function at an early stage with minimal risk of complications.
{"title":"Minimally invasive percutaneous plate osteosynthesis technique in proximal tibia fractures","authors":"Dr. Suhail Shabnum Wani, Dr. Mir Sami Ullah, Dr. Shariq Hussain Malik","doi":"10.33545/orthor.2023.v7.i3a.415","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i3a.415","url":null,"abstract":"Treatment options in proximal tibia fractures vary from closed reduction, cast immobilization, nailing to open reduction and internal fixation with plating. We conducted a study on management of these fractures by using minimally invasive plate osteosynthesis (MIPO) technique. The aim of this study was to evaluate the efficacy of minimally invasive plate osteosynthesis (MIPO) technique in the management of proximal tibia fractures. This study was conducted in the Department of Orthopaedics of Govt. Medical College Srinagar. This was study a prospective study where 30 patients with proximal tibia fractures were enrolled. Mean age of patients was 47.23 years (range 20-70 years). The enrolled patients were evaluated from the emergency department. The mean operative time was 49.57 minutes. Mean time for radiological union was 15.6 weeks. Superficial wound infection was found in 5(16.67%) patients, which resolved with daily dressings and antibiotics. Delayed union occurred in 3(10%) of patients and nonunion in 1(3.33%) patients. Wound necrosis found in 2(4%) patients. Minimally invasive plate osteosynthesis (MIPO) technique in the treatment of proximal tibia fractures gives stable as well as optimal internal fixation and complete recovery of limb function at an early stage with minimal risk of complications.","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"54 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135959030","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-01-01DOI: 10.33545/orthor.2023.v7.i3a.412
Dr. Sameer Mohammad Zargar, Dr. Devendra Lakhotia, Dr. Shriniwas Vishnu Yadkikar, Mohd. Ishaq Ganaie
Introduction: Sprengels deformity is a congenital anomaly of the shoulder with superior displacement and rotation of the hypoplastic scapula. The functional impairment and misshapen appearance of the shoulder can be minimized with different surgical techniques. The aim of this study was to evaluate the long term results after correction of Sprengel’s deformity using the Woodward procedure.Materials and Methods: In this study a total of 16 children with a congenital elevation of the scapula surgically treated for Sprengel deformity by Woodward’s procedure were enrolled. Outcome assessment was done by Range of motion, Constant score, DASH (disability of the arm, Shoulder and Hand) score and simple shoulder test (SST) were obtained to evaluate shoulder function. Scapula placement and degenerative disease were assessed by radiographic examination. Cavendish grading was used to evaluate cosmetic appearance at final review and were compared to those before surgery.Results: Abduction improved by 410 in the first year after surgery and with final improvement of 560 at long term follow-up. At the latest follow-up evaluation, the mean constant score was 85 points, the DASH score 14.59 points and the SST 9.5 points. Radiographs showed superior displacement of the involved scapula in all cases, with no signs of degenerative disease of the shoulder. Cavendish grade improved from grade 3 (pre-operatively) to grade 1 or 2 at the latest follow-up examination. Conclusion: Woodward procedure shows to be an effective surgical procedure to improve shoulder function as well as cosmetic appearance in patients with Sprengels deformity.
{"title":"Long term results after correction of Sprengel’s deformity using the Woodward procedure","authors":"Dr. Sameer Mohammad Zargar, Dr. Devendra Lakhotia, Dr. Shriniwas Vishnu Yadkikar, Mohd. Ishaq Ganaie","doi":"10.33545/orthor.2023.v7.i3a.412","DOIUrl":"https://doi.org/10.33545/orthor.2023.v7.i3a.412","url":null,"abstract":"Introduction: Sprengels deformity is a congenital anomaly of the shoulder with superior displacement and rotation of the hypoplastic scapula. The functional impairment and misshapen appearance of the shoulder can be minimized with different surgical techniques. The aim of this study was to evaluate the long term results after correction of Sprengel’s deformity using the Woodward procedure.Materials and Methods: In this study a total of 16 children with a congenital elevation of the scapula surgically treated for Sprengel deformity by Woodward’s procedure were enrolled. Outcome assessment was done by Range of motion, Constant score, DASH (disability of the arm, Shoulder and Hand) score and simple shoulder test (SST) were obtained to evaluate shoulder function. Scapula placement and degenerative disease were assessed by radiographic examination. Cavendish grading was used to evaluate cosmetic appearance at final review and were compared to those before surgery.Results: Abduction improved by 410 in the first year after surgery and with final improvement of 560 at long term follow-up. At the latest follow-up evaluation, the mean constant score was 85 points, the DASH score 14.59 points and the SST 9.5 points. Radiographs showed superior displacement of the involved scapula in all cases, with no signs of degenerative disease of the shoulder. Cavendish grade improved from grade 3 (pre-operatively) to grade 1 or 2 at the latest follow-up examination. Conclusion: Woodward procedure shows to be an effective surgical procedure to improve shoulder function as well as cosmetic appearance in patients with Sprengels deformity.","PeriodicalId":498085,"journal":{"name":"National journal of clinical orthopaedics","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135446534","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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