Pub Date : 2024-06-10DOI: 10.18203/issn.2455-4510.intjresorthop20241610
T. Avhad, Sahil S. Lombar, Neeraj Kalra
Background: Frozen shoulder (adhesive capsulitis) involves significant restriction of shoulder motion due to an inflammatory process and typically follows stages of pain, stiffness, and recovery over 2-3 years. This study explores the efficacy of platelet-rich plasma (PRP) injections, alongside conventional physiotherapy, as a non-operative treatment to enhance recovery in patients with adhesive capsulitis. Methods: This prospective, randomized, open, blinded, single-center clinical study involving 50 patients with adhesive capsulitis, comparing intra-articular PRP injections and physical therapy with physical therapy alone over 24 weeks. Primary outcomes were assessed using the shoulder pain and disability index (SPADI) and visual analog scale (VAS), with follow-ups at 6, 12, and 24 weeks to evaluate pain, function, and patient satisfaction. Results: In adhesive capsulitis (AC), intra-articular platelet-rich plasma (IA-PRP) injections with physical therapy (PT) provided superior pain relief, functional improvement, and higher treatment satisfaction after 24 weeks compared to PT alone. The IA-PRP group also showed better VAS scores and reduced acetaminophen use, indicating more effective pain management. Conclusions: In AC, IA-PRP injections showed greater pain relief and improved shoulder mobility compared to PT alone after 12 weeks. PRP's effectiveness highlights its potential, especially when corticosteroids are unsuitable, though longer-term studies are needed to confirm these results.
{"title":"Comparison of clinical and functional outcomes of physical therapy alone versus additional intraarticular injection of platelet rich plasma in treatment of frozen shoulder in Indian population","authors":"T. Avhad, Sahil S. Lombar, Neeraj Kalra","doi":"10.18203/issn.2455-4510.intjresorthop20241610","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20241610","url":null,"abstract":"Background: Frozen shoulder (adhesive capsulitis) involves significant restriction of shoulder motion due to an inflammatory process and typically follows stages of pain, stiffness, and recovery over 2-3 years. This study explores the efficacy of platelet-rich plasma (PRP) injections, alongside conventional physiotherapy, as a non-operative treatment to enhance recovery in patients with adhesive capsulitis.\u0000Methods: This prospective, randomized, open, blinded, single-center clinical study involving 50 patients with adhesive capsulitis, comparing intra-articular PRP injections and physical therapy with physical therapy alone over 24 weeks. Primary outcomes were assessed using the shoulder pain and disability index (SPADI) and visual analog scale (VAS), with follow-ups at 6, 12, and 24 weeks to evaluate pain, function, and patient satisfaction.\u0000Results: In adhesive capsulitis (AC), intra-articular platelet-rich plasma (IA-PRP) injections with physical therapy (PT) provided superior pain relief, functional improvement, and higher treatment satisfaction after 24 weeks compared to PT alone. The IA-PRP group also showed better VAS scores and reduced acetaminophen use, indicating more effective pain management.\u0000Conclusions: In AC, IA-PRP injections showed greater pain relief and improved shoulder mobility compared to PT alone after 12 weeks. PRP's effectiveness highlights its potential, especially when corticosteroids are unsuitable, though longer-term studies are needed to confirm these results.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":" 35","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141365931","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 : 2024-06-06DOI: 10.18203/issn.2455-4510.intjresorthop20241600
T. Avhad, Neeraj Kalra, Sahil S. Lombar
Background: Knee alignment typically transitions from varus to valgus during growth, stabilizing around 6° valgus by age 11, with interventions necessary for exaggerated valgus in adolescence. Surgical options for genu valgum correction involve osteotomy or guided growth procedures, with distal femur osteotomy being common in late adolescents and adults, though limited literature exists on outcomes with Kirschner wires (K-wires) and plate fixation. A prospective study is proposed to assess clinical, radiological, and functional outcomes in correcting genu valgum from the distal femur. Methods: A prospective, randomized, single-center clinical trial with 50 patients with genu valgum deformity not responsive to conservative management. Patients underwent thorough pre-operative evaluation followed by medial closed wedge osteotomy with K-wire or plate fixation. Assessment at 24 weeks included Bostman et al knee scoring, visual analog scale (VAS), passive range of motion evaluation, Likert scale and findings were compared. Results: Cohort of 50 patients, comprising 55% females and 45% males, with a mean age of 20.76 years, no significant differences were observed in age distribution or gender between the two treatment groups (K wire fixation and plate osteosynthesis). At 24 weeks, there were no significant differences between the groups in terms of Bostman knee score, VAS score, or range of motion, indicating similar outcomes with both treatment modalities. Conclusions: Distal femoral medial closing wedge osteotomy with K-wire fixation offers a cost-effective and practical solution for genu valgum correction, particularly beneficial in resource-limited settings like India, providing comparable outcomes to plate fixation in late adolescents.
{"title":"Comparative analysis of clinical and functional outcomes in late adolescents with genu valgum undergoing corrective osteotomy: a study of K-wire fixation versus plate osteosynthesis","authors":"T. Avhad, Neeraj Kalra, Sahil S. Lombar","doi":"10.18203/issn.2455-4510.intjresorthop20241600","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20241600","url":null,"abstract":"Background: Knee alignment typically transitions from varus to valgus during growth, stabilizing around 6° valgus by age 11, with interventions necessary for exaggerated valgus in adolescence. Surgical options for genu valgum correction involve osteotomy or guided growth procedures, with distal femur osteotomy being common in late adolescents and adults, though limited literature exists on outcomes with Kirschner wires (K-wires) and plate fixation. A prospective study is proposed to assess clinical, radiological, and functional outcomes in correcting genu valgum from the distal femur.\u0000Methods: A prospective, randomized, single-center clinical trial with 50 patients with genu valgum deformity not responsive to conservative management. Patients underwent thorough pre-operative evaluation followed by medial closed wedge osteotomy with K-wire or plate fixation. Assessment at 24 weeks included Bostman et al knee scoring, visual analog scale (VAS), passive range of motion evaluation, Likert scale and findings were compared.\u0000Results: Cohort of 50 patients, comprising 55% females and 45% males, with a mean age of 20.76 years, no significant differences were observed in age distribution or gender between the two treatment groups (K wire fixation and plate osteosynthesis). At 24 weeks, there were no significant differences between the groups in terms of Bostman knee score, VAS score, or range of motion, indicating similar outcomes with both treatment modalities.\u0000Conclusions: Distal femoral medial closing wedge osteotomy with K-wire fixation offers a cost-effective and practical solution for genu valgum correction, particularly beneficial in resource-limited settings like India, providing comparable outcomes to plate fixation in late adolescents.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":"154 11‐12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141381142","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 : 2024-03-05DOI: 10.18203/issn.2455-4510.intjresorthop20240658
K. Vijayaraj, V. Rathika, A. Moharana, Sachin Angrish, Deepak T. S.
Background: Arthroscopic shoulder ligament repair is one of the most performed procedures in the orthopaedic specialty. Suture anchor devices are used in arthroscopic surgeries to reattach ligaments or other soft tissues to bone. The goal of this study was to evaluate the safety and functional outcomes after shoulder ligament repair. Methods: This is a multicentric, retrospective, observational study conducted on patients who underwent primary arthroscopic shoulder ligament tear repair between April 2018 to July 2022, using Sironix suture anchors at Kumaran Hospital and Rela Institute, Chennai, Tamil Nadu, India, and DNV Ortho Care Hospital, Dharmapuri, Tamil Nadu, India. A total of 75 patients were included. Post-surgery measurements of functional outcomes were performed using the PENN shoulder score, simple shoulder test questionnaire, shoulder pain and disability index, and single assessment numerical evaluation. Adverse events were recorded. Results: At post-surgery follow-up visits, there was a significant improvement in the functional outcomes of all the patients. The PENN shoulder score had a mean (SD) pain score of 92.04 (7.50), a satisfaction score of 91.87 (8.00), and a function score of 93.18 (6.16), respectively. The mean (SD) SST score and SPADI score was 88.9 (9.7), and 2.8 (2.79) respectively. The SANE mean (SD) values of the operated joint and opposite joint were 91.0 (7.31) and 98.1 (4.26) respectively with a p value of 0.0001. Conclusions: Based on the study results, arthroscopic shoulder ligament repair with Sironix suture anchor resulted in good and desirable functional outcomes with no major adverse events and improved quality of life.
{"title":"A multicentre, retrospective and observational study to evaluate safety and functional outcomes of arthroscopic shoulder ligament repair using Sironix suture anchor","authors":"K. Vijayaraj, V. Rathika, A. Moharana, Sachin Angrish, Deepak T. S.","doi":"10.18203/issn.2455-4510.intjresorthop20240658","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20240658","url":null,"abstract":"Background: Arthroscopic shoulder ligament repair is one of the most performed procedures in the orthopaedic specialty. Suture anchor devices are used in arthroscopic surgeries to reattach ligaments or other soft tissues to bone. The goal of this study was to evaluate the safety and functional outcomes after shoulder ligament repair.\u0000Methods: This is a multicentric, retrospective, observational study conducted on patients who underwent primary arthroscopic shoulder ligament tear repair between April 2018 to July 2022, using Sironix suture anchors at Kumaran Hospital and Rela Institute, Chennai, Tamil Nadu, India, and DNV Ortho Care Hospital, Dharmapuri, Tamil Nadu, India. A total of 75 patients were included. Post-surgery measurements of functional outcomes were performed using the PENN shoulder score, simple shoulder test questionnaire, shoulder pain and disability index, and single assessment numerical evaluation. Adverse events were recorded.\u0000Results: At post-surgery follow-up visits, there was a significant improvement in the functional outcomes of all the patients. The PENN shoulder score had a mean (SD) pain score of 92.04 (7.50), a satisfaction score of 91.87 (8.00), and a function score of 93.18 (6.16), respectively. The mean (SD) SST score and SPADI score was 88.9 (9.7), and 2.8 (2.79) respectively. The SANE mean (SD) values of the operated joint and opposite joint were 91.0 (7.31) and 98.1 (4.26) respectively with a p value of 0.0001.\u0000Conclusions: Based on the study results, arthroscopic shoulder ligament repair with Sironix suture anchor resulted in good and desirable functional outcomes with no major adverse events and improved quality of life.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":"121 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079552","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 : 2024-02-13DOI: 10.18203/issn.2455-4510.intjresorthop20240322
Sachin Sharma, M. S. Ahmad, Shreya Bhat, Asif Khursheed
Background: Infectious spondylitis is an infection by a specific organism of one or more components of spine, namely the vertebra, intervertebral discs, paraspinal soft tissues, and epidural space. Magnetic resonance imaging (MRI) of the spine is gold standard in imaging to assess anatomical abnormalities of the spine and surrounding structures. Methods: This cross-sectional observational study was conducted in the Department of Radiology Narayan Medical College and Hospital Sasaram, Bihar (India), where tuberculosis is endemic from July 2022 to September 2023. It included 40 patients, purposively sampled, adhering to strict inclusion and exclusion criteria. Sensitivity, specificity and accuracy of MRI in discriminating tuberculous spondylitis from pyogenic spondylitis were compared against histopathological diagnosis and differences in MRI findings between these conditions were obtained. Results: In this study, 93% patients with tuberculous spondylitis had an enhanced signal with well-defined margins. Meanwhile, pyogenic spondylitis provided an ill-defined margins in 72.7% patients. Most of the patients 82.7% with tuberculous spondylitis showed thin and smooth wall paravertebral abscesses, while pyogenic spondylitis showed an irregular and thick wall paravertebral abscesses in 45% patients. A total of 72.4% patients with tuberculous spondylitis indicated involvement of ≥3 vertebral bodies. 100% patients with pyogenic spondylitis showed an abnormal contrast enhancement of the intervertebral discs. It was identified that tuberculous spondylitis had sensitivity, specificity, and accuracy values of 100%, 84.6%, and 95.2% respectively. For pyogenic spondylitis, the corresponding values were 84.6%, 96.6%, and 93%. Conclusions: MRI was accurate for differentiation of tuberculous spondylitis from pyogenic spondylitis. A well-defined paraspinal abnormal signal, a thin and smooth abscess wall, subligamentous spread to three or more vertebral levels, and less likely involvement of intervertebral discs were more suggestive of tuberculous spondylitis than pyogenic spondylitis.
{"title":"Role of magnetic resonance imaging in differentiating tuberculous spondylitis from pyogenic spondylitis in a TB endemic area","authors":"Sachin Sharma, M. S. Ahmad, Shreya Bhat, Asif Khursheed","doi":"10.18203/issn.2455-4510.intjresorthop20240322","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20240322","url":null,"abstract":"Background: Infectious spondylitis is an infection by a specific organism of one or more components of spine, namely the vertebra, intervertebral discs, paraspinal soft tissues, and epidural space. Magnetic resonance imaging (MRI) of the spine is gold standard in imaging to assess anatomical abnormalities of the spine and surrounding structures.\u0000Methods: This cross-sectional observational study was conducted in the Department of Radiology Narayan Medical College and Hospital Sasaram, Bihar (India), where tuberculosis is endemic from July 2022 to September 2023. It included 40 patients, purposively sampled, adhering to strict inclusion and exclusion criteria. Sensitivity, specificity and accuracy of MRI in discriminating tuberculous spondylitis from pyogenic spondylitis were compared against histopathological diagnosis and differences in MRI findings between these conditions were obtained.\u0000Results: In this study, 93% patients with tuberculous spondylitis had an enhanced signal with well-defined margins. Meanwhile, pyogenic spondylitis provided an ill-defined margins in 72.7% patients. Most of the patients 82.7% with tuberculous spondylitis showed thin and smooth wall paravertebral abscesses, while pyogenic spondylitis showed an irregular and thick wall paravertebral abscesses in 45% patients. A total of 72.4% patients with tuberculous spondylitis indicated involvement of ≥3 vertebral bodies. 100% patients with pyogenic spondylitis showed an abnormal contrast enhancement of the intervertebral discs. It was identified that tuberculous spondylitis had sensitivity, specificity, and accuracy values of 100%, 84.6%, and 95.2% respectively. For pyogenic spondylitis, the corresponding values were 84.6%, 96.6%, and 93%.\u0000Conclusions: MRI was accurate for differentiation of tuberculous spondylitis from pyogenic spondylitis. A well-defined paraspinal abnormal signal, a thin and smooth abscess wall, subligamentous spread to three or more vertebral levels, and less likely involvement of intervertebral discs were more suggestive of tuberculous spondylitis than pyogenic spondylitis.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":"132 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139840819","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 : 2024-02-13DOI: 10.18203/issn.2455-4510.intjresorthop20240322
Sachin Sharma, M. S. Ahmad, Shreya Bhat, Asif Khursheed
Background: Infectious spondylitis is an infection by a specific organism of one or more components of spine, namely the vertebra, intervertebral discs, paraspinal soft tissues, and epidural space. Magnetic resonance imaging (MRI) of the spine is gold standard in imaging to assess anatomical abnormalities of the spine and surrounding structures. Methods: This cross-sectional observational study was conducted in the Department of Radiology Narayan Medical College and Hospital Sasaram, Bihar (India), where tuberculosis is endemic from July 2022 to September 2023. It included 40 patients, purposively sampled, adhering to strict inclusion and exclusion criteria. Sensitivity, specificity and accuracy of MRI in discriminating tuberculous spondylitis from pyogenic spondylitis were compared against histopathological diagnosis and differences in MRI findings between these conditions were obtained. Results: In this study, 93% patients with tuberculous spondylitis had an enhanced signal with well-defined margins. Meanwhile, pyogenic spondylitis provided an ill-defined margins in 72.7% patients. Most of the patients 82.7% with tuberculous spondylitis showed thin and smooth wall paravertebral abscesses, while pyogenic spondylitis showed an irregular and thick wall paravertebral abscesses in 45% patients. A total of 72.4% patients with tuberculous spondylitis indicated involvement of ≥3 vertebral bodies. 100% patients with pyogenic spondylitis showed an abnormal contrast enhancement of the intervertebral discs. It was identified that tuberculous spondylitis had sensitivity, specificity, and accuracy values of 100%, 84.6%, and 95.2% respectively. For pyogenic spondylitis, the corresponding values were 84.6%, 96.6%, and 93%. Conclusions: MRI was accurate for differentiation of tuberculous spondylitis from pyogenic spondylitis. A well-defined paraspinal abnormal signal, a thin and smooth abscess wall, subligamentous spread to three or more vertebral levels, and less likely involvement of intervertebral discs were more suggestive of tuberculous spondylitis than pyogenic spondylitis.
{"title":"Role of magnetic resonance imaging in differentiating tuberculous spondylitis from pyogenic spondylitis in a TB endemic area","authors":"Sachin Sharma, M. S. Ahmad, Shreya Bhat, Asif Khursheed","doi":"10.18203/issn.2455-4510.intjresorthop20240322","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20240322","url":null,"abstract":"Background: Infectious spondylitis is an infection by a specific organism of one or more components of spine, namely the vertebra, intervertebral discs, paraspinal soft tissues, and epidural space. Magnetic resonance imaging (MRI) of the spine is gold standard in imaging to assess anatomical abnormalities of the spine and surrounding structures.\u0000Methods: This cross-sectional observational study was conducted in the Department of Radiology Narayan Medical College and Hospital Sasaram, Bihar (India), where tuberculosis is endemic from July 2022 to September 2023. It included 40 patients, purposively sampled, adhering to strict inclusion and exclusion criteria. Sensitivity, specificity and accuracy of MRI in discriminating tuberculous spondylitis from pyogenic spondylitis were compared against histopathological diagnosis and differences in MRI findings between these conditions were obtained.\u0000Results: In this study, 93% patients with tuberculous spondylitis had an enhanced signal with well-defined margins. Meanwhile, pyogenic spondylitis provided an ill-defined margins in 72.7% patients. Most of the patients 82.7% with tuberculous spondylitis showed thin and smooth wall paravertebral abscesses, while pyogenic spondylitis showed an irregular and thick wall paravertebral abscesses in 45% patients. A total of 72.4% patients with tuberculous spondylitis indicated involvement of ≥3 vertebral bodies. 100% patients with pyogenic spondylitis showed an abnormal contrast enhancement of the intervertebral discs. It was identified that tuberculous spondylitis had sensitivity, specificity, and accuracy values of 100%, 84.6%, and 95.2% respectively. For pyogenic spondylitis, the corresponding values were 84.6%, 96.6%, and 93%.\u0000Conclusions: MRI was accurate for differentiation of tuberculous spondylitis from pyogenic spondylitis. A well-defined paraspinal abnormal signal, a thin and smooth abscess wall, subligamentous spread to three or more vertebral levels, and less likely involvement of intervertebral discs were more suggestive of tuberculous spondylitis than pyogenic spondylitis.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":"111 9","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139781041","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 : 2024-02-09DOI: 10.18203/issn.2455-4510.intjresorthop20240319
A. A. Rather, A. A. Lone, Aamir N. Bhat, J. Bhat
Background: Hand injuries are quite common and affect 15% of people who go to the emergency room. The metacarpals and phalanges are the two bones that fracture most frequently, with a prevalence of between 10 and 15%. Use of K-wires with an external fixation system, such as Joshi's external stabilization system (JESS), is optional. According to the ligamentotaxis theory, JESS functions. Aim was to evaluate the clinical and radiological outcome of metacarpal and phalangeal fractures using k wires and jess. Methods: This prospective study was conducted in post graduate department of orthopaedics SKIMS medical college Bemina, on 40 patients with metacarpal and phalangeal fractures managed by Kirschner wires (K-wires) and JESS. The collected data was analyzed with the help of statistical package for social science (SPSS), version 21 Results: In present study the most of the study subjects were in the age group of 28-37 years (40%), there was male predominance with the male to female ratio 2.5:1, majority of the study subjects were labourer (38%), right side was involved most commonly (62%), the major cause of fracture was road traffic accident (58%) and most (96%) of the study subjects were operated within 24 hours of the injury. Conclusions: The study concluded that augmentation of JESS over K-wires provides a stable skeletal environment with early tissue healing and immediate active and passive mobilization of the uninjured adjacent joints and also provides rotational stability as the majority of the study subjects achieved excellent functional outcome.
{"title":"The management of metacarpal and phalangeal fractures of hand by K-wires and Joshi’s external stabilization system","authors":"A. A. Rather, A. A. Lone, Aamir N. Bhat, J. Bhat","doi":"10.18203/issn.2455-4510.intjresorthop20240319","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20240319","url":null,"abstract":"Background: Hand injuries are quite common and affect 15% of people who go to the emergency room. The metacarpals and phalanges are the two bones that fracture most frequently, with a prevalence of between 10 and 15%. Use of K-wires with an external fixation system, such as Joshi's external stabilization system (JESS), is optional. According to the ligamentotaxis theory, JESS functions. Aim was to evaluate the clinical and radiological outcome of metacarpal and phalangeal fractures using k wires and jess.\u0000Methods: This prospective study was conducted in post graduate department of orthopaedics SKIMS medical college Bemina, on 40 patients with metacarpal and phalangeal fractures managed by Kirschner wires (K-wires) and JESS. The collected data was analyzed with the help of statistical package for social science (SPSS), version 21\u0000Results: In present study the most of the study subjects were in the age group of 28-37 years (40%), there was male predominance with the male to female ratio 2.5:1, majority of the study subjects were labourer (38%), right side was involved most commonly (62%), the major cause of fracture was road traffic accident (58%) and most (96%) of the study subjects were operated within 24 hours of the injury.\u0000Conclusions: The study concluded that augmentation of JESS over K-wires provides a stable skeletal environment with early tissue healing and immediate active and passive mobilization of the uninjured adjacent joints and also provides rotational stability as the majority of the study subjects achieved excellent functional outcome.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":" 12","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139790644","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 : 2024-02-09DOI: 10.18203/issn.2455-4510.intjresorthop20240319
A. A. Rather, A. A. Lone, Aamir N. Bhat, J. Bhat
Background: Hand injuries are quite common and affect 15% of people who go to the emergency room. The metacarpals and phalanges are the two bones that fracture most frequently, with a prevalence of between 10 and 15%. Use of K-wires with an external fixation system, such as Joshi's external stabilization system (JESS), is optional. According to the ligamentotaxis theory, JESS functions. Aim was to evaluate the clinical and radiological outcome of metacarpal and phalangeal fractures using k wires and jess. Methods: This prospective study was conducted in post graduate department of orthopaedics SKIMS medical college Bemina, on 40 patients with metacarpal and phalangeal fractures managed by Kirschner wires (K-wires) and JESS. The collected data was analyzed with the help of statistical package for social science (SPSS), version 21 Results: In present study the most of the study subjects were in the age group of 28-37 years (40%), there was male predominance with the male to female ratio 2.5:1, majority of the study subjects were labourer (38%), right side was involved most commonly (62%), the major cause of fracture was road traffic accident (58%) and most (96%) of the study subjects were operated within 24 hours of the injury. Conclusions: The study concluded that augmentation of JESS over K-wires provides a stable skeletal environment with early tissue healing and immediate active and passive mobilization of the uninjured adjacent joints and also provides rotational stability as the majority of the study subjects achieved excellent functional outcome.
{"title":"The management of metacarpal and phalangeal fractures of hand by K-wires and Joshi’s external stabilization system","authors":"A. A. Rather, A. A. Lone, Aamir N. Bhat, J. Bhat","doi":"10.18203/issn.2455-4510.intjresorthop20240319","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20240319","url":null,"abstract":"Background: Hand injuries are quite common and affect 15% of people who go to the emergency room. The metacarpals and phalanges are the two bones that fracture most frequently, with a prevalence of between 10 and 15%. Use of K-wires with an external fixation system, such as Joshi's external stabilization system (JESS), is optional. According to the ligamentotaxis theory, JESS functions. Aim was to evaluate the clinical and radiological outcome of metacarpal and phalangeal fractures using k wires and jess.\u0000Methods: This prospective study was conducted in post graduate department of orthopaedics SKIMS medical college Bemina, on 40 patients with metacarpal and phalangeal fractures managed by Kirschner wires (K-wires) and JESS. The collected data was analyzed with the help of statistical package for social science (SPSS), version 21\u0000Results: In present study the most of the study subjects were in the age group of 28-37 years (40%), there was male predominance with the male to female ratio 2.5:1, majority of the study subjects were labourer (38%), right side was involved most commonly (62%), the major cause of fracture was road traffic accident (58%) and most (96%) of the study subjects were operated within 24 hours of the injury.\u0000Conclusions: The study concluded that augmentation of JESS over K-wires provides a stable skeletal environment with early tissue healing and immediate active and passive mobilization of the uninjured adjacent joints and also provides rotational stability as the majority of the study subjects achieved excellent functional outcome.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":"12 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139850582","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 : 2024-02-06DOI: 10.18203/issn.2455-4510.intjresorthop20240309
Navin Tripathi, Anil Regmi
Burkitt's lymphoma, a highly aggressive form of non-Hodgkin lymphoma, exhibits a distinctive predilection for rapid growth and systemic dissemination. While its primary manifestation is often observed in the lymphatic system, orthopaedic involvement has been increasingly recognized. This review synthesizes current literature to comprehensively explore the orthopaedic implications of Burkitt's lymphoma, encompassing clinical presentation, diagnostic challenges, treatment modalities, and associated outcomes.
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Pub Date : 2024-02-06DOI: 10.18203/issn.2455-4510.intjresorthop20240309
Navin Tripathi, Anil Regmi
Burkitt's lymphoma, a highly aggressive form of non-Hodgkin lymphoma, exhibits a distinctive predilection for rapid growth and systemic dissemination. While its primary manifestation is often observed in the lymphatic system, orthopaedic involvement has been increasingly recognized. This review synthesizes current literature to comprehensively explore the orthopaedic implications of Burkitt's lymphoma, encompassing clinical presentation, diagnostic challenges, treatment modalities, and associated outcomes.
{"title":"Skeletal involvement in Burkitt's lymphoma: a comprehensive review","authors":"Navin Tripathi, Anil Regmi","doi":"10.18203/issn.2455-4510.intjresorthop20240309","DOIUrl":"https://doi.org/10.18203/issn.2455-4510.intjresorthop20240309","url":null,"abstract":"Burkitt's lymphoma, a highly aggressive form of non-Hodgkin lymphoma, exhibits a distinctive predilection for rapid growth and systemic dissemination. While its primary manifestation is often observed in the lymphatic system, orthopaedic involvement has been increasingly recognized. This review synthesizes current literature to comprehensively explore the orthopaedic implications of Burkitt's lymphoma, encompassing clinical presentation, diagnostic challenges, treatment modalities, and associated outcomes.","PeriodicalId":506251,"journal":{"name":"International Journal of Research in Orthopaedics","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139861670","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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