{"title":"Fusion Imaging in Preoperative Planning for Management of a Pelvic Chondrosarcoma","authors":"Leander Paes, Mohit Basra, Tushar Sharma, Abhishek Rastogi, Mustakeem, Lovenish Bains, Lalit Maini","doi":"10.1016/j.jcot.2024.102589","DOIUrl":"10.1016/j.jcot.2024.102589","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102589"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650972","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 : 2024-10-01DOI: 10.1016/j.jcot.2024.102590
Arihant Kataria, Kapil Patel, Sumit Arora, Lalit Maini
{"title":"Clinico-radiological Presentation of Metal Implant-Related Sarcomas In 2 Cases with Literature Review","authors":"Arihant Kataria, Kapil Patel, Sumit Arora, Lalit Maini","doi":"10.1016/j.jcot.2024.102590","DOIUrl":"10.1016/j.jcot.2024.102590","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102590"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650973","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":"Outcome of Marginal Impaction Injury of Posterior Wall of Acetabulum Fracture Treated with Kocher-Langenbeck Approach: An Ambi Study","authors":"Dharmendra Kumar, Pranav Raghuvanshi, Ankit Sriwastava, Ashish Kumar","doi":"10.1016/j.jcot.2024.102614","DOIUrl":"10.1016/j.jcot.2024.102614","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102614"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142651042","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 : 2024-10-01DOI: 10.1016/j.jcot.2024.102558
Vinod V. Rajan , Chandhan Murugan
An eighteen-year-old male was brought with a gunshot to the right thorax. There was reduced air entry on the right chest, and the patient had AIS A neurology. However, plain radiographs of the spine were normal. CT of the chest revealed the trajectory of the bullet, which entered through the T7 right neural foramen, transected the cord, and exited the left foramen with minimal osteoligamentous disruption. The patient was managed conservatively, and once his respiratory function recovered, he underwent rehabilitation. This is the first report describing a low-velocity gunshot injury, causing cord injury without significant osteoligamentous disruption.
一名 18 岁的男性因右胸中枪而被送来。右胸进气减少,患者的神经系统为 AIS A 级。然而,脊柱的平片检查结果正常。胸部 CT 显示了子弹的轨迹,子弹从 T7 右侧神经孔射入,横断了脊髓,从左侧神经孔射出,骨韧带破坏极小。患者接受了保守治疗,呼吸功能恢复后接受了康复治疗。这是首例描述低速枪伤导致脊髓损伤而无明显骨韧带破坏的报告。
{"title":"An unusual case of gunshot injury to the spine","authors":"Vinod V. Rajan , Chandhan Murugan","doi":"10.1016/j.jcot.2024.102558","DOIUrl":"10.1016/j.jcot.2024.102558","url":null,"abstract":"<div><div>An eighteen-year-old male was brought with a gunshot to the right thorax. There was reduced air entry on the right chest, and the patient had AIS A neurology. However, plain radiographs of the spine were normal. CT of the chest revealed the trajectory of the bullet, which entered through the T7 right neural foramen, transected the cord, and exited the left foramen with minimal osteoligamentous disruption. The patient was managed conservatively, and once his respiratory function recovered, he underwent rehabilitation. This is the first report describing a low-velocity gunshot injury, causing cord injury without significant osteoligamentous disruption.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102558"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423206","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}
Intra operative three dimensional navigation-assisted pedicle screw insertion typically requires apnoea for reliable image production. However this carries potential risks to the physiologically compromised patients such as patients having COPD, obesity, cardiac illnesses, and anaemia. In such patients’ safe apnoea time may be as low as 1 min, and can cause life threatening complications. Therefore, this study was done to evaluate the accuracy of thoracolumbar and lumbar pedicle screw insertion using O-arm without using apnoea during imaging, to prevent such possible complications.
Methods
This is a single centre prospective study of 238 patients treated with pedicle screw implantation under O-arm guidance, without using apnoea while imaging. The pedicle breach rate during screw insertion was graded on Gertzbein classification. Also, two senior spine surgeons independently evaluated motion artifacts in the intra operative images and rated them as ‘Significant’ or ‘Non-Significant’ for the procedure. Values of p < 0.05 were considered statistically significant.
Results
Despite not using apnoea in 238 patients with 1120 screws, there were nil screw related complications. Only in one paediatric case of dorsal spine deformity, there were blurred and inaccurate images because of chest expansion, without apnoea. Hence he was given apnoea to render the image reliable for pedicle screw insertion. The screw placement in the pedicles was checked intraoperatively and graded for breach. Grade 2 breach were seen in only 2 cases (n = 3 screws) which were revised intra operatively. The interobserver agreement on motion artifacts was good (κ = 0.565, p < 0.001).
Conclusions
The results of pedicular screw insertion performed without induced apnea are comparable to those achieved with apnea when using O-arm imaging. This technique has proven to be a safe and reliable method for pedicle screw insertion in the thoracolumbar and lumbar spine, potentially mitigating physiological complications. Nonetheless, even minor motion artifacts, on the order of a few millimeters, can significantly impact outcomes in the cervical and upper thoracic spine. Therefore, further research is warranted to evaluate the efficacy and safety of this approach in these regions of the spine.
{"title":"O-arm navigation without apnoea in thoracolumbar and lumbar spine surgery: Outcomes and considerations in a prospective study","authors":"Shailesh Hadgaonkar , Divya Tomer , Bharati Adhye , Ashok Shyam , Parag Sancheti","doi":"10.1016/j.jcot.2024.102551","DOIUrl":"10.1016/j.jcot.2024.102551","url":null,"abstract":"<div><h3>Background</h3><div>Intra operative three dimensional navigation-assisted pedicle screw insertion typically requires apnoea for reliable image production. However this carries potential risks to the physiologically compromised patients such as patients having COPD, obesity, cardiac illnesses, and anaemia. In such patients’ safe apnoea time may be as low as 1 min, and can cause life threatening complications. Therefore, this study was done to evaluate the accuracy of thoracolumbar and lumbar pedicle screw insertion using O-arm without using apnoea during imaging, to prevent such possible complications.</div></div><div><h3>Methods</h3><div>This is a single centre prospective study of 238 patients treated with pedicle screw implantation under O-arm guidance, without using apnoea while imaging. The pedicle breach rate during screw insertion was graded on Gertzbein classification. Also, two senior spine surgeons independently evaluated motion artifacts in the intra operative images and rated them as ‘Significant’ or ‘Non-Significant’ for the procedure. Values of p < 0.05 were considered statistically significant<strong>.</strong></div></div><div><h3>Results</h3><div>Despite not using apnoea in 238 patients with 1120 screws, there were nil screw related complications. Only in one paediatric case of dorsal spine deformity, there were blurred and inaccurate images because of chest expansion, without apnoea. Hence he was given apnoea to render the image reliable for pedicle screw insertion. The screw placement in the pedicles was checked intraoperatively and graded for breach. Grade 2 breach were seen in only 2 cases (n = 3 screws) which were revised intra operatively. The interobserver agreement on motion artifacts was good (κ = 0.565, p < 0.001).</div></div><div><h3>Conclusions</h3><div>The results of pedicular screw insertion performed without induced apnea are comparable to those achieved with apnea when using O-arm imaging. This technique has proven to be a safe and reliable method for pedicle screw insertion in the thoracolumbar and lumbar spine, potentially mitigating physiological complications. Nonetheless, even minor motion artifacts, on the order of a few millimeters, can significantly impact outcomes in the cervical and upper thoracic spine. Therefore, further research is warranted to evaluate the efficacy and safety of this approach in these regions of the spine.</div></div>","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102551"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142423261","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 : 2024-10-01DOI: 10.1016/j.jcot.2024.102578
Lokesh Goyal, Tushar Sharma, Devwart Kaushik, Lalit Maini
{"title":"Recurrence After 9 Years in Giant Cell Tumour of Distal Humerus","authors":"Lokesh Goyal, Tushar Sharma, Devwart Kaushik, Lalit Maini","doi":"10.1016/j.jcot.2024.102578","DOIUrl":"10.1016/j.jcot.2024.102578","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102578"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663291","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":"Comparison of femoral tunnel placement in different knee positions in arthroscopic anterior cruciate ligament reconstruction","authors":"Saurabh Gadi, Deepak Kumar, Ravi Amrit, Vineet Jain Dharmender Singh, Devender Singh","doi":"10.1016/j.jcot.2024.102632","DOIUrl":"10.1016/j.jcot.2024.102632","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102632"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663410","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 : 2024-10-01DOI: 10.1016/j.jcot.2024.102592
Shaurya Shalvi, Umesh Modi, Ankit Goyal
{"title":"Evaluation of role of epidural steroid injections and correlation with MRI grading in patients with lumbar canal stenosis – a prospective study","authors":"Shaurya Shalvi, Umesh Modi, Ankit Goyal","doi":"10.1016/j.jcot.2024.102592","DOIUrl":"10.1016/j.jcot.2024.102592","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102592"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663483","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 : 2024-10-01DOI: 10.1016/j.jcot.2024.102594
Vishwas, Umesh Modi, Pankaj Aggarwal
{"title":"The management of congenital talipes equinovarus deformity by standard Ponseti’s method and accelerated Ponseti’s method - a prospective comparative study at our district hospital.","authors":"Vishwas, Umesh Modi, Pankaj Aggarwal","doi":"10.1016/j.jcot.2024.102594","DOIUrl":"10.1016/j.jcot.2024.102594","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102594"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142663485","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 : 2024-10-01DOI: 10.1016/j.jcot.2024.102647
Arman Malik, M. Chadha, Aditya N. Aggarwal, R. Malhotra
{"title":"Functional outcome of primary bipolar hemiarthroplasty for unstable intertrochanteric fracture in elderly patients","authors":"Arman Malik, M. Chadha, Aditya N. Aggarwal, R. Malhotra","doi":"10.1016/j.jcot.2024.102647","DOIUrl":"10.1016/j.jcot.2024.102647","url":null,"abstract":"","PeriodicalId":53594,"journal":{"name":"Journal of Clinical Orthopaedics and Trauma","volume":"57 ","pages":"Article 102647"},"PeriodicalIF":0.0,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142650636","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}