Neurobionplus
Home About Journal AHEAD OF PRINT Current Issue Back Issues Instructions Submission Search Subscribe Blog    
Login 

Users Online: 515 
Print this page  Email this page Small font sizeDefault font sizeIncrease font size 
 


 
 Table of Contents    
LETTER TO EDITOR  
Year : 2012  |  Volume : 46  |  Issue : 1  |  Page : 113-114
Authors' reply


1 Department of Orthopedics, Christian Medical College, Vellore, Tamil Nadu, India
2 Department of Anesthesia, Christian Medical College, Vellore, Tamil Nadu, India

Click here for correspondence address and email

Date of Web Publication10-Jan-2012
 

How to cite this article:
Madhuri V, Dutt V, Samuel K, Gahukamble AD. Authors' reply. Indian J Orthop 2012;46:113-4

How to cite this URL:
Madhuri V, Dutt V, Samuel K, Gahukamble AD. Authors' reply. Indian J Orthop [serial online] 2012 [cited 2019 Dec 14];46:113-4. Available from: http://www.ijoonline.com/text.asp?2012/46/1/113/91648
We thank Dr. Sinha for the interest expressed [1] in our article 'Intraoperative femoral head vascularity assessment: An innovative and simple technique.' [2]

The surgical dislocation was done using the technique described by Ganz et al. [3] in all except one case, where we used the modified London hospital approach combined with a capsulotomy in a manner similar to the safe surgical dislocation approach. Positioning was lateral in all cases and dislocation anterior.

A transtrochanteric approach, with or without dislocation, does not contraindicate the technique of blood flow assessment to the femoral head. However, if there is tension on the pedicle due to the surgical approach, the vascularity may be compromised. As explained in the article, the technique establishes the arterial blood flow in the region drilled, but it does not quantify the blood flow.

We do not feel that this method is suitable at present as a minimally invasive technique but it probably can be the focus of future research. At present, noninvasive techniques such as PET scan may be better for assessing viability. [4]

We agree that the presence of wave form is not proof of vascularity or avascularity; however, it is an indication of intraoperative arterial blood flow and helps in intraoperative decision making.

 
   References Top

1.Sinha S. Intraoperative femoral head vascularity assessment: An innovative and simple technique (Letter 1). Indian J Orthop 2012;46:113.  Back to cited text no. 1
  Medknow Journal  
2.Madhuri V, Dutt V, Kunder S, Gahukamble AS. Intraoperative femoral head vascularity assessment: An innovative and simple technique: Indian J Orthop 2011;45:231-5.  Back to cited text no. 2
    
3.Ganz R, Gill TJ, Gautier E, Ganz K, Krügel N, Berlemann U. Surgical dislocation of the adult hip a technique with full access to the femoral head and acetabulum without the risk of avascular necrosis. J Bone Joint Surg Br 2001;83:1119-24.  Back to cited text no. 3
    
4.Aratake M, Yoshifumi T, Takahashi A, Takeuchi R, Inoue T, Saito T. Evaluation of lesion in a spontaneous osteonecrosis of the knee using 18F-fluoride positron emission tomography. Knee Surg Sports Traumatol Arthrosc 2009;17:53-9.  Back to cited text no. 4
[PUBMED]  [FULLTEXT]  

Top
Correspondence Address:
Vrisha Madhuri
Department of Orthopedics, Christian Medical College Hospital, Ida Scudder Road, Vellore 632 004
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


PMID: 22345820

Rights and PermissionsRights and Permissions




 

Top
 
 
 
  Search
 
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Email Alert *
    Add to My List *
* Registration required (free)  
 


 
    References
 

 Article Access Statistics
    Viewed1150    
    Printed37    
    Emailed0    
    PDF Downloaded55    
    Comments [Add]    

Recommend this journal