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| Acromio-Clavicular Injuries
S. K Gupta
January-March 1984, 18(1):50-55Acromio-clavicular injuries have not received sue recognition being uncommon in civilian population. Early operative repair of coracoclavicular or coraco-acromial ligaments in cases acromioclavicular dislocation recognized radiologically seems to be the only way to avoid marked residual disability of conservative treatment. Jones strapping is an effective method of treatment only in cases of sprains or posterior displacement of clavicular end. Excellent and good results obtained in all the 28 cases of later series with return to full military duties as reported here speak for the effectiveness of the treatment adopted by us. |
| 164 | 27 | - |
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| Chondrosarcoma Of Small Bones Of Hand
V. P Bansal, Vinod Singhal, A Panagal Chelvam
January-March 1984, 18(1):56-60Two patients with primary chondrosarcoma of hand bones are reported. Both cases were treated by conservative surgery by local resection. On follow up the patient was free from local recurrence and distant metastasis even after 30 and 28 months post-operatively. |
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| Spinal Muscular Atrophy (Kugelberg-Welander Disease) In Two Siblings Associated With Orthopaedic Anomalies
P. T Rao, B Bisoi
January-March 1984, 18(1):61-64Two siblings suffering from spinal muscular atrophy (SMA) with associated orthopaedic anomalies, CDH in one and torticollis in one, are reported. Histology of the involved muscles showed neurogenic muscular atrophy. |
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| Trochanteric Fractures
K. P Pathak
January-March 1984, 18(1):1-18Based upon personal observation of 294 consecutive trochanteric fractures a modified classification with precise definitions for each class (five types) has been presented in which the behavior of fragments has been related to the altered force vectors. The classification has a direct bearing on a approach to fracture treatment. Internal fixation with a two piece device is the best offer for holding the reduction achieved either by closed or open method. A system of evaluation of results has been put forward which respects the Indian patients, social requirements to walk bare-footed, to squat and to sit cross-legged. The results of non-operative and operative methods have been tabulated and compared. Those of operative treatment clearly shows less morbidity and mortality. Non-operative treatment with the understanding of fracture behavior gives a superior result only in undisplaced fractures and avulsions. |
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| Treatment Of Trochanteric Fractures Of The HIP By Modified Richard’s Compressing And Collapsing Screw
G. S Kulkarni
January-March 1984, 18(1):30-34One hundred and forty patients of trochanteric fractures of the hip were treated by modified Richard’s compression screw. Overall failure rate was 6.3 per cent. Early ambulation did not compromise end results. There was not a single case of varus deformity. Complications seen in 6 patients consisted of early infections in 2 patients, late infections in 2, implant penetration in 1 and implant coming out of head in1 patient. Six patients had mild pain over the palpable nut. The fracture did not unite in one patient. |
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| A Study Of Fracture Healing Following Fixation With Polymethlemethacrylate-An Experimental Study
R. C Mohanti, D. K Patro
January-March 1984, 18(1):69-74Twenty-five adult, healthy rabbits were divided into 3 groups. The tibial bone was fractured at midshaft in all the animals. Fixation was carried out by an extra-periosteal collar of bone cement (Group I), an intramedullary plug of bone cement (Group II), and an extra-periosteal collar of bone cement augmented with an intramedullary Kirshner wire (Group III). Animals were followed up to 9 weeks. Assessment of fixation and healing of fracture, and toxicities of the bone cement was carried out clinically, radiologically and by histology. Bone cement was found to be inadequate for fracture fixation. Bone cement did not seem to inhibit bone healing. An effective external bridging callus was demonstrated. However, bone necrosis in contact with the cement occurred probably due to the heat of polymerization. No significant tissue toxicity was demonstrable. |
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| Pyle’s Disease-A Case Report
S. T Sundara Raj, M Muthusamy, S Ramasamy
January-March 1984, 18(1):65-68A case of Pyle’s disease (metaphysical dysplasia) with bilateral genu valgum is reported. This patient had metaphysical moulding defects in all long bones with localised hypoplasia of lateral femoral condyles, which was a contributory factor for the increased genu valgum deformity. A report of this type of anomaly in metaphysical dysplasia was not found in the available literature. |
| 134 | 13 | - |
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| Primary Excision Arthroplasty In Fracture Neck Femur
Y Mohindra, R. P Agarwal, Anand Goyal
January-March 1984, 18(1):35-37The functional result of 40 patients of fracture of neck of the femur treated by primary excision arthroplasty are presented. The main advantage with this procedure is the wide range of mobility. Eighty five per cent of the cases seen at follow up were able to squat and sit cross legged comfortably. Results were excellent in 10 patients, good in 15 fair in 12 and poor in 3 cases. The main drawback of this operation is instability and shortening which poor do not mind much. |
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| Bilateral Traumatic Posterior Dislocation Of HIP Joint With Fracture Neck Of Femur-A Case Report
Nirmal Jain, Rakesh Bhargava, Naresh Gupta
January-March 1984, 18(1):38-39A case of bilateral posterior dislocation of the hip joint with fracture neck of femur on one side, successfully reduced by vertical traction is reported. |
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| A Comparative Analysis Of Operative And Non-Operative Management Of Trochanteric Fractures
S. P Mohanty, V Chacko
January-March 1984, 18(1):19-24135 consecutive cases of trochanteric fractures were analysed for the merits and demerits of operative and non-operative treatment. Sixty three cases were treated by non-operative method whereas 53 were treated by surgery. Though there was not much difference in mortality rate, 59.3 per cent of cases treated by surgery had excellent results whereas it was only 37.64 per cent in the cases treated by non-operative method. There was not much difference in fair and poor results as most of the patients treated by non-operative had good results (43.84 per cent). In short the simple non-operative method was found to be less superior than operative treatment. |
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| Management Of Ununited Diaphyseal Fractures Of Long Bones : A Comparative Study Of Three Bone Grafting Procedures
J Man Singh, Vinod Sukhija, Sunil Trakru
January-March 1984, 18(1):43-49Fifty-eight patients of nonunion of diaphyseal fractures of long tubular bones were treated by 3 different surgical procedures. Phemister grafting without internal fixation was done for cases with strong fibrous union, gap bone grafting with internal fixation was performed in cases with loss of bone segments or with much distraction at the site of pseudoarthrosis, and barrel stave bone grafting with internal fixation was done for the remaining. Phemister bone grafting when carried out on the selected patients carried highest chances of union in the shortest time when compared to the other 2 methods. The time for union to occur after the Phemister technique was 12 to 16 weeks, after barrel stave bone grafting 14 to 17 weeks, and it was 16 to 19 weeks after the gap grafting procedure. |
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| Bone Stapler With Interchangeable Heads And Staple Carrier
D Mukhopadhay
January-March 1984, 18(1):79-82An interchangeable bone stapling instrument with staple carrier designed by the author is an important breakthrough in Orthopaedic surgery during bone stapling operation by ‘No touch’ technique. The sophistication of the innovation lies in the ‘No touch’ at any stage starting from sterilization to completion of the operation. The instrument and its sterilization, operation and maintenance have been described in this article. |
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| Epoxy Resin As Bonding Material In Human Tissues
R. N Vaishnav
January-March 1984, 18(1):75-78Epoxy resin with its amine curing agent has been used successfully for bonding human tissues. A case of compound fracture of terminal phalanx of a finger where epoxy resin successfully bonded the fractured bone and a case of lipoma where skin edges of incision were successfully stuck with the resin are reported. Addition of potassium chloride and chloramphenicol and heating the mixture to 20C, and blowing of hot air over it while setting reduced the bonding time to one hour. |
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| Fracture Of The Ipsilateral Femoral Neck In An Above Knee Amputee–A Case Report
V. A Mittal
January-March 1984, 18(1):40-42A case of fracture of the femoral neck sustained by a direct injury in the ipsilateral limb of an adolescent above knee amputee is reported. |
| 109 | 8 | - |
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| Condylocephalic Fixation Of Trochanteric Fractures With An Improvised Nail
K. K Pruthi, O. N Vyas, Sushil Kumar
January-March 1984, 18(1):25-29Sixty five patients of fresh trochanteric fractures treated by condylo-flxation with an improvised nail and indigenous technique are presented. Age of the patients varied from 43 to 92 years with a average of 65 years. No preoperative roentgenographic control was used. Incidence of successful nailing was 91 per cent. |
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| Presidential Address
V Marwah
January-March 1984, 18(1):83-86 Full text not available [PDF] |
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