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| Leg Swelling In Spinal Cord Injury Patient After The Acute Stage-A Case Report
K. C Gopalakrishnan, W. EL Masri
January-March 1988, 22(1):60-61A persistent swelling of a leg with a difference in girth of 2.5 cms or more in a paraplegic patient in commonly considered as evidence of deep vein thrombosis. A case is reported where the swelling of the leg was due to compression of the femoral vein by a mass of heterotopic ossification in the region of the lesser trochanter. |
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| Management Of Forearm Fractures By Open Reduction And Fixation With Talwalkar Square Nails
S. K Moda, N. S Chaddha, Anirodh Kocchar, Arvind Aggarwal, Alok Garg
January-March 1988, 22(1):22-28A study of 270 cases (486 fractures) of fracture of the forearm bones managed by open reduction and internal fixation using Talwalkar square nails was done. Autogenous bone grafting was done in 43.4 per cent of fractures and average follow up period was 19.2 months. Sound union was achieved in 94.45 per cent of cases. Only 9 fractures of ulna showed delayed union while 18 ulnar fractures developed non union. No non union was observed in fractures of the radius. Anatomical results were excellent in 189 cases (70%), 54 cases (20%) had good results and only 27 cases had poor results. Functionally excellent result were seen in 135 cases (50%), good in 117 cases (43.4%) and poor in 18 cases (6.7%). Minimal complications which were easily manageable were encountered. |
| 214 | 34 | - |
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| Surgical Correction Of Equinocavus Deformity Of Foot By Japas’ Tarsal V-Osterotomy
S Sharma, James Mathews
January-March 1988, 22(1):41-45Twenty patients comprising 10 with equinocavus and 2 with equinocavovarus deformities of foot were subjected to JAPAS’ tarsal v-osteotomy operation. During a 3 to 4 year follow-up the results were excellent in 9 cases (75 per cent), good in 2 cases (16.7 per cent) and fair in one case (8.3 per cent) only. This procedure is the ideal one to correct unilateral forefoot or midfoot cavus deformities of moderate degree in adult patient. |
| 198 | 16 | - |
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| Role Of Syme’s Amputation In Insensitive Feet
M. K Siddalinga Swamy, V Durai, K. S Rao
January-March 1988, 22(1):46-48Forty four patients of leprosy with 45 insensitive feet underwent Syme’s amputation Complications arose in 14 cases (31.1 per cent), mainly due to incorrect technique and improper care of the stump. Main complications were floppy stump, ulceration and posterior migration of flap. Proper care of the stump and prosthesis are essential for success of syme’s amputation in insensitive feet. In general patients were happy with the procedure. We feel Syme’s amputation is the procedure of choice if feasible, in insensitive foot. |
| 199 | 11 | - |
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| A New Patellar Index In Relation To Osgood Schlatter Disease
Ramesh Sen, L. R Sharma, S. R Thakur, V. P Lakhanpal
January-March 1988, 22(1):53-55A new index has been described in lateral radiograph of knee joint by dropping a perpendicular from patellar apex over the line extended inferiorly along patellar articular surface. The ratio of distances measured form intersection point to inferior articular cartilage end and to patellar apex gives the value of this index. It was calculated to be 1.43 in 68 knee joints afflicted with Osgood Schlatter disease in 47 patients. The value of this patellar index was 0.89 in 71 age matched controls and 0.87 in 184 normal adults. The significant different patellar index in Osgood Schlatter patients is proposed to be an important aetiological factor in the increased pull of tibial tuberosity in this traction apophysitis |
| 192 | 16 | - |
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| Congenital Dislocation Of Radial Head
V. P Bansal, Vinod Singhal, S Harmit
January-March 1988, 22(1):67-69Two cases of congenital dislocation of radial head (One bilateral and another unilateral) are reported. A curious ligament attachment in the center of the excised head of radius has been observed in one case. |
| 163 | 10 | - |
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| Intraspinal Tumours And Tumour Like Lesions Causing Compression Paraplegia
N. D Aggarwal, Rajeev Aggarwal
January-March 1988, 22(1):1-10Twenty cases of intraspinal tumours and 21 rare cases of tumour and tumour like lesions causing compression paraplegia are presented. The C.S.F. changes, radiographic alterations and myelogrpahic findings are emphasized. It was our experience that intramedullary lesion rarely recovered and subdural and extradural lesions usually showed recovery if the lesion was benign in nature, situated posteriorly or posterolaterally and in the cervical and lumbar regions and where these had been present for a short duration. |
| 164 | 9 | - |
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| Internal Fixation Of Fractures Of Radius And Ulna In Adults With Talwalkar’s Intra-Medullary Nails
K. D Khare, S. P Jyothi, T Singh
January-March 1988, 22(1):29-31Forty six cases of fractures of forearm bones in adults were primarily operated and fixed with Talwalkar’s interamedullary square nails. Thirty one cases had fracture of both bones while 15 had only one bone broken. Period of post operative immobilization was 2 weeks. Functional results were excellent in 42 out of 46 cases. There were no major complications. Non union rate was 4.3 per cent. Talwalkar’s intramedullary square nails have distinct advantages over conservative or operative treatment with any nail in treatment of these fractures. |
| 152 | 20 | - |
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| Sacro-Coccygeal Chordoma
S. S Gill, Kuldeep Singh, S. S Sandhu, Raj Bahadur, O. N Nagi
January-March 1988, 22(1):73-75Two cases of sacro-coccygeal chordoma are presented. Tumours have been excised through abdominosacral approach. No recurrences have been observed in 2 years. Bladder and bowel control was attained within one to 2 months of the surgical excision. Colostomy is of great help if there is injury to rectum. |
| 156 | 11 | - |
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| Compression Osteosynthesis In Extensor Apparatus Of Extremities
K. P Srivastava, K. K Pruthi, Harish Chandra
January-March 1988, 22(1):32-35Twenty cases of fracture of olecranon and 20 cases of fracture of patella (noncomminuted) were fixed with the help of 2 pins under compression. This method provided adequate fixation and permitted early mobilization of the joint. The results were compared with other methods of treatment of such cases like screw fixation and tension band wiring. |
| 150 | 13 | - |
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| Role Of Early Surgery In Flexion Deformity Of Hip And Knee In Spastic Cerebral Palsy
K. M Pathi, A. P Misra
January-March 1988, 22(1):36-40Twenty-five patients of cerebral palsy (15 diparetic, 7 quadriparetic and 3 hemiparetic) treated by hip flexor release and hamstring transfer to femoral condyles are presented. It is concluded that hip flexion deformity is the primary abnormality in spastic cerebral palsy responsible for the characteristic crouching posture and excessive lumber lordosis. Unstable posture after hamstring transfer is secondary to hip deformity. The myotomy described will reverse this unstable posture. Not only it corrects hip and knee deformities but also augments the progressive development of hip abductors and extensors. The short term results of this small series (length of follow-up is 6 months to 4 years) indicate release of aforementioned muscles early in life results in development of more normal posture, a better gait and appears to reduce the need of other procedures like adductor release and tendo-achillis lengthening. |
| 152 | 8 | - |
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| Functional Anatomy Of The Mammalian Acetabulum
D Mishra, J. W Goodfellow
January-March 1988, 22(1):56-59To demonstrate functional anatomy of the hip in mammals, experimentally contact areas of hip were delineated by haematoxylin dye in different mammals. With increase in load, synchronous increase in the contact area has been demonstrated |
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| Osteosynthesis In Forearm Fractures
B. K Dhaon, A. K Dhal, J. S Makhani
January-March 1988, 22(1):18-21Results of 213 diphyseal fractures of radius and ulna, fixed with semitubular plates (D.C.P.) as advocated by A. O. is presented. Average age of the patients was 48.77 years and were followed for 8 months to 4 years. The result was excellent in 54.7 per cent patients, good in 37.5 and poor in 8.4 per cent of patients. Semitubular plates were found to yield inadequate rigid fixation in upper 1/3rd fractures of the forearm. |
| 144 | 16 | - |
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| Pulsating Metastatic Deposit In The Diaphysis Of Radius
P. R Mohanty, A. J Valiath, J. V. S Vidyasagar, V. K Panikkar
January-March 1988, 22(1):76-78An unusual case presenting as a pulsating metastatic deposit in the diaphysis of radius, arising from occult primary in the thyroid gland is presented along with review of literature. This is contrary to the widely held belief that metastases do not occur in bones distal to elbow and knee joints. |
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| A Follow Up Study Of Tumours And Tumorous Lesions Of Spine
R. L Mittal, S Gupta, H. S Klair
January-March 1988, 22(1):11-17A long term follow up of 40 cases of tumours and tumorous lesions of spine is presented. The importance of a meticulous examination followed by a lumbar puncture, roentgenograms of spine and myelography has been emphasized in diagnosing a case of spinal tumour. The mode of treatment adopted in most of the cases was surgical. Fifty five per cent of tumours were benign and 45 per cent were malignant. Early diagnosis and surgery showed good results in benign tumours. In malignant tumours surgery was done for relief of pain improving the quality of life, but the period of survival was not much affected. |
| 147 | 8 | - |
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| Kienbock’s Disease
S. S Sangwan, A. S Dahiya, R. C Ramchander, Lokesh
January-March 1988, 22(1):62-66A case of Kienbock’s disease treated with ulnar lengthening with good results without any complication is reported and relevant literature is reviewed. |
| 131 | 10 | - |
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| Congenital Pseudarthrosis Of Radius In A Child
Bharat R Patel, J. M Shah
January-March 1988, 22(1):70-72A case of congenital pseudarthrosis of radius in a child is described. The case had marked angular deformity of radius which was corrected by multiple osteotomies, bone grafting and reversal of fragments. |
| 131 | 9 | - |
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| Clinico-Histopathological Correlation Of Chronic Arthrosis
R. K Goyal, K. P Srivastava, B. R Elhence
January-March 1988, 22(1):49-52A study of chronic synovitis with or without arthritis in 75 cases is presented with clinico-pathological correlation. It was observed that out of 44 cases diagnosed clinically as rheumatoid arthritis, histologically the diagnosis was confirmed in 33 cases only. Similarly out of 31 cases diagnosed as nonspecific synovitis only 7 correlated histologically. Thus out of 75 cases of chronic synovitis, the histological diagnosis varied in 35 case (47 per cent). |
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| Presidential Address
Verghes Chacko
January-March 1988, 22(1):79-84 Full text not available [PDF] |
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