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| Study Of Incidence Of Senile And Post - Menopausal Osteoporosis Using Femoral Trabecular Pattern Index
Vijay Kumar, N Khandelwal, S. C Bansal, J Rai
July 1992, 26(2):134-138One hundred patients of either sex aged 45 years and above from a cross section of normal population were studied for the incidence and risk factors involved in osteoporosis. Femoral trabecular pattern index was used as the radiological criterion of osteoporosis. Osteoporosis was noted in 38% of the population studied – 30% showed mild and 8% showed moderate to severe osteoporosis. Fifty three percent of post-menopausal females were osteoporotic. In the male population osteoporosis was rare before 60 years of age and only mild osteoporosis was noted between 60 to 75 years of age. People belonging to middle socio-economic group, sedentary workers and the short - statured were more prone to osteoporosis. Weight did not protect an individual from developing osteoporosis. No statistical difference was noted between rural or urban population. |
| 344 | 27 | - |
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| Osteofascial Compartment Syndrome In Open Leg Injuries
Y Mohindra, A. S Dube, L. K Tomar
July 1992, 26(2):146-149Osteofascial compartment syndrome has been well known in closed leg injuries, but there are only few reports in cases of open tibial fractures. Measurements of intracompartmental pressure by saline injection technique of Whitesides is reviewed in 34 cases of Gustilo-Anderson type I and II injuries. Type III open injuries often tend to undergo spontaneous decompression due to fascial damage and fracture comminution. In a polytramatized patient monitoring of compartmental pressure can be conveniently done to avoid permanent myoneural damage. Pressure rise more than four folds of normal contralateral limb should be treated by subcutaneous fasciotomy within forty eight hours of injury. |
| 340 | 10 | - |
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| Total Hip Arthroplasty For Avascular Necrosis Of The Femoral Head
O. N Nagi, M. S Dhillon, S Sharma
July 1992, 26(2):174-177A retrospective review of 40 hips with avascular necrosis (AVN) of the femoral head treated by total hip arthroplasty was done. Eighteen hips had AVN secondary to trauma while 22 were due to non traumatic causes. Thirty hips were cemented and 10 were uncemented.Excellent short term improvement was seen as regards pain, movement and function. Comparison with THA done for Ankylosing spondylitis Rheumatoid arthritis revealed better result as regards pain, ROM and function. |
| 301 | 40 | - |
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| Long Term Results Of Colles' Fractures Treated By Conventional Method
S. C Gaur, Anand Swarup, Harihar Prasad Singh
July 1992, 26(2):150-152 Full text not available [PDF] |
| 329 | 5 | - |
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| Radiographic Morphometric Study Of Lumbar Spine In Adult Indians.
A Tuli, S Sangari, K Khatri, R Prakash
July 1992, 26(2):205-207Plain anteroposterior radiographs of lumbar spine were examined in 200 adults of both sexes. The interpedicular distance and the width of body increased progressively from L1 to L5 vertebrae. Canal/body ratio was calculated to obviate the magnification factor of radiographs and physique of the individuals. Although interpedicular distance and width varied from L1 to L5 the canal/body ratio remained constant (0.6). Pedicular index was estimated to assess the size of pedicles which increased from L1 (122 ± 26-47 in males and 98.41 ± 18.02 in females) to L5 vertebra (190.5 ± 43.50 in males and 191.17 ± 43.82 in females). Interpedicular distance, canal/body ratio and pedicular index form important parameters in diagnosing spinal canal stenosis. |
| 313 | 12 | - |
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| Results Of Lateral Release In Conventionaly Treated Relapsed Idiopathic Clubfeet
R Preet Pawan Singh, J Rai
July 1992, 26(2):188-192Seventy Five cases (102 Feet) of relapsed clubfeet previously treated by postero-medical release were subjected to Laternal Release. None of these cases has recurred so far. The results were good in 87 percent, fair in 11.5 percent and poor in 1.5 percent of the feet. |
| 308 | 10 | - |
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| Clinical Presentation Of Lumbar Canal Stenosis
V. P Bansal, Harmit Singh, Dharmendra Kumar
July 1992, 26(2):170-173A review of clinical presentation of forty surgically proven cases of lumbar canal stenosis revealed three main types of symptom complexes. The commonest presentation was in the form of chronic onset-claudication type; as observed in most of the cases with idiopathic stenosis (28 cases). Insidious onset-radicular type of presentation was observed in 8 cases, who had degenerative changes as the dominant lesion with pre-existing idiopathic stenosis. Acute disc like presentation was observed in 4 cases, who had associated disc prolapse. Combined type of stenosis was the commonest. |
| 284 | 30 | - |
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| Abduction Deformity With Anterior Subluxation Of The Shoulder Caused By Congenital Deltoid Fibrosis
S Sharma, V. K Goyal, D. K Parto
July 1992, 26(2):193-196Abduction contractures of seven shoulders in five patients secondary to congenital fibrosis of the deltoid are reported. Six limbs had coexisting anterior subluxation of the soulder joint. Excision of the fibrous band within the muscle resulted in marked improvement in the range of movements and restoration of normal glenohumeral articulation. |
| 304 | 6 | - |
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| Role Of Arthrography In Meniscal Lesions Of Knee
S. K Bhargava, J. R Khan
July 1992, 26(2):139-141Arthrography was performed in 40 knees of clinically suspected meniscal lesions on the criteria of positive McMurray’s and Apley’s grinding tests and local tenderness at meniscal line. It was found to be a safe and accurate procedure. An arthrographic diagnosis of isolated medial meniscus tear was made in 12 cases, isolated lateral meniscus tear in 11 cases, peripheral separation of medical meniscus in 2 cases, discoid lateral meniscus in 4 cases and medial meniscus tear with peripheral separation in 6 cases. Arthrography was found to have 87.5% positivity as correlated with above clinical criteria and 95% positivity as confirmed on arthroscopy. It can also exactly localize the type and extent of pathology. Both single and double contrast arthrography are found to be equally effective in diagnosing the meniscal pathology. |
| 289 | 13 | - |
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| Management Of Compound Fractures By External Fixators And It's Early Substitution By Plaster Cast
K. K Verma, Shiv Kumar Gopal, N Shrivastava, O. P Sharma
July 1992, 26(2):158-161Thirty seven cases of compound fractures Grade II and III of long bones were managed by an indigenously manufactured external fixator. All the injuries were treated with primary wound debridement and early application of fixator, its duration being determined on the basis of soft tissue healing and the appearance of soft callus in skiagrams after which the fixator was substituted by cast brace. The main complication faced was pin track infection, its incidence being 16%. Mean duration for partial and full weight bearing in lower limb fractures was 12.5 weeks and 17 weeks respectively. Results were good in 67.5% of patients, fair in 21.7% and poor in 10.8% of patients. |
| 291 | 9 | - |
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| Traumatic Dislocation Of First Rib : A Case Report
R. P Agarwal, C. S Ramesh Babu, S. C Dwivedi
July 1992, 26(2):163-164We report a rare case of traumatic dislocation of left first thoracic rib from itsf costovertebral and costotransverse joints associated with injury of brachial plexus. It is an unusual injury previously not reported. |
| 292 | 7 | - |
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| Evaluation Of Ulnar Nerve Decompression In Leprosy : A Retrospective Study
R. K Goyal, K. P Srivastava, R Kumar
July 1992, 26(2):178-182The present study was undertaken to evaluate the beneficial effects of nerve decompression such as recovery of sensory and motor modalities, relief from pain, paraesthesia, and the effect on functional improvement. Twenty eight nerves in 26 patients were followed up for a period ranging from 6 months to 8 years. Immediate relief from pain was observed in 70% cases, sensory recovery was seen in 35% cases. Study of motor functions revealed that lower ulnar supplied muscles were most affected and that the recovery of these muscles was poor. The motor recovery was more marked amongst the tuberculoid and borderline - tuberculoid cases as compared to borderline-lapromatous and lapromatous cases. |
| 293 | 4 | - |
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| Assessment Of Results Of Peripheral Nerve Repair In Upper Limb
Ramesh Kumar Agarwal, V. K Pande
July 1992, 26(2):183-187An attempt was made to study the results of repair of peripheral nerve injuries Orthopaedics period 1980 to1987. Out of 143 registered patients with peripheral nerve injuries of upper extremity only 37 patients could be followed. Only 28 patients with 17 median nerve and 19 ulnar nerve injuries were evaluated. Simple and economical devices were made for evaluation of complex sensibility and coordination test. The end results showed that though primary or delayed primary repairs were found to give better results, repair done within 3 months of injury also gave good results, poorer results were obtained with more delay. Various factors affecting the recovery were also discussed. Poor record keeping system and discouraging response of the patients were found the main causes of large drop outs and poor follow up respectively. |
| 286 | 10 | - |
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| Observations On The Effect Of Compression Nailing On Fractures Shaft Of Femur In Adult
K. P Pandey, S. K Chatterjee, R. K Singh, A. K Gupta, Equbal Hussain
July 1992, 26(2):153-156Twenty four cases of fracture shaft of femur in adults were treated by indigenously designed and manufactured compression nail in this series. The present work was undertaken after getting encouraging results on experimental animals. Only transverse and short oblique fractures were taken into considerations and almost all cases were operated within three weeks of injury. A compression force of 20 kg/ sq.cm at the fracture site was found to be optimum. Early bony union is observed in them and full range of joint mobility is preserved. Early weight bearing is possible with little loss of power in the limb. |
| 286 | 6 | - |
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| Giant Cell Tumour Of Bone In Skeletally Immature Patients
Naresh Kumar, K. R Patond, V. D Chauhan
July 1992, 26(2):197-200Giant cell tumour of bone is uncommon in skeletally immature patients. We present five such cases with clinical details. |
| 279 | 10 | - |
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| Epidemiology Of Perthes' Disease In Central Kerala
Thomas Philip
July 1992, 26(2):131-133Perthes’ disease is relatively common in Kerala. Sixty children (males 45; females 15) were studied over a period of four years. The average age of onset of the disease was 9.03 years. Majority (42) of children came from families of low socio-economic status. Males predominated with male females ratio of 3:1. A Significant trauma preceded the onset of the disease in 28 children. Associated congenital anomaly was noted in only one child. |
| 276 | 8 | - |
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| The Antero Lateral DC Plating In Femoral Diaphyseal Fractures
O. N Nagi, S Sarup, S. S Gill, M. S Dhillon
July 1992, 26(2):142-145A prospective study of 32 femoral shaft fractures treated by single A. O. Dynamic Compression plates was carried out. All the fractures in the study were unsuitable for intramedullary nailing. The complication rate was 18.7% with infections accounting for 3.1% and fixation failure for 6.2% cases. Results were satisfactory in 87.5% and poor in 12.5%. The suitability of anterolateral positioning of the plate is discussed. |
| 277 | 5 | - |
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| Are Resistant Club Feet Really Resistant?
D. K Taneja, S Banerjee
July 1992, 26(2):127-130Results of sixty nine club feet in forty seven children treated by gradual manipulation and serial cast application were evaluated using a grading developed by us and also using Simons clinical and Radiological criteria. None of the feet showed resistance to our conservative approach though complete correction was not achieved in two feet. We also found the feet treated conservatively were more physiological, supple, displayed a far greater ankle and subtalar mobility than the results shown by various authors using different soft tissue release, and were free from risks and complications of surgery. We feel most if not all such feet can well be treated conservatively and with more gratifying results. |
| 259 | 9 | - |
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| Monteggia Variant : A Case Report
D. K Battacharjee, P. S Chattopadhyay
July 1992, 26(2):157-157 Full text not available [PDF] |
| 185 | 14 | - |
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| Dislocation Ankle Without Fracture : A Report Of Three Cases
Mukand Lal, R. S Yadav, L. R Sharma, Kuldip Singh, V Prakash
July 1992, 26(2):165-166 Full text not available [PDF] |
| 179 | 8 | - |
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| Eleven Years Follow-up Of A Case Of Melorheostosis
P. K Karak, S Mukhopadhyay, M Berry, P. K Dave
July 1992, 26(2):208-209 Full text not available [PDF] |
| 175 | 11 | - |
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| Postero - Medial Dislocation Of The Elbow Joint In Children
Radhe Shyam, B. B Khanna, Manmohar Singh
July 1992, 26(2):162-162 Full text not available [PDF] |
| 164 | 12 | - |
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| Congenital Humero - ulnar Synostosis : A Case Report
Amar Singh
July 1992, 26(2):204-204 Full text not available [PDF] |
| 161 | 9 | - |
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| Congenital Absence Of Extensor Retinaculum & Extensor Tendons : A Case Report
Sarvesh Mathur, Manoj Sikand
July 1992, 26(2):203-203 Full text not available [PDF] |
| 162 | 4 | - |
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| Recurrent Subluxation Of The Radial Head : A Case Report
M. K Mam
July 1992, 26(2):201-202 Full text not available [PDF] |
| 158 | 4 | - |
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| Total Or Globar Lateral Dislocation Of The Talus : A Case Report & Review Of The Literature
J. C Taraporvala
July 1992, 26(2):167-169 Full text not available [PDF] |
| 142 | 10 | - |
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| Primary Systemic Amyloidosis With Solitary Bone Lesion : A Case Report
A Jayaswal, A Biyani, P. K Dave, P Chopra
July 1992, 26(2):210-211 Full text not available [PDF] |
| 144 | 6 | - |
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| Posterior Tibial Neuro - Vascular Decompression In Plantar Ulcers Of Leprosy : A Review
P Tejeswar Rao
July 1992, 26(2):212-217 Full text not available [PDF] |
| 119 | 6 | - |
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