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   1974| April-June  | Volume 8 | Issue 1  
    Online since March 27, 2010

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Cranio-Vertebral Anomalies
V. P Singh, C. L Swarup, S. P Ganguly, K. C Mukherjee, B. C Katiyar
April-June 1974, 8(1):1-10
The cranio-vertebral anomalies with associated myelopathy have received sufficient interest during recent years. Attention to its existence in India was for the first time drawn by Wadia (1960) when he reported 6 cases. Bharucha and Dastur (1964) subsequently detailed the neurological manifestations in their 40 cases with this defect. Dastur, Wadia, Desai and Sinh (1965) described the pathology, pathogenesis and clinical correlations based on 6 operative and autopsied cases. Srinivasan, Balasubramaniam and Ramamurthi (1967) reported their experience of 24 patients and Wadia (1967), in a greater detail, described myelopathic complications in 28 patients having congenital atlantoaxial dislocation, along with the results of surgical treatment. In the present communication, we report our experiences of 26 patients, 10 of whom having progressive myelopathy were subjected to surgery.
[ABSTRACT]   Full text not available  [PDF]
  543 22 -
A Review Of The Results Of Operative Treatment of Post Polio Calcaneal Deformity of Foot In Children And Adolescents
K. C Choudhury, A. K Das, A SenGupta
April-June 1974, 8(1):27-33
Foot deformities are the commonest in paralytic poliomyelitis. Das (1958) while reviewing the relative incidence of various deformities in 200 cases, found different types of foot deformities in as many as 145 cases. Among the foot deformities calcaneal deformity is quite common. The characteristic deformity of the heel with secondary cavus deformity of the foot, frequent presence of valgus or occasionally varus deformity of forefoot and typical thumping gait with less of springiness of normal gait are well known to every orthopaedic surgeon. Though power transfer operation was used first for this condition as early as 1881 (Nicoladoni) yet, management of this deformity either conservatively or by operation is still problematic. The purpose of this paper is to evaluate the results of some of the different operative procedures that have been performed for this condition.
[ABSTRACT]   Full text not available  [PDF]
  476 29 -
Reincorporation Of Early Diaphysial Sequestra And Bone Remodelling In Extensive Haematogenous Osteomyelitis In Children
B. P Varma, S. M Tuli, T. P Srivastava, Y. D Mohindra
April-June 1974, 8(1):39-44
Chronic osteomyelitis continues to be a major problem in our country inspite of the advent of antibiotics. This is mainly because of the fact that patients usually come late when varying degree of bone necrosis is inevitable inspite of the drainage of abscess and institution of antibiotic therapy. Spontaneous absorption of small pieces of sequestra is well known to occur in chronic osteomyelitis. In extensive chronic diaphysial osteomyelitis, the usual outcome is the separation of a diaphysial sequestrum with the formation of an involucrum. We wish to present in this communication an account of 6 cases of extensive haematogenous osteomyelitis in children seen during the period 1964-1972, in whom large segments of early diaphysial sequestra got reincorporated and remodeled following prolonged protection of the limb in a plaster cast and administration of proper antibiotics after bacterial sensitivity tests.
[ABSTRACT]   Full text not available  [PDF]
  475 21 -
Multicentric Reticulum Cell Sarcoma Of Bone
V. M Shah, K. M Shah, N. R Parikh
April-June 1974, 8(1):51-55
That primary tumours can occur in multiple sites, is now well established. Reticulum cell sarcoma of the bone is not a very rare tumour. Parker and Jackson (1939) reported 17 cases of what they called reticulum cell sarccma of bone. The tumour occurred in all age groups, in both cylindrical and flat bones, caused extensive bone destruction and soft tissue growth and though often diagnosed late, showed a somewhat better prognosis than Ewing’s Tumour. This was the first reported account of this tumour as an entity, in which the comparatively good response to therapy was associated with a specific tumour cell morphology. Reticulum cell sarcoma of multicentric origin in bones is quite rare. Few cases of multifocal osteogenic sarcoma in bones have been reported, but a reference of reticulum cell sarcoma with multiple bone involvement could not be traced in the available literature. Three cases of reticulum cell sarcoma of bone with multiple bone involvement seen in our department within a period of 2 years are presented in this paper.
[ABSTRACT]   Full text not available  [PDF]
  450 9 -
Stress Fractures Of The Femoral Neck
S. S Yadav, S. S Yadav, M. A Majid
April-June 1974, 8(1):45-50
Military personnel especially during training are known to have stress fractures of metatarsal, calcaneus, tibia, fibula, neck and shaft of the femur, rib and ischiopubic ramus. Stress fractures of the neck of the femur to our knowledge has not been reported frequently, although its incidence has been noted during the last few years (Bargen, Tilson and Bridgeford 1971). As reported by Blickenstaff and Morris (1966) the first such fracture was reported by Blecher in 1905 and upto 1964 only 38 cases of stress fracture of the femoral neck had been reported. More common in army recruits, it can occur among adolescents and young athletes in good physical condition who have been undergoing recent unaccustomed intensive physical training. Stress fractures of the neck of the femur though un-common but not rare, deserve special mention due to greater difficulties in diagnosis and potential danger of disasterous sequelae. In absence of obvious trauma, radiographs may not be taken or it may fail to show the lesion. It is therefore, of utmost importance that the possibility of such a fracture as well as its signs and symptoms be recognized especially in military service. The present study was initiated at military Hospital, KIRKEE after detecting 3 such cases in young individuals. The purpose of reporting these cases is to call attention to the importance of an early diagnosis of such a fracture so that displacement which may lead to prolonged incapacitation or to the necessity for surgical intervention, may be prevented.
[ABSTRACT]   Full text not available  [PDF]
  426 26 -
Secondary Chondrosarcoma In A Case Of Multiple Exostoses
P Rangachari, S. V Adinarayana Rao, G Venkatarathnam, C. R. R. M Reddy
April-June 1974, 8(1):56-59
Secondary chondrosarcoma is uncommon when compared to its primary type. Secondary chondrosarcoma or peripheral chondrosarcoma can arise from solitary osteocartilaginous exostosis or from hereditary multiple exostoses. Solitary exostosis giving rise to a chondrosarcoma is very uncommon. But 25 per cent of cases of hereditary multiple exostoses can develop a chondrosarcoma (Jaffe 1958). A chondrosarcoma arising from humerus in a person having multiple exostoses is recorded below.
[ABSTRACT]   Full text not available  [PDF]
  407 37 -
Periosteal Lipoma Of Bone
Ranbir Singh, D. S Grewal, V. P Bansal
April-June 1974, 8(1):60-62
Though there is abundant fat in bone narrow but very few lipomas involving the bone are described, perhaps less than 10 are reported in the world literature. Bartlett (1930) reported 2 cases of sub-periosteal lipoma, one arising from the humerus and the other from the tibia. Lewis (1939), Dickson (1951) and Child (1955) reported one case each involving ulna, tibia and os-calcis respectively. The case described here is an unusual type of periosteal lipoma arising from femur.
[ABSTRACT]   Full text not available  [PDF]
  412 16 -
Changing Bacterial Pattern In Orthopaedic Infections
A. N Bhattacharya, U Gupta
April-June 1974, 8(1):34-38
Bacterial infections are common in orthopaedic practice. A changing aetiological pattern of infections and the antibiotic susceptibility of bacteria has been reported due to widespread use of antibiotics and other factors (Rogers 1959). Sufficient stress has not been given to the role of anaerobic bacteria in orthopaedic infection. The present study was undertaken to find out the bacterial aetiology (both aerobic and anaerobic) in 150 consecutive cases with infections treated in the orthopaedic department of the willingdon Hospital, New Delhi.
[ABSTRACT]   Full text not available  [PDF]
  388 34 -
Comparison Of The Behaviour Of Bone Graft In Normal Limbs And In Limbs with Muscle Action Eliminated An Experimental Study
B Mukhopadhaya, K. M Pathi
April-June 1974, 8(1):77-81
The source and mechanism of new bone formation whenever two living bones come in contact was first investigated by Haller and Duhemel in the eighteenth century. It is now well known that all the elements of autograft and homograft died irrespective of whether they were transplanted with or without periosteum and the dead bone was gradually replaced and regenerated through osteoblasts from neighbouring living bone (creeping substitution). James Syme (1840) experimenting in Dogs concluded that periosteum was osteogenic in nature. Phemister (1930, 1947 suggested that osteogenesis in bone repair occurred mostly from inner layer of periosteum and from endosteum, and to a much lesser degree from bone cells lining the haversian system. Though a large volume of work has been done on the role of periosteum, and the fate of a graft, but there is very little information about the role which muscle action may play in relation to bone grafts and their incorporation. The present work was designed to investigate what role muscle action may have on bone-grafts.
[ABSTRACT]   Full text not available  [PDF]
  385 12 -
Osteomalacia-A Clinico-Pathological Study
T. P Srivastava, B Dube, A. C Mullick
April-June 1974, 8(1):68-76
The presence of excess of osteoid in osteomalacia was first described by Pommer in 1885. Since the differentiation between the mineralized and unmineralised bone could be best made out in undecalcified sections which were technically difficult to prepare, not much work could be done on this aspect of the disease till recent years. The development of newer techniques of preparing undecalcified bone sections (Duthie 1954, Woodruff and Norris 1956, Kropp 1956, Kelly, Peterson and Janes 1957, Frost 1958) and of special stains for demonstration of ostecid (meyer 1956, Frost 1959, Sissons and Aga 1970) have enabled workers to undertake detailed histological study of the disease. The use of polarized light microscopy (Meyer 1956, Byers 1962, Frost 1962, Wood, Morgan, Peterson and Grossman 1968) and tetracycline labeling techniques (Muzzi 1960, Frost and Villaneuva 1960, Frost 1962) have provided additional tools for histological study of this disease. We have studied 31 cases of osteomalacia by light microscopy of undecalcified sections. Polarised light microscopic studies also have been done in some cases.
[ABSTRACT]   Full text not available  [PDF]
  365 20 -
Ketamine In Orthopaedic Surgery
J. S Makhani
April-June 1974, 8(1):63-67
Research and experiments with anesthetic drugs have led to the discovery of Ketamine Hydrochloride which is capable of producing a stage of unconsciousness called “discovery anesthesia” (Domino et al 1965, Chen et al 1966, Corssen et al 1966, Bree et al 1967, Dowdy and Kaya 1968). Because of its ultra-fast and short action (Corssen and Oget 1971), Ketamine is of great interest to the Orthopaedic Surgeon. In this paper experience with ketamine in Orthopaedic Surgery is described.
[ABSTRACT]   Full text not available  [PDF]
  353 16 -
Biomechanics of Control Of Spinal Posture
Robert Roaf
April-June 1974, 8(1):11-26
Full text not available  [PDF]
  216 17 -
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