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  Citation statistics : Table of Contents
   1978| April-June  | Volume 12 | Issue 1  
    Online since March 27, 2010

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Cystic Skeletal Tuberculosis
S. V Sharma
April-June 1978, 12(1):65-70
Skeletal tuberculosis still occupies the forefront of the orthopaedic diseases in India and other developing countries of the world. Description of tuberculous lesions of bones and joints including their unusual mode of presentation are mentioned in the literature adequately (Tuli and Sinha 1969). However, localized cystic of skeletal tuberculosis have been described rather sparingly. Seven unusual cases of localized cystic tuberculosis of bone were amongst a large number of patients with skeletal tuberculosis which forms the basis of the paper.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  8 299 22
Thorn And Wooden Splinter Induced “Osteomyelitis-Like Lesions” Of Bone And Soft Tissues
S. K Moda, P. S Maini
April-June 1978, 12(1):57-61
Many articles can be found in the recent literature on reaction of bone to metal; but a review of literature of the last 50 years, yields very little reference to bone reaction to organic foreign material. Most organic foreign materials when embedded in or near bone, do not evoke a sufficient response in the neighbouring osseous structures to be recognized radiologically (Bunnell 1956, Gerle 1971). However, some plant thorns, twigs or wooden splinters, when present in or near a bone, can produce a pathological reaction, which may at times resemble a bone tumour roentgenographically. This pathological response may be either osteolytic or in the form of a periosteal reaction or a combination of these. Osteolytic changes are cystic in character with often smooth and sclerotic margins. We recently came across 3 such cases.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 305 14
Benign Chondroblastoma Of Shaft Of Radius
N. D Aggrwal, S. D Khanna, R Bhalla
April-June 1978, 12(1):91-96
Jaffe and Liechtenstein in 1942 introduced the term “benign chondroblastoma”, although this tumour had been described earlier as calcifying giant cell tumour by Ewing (1923) and epiphyseal giant cell tumour by Codman (1931). Recognition of benign chondroblastoma is important because this is at times over diagnosed as chondrosarcoma (Phemister 1930) or as osteosarcoma (King 1931). We are presenting a case report of a benign chondroblastoma which arose from the diaphysis of the radius (a rare site) following fracture of both the forearm bones. Excision of the affected area of the radius and grafting the gap with fibula was successful.
[ABSTRACT]   Full text not available  [PDF] [CITATIONS]
  1 330 23
Giant Occipital Haemangioma-A Case Report
K. V Chalapati Rao, B Subba Rao, B Sundareshwar, C. R. R. M Reddy
April-June 1978, 12(1):97-102
Haemangiomata of the occipital bone are less common than those of the calvarium. They are much less common than the other axial haemangiomata and the least common of the haemangiomata of the skeleton. (Roy et al.1973, Wyke 19749). Common carotid and selective internal and external carotid angiographies for this lesion were done by many (Attallah and Nassar 1970, Davis et al. 1966, Sargent et al. 1965, Simmons and Wolpert 1969), but dural venous sinographies of this lesion were not found in the neurosurgical literature. Recently we studied a case of occipital haemangioma by carotid angiography, superior longitudinal sinus and left lateral sinus venographies and the same is reported here.
[ABSTRACT]   Full text not available  [PDF]
  - 315 9
Foreign Body Induced “Osteomyelitis Like Lesion” Of Bone
N. K Agrawal, R. P Patnaik
April-June 1978, 12(1):62-64
Foreign body when induced into the limbs produce reactionary changes in the soft tissues and adjacent bone. The changes in the bone may be osteoblastic, osteolytic or only a reactive periostitis. Such lesions may simulate, osteomyelitis or bone tumour. Irritation from the foreign body added with secondary infection gives rise to these changes.
[ABSTRACT]   Full text not available  [PDF]
  - 258 23
Maternal Obstetrical Paralysis
Thomas S Xavier, Agnes Rayal, K Kuthalingam
April-June 1978, 12(1):71-75
Full text not available  [PDF]
  - 191 15
Role Of Haem In Experimental Production Of Pigmented Villonodular Synovitis In Rhesus Monkeys
V. P Bansal, I. S Gujral, R. N Chakravarti, O. N Nagi
April-June 1978, 12(1):76-80
Pigmented villonodular synovitis is clinical entity introduced by Jaffe, Lichenstein and Sutro (1942). In its typical from the synovial membrane shows brownish pigmentation and is covered by villi and coarse nodular outgrowths. The villi and nodules are most numerous in the recesses of the joint, but may most of the synovial surface. The exact etiology of pigmented villonodular synovitis is not known. Jaffe et al. (1941) designated it an inflammatory lesion although no specific agent could be determined. Repeated haemorrhages into the joint due to trauma have also been ostulated as a possible etiological factor (Young and Hudacek 1954). Singh et al. (1969) from this institute produced typical villonodular synovitis experimentally in monkeys following injection of iron-dextrin and autogenous blood into the joints. The pre cent study was conducted in rhesus monkeys to elucidate which particular component of blood is responsible for producing such lesions, thus iron containing component of haemosideria i.e. haem was injected into the knee and ankle joints of these animals.
[ABSTRACT]   Full text not available  [PDF]
  - 276 16
Ultra Structure Of Bone In A Case Of Paget’s Disease
A. K Gupta, S. C Gaur, R. K Shukla
April-June 1978, 12(1):81-86
Schmorl (1932) studied the main histological feature of Paget’s disease and noticed simultaneous irregular resorption and regeneration of bone, cellular fibrosis, and increased vascularity of bone marrow. Snapper (1957) and Collins (1956) also reported similar findings. Observations made with the help of electron-microscopy, microradiography and histology in one case of Paget’s disease are reported here.
[ABSTRACT]   Full text not available  [PDF]
  - 279 14
Desmoplastic Fibroma Of Radius-A Case Report
Y Mohindra, A. S Mathur, V. K Pratap
April-June 1978, 12(1):87-90
Jaffe (1958) described 5 cases of a benign bone tumour in long bones presenting clinically with only mild pain, casting radiologically soap bubble appearance, and having histological resemblance to desmoid tumours of abdominal wall. He levelled these intra-osseous fibrous tumours as desmoplastic fibroma of bone. A review of literature up to 1968 by Rabhan and Rosoi, revealed 25 cases reported. Since then only a few more reports have been published. Sugiura (1976) is credited not only for reporting one case of his own and reviewing the world literature but also, for discussing the behaviour and treatment of these tumours. One case of desmoplsatic fibroma of bone seen by us in December,1976, is presented as the first case reported. From India.
[ABSTRACT]   Full text not available  [PDF]
  - 314 17
Assessment Of The Results Of Milch- Batchelor Osteotomy
M. M Desai, R. N Naik
April-June 1978, 12(1):1-16
The Indian habits of squatting and sitting cross-legged require mobile and preferably painless hip joints. Because of the stiff hip, a person may have to change his way of life which may not be interesting to him thus to an unhappy and miserable life. The total hip joint replacement has revolutionized the surgery of painful and stiff hip conditions in the Western countries, especially for osteoarthritis of hip. However it is very well known that this costly operation is not feasible in all the parts of our country, and for infective conditions of the hip joint. Due to the above reasons it was considered worth-while to report a critical analysis of the results of resection angulation osteotomy as advocated and practised by Milch (1955, 1959, 1962, 1963) and Batchelor (1949). This procedure is of special significance in economically under developed countries of the world where infections of the skeletal system are a common occurrence.
[ABSTRACT]   Full text not available  [PDF]
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Traumatic Rupture Of Pectoralis Major Muscle-A Case Report
V. K Pachnanda, B. K Parihar, Deedar Singh
April-June 1978, 12(1):103-108
Rupture of pectoralis major muscle requiring surgical repair is extremely uncommon. Fifty cases were reported in the literature till 1972, of which only twenty-three cases were proved on operation or autopsy or autopsy (Mcenitire, Hess and Colleman 1972). A case of pectoralis major rupture proved on operation is presented.
[ABSTRACT]   Full text not available  [PDF]
  - 305 20
Traumatic Dislocation Of HIP In Children
R. C Gupta, B. P Shravat
April-June 1978, 12(1):17-24
Traumatic dislocation of hip in children is a relatively rare injury. Mason (1954) reviewing the literature found 88 cases of traumatic dislocation of hip in childhood reported in the period from 1922 to 1954. In developed countries neglected and unreduced hip dislocations presenting weeks or months after the injury are rarely seen and are usually as a result of missing the diagnosis due to associated severe skeletal injuries. However, they can often be seen in developing countries where patients are brought may days later, after reported manipulations and message. Gupta and Chaturvedi (1970) reported 32 cases of traumatic dislocation of hip in children in their 10 years series, out of which 12 cases were brought to hospital after 7 days and one after three and half months.
[ABSTRACT]   Full text not available  [PDF]
  - 322 30
Potentiometric Studies In Delayed Union Of Long Bones Treated By Electrical Stimulation
K. P Srivastava, A. K Saxena, P. K Srivastava
April-June 1978, 12(1):25-32
Full text not available  [PDF]
  - 183 13
Treatment Of Tibial Shaft Fractures By Below-Knee Plaster Immobilisation Using Incorporated Steinman Pins
S. R Trivedi, S. S Patel
April-June 1978, 12(1):33-38
The current trend of thought in the management of fractures generally is in the direction of keeping the joints free, as far as possible, and thus to minimize “the fracture disease”. We have tried to evaluate our experience with a method of treating tibial shaft fractures by a below-knee plaster-cast with a transverse Steinman pin inserted in each fragment and incorporated in the cast, and present here our results in comparison to the conventional above-knee plaster immobilisation.
[ABSTRACT]   Full text not available  [PDF]
  - 366 20
Evaluation Of Results Of Intramedullary Nailing In Fractures Of Femoral Shaft
N. D Aggarwal, B. R Bhandari, B. R Gupta
April-June 1978, 12(1):39-41
The efficacy of intra-medullary mailing has been established by the works of Hampton (1946), Lloyd-Roberts (1950), and Street (1951). Intra-medullary nailing of fractures of femoral shaft ensures proper apposition,, alignment, stable internal fixation and eliminates the need of hip spica immobilisation, and prolonged hospitalisation. However, complication like infection, migration of nail, reaction to metal have been reported. The purpose of this article was particularly to evaluate and report the use of tourniquet surgery, behaviour of trochanteric apophysis in nailed fractures in children and the outcome in nailed pathological fractures.
[ABSTRACT]   Full text not available  [PDF]
  - 283 24
Vertebral Osteotomy For Kyphosis
P. S Saxena
April-June 1978, 12(1):42-49
Wedge osteotomy of spine, a one stage operation was first described by Smith Peterson and his associates (1945) for flexion deformity of spine Marie Strumpell’s arthritis. Since then, a number of reports have been published with some modification in the mode of anesthesia, the position of the patients on the operation table and the operative procedure. La Chapelle (1946) advocated a two stage operation; a wedge osteotomy from posterior approach, followed by a division of the anterior longitudinal ligament through an anterior approach at the second stage. Wilson (1949) mentioned multiple wedge osteotomy. Law (1949) and Adams (1952) preferred to fuse the osteotomy site at the same time. However, a close review of the reports shows that the results of the subsequent workers were not significantly different from those of the original workers. Therefore, in this series, to start with, the procedure described by Smith Petersen, and his associates (1945), was adopted. But, follow up of the first 4 patients revealed that recurrence of the deformity occurred just above the level of osteotomy with on year or so, due to gradual diminution in the angle of correction and flexion of the spine above the osteotomy site. To void this, the spine could be fixed with a stainless steel rod or arthrodesed. Hence, it was decided to perform posterior fusion of the ‘vulnerable spine’ which included the osteotomy site and 4 to 5 vertebrae above it.
[ABSTRACT]   Full text not available  [PDF]
  - 296 14
Bilateral Iliac Osteotomy For Flexion Deformity Of Spine
R. C Gupta, S. V Ramarao
April-June 1978, 12(1):50-53
Severe flexion deformity of spine may produce considerable functional disability. Correction of the deformity by osteotomy of the spine has been associated with severe complications (Goel 1968, Law 1962, Mc Master 1962, Salter 1961, Smith Peterson et al. 1945). In a single case report Wilson and Levine (1969) reported successful correction of the deformity (due to ankylosing spondylitis), by one stage bilateral iliac osteotomy with Harrington instrumentation. We are reporting bilateral pelvic osteotomy procedure in a case of severe flexion deformity of the spine due to ankylosing spondylitis.
[ABSTRACT]   Full text not available  [PDF]
  - 304 18
Spinal Dysraphism-An Unusual Case
W Seetharam, I Dinakar
April-June 1978, 12(1):54-56
Spinabifida occulta covers a wide range of abnormalities in the formation of spinal cord, vertebral column and the overlying soft tissues. The occurrence of bone in the lipoma and tethering of the cord by the lipoma are uncommon. A case where in these two abnormalities were encountered is presented here.
[ABSTRACT]   Full text not available  [PDF]
  - 339 25
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