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   1987| January-March  | Volume 21 | Issue 1  
    Online since March 27, 2010

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S. P. Nailing With Disconnection Osteotomy And Femoral Condylar Traction In Intracapsular Fracture Of The Neck Of Femur
V Marwah
January-March 1987, 21(1):41-43
A simple and economical method of treatment of fracture of neck of femur in adults is presented in 27 cases of sub-capital and transcervical fractures. The chief objective was deloading the fixed neck and head from the weight and strain of the lower extremity, keeping the limb in wide abduction with traction or short hip spica (with the knee free). The advantages of this method of treatment have been discussed. The results are reassuring.
[ABSTRACT]   Full text not available  [PDF]
  788 17 -
Electrodiagnosis In Carpal Tunnel Syndrome
Anil K Mehtani, P. S Maini, B. K Maini, S. K Moda
January-March 1987, 21(1):32-37
Electrodiagnostic examination was conducted in 65 clinically diagnosed cases of carpal tunnel syndrome, subjecting them to motor and antidromic sensory nerve conduction study of the median nerve and also needle electromyography of the thenar muscles. The parameters especially studied and evaluated were distal motor latency (D.M.L), distal sensory latency (D.S.L.) and the character of evoked potential. These studies had a diagnostic accuracy of 98.27 percent. Of all the parameters D.S.L. was the most sensitive (95%) parameter and its prolongation was the earliest change to appear in carpal tunnel syndrome.
[ABSTRACT]   Full text not available  [PDF]
  489 31 -
Giant Cell Tumour Of Sternum-A Case Report
P. V Vijayaraghvan, S Bagchi, N. C Sarker
January-March 1987, 21(1):29-31
A case of giant cell tumour of sternum is being reported to emphasize the rarity of the site of affliction and the very rapid malignant biological behaviour.
[ABSTRACT]   Full text not available  [PDF]
  401 18 -
Measurement Of Lumbar Spinal Canal-A Modified Technique
R. C Gupta, Bhaskar Varma
January-March 1987, 21(1):53-56
Lumber canal has been measured by various methods but none has been found very satisfactory. We have measured the canal to body ratio by finding out the area (rather than cross section) of the vertebral bodies and spinal canal as seen on epidurogram by planometer (a civil engineering instrument to find out area of irregular figures in the maps) in A.P. and lateral view. Twentytwo patients were studied, 17 of them had normal lumber canal, 3 had prolapsed intervertebral disc and 2 had lumber canal stenosis. The areas of the spinal canal in lumber region were measured in antero-posterior and lateral views at each vertebral level by planometer and their sums were compared to the sums of the corresponding areas of the vertebral bodies at the same level. Normal range of body to canal ratio was found to be 1:1.5 to 1:3.9 and was comparable with other Indian figures.
[ABSTRACT]   Full text not available  [PDF]
  373 25 -
Gluteus Maximus Contracture
D. A Patel, B. J Patel
January-March 1987, 21(1):57-60
Five cases of gluteus maximus contracture are reported. Out of these 5 cases, 3 had a history of multiple injections while 2 cases had fibromatosis, a locally recurring condition, as the etiological factor. Excision of the fibrotic mass gave excellent results in 2 out of 4 cases operated.
[ABSTRACT]   Full text not available  [PDF]
  378 19 -
Mycetoma Of The Same Foot Caused By Madurella Mycetomii And Streptomyces Somaliensis-A Case Report
S. S Sankhala, J. C Sharma, M. C. R Vyas, M. C Mehta
January-March 1987, 21(1):94-96
A 45 year old female with mycetoma of foot, involved by 2 different aetiologic agents as Madurella mycetomii (black grain mycetoma) and Streptomyces-somaliensis (yellow grain mycetoma) from plantar and dorsal aspect of the same foot respectively is presented.
[ABSTRACT]   Full text not available  [PDF]
  367 19 -
Electromagnetic Treatment Of Delayed Union And Nonunion Of Diaphyseal Fractures
K. P Srivastava, V. G Das, A. K Gupta, N Prasad, Anuj Kumar
January-March 1987, 21(1):48-52
Thirtyfive cases of diaphyseal fractures of tibia with delayed union and nonunion were treated by pulsing electromagnetic field (P.E.M.F.). In 18 cases bone grafting was also done. Average duration of stimulation was 10 hours a day for 16 weeks. Average time taken for union was 14 weeks in cases without bone grafting and 13 weeks in cases with bone grafting. Four patients had failure of union mainly because of non-cooperation of patient. Twentytwo cases were having infected or open fractures out of which 19 united.
[ABSTRACT]   Full text not available  [PDF]
  335 30 -
Giant Cell Tumour Of Bone-A Clinico-Pathological Study
R Bhalla, J Thomas, Sunita Bhalla
January-March 1987, 21(1):10-17
Twenty-five cases of giant-cell tumour of bone were graded histologically into grade I-10, grade II-8, and grade III-7. Patients were treated by curettage and autologous bone grafting (6), resection with or without reconstruction (7), amputation (10), and by radiation therapy preceded by curettage (dorsal spine-one, sacrum-one). Only one case of grade II from the phalanx showed local recurrence and pulmonary metastases. For small tumours without unfavourable features curettage and bone grafting gave good results with retention of joint function. For tumours of grade II resection should be right choice. For grade III tumours and any grade with complications like fungation, extensive size and pathological fracture amputation should be considered. Radiation was used only for non-accessible sites (axial skeleton).
[ABSTRACT]   Full text not available  [PDF]
  336 26 -
Arthrodesis Of Shoulder Using Modified Adams' Technique
P. T Rao, S. K Jena, K. M Mishra
January-March 1987, 21(1):61-63
Seven cases of flail shoulders resulting from either poliomyelitis (4) or brachial plexus injury (3) and one case of painful shoulder resulting from pyogenic arthritis were subjected to arthrodesis of the glenohumeral joint by modified Adam’s technique (Adams 1976). In all the patients except one osseous arthrodesis was achieved on an average in 13 weeks. All the 7 patients had good to fair scapulothoracic motion at the shoulder and were able to perform activities of daily living satisfactorily.
[ABSTRACT]   Full text not available  [PDF]
  343 14 -
Giant-Cell Tumour Of Bone (A Follow-Up Study Of 32 Cases)
R. L Mittal, S Gupta, Raj Kumar, H. S Bakshi
January-March 1987, 21(1):1-9
From 1971 to 1984, 32 patients of giant-cell tumour of bone were treated in Rajendra Hospital, Patiala. There were 17 males and 15 females, their ages ranging from 15 to 72 years, with an average of 31 years. The majority (53%) belonged to third and fourth decades. Most of the tumours were located in the epiphyseal regions of long bones with lower end of the radius as the commonest site. Sixteen tumours were typical (grade I), 14 aggressive (grade II) and 2 malignant (grade III). The histopathologic grading proved to be of significance as regards the mode of treatment and the prognosis of the tumour. Various forms of treatment included curettage, en-bloc resection, radiation and amputation. Resection yielded the best results. Curettage should be done is cases who refuse radical surgery, after explaining the risks. Radiation therapy should be reserved for surgically inaccessible tumours and amputation for neglected tumours or multiple lesions in the same limb.
[ABSTRACT]   Full text not available  [PDF]
  309 43 -
Idiopathic Chondrolysis Of The Hip
M. V Daniel, R. J Korula
January-March 1987, 21(1):38-40
Ten patients with idiopathic chondrolysis in 11 hips are reported. Nine of these were young adolescent females and had characteristic deformities, ultimately leading to fibrous ankylosis. The pathological process mainly consisted of a chronic synovitis.
[ABSTRACT]   Full text not available  [PDF]
  329 22 -
Allogenic Transplantation Of The Upper End Of The Tibia-An Experimental Study
G. K Vishwakarma, Prakash Nagrani
January-March 1987, 21(1):68-75
Allogenic transplantation of the upper end of the tibia was carried out in 12 dogs. The grafts were preserved at-70 degree C for 24 hours and later stored at-30 degree C till the time of usage. Fixation to the host bone was by means of 2 screws. Serial roentgenographic and histopathological studies revealed resorption, accretion and ultimate incorporation of the transplanted graft into the host tissues by 6 months. No case of graft rejection was observed. Some animals showed cartilage formation at the host-graft interface, which was explained to be consequent on the detrimental biomechanical stresses prevailing on the transplanted unit. The results indicate the suitability of transplanting such grafts in clinical practice, where bone loss due to trauma, infection or neoplasms is a common but difficult problem to manage.
[ABSTRACT]   Full text not available  [PDF]
  333 12 -
Chromosomal Analysis In Osteosarcoma
V. P Bansal, Vinod Singhal, S. M Handa, Kanta Godara
January-March 1987, 21(1):82-86
Chromosomal analysis of the osteosarcomatous tissue of 6 patients was carried out. Constant chromosomal aberrations in the form of heteroploidy and deranged morphology were observed. These observations might have some bearing on the natural course of the disease in a patient of osteosarcoma.
[ABSTRACT]   Full text not available  [PDF]
  322 16 -
Congenital Pseudarthrosis Of Both Bones Of Forearm And Neurofibromatosis In A Fluorotic Patient-A Case Report
A Biyani, A. K Abburi, S Baveja, J. C Sharma
January-March 1987, 21(1):91-93
A rare case having congenital pseudarthrosis of both bones of forearm and neurofibromatosis with fluorosis and consequent neurological symptoms is reported.
[ABSTRACT]   Full text not available  [PDF]
  307 16 -
Extra-Articular Arthrodesis Of Sub Talar Joint
C. L Piplani, D Ganguly
January-March 1987, 21(1):64-67
Eight patients suffering subtalar arthritis mainly as a result of fracture calcaneum, were treated by Thomas’ extra-articular subtalar arthrodesis. The technique consisted of inserting a snugly fitting, full thickness bone graft from the iliac crest into a previously prepared tunnel in the sinus tarsi, augmented by cancellous bone chips. During a course of follow-up of 6 months to 2.5 years, the results were excellent.
[ABSTRACT]   Full text not available  [PDF]
  305 15 -
Results Of Resection And Turn-Grafting In The Treatment Of Giant Cell Tumours Around The Knee
R. C Mohanti
January-March 1987, 21(1):18-21
Twenty patients with giant-cell-tumours around the knee treated with resection and turn grafting were followed for 2 to 10 years. There was no recurrences in 18 patients. Two recurred at 10 months. Graft united by 6 months and patients were walking without aid by 8 months. One patient developed fracture of the donor bone during operation. There patients had infection which was controllable.
[ABSTRACT]   Full text not available  [PDF]
  305 15 -
Multicentric Giant Cell Tumour Of Bone-A Case Report
S. C Gaur, O. P Vishwakarma, B Varma
January-March 1987, 21(1):22-24
A patient with primary multicentric giant cell tumour of bone was followed for 2 years from the time of original diagnosis. Histological features were typical for giant cell tumour. Lesions were treated by amputation.
[ABSTRACT]   Full text not available  [PDF]
  288 18 -
A Leather Laminated Wood Patellar Tendon Bearing Socket For The Below Knee Prosthesis
D. M Amerasinghe, D. G. C Jayasuriya
January-March 1987, 21(1):76-81
The prosthetic usage pattern of 37 amputees, 34 of whom were from a rural environment, with an option of using either a non-cosmetic, purely functional temporary prosthesis (TP) or an artificial limb, was studied. Sixty percent of the amputees used the more costly cosmetic artificial limb (AL) only on social occasions, while the AL was used at work only if the rural amputee did a sedentary job. Ninety per cent did not use an AL when in the environment of the home.
[ABSTRACT]   Full text not available  [PDF]
  294 12 -
Treatment Of Diaphyseal Fractures Of Long Bones By Closed Intramedullary Nailing
S Rastogi, H Chandra, S Nand, Satyanand, S Jain
January-March 1987, 21(1):44-47
Thirty fresh diaphyseal fractures (femur 17, humerus 10, tibia 3) in 29 patients were treated by closed intramedullary nailing; 10 cases were done under image intensifier control and 20 without it. Age of the patients varied from 16 to 63 years (average 34.2 years). Out of the 30 cases 23 ended as successful closed nailing. In 7 cases of failed closed nailing, open intramedullary nailing was performed at the same time. Closed nailing was successful in 9 cases of humerus, 11 cases of femur and all the cases of tibia. The results were uniformly good, because patients had few complications, lesser period of hospitalization, rapid stabilization and early return of function.
[ABSTRACT]   Full text not available  [PDF]
  279 22 -
Multicentric Giant Cell Tumour Of Bone-A Case Report
R. L Mittal, R Bhalla, Raj Kumar, Patiala
January-March 1987, 21(1):25-28
Multicentric giant cell tumour of bone is a very rare entity. A case with lesion at 5 sites is presented.
[ABSTRACT]   Full text not available  [PDF]
  273 19 -
Cleido-Cranial Dysostosis-Case Report
S Bhan, V Mehrotra
January-March 1987, 21(1):87-90
Two cases of cleido cranial dysostosis in siblings having long bone abnormality in addition are being reported.
[ABSTRACT]   Full text not available  [PDF]
  274 11 -
Presidential Address
January-March 1987, 21(1):97-102
Full text not available  [PDF]
  174 15 -
Book Reviews
S. C Goel
January-March 1987, 21(1):103-106
Full text not available  [PDF]
  156 9 -
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