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   1987| July-September  | Volume 21 | Issue 2  
    Online since March 27, 2010

 
 
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French Osteotomy For Correction Of Cubitus Varus Deformity
M. P Borate, K. H Sancheti
July-September 1987, 21(2):133-137
A modification of the French osteotomy to correct the cubitus varus deformity in 15 patients is presented with excellent results. The modified French technique was found to be simple, safe and accurate method of correcting cubitus varus deformity in children.
[ABSTRACT]   Full text not available  [PDF]
  2,828 434 -
Surgical Correction Of Malunited Monteggia Fractures In Children
S. Y Bhojraj, R. S Dhir
July-September 1987, 21(2):138-144
Eight cases of malunited Monteggia fracture dislocation in children were seen during 6 years, treated by open reduction of the radial head and its stabilization using a transarticular ‘K’ wire fixation to the capitulum. An ulnar osteotomy to undo its malalignment was found to be mandatory and was routinely performed at the same sitting as an adjunct to the open reduction. The overall end result was found to be very encouraging. Elbow in 7 children became almost normal. However, the deformity recurred in the only case whose radial head was not fixed internally. The reconstruction of the annular ligament was considered to be unnecessary for the long term stability of the radial head.
[ABSTRACT]   Full text not available  [PDF]
  409 52 -
Calcaneo-Fibular Abutment In Fractures Of Calcaneum
R Bhalla
July-September 1987, 21(2):167-170
Severe intra-articular fractures of calcaneum result in broadening of the body of calcaneum leading either to calcaneo-fibular abutment, or narrow the gap between the tip of lateral malleolus and calcaneum producing compression of the peroneal tendons. One case of abutment and 5 of narrowed gap producing compression of peroneal tendons were having pain postero-inferior to the lateral malleolus along the peroneal tendons. They were treated successfully by excision of the non-articular portion of fibula.
[ABSTRACT]   Full text not available  [PDF]
  368 27 -
Role Of Epidural Hydrocortisone And Lignocaine in Low Backache
R. C Gupta, B Varma, S. P Singh
July-September 1987, 21(2):178-182
Sixty eight cases of low backache not responding to the treatment of bed rest, traction and analgesics were subjected to epidural injection and were studied in 4 different groups. Patients in Group C (40) receiving hydrocortisone acetate (5 ml), 2 per cent xylocaine (10-20 ml) alongwith contrast medium (30-40 ml) showed good results with relief of pain for more than 6 weeks in 80 per cent cases. The group which received hydrocortisone acetate and xylocaine (8 patients) without the contrast medium showed 50 per cent good results. The other 2 groups receiving only contrast medium for diagnostic purposes (10) and contrast medium with local anaesthetic agent (10) showed only temporary effect by relieving pain for less than one week in majority of the cases.
[ABSTRACT]   Full text not available  [PDF]
  353 33 -
Lesser Trochanter Osteotomy For Arthritis Of The Hip
David L Grace
July-September 1987, 21(2):127-132
Seventy-four hips with degenerative (64) or inflammatory arthritis (10) were treated by osteotomy of the lesser trochanter and were reviewed at an average of 9 years after surgery. Following an initial period of pain relief, pain later returned in the majority of hips, necessitating further surgery in 53 per cent. The overall long term results were disappointing, and classed as good in 32 per cent, fair in 26 per cent and poor in 42 per cent. Despite its simplicity and low complication rate, the high number of unsatisfactory results does not justify its routine used in the management of hip pain due to arthritis.
[ABSTRACT]   Full text not available  [PDF]
  352 12 -
Evaluation Of Early Surgery In Pott's Paraplegia
S Sharma, P Bahadur, K. K Srivastava
July-September 1987, 21(2):117-126
A study of 101 cases of tuberculosis of spine treated by early surgical intervention is presented. These included 92 patients who had neurological deficit which manifested mainly in the form of paraplegia and quadriplegia. Among the various causes of compression, abscess and granulation tissue were found to be significantly responsible in 81 (80.2%) cases. Early surgery after an initial course of chemotherapy for 2 weeks was found to be ideal and well rewarding in the sense that it not only enhanced the neurological recovery but resulted in faster and better healing of the disease.
[ABSTRACT]   Full text not available  [PDF]
  324 34 -
Desmoplastic Fibroma Of Femur
N. D Awasthi, Rajeev Aggarwal, L. H Lobo, S. D Khanna
July-September 1987, 21(2):195-197
Desmoplastic fibroma of bone is a rare tumour. One such case with a pathological fracture successfully treated with curettage and bone grafting is reported.
[ABSTRACT]   Full text not available  [PDF]
  328 15 -
Stress Fractures In Trained Soldiers
B Das, K. K Goel
July-September 1987, 21(2):162-166
Stress fractures in young military recruits is a well known entity and has been widely studied. This study of stress fractures was in trained soldiers i.e. soldiers with minimum 2 years of vigorous physical conditioning and military training. It was conducted at Gwalior between 1982 and 1984 and total of 28 cases of stress fractures at different sites in various bones were encountered in a population of approximately 10,000 personnel (0.28 per cent). Cross country runs and athletics were responsible for maximum number of stress fractures (78.6%). Individuals running with thin sole shoes or ammunition boots were more susceptible. Incidence of various bones involved were tibia 71.42 per cent, fibula 14.26 per cent, metatarsals 7.16 per cent, navicular 3.58 per cent and capitate 3.58 per cent. Pain, local tenderness and bony thickening in an otherwise healthy, young individual undergoing strenuous, repetitive activity, without any history of direct or indirect trauma, forms a clinical triad in stress fracture. Earliest radiological finding in majority of cases was periosteal reaction. Biochemical investigations were normal.
[ABSTRACT]   Full text not available  [PDF]
  303 32 -
Treatment Of Fresh Open Fractures Of Tibia With Direct Current Stimulation
Y Mohindra, R Nath, V. S Chauhan
July-September 1987, 21(2):157-161
A study of 36 cases of open and fresh diaphyseal fractures of tibia in young adults treated by an indigenous DC stimulator is presented. Eighty three per cent of patients had sustained either an automobile or an agricultural accident and none of them presented immediately after the injury. Forty two per cent of patients presented between 6 to 12 hours and 58 per cent between 12 to 24 hours of injury. It was observed that the increase in current strength did not alter the rate of fracture union. There was only a marginal improvement in the rate of union following electric stimulation as compare to the treatment by a PTB cast alone. The complications were only minor. In view of the marginal gains, it was not recommended for fresh fracture.
[ABSTRACT]   Full text not available  [PDF]
  319 11 -
Desmoplastic Fibroma Of Tibia
Sanjai Rastogi, Asha Agarwal
July-September 1987, 21(2):192-194
A case of desmoplastic fibroma of tibia in an 18 years old boy is reported.
[ABSTRACT]   Full text not available  [PDF]
  307 19 -
Osteochondritis Of The Radial Head
P. S Maini, P Chawla
July-September 1987, 21(2):202-204
A case of unilateral juvenile osteochondritis of the left radial head in a 9 years old boy is presented.
[ABSTRACT]   Full text not available  [PDF]
  311 14 -
Role Of Decalcified, Formalin Preserved Homologous Bone Grafts In Large Osteoperiosteal Gaps In Rabbits
S. V Sharma, Upendra Prasad, S Khanna
July-September 1987, 21(2):171-177
Role of decalcified (0.6 N HC1) homo-grafts preserved in 0.5 per cent formalin at room temperature in bridging large osteoperiosteal gaps in the rabbit’s ulna is presented. The successful results with clinical, radiological and histological evidence of neo-osteogenesis across the host graft junction and reincorporation of the graft was seen in 28.57 per cent of animals only. However, partial success with histological evidence of neo-osteogenesis and reincorporation of the graft with or without clinico-radiological evidence of neo-osteogenesis of one of the host graft junction was seen in 64.28 per cent of animals, 7.14 per cent of animals were considered failures. Further studies to improve the osteogenic potential of this material are warranted.
[ABSTRACT]   Full text not available  [PDF]
  302 14 -
Treatment Of Tibial Fractures By Intermittent Compression
S. K Gupta, P Chatterjee
July-September 1987, 21(2):150-156
Fortyseven diaphyseal or diaphyseal-metaphyseal tibial fractures in 46 patients were treated by application of long leg groin to toes plaster for 6 weeks, followed by application of plaster gaiter keeping both the knee and ankle joints free for movements. The gaiter was renewed, if necessary, at 6 weekly intervals till union occurred. The treatment was not suitable if there was excessive gap, overriding or rotational deformity of the fragments and angulation at the knee or ankle joints. Treatment was discontinued in delayed union of tibial fracture only if the fibula was intact. The results were excellent in 40 patients (87%) who were treated as fresh cases. The remaining 6 patients (13%) had either prolonged treatment elsewhere or undergone operative treatment. All of them though had less than normal movements at the knee and distal joints, were satisfied with the functional result achieved.
[ABSTRACT]   Full text not available  [PDF]
  281 20 -
Intramedullary Nailing And Bone Grafting In The Treatment Of Delayed Union Of The Humerus
N. D Aggarwal, Man Mohar Singh, Naresh Kumar, Aggarwal Rajeev
July-September 1987, 21(2):145-149
Forty cases of delayed union of the humeral shaft were treated with intramedullary nailing and bone grafting. Good union was obtained in all but with minor limitation of shoulder and elbow movement. It was felt that in obtaining union and excellent bone grafting technique has an important part to play.
[ABSTRACT]   Full text not available  [PDF]
  278 14 -
Haemangioma Of Bone
V. M Soodan, F Fekrat, D Khadivar
July-September 1987, 21(2):198-201
An unusual case of haemangioma arising from the tarsal bones and extending into tibia is presented.
[ABSTRACT]   Full text not available  [PDF]
  278 13 -
Fibular Dimelia
R. L Mittal, S. P Thapar, Gurdeep Singh
July-September 1987, 21(2):187-191
The congenital fibular dimelia with duplicated feet is an extremely rare condition with only 7 cases reported in the literature so far and none in the Indian literature. The manner, in which patient walked was fascinating. There appeared to be a tendency towards ulnar dimelia in this case. An embryological explanation is being given for the anomaly. However, the exact mechanism remains obscure.
[ABSTRACT]   Full text not available  [PDF]
  267 20 -
Traumatic Extrusion Of Distal Half Of Humerus Successfully Replaced
S. S Yadav, Ajay Gupta
July-September 1987, 21(2):183-186
A case of traumatic extrusion of the lower half of humerus with successful replacement is being reported.
[ABSTRACT]   Full text not available  [PDF]
  272 12 -
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