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   1988| July-September  | Volume 22 | Issue 2  
    Online since March 27, 2010

 
 
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Treatment Of Osteochondritis Dissecans Of The Knee (A Study Of 25 Cases)
Firoz A Khan
July-September 1988, 22(2):111-114
In a study of 25 cases of osteochondritis dissecans of the knee assessed clinically, and radiologically and treated by different modalities, it was observed that it commonly occurred in males (24) and involved the medial femoral condyle in all cases. Operative treatment was considered when the fragment appeared loose, separated or involved the weight bearing surface of the femur. Fixation of the fragment with an AO cancellous screw was considered to yield best results.
[ABSTRACT]   Full text not available  [PDF]
  493 10 -
Pattern Of Muscle Involvement In Lower Limbs In Poliomyelitis
Kush Kumar, N. K Kapahtia
July-September 1988, 22(2):138-143
A study of muscle paralysis in 186 children in 2 to 15 years age group, suffering from post polio residual paralysis of lower limbs is presented. Paralysis was severe in rural than in urban children. Tibialis anterior and tibialis posterior muscle (commonest and severely paralysed muscles) were found to be associated with paralysis of extensors of hip and knee joints. The disease has shown maximum affection of L5 and S1 spinal segments. L5 segments were most commonly involved in complete paralysis of muscles and S1 with paresis of the muscles.
[ABSTRACT]   Full text not available  [PDF]
  436 37 -
Caries Spine In Children
P. R Chari, G. V Reddy
July-September 1988, 22(2):176-180
Twenty six children with tuberculosis of spine, 16 of them with neural deficit were treated by anterior radical excision and inter body bone grafting. All the patient with paraplegia recovered by 5 to 16 months except 2 who were lost to follow up. Non paraplegia patients were mobilized at 5 months. This procedure helped in early cure with bony fusion, quick recovery from spinal cord dysfunction when associated with pressure on the spinal cord and prevented progressive vertebral destruction responsible for kyphotic deformity.
[ABSTRACT]   Full text not available  [PDF]
  335 51 -
Correction Of Cubitus Varus By Supracondylar Valgus-Rotation Osteotomy
P. K Rai
July-September 1988, 22(2):169-171
Twenty cases of cubitus varus following malunited supracondylar fracture with mean varus deviation of 30 degree were treated by closed wedge valgus-rotation supracondylar osteotomy. The osteotomy site was fixed with a staple to hold wedge closed and approximated and by a oblique ‘K’ wire holding the distal humeral fragment rotated externally. The osteotomy healed at an average of 4.5 weeks. The full range of movement at elbow was regained at an average period of 3 weeks. The result was excellent in 13, good in 4 and poor in 3 patients. No major complication was observed. The method was considered useful and advantageous as one could check per operatively the degree of correction achieved. Under or over correction of the deformity is also possible by this method.
[ABSTRACT]   Full text not available  [PDF]
  302 39 -
Recovery Pattern In Acute Poliomyelitis And Its Role In Predicting The Prognosis
S Sharma, G Madhava Nayak, Manoj Kumar, M. N Nair
July-September 1988, 22(2):132-137
A study covering 4057 patients of acute poliomyelitis over a period of seven years is presented. They were evaluated for recovery pattern in paralysed muscles and predicting the prognosis. The study revealed that by the time of third muscle testing i.e. 4 months from onset, most of the recovering muscles regained approximately 60 percent of the total strength that they will ever achieve. The rate of recovery was highest (54.96%) in the second months (i.e. between first and second muscle charts) and progressively lessened. There was no significant recovery after six months. It was further observed that paralytic poliomyelitis most commonly affects the children in the age group of six months to one year. Tibialis anterior (11.3%), quadriceps femoris (11.08%) and tibialis posterior (11.08%) showed the maximum incidence of paralysis in lower limbs. In the upper limb muscles, the initial rate of recovery at the end of 4 weeks was less than that seen in the lower limbs. The most commonly paralysed muscle in upper limb was deltoid and in the hand it was opponens pollicis.
[ABSTRACT]   Full text not available  [PDF]
  322 14 -
Spectrum Of Bone Tumours In Children : A Retrospective Study Of 23 Years
Sushila Khanna, S. M Tuli, T. P Srivastava, S. V Sharma, S. C Goel, S. K Saraf
July-September 1988, 22(2):184-189
A total of 241 paediatric age bone tumours (152 malignant and 89 benign) were registered in the hospital based tumour registry during a period of 23 years. The malignant tumours include Ewing’s sarcoma 76 (51.3%), osteosarcoma 63 (41.5%), undifferentiated sarcoma 10 (6.5%) and chondrosarcoma one (0.7%). In the benign group 37 tumours (41.6%) were of osteoid origin, 22 (24.7%) chondroid, 9 (10.1%) osteochondroid, 20 (22.5%) giant cell lesions and case (1.1%) was of haemangioma. The overall incidence of benign and malignant bone tumours consistently increased with the progression of age. However, individually majority of Ewing’s sarcomas and undifferentiated sarcomas were seen in children upto 10 years of age where as osteosarcomas occurred more frequently in older children. The benign tumours were almost equally distributed in children upto 10 years and more than 10 years of age. Ninety percent of osteosarcomas as compared to only 43.4 percent of Eving’s sarcomas, and 41.3 percent of benign tumours were seen in long tubular bones.
[ABSTRACT]   Full text not available  [PDF]
  278 57 -
Some Observations On Nerve Injuries In Displaced Supracondylar Fractures Of The Humerus In Children
F Ashai, M. K Mam, G. M Wani
July-September 1988, 22(2):144-146
Observations on the neurological complications in 180 cases of displaced supracondylar fractures of the humerus in children are presented, with particular reference to the nerve involved, the nature of the lesion and its course. Eight percent of children with displaced supracondylar fractures had neurological complication and median nerve was found 4 times more vulnerable than the radial nerve. Nerve injuries recovered spontaneously in all the cases.
[ABSTRACT]   Full text not available  [PDF]
  305 27 -
An Unusual Presentation Of Seckel's Syndrome
R. L Mittal, Mandeep Dhillon
July-September 1988, 22(2):198-201
Two cases of Seckel’s syndrome (Bird headed dwarfism) are being reported; they had certain unusual features hitherto unreported in relation with this syndrome. Complete absence of forearm bones was present in one of the cases. Tarsal and carpal coalition and hypoplasia of distal radius are also unusual features. The condition has an autosomal recessive mode of inheritance.
[ABSTRACT]   Full text not available  [PDF]
  314 17 -
Traumatic Floating Clavicle
V. K Pachnanda, Sudesh Sharma, M. N Gupta
July-September 1988, 22(2):205-207
A rare case of traumatic floating clavicle is presented. The possible mechanism of injury and a simple improvised method of treatment is discussed.
[ABSTRACT]   Full text not available  [PDF]
  280 44 -
A Study Of Extensor Tendon Repair Over Dorsum Of Hand, Wrist And Lower Forearm
V. K Pande, A. K Goyal
July-September 1988, 22(2):126-131
Twenty five patients with 78 cut extensor tendons over the dorsum of hand, wrist and lower forearm were treated by primary repair, secondary repair or tendon grafting. The best results in shortest time were obtained in the group treated by primary tendon repair. The main complications noted in the present series were infections, stiffness of metacarpophalangeal joints and adhesions between the repair site and surrounding tissues. Secondary repair of the tendons was carried out successfully when the gap between the cut ends was not more than 5 cm with the wrist in neutral position. Tendon grafting operation had to be done when retraction of the cut ends was more than 7.5 cm.
[ABSTRACT]   Full text not available  [PDF]
  301 22 -
Compartment Pressure Measurement Study In The Leg
R Bhalla, A Dayal, J Thomas
July-September 1988, 22(2):120-125
Compartment pressure measurement was carried out in 46 patients where 49 fractured and 42 normal legs provided the clinical material using needle manometer technique described by Whitesides et al (1975). The average compartment pressure in the non-injured legs was 6.4 mm Hg against 16.8 mm Hg in fractured legs. The patients clinically suspected to have compartment syndrome showed average pressure of 25.1 mm Hg. Two cases had pressures within 30 mm Hg of their diastolic blood pressure, both underwent fasciotomies and subsequently had full recovery. The fractured legs examined between 12 to 24 hours after the fractures showed higher compartmental pressure. The spiral and comminuted fractures produced higher pressure than the oblique and transverse fractures. The displaced fractures also produced higher pressures than the undisplaced fractures. Its measurement could be of immense value in suspected cases of compartment syndrome.
[ABSTRACT]   Full text not available  [PDF]
  291 30 -
Role Of Cancellous Bone Grafting In The Management Of Infected Ununited Fractures Of Long Bones
Vineet Mehrotra, U. S Mishra, Arvind Goel
July-September 1988, 22(2):172-175
Forty three patients with infected ununited diaphyseal fractures of long bones of more than 6 weeks duration were treated with debridement and irrigation with copious saline. Autologous cancellous bone grafting was done in 20 cases and the remaining 23 were treated without it. In the group treated with autologous bone grafting, union occurred in 80 percent cases, whereas in the second group without any bone grafting union occurred in only 47.82 percent cases. The time taken for union was also short with bone grafting. It is concluded therefore, that autologous cancellous bone grafting even in presence of infection for the management of infected ununited fractures gives good result.
[ABSTRACT]   Full text not available  [PDF]
  301 16 -
Intracompartmental Pressure Studies In Acute Compartment Syndromes
Ashwini K Mathur, N. L Jhamaria, Mahesh Udawat, Madhu Mathur, Raghuveer S Bhati
July-September 1988, 22(2):115-119
In 30 patients with acute compartment syndrome the tissue pressure was measured using saline infusion technique of Whitesides (1975). Only those patients recording tissue pressure of 50 mm Hg (critical compartmental pressure) and above were taken for urgent fasciotomy. Remaining patients with tissue pressure below critical compartmental pressure were treated conservatively with good results. Documentation of the elevated compartmental pressure is highly useful especially in uncooperative or unresponsive patients and in patients with a nerve deficit attributable to other causes.
[ABSTRACT]   Full text not available  [PDF]
  286 20 -
Arthroscopic Surgery And The Knee Joint Function
U. C Sharma, S Bhan, J. B Joshi, P. K Dave
July-September 1988, 22(2):97-102
A physiotherapeutic regimen has been devised for use in cases of arthroscopic surgery of knee. This regimen was used in 49 cases of arthroscopy/arthroscopic surgery. While patients with diagnostic arthroscopy/arthroscopic meniscectomies recovered fully within 7 and 12 days respectively. The patients with open partial or total meniscectomies took 3 to 6 weeks to recover knee functions. Thus arthroscopic surgery does not compromise joint function.
[ABSTRACT]   Full text not available  [PDF]
  279 25 -
Arthroscopy Of The Knee
J. C Sharma, R Kalla, S Baveja, P. K Anand
July-September 1988, 22(2):91-96
An attempt has been made to analyse the arthroscopic procedure, its usefulness, its role as diagnostic aid in the various affections of the knee, after performing arthroscopy in 67 cases. Results have been discussed based upon a criteria as laid by Jackson and Abe (1972) with slight modification. Arthroscopy had been found to be useful in 79 percent cases and a clinical accuracy of about 62 percent have been achieved in the present series.
[ABSTRACT]   Full text not available  [PDF]
  275 26 -
Role Of Early Surgery In Congenital Talipes Equinovarus
M. C Gupta, R. P Agarwal, Virendra Singh, A. V Garg
July-September 1988, 22(2):181-183
A study of 55 feet of congenital talipes equinovarus in 45 children below the age of 11 months who were treated surgically without any prior manipulation or plaster cast correction is presented. All the feet were evaluated before and after surgery by clinical grading and radiologically as described by Beatson and Pearson (1966) and the results were evaluated as per the criteria of Main et al (1977). The study showed better correction of feet in grade II and grade III below the age of 6 months.
[ABSTRACT]   Full text not available  [PDF]
  282 19 -
Femoral Neck Fractures
S. K Gupta, V Prakash, G Vijaykumar
July-September 1988, 22(2):147-152
A retrospective analysis of surgical management of 93 consecutive cases of femoral neck fractures with a follow-up ranging between 6 months to 4 years 6 months is reported here. Early cases below 20 years in age were treated by Moore’s/Knowles’ pins or single thin Garden screw; those between 20-40 years with 2 parallel Garden’s screw while those between 40-60 years with Meyer’s operation. Prosthetic replacement was done in those above 60 years or late cases between 40-60 years. The results were very satisfactory in all patients.
[ABSTRACT]   Full text not available  [PDF]
  282 15 -
Cementoma Of Long Bone
Rajeev Aggarwal, N. D Awasthi, L. H Lobo, S. D Khanna
July-September 1988, 22(2):190-192
A rare case of cementoma of long bone is reported with review of literature.
[ABSTRACT]   Full text not available  [PDF]
  275 21 -
Internal Fixation Of Extracapsular Fractures Of The Neck Of Femur
Sudhir G Rao, M. N Shahane
July-September 1988, 22(2):153-158
Thirty four patients of fresh extra capsular fractures of the neck of the femur were treated with Jewett blade plate and an additional cancellous screw proximal to blade plate. Weight bearing was allowed at 1 to 3 weeks. Thirtytwo fractures united within 14 weeks while other 2 expired due to other causes.
[ABSTRACT]   Full text not available  [PDF]
  279 16 -
The Insall Procedure For Anterior Cruciate Insufficiency
Ravi Korula, M. V Daniel
July-September 1988, 22(2):106-110
The Insall intra-articular reconstruction was done in 6 knees with anterior cruciate insufficiency. All the 6 patients were young adult males who failed to respond to physiotherapy and who were disabled. Both subjectively and objectively the results have been very encouraging. The follow-up period ranged from 14 months to 48 months (average 23 months). The procedure has been found to be effective in restoring functional stability to the knee.
[ABSTRACT]   Full text not available  [PDF]
  275 15 -
Chondro-Ectodermal Dysplasia
T. S Gopakumar, T. C Joseph
July-September 1988, 22(2):193-197
A family with 3 members affected by chondroectodermal dysplasia is described. Case 1 had chondro-osseous defects, ectodermal defects, polydactyly but no congenital heart disease. Case 2 had congenital heart disease, polydactyly and nail hypoplasia. Father of these 2 cases had polydactyly, nail hypoplasia but no other components of this syndrome.
[ABSTRACT]   Full text not available  [PDF]
  275 13 -
Bilateral Posterior Subluxation Of Lateral End Of Clavicles
V. P Bansal, Vinod Singhal, S Harmit
July-September 1988, 22(2):202-204
A case of bilateral snapping shoulders caused by posterior subluxation of lateral end of clavicles, possibly due to congenital atrophy (of the lateral end of clavicles) is presented.
[ABSTRACT]   Full text not available  [PDF]
  274 12 -
Diagnosis Of Meniscal Injuries Of Knee
A. S Devnani
July-September 1988, 22(2):103-105
There is some percentage of error in diagnosis of meniscal injuries of knee based solely on clinical assessment. Diagnostic arthroscopy helps to reduce the errors. In this study, 29 cases of suspected meniscus injuries underwent arthroscopy followed by appropriate arthrotomy. The diagnostic accuracy improved from 82 percent to 93 percent after arthroscopy.
[ABSTRACT]   Full text not available  [PDF]
  259 26 -
Ambulatory Treatment Of Fractures Of The Shaft Of Femur By Nailing And By Thigh Lacer
R Bhalla, V. V George
July-September 1988, 22(2):159-163
Twenty cases of femoral shaft fractures were treated with intramedullary nailing (Group I) and an equal number with thigh lacer (Group II). Functional recovery at the time of union in both the groups was similar. In group I,2 patients developed infection and loosening of nail while one did not unite; while in Group II 2 patients each had significant shortening and varus deformity. There was no case of nonunion in Group II. Transverse fractures without end to end reduction which were ideal for nailing did exceedingly well with thigh lacer. The thigh lacer method, which is free from anaesthetic and operative hazards as well as major complications like infection, can be practiced in smaller set up but needs a lot of cooperation from the patient and involvement of the treating doctor.
[ABSTRACT]   Full text not available  [PDF]
  248 12 -
Tibial Condyle Fractures Treatment By Traction And Early Mobilization
Sarvesh Mathur, G. K Vishwakarma, A. C Malik
July-September 1988, 22(2):164-168
One hundred cases of tibial condylar fractures were treated conservatively and their results studied. Irrespective of the type or grade of fracture 87 percent acceptable results were obtained with traction and early mobilization. We found conservative management to be a safe, cheap and a reliable method of treating these fractures.
[ABSTRACT]   Full text not available  [PDF]
  228 20 -
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