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   1992| January  | Volume 26 | Issue 1  
    Online since September 16, 2010

 
 
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Effects Of Intensive Physiotherapy On The Index Of Mobility In Patients With Ankylosing Spondylitis
V. K Sherke, J. B Joshi, P. K Dave
January 1992, 26(1):76-81
Thirty seven patients (age group: 13-50 years) of ankylosing spondylitis of one to twenty six years’ duration were treated by an intensive course of Physical Therapy. The physical therapy management included hydrotherapy and graduated general mobility exercises to the spine, pelvis and hip joints. The patients were evaluated at the time of initial reporting and after four weeks using the following parameters: (1) Wall to tragus distance, (2) Chest expansion, (3) Finger tips to floor distance on forward bending and (4) Cervical Goniometry. The data was subjected to statistical analysis. Overall observations of the study indicated that physical therapy had a definite role in promoting mobility even in the later stages of the disease.
[ABSTRACT]   Full text not available  [PDF]
  394 18 -
Intrathecal Alcohol For Intractable Spasticity In Cord Injured Patients
S. S Sangwan, S Chand, R. C Siwach, I. S Gupta
January 1992, 26(1):65-67
Twelve cases of cord injury with intractable spasticity were treated by intrathecal alcohol block. All the cases had complete paraplegia of more than 18 months duration. Four patients had severe abdominal spasms. Duration of spasticity varied from 8 to 25 months. Alcohol block produced immediate and permanent relief in spasticity in all except one patient in a follow up period of 9 to 30 months. The bladder capacity improved and surgery for bed sores became possible. The guidelines and procedure are presented.
[ABSTRACT]   Full text not available  [PDF]
  379 13 -
Khayala Bomb Explosion : Our Experiences And Disaster Planning For Mass Casualties.
B. N Pati, R. K Dimri, S Reddy, V Dua
January 1992, 26(1):61-64
This is an analysis of 66 patients injured in a bomb blast, 6 of whom died at the scene. The nature of the injuries and mechanism by which they occurred, showed that secondary and tertiary blast injuries (concussion, laceration and fractures) caused by flying debris set in motion by the blast-wave were more common as compared to the primary blast injuries (blast lung and flash burns). Evaluation of the severity of injuries, in different types of disasters can be estimated which can serve as a basis for the planning of disaster management.
[ABSTRACT]   Full text not available  [PDF]
  360 19 -
'Q' Angle In Osteoarthrosis Of The Knee Joint
A. N Varma, K Kulshrestha, A Shukla, S. C Gaur, R. K Katiyar
January 1992, 26(1):94-96
A study of the value of ‘Q’ angle in normal Indian population and the incidence of its variation in established cases of osteoarthrosis of knee is presented. A significant variation (p < 0.05) has been observed in cases of osteoarthritis the knee joint.
[ABSTRACT]   Full text not available  [PDF]
  357 21 -
Role of Internal Fixation In The Treatment Of Fractured Clavicle
K. M Pathi, A. P Mishra, T Mohanty, A Mohanty
January 1992, 26(1):43-45
During the period 1984-1989, 20 cases out of 300 cases of fracture clavicle were treated by open-reduction and internal fixation; 16 by intra medullary ‘K’ wire fixation and 4 by plating. The minimum age was 20 years and maximum 45 years. The average follow up was 3 years. All fractures united, except one cases of plating, who required bone grafting. It was observed that in selected cases open reduction and internal fixation yielded excellent functional and cosmetic results.
[ABSTRACT]   Full text not available  [PDF]
  285 82 -
Spinal Pseudarthrosis In Ankylosing Spondylitis
A Jayaswal, S Sawhney, A Biyani, P. K Dave
January 1992, 26(1):71-75
Lytic lesions in the dorsal and lumbar spine in established cases of ankylosing spondylitis are often confused with conditions like tuberculosis, pyogenic discitis, myelomatosis and secondaries. The aim of this paper is to draw attention to a well established entity-‘Pseudarthrosis’ in ankylosing spondylitis, which is quite often the likely diagnosis. This paper presents a brief review of literature and a report of seven such cases highlighting the efficacy of CT in diagnosis.
[ABSTRACT]   Full text not available  [PDF]
  336 14 -
Fine Needle Aspiration Cytology vs. Needle Biopsy And Open Biopsy In Bone Lesions
A. K Gupta, S. K Singh, S Rastogi, R. K Shukla, M. P Mishra, A Kumar
January 1992, 26(1):3-5
One hundred and five cases of skeletal lesions were submitted for fine needle aspiration eytology (FNAC). Out of these 98 were further submitted to needle biopsy and 70 to open biopsy. Relative accuracy of FNAC with needle biopsy and open biopsy was analysed. The results were 81.9% correct in FNAC while it were 88.7% and 98.5% in cases of needle biopsy and open biopsy respectively. The usefulness of FNAC was in early diagnosis of malignant bone tumours.
[ABSTRACT]   Full text not available  [PDF]
  320 16 -
Different Osteotomies And Internal Fixation Combined With Muscle - Pedicle Bone Grafting In The Treatment Of Ununited Femoral Neck Fractures - A Comparative Study
A. K Chowdhury, N. D Chatterjee, D. P Baksi
January 1992, 26(1):55-60
260 cases of ununited femoral neck fractures were treated by high displacement femoral osteotomy in 63 cases; by Dickson’s Geometric osteotomy in 17 cases and by Internal fixation combined with free and muscle-pedicle bone grafting in 180 cases. Their ages varied from 11 to 70 years, duration of fracture varied from 3 to 48 months and post-operative follow-up period varied from 3 to 36 years. The results of these procedures were analysed in detail. High displacement femoral osteotomy did not help in union of the fracture site in presence of avascular necrosis of the femoral head. Dickson’s Geometric osteotomy facilitated union of fracture even in the presence of avascular necrosis of femoral head but failed to prevent or treat avascular necrosis. Internal fixation combined with free and muscle-pedicle bone grafting exhibited the best form of anatomical and functional results by enhacing healing of ununited femoral neck fractures and femoral head necrosis where-ever present.
[ABSTRACT]   Full text not available  [PDF]
  293 24 -
Pseudo Malignant Myositis Ossificans
S. A Majeed, M Leithy
January 1992, 26(1):99-102
Pseudo malignant myositis ossificans can be misdiagnosed as sarcoma of bone or soft tissues, with potential serious sequelae. A report on three cases is presented with emphasis on the salient clinical, radiological and histological features of this rare condition.
[ABSTRACT]   Full text not available  [PDF]
  306 11 -
Pigmented Villonodular Synovitis Involving Bone – Report Of Two Cases
V. M Soodan, P Singh, R. K Khushu
January 1992, 26(1):25-27
Pigmented villonodular synovitis is an uncommon condition and has been reported from the tendon sheaths and bursae. Bone involvement in Pigmented villonodular synovitis is reported and up to 1968, 29 cases had been collected in world literature, Villonodular synovitis involving bone and behaving like arthritis, though reported, is extremely rare. Similarly, there is no mention of pigmented villonodular synovitis presenting as haemangioma of the joint. Two cases of histologically proved pigmented villonodular synovitis are being presented, in one case it behaved like arthritis and in other as Haemangioma. The later had typical findings of pigmented villonodular synovitis with telangiectasia.
[ABSTRACT]   Full text not available  [PDF]
  281 15 -
Autologous Bone - Grafting And Hip Arthroplasty For Secondary Acetabular Protrusion
A. B Mullaji, N. S Ranawat
January 1992, 26(1):46-50
Several methods have been advocated to reinforce the deficient medial wall, in total hip replacement for stiff, painful hips resulting from acetabular protrusion. Fourteen hips in 12 patients were reviewed in whom we performed autologous bone-grafting using the femoral head and Charnley arthroplasty for secondary acetabular protrusion. Clinical evaluation was done using a modified Merle d’Aubigne-Postel hip-rating scale and we had 64 per cent good, 29 per cent fair and 7 per cent poor results. Radiological assessment by plain radiographs showed all grafts had incorporated. They were followed up for an average of 22 months after operation. We found no significant complications. We feel that this is a satisfactory method using readily-available materials and provides a biological solution to a mechanical problem.
[ABSTRACT]   Full text not available  [PDF]
  286 10 -
Madras Study Of Tuberculosis Of The Spine
T. K Shanmugasundaram
January 1992, 26(1):51-54
A controlled clinical trial of short-term regimens of rifampicin and isoniazid given daily for 6 (Amb 6) or 9 (Amb 9) months in ambulant patients was compared with a group of patients who had radical anterior resection and bone graft with the same drugs given for six months (Rad 6). 304 patients were studied. After exclusions, the results of 260 patients at 3 years are reported. The methodology, the management, the complications and the results are described. The results indicate that ambulatory short-term regimens for 6 or preferably 9 months with rifampicin and isoniazid taken daily is the treatment of choice with a favourable status of 82 per cent of the Rad 6,93 per cent of the Amb 6 and 97 per cent of the Amb 9 patients respectively.
[ABSTRACT]   Full text not available  [PDF]
  259 36 -
Semitendinosus Transfer For Anterior Cruciate Ligament Insufficiency
K. R Patond, V. D Chauhan, N Kumar
January 1992, 26(1):89-93
Twenty cases of chronic anterior cruciate ligament insufficiency not responding to conservative treatment and having disabling functional instability, a positive pivot shift test were undertaken for anterior cruciate reconstruction using semitendinosus musculo-tendinous unit as a dynamic ligament. Average follow up was one year and six months (range 10 to 50 months). Using modified scoring system of Marshall et al based on 16 parameters and total 50 points for a normal knee, 90 per cent patients obtained excellent to good results; while 10 per cent had fair result. The procedure is advantageous, because the new dynamic ligament with musculo-tendinous pedicle graft with preserved vascularity and innervation provides proprioceptive pathways thus avoiding excessive stretching. The procedure needs fixation at distal point only, which is technically easy and very secure.
[ABSTRACT]   Full text not available  [PDF]
  281 14 -
Reconstruction Of Massive Skeletal Defects After Tumour Resection
V Goni, S. S Gill, M. S Dhillon, O. N Nagi
January 1992, 26(1):6-12
Twenty two cases of bone tumours were treated by resection and bone grafting. Autogenous bone graft was employed in all 22 cases supplemented with allograft in 2 cases. The primary diagnosis was GCT in 18 cases; Chondrosarcoma-2 cases and parosteal sarcoma and aneurysmal bone cyst-1 case each. Majority of lesions (13) were located around the knee. Complications included graft fracture (1 case) delayed union (1 case), neurovascular injury (1 case) and infection in 3 cases. There was no recurrence or distant metastases at an average of 2.2. Years follow up. Functional result was excellent in 7 cases, good in 10 cases, fair in 3 cases and poor in 2 cases. We recommend massive bone graft for reconstruction after tumour resection due to its simplicity, and low cost.
[ABSTRACT]   Full text not available  [PDF]
  282 11 -
CT In The Evaluation Of Spinal Trauma
U. S Misra, M. C Pant, U. K Jain, A Singh
January 1992, 26(1):68-70
In a study of 35 patients with spinal trauma, CT was found to add relevant information over plain radiography in all patients. It was most helpful in identifying unsuspected neural arch fractures and in assessing spinal canal encroachment.
[ABSTRACT]   Full text not available  [PDF]
  273 18 -
Evaluation Of Early Myoplasty In Compound Injuries
A. S Dube, Y Mohindra, P Agarwal
January 1992, 26(1):86-88
Compound fractures with exposure of bone have always been serious problem in management. In the present study an effort has been made to provide an early cover for the exposed osseous tissue by transposing a local muscle flap to minimise complications like bone sequestration, osteomyelitis, non-union, discharging sinuses etc. The study includes twenty (20) patients and preliminary results are encouraging.
[ABSTRACT]   Full text not available  [PDF]
  278 7 -
Evaluation Of Results Of Different Methods Of Management In Intra - Articular Fractures
D. K Taneja, A. K Mall, S Banerjee
January 1992, 26(1):82-85
Results of 32 patients of Inter Condylar Fractures of the Tibia, Femur and Humerus, treated by various methods, were evaluated. Tibial Condylar Fractures were the commonest. 68.75 per cent of all cases were managed conservatively and 31.25 per cent were managed operatively. Cast brace was used in 50 per cent cases after the primary conservative or operative management. Conservative modes of treatment gave better results. Early mobilization with or without cast brace always resulted in a functionally excellent or good joint though a very satisfactory radiological result was not always achieved.
[ABSTRACT]   Full text not available  [PDF]
  271 11 -
Closed Intramedullary Nailing Without Reaming In Fracture Shaft Of Femur
R Bahadur, P Saksena, V. P Bansal
January 1992, 26(1):34-37
Closed intramedullary nailing of the shaft of femur was carried out in 30 patients including four cases of segmental fractures. All patients were put on heavy preoperative traction. The operation was performed with the patient in lateral position and without reaming the medullary canal. Heavy traction was also applied per-operatively to secure alignment and reduction of the fracture. Two cases had to undergo open nailing as closed reduction could not be achieved per-operatively. Although the fixation of the fracture was not rigid but was adequate for early walking and partial weight bearing. No case of post operative infection was observed. Shortening was observed in five patients including two patients of segmental fractures. More than 75 per cent patients returned to work by the sixth month. On evaluation ninety per cent cases showed excellent to good results.
[ABSTRACT]   Full text not available  [PDF]
  273 8 -
Aggressive Simple Bone Cyst
S. S Yadav
January 1992, 26(1):17-20
Twenty cases of Aggressive Simple Bone cysts, 14 located at the proximal end of the humerus and 6 at the proximal end of the femur are reported. Eight cases had revealed signs of recurrence after curettage and remaining 12 were aggressive in their behaviour. All patients were managed by local subperiosteal excision and Dual-Fibular strut grafting between the host bone ends with successful results. The size of the gap ranged between 5-12 cms. The strut grafts taken from one sided fibula were stabilised by kirschner wires in the humerus and by a blade-plate in the femur. All the grafts had united with the host bone within 8-12 weeks and there was no recurrence or any other complication. It is suggested that the cysts with aggressive behaviour or the recurred ones must be excised locally and grafted suitably.
[ABSTRACT]   Full text not available  [PDF]
  267 13 -
Resection And Reconstructive Surgery In Giant Cell Tumour Of Bone
H. K Deb, N. K Das
January 1992, 26(1):13-16
Twenty five patients with aggresive giant cell tumours affecting different bones were treated by resection and reconstruction with various techniques. The mean length of follow up was 7 years. There was only one recurrence. Complications like graft fracture, non union and delayed union; broken I.M. nail and infections were adequately managed. The series had an overall satisfactory result in eighty percent of the cases.
[ABSTRACT]   Full text not available  [PDF]
  267 12 -
Improvised Closed Static Locked Nailing Of Unstable Fractures Of The Femur
K. K Pruthi, K. P Srivastava, R. K Goyal, R. K Mohaniya
January 1992, 26(1):38-42
Twenty-four unstable and comminuted femoral shaft fractures were treated by improvised closed static locked nailing. All the fractures had healed within 24 weeks of surgery. Two patients had lateral rotation deformity of 5° to 10°. One had shortening of 1 cm and another had posterior angulation of about 10°. There was no infection, delayed union, non-union or implant failure. Closed static locked nailing can provide stability in fractures of the femoral shaft irrespective of the degree of comminution and the site of injury. We have used improvised implants and a simple technique. It is not very expensive and easily available.
[ABSTRACT]   Full text not available  [PDF]
  257 8 -
Glomus Tumour
J. C Taraporvala, F. J Tarapovala
January 1992, 26(1):21-24
The Glomus tumour is a very rare tumour arising from the normally occurring neuromyoarterial glomus body. Ten cases of Glomus tumour treated by the authors over the last 4 years are reviewed. Consistent cure, in all the patients, resulted from surgical removal of the lesion. The hypothesis that the glomus tumour body may have a secretory function for controlling blood pressure and maintaining the interstitial environment is also supported.
[ABSTRACT]   Full text not available  [PDF]
  220 11 -
Extraskeletal Osteosarcoma Of The Forearm – A Case Report
K. M Rao, N Ananthakrishnan, C Ratnakar
January 1992, 26(1):31-33
Full text not available  [PDF]
  179 9 -
Calcified Stone In Ulnar Nerve - A Case Report
M. K Siddalingaswamy
January 1992, 26(1):97-98
Full text not available  [PDF]
  160 13 -
Resection And Fibular Replacement In Giant Cell Tumour Of The Lower End Of The Tibia : A Modified Technique
D. J Arwade
January 1992, 26(1):28-30
Full text not available  [PDF]
  151 6 -
Editorial
P. K Dave
January 1992, 26(1):1-2
Full text not available  [PDF]
  150 6 -
Pycnodysostosis - A Case Report
S Sharma, D Singh, A Gupta, S Dhar
January 1992, 26(1):103-106
Full text not available  [PDF]
  145 9 -
Symptomatic Vertebral Haemangiomas
S Kumar, V Puri, M. M Mehndiratta, V Malhotra
January 1992, 26(1):111-113
Full text not available  [PDF]
  126 4 -
Traumatic Dislocation Of Hip With Ipsilateral Fracture Shaft Femur
S Lahkar, B Borthakur
January 1992, 26(1):109-110
Full text not available  [PDF]
  119 7 -
Osteoclastoma Of The Femoral Head – A Case Report
R. K Sharma, P Kumar
January 1992, 26(1):107-108
Full text not available  [PDF]
  115 9 -
Surgery For Bone Tumours
J. C Taraporvala
January 1992, 26(1):114-114
Full text not available  [PDF]
  96 4 -
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