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   2002| October  | Volume 36 | Issue 4  
    Online since March 19, 2009

 
 
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CURRENT CONCEPT REVIEW
Heterotopic ossification after total hip arthroplasty:A review of etiopathogenesis, risk factors and treatment modalities
ON Nagi, MS Dhillon, HS Batth
October 2002, 36(4):225-233
  8,061 210 -
IOA WHITE PAPER
Avascular necrosis
DP Baksi
October 2002, 36(4):267-273
  4,457 524 -
CURRENT CONCEPT REVIEW
Anterior inferior shoulder instability - Part II: Management of anterior inferior dislocation of shoulder
DV Rajan, NA Antao
October 2002, 36(4):221-224
  2,428 171 -
KNEE
Simultaneous bilateral versus unilateral total knee replacement in osteoarthritic knee
BK Dhaon, V Sharma, A Jaiswal
October 2002, 36(4):234-237
Ten simultaneous bilateral total knee replacements were compared with ten unilateral total knee replacements in osteoarthritic knee. All procedures were performed using same preoperative, intraoperative and postoperative protocols. Results showed that simultaneous bilateral TKR had higher incidence of medical complications, more requirements of blood transfusion and raised temperature of more than 1000 F for more than 48 hours, although there were advantages of simultaneous bilateral TKR in terms of decreased hospital stay, better utilization of scarce hospital resources, early rehabilitation and no risk of second anesthesia. The true safety and efficacy of simultaneous bilateral TKR needs further evaluation.
  2,418 167 -
CURRENT CONCEPT REVIEW
Anterior inferior shoulder instability - Part I: The pathogenesis of anterior inferior shoulder instability
DV Ranjan, NA Antao
October 2002, 36(4):214-220
  2,325 203 -
CASE REPORTS
Multiple neurofibromatosis presenting as hip pain A case report
SP Gupta, A Agarwal
October 2002, 36(4):260-261
  1,973 63 -
KNEE
Minimal invasive osteosynthesis: a biological approach in treatment of tibial plateau fractures
SS Sangwan, RC Siwach, R Singh, R Mittal
October 2002, 36(4):246-250
Twenty five patients with 26 tibial plateau fractures were treated with closed reduction by ligamentotaxis and minimal internal fixation with screws / wires, under C-arm image intensifier control. Patients were evaluated at a mean of 26 months after injury. Union was achieved in all the fractures with an average duration of 12.08 weeks. The average range of motion was 107.8. Partial weight bearing was allowed approximately at 8-12 weeks (average 8.92 weeks) and full weight bearing after complete union of fracture (average 13.12 weeks). Ninety two percent of the patients had satisfactory outcome using Rasmussen's criteria. We conclude that the technique is more biological, requires less surgical time and hospital stay and is devoid of major complications and leads to a better functional outcome.
  1,721 258 -
Scoliosis: An epidemiological study of school children in lower Assam
KC Saikia, A Duggal, PK Bhattacharya, M Borgohain
October 2002, 36(4):243-245
A prospective study was carried out to determine incidence rates and distributions of various parameters associated with scoliosis amongst school children of lower Assam, India. A total of 16,912 children (9,274 girls and 7,638 boys) between five to 16 years were screened using the Adams forward bending test. The average age of children with positive findings at the time of examination was 10.6 years and the highest number of cases was observed in the age group of 11-13 years. The results showed that the incidence rate of scoliosis in this study was 0.2 percent with a female to male radio of 2.2: 1. Idiopathic variety was the most common aetiological curve type and the most common curve location was thoracic. In approximately 72 percent of cases the patients / parents were unaware of their deformity.
  1,756 110 -
CASE REPORTS
Solitary epiphyseal osteochondroma - A case report
A Devadoss, BRJ Satish Kumar, L Shyam, S Devadoss
October 2002, 36(4):258-259
  1,547 119 -
KNEE
The neurologic outcome of posterior fixation of thoracolumbar spine fractures
Manish Garg, Sudhir Kumar
October 2002, 36(4):238-242
Thirtyfive patient with unstable fractures of the lower thoracic and lumbar spine managed uniformly with Hartshill fixation and sublaminar wiring were analyzed. On admission, 18 patients had complete neurologic deficit and 17 had incomplete lesions. The neurologic recovery and functional activities were assessed after an average follow up for 20.4 months. Improvement of neural function was seen in 71 % patients. Positive correlation was found between the level of injury and Frankel grades. The cord lesions tended to demonstrate more severe neurologic deficit than cauda equina lesions. A component of dislocation to the injury also resulted in a more severe neural deficit. The complications were minor. Stable fixation of thoracolumbar spine fractures was helpful in decreasing hospital stay and recumbency period, thereby facilitating early rehabilitation of the spine injured patients.
  1,318 93 -
ARTICLE
Evaluation and management of complex spinal deformities in developing countries - a critical analysis of 127 operated cases
SY Bhojraj
October 2002, 36(4):262-266
Over an 8 years study period, the author had an opportunity to evaluate a large number of patients with complex thoracic and thoracolumbar deformities of varied etiology. Of these 127 were treated surgically [scoliosis: 78 and hyperkyphosis :49]. These deformities were operated for a variety of indications, viz: relentless progression, risk of future neurological deficit, progressive cardiorespiratory compromise, and cosmesis. The various etiologies of these cases, along with their treatment protocols have been analyzed and presented in this paper. Various approaches and implants that we used in the surgery of these patients have also been discussed. A specific protocol for management was devised based on the following variables:
  1. The etiopathology of the deformity and its natural history [viz: idiopathic, congenital, neuromuscular, nerofibromatosis, etc].
  2. The timing of surgery.[emergency, semi- elective, elective, etc],
  3. The appropriate surgical approach [anterior, posterior or combined]
  4. The implant and instrumentation: which implant design would be the ideal one in terms of user friendliness, simplicity of design and affordability,
  5. The fusion: the technique, the mandatory fusion levels, choice of grafts and bone substitutes if any?
  6. The postoperative protocol for mobilization and role of bracing.
  7. The safety factor: surgery for complex spinal deformities although rewarding is extremely "high risk" and could result in unforgiving neurological compromise either transient or permanent. This specific factor needs to be extensively discussed, preoperatively, with the patient and his family in the true context of the risk benefit ratio, before assuming responsibility for its management. Use of pre and intraoperative spinal cord monitoring [somatosensory evoked potentials] has been extremely helpful in this regard.
  1,288 115 -
CASE REPORTS
Tumoral Calcinosis - A case report
SMD Mujeeb, JK Jain, R Goldsmith, SS Gill
October 2002, 36(4):253-255
  1,275 86 -
EDITORIAL
Challenge of therapeutically refractory and multidrug resistant tuberculosis in orthopaedic practice
SM Tuli
October 2002, 36(4):211-213
  1,108 134 -
HIP
Hip Joint restoration
C Adusumalli
October 2002, 36(4):274-275
Hip pain due to arthritis is a common problem. Total hip arthroplasty is successful but failure still cannot be excluded. Since resources are scarce, alternative methods are looked for. We have described the alternative and to encourage to consider economic evaluation in the future. We have treated 560 patients (717 hips) hip joint-disease-pain with the new non-surgical treatment. On the basis of the results the use of the enzyme appear to be successful alternative treatment.
  991 70 -
CASE REPORTS
Accessory lower limb attached to the thigh- A case report
GN Khare, SK Gupta
October 2002, 36(4):251-252
  838 54 -
Tumoral calcinocis - A case report
R Lalchandani, A Sood
October 2002, 36(4):256-257
  666 54 -
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