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   2003| April-June  | Volume 37 | Issue 2  
    Online since March 10, 2009

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Tuberculosis of shoulder joint
PR Patel, DA Patel, T Thakker, K Shah, VB Shah
April-June 2003, 37(2):7-7
Tuberculosis of the shoulder joint is uncommon. Approximately only 0.9 to 1.7% of tubercular lesions of the skeletal variety occur in the shoulder joint. Twelve cases of tuberculosis of shoulder were seen in last ten years. The mean complaints were long duration of pain, stiffness of varying degree, and wasting of shoulder muscles in all. Cold abscess and sinus formation were present in one case each. We have observed three types of affection: Type I, the Caries sicca the atrophic form, Type II the Caries exudata with swelling and cold abscess formation and Type III the Caries mobile with good range of passive movements. Nearly half the cases were initially misdiagnosed as having a frozen shoulder. All cases received 3 or 4 anti- tubercular drugs. No plaster spica or splints were used. Gentle pendulum and circular movements were employed from the beginning. One case needed arthrodesis, others were managed conservatively. Three patients regained full movements, others healed with limitation of movements. Overall the results were satisfactory.
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Incidence of deep vein thrombosis in Indian patients A prospective study in 104 patients
S Agarwala, A Bhagwat, J Modhe, FD Dastur, S Patil
April-June 2003, 37(2):5-5
The present article is based upon a prospective open randomized study undertaken to evaluate the incidence of postoperative deep vein thrombosis (DVT) in Indian patients undergoing major lower limb surgeries. A total of 104 adult patients were enrolled, 35.6%(37) underwent total hip arthroplasty, 46.1%(48) had total knee arthroplasty and 18.3%(19) had fracture fixation involving the proximal femur. The study population was divided into two groups, group I with 51 patients received prophylaxis with LMWH (dalteparin sodium); group II 53 patients received no prophylaxis. Of the 94 patients evaluated 30/50(60%) in-group II, 19/44(43.2%) in group I and overall 49(52.1%) showed venographic evidence of DVT. There was no statistical significance with respect to the age, sex, and type of anesthesia or bleeding episodes within the groups. The study has shown that post operative DVT is as common in the Indian population as previously documented in the western countries. LMWH is a safe easily administered thromboprophylactic method in reducing the incidence of postoperative DVT.
  3,958 391 -
Valgus intertrochanteric osteotomy in intracapsular fracture neck of Femur
NK Magu, R Mittal, R Garg
April-June 2003, 37(2):6-6
Fifty patients of intracapsular femoral neck fractures, 40 with recent injuries [group-A]; and 10 with established nonunion [group-B]; were treated with valgus intertrochanteric osteotomy and osteosynthesis through a modified Watson Jones approach. Patients were followed for an average of 9.2 years. Radiological signs of avascular necrosis in 7.5% and union in 95% of patients [group-A] were observed in an average period of 12.4 weeks (11- 16 weeks). Union was achieved with a viable femoral head in 100% of patients [group-B], in an average of 16.1 weeks (14-40 weeks). Sound union with a viable femoral head was also achieved in a patient sustaining pathological fracture due to a simple bone cyst with no sign of recurrence till 12 years follow up. Forty one patients (82%) were graded as good to excellent result (Harris hip score 94), five patients (10%) with a score of 75 as fair; and four (8%) with a score of 30 were graded as poor results. The potential benefit to the patient retaining a viable biologic joint justifies the use of this procedure.
  3,054 424 -
Osteonecrosis of the femoral head (in young individuals)
Sudhir S Babhulkar
April-June 2003, 37(2):2-2
  2,484 275 -
Results of fresh frozen bone allografts in Orthopaedics
S Shukla, R Malhotra, S Bhan
April-June 2003, 37(2):8-8
Large osseous defects encountered during common orthopaedic surgeries require bone grafting. Autografts are limited in quantity and harvesting them causes morbidity. This is a prospective study to assess feasibility and result of using fresh frozen allograft. Forty three fresh frozen femoral heads from suitable living donors were used in 32 cases (including primary and revision arthroplasties, tumour surgery, arthrodesis and others) after thorough screening to rule out disease transmission. Mean follow up of 30 months showed excellent to good functional results and radiological consolidation in 84% of cases. Complications included one case of deep soft tissue infection and non-union in three cases with no incidence of disease transmission. Our study has shown encouraging results with fresh frozen allograft with radiologically good incorporation. Soft tissue infection occurred in one case due to prolonged operation. No incidence of infection or disease transmission from graft material was noted.
  2,057 150 -
Role of Indore shoe in the maintenance of club foot correction
D Sonkar, DK Taneja, A Ajmera, CN Choudhury
April-June 2003, 37(2):14-14
  1,777 140 -
Thromboprophylaxis by dalteparin sodium in elective major orthopaedic surgery - A multicentric Indian study
N Rajagopalan
April-June 2003, 37(2):4-4
Post-operative deep vein thrombo-embolic disease is a serious and frequent complication after major orthopaedic surgery. A multi-centric prospective study was undertaken in 105 patients with major orthopedic surgery to evaluate the thromboprophylatic efficacy and safety of dalteparin sodium in the prevention of deep vein thrombosis. The age of enrolled patients were 58.1 17.1 years. Dalteparin Sodium 5000 IU SC once a day was given upto 61 days. Colour Doppler ultrasound was performed on all patients on post-operative 61 day. Deep venous thrombosis (DVT) was diagnosed in 8 (7.8%) patients. No patient developed pulmonary embolism. Dalteparin Sodium offers an effective, safe and easily administered prophylaxis against DVT.
  1,740 153 -
A clinical study of bone mineral density using heel ultra-densitometer in Southern Maharashtra
H Rao, N Rao, LR Sharma
April-June 2003, 37(2):9-9
We screened 288 patients having one or more risk factors of osteoporosis to assess their bone mineral density (BMD) using Achilles express heel ultradensitometer. WHO criteria were used to classify the patients based on their T scores. There were 125(43.46%) normal, 103(35.76%) osteopaenic and 60(20.83%) osteoporotic cases. The relationship of sex, age, menopause, tobacco and alcohol consumption and chronic bone and joint complaints with BMD were studied. The difference in the frequency distribution of sexes was significant below 60 years of age (p<0.001). Mild to moderate consumption of alcohol and tobacco had no significant effect (p>0.05) on the BMD. Menopause as well as chronic bone and joint complaints had a significant effect on the BMD (p<0.001).
  1,644 182 -
New bearing surfaces and interface options in hip arthroplasty
SV Vaidya, M Poduval
April-June 2003, 37(2):3-3
  1,508 234 -
Treatment of periprosthetic hip fractures with Mennen plate-Report of five cases
SKS Marya, R Thukral
April-June 2003, 37(2):10-10
  1,344 112 -
Reverse palmaris longus muscle: a case report
JS Rawat, B John
April-June 2003, 37(2):13-13
  1,290 64 -
Blount's disease in a patient of Indian lineage - A case report
DK Pal, SM Misra, D Chakrabarty
April-June 2003, 37(2):12-12
  1,248 101 -
Supracondylar femoral fractures after total knee arthroplasty - report of four cases
D Singh, D Choudhary, N Bhatia, AK Singh
April-June 2003, 37(2):11-11
  929 73 -
Education in Orthopaedics; Is it going up or down
B Sankaran
April-June 2003, 37(2):1-1
  738 76 -
Neonatal Orthopaedics
Ashok Kumar
April-June 2003, 37(2):16-16
  597 70 -
Book Review
SK Saraf
April-June 2003, 37(2):15-15
  590 45 -
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