International Journal of Research in Orthopaedics
Not a member yet
2153 research outputs found
Sort by
A multicentre, retrospective and observational study to evaluate safety and functional outcomes of arthroscopic shoulder ligament repair using Sironix suture anchor
Get PDFBackground: Arthroscopic shoulder ligament repair is one of the most performed procedures in the orthopaedic specialty. Suture anchor devices are used in arthroscopic surgeries to reattach ligaments or other soft tissues to bone. The goal of this study was to evaluate the safety and functional outcomes after shoulder ligament repair.
Methods: This is a multicentric, retrospective, observational study conducted on patients who underwent primary arthroscopic shoulder ligament tear repair between April 2018 to July 2022, using Sironix suture anchors at Kumaran Hospital and Rela Institute, Chennai, Tamil Nadu, India, and DNV Ortho Care Hospital, Dharmapuri, Tamil Nadu, India. A total of 75 patients were included. Post-surgery measurements of functional outcomes were performed using the PENN shoulder score, simple shoulder test questionnaire, shoulder pain and disability index, and single assessment numerical evaluation. Adverse events were recorded.
Results: At post-surgery follow-up visits, there was a significant improvement in the functional outcomes of all the patients. The PENN shoulder score had a mean (SD) pain score of 92.04 (7.50), a satisfaction score of 91.87 (8.00), and a function score of 93.18 (6.16), respectively. The mean (SD) SST score and SPADI score was 88.9 (9.7), and 2.8 (2.79) respectively. The SANE mean (SD) values of the operated joint and opposite joint were 91.0 (7.31) and 98.1 (4.26) respectively with a p value of 0.0001.
Conclusions: Based on the study results, arthroscopic shoulder ligament repair with Sironix suture anchor resulted in good and desirable functional outcomes with no major adverse events and improved quality of life
Evaluation of optimizing Monteggia fracture-dislocation care: surgical innovations, radiological insights, and functional rehabilitation in adult patients
Get PDFBackground: Monteggia fractures, rare in adults, involve proximal ulna fracture and radial head dislocation. Managing these injuries poses challenges, fueling historical debates and driving advancements in internal fixation. Watson Jones' frustration highlights the ongoing pursuit of effective surgical approaches for optimal outcomes and functional limb restoration. his study aims to evaluate Monteggia fracture-dislocation treatment by analyzing radiological outcomes for structural insights and alignment post-surgery.
Methods: This prospective observational study, conducted at Swapno general hospital, Mirpur-2, Dhaka, Bangladesh from 1st January 2021 to 31 January 2024, enrolled 30 patients with radiologically confirmed Monteggia fracture-dislocation. Surgical procedures involved creating an interval, anatomical reduction, and fixation, with regular follow-ups assessing outcomes, including range of motion, X-rays, and VAS scores, while statistical analysis utilized SPSS version 23.
Results: The highest frequency percentage in the age distribution was observed among individuals aged 41-45, constituting 20% of the total sample, while the lowest frequencies were recorded in the 31-35 and >51 age groups, each representing 10% of the sample. Physical assault emerged as the leading cause of injury, accounting for 40% of cases, followed by road traffic accidents at 36.66% and falls at 23.33%. In terms of final outcomes, the majority of patients (43.33%) achieved a good outcome, while the lowest percentage (10%) resulted in poor outcomes.
Conclusions: In conclusion, addressing Monteggia fracture-dislocation in adults requires navigating inherent complexities. Modern internal fixation methods prove impactful, emphasizing the need for precise classification and stable anatomical reduction
Evaluating the efficacy of rehabilitation outcomes of the femoral neck system in treating femoral neck fractures: a two-year prospective study
Get PDFBackground: Femoral neck fractures are prevalent among the elderly, and the femoral neck system (FNS), introduced in 2017, provides a minimally invasive treatment option with a dynamic bolt feature that enhances stability and facilitates early mobilization.
Methods: This study involved 30 patients with femoral neck fractures treated with FNS at Dr. D. Y. Patil Medical College and Hospital from January 2021 to February 2023. The patients, aged 45-85 years, adhered to a structured rehabilitation protocol. Clinical outcomes were assessed using the Harris hip score (HHS) over 2-year follow-up period.
Results: The cohort consisted of 30 patients (mean age: 65±10 years; 70% male). Fractures were classified as Pauwels I (30%), Pauwels II (40%), and Pauwels III (30%). At the final follow-up, 27 patients (90%) achieved union. The HHS improved significantly from a mean of 35±10 preoperatively to 85±15 postoperatively. Complications included one implant failure, one instance of limb shortening, and one case of avascular necrosis.
Conclusions: The FNS is a safe and effective treatment for femoral neck fractures, promoting early weight-bearing and joint mobilization, leading to improved functional outcomes and reduced complications
Evaluation of efficacy and safety of Collashot C2 plus capsule in osteoarthritis patients
Get PDFBackground: Osteoarthritis (OA), the most prevalent joint disease, is marked by chronic joint pain and debilitating symptoms. Many drugs are available in the market for treating osteo arthritis symptoms but there is still need for drugs with least adverse effects. So, in this study, an attempt has been done with Collashot C2 plus capsule, a nutraceutical for treating OA symptoms.
Methods: This is an outcome, quasi-experimental study where patients with OA were included. Patients were given capsule Collashot C2 plus daily for 3 months. A total of 30 male and female patients were included in the study. Changes from baseline to 12 weeks in knee pain intensity measured by pain visual analogue scale (VAS) and in Western Ontario and McMaster universities OA index (WOMAC) pain subscale, laboratory parameters, participant's global assessment of improvement of OA were assessed. Adverse drug reactions were also observed during the study period.
Results: There was a statistically significant improvement in the VAS pain scale, WOMAC pain score and in participant's global assessment of improvement of OA at week 4, week 8, and week 12 compared to baseline (p<0.001) was observed.
Conclusions: Collashot C2 plus capsule has proved to be very safe and effective in the management of OA Participants by reducing inflammation, providing adequate pain relief without causing any major side effects
Muscular hydatidosis about an exceptional form
Get PDFThe preferred localizations of human echinococcosis are the liver and the lungs, of which they represent 85% of cases. They generally pose few diagnostic problems, because they are familiar and frequent. The involvement of the soft parts is exceptional, it represents less than 1% of the localizations of human echinococcosis, frequently constituting surprises of anatomical-pathological or radiological examination. We report the rare observation of a hydatid cyst of the adductors of the thigh and discuss the contribution of magnetic resonance imaging (MRI) in this context and the therapeutic modalities. Certainly; it is a rare case but we must think about this diagnosis, especially in subjects from a country with high endemic, and ask for the necessary explorations in order to make the diagnosis in time and avoid therapeutic errors.
A rare presentation of intramuscular ganglion cyst in gastrocnemius muscle: a case report
Get PDFGanglion cyst is a common benign cystic lesion but its presence at intramuscular region is rare. There are very few such reported cases in literature which are confirmed by histopathology. Here we are reporting a rare case of ganglion cyst in medial head of gastrocnemius muscle in a 20 year old male who presented with complaints of swelling in proximal aspect of left leg associated with occasional pain. The diagnosis was made on the basis of MRI and was confirmed histopathologically
Medial open wedge high tibial osteotomy: an effective procedure for varus malunited neglected proximal tibial plateau fractures: a case series
Get PDFVarus malunited tibial plateau fracture is a disabling condition causing varus thrust gait, instability, and secondary osteoarthrosis. There are few evidence-based guidelines for the management of symptomatic varus malunion in young patients. Our case series aims to review outcomes of open wedge high tibial osteotomy for varus malunited tibial medial plateau fractures. We present case series of three patients who presented with symptomatic varus malunion of proximal tibia with Kellgren-Lawrence stage II or less arthritic changes. All presented with varus thrust. Exclusion criteria for the procedure would be complex intra-articular step malunions and severe arthritic changes. Medial open wedge high tibial osteotomy was performed and stabilized with locking plate and tricortical autograft. Patients were followed up for 12 to 20 months. All achieved deformity correction, reported significant improvement in varus thrust and were satisfied with their improvement in stability and knee function. There was no complication related to wound healing and no delayed loss of correction. The osteotomy led to correction of the coronal deformity and ensured that the collateral balance is restored benefiting the overall gait of the patient. Also, if such a patient undergoes total knee replacement in future, the bone stock will be significantly better with this procedure. Medial open wedge high tibial osteotomy for varus malunited tibial plateau fractures is effective procedure that provides excellent functional and radiologic outcomes, and carries minimal complications
Fiberglass cast application in immediate post-operative period after an ankle fracture surgery: review of safeguards
Get PDFAn ankle fracture after stabilization may normally need post-operative support immobilization in a cast in the early phase to allow for the associated soft tissue ligamentous injury to recover. The cast may allow for an early rehabilitation of the operated ankle fractures with protected weight bearing potential. A cast immobilization in the immediate post-operative period following an ankle surgery has used gypsum plasters with great caution and care. The concerns of poor wound healing, infection, pressure ulcer, skin maceration due to soakage, development of compartment syndrome and thrombosis may present in the immediate post-operative period for ankle fractures following a cast application. The technique for fiberglass cast application in the immediate post-operative period may provide an advantage. The cast application needs an emphasis to understand the safeguards, avoid any abnormal pressure and do monitoring of wound care to attain a favorable desired outcome. The aspects of cast application have been reviewed to present the necessary safeguards.
Tranexamic acid with vitamin K mixture decreases bleeding of total hip arthroplasty in a Jordanian population
Get PDFBackground: Bleeding of total hip arthroplasty has severe consequences on postoperative recovery. 75–90% of early bleeding after surgery and during surgery is caused by operative technical issues. tranexamic acid decreases bleeding of arthroplasty. vitamin k has late and dose sensitive effect in clotting.
Methods: This retrospective investigation included subjects of middle age and of both genders scheduled for primary hip replacement at Queen Alia hospital, Jordanian Royal medical services, between March 2022 and June 2023. Subjects were classified into two groups. Group I subject were administered intravenous mixture of Tranexamic acid 10 mg/kg with vitamin K1 of 10 mg 5 min pre-skin incision followed by an infusion of Tranexamic acid 1 mg/kg/h and vitamin K1 0.2 mg/kg/h, until skin closure. Group II subjects were administered only intravenous vitamin K1 of 10 mg, 5 min pre- skin incision followed by infusion of 0.2 mg/kg/h until skin closure. Hemoglobin, packed cell volume, platelet count, prothrombin time, partial thromboplastin time and fibrinogen were tested. Bleeding and blood transfusion were remarked.
Results: Group I demonstrated a remarkable less modifications in blood tests and less bleeding than group II. Group II demonstrated less bleeding after surgery. The average Hb in group I demonstrated a remarkable less reduction after surgery compared to group II. (p<0.005). No blood transfusion after surgery was needed in group I. Nine (15%) patients in group II needed one unit of blood transfusion during surgery.
Conclusion: Intravenous administration of Tranexamic acid with vitamin K mixture in total hip arthroplasty decreased bleeding during and after surgery and decreased the requirement for blood transfusion
Effectiveness of gait analysis in management of osteoarthritis knee at primary care settings in Asia: a systematic review and meta-analysis protocol
Get PDFBackground: This systematic review will focus on the effectiveness of gait analysis on osteoarthritis knee management. The objectives of this systematic review and meta-analysis are to synthesize the clinical effectiveness and to compare the effectiveness of gait analysis in the osteoarthritis knee management in Asian population.
Methods: This review will be conducted and reported according to PRISMA guidelines. To discover relevant papers, the search technique will use MeSH terms such as osteoarthritis knee, gait analysis, osteoarthritis knee management, primary healthcare, effectiveness, and Asia. Other synonymous words will be searched using the Boolean operator "and"/"or" on PubMed, Embase, Scopus, and Cochrane. Randomized controlled trials assessing the efficacy of gait analysis in the therapy of osteoarthritis knee patients in primary care settings in Asia will be considered. A random effects meta-analysis will be carried out using the REVMAN software version 5.3.5. The STATA software version SE16 will be used for both cumulative and comparative meta-analysis.
Conclusions: This review and meta-analysis will be among the first to give an extensive purview on the effectiveness of gait analysis in osteoarthritis knee management at primary care settings in Asian population. This study will also acknowledge the effects of different gait analysis strategies with an attempt to compare the same.
Trial Registration: The protocol has been registered at the International Prospective Register of Systematic Reviews (PROSPERO registration number: CRD42024540444)