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Published: 13 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 93-96; doi:10.22271/ortho.2020.v6.i4b.2325
Introduction: Osteoporosis is a major health problem which has devastating health consequences through its association with osteoporotic fractures. Prevention of osteoporosis by identifying the risk factors is a major challenge in the field of medical science. Elevated homocysteine level in blood can be a potential risk factor for the development of osteoporosis. We aim to study if a person with high circulating level of homocysteine has a decreased Bone Mineral Density (BMD), thus establishing an association between homocysteine and the risk of developing osteoporosis. Method: Patients between the age group of 40-70 years attending BMD camps between July 2019 and December 2019 were included in the study. All of them underwent BMD test and blood samples were sent to the laboratory for estimation of serum homocysteine levels. The results were collected and analyzed to see if there was any association between serum homocysteine levels and osteoporosis. Results: Out of the 58 males and 20 females with normal BMD, none had elevated serum homocysteine. 21 out of the 58 males and 47 out of the 82 females with osteopenia had elevated serum homocysteine. Of the 27 males with osteoporosis, 25 had elevated serum homocysteine while among the 125 females with osteoporosis, all 125 had elevated serum homocysteine levels. Conclusion: From our study we concluded that people with high circulating level of homocysteine had a decreased Bone Mineral Density (BMD), thus establishing an association between homocysteine and the risk of developing osteoporosis.
Published: 13 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 85-89; doi:10.22271/ortho.2020.v6.i4b.2323
Objective: The aim of our study was to evaluate the clinical outcome of distal humerus fractures treated with orthogonal plating via the olecranon osteotomy approach in the Indian population, at a tertiary care centre in Kolhapur. Method: A prospective study was carried out in a tertiary care center in Kolhapur. A total number of 16 patients with fractures of distal humerus (AO type B and C) were studied between May2019 to August 2020. All were treated with orthogonal plating via the olecranon osteotomy approach. A mean follow up of 6 months was carried out, and evaluation was done with the help of MEPS and DASH scoring system. Result: The mean radiological union time was 14.6 weeks with an arc of flexion of 101.2 degrees. The outcome measured using Mayo Elbow Performance Score (MEPS) and DASH scoring was 89 and 15.4 points respectively at 6 months. Patient satisfaction was 87% at the end of 6 month follow-up.25% patients reported complications like infection (1 patient), delayed wound healing (2 patients) and hardware prominence (1 patient). No cases of infection or peripheral neuropathies were reported in any of the patients. Conclusion: Orthogonal plating via the olecranon osteotomy approach remains a good alternative showing good clinical outcome in the treatment of distal humerus fractures (AO type B and C). It offers a more stable fixation and the olecranon osteotomy approach gives better exposure for surgery.
Published: 12 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 69-72; doi:10.22271/ortho.2020.v6.i4b.2319
DHS with side plate assembly is most commonly used device for fixation of intertrochanteric fractures. It is a non collapsible fixation device, which permits the proximal fragment to collapse or settle on the fixation device seeking its own position of stability. After the patient with intertrochanteric fracture was admitted to hospital all the necessary clinical details were recorded in proforma prepared for this study. After the completion of the hospital treatment patients were discharged and called for follow up at out patient level, at regular intervals for serial clinical and radiological evaluation. All patients were followed up at 2 weeks interval till fracture union, at 12 weeks and at 6 months post operatively. 5 patients failed to attend the first follow up and were lost for further follow up (3 cases of DHS and 2 PFN). At each follow up radiographs of upper femur and hip were taken to assess the fracture union, implant failure and screw cut out. In our series of 30 patients 5 cases were lost for follow up and 2 cases expired due to associated medical problems.
Published: 12 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 40-43; doi:10.22271/ortho.2020.v6.i4a.2318
Fracture shaft of tibia are increasing due to high velocity trauma and industrialization. Not only they are common but often difficult to treat. Until recently surgeons had to rely on non operative methods, ‘V’ nailing, ‘plates and Screws’ and external fixators but they had their non drawbacks like prolonged immobilization, infection, delayed union, nonunion, malunion and cumbersome for patients, with the introduction of reamed intramedullary interlocking nail for tibial shaft fractures has overcome some of these complications and encourages the patients for early mobilization. This study has been done to evaluate the results and complications of reamed intramedullary interlocking nail for tibial shaft fractures in closed and Gustilos type I and II fractures. Twenty five adult patients with fresh tibial shaft fractures were treated surgically with reamed intramedullary interlocking nail. Results: Among twenty five patients treated with reamed intramedullary interlocking nail 24 fractures united at an average of 19.12 weeks with an union rate of 96%. Two fractures showed delayed union, one fractures had non union and one fracture had malunion. One case had distal locking screws breakage. One case of deep infection and two cases of superficial infection were noted. Seven patients had anterior knee pain, one case developed shortening of leg which was less than 1cm. Functional results were graded according to the criteria by Klemm and Borner. 92% of patients achieved good or excellent results, fair results were obtained in one patient and in one patient the functional results were poor.
Published: 11 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 36-39; doi:10.22271/ortho.2020.v6.i4a.2317
Hip and low back pain is common during pregnancy or postpartum period. Herein, we report 12 cases with low back pain radiating to hip and buttocks presented to us after delivery and after failed NSAID therapy. MRI was very valuable and helped us in early diagnosis and promt treatment. We treated all patients with course of oral steroids and emperical antibiotic therapy in whom there was leuckocytosis. All patients responded very well to our treatment protocol. We recommend early MRI and oral steroids for fast recovery of postpartum - associated inflammatory sacroiliitis.
Published: 10 October 2020
International Journal of Applied Research, Volume 6, pp 257-262; doi:10.22271/allresearch.2020.v6.i10d.7293
Published: 8 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 17-20; doi:10.22271/ortho.2020.v6.i4a.2312
Aim: We undertook this study to determine the average valgus cutting angle of distal femur in South Indian population since most of the studies are on western population and very few studies in Indian population and particularly South Indian population. Methods: We did a study femoral valgus angle of 174 knees in 87 patients with full length CT scannograms in our radiology department. Results: The average Femoral valgus angle was found to be of 6.51 ± 0.76 and there was no statistically significant difference between male and females or between both the sides. There was a strong correlation between the two sides(0.971) and weak correlation with regards to age(.003).
Published: 8 October 2020
International Journal of Orthopaedics Sciences, Volume 6, pp 33-35; doi:10.22271/ortho.2020.v6.i4a.2316
Enthesitis related arthritis belongs to undifferentiated type of Juvenile spondylo arthropathy in JIA subtype of ILAR Classification. Clinical features vary from adult spondylo arthropathy making adult classification criteria inaccurate for paediatric group. Because of significant heterogeneity of this disease phenotype, it has been difficult to propose a classification criteria. JSpA accounts for 20% of JIA with onset usually after 6 yrs with male preponderance (M:F- 7:1).Here we would like to report a case of Enthesitis related arthritis in 11yr old male which started as Hip joint involvement and later with lt knee joint and tarsitis. He was managed well conservatively and followed up with DMARDs and supportives.
Journal of Crop and Weed; doi:10.22271/09746315
The Journal of Crop and Weed a NAAS rated, indexed and abstracted at CABI, is an official publication of the Crop and Weed Science Society (CWSS).
Tropical Plant Research; doi:10.22271/tpr
Tropical Plant Research: An International Peer Reviewed Journal which publishes articles related to different trends of Plant Research in Tropical and Sub-tropical regions.