International Journal of Research in Orthopaedics

Journal Information
ISSN / EISSN : 2455-4510 / 2455-4510
Published by: Medip Academy (10.18203)
Total articles ≅ 1,322
Filter:

Latest articles in this journal

Prasad L. Chaudhari, Sachin Y. Kale, Gaurav Kanade, Shikhar D. Singh, Sanjay B. Dhar, Ajay Sharma
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20222072

Abstract:
Background: Musculoskeletal impairment is the most common cause of chronic pain and subsequent disability world over. Yet their very few Indian studies on this subject. The aim of study was to assess the extent of disability in out-patients suffering from chronic musculoskeletal pain, to determine whether the disability varied with the age and sex of the patient, to assess any correlation between the intensity of pain and the extent of disability, and to evaluate whether the extent of disability depended upon the site, periodicity and duration of pain. Methods: The 200 patients of chronic musculoskeletal pain were assessed for disability using the pain disability questionnaire (PDQ) and pain intensity using the numeric pain rating scale. The patients with mild, moderate and severe disability were compared using non parametric tests to assess the differences related to age, sex, pain intensity, site, duration and periodicity of pain. Results: The 56% patients had mild, 41% had moderate while 3% patients reported severe disability. Disability was higher in patients in the younger age group, higher intensity of pain, heel pain and variable pain. In the regression analysis, pain intensity emerged as the sole predictor of disability. Conclusions: We conclude that 56% patients had mild, 41% had moderate while 3% patients reported severe disability. Disability was higher in patients at the extremes of age, higher intensity of pain, and variable pain. Gender and pain duration did not have any significant association with disability.
Srijay Sashaank S., Giri Raj J. K., Gopinath Menon P.
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20222073

Abstract:
Background: Acute haemotogenous osteomyelitis can occur at any age group but is mainly a disease of children. They are a challenge to differentiate as they have overlapping signs and symptoms. Septic arthritis is considered a surgical emergency while acute osteomyelitis, when presented early can be treated with parenteral antibiotics. There is paucity in the approach (imaging guidelines and treatment) for cases where acute septic arthritis is associated with osteomyelitis. We aimed to analyses the role of pre operative appendicular MRI in the cases of acute bone and joint infection in paediatric age group. Methods: This is a prospective study done in 38 children suspected to have acute bone and joint infections. All the patients underwent emergency appendicular MRI in the suspicion of bone and joint infections. Based on the MRI findings, all the patients were classified into cases of isolated septic arthritis and cases of septic arthritis with concomitant osteomyelitis. There was a change in the treatment modality between the two categories of patients. Results: In our study 14 (36.84%) cases of the 38 suspected bone and joint infection had concomitant osteomyelitis with septic arthritis. These 14 cases were seen involving the knee, hip, elbow and shoulder joints. The incidence of septic arthritis with coexisting osteomyelitis was 36.84% in our study, which was diagnosed with pre operative emergency appendicular MRI. Conclusions: Our study concludes that MRI should be included in the work up for suspected bone and joint infections provided MRI is done in a timely fashion without unnecessarily delaying surgical intervention if needed.  
Mohamad Azhar Gilani, Syed Najmul Ain
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20222068

Abstract:
Background: Menopause brings with it a cluster of symptoms and health problems. Low back ache (LBA) decreases the quality of life both socially and economically by increasing sickness absenteeism. Women are more likely to have backache and more so after menopause. Objective of the study was to find out the prevalence of LBA among postmenopausal women and also to assess the severity of the LBA. Methods: This was a cross-sectional community-based study conducted in block Hazratbal of district Srinagar, the field practice area of the department of community medicine, Government Medical College (GMC), Srinagar. The data was collected over a period of 3 months in 2018 by consecutive sampling by going door to door in the area. A woman who had attained menopause as per the definition was included in the study.Results: A total of 198 women were included. Mean age at the time of contact was 53.56 years. The prevalence of LBA among these women was 77.8% (154 of 198 women) with almost 55% women having moderate LBA and 16% women grading their LBA as severe. Those in late menopause were 4 times more likely to have severe LBA than those in early menopause. Conclusions: The magnitude of LBA among postmenopausal women is huge. About one quarter of these women have severe LBA. Therefore, to maintain a good quality of life of these women, specific measures to tackle this problem must be taken.
Vicky T. Jain, Shubham N. Katti, Vijay P. Yadav, Prithviraj A. Paigude
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20222057

Abstract:
Mucoid degeneration of anterior cruciate ligament (ACL) is an uncommon cause of knee pain and restriction of movements. It uncommonly presents with a coexisting ACL ganglion cyst. Typically present between ages of 40-60 years, however, the true incidence and symptoms are variable. We present our experience with one such case with loss of knee extension treated with arthroscopic debulking. The patient regained both full range of motion and resolution of symptoms after the treatment.
Rajesh K. Dhadiwal, Bhushan M. Khemnar, James John
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20222058

Abstract:
Background: Various orthopaedic conditions end up being painful, chronic and progressive, and are associated with persistent inflammation. The present study aimed to evaluate the efficacy and safety of an enzyme-bioflavonoid combination of trypsin-bromelain-rutoside in managing the chronic pain and swelling in out-patients with various orthopaedic conditions. Methods: The study was a prospective, observational study, conducted in 100 patients attending the orthopaedics department at a multi-speciality hospital located in Nashik, Maharashtra, India. Verbal rating scales were used for grading the pain intensity and extent of swelling at baseline and on days 3 and 8, after being prescribed oral tablets of trypsin-bromelain-rutoside combination. Scores were analysed using paired t test. A 5-point Likert scale was used to evaluate patient- and investigator-reported global assessment of improvement in pain and swelling at days 3 and 8.Results: At baseline, 68 patients reported moderate-severe pain, while 74 patients had moderate swelling. The mean scores for pain and swelling showed statistically significant reduction at both day 3 (p<0.0001) and day 8 (p<0001). By day 8, 98 patients reported good-excellent improvement and the investigator reported good-excellent improvement in 97 patients. No adverse event was reported by any patient. Conclusions: The results indicate that this therapy led to significant improvement in the pain and swelling as early as day 3 and further improvement with continued therapy, and can, thus, provide a safe alternative in patients with various orthopaedic conditions and reduce the need for other analgesic and anti-inflammatory drugs.
Tarun Kumar, Mohit Kumar, Bhawana Chawale, Sonika Bhatt, Gaurav Luthra
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20221816

Abstract:
Background: The goal of this study was to investigate the performance of the humerus bone fixation with screws while treating humerus bone fracture. Methods: The 34 patients’ retrospective data was collected with 1 year of follow up. Humerus fractures were treated by humerus plate fixation in different hospitals and countries, including 26 males and 8 females, with the age range of 32 -74 years (mean 47.4 years). Clinical and radiological follow-ups were conducted at 1 month, 3 months, 6 months and 1 year after surgery to check the bone union and implant-related complications. Ten different plates were used for the treatment of fracture as per the fracture type. The patient's health status was evaluated by the American society of anesthesiologists grade and the visual analogue score (VAS) was also obtained. Results: The progressive decline in the VAS score showed positive results related to pain management. All patients receive continuous physiotherapy under the supervision of physiotherapists, which aids in faster recovery and mobilization. No biomechanical issue related to implant plate and screw loosening, corrosion, bend, or other factors was detected in our 34 patients. Out of 34 patients 91% were satisfied with no pain and the remaining 9% were unsatisfied due to pain. About 85% of patients were happy with aesthetic appearance and the rest 14% of patients were unhappy related to aesthetic appearance. Conclusions: Humerus plate fixation is feasible for the treatment of humerus fracture. The clinical outcomes and prognosis of patients are dependent on the accuracy of intraoperative reduction and surgical expertise.
Sonika Bhatt, Mohit Kumar, Tarun Kumar, Bhawana Chawale, Gaurav Luthra
International Journal of Research in Orthopaedics; https://doi.org/10.18203/issn.2455-4510.intjresorthop20221813

Abstract:
Background: In this study, we aimed to investigate the performance of the tibia plates system while treating the tibia fracture fixation. The objective of this study was to reduce the post-operative complications of proximal and distal tibia fracture by using indigenously manufactured implants (plates and screws). Methods: In this retrospective study, we studied the results of the tibia plate system in treatment of tibia fracture. A total of 34 consecutive patients were included in this study (24 males, 10 females and average age 48.6 years). Fracture type was classified as per the Muller AO classification of fracture. According to the AO classification, proximal and distal tibia fractures 41-A, 41-B and 41-C was observed with one year follow up period followed by physical exercises after one month of the surgery. The fractures were treated with wise-lock proximal and distal tibia plates. Results: The outcomes of clinical treatment were obtained in our study; no pain (88.2%), mild pain (11.7%) after 1 year follow up. The follow up of patients was taken on 1 month, 6 months and 1 year according to visual analog scale (VAS) score. No implant related problem have been found like loosening, bending and corrosion. X-ray was used to check the union, non-union. Functional outcomes were assessed with VAS. Conclusions: Treatment of tibia fracture with wise-lock proximal and distal tibia plate shows good outcomes with less complications.
Yao Zhao, Jianchuan Shu, Longtao Qi, ChengXian Yang, Beiyu Xu, Zhengrong Yu, Chunde Li
International Journal of Research in Orthopaedics, Volume 8, pp 415-421; https://doi.org/10.18203/issn.2455-4510.intjresorthop20221617

Abstract:
Background: The treatment of adult spinal deformity (ASD) remains a significant challenge, especially in elderly patients. This study aimed to evaluate the outcomes of the S2AI screw technique in the treatment of severe spinal sagittal imbalance with a minimum 2-year follow-up. Methods: From January 2015 to December 2018, 23 patients with severe degenerative thoracolumbar kyphosis who underwent placement of S2AI screws for long segment fusion were retrospectively reviewed. Patients were divided into group A (no mechanical complications, 13 cases) and group B (with mechanical complications, 10 cases) according to the occurrence of mechanical complications at the last follow-up. Radiographic parameters were compared between groups preoperatively, 1 month postoperatively and at the last follow-up. Risk factors for mechanical complications were analyzed. Results: The incidence of mechanical complications was 43.5% and the revision rate was 17.4%. At 1 month postoperatively, sagittal correction was better in group A than in group B (p<0.05). The area under the curve for predicting mechanical complications of sacral slope (SS), lumbar lordosis (LL), PI (pelvic incidence)-LL at 1 month postoperatively were 0.762 (p=0.035), 0.896 (p=0.001) and 0.754 (p=0.041) respectively and the best cut-off values were 24.1°, 32.8°and 12.0°. The sagittal correction of both groups was partially lost at the last follow-up. Conclusions: A high incidence of mechanical complications was observed in long-segment corrective surgery with the S2AI screw technique for severe spinal sagittal imbalance. Inadequate sagittal correction is a risk factor for the development of mechanical complications.
Bharath M. C., T. H. Prakashappa, Madhusudan B., Nithin S. M.
International Journal of Research in Orthopaedics, Volume 8, pp 451-456; https://doi.org/10.18203/issn.2455-4510.intjresorthop20221621

Abstract:
Background: Total knee arthroplasty (TKA) is one of the most commonly done orthopaedic surgical procedures for treating severe arthritis of the knee joint caused by osteoarthritis or inflammatory arthritis. The current clinical investigation, done at the Sanjay Gandhi Institute of Trauma and Orthopaedics in Bengaluru, provided the short-term functional result of mild and moderate residual varus in posterior stabilized TKA. The aim was to evaluate the efficacy of mild and moderate residual varus in total knee replacement for primary OA knee in terms of pain relief, range of motion and stability of the joint. Methods: 30 total knee replacements were performed. All patients were examined pre- and post-operatively using the knee society clinical and functional score. The average pre-op KSS knee score was 38.7, with a functional score of 23.3. The most common reason for TKR was osteoarthritis. The follow-up time ranged from 6 to 12 months.Results: By the knee society clinical, functional score method, 96.6% of our patients received an outstanding assessment after scoring 80 points or higher. The mean post-operative KSS knee score is 86.57, and the knee society functional score is 92. 92% of patients had little/no pain after surgery, and walking ability increased and was unlimited in 80% of patients.Conclusions: After a short term follow up of 1 year in a research population of 30 with pre-operative osteo arthritis of the knee, with post-operative mild to moderate varus alignment showed better clinical results.
Vetri Nallathambi R., Raviraman V.
International Journal of Research in Orthopaedics, Volume 8, pp 512-514; https://doi.org/10.18203/issn.2455-4510.intjresorthop20221632

Abstract:
Isolated trapezial fracture is a rare diagnosis which can lead to long term symptoms if missed. We reported a case of vertical intra-articular displaced trapezial fracture treated with percutaneous cancellous screw fixation with good functional outcome.
Back to Top Top