International Journal of Case Reports in Orthopaedics

Journal Information
ISSN / EISSN : 2707-8345 / 2707-8353
Published by: AkiNik Publications (10.22271)
Total articles ≅ 55

Latest articles in this journal

Momanyi Oyagi Alex, Paul Mwangi, Barry Ayumba, Ronald Lwegado
International Journal of Case Reports in Orthopaedics, Volume 3, pp 01-06;

Apert syndrome is a rare genetic type I acrocephalosyndactyly disease characterized by craniofacial dysmorphism and syndactyly of the hands and feet. It assumes as an autosomal dominant inheritance with mutations in the fibroblast growth factor receptor gene. We report an observation in an 11-month-old female infant who is on follow-up at the orthopaedic and plastic surgical clinics at Moi Teaching and Referral Hospital (Kenya). The paraclinical examination demonstrated complicated bilateral hand syndactyly, bilateral foot simple syndactyly on dedicated hand and foot radiographs, bicoronal synostosis with exophthalmos on cranial CT scan and atrial septal defect on echocardiogram. First stage border digit (thumb) syndactyly release was done at 9 months using the modified Flatt technique with complimentary full thickness skin grafts. Initial post-operative clinic review demonstrated surgical site healing with no signs of early creep. She is currently on scheduled multidisciplinary clinic follow-ups with the second stage surgery targeting six months postoperatively.
Sinukumar Bhaskaran, Lalkar Laxman Gadod, Azhar Lakhani, Tasneem Kapadia, Mayank Pathak
International Journal of Case Reports in Orthopaedics, Volume 3, pp 24-27;

Introduction: Distal femur fractures are one of the most common fractures accounting for 0.5% of all fractures with incidence of about 7/100000/year. Majority of the fractures occur in elderly population (above 60 year) with osteoporosis resulting from a low energy trauma. In the younger age group these fractures are associated with high energy trauma. Case report: A 68-year-old male presented with chief complaints of pain and deformity in right knee since 1 year. The patient had a history of distal femur fracture 2 years back for which he was operated twice with distal femur plating and bone grafting. The patient was a known case of diabetes mellitus on medication since 5 years. Radiographs of the right knee in anteroposterior and lateral views were taken, which showed distal femur fracture non-union with a broken locking compression plate with grade 4 knee arthritis. Due to the failure of osteosynthesis twice, and the patient demanding for early mobilization, a single staged procedure with implant removal followed by an arthroplasty using cemented modular distal femur endoprosthesis was planned for the patient. Conclusion: Hinged knee arthroplasty can be considered as a treatment option for patients with distal femur non-union with pre-existing severe knee arthritis. It helps in early weight bearing and return to activities of daily living.
Oleg Kaplunov, Sergey Demkin, Kamil Abdullaev, Kirill Kaplunov, Аnastasya Malyakina
International Journal of Case Reports in Orthopaedics, Volume 3, pp 07-13;

Introduction: The survey presents three clinical cases of successful treatment of chronic damage to the shoulder girdle and rotator cuff muscles with varying severity in people of working age. The patient with the most severe clinical symptoms of disorders had an episode of thromboembolism of the small pulmonary artery in past medical history. The aim of the study was to demonstrate, using the example of clinical cases, treatment options for patients with post-traumatic neuropathy of the axillary nerve associated with the rotator cuff damage, with improvement of the upper limb function and the patient's quality of life.Materials and Methods: A comprehensive study of the outpatient and inpatient records materials, the results of clinical laboratory methods of patient work-up was carried out, a selected conservative and surgical treatment, a rehabilitation program and drug prevention of thrombus formation are described in detail. Results: 8 months after the end of treatment, there was general, significant improvement of the damaged shoulder joint and limb function in all patients, and in the first two cases with moderate and medium deficiency, the level of complete recovery was almost achieved. The third patient, with the most adverse consequences and hemostatic comorbid pathology, underwent multi-team muscle-fascial transfer. As a result, there was a significant improvement in the right shoulder function. Discussion: A personalized approach to the choice of treatment tactics, depending on the degree of existing clinical disorders, whether a complex conservative treatment solely, or combined with an arthroscopic technique, as well as a reasonable implementation of techniques for transfer of preserved muscles to replace the lost function of damaged muscles in the most complex case was a condition and guarantee for achieving significant progress in the patient’s anatomical and functional status. Nevertheless, it seems appropriate to carry out a further search for more rational technologies of restorative reconstruction for the disorders under consideration. Conclusion: An individualized tactical and technical approach to the rehabilitation of such a complicated cohort of patients, correctly selected, taking into account the clinical and instrumental data, allows to improve the upper limb function of and the patients’ quality of life, and the reasonable tactics of clotting prevention ensures hemostasis control and the absence of vascular catastrophes.
Athanassios Ververidis, Anna Papazoglou, Stylianos Tottas, Ioannis Chrysafis, Konstantinos G Makiev, Maria Panopoulou, Elpis Mantadakis
International Journal of Case Reports in Orthopaedics, Volume 3, pp 40-44;

We present a previously healthy 5-year-old boy with primary pyomyositis of the right forearm due to methicillin-susceptible Staphylococcus aureus. He had no apparent portal of entry. He was cured after surgical drainage of the affected forearm along with a three-week course of sequential intravenous and oral antibiotics. Pyomyositis is a rare but serious bacterial infection of striated muscle that should be part of the differential diagnosis of any child with fever, localized extremity pain, and edema. It can advance to abscess formation in the affected muscle and have serious short- and long-term consequences. The vast majority of cases in both tropical and temperate regions are caused by S. aureus. Hence, empirical anti-staphylococcal therapy pending culture results is appropriate. MRI is the best imaging modality for diagnosis, while common laboratory tests like hemogram, ESR and CRP are useful for monitoring response to therapy. Early diagnosis, surgical drainage and lengthy treatment with appropriate antibiotics lead to clinical cure in most cases.
Rajesh K Ambulgekar, Rahul S Agrawal
International Journal of Case Reports in Orthopaedics, Volume 3, pp 69-71;

The patient was a 18 year young male with chief complaint of difficulty in walking & progressive weakness in left lower limb was diagnosed as having space occupying lesion causing cord compression leading to muscular weakness. There was drastic & immediate recovery after excision of extradural mass from D3 to D9. A spinal extradural arachnoid cyst is a relatively rare disease.
Shreesh Kadur Jm, Sharvani S
International Journal of Case Reports in Orthopaedics, Volume 3, pp 21-23;

Gout is a metabolic disorder caused by deposition of MSU (monosodium urate crystals ) in joints and associated inflammatory reaction to it. It usually affects elderly men and postmenopausal women. Chronic tophaceous gout takes usually 10 years to appear due to recurrent episodes of gouty arthritis. Our case is a 55 year male person with multiarticular tophaceous gouty arthritis. Pharmacological treatment has high remittance rate. Surgical treatment is seldom required for gout and isusually reserved for cases of recurrent attacks with deformities, severe pain, infection and joint destruction. Our case is interesting due to the fact that it is early onset and treated only by pharmacological means.
José Manuel Valiente Valero, Juan José Sáez Picó, Adriano Amaro Bueno, Rafael Alcala Santaella, Ana Bailén García, Carmen Medina López
International Journal of Case Reports in Orthopaedics, Volume 3, pp 09-11;

We present the case of a 62-year-old man who, after suffering a severe COVID infection, spent 45 days in the intensive care unit. He developed bilateral heterotopic calcifications in his hips and within a few months a complete joint ankylosis. The surgery consisted of resection of most of the heterotopic ossification using a posterolaterally surgical approach in the right hip until restoring mobility to the joint intraoperatively. It is necessary to develop studies to determine if heterotopic ossifications are related to the viral infection itself, hypoxia, the need for invasive mechanical ventilation, immobility, or other causes in order to establish a prevention strategy for this type of complications.
Abhijit Chandge, Amit Patil, Amit Pilkhane
International Journal of Case Reports in Orthopaedics, Volume 3, pp 88-90;

Animal bite causing vascular injury is not uncommon. We present a rare case of brachial artery injury with humerus fracture in a five year old child, injury caused by domestic pig bite. Early surgical intervention is key to success in such cases. A five year old boy presented with brachial artery injury with humerus fracture following domestic pig bite. Immediate surgical intervention in form of open reduction and internal fixation of humerus fracture and brachial artery thrombectomy with repair saved his upper extremity.
Rajesh K Ambulgekar, Mahesh P Deshmukh
International Journal of Case Reports in Orthopaedics, Volume 3, pp 65-68;

Giant cell tumor is a locally aggressive benign tumor of bone predominantly involving proximal tibia region. We are reporting Case of Recurrence of 8years back operated case of Giant Cell Tumor of the proximal Tibia previously treated with cementing and bone grafting now presented with malignant fulminating mass over upper one third of leg managed with amputation.
Hawayda S, Messoudi A, Abdullah A, Rafaoui A, Rahmi M, Rafai M, Garch A
International Journal of Case Reports in Orthopaedics, Volume 3, pp 72-74;

Neglected monteggia is a rare lesion. We describe the observation of a young patient who presented this lesion and the surgical treatment has consisted in a reconstruction of the annular ligament with a good anatomical and functional results.
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