Indian Journal of Orthopaedics Surgery

1-3

Authors: Sudhir Singh

Indian Journal of Orthopaedic Surgery (IJOS) is a peer-reviewed journal with reputable academics and experts as members of its Editorial Board. IJOS publishes information on basic and applied orthopaedics for a worldwide readership. It publishes original research papers, critical reviews dealing with all fields of Orthopaedics and it addresses the international scientific community. Papers related to orthopaedic science on a worldwide basis are also considered. Special emphasis is given to issues that go beyond the traditional boundaries of an orthopaedic journal. Articles on the state-of-the art of orthopaedic surgery in different parts of the world, the research activities and medical education in orthopaedic teaching, the role of orthopaedics in society, new findings from the frontiers of current research are always encouraged.

11-21

Authors: Choudhari P, Chhabra S, Kiyawat V

Back ground: Haemangioma arising in the knee is a rare cause of knee swelling. The diagnosis frequently is delayed for long. Method- We are presenting the case series of 3 cases of synovial haemangioma of knee joint. All the three case presented to us with pain and swelling in the knee joint. Conclusion: The aim of presenting this case series is to create awareness about the possibility of a haemangioma arising from a joint which although rare should be kept as a differential diagnosis.

27-31

Authors: Hayat Ahmad Khan, Younis Kamal, Adil Bashir Shah, M Ashraf Khan, M Shahid Bhat, Naseemul Gani,

Introduction: Spinal fractures are often seen in the accident and emergency department. These usually result from the Road traffic accidents in young or due to fall from height in elderly. These fractures are sometimes associated with other injuries as well. Artificial denture ingestion as associated with spine fracture is not been reported in literature. We present a case of elderly male patient who had such association and was picked up early and managed uneventfully. Case Presentation: Following fall from height, Patient was brought to us with pain back with difficulty to stand. Patient was initially stabilised and on examination he had tender neck and lumber spine. Foreign body was suspected on x rays besides a wedge compression fracture at L1. Patient was subjected to hypo laryngoscopy and artificial dentures were removed. Conclusion: This case highlights the need for looking artificial dentures by the emergency care physicians while dealing with the trauma patients. The history should be asked in elderly patients who turn up with fractures following fall to rule out any artificial teeth ingestion. Early diagnosis can prevent morbid complications.

37-42

Authors: Mohammad Farid, Sanjiv Kumar, Atil Kumar lal, Sudhir Singh

Cysticercosis is a common human infestation in the developing world. Cysticercosis is an infection caused by the larvae of the tapeworm, Taenia solium. Neurocysticercosis is the most common clinical presentation of cysticercal infestation in the human body, but it may be rarely encountered in other body parts like skeletal muscle, subcutaneous tissue and eye. A 17 yr old female presented in the orthopedics department with complains of swelling over the right forearm since 4 months. It was diagnosed as a cysticercosis on MRI and ultrasonography of forearm and it revealed a scolex, the aim of this case report was to document a rare presentation of cysticercosis cyst in forearm. It was treated by albendazole 400mg for twice a day dose daily for 1 month. The patient came for follow up after 6 weeks and no swelling was palpable and MRI and USG reports did not reveal any cystic lesion..

50-56

Authors: Avinash Jain, Jayant Sharma

Introduction: Injuries to the bones forming knee joint particularly tibial plateau fractures can result in functional impairment and also one of the most challenging to treat. Proximal tibia fractures constitute about 8% of all fractures in elderly. Improvements in surgical techniques and implants, has favoured a trend towards surgical managements, with objectives including precise reconstruction of the articular surfaces, stable fixation, early mobilization and repair of all ligamentous and soft tissue lesions1. However success of the surgical management needs revaluation. Materials and Methods: It is a prospective analytical study of 2 year duration. A total of 50 patients with tibial plateau fractures were selected and managed surgically. Results: In our study of 50 patients, 13 were managed by CRIF with PCCS, 37 were managed by ORIF with Buttress plate and Bone grafting. Post-operative assessment for an average period of 12.56 months done. And the results were analysed in terms of aetiology, sex ratio, age group, classification type, dominant side, complications like OA, knee stiffness, etc. Conclusion: The management protocol of tibial plateau fractures is challenging. Fracture type is the chief determinant for the choice of procedure. The aim is to achieve anatomical reduction and rigid fixation to restore articular congruity, facilitate early knee motion by reducing postoperative complications and thus achieving optimal knee function at the earliest. These fractures, still pose a challenge to the surgeon, they need to be evaluated, planned and treatment executed in the best of experienced hands.

60-63

Authors: Ramesh Krishna. K, Aradhana. T. R, Preetham. N

Introduction: Olecranon osteotomy provides a good exposure of the fracture site for distal humerus fracture fixation. However, it is not without its potential disadvantages of delayed union, non-union at osteotomy site and other implant related complications. Triceps reflecting approaches are known to avoid these complications. The aim of our study was to compare the outcomes in the two surgical approaches by assessing the radiological union, the functional outcome by MEPI score and complications associated with each approaches. Methods: 40 consecutive patients were alternatively allotted into two groups. Group A had 20 patients treated surgically by trans-olecranon approach. Group B had 20 patients treated surgically by triceps reflecting approach. Patients were followed up for period of 24 months. Patients were assessed for stability of fixation, radiological union, the functional outcome using MEPI, and the complications in each group were reported. Results: Regardless of the fracture and implant type, functional mobility, elbow function, patient satisfaction, and quality-of-life assessments were comparable between the groups at three and twelve months. No significant differences were found in the functional outcome. But olecranon osteotomy approach group were associated with more complications Conclusion: Trans-olecranon and triceps reflecting approaches are similar in their functional outcomes but complication rates are higher in trans olecranon approach.

75-78

Authors: Mohammad Farid, Kumar Satyendra, Lal Atil Kumar, Rai Tushar, Singh Sudhir

Synovial chondromatosis is a rare benign condition arising from the synovial membrane of the joints, synovial sheaths or bursa around the joints. The purpose of this case report is to document this condition in younger age group as compared to age group of 30-50 yrs where it has been seen relatively more commonly, and of attachment of multiple loose bodies to anterior cruciate ligament which was treated by arthroscopic synovectomy and removal of loose bodies was done in a 22 yr old male.