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   Table of Contents - Current issue
September-December 2019
Volume 2 | Issue 3
Page Nos. -

Online since Monday, December 23, 2019

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Editorial p. 43
Ritesh Runu
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Coccydynia: A lean topical review of recent updates on physical therapy and surgical treatment in the last 15 years p. 44
Ganesh Singh Dharmshaktu, Navneet Adhikari, Binit Singh
Coccydynia is disabling painful condition resulting from various factors and often not given serious importance. The chronic or recurrent pain affects activities of daily living and overall quality of life. Not only it is a poorly understood disorder with newer findings related to its anatomy, radiology, and the management periodically supplementing the medical literature but also it is managed in casual manner in clinical settings. There are various treatment options in both conservative and operative methods of its treatment and knowledge of which is important for its optimal management. A relevant topical review of recent advances on its management is presented here as handy guide for busy practitioners.
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Hardware/engineering battery-operated drills are more cost-effective as compared to orthopedic drills p. 49
Sneh Prabhakar, Avtar Singh, Rajeev Vohra, Kanwar Kulwinder Singh, Inderdeep Singh
Background: Drilling of the bone is common to produce holes for screws and pin insertion, to fix the fractured parts for immobilization. For this purpose, we need a power drill machine. Power drills used in orthopedic surgery can be categorized into two types: electrical and battery operated. Battery-operated drills could be orthopedic drills or hardware engineering drills. Commercial orthopedic battery drills (OBDs) are very costly. However, the same purpose can be subserved by hardware/engineering battery drill (HBD or EBD), with some additional practical advantages. Purpose: The purpose of this study is to aware the orthopedic surgeons who are working at resource constraint places about the advantages of EBD which is available at a very low price and serves the same purpose. Methods: We are using these battery operated hardware/engineering drills from quite a period of time and we have immense experiences with these EBD. The present article discusses in details about both the OBD and EBD. We assessed both drills by our own practical experience and compared both drills' specifications. Research Performance Place: The present study was conducted at Amandeep Hospital, G. T. Road, Model Town, Amritsar, Punjab, India. +91-98760-02746, 9876046778, E-mail: ah.admin@amandeephospital.org. It is a research institute with super specialty and multispecialty offering postgraduation courses and residency with national and international fellowships and observerships. Results: After comparing both the drills, we found that EBD is a very good substitute for OBD in orthopedic surgery in various aspects, namely availability, procurement, functionalities, servicing, and maintenance and is very cost-effective too. Conclusion: Hardware / engineering battery drills are very good and practical alternative to orthopedic drills in orthopedic surgeries. Hence, EBD is recommended for hospitals with limited resources and where treatment cost is an issue. Level of Evidence: 5.
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Short-term outcome of total hip arthroplasty using dual-mobility cups for secondary osteoarthritis hip in the Indian population p. 52
Sudeep Kumar, Anup Kumar, Ravi Kumar
Purpose: The aim was to evaluate the functional outcome and dislocation rate at a minimum of 1-year follow-up following total hip replacement (THR) using Stryker modular dual mobility (MDM) X3 Mobile Bearing Hip System. Materials and Methods: This was a prospective study. The sample size was twenty patients who had secondary osteoarthritis hip with age <60 years; who had no debilitating disease, neurological motor disease, or any history of hip fracture or infection; and those who had underwent primary uncemented THR. They were evaluated clinically using the Western Ontario and McMaster Universities Arthritis Index (WOMAC) and Oxford Hip Score (OHS) and radiologically using routine radiographs. Results: The mean OHS at a minimum of 1-year follow-up was 40.40 ± 6.253, whereas WOMAC score was 93.85 ± 3.511. Correlational analysis of OHS and WOMAC score revealed very weak relationship (r = 0.165), and P = 0.486 was considered statistically not significant. Conclusion: The present study demonstrates that short-term follow-up of MDM THR is not worse than what is routinely used in the market.
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Elbow dislocation with ipsilateral fracture of radius and ulna in a child – Case report and literature review p. 55
Ganesh Singh Dharmshaktu
Fracture of diaphyseal forearm bones is common, while the elbow dislocation is a rare injury in the pediatric age group. Both injuries are widely reported in isolation or with various associated injuries. The concomitant association of both of these injuries even in adults is only described in the literature as sporadic case reports. The simultaneous presence of both of these injuries in children is even rarer. Here, we present a case of a 9-year-old child with posterior elbow dislocation and ipsilateral diaphyseal fracture of both bones of forearm that was appropriately managed with good outcome. Only one case has been reported younger than ours as per the literature search by authors regarding similar cases.
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Approach to the management of solitary osteochondroma of the body of the pubis p. 58
Rajnand Kumar, Saurabh Kumar, Tarun Vijay, Deepankar Verma
Osteochondroma is considered the most common benign tumor of the bone (20%–50% of all benign tumors); some consider them arising from small cartilaginous nodules present in the periosteum. They are developmental malformation or true neoplasm. Their growth usually ceases when skeletal maturity is reached. Pelvic osteochondroma is uncommon (5% of all osteochondromas). Osteochondroma of the pubic ramus is a rare entity, and the actual incidence is not known. We present the case of an 18-year-old female, who came with a swelling in the right groin for 5 years which was diagnosed to be osteochondroma on X-ray and three-dimensional computed tomography (3D-CT) scan. En bloc excision was done as the patient wanted it to be removed for a cosmetic purpose and confirmed it to be nonmalignant osteochondroma. There has been no recurrence even after 1 year of follow-up. Treating doctor should be well versed with various approaches and 3D-CT scan is required for planning surgical excision. Pelvic osteochondromas should be considered in the differential diagnosis of any bony mass in the pubic region.
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Managing intraoperative fatigue failure of proximal jig for interlocking nail – A case report and technical tip p. 61
Binit Singh, Ganesh Singh Dharmshaktu, Aanshu Singhal
Interlocking nails are widely used implants in the management of long-bone diaphyseal fractures. Interlocking nailing is an easy, predictable, and standard method owing to the presence of ancillary instruments and image intensifier. Proximal jigs help in guiding and inserting nail as well as its proximal locking. Intraoperative breakage of proximal jig may be an uncommon problem that is underreported in the literature. The creative use of variable unrelated instruments may prove instrumental to manage the complication and result in safe surgery. We describe one such uncommon intraoperative failure of proximal jig during femoral interlocking procedure and our experience in getting past the hurdle by an innovative solution.
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