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   Table of Contents - Current issue
January-April 2021
Volume 4 | Issue 1
Page Nos. 1-18

Online since Monday, April 26, 2021

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Pediatric elbow injuries – Challenges in management p. 1
Mazhar Abbas, Yasir Salam Siddiqui
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Functional outcome of intra-articular fracture of distal end of radius treated by open reduction and internal fixation with locking distal radius system p. 3
Kumar Chandan, Ravi Kumar, Rahul Ranjan, Rohit Amar
Background: There is alays been a dilemma in the treatment of intra-articular distal radius fracture (DRF). Close reduction and cast application gives satisfactory result in extra-articular Distal Radial Fractures but there is alays been debate beteen open and close reduction in the intra-articular fracture. Hence, this study is to evaluate effectiveness of open reduction and internal fixation of intra-articular Distal Radial Fractures. Materials and Methods: This prospective observational study as carried out in the department of orthopedics, All India Institute of Medical Sciences, Patna, from August 2016 to March 2019. The patient ere included ho qualified the inclusion criteria. The included patient ere treated by open reduction and internal fixation ith distal radius plate. The outcome as assessed in term of anatomical variables (radial dorsal tilt, length, and angle), residual deformity, and subjective result evaluation using Sarmiento's modification of Lind Storm criteria. The complication if any as also noted. Results: This study included 30 cases of intra-articular DRF, 12 fractures of AO type B, and 18 fractures of AO type C. Anatomically, 24 patients (80%) had excellent restoration of anatomy, 4 patients (13%) had good restoration and 2 had fair (7%) restoration of anatomy. 93% of patients had excellent to good alignment of fragments and good reduction could not be achieved in 7% of patients resulting in fair or poor results. Functionally, 22 patients (73%) had excellent, 5 good (17%), and 3 patients had fair (10%) restoration of functions. Conclusion: Open reduction and internal fixation ith volar plate and scres fixation gives satisfactory (good to excellent) result in intra-articular Distal Radial Fractures.
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Comprehensive–Comparative study of fracture distal end radius with plating and K-Wire fixation p. 9
Randir Kumar, Nand Kumar, Ashutosh Kumar
Introduction: Distal end radius fracture is a common fracture seen in the routine orthopedic outpatient department. The optimal management of distal radius fractures remains controversial. Aim: The aim of the study is to compare the functional outcomes folloing volar plating and K-ire fixation of the distal end radius fractures and to compare hich method produced better result. The functional outcome in terms of range of movements, pain, and grip strength of the patients as assessed at 6 months in both groups by demerit score system of Gartland and Werley. Material and Methods: The ORIF group as treated ith volar plating and CRIF group ith k ires. The functional outcome as measured using Gartland and Werley system. Results: Functional outcome as per Gartland and Werley as 95% excellent-to-good results in the plating group as compared to 75% in the K-ire fixation group. Conclusion: The study emphasizes that open reduction and internal fixation ith volar plating has excellent functional outcome hen compared to K-ire fixation in distal radius fractures. When considering the cost, K-ire fixation is preferred over volar plating.
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A rare differential diagnosis of gluteal mass p. 12
Pandiaraja Jayabal, Shalini Arumugam
Fat necrosis is an inflammatory process of fat folloing an insult to the adipose tissue. It is more common in the body region here there is high adipose tissue. It can present ith cellulitis, skin necrosis, discharging ounds, and mass. Carcinoma is one of the differential diagnoses of fat necrosis. Our case is presented ith a gluteal mass hich as diagnosed as a hydatid cyst, based on the imaging. Sometimes, imaging fails to identify traumatic fat necrosis, particularly if it is associated ith a capsule ith multiple fat lobules. Postoperative history confirms the encapsulated type of fat necrosis ith fat lobules. Encapsulated traumatic fat necrosis should be considered one of the differential diagnoses of hydatid cyst.
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Periosteal ganglion cyst masquerading as pes anserine bursitis p. 15
Ganesh Singh Dharmshaktu, Tanuja Pangtey
Periosteal ganglion cysts result from mucoid degeneration and cyst formation from periosteal tissue and are uncommon clinical entities. Long-standing periosteal ganglion cyst may present ith pain and pressure effect on underlying bone. Periosteal ganglion cysts at location near important bursa, in rare instances, may mimic bursitis and be misdiagnosed or treated inappropriately. Magnetic resonance imaging provides extensive details and delineation and is crucial for diagnosing these lesions. We report a case of 30-year-old female diagnosed and treated for pes anserine bursitis for months before radiological, and biopsy revealed a periosteal ganglion cyst spanning knee joint on medial aspect. Surgical excision as done to relieve the symptoms and there as no recurrence of the lesion noted in the follo-up.
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Bedside Clinics in Orthopaedics p. 18
VK Sinha
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