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Flexible Intramedullary Titanium Elastic Nailing of Fracture Shaft of Radius and Ulna in Children at a Tertiary Care Teaching Hospital

Introduction:   Displaced fracture shaft of both bone forearms in children can still managed with close reduction and cast application. If, it has failed or remain inadequately reduced after closed reduction require intramedullary fixation to achieve functional outcome. This study assesses the functional outcome of treating displaced fracture shaft of both bone forearm in children with intramedullary flexible titanium elastic nailing. Method:  79 children aged 3 to 15 years with displaced fracture of shaft of both bone forearm underwent flexible titanium elastic nail. The patients were followed up for a period of 12 months. Results:  Close reduction followed by nailing was possible in 71 patients, while 8 patients required open reduction through mini incision of both the radius and ulna fracture prior to nailing. 74 patients had excellent results and 5 patients had good results. 13 patients had minor complications including skin irritations over prominent hardware, superficial nail ins
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Neddle Percutaneous Fasciotomy in Treatment of Several and Advanced Cases of Dupuytren’s Disease - Juniper Publishers

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 Orthopedics and Rheumatology - Juniper Publishers Abstract Dupuytren’s disease is a common condition. Percutaneous needle fasciotomy it is a simple method that uses a hypodermic needle and is usually performed under local anesthesia. It has few complications and allows almost immediate return to work with few restrictions. It can provide complete deformity correction and may offer a long-term solution. On this study we analyse the use of this technique in Dupuytren disease stade 3-4 Tubiana classification. In conclusions percutaneous needle fasciotomy also in several and advanced cases of Dupuytren’s disease is a simple, safety and reliable technique with few complications and low health and social costs. Keywords: Dupuytren’s disease; Percutaneous needle fasciotomy Introduction Dupuytren’s disease is a chronic fibrotising disorder consisting of pathologic production and deposition of co
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Easter Wishes - Juniper Publishers

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  Juniper Publishers wishes you Happy Easter
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Regular Physical Exercise of the Asian Variety may be Kinder to the Joints

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  Orthopedics and Rheumatology - Juniper Publishers                                                  Abstract The many joints in the human body are the sites where arthritis and rheumatism manifest themselves. Knee problems which require knee joint replacements could happen to anyone. It does seem to occur in persons who use their joints repetitively for more times a day than others. Occupations that require this repetitive use include landscape architects, small-scale traditional farmers who use minimal machinery, etc. Intense exercise which includes miles of running daily also can be included in this category of exercising the joints excessively. It is proposed that meditative motions yoga and tai chi be practiced regularly instead for physical health. There is evidence in the published literature that these Asian forms of exercises do in fact improve mental health also. Keywords ; LArthritis; Rheumatism; Yoga; Tai chi; Knee; Hip Introduction In the September 2016 issue of Men’s Heal
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Surgical Management of Delayed Presentation of Osteochondral Knee Injuries in Adolescents - Case Series and Literature Review

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  Orthopedics and Rheumatology - Juniper Publishers                                                 Abstract Objective: Osteochondral fractures (OCF) are injuries to the articular surface of a joint containing both cartilaginous and bone components. Various methods have been reported for the treatment of these fractures in the acute setting. There is limited data on delayed fixation. We report two cases of delayed presentation and primary fixation of OCF with bioabsorbable osteochondral dart. Cases:  The first case was of a sixteen-year old boy with a twisting knee injury resulting in a displaced 22 mm OCF on the medial facet of the patella, identified on Magnetic Resonance Imaging (MRI). The second case was of a fifteen-year old boy who presented five months following a soccer injury with persistent left knee swelling and pain. MRI identified a displaced 22.5mm OCF of the lateral femoral condyle. Both patients underwent arthroscopic inspection followed by arthrotomy and fixation of th
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Treatment of Intertrochanteric Hip Fractures in Elderly High Risk Patients with External Fixation

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Orthopedics and Rheumatology - Juniper Publishers                                                 Abstract In 6 elderly patients intertrochanteric fractures were treated, using FERN external fixation system. All fractures healed within 4 months. Three patients had a superficial pin tract infection and one deep infection. Shortening of 1cm or more was seen in 2 patients. Varus angulation of 5º or more was seen in 2 patients but this seems to be well tolerated by the elderly. External fixation represents an excellent alternative for the surgical treatment of high-risk, elderly patients. Go to Introduction Intertrochanteric fractures are very common among elderly patients. These fractures are cause of significant morbidity and mortality in conservatively treated patients. Because of that the treatment of choice is surgery. The most commonly used surgical method is internal fixation which is associated with intraoperative blood loos and prolonged anesthesia. The elderly patients are high
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Segmental Fracture of Both Bones with Ipsilateral Condyle of Tibia Fracture - A Case Report

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  Orthopedics and Rheumatology - Juniper Publishers                                                 Abstract Segmental fracture both bone associated with lateral condyle fracture on the same side is very rare. Segmental tibia fracture is defined by the presence of two distinct fracture lines separating the cortical and completely isolating an intermediary segment of the tibia. Segmental tibia fractures are uncommon injuries that occur in about 12.8% of tibial fractures. Most are caused by high-energy trauma. It is estimated that almost more than half of these fractures are open fractures. They are often part of multiple injuries. It often is a challenge to manage such cases as they have a significant complication rate. As such there are very few article on the management of segmental tibia fractures. There has been a significant change in the management of these injuries. This has been made possible by the development of new orthopedic implants. Few of them are intramedullary locking n
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