Juniper Publishers Journal of Orthopedics and Rheumatology

Bone Marrow Concentrate Enriched in Platelet Growth Factors Combined With De-mineralized Bone Matrix for Complex Revision and Complex Lower Limb Arthrodesis Authored by Edgardo R Rodriguez Complex arthrodesis procedures in the lower limb present a challenging model for successful outcomes, especially in the face of multiple co-morbidities [1]. Not only is this patient population at risk for delayed union and nonunion, the potential for infection and delay in soft tissue healing is also of great concern [2]. Autolo-gous fusion solutions have been used for decades in bone repair procedures in the form of bone grafts (iliac or rib) or bone marrow (Figure 2) aspirate harvested from the marrow cavities with good results. Bone graft harvest comes with inherent challenges, often resulting in do-nor site morbidity [3]. Bone marrow aspirate (BMA) har-vested from the marrow cavities is a mixture of stromal and peripheral blood and has less inherent risk and still provides a p...

Modified Posterior Approach to the Hip Joint Authored by K Mohan lyer The Modification offers greater visibility and decreased blood loss to the Hip Joint, there by conferring greater stability posteriorly ascompared with the conventional Posterior Approach as described by Austin Moore in 1957. This Modification was devised at a time whenthe cause of dislocation was being blamed on the Posterior Approach to the Hip Joint [1,2] In this Approach, since bone is attached to bone, itconfers greater stability than an ordinary suture through soft tissues and hence reduces dislocation of the Hip Joint [3]. To Read More.. Full Text  in Orthopedics and Rheumatology Open Access Journal  in Juniper Publishers

Hip Replacement Surgery: "Part of the Problem or Part of the Solution" Authored by M E Hecht Suppose you’ve just been told you need hip surgery, have a cardiac condition, or you’ve developed diabetes. At this moment you are most likely to be in a doctor’s office, in point of fact the diagnosing doctor’s office, possibly in some state of undress, or having just come from an x-ray, or EKG. There’s no doubt about it, as an experience, it’s up front and personal, not matter how succinct and professional the announcement- up front, personal, and threatening as hell. I mean the doctor may have run several miles this morning, had a carb loaded breakfast, or not a scrap of pain in any of his major or minor joints, he’s in good shape. But you’ve just been told your body has betrayed you. What’s more, if you’re a card player you could say at this point, that you’re the doctor holds cards, spades, and big Casino. In short, it can be a moment of inequality second to none. How...

Pattern of Musculoskeletal Disorder and Associated Factors among Garo Ethnic Community Authored by Md Monoarul Haque Musculoskeletal symptoms are the most frequent self-reported health problems in the population and constitute a large proportion of limiting long-standing illness. However, the health needs of ethnic minorities suffering from back pain and musculoskeletal disorders are a neglected area. This cross sectional survey based study was conducted to assess pattern of musculoskeletal problem affecting Garo ethnic community in Bangladesh. Total 200 samples were taken conveniently visiting door to door by Physiotherapist. Musculoskeletal problem was determined by medical records as well as physical examination by Physiotherapist. Mean age of the respondents was 53.00±14.07 years. Half of the study subjects were housewife. Two third (64%) respondents came from low income family. More than half of the respondents (54%) reported musculoskeletal problem. ...

An Analytical Study on the Finger Flexion Cascade in General Population of Various Occupations Authored by Jibu George varghese Finger flexion cascade (FFC) is a natural phenomenon that is observed in the hand at complete rest. It is the posture/alignment of fingers with some flexion at all the joints of digits, beginning with less flexion at the index finger, progressing to more flexion towards the little finger. The FFC may vary in individuals of different occupations as occupational activities performed over a prolonged period may have an influence on the finger flexion ROM thereby influencing the normal FFC. Understanding the variations may serve as a valuable tool to manage rehabilitation following hand injuries, which may include improving the finger flexion joint ROM suited to the need of the individual. The purpose of this study was to observe, measure and document the FFC in individuals belonging to different occupations and to analyze whether a sig...

Patient Satisfaction and Patient Reported Outcome Measure Data in Arthroscopic Release of Frozen Shoulder Authored by RK Ray We present a consecutive series of 99 arthroscopic capsule releases with a mean follow-up period of 28 months. This cohort gave patient reported outcome measures and satisfaction scores that reflect an excellent outcome following an anterior capsule and rotator interval release with a manipulation to achieve a full range of movement intra-operatively. Oxford Shoulder Score went from a mean of 23 pre-operatively to 44 post-operatively. At a mean of four months, satisfaction score was 9/10, 88% had returned to work, 92% reported an improvement in the quality of their sleep and 94% stated that they would have the procedure again. No difference was found between those that did receive steroid injections at the time of surgery and those that did not and there was no trend for diabetic patients to do worse than their non-diabetic contempora...

Minimal Invasive Hallux Valgus Surgery: Myth or Magic. A Systematic Review Authored by Thinesh VS A Better understanding of foot biomechanics coupled with technological advancement and governance to improve patient outcomes have facilitated newer innovations in Hallux Valgus (HV) surgery. Minimally Invasive Surgery (MIS) is one of the greatest advances in modern medicine and an emerging trend in foot and ankle surgeries. The needs to provide a quicker post- operative recovery, reduce operative time and minimize complications have led to development of various MIS techniques in HV correction over the past decades. This systematic review aims to establish the efficacy and safety of MIS for HV correction. A systematic search of Cumulative Index to Nursing and Allied Health Literature (CINAHL), Embase, Medline, Science Direct and Cochrane Central Registry of Controlled Trials from inception of database till 28th February 2014 was conducted. A total of 27 ...

Evaluation of Spinal Ligamentous Injuries using Computerized X-ray Interpretation Authored by Steven P Brownstein Spinal Ligament injury is well documented to be one the most common injuries in a trauma. It is also well documented that, depending upon the grade (seriousness) of the injury, they can take up to 2 years to heal and have different treatment protocols. Yet it seems few doctors attempt to accurately grade the injury according to medical guidelines even where specific guidelines exist. The crude and varying methods to assess the injury provided little consensus. This study shows that precise accurate grading of spinal ligament injury can be best obtained by advanced computerized methods for measuring x-rays, while conforming to current AMA injury guidelines. One Hundred random cases of spinal injury were assessed by usual visual inspection of stress x-rays by radiologists, then re-assessed by computer measurement. To Read more.. PHP  in Orthopedics a...