Juniper Publishers Journal of Orthopedics and Rheumatology

  Orthopedics and Rheumatology Open Access Journal Abstract Purpose: Study to determine the uses of the Poller screw in treatment of displaced proximal and distal shaft metadiaphyseal fractures of tibia treated with intramedullary nails. Methods: 50 metadiaphyseal tibia fractures (proximal 35 and distal 15) were studied out of which 46 were freshly displaced fracture, 3 were delayed union and one was malunion. 40 males and 10 females aged 20 to 60 years (mean 35 years), all underwent treatment with small diameter intramedullary nails were poller screws were used as tool for reduction. 90 % fractures were caused by road traffic accidents. 45 were closed and 5 were grade I and II open fractures. Outcome of study was evaluated using AOFAS (100 points) ANKLE-HINDFOOT SCALE for ankle and RASMUSSEN’S FUNCTIONAL SCORE SYSTEM for knee. Results: Healing occurred in all 50 cases out of which, 47 cases united in mean period of 4.1 ...

  Orthopedics and Rheumatology Open Access Journal Abstract 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 ...

  Orthopedics and Rheumatology Open Access Journal Abstract Background: Distal radius fracture is one of the most prevalent fractures, which there is disagreement about its treatment and it is one of the most controversial issues of pediatric fractures. Methods: In this clinical trial, 152 children with distal radius fractures were randomly treated by the cast or splint based on the random number table. Therapeutic outputs of these patients were evaluated six weeks after treatment. Results: The results of our study show that the mean Mayo Wrist Score in the group under treatment by cast was 92.9 and in the group under treatment by splint were 90.8. Therefore, there was not a considerable difference in the physical function of the patients, statistically. According to Face Pain scale – revised and its achieved score, the two groups did not have a considerable difference from the viewpoint of wrist pain. In addition, stat...

  Orthopedics and Rheumatology Open Access Journal Abstract Aim: To describe the clinical outcome of treatment of proximal interphalangeal (PIP) joint fractures by dynamic Kirschner wire fixator. Methods: The Kirschner wire traction fixator was used in treatment of 22 patients with pilon fracture and fracture-dislocation of proximal inter phalangeal joint. Little finger affected in eight patients, ring in three patients and middle and index fingers were affected in five and six patients respectively. The patients age at time of surgery range from 18 - 58 years (average 35.4 years). The base of proximal phalanx was involved in an average 45% (range from 35% to 70%). We used the Michigan hand score to evaluate the clinical outcome after average follow up 8 months (range from 6-9 months). Results: Average Michigan hand questionnaire was 88% (range from 63%-100%). The average active flexion-extension ROM of proximal interpha...

  Orthopedics and Rheumatology Open Access Journal Abstract It is axiomatic that present “truths” have historical perspectives. Consider melanoma. It is distinguished by its possession of pigment characteristically. The word came into existence in 1838. A decade later, the Pathological Society of London started to publish its Transactions. Therefore, what is of interest concerning this cancer? Moreover, a famous German Pathologist, Julius Cohnheim, confided that necropsies provide answers to questions regarding metastasis. Consequently, this paper reports on the spread of melanoma to the bones from 1848 to the end of that century. It is concluded with the impressive thoughts of one of the quoted old masters! Keywords: Cancer; Melanoma; Spread; Bone; History Introduction It is axiomatic, as Moser [1] stressed, that medical “truths” have historical perspectives. Therefore, consider “melanoma.” This cancer is characterized as being pigmented and as...