Juniper Publishers Journal of Orthopedics and Rheumatology

  Orthopedics and Rheumatology Open Access Journal    Abstract Both osteoporosis and osteoarthritis are recognized as age related skeletal disorders, but it is commonly held that these diagnoses do not often occur together in the same patient. Recent studies of bone mineral density scores in subjects with osteoarthritis indicate that osteoporosis occurs worldwide in 21-32% of patients with advanced osteoarthritis. Advanced age and low body-mass-index are major discriminating factors for osteoporosis in osteoarthritis. Because of clinical implications of osteoporosis in patients being managed for osteoarthritis, it is important to identify and refer for osteoporosis evaluation those patients at risk. Osteoarthritis Osteoarthritis (OA) most frequently involves the hands, knees, hips, and spine; it is diagnosed on the basis of joint pain and radiographic evidence of non-uniform narrowing of a joint space, osteophytes, and sub...

  Orthopedics and Rheumatology Open Access Journal Abstract The use of orthobiologics compounds is rapidly expanding in the field of orthopedics and sports medicine. Platelet rich plasma (PRP) represents the second generation of ortobiologics that has numerous advantages as an autologous blood derivate for the treatment of traumatic and degenerative musculoskeletal diseases. Platelet is naturally involved in haemostasis and tissue healing processes due to their content in growth factor and other bioactive molecules. Basic science and preclinical evidence supports the use of platelet derived growth factors as well as of PRP for enhancing reparatory processes in musculoskeletal tissues. Clinical results about the use of PRP for bone, tendon, cartilage or muscle healing are encouraging and continue to accumulate in the recent years. Proteomic profiling and biomarker based PRP characterization have the potential of advancing the field of PRP application. High quality ...

  Orthopedics and Rheumatology Open Access Journal Abstract Clubfoot is the most common congenital structural deformity that leads to physical impairments in children in many developing countries. Neglected clubfoot has been found to be a common cause of physical disability globally among children and young growing adults. The purpose of this study was to investigate the effectiveness of French physiotherapy in treating congenital clubfoot deformity. This cross sectional study was conducted among 102 parents and data were collected by face to face interview with semi-structured questionnaire. Statistical Package for Social Science (SPSS) was used to analyze the data. The mean age of the participants was 405 days. Unilateral limbs were more affected than bilateral limbs. Results shows that out of 30(100%) children with clubfoot deformity, 17(56.7%) were completed cured under French Physiotherapy while 8(26.7%) were completed cured under Ponseti method, almost equal...

  Orthopedics and Rheumatology Open Access Journal Abstract It is estimated that in the United States, there are approximately 100,000 primary anterior cruciate ligament (ACL) reconstructions performed yearly. Reports of septic arthritis after ACL reconstruction are rare, ranging from 0.14% to 0.48% in the literature. 1-5 There are no other reports in the current literature documenting the treatment of Lyme arthritis after ACL reconstruction. A 19-year-old male sustained a non-contact injury to his left knee while playing basketball. The patient underwent 6 weeks of rehabilitation and subsequent ACL reconstruction with Achilles tendon allograft. The patient developed Lyme arthritis of the knee three months after ACL reconstruction. The patient underwent urgent irrigation and debridement with retention of graft. At final five-year follow-up the patient had returned to full activity, without complaints. We report on a patient who underwent successful treatment for L...