Juniper Publishers Journal of Orthopedics and Rheumatology

  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 menta...

  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....

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 intern...

Orthopedics and Rheumatology - Juniper Publishers                                                     Editorial Osteoarthritis in hips, knees and other major large joints is a progressive and chronic debilitating disease characterized by pain and limitation of movements. Worldwide this disease is on the increase due to people living longer and more active lives. When first symptoms appear, doctors will offer palliative treatments to kill pain, which will help for awhile, and in many cases patients develop health complications due to taking anti-inflammatory or pain killers. In many countries of the third world and even in the developed world, patients have to suffer pain and limitations for months or years, waiting while their joints are destroyed and in need of the old, dreaded, expensive and not free from severe complications joint prosthesis surgery. By th...

  Orthopedics and Rheumatology - Juniper Publishers                                                    Abstract Background:  Anterior cervical discectomy and interbody fusion is a common surgical method used for treatment of single or 2 level cervical lesion. Recently, zero-profile implant, which lessened irritation of adjacent structures by preventing the contact with them, was design for anterior cervical fusion, and was assumed that it would reduce the occurrence of adjacent segment disease. Thus, authors compared the occurrence of adjacent segment disease after using conventional plate or zero-profile for anterior cervical interbody fusion. Methods:  48 consecutive cases that underwent single-level anterior cervical discectomy and fusion for lesions of cervical spine that did not respond to nonsurgical treatment and were able to follow up f...

  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 dise...