Juniper Publishers Journal of Orthopedics and Rheumatology

Juniper Publishers-Orthopedics and Rheumatolgy Combined Use of the Illizarov Method, Concentrated Bone Marrow Aspirate (cBMA), and Platelet Rich Plasma (PRP) to Facilitate Healing Authored by Edgardo R Rodriguez Non-union fractures, particularly in patients experiencing soft-tissue loss, comorbidities, and chron¬ic infection, can be difficult to treat. These fractures are typically accompanied by high rates of post-surgical non¬union and recurrence of infection. The Ilizarov method has addressed conditions such as infection, deformity, soft-tissue loss, and joint contracture. However, techniques to optimize the osteogeneic potential of inured bone are relatively new. Autologous concentrated bone marrow as¬pirate (cBMA) and Platelet Rich Plasma (PRP) are thera¬pies that increase osteogeneic potential of osteoconduc¬tive demineralized bone matrix (DBM). To evaluate the efficacy of the Ilizarov method combined with a cocktail of demineralized bone matrix (DBM...

Combined Use of the Illizarov Method, Concentrated Bone Marrow Aspirate   Authored by Edgardo R Rodriguez Collazo Background:   on-union fractures, particularly in patients experiencing soft-tissue loss, comorbidities, and chronic infection, can be difficult to treat. These fractures are typically accompanied by high rates of post-surgical non-union and recurrence of infection. The Ilizarov method has addressed conditions such as infection, deformity, soft-tissue loss, and joint contracture. However, techniques to optimize the osteogeneic potential of inured bone are relatively new. Autologous concentrated bone marrow aspirate (cBMA) and Platelet Rich Plasma (PRP) are therapies that increase osteogeneic potential of osteoconductive demineralized bone matrix (DBM). To Read More.. Full Text click on: https://juniperpublishers.com/oroaj/OROAJ.MS.ID.555561.php  For more open access journals in Juniper Publishers click on: https://juniperpublishers.com/index.p...

Treatment of Fracture Clavicle by Ilizarov Technique Authored by Md Mofakhkharul Bari We treated 26 clavicle fractures with a mean age of 40 years (15-55) years with mini Ilizarov fixation from January 1999 to January 2014 at Bari-Ilizarov Orthopaedic Centre and NITOR, Dhaka. Out of 22 patients 20 were male and 6 female. We are presenting here the use of mini Ilizarov apparatus for fracture clavicle. Among the complications 2 pin track infections were observed from which all responded positively to local care. The mini Ilizarov apparatus and technique represents a useful method for the successful healing of fracture clavicle. To Read More.. Full Text  in Orthopedics and Rheumatology Open Access Journal  in Juniper Publishers

Spontaneous Rupture of the Tendoachilles in a Patient of Rheumatoid Arthritis: A Case Report Authored by Mihir Desai We present here a case of spontaneous rupture of left tendon Achilles in a 28 years old female patient suffering from rheumatoid arthritis not on steroid treatment. We repaired the same using an end to bone repair by means of a pullout suture. Post op immobilization for 3 weeks in an above knee plaster and gradual weight bearing after 3 weeks of immobilization resulted in subjective improvement in functional capacity of the patient. Further improvement in function was seen in the subsequent monthly follow up examinations which extended for another 12 months. To Read More.. Full Text  in Orthopedics and Rheumatology Open Access Journal  in Juniper Publishers

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...