Introduction: Calcaneum fractures account for approximately 2% of all fractures, with displaced intraarticular fractures comprising 60% to 75% of these injuries. There are many methods of stabilization of calcaneal fractures, each having their own merits and demerits. The plate fixation has improved the functional results, limited indication for bone grafting, and shortened the duration of treatment. Materials and Methods: 30 displaced calcaneal fractures were surgically treated in GMC Jammu between January 2015 and May 2017 were included in this study. Ten were excluded due to lack of follow up, which left the study group of 20 displaced intraarticular calcaneus fractures. Only closed fractures were included in this study. Fractures were classified according to Sanders Classification and only Sanders type 2 and type 3 fractures were included in this study. The extended lateral incision was used in all patients. All patients were evaluated according to the Maryland foot score and on their last follow-up day. Results: The average follow-up time was 18 months (12 to 24 months). Twelve fractures were Sanders type 2 (60%), 8 were type 3 (40%). According to Maryland foot score, very good results were obtained in 6 patients (3.33%) and good results in 4 patients (20%) in Sanders type 2 fractures; good results were obtained in 8 patients (40%) and average results in 2 fractures (10%) in Sanders type 3 fractures. Conclusion:In light of both the available literature and our own experience, we conclude that open reduction and a stable fixation method yield more satisfactory results when compared to the conservative treatment methods in the treatment of displaced intraarticular calcaneus fractures.
The acetabulum is a cup-shaped socket of the hipbone that derives its name from its resemblance to a shallow Roman vinegar cup. In clinical medicine, measurements of the acetabulum are crucial in diagnosis, monitoring patient recovery, determining stability of the hip joint and in assessment of acetabular dysplasia. The decision for operative treatment is often based on different radiographic measurements and scores for which normal values are defined. Therefore orthopaedic surgeons often use combinations of measurements when assessing acetabular parameter. A number of authors have also shown that geometrical measurements of acetabulam differ with respect to age, sex, and race and even within regions. The size, shape and depth of the acetabulum are variable as reported by Govsa F et al., Therefore, the knowledge of various parameters of acetabulum would be helpful in performing surgical procedures such as acetabular reconstruction and planning reorientation procedures using spikes and screws for fixation.
Introduction:The achilles tendon is the strongest and largest tendon of the human body and can be exposed to forces six to eight times body weight. The spontaneous ruptures of the achilles tendon are relatively common and are frequently missed. Materials and Methods:We present a prospective case series of 11 patients of spontaneous tendoachilles rupture treated with speed bridge technique and augmented with flexor hallucis longus tendon transfer from a period of January 2019 to April 2020 operated by a single orthopaedic surgeon. Results:The mean FAOS score before surgery was 56.5 ± 7.7 (42 -66) and improved to a mean score of 88.2 ± 5.7 (78-96) postoperatively. Conclusion:Speed bridge reconstruction technique combined with FHL transfer allows stable re-construction and early mobilisation of the patient with good to excellent results.1. Soma CA and Mandelbaum BR. "Achilles tendon disorders".
Introduction: Pain from the lateral aspect of the elbow was first described in 1873, and has since then been given different names such as tennis elbow, lateral epicondylitis, epicondylitis, epicondylalgia and lateral elbow pain. The etiology and pathogenesis of tennis elbow is not known, but the condition is considered to be an overuse injury of degenerative nature (Jozsa and Kannus, 1997 et al.). The pathology found in tennis elbow is addressed to the extensor carpi radialis brevis (ECRB) muscle origin (Nirschl and Pettrone, 1979) Materials and Methods: 50 patients in the age group of 20 to 70 years of either sex presenting pain on the lateral epicondyle of either elbow after being clinically diagnosed as suffering from Lateral Epicondylitis / Tennis Elbow after having ruled out other possible causes of pain in this region presenting after 7 days of onset of pain with failed conservative management for 2 weeks attending OPD/ emergency of the Post Graduate department of Orthopaedics, GMC Jammu were included in this study. The response to treatment was graded using Oxford elbow score. Observations: In the present study of 50 patients there were 26 males and 24 females. In the present study of 50 patients the mean age was 43.98 years ( Range between 22 to 74 years). In this study it was observed that the pretreatment mean oxford elbow score was 38.32 (20.83-56.24) which improved to 46.73 (20.83-66.65) at 1 month, 58.60 (33.32-81.23) at 3 months and 70. 15 (35.41-87.48) at 6 months. Discussion: Nonoperative treatment is successful in 95% of patients with tennis elbow. There have been several randomized controlled trials (RCTs) that have compared autologous whole blood with PRP injection, autologous whole blood with steroid injection and PRP with steroid injection. However, results as to whether PRP, autologous whole blood or corticosteroids is more beneficial are still unclear. Conclusion PRP: improves pain and function in patients suffering from LE where conservative management has failed.
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