Neglected old dislocations of elbow are found only in developing countries in significant numbers and there is very less literature of this condition from developed countries. It is a huge challenge for orthopaedic surgeons in developing countries as even after treatment it is difficult to achieve full range of motion and function in a neglected case. In this article we report treatment and results of one of the largest series of 15 cases on neglected posterior elbow dislocation. Our management protocol was opening joint through posterior approach and using Speed Technique doing a V-Y plasty for tricep and most of times fixing reduced joint by 2 diverging k wires. At one year follow up
An osteoid osteoma is a benign, painful tumour, mainly affects adolescents and young adults, occurs predominantly in the appendicular skeleton.
Pain is relieved with small doses of salicylates & after removal of the nidus.
20 patients with osteoid osteoma were treated with percutaneous c arm guided drilling and cauterization technique. The mean age at presentation
was 16 years.Afollow-up visits scheduledfor three month and six months after the procedure to access clinically subjective relief of pain and
radiologicaly reduction of reactive bone formation.
Pain relief was achieved with no radiological recurrence in all patient. Percutaneous drilling and cauterization is technically simple and an effective
method for managing osteoid osteoma.
There has been increase in the cases of anterior cruciate ligament injury and multiple ligament injuries of the knee which result in the damage to the active and passive stabilisers of the knee, thereby hampering the normal biomechanics of the knee joint along with the neurovascular compromise due to increase in sporting activities and increased road traffic accidents. Reconstruction of the damaged ligaments of the knee poses problem even to experienced surgeons. Therefore the operating surgeon should have the complete knowledge of the anatomy of ligaments of the knee, graft used for reconstruction and normal biomechanics so as to reduce the operative timing and better postoperative functional outcome. Length and diameter of the native anterior cruciate ligament play an important role in selection and preparation of graft for reconstruction. Our study reveals the details of the dimensions of the mid substance, footprints of the anterior cruciate ligament and the quadrupled hamstring tendon graft used for the reconstruction. The hypothesis of this study is that there is mismatch between the dimensions of mid substance of the anterior cruciate ligament and the quadrupled hamstring tendon graft for the reconstruction of the anterior cruciate ligament.
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