Owing to a Publisher error Declaration of Competing Interest statements were not included in the published versions of the following articles, that appeared in previous issues of Journal of Clinical Orthopaedics and Trauma.
The appropriate “Declaration of Competing Interest statements”, provided by the Authors, are included below.
- 1.“SAFE CORRIDOR FOR FIBULAR TRANSFIXATION WIRE IN RELATION TO COMMON PERONEAL NERVE: A CADAVERIC ANALYSIS” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 432–438) https://10.1016/j.jcot.2018.05.002
Declaration of Competing Interest: The Authors have no interests to declare.
- 2.“When a volar locking plate is not the right choice in fractures of the distal radius: Case based technical considerations” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 542–553) https://10.1016/j.jcot.2020.05.040
Declaration of Competing Interest: The Authors have no interests to declare.
- 3.“Post COVID-19: Planning strategies to resume orthopaedic surgery –challenges and considerations” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 291–295) https://10.1016/j.jcot.2020.04.028
Declaration of Competing Interest: The Authors have no interests to declare.
- 4.“A novel single myocapsular sleeve (SMS) repair technique to reduce dislocation in posterior approach to the hip: A clinico-radiographic study” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 247–251) https://10.1016/j.jcot.2019.03.014
Declaration of Competing Interest: The Authors have no interests to declare.
- 5.“Current concepts in intraosseous Platelet-Rich Plasma injections for knee osteoarthritis” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 36–41) https://10.1016/j.jcot.2018.09.017
Declaration of Competing Interest: The Authors have no interests to declare.
- 6.“Current concepts in intraosseous Platelet-Rich Plasma injections for knee osteoarthritis” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 36–41) https://10.1016/j.jcot.2018.09.017
Declaration of Competing Interest: The Authors have no interests to declare.
- 7.“Standardized practice is associated with low rate of surgical site infection in orthopaedic trauma” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 36–41) https://10.1016/j.jcot.2018.12.009
- Declaration of Competing Interest: The Authors have no interests to declare.
- 8.“Ultrasound imaging in musculoskeletal Injuries – What the orthopaedic surgeon needs to know” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 659–665) https://10.1016/j.jcot.2019.05.010
Declaration of Competing Interest: The Authors have no interests to declare.
- 9.“Role of transforaminal epidural injections or selective nerve root blocks in the management of lumbar radicular syndrome - A narrative, evidence-based review” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 802–809) https://10.1016/j.jcot.2020.06.004
Declaration of Competing Interest: The Authors have no interests to declare.
- 10.“Rheumatoid Factor and Rheumatoid Arthritis” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 629–630) https://10.1016/j.jcot.2019.03.007
Declaration of Competing Interest: The Authors have no interests to declare.
- 11.“Rheumatoid Factor and Rheumatoid Arthritis” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 629–630) https://10.1016/j.jcot.2019.03.007
Declaration of Competing Interest: The Authors have no interests to declare.
- 12.“Computed tomography based 3D printed patient specific blocks for total knee replacement” (Journal of Clinical Orthopaedics and Trauma, 2018; 9: 254–259) https://10.1016/j.jcot.2018.07.013
Declaration of Competing Interest: The Authors have no interests to declare.
- 13.“A prospective study of two methods of analgesia in shoulder arthroscopic procedures as day case surgery” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 368–371) https://10.1016/j.jcot.2019.06.008
Declaration of Competing Interest: The Authors have no interests to declare.
- 14.“Is PFNA-II:A better implant for stable Intertrochanteric fractures in elderly? A prospective randomized study.” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 71–76) https://10.1016/j.jcot.2019.02.004
Declaration of Competing Interest: The Authors have no interests to declare.
- 15.“Internet of Medical Things (IoMT) for orthopaedic in COVID-19 pandemic: Roles, challenges, and applications” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 713–717) https://10.1016/j.jcot.2020.05.011
Declaration of Competing Interest: The Authors have no interests to declare.
- 16“An in-vitro animal bone model study to predict spiral fracture strength of long bones in the young infant” (Journal of Clinical Orthopaedics and Trauma, 2019; 10: 744–749) https://10.1016/j.jcot.2018.10.001.
Declaration of Competing Interest: The Authors have no interests to declare.
- 17.“Melorheostosis of upper limb: A report of four rare cases” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 321–323) https://10.1016/j.jcot.2019.06.009
Declaration of Competing Interest: The Authors have no interests to declare.
- 18.“Sternoclavicular joint tuberculosis: A series of conservatively managed sixteen cases” (Journal of Clinical Orthopaedics and Trauma, 2020; 11: 557–567) https://10.1016/j.jcot.2020.04.026
Declaration of Competing Interest: The Authors have no interests to declare.
- 19.Meniscal repair and regeneration: Current strategies and future perspectives” (Journal of Clinical Orthopaedics and Trauma, 2018; 9: 247–253) https://10.1016/j.jcot.2018.07.008
Declaration of Competing Interest: The Authors have no interests to declare.
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- A prospective study of two methods of analgesia in shoulder arthroscopic procedures as day case surgeryJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewThe recent advances in anaesthesia and analgesia have significantly improved the early recovery and effective post-operative pain control in day care surgery e.g. shoulder arthroscopic procedures. Adequate analgesia improves the early rehabilitation for a better outcome. We prospectively evaluated the post-operative pain relief following the two methods of analgesia i.e. regional Inter-scalene block (ISB) vs Intra-articular (IA) injection using 0.5% Chirocaine in various therapeutic arthroscopic shoulder procedures.
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- Optimal utilization of MSK imaging during COVID-19 pandemicJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewThe COVID-19 pandemic has caused multi-dimensional global crisis in the recent times. There is an increasing necessity of understanding and developing a strategy for optimal utilization of healthcare resources in this time of crisis. Radiology department remains the backbone for diagnosis and for appropriate management of orthopaedic ailments. Amidst COVID-19 pandemic, there is a need to change in imaging algorithm, for various clinical conditions taking care of the exposure risk to patients and healthcare workers and to handle the volume of diagnostic and intervention work.
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- Can IL-6 predict the development of fat embolism in polytrauma? A rabbit model pilot experimental studyJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewThere are few studies in the literature that correlates the level of IL-6 with fat embolism syndrome (FES). But there is no conclusive correlative evidence of its specific relation to the establishment of FES. Also it is a proven fact that polytrauma due to its associated multiple long bone fracture and/or associated shock can predispose an individual to FES. By hypothesizing that polytrauma induces Fat Embolism in the animal; it was considered worthwhile to study the association of IL-6 in polytrauma induced Fat Embolism (FE) and to compare it with induced FE by injecting fatty acids in rabbits.
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- Minimising aerosol generation during orthopaedic surgical procedures- Current practice to protect theatre staff during Covid-19 pandemicJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- PreviewCovid-19 pandemic is the largest health care crisis of this century. A large number of health care workers have succumbed to this virus. Orthopaedic trauma surgery has changed during the pandemic, by generally treating more patients conservatively. Emergency Orthopaedic surgeries and fracture neck of femur patients still need to be treated operatively for a better outcome. Our paper aims to give an insight into our current practice to minimise aerosol generation during these procedures, thereby reducing the risk of infection to the surgical and anaesthetic team.
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- Annotation: The COVID-19 pandemic and clinical orthopaedic and trauma surgeryJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- PreviewThis article provides a brief overview of the current COVID-19 pandemic crisis and the impact on trauma and orthopaedic surgeons. The principles of protect, avoid, restrict and abbreviate are recommended. Coordination of response, communication and support are also important. The versatility of orthopaedic surgeons lends them to having an important role.
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- Single Vs Double row repair in rotator cuff tears – A review and analysis of current evidenceJournal of Clinical Orthopaedics & TraumaVol. 10Issue 2
- Role of transforaminal epidural injections or selective nerve root blocks in the management of lumbar radicular syndrome - A narrative, evidence-based reviewJournal of Clinical Orthopaedics & TraumaVol. 11Issue 5
- PreviewLumbar radicular Syndrome (LRS) is a common spinal pathology and is attributed to complex interplay of mechanical, inflammatory and immunological processes. Epidural injection of steroids has a significant therapeutic role in mitigating the inflammatory component of LRS. Trans-foraminal approach under image guidance enables a targeted drug delivery. The current narrative review discusses the various aspects related to lumbar trans-foraminal epidural injection of steroid (LTFIS).
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- Is PFNA-II a better implant for stable intertrochanteric fractures in elderly population ? A prospective randomized studyJournal of Clinical Orthopaedics & TraumaVol. 10
- PreviewIntertrochanteric fracture is one of the most common and severe fractures occurring in the elderly population. We conducted a randomized prospective study to compare the functional and radiological outcome of Proximal Femoral Nail anti-rotation-Asia(PFNA-II) and Dynamic Hip screw (DHS) used in fixation of stable (AO type 31 A1-A2.1) intertrochanteric fractures in elderly.
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- Internet of Medical Things (IoMT) for orthopaedic in COVID-19 pandemic: Roles, challenges, and applicationsJournal of Clinical Orthopaedics & TraumaVol. 11Issue 4
- PreviewInternet of Medical Things (IoMT) is an innovative mean of amalgamating medical devices and their applications to connect with the healthcare information technology systems by using networking technologies. We have explored the possibilities of confronting the ongoing COVID-19 pandemic by implementing the IoMT approach while offering treatment to orthopaedic patients. The data sharing, report monitoring, patients tracking, information gathering and analysis, hygiene medical care, etc. are the various cloud and connected network-based services of IoMT.
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- Mechanism of injury based classification of proximal tibia fracturesJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- PreviewWe treated proximal tibia fractures according to our own CT based classification in which we divided these fractures into different varus and valgus fractures. We also provide a guide for reduction of these fractures and the sequence in which different fractured fragments of proximal tibia should be fixed.
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- Computer-assisted versus intramedullary and extramedullary alignment system in total knee replacement: Long term follow-upJournal of Clinical Orthopaedics & TraumaVol. 10Issue 3
- PreviewThe aim of this work is to compare in a retrospective study, the radiological results of three series of different total knee replacements performed using Orthopilot computer-based alignment system (Group A, 31 patients), a totally intramedullary alignment system (Group B, 34 patients) and a totally extramedullary alignment system (Group C, 32 patients).
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- Orthopaedic resident management during the COVID-19 pandemic – AIIMS modelJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewThe novel coronavirus disease (COVID-19) pandemic has had a tremendous impact on various health sectors including residency training programs. The suspension of non-essential health services at many hospitals has led to an increase in the workload for residents in emergency department while there was a sharp decline in the workload of residents in departments like Orthopaedics. In this brief report, we discuss the strategy employed at our institution to effectively redistribute our residents to manage the pandemic, and the measures taken to promote resident training and welfare.
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- Innovative regenerative medicine in the management of knee OA: The role of Autologous Protein SolutionJournal of Clinical Orthopaedics & TraumaVol. 10Issue 1
- PreviewOsteoarthritis (OA) is one of the most common causes of chronic disability in adults due to pain and altered joint function. Although most patients report pain and functional limitation, symptoms, age of onset and disease progression are extremely variable. While inflammation could play a central role in the OA pathogenesis and progression, many underpinning mechanisms are still unclear. A number of proinflammatory mediators have been found in OA joints and could play a role, such as IL-1, IL-6, IL-7, IL-8, IL-15, IL-17, IL-18, TNF-alpha, macrophage chemotactic protein (MCP)-1, interferon-induced protein (IP)-10, monokine induced by interferon (MIG), oncostatin M (OSM), growth-related oncogene (GRO)-alpha, chemokine (C-C-motif) ligand 19 (CCL19), macrophage inflammatory protein (MIP)-1beta, and TGF-alpha.
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- An in-vitro animal bone model study to predict spiral fracture strength of long bones in the young infantJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- PreviewThe risk of fracture from a non-accidental injury is highest in the infant age group. A spiral fracture of the long bone can occur equally from accidental and non-accidental causes, meaning the clinical judgement of non-accidental injury in an infant is particularly challenging. This study aimed to assist in differentiating accidental, from non-accidental, injury in infants, by establishing whether correlation exists between geometry and torsional strength in the immature long bone.
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- Axial giant cell tumor - current standard of practiceJournal of Clinical Orthopaedics & TraumaVol. 10Issue 6
- PreviewGiant cell tumors of bone are relatively rare in the axial skeleton, accounting for approximately 6.7% of all cases. Due to their anatomical complexity, difficult access and proximity to vital neurovascular structures, management of these tumors poses a huge challenge on the treating surgeon. Several data series reported on axial GCTB involve short series of limited cases with varied methods used in their local control due to which, proper guidelines are unavailable for the management of such difficult cases.
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- Ultrasound-guided injections in musculo-skeletal system - An overviewJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- PreviewUltrasound guided musculoskeletal injection has a wide range of indication in joint, muscle, tendon, nerve, ganglion and bursa pathologies. These are less invasive procedures and provide desirable results in short duration. Local anesthetics and corticosteroids are the most commonly injected pharmaceuticals. Platelet rich plasma and autologus blood injections have gained popularity in recent past and provide acceptable results. In this article we aim to review the general consideration, indications, technique and pharmaceuticals used in common therapeutic musculoskeletal injections.
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- Tip-apex distance and other predictors of outcome in cephalomedullary nailing of unstable trochanteric fracturesJournal of Clinical Orthopaedics & TraumaVol. 10
- PreviewCephalomedullary nails are presently the gold standard in management of unstable trochanteric fractures. The tip-apex distance (TAD) is one of the most important factors that determines success or failure of fixation, but was described originally in context of an extramedullary hip screw. Cephalomedullary nails use a different biomechanical approach to fixation; and it is hypothesized that the TAD rule may not apply similarly with these. The aim of this study is to assess whether a high TAD correlates with poor outcomes with cephalomedullary nails, and to elucidate other factors that may predict such outcome.
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- Osteomyelitis complicating Sever‘s disease: A report of two casesJournal of Clinical Orthopaedics & TraumaVol. 11Issue 2
- PreviewSever's disease is a common cause of heel pain in young children and it has a self-limiting course without long term complications. Osteomyelitis of calcaneus is a sinister condition which can lead to serious complication if treatment is delayed. Indolent nature of calcaneus osteomyelitis leads to overlap in its clinical picture with Sever's disease. Two cases of Sever's disease which were later diagnosed and managed for osteomyelitis are reported. Salient differentiating features of Sever's disease and calcaneus osteomyelitis along with management strategy are discussed.
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- Guidelines for management of crush injuries of the handJournal of Clinical Orthopaedics & TraumaVol. 11Issue 4
- PreviewCrush injuries of the hand involve damage to multiple structures within the hand, loss of tissue, devascularisation and possibly amputation of digits. They are complex and difficult to classify. Each injury has a unique pattern and requires a unique plan of management. There are no set procedures that can be described, however fundamental principles can be laid down to guide surgical management. Optimum management requires a planned and decisive approach. The surgeon or the team must be well versed with techniques necessary for management of all the structures within the hand, microsurgery and free tissue transfer.
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- Peeled off water chestnut in the kneeJournal of Clinical Orthopaedics & TraumaVol. 10Issue 6
- PreviewFibroma of tendon sheaths (FTS) is an uncommon soft tissue tumour which arises from the synovial sheath of tendons. We report a histologically proven case with intrarticular ‘fibroma of tendon sheath’ originating from the joint capsule of the knee, an even rarer entity, in a middle-aged female presenting with knee pain, swelling with limited range of motion. MRI and arthroscopy studies revealed an intra-articular mass originating from the synovial membrane with lobulated contours. Open excision was performed because of the large size of the mass, making it inaccessible arthroscopically.
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- Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data BankJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- Diagnosing posterior tibial tendon tear with dynamic ultrasound following tibial intramedullary nailingJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- PreviewComplications following tibial intramedullary nailing include anterior knee pain, malunion, nonunion, and symptomatic/prominent interlocking screws. We report a case of a posterior tibial tendon tear caused by placement of a distal interlocking screw which was detected via dynamic ultrasound. This is a rare and possibly underreported complication which could be the cause of persistent medial sided ankle pain following locked tibial nail placement.
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- Sternoclavicular joint tuberculosis: A series of conservatively managed sixteen casesJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewSternoclavicular joint tuberculosis is rare with non-specific signs and symptoms thus making correct clinical diagnosis difficult. Delay in diagnosis results in destruction of osteo-ligamentous structures, spread of abscess to deeper planes as well as bursting through skin resulting in joint instability and scar formation.
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- Subtalar fusion and exostectomy in calcaneus malunion: How we do itJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- PreviewCalcaneus malunion is a common sequela to calcaneal fractures and is a cause of pain and discomfort. Multiple approaches have been described to address the subtalar joint and the lateral wall. Type 2 malunion is the most commonly encountered problem, and is usually addressed by the sinus tarsi approach. This has some limitations, as exposure for lateral wall excision beneath the peroneal tendons maybe a problem. We have slightly modified the sinus tarsi approach by a more horizontal skin incision, which may even be extended proximally by 1–2 cm; this allows access to the lateral wall on either side of the peroneal tendons.
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- Outcomes following fixation for proximal humeral fracturesJournal of Clinical Orthopaedics & TraumaVol. 10Issue 3
- PreviewFractures of the proximal humerus are a very common presentation in modern Trauma and Orthopaedic practice. In an ever-aging population, the incidence has dramatically increased resulting in a large socioeconomical burden. The surgical management of these injuries has evolved over the years. Patient outcomes are variable and there is no consensus on treatment approach. This review article focuses on the outcomes following fracture fixation using common surgical techniques.
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- The evolution of three-dimensional technology in musculoskeletal oncologyJournal of Clinical Orthopaedics & TraumaVol. 9Issue 3
- PreviewMusculoskeletal tumours pose considerable challenges for the orthopaedic surgeon during pre-operative planning, resection and reconstruction. Improvements in imaging technology have improved the diagnostic process of these tumours. Despite this, studies have highlighted the difficulties in achieving consistent resection free margins especially in tumours of the pelvis and spine when using conventional methods. Three-dimensional technology – three-dimensional printing and navigation technology – while relatively new, may have the potential to prove useful in the musculoskeletal tumour surgeon's arsenal.
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- Rheumatoid factor and rheumatoid arthritisJournal of Clinical Orthopaedics & TraumaVol. 10Issue 3
- Cementless jumbo cups for revision of failed Furlong prosthesis. A case seriesJournal of Clinical Orthopaedics & TraumaVol. 11Issue 1
- Use of high-speed burr and water-based lubricant in the partial removal of surgical plates: A technique GuideJournal of Clinical Orthopaedics & TraumaVol. 10Issue 2
- PreviewImplant removal comprises 5% of all orthopaedic surgery procedures performed annually. Surgical indications range from implant failure, infection, non-union, and symptomatic hardware. Intra-operatively, surgeons need to prepare for complications including bony overgrowth, cold-welding, broken screws, and stripped screw heads. Large anatomic dissections required for complete hardware removal place the patient at increased risk of complications due to increased operating time and larger dissections.
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- Impact of COVID 19 lockdown on orthopaedic surgeons in India: A surveyJournal of Clinical Orthopaedics & TraumaVol. 11
- Audit changes practice-a simple education intervention can lead to better outcome in ankle fracture surgeryJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- PreviewUnstable ankle fractures are common, and majority requires open reduction and internal fixation (ORIF). There is emerging evidence that the rate of malreduction has remained high despite advances in surgical techniques and implants. Malreduced ankle is a prominent cause of post-traumatic ankle arthritis leading to poor patient reported outcome. The aim of this study was to investigate the quality of anatomical reduction and surgical fixation of ankle fractures and the impact of simple education intervention on the quality of reduction of these fractures.
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- When a volar locking plate is not the right choice in fractures of the distal radius: Case based technical considerationsJournal of Clinical Orthopaedics & TraumaVol. 11Issue 4
- Current concepts in intraosseous Platelet-Rich Plasma injections for knee osteoarthritisJournal of Clinical Orthopaedics & TraumaVol. 10Issue 1
- PreviewKnee osteoarthritis (OA) is a degenerative process that slowly destroys the joints producing pain and loss of function, and diminishes the quality of life. Current treatments alleviate this symptomatology but do not stop the disease, being total knee arthroplasty the only definitive solution. Among the emerging treatments, Platelet-Rich Plasma (PRP) has shown promising results in the treatment of OA. However, to improve its effectiveness, it is necessary to approach this pathology targeting the whole joint, not only the cartilage, but including other tissues such as subchondral bone.
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- Ultrasound imaging in musculoskeletal injuries-What the Orthopaedic surgeon needs to knowJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- PreviewPatients with musculoskeletal complaints have either been ignored or advised investigations far beyond their means or comfort. Focusing attention only on spine and head restricted the evaluation in cases of trauma and were followed up only if the injuries were life threatening. In the same vein, the extremities often got overlooked or at best were evaluated only by plain radiographs. Soft tissue injuries were therefore often missed and not only raised the morbidity in the patient but also dissatisfaction towards the treating physician.
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- Computed tomography based 3D printed patient specific blocks for total knee replacementJournal of Clinical Orthopaedics & TraumaVol. 9Issue 3
- Preview3D printing is an emerging technology and its use in orthopaedics is being explored. We discuss the role of computed tomography based 3D printed patient specific jigs in total knee replacement. We also discuss the various advantages of 3D printed patient specific jigs and the future scope of their use in total knee replacement.
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- Bone block procedures for glenohumeral joint instabilityJournal of Clinical Orthopaedics & TraumaVol. 10Issue 2
- PreviewGlenoid bone loss is a well established cause of instability and long term morbidity if not adequadely addressed. Anterior glenohumeral instability due an anterior glenoid defect is significantly more common, and for many years has been well treated with open anterior bone block augmentation procedures, most commonly the latarjet procedure. However, with refinement of this technique and some interest in reducing morbidity associated with iliac crest bone harvest, arthroscopic bone block procedures with allograft has become more popular.
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- Effects of age and rate of twist on torsional fracture patterns in infant porcine femoraJournal of Clinical Orthopaedics & TraumaVol. 11Issue 2
- PreviewLong bone fractures are a common injury in the pediatric population. Differentiation between abusive, or non-accidental trauma, and accidental trauma in children remains challenging for forensic practitioners. A recent clinical-based study was able to separate pediatric abusive from accidental trauma based on femoral fracture pattern using the ratio of fracture length over bone diameter (fracture ratio), as determined from radiographic analysis of this fractured bone. The forensic literature indicates more cases of abuse in younger pediatric victims than accidental cases.
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- A rare case of Haemophilus parainfluenzae septic knee following prolotherapy injectionsJournal of Clinical Orthopaedics & TraumaVol. 10
- PreviewProlotherapy injections are becoming increasingly popular as a non-surgical treatment option for many chronic musculoskeletal conditions. Proposed benefits include reduced pain, reduced joint laxity and increased tendon strength. While a number of studies report that prolotherapy reduces pain and increases function for many conditions, the academic evidence remains extremely weak. Here, we discuss a case of a complex intra-articular knee infection in a young, previously healthy, female following prolotherapy injections for management of a partial-thickness anterior cruciate ligament (ACL) tear.
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- Efficacy of the "Salento technique", a modified two-incision approach in distal biceps brachii tendon repair. Surgical description and outcomes analysisJournal of Clinical Orthopaedics & TraumaVol. 10Issue 5
- PreviewThe biceps brachii lesion needs to be treated surgically. A modified two incisions technique is proposed and reviewed. Material and Methods: All patients were treated with the same technique. The outcomes were measured with the Quick-DASH Score (QDS), and the Mayo Elbow Performance Score (MEPS). Postoperative complications and distal biceps tendon strength were registered also.
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- Arthroscopic ankle fusion to manage sequel of loss of lateral malleoli in compound crushed ankle injuryJournal of Clinical Orthopaedics & TraumaVol. 10
- PreviewDefect in the lateral malleolus along with lateral ligamentous injury of ankle is rare. It occurs mainly due to resection of distal fibula tumors and severe trauma leading to loss of lateral malleolus. Lateral malleoli has the major contribution in weight transmission to foot and ankle stability. To avoid persistent pain and gait abnormality due to ankle instability, reconstruction of bony defect is inevitable. Methods to address these defects are iliac crest bone grafting, vascular and nonvascular proximal fibula transfer, patella tendon bone graft and allograft.
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- Safe corridor for fibular transfixation wire in relation to common peroneal nerve: A cadaveric analysisJournal of Clinical Orthopaedics & TraumaVol. 10Issue 2
- PreviewPeroneal nerve impalement is a recognized complication of percutaneous placement of fibular transfixation wires by palpatory method after increase use of ilizarov technique in treatment of Tibial fractures, deformity correction and limb lengthening. The purpose of this study was to identify the relationship between the Common Peroneal Nerve (CPN) and the palpable landmark, fibular head for insertion of proximal fibular transfixation wire, safe zones in proximal tibia and percentage of fibula where nerve crosses the neck.
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- A novel single myocapsular sleeve (SMS) repair technique to reduce dislocation in posterior approach to the hip: A clinico-radiographic studyJournal of Clinical Orthopaedics & TraumaVol. 10
- Is it necessary to tie the medial row in rotator cuff repair double-row constructs when using suture tape?Journal of Clinical Orthopaedics & TraumaVol. 11
- Re-evaluating the utility of routine postoperative laboratory tests after primary total knee arthroplastyJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewWhile advancements in surgery and reduced complication rates have made total knee arthroplasty (TKA) one of the most successful and cost-effective procedures in orthopaedic surgery, routine postoperative laboratory tests are still being ordered without evidence as to their necessity. With expansion of the bundled payment models, there may exist an opportunity to cut overall costs while maintaining quality of care by eliminating unnecessary interventions. The objective of this study was to examine the utility of routine postoperative laboratory tests in TKA.
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- Rheumatoid subacromial-subdeltoid bursitis with rice bodies: A case reportJournal of Clinical Orthopaedics & TraumaVol. 10Issue 3
- PreviewSubacromial-subdeltoid bursitis of a shoulder with rice bodies is relatively uncommon. The understanding of the pathogenesis of rice body formation is yet approximate only but some clinical conditions like rheumatoid arthritis, tuberculous arthritis, seronegative inflammatory arthritis, juvenile rheumatoid arthritis and osteoarthritis are related to it. We describe a case of a 44 years old female with subacromial-subdeltoid bursitis of her right shoulder with numerous rice bodies’ formation as a presenting feature of rheumatoid arthritis.
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- Comparative study of existing knee prosthesis with anthropometry of Indian patients and other races, a computer tomography 3D reconstruction-based studyJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewBackground: Appropriate component sizing plays an important role in determining the functional outcome following total knee arthroplasty. Comparative studies of different populations have shown significant differences in the anthropometric parameters of knees in different race groups which negates the possibility of using a single sized implant system across different ethnic groups. This study evaluates the dimensions of femoral and tibial articular surfaces of Indian patients and compares the parameters with other ethnic groups and correlates the dimensions with five different commercially available knee systems.
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- Use of reverse stemless shoulder arthroplasty in a patient with multiple hereditary exostosisJournal of Clinical Orthopaedics & TraumaVol. 11
- COVID-19 outbreak: The early response of a UK orthopaedic departmentJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewCoronavirus disease 2019 (COVID-19) outbreak was first reported to the World Health Organisation (WHO) on New Year’s Eve 2019 in Wuhan, China. Thought to be linked to food markets, the virus quickly spread throughout the country and subsequently to most of the world. By April 2020 there were one million confirmed cases of COVID-19 infection worldwide.1
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- Role of CT and MRI in the design and development of orthopaedic model using additive manufacturingJournal of Clinical Orthopaedics & TraumaVol. 9Issue 3
- Ankle stability in ankle fractureJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- PreviewRestoration of normal ankle kinematics should be the all-encompassing ethos in the approach to management of ankle fractures. To do this, the ligamentous stabilisers must also form part of its assessment and definitive management and be considered during index fracture fixation surgery. This article is a review of the anatomy, mechanics and clinical testing of instability in ankle fractures.
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- Post COVID-19: Planning strategies to resume orthopaedic surgery –challenges and considerationsJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewThe Coronavirus SARS-CoV-2 (COVID-19) pandemic has had a substantial effect on the health care systems around the world. As the disease has spread, many developed and developing countries have been stretched on their resources such as personnel as well as adequate equipment. As a result of resource disparity, in a populous country like India, the elective orthopaedic surgeries stand cancelled whilst trauma and emergency services have been reorganised following Indian Orthopaedic Association and recent urgent British Orthopaedic association guidelines.
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- Melorheostosis of upper limb: A report of four rare casesJournal of Clinical Orthopaedics & TraumaVol. 11Issue 2
- PreviewMelorheostosis is a rare chronic bone disease, etiology of which remains unclear. It mostly affects lower limbs and clinical features vary in each case. Radiographs show characteristic "candle wax pattern" of hyperostosis. Herein we report four cases of upper limb affection with their symptoms, radiographic findings and treatment. First case presented with gradually progressive swelling in forearm which was initially misdiagnosed as filariasis. Plain radiograph eventually demonstrated melorheostosis of ulna.
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- Meniscal repair and regeneration: Current strategies and future perspectivesJournal of Clinical Orthopaedics & TraumaVol. 9Issue 3
- PreviewThe management of meniscal injuries remains difficult and challenging. Although several clinical options exist for the treatment of such injuries, complete regeneration of the damaged meniscus has proved difficult due to the limited healing capacity of the tissue. With the advancements in tissue engineering and cell-based technologies, new therapeutic options for patients with currently incurable meniscal lesions now potentially exist. This review will discuss basic anatomy, current repair techniques and treatment options for loss of meniscal integrity.
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- Working through the COVID-19 outbreak: Rapid review and recommendations for MSK and allied heath personnelJournal of Clinical Orthopaedics & TraumaVol. 11Issue 3
- PreviewThe coronavirus (COVID-19) pandemic has caused the world to undergo unprecedented change in a short space of time. This disease has devastated the economy, infringed personal freedom, and has taken a toll on healthcare systems worldwide. This review aims to highlight aspects of this pandemic with a specific emphasis on musculoskeletal work within the secondary care setting.
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- Tibial-tubercle avulsion and patellar-tendon rupture in pre-pubertal child with osteogenesis imperfecta(OI): Case report and review of current treatment in OIJournal of Clinical Orthopaedics & TraumaVol. 11Issue 2
- PreviewVery few cases of simultaneous occurrence of tibial tuberosity fracture with lower pole patella and distal patellar tendon rupture type injuries have been reported in adolescent athletic age group, but its occurrence in osteogenesis imperfecta (OI)* has not been reported to the best of our knowledge in a literature search of last 5 years in the English Language. The mechanism of avulsion injury after low-velocity trauma and the underlying pathology is a unique combination in our patient and a note on updates in general management of osteogenesis imperfecta is discussed.
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- Osteomyelitis variolosa: Forgotten complication of an eradicated diseaseJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- Measuring the radiation exposed with optically stimulated luminescent dosimeters and evaluation of the total time and dose of fluoroscopyJournal of Clinical Orthopaedics & TraumaVol. 10Issue 4
- PreviewSince the introduction of intraoperative fluoroscopy few decades ago, orthopedic surgeons have been exposed to direct or scatter radiation during many different procedures. The amount of the radiation exposed during the distal locking of the femur and tibia with intramedullary nailing (IMN) is particularly higher.1 Although the use of magnetic nails has lowered the amount of this exposure recently, there is still extreme exposure in percutaneous pinning of the pediatric supracondylar humerus fractures and closed titanium elastic nailing of pediatric fractures, where the surgeon stands closer to the fluoroscope.
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- 3D printing- creating a blueprint for the future of orthopedics: Current concept review and the road ahead!Journal of Clinical Orthopaedics & TraumaVol. 9Issue 3
- PreviewThe use of 3D printing in Orthopedics is set to transform the way surgeries are planned and executed. The development of X rays and later the CT scan and MRI enabled surgeons to understand the anatomy and condition better and helped plan surgeries on images obtained. 3DGraphy a term used for 3D printed orthopedic patient models and Jigs has gone a step further by providing surgeons with a physical copy of the patient's affected part that can not only be seen but also felt and moved around spatially.
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- A novel technique of ulna strut grafting for post-septic radial clubhand deformity: Case series of 4 patients with review of literatureJournal of Clinical Orthopaedics & TraumaVol. 11
- PreviewThough distal end radius fractures are one of the commonest fractures to occur, their nonunions are extremely uncommon. Out of these, post-septic defect nonunions with acquired radial clubhand deformity are even more rare and pose unique problems in management. We present a case series of 4 patients of post-septic radius nonunion with acquired radial clubhand deformity successfully treated with a novel technique of using Ulna Strut grafting for radius defect after ulnar shortening. All 4 patients have a good functional and cosmetic outcomes with radiological union at the cost of minimal limb length discrepancy of the forearm.
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- 6-Year clinical results and survival of Copeland Resurfacing hemiarthroplasty of the shoulder in a consecutive series of 279 casesJournal of Clinical Orthopaedics & TraumaVol. 11
- Modic changes - An evidence-based, narrative review on its patho-physiology, clinical significance and role in chronic low back painJournal of Clinical Orthopaedics & TraumaVol. 11Issue 5
- PreviewLumbar degenerative spinal ailments are the most important causes for chronic low back pain. Modic changes (MC) are vertebral bone marrow signal intensity changes seen on MRI, commonly in association with degenerative disc disease (DDD). Despite being widely studied, majority of issues concerning MC are still controversial. The current narrative, evidence-based review comprehensively discusses the various aspects related to MC.
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