Abstract:
BACKGROUND:Foot involvement in osteoarticular tuberculosis is uncommon and isolated bony involvement of foot bones with an osteolytic defect is even more rare; diagnostic and therapeutic delays can occur, worsening the prognosis. We present a retrospective series of osteolytic variety of foot tuberculosis. MATERIALS AND METHODS:We present 24 osteolytic variety of foot tuberculosis (Eleven calcaneus, four cuboid, two cunieforms, one talus, three metatarsals, three phalanges) out of 92 foot TB cases collected over last 20 years. There were 16 adults and eight children. Tissue diagnosis was established in 23 of 24 cases based on PCR AFB staining, culture, and histopathology. Surgical intervention was reserved for patients with either a juxtaarticular focus threatening to involve a joint or an impending collapse of a midfoot bone with cystic destruction. RESULTS:Fifteen cases had an osteolytic lesion on the radiographs resembling a space-occupying lesion, five had patchy osteolysis, while four showed coke like sequestra; one patient had a lesion in two bones. Antitubercular chemotherapy after biopsy was sufficient to heal the lesion in 19 cases, while in five cases surgical debridement needed to be done. The lesions healed eventually. At an average followup of 8.3 years, (range 2-15 years) there were no recurrences and all patients were free from pain, with no restriction of movements. Six patients complained of occasional pain during walking on uneven ground. CONCLUSION:When tuberculous pathology is limited to the bone, the prognosis is better than in articular disease, as there is less deformity, and hence, less residual pain and disability.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Dhillon MS,Aggarwal S,Prabhakar S,Bachhal Vdoi
10.4103/0019-5413.93683subject
Has Abstractpub_date
2012-03-01 00:00:00pages
206-11issue
2eissn
0019-5413issn
1998-3727pii
IJOrtho-46-206journal_volume
46pub_type
杂志文章abstract:BACKGROUND:Open fractures of olecranon are not a rare occurrence in patients with road traffic accidents particularly motor bike riders who don't use elbow guards. Definitive treatment has to be delayed in many till the wound heals. The present study was conducted to evaluate the results of open fractures of olecranon ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.45324
更新日期:2009-01-01 00:00:00
abstract:Background:Osteochondritis dissecans (OCD) is a disorder primarily affecting subchondral bone, with secondary effects on the overlying articular cartilage. Knee joint (75%) and radiocapitellar joint (6%) are the most common sites for OCD lesions. The presence of an open growth plate differentiates juvenile osteochondri...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章,评审
doi:10.4103/ortho.IJOrtho_322_17
更新日期:2018-07-01 00:00:00
abstract:Introduction:With increasing prevalence of coronavirus cases (including among health care providers), the current advice for orthopaedic surgeons is to favor non-operative management of most injuries and reduce face-to-face follow-up. We present our experience in managing the patients at Government-run non-COVID-19 tra...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-020-00252-x
更新日期:2020-09-10 00:00:00
abstract:BACKGROUND:Limb lengthening using Ilizarov external fixation is safe, but the consolidation phase tends to take too long. A method that can safely reduce the time spent in external fixation would help increase patient tolerance and comfort. We report our results of lengthening over nails (LON) method in which an interl...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.41857
更新日期:2008-07-01 00:00:00
abstract::Distal radioulnar joint is a trochoid joint relatively new in evolution. Along with proximal radioulnar joint, forearm bones and interosseous membrane, it allows pronosupination and load transmission across the wrist. Injuries around distal radioulnar joint are not uncommon, and are usually associated with distal radi...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.101031
更新日期:2012-09-01 00:00:00
abstract:BACKGROUND:Tranexamic acid (TEA) reduces blood loss and red cell transfusions in patients undergoing unilateral total knee arthroplasty (TKA). However, there is not much literature regarding the use of TEA in patients undergoing bilateral TKA in a single stage and the protocols for administration of TEA in such patient...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.77135
更新日期:2011-03-01 00:00:00
abstract:BACKGROUND:In children less than 6 years, the treatment of femoral shaft fracture is often non surgical, using closed reduction and casting. The literature reports many experience about this type of trauma but none of these has a long term followup. We present a retrospective study on a group of femoral diaphyseal frac...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.125487
更新日期:2014-01-01 00:00:00
abstract::[This corrects the article on p. 414 in vol. 51, PMID: 28790470.]. ...
journal_title:Indian journal of orthopaedics
pub_type: 已发布勘误
doi:10.4103/0019-5413.214230
更新日期:2017-09-01 00:00:00
abstract:BACKGROUND:The tricortical bone graft from the iliac crest are used to reconstruct the post corpectomy spinal defects. The donor iliac area defect is large and may give rise to pain at donor site, instability of pelvis, fracture of ilium, donor site muscle herniation or abdominal content herniation. Rib removed during ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.33678
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:The dislocated radial head in missed Monteggia fracture loses its concave articular surface and displays hypertrophic changes and flattened humeral capitellum configuration, thereby limiting the range of motion. We evaluated the results of open reduction in missed Monteggia fractures by various techniques. ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.83946
更新日期:2011-09-01 00:00:00
abstract::Gorham's disease is a rare disorder of the bone characterized by progressive massive osteolysis. The pathophysiology is unknown, and diagnosis is often difficult. Most cases are often recognized retrospectively. There is no standardized treatment and management for Gorham's disease. We report a case of an 18-year-old ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.201707
更新日期:2017-03-01 00:00:00
abstract:BACKGROUND:Large posteromedial defects encountered in severe varus knees during primary total knee arthroplasty can be treated by cementoplasty, structural bone grafts or metallic wedges. The option is selected depending upon the size of the defect. We studied the outcome of autograft (structural and impaction bone gra...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.132525
更新日期:2014-05-01 00:00:00
abstract:Background:Gustilo IIIB tibial fractures are associated with high rates of infection and nonunion. This study evaluates the impact of factors such as patient demographics, mechanism of injury, time to the first debridement, and time to flap coverage on the union and infection rates. Materials and Methods:A retrospecti...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_369_16
更新日期:2018-07-01 00:00:00
abstract::A new era in the surgical treatment of adolescent idiopathic scoliosis (AIS) opened with the introduction of pedicle screw instrumentation, which provides 3-column vertebral fixation and allows major deformity correction on the coronal, sagittal, and axial planes. A steep learning curve can be expected for spinal surg...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.111493
更新日期:2013-05-01 00:00:00
abstract:INTRODUCTION:The 3 bony point relationship of the elbow is an important surface evaluation done in all cases of elbow pathology; its importance is highlighted by the fact that significant emphasis is also laid on this during the specialty board examinations. Confusion about the exact inter relationship exists even in t...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.139835
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:In most classifications of tibial plateau fractures, including one used most widely-Schatzker classification, fractures are described as a combination of medial and lateral condyle, primarily in the sagittal plane. Coronal component of these fractures, affecting the posterior tibial condyle is now well recog...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.139871
更新日期:2014-09-01 00:00:00
abstract:BACKGROUND:Gap nonunion of long bones is a challenging problem, due to the limitation of conventional reconstructive techniques more so if associated with infection and soft tissue defect. Treatment options such as autograft with non-vascularized fibula and cancellous bone graft, vascularized bone graft, and bone trans...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.181780
更新日期:2016-05-01 00:00:00
abstract:BACKGROUND:Despite the advances in surgical treatment options, massive rotator cuff (r-c) tears still represent a challenge for orthopedic surgeons. This study assesses the effectiveness of fascia lata allograft in reconstruction of massive and irreparable r-c tear and to evaluate the healing and functional outcomes. ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.156202
更新日期:2015-05-01 00:00:00
abstract:Background:Chronic recurrent multifocal osteomyelitis (CRMO) is a rare auto-inflammatory disease of the bone. It tends to be multifocal and usually the symptoms tend to run for months and years before diagnosis is usually made. The objective of our study was to understand the clinical presentation and short-term respon...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_464_17
更新日期:2018-11-01 00:00:00
abstract:Background:The earlier studies did not assess the associated factors of anterolateral ligament injury, comprehensively. We sought to evaluate the independent predictive factors of anterolateral ligament injury in the patients with anterior cruciate ligament tear. Ultrasound scan has an emerging role in the diagnosis of...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-020-00159-7
更新日期:2020-06-01 00:00:00
abstract:Background:Anterior interosseous nerve (AIN) syndrome is a rare disease whose pathophysiology is controversial. Despite efforts to elucidate the pathophysiology of AIN syndrome, it has not yet been resolved. We reinterpret electrodiagnostic studies, magnetic resonance imaging (MRI), and surgical findings to clarify the...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-020-00099-2
更新日期:2020-04-06 00:00:00
abstract::Bilateral Femoral neck stress fractures (FNSFs) are rare without any underlying metabolic disease or repeated strenuous activities like athletes or military recruits. It constitutes about 5-8% of all stress fractures. Treatment options are still controversial. We report two young women with bilateral simultaneous FNSF...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-019-00030-4
更新日期:2020-01-31 00:00:00
abstract:BACKGROUND:Abnormal femoral neck anteversion (FNA) and/or acetabulum anteversion (AA) have long been implicated in the etiogenesis of hip osteoarthritis (OA), developmental dysplasia of the hip (DDH), and impingement, instability and wear in total hip arthroplasty (THA). Since studies on the Indian population are spars...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.65156
更新日期:2010-07-01 00:00:00
abstract:Introduction:Posterior tibial plateau fractures (PTPF) are difficult to manage because of options of multiple approaches, paucity of implants, and lack of ideal construct for fixation. We investigated the benefits of using posterior approach and buttress plate for fixation of the posterior tibial condylar fractures in ...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_295_18
更新日期:2019-05-01 00:00:00
abstract:Background:In spite of frequent injuries to the acromioclavicular (AC) joint, there is no consensus regarding optimal technique to be used. This cohort study evaluated the clinical results of a modified Weaver-Dunn procedure with or without chip bone graft for the treatment of AC joint separation retrospectively. Mate...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/ortho.IJOrtho_394_17
更新日期:2019-01-01 00:00:00
abstract::Osseous involvement occurs in 5-10% of patients with disseminated cryptococcosis. We are reporting an unusual case of disseminated cryptococcosis involving the sternum and lumbar vertebra with the formation of psoas abscess with pulmonary tuberculosis. The patient presented with fever for 3 months. A diagnosis of pulm...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.65158
更新日期:2010-07-01 00:00:00
abstract:BACKGROUND:Shoulder arthroplasty procedures are seldom performed on an ambulatory basis. Our objective was to examine postoperative analgesia, nausea and vomiting, patient satisfaction and complications of ambulatory shoulder arthroplasty performed using interscalene brachial plexus block (ISB). MATERIALS AND METHODS:...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.33688
更新日期:2007-07-01 00:00:00
abstract:BACKGROUND:The treatment options for displaced femoral neck fracture in elderly are screw fixation, hemiarthroplasty and total hip arthroplasty based primarily on age of the patient. The issues in screw fixation are ideal patient selection, optimal number of screws, optimal screw configuration and positioning inside th...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.108912
更新日期:2013-03-01 00:00:00
abstract:Background:This study aimed at evaluating the imaging findings of phosphaturic mesenchymal tumors and tumor-induced osteomalacia and assess the clinical and biochemical profiles of patients with tumor-induced osteomalacia. Materials and methods:Imaging findings in six patients with tumor-induced osteomalacia and histo...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.1007/s43465-019-00005-5
更新日期:2020-01-13 00:00:00
abstract:BACKGROUND:Four-corner fusion of the wrist is an option for management of non-union scaphoid with painful arthritis of the wrist. Various surgical techniques have been devised for four-corner fusion, with inconsistent results. We present our experience of four-corner fusion achieved using a standard H-plate, designed o...
journal_title:Indian journal of orthopaedics
pub_type: 杂志文章
doi:10.4103/0019-5413.61908
更新日期:2010-04-01 00:00:00