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 surgeons to become familiar with pedicle screw placement and correction techniques. Potential complications including injury to adjacent neural, vascular, and visceral structures can occur due to screw misplacement or pull-out during correction maneuvers. These major complications are better recognized as pedicle screw techniques become more popular and may result in serious morbidity and mortality. Extensive laboratory and clinical training is mandatory before pedicle screw techniques in scoliosis surgery are put to practice. Wider application, especially in developing countries, is limited by the high cost of implants. Refined correction techniques are currently developed and these utilize a lesser number of pedicle anchors which are strategically positioned to allow optimum deformity correction while reducing the neurological risk, surgical time, and blood loss, as well as instrumentation cost. Such techniques can be particularly attractive at a time when cost has major implications on provision of health care as they can make scoliosis treatment available to a wider population of patients. Pedicle screw techniques are currently considered the gold standard for scoliosis correction due to their documented superior biomechanical properties and ability to produce improved clinical outcomes as reflected by health-related quality-of-life questionnaires. Ongoing research promises further advances with the future of AIS treatment incorporating genetic counseling and possibly fusionless techniques.
journal_name
Indian J Orthopjournal_title
Indian journal of orthopaedicsauthors
Sud A,Tsirikos AIdoi
10.4103/0019-5413.111493subject
Has Abstractpub_date
2013-05-01 00:00:00pages
219-29issue
3eissn
0019-5413issn
1998-3727pii
IJOrtho-47-219journal_volume
47pub_type
杂志文章abstract：BACKGROUND:Controversy continues regarding the best treatment for compression and burst fractures. The axial distraction reduction utilizing the technique employing the long straight rod or curved short rod without derotation to reduce fracture are practised together with short segment posterolateral fusion (PLF). Effe...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.36999
更新日期：2007-10-01 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：:A 17-year-old male presented to us following a hyperflexion injury to his right knee sustained while playing soccer. Immediately after the traumatic event, he developed a large, tense knee effusion. Physical examination revealed limited range of motion. MRI revealed a lobulated mass in the posteromedial aspect of the ...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.80049
更新日期：2011-05-01 00:00:00
abstract：:Hip fractures are associated with a high rate of mortality and profound temporary and sometimes permanent impairment of quality of life. Current guidelines indicate that surgeons should perform surgery for a hip fracture within 24 hours of injury because earlier surgery is associated with better functional outcome and...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.73660
更新日期：2011-01-01 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：INTRODUCTION:Management of bone loss is a challenge in revision total hip arthroplasty (THA). A retrospective review was performed to study the use of uncemented distal locked prosthesis in cases with proximal femoral bone loss. MATERIALS AND METHODS:Uncemented stems with distal interlocking were used in 65 hips durin...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.106918
更新日期：2013-01-01 00:00:00
abstract：:Neglected bilateral congenital dislocation of knee is unusual. A 12 year old boy presented with inability to walk due to buckling of the knee. The symptoms were present since the child learnt walking. He preferred not to walk. Bilateral supracondylar femoral osteotomy was done at the age of 6 years. Patient had a fixe...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.125524
更新日期：2014-01-01 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:We investigated whether the severity of Osteoarthritis (OA) knees can be predicted based on a set of predefined clinical questions (PCQs) about activities of daily living (ADL). We studied the association of demographic factors and advanced radiographic OA (KL 3 and 4) and the relationship between various ph...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.1007/s43465-020-00186-4
更新日期：2020-07-02 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：:Cerebral palsy (CP), a heterogeneous disorder of movement and posture, is one of the most important causes of disability affecting children. With a wide variability in the clinical presentation and a paucity of reliable diagnostic tests, decision-making in CP is fraught with difficulties and challenges. The plethora o...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/ortho.IJOrtho_409_17
更新日期：2019-01-01 00:00:00
abstract：BACKGROUND:Pertrochanteric fractures which involve trochanteric fractures with varying fracture geometry pose a significant challenge to the treating orthopedic surgeon. The aim of this study is to evaluate the management of pertrochanteric fractures of the femur using gamma nail [Asia pacific (AP)]. MATERIALS AND MET...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.40260
更新日期：2008-04-01 00:00:00
abstract：Objective:This study looks at the outcome of percutaneous quilting technique for the treatment of closed degloving injuries or Morel-Lavallée lesions (MLL). Design:Prospective single-centre nonrandomized case series. Participants:Patients with MLL visiting our hospital between January 2012 and May 2018. Method:The m...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.1007/s43465-020-00097-4
更新日期：2020-04-05 00:00:00
abstract：BACKGROUND:Expansive open door laminoplasty with the use of titanium miniplate is becoming popular. Usually, the plate is applied at each level to prevent re-closure of the opened lamina. However, it is also used at alternating levels (i.e., C3, C5 and C7) in clinical settings in order to reduce the cost. Whether they ...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.144225
更新日期：2014-11-01 00:00:00
abstract：:Congenital spinal vertebral anomalies can present as scoliosis or kyphosis or both. The worldwide prevalence of the vertebral anomalies is 0.5-1 per 1000 live births. Vertebral anomalies can range from hemi vertebrae (HV) which may be single or multiple, vertebral bar with or without HV, block vertebrae, wedge shaped ...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.61997
更新日期：2010-04-01 00:00:00
abstract：BACKGROUND:Electrical stimulation of fractures has been reported to enhance fracture healing. X-rays are normally used to assess union of fractures. Electrical conduction is not tried as a tool to study fracture healing. The current study focuses on electrical conduction as a diagnostic tool to assess fracture healing ...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.97260
更新日期：2012-07-01 00:00:00
abstract：BACKGROUND:The fingertip is the most frequently injured and amputated segment of the hand. There are controversies about defining clear indications for microsurgical replantation. Many classification systems have been proposed to solve this problem. No previous study has simultaneously correlated different classificati...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.185602
更新日期：2016-07-01 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：:Athletes that excel in their field, and are hence declared "elite", have many challenges and problems in their career. The path to glory is often littered with personal sacrifice, rigorous schedules and many related medical issues from orthopaedic injuries specific to individual sports, to mental health issues that ar...
journal_title：Indian journal of orthopaedics
pub_type： 社论
doi：10.1007/s43465-020-00091-w
更新日期：2020-04-08 00:00:00
abstract：Objective:Complex elbow fractures are common injuries in young adults. Results in recent studies with various operative treatment protocols are equivocal. We compared the results of radial head arthroplasty, excision with osteosynthesis in such injuries at two follow-ups 1 year apart. Methods:Thirty-five patients of c...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.1007/s43465-020-00136-0
更新日期：2020-05-18 00:00:00
abstract：:Surface osteosarcomas are a rare form of osteosarcomas accounting for around 3-6% of all osteosarcomas. Three major groups of surface osteosarcomas are parosteal, periosteal and the high grade surface osteosarcomas. Of these, the parosteal osteosarcoma is the most common. Parosteal and periosteal osteosarcomas are dis...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.132503
更新日期：2014-05-01 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：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：BACKGROUND:Muscular dystrophies are inherited myogenic disorders characterized by progressive muscle wasting and weakness of variable distribution and severity. They are a heterogeneous group characterized by variable degree of skeletal and cardiac muscle involvement. The most common and the most severe form of muscula...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.189609
更新日期：2016-09-01 00:00:00
abstract：BACKGROUND:A number of techniques have been described to reattach the torn distal biceps tendon to the bicipital tuberosity. We report a retrospective analysis of single incision technique using an endobutton fixation in sports persons. MATERIALS AND METHODS:The present series include nine torn distal biceps tendons i...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.91638
更新日期：2012-01-01 00:00:00
abstract：BACKGROUND:Treatment of elbow dislocation with irreparable radial head fracture needs replacement of radial head to achieve stability of elbow. An alternate method in cases of elbow dislocation with radial head fracture can be resection of radial head with repair of medial collateral ligament. We report a retrospective...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.111500
更新日期：2013-05-01 00:00:00
abstract：:We describe a case of sacral perineural cyst presenting with complaints of low back pain with neurological claudication. The patient was treated by laminectomy and excision of the cyst. Tarlov cysts (sacral perineural cysts) are nerve root cysts found most commonly in the sacral roots, arising between the covering lay...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.37007
更新日期：2007-10-01 00:00:00
abstract：BACKGROUND:Most important cause of treatment failure and emergence of drug resistance in the treatment of tuberculosis is noncompliance. Compliance can be improved by direct observation of drug intake, intermittent therapy, and short-course treatment. The efficacy of Directly Observed Treatment Short Course (DOTS) stra...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.93673
更新日期：2012-03-01 00:00:00
abstract：BACKGROUND:Ultrasonography is accepted as a useful imaging modality in the early detection of developmental dysplasia of the hip (DDH). Early detection and early treatment of DDH prevents hip dislocation and related physical, social, economic, and psychological problems. The purpose of this study was to evaluate the re...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.87131
更新日期：2011-11-01 00:00:00
abstract：BACKGROUND:Various anterior lumbar surgical approaches, including the minimally invasive approach, have greatly improved in recent years. Vascular complications resulting from ALIF are frequently reported. Little information is available about the safety of large blood vessel stretch. We evaluated the right side stretc...
journal_title：Indian journal of orthopaedics
pub_type： 杂志文章
doi：10.4103/0019-5413.128762
更新日期：2014-03-01 00:00:00
