Intrasubstance anterior cruciate ligament injuries in the pediatric population
Alexandr Aylyarov, Mikhail Tretiakov, Sarah E Walker, Claude B Scott, Khalid Hesham, Aditya V MaheshwariIndian Journal of Orthopaedics 2018 52(5):513-521Pediatric intrasubstance anterior cruciate ligament (ACL) tears have a significant epidemiologic impact as their numbers continue to grow globally. This review focuses on true pediatric intrasubstance ACL tears, which occur >400,000 times annually. Modifiable and non-modifiable risk factors include intercondylar notch width, ACL size, gender, landing mechanisms, and hormonal variations. The proposed mechanisms of injury include anterior tibial shear and dynamic ...
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Alexandr Aylyarov Mikhail Tretiakov Sarah E Walker Claude B Scott Khalid Hesham Aditya V Maheshwari Source Type: research
Titanium elastic nailing with temporary external fixator versus bridge plating in comminuted pediatric femoral shaft fractures: A comparative study
Conclusion: Two groups were similar in radiological and functional outcomes. Inserting elastic nails and external fixator was a more exacting surgery, while removal was more difficult in BP group. Both techniques had acceptable success and complication rates. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Sukalyan Dey Kartikey Mishra Taral Vishanji Nagda Jaideep Dhamele Chasanal Rathod Dipa Dey Source Type: research
Femoral neck fractures in children: A review
Thomas PalocarenIndian Journal of Orthopaedics 2018 52(5):501-506Paediatric femoral neck fractures are uncommon injuries and are usually caused by high-energy trauma. Low-energy trauma can result in pathologic neck fractures and stress fractures of the neck, due to repetitive activity. Surgical options can vary based on age, Delbet classification and displacement of the fracture. Treatment for displaced fractures is by closed or open reduction and smooth/cancellous screw fixation. Compression screw and side plate fixation is indicated for basal fractures. Fixation should be supplemented by spica cast immobilization in youn...
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Thomas Palocaren Source Type: research
Cervical spine evaluation in pediatric trauma: A review and an update of current concepts
Nirmal Raj Gopinathan, Vibhu Krishnan Viswanathan, Alvin H CrawfordIndian Journal of Orthopaedics 2018 52(5):489-500The clinical presentation and diagnostic workup in pediatric cervical spine injuries (CSI) are different from adults owing to the unique anatomy and relative immaturity. The current article reviews the existing literature regarding the uniqueness of these injuries and discusses the current guidelines of radiological evaluation. A PubMed search was conducted using keywords “paediatric cervical spine injuries” or “paediatric cervical spine trauma.” Six hundred...
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Nirmal Raj Gopinathan Vibhu Krishnan Viswanathan Alvin H Crawford Source Type: research
Foreign body-related extremity trauma in children: A single-center experience
We report our experience of extremity foreign body trauma in order to increase awareness of this disease entity. The retrospective series of 24 retained foreign bodies was based on a 10-year chart review of emergency data (ICD code Z18). Patients with both upper and lower limb affections were included. Patients with ocular, otolaryngeal, tracheobronchial, gastrointestinal, and axial foreign bodies were excluded from the study. Male predominance (M:F = 20:4), young patient age (mean 6.8 years), variable lag period for consultation (range 3 h–8 years), and majority lower limb affection (58%...
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Anil Agarwal Source Type: research
Optimizing management of open fractures in children
Akshat Sharma, Vikas Gupta, Kumar ShashikantIndian Journal of Orthopaedics 2018 52(5):470-480Open fractures in children differ from adults owing to their better healing potential. Management strategies for open fracture in children are changing with improvement in our understanding of soft-tissue reconstruction and fracture fixation. A literature review was performed for articles covering management of open fractures in children. The cornerstones of management include prevention of infection, debridement, and skeletal stabilization with soft-tissue coverage. The injury should be categorized according to the established tra...
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Akshat Sharma Vikas Gupta Kumar Shashikant Source Type: research
Growth plate injuries of the lower extremity: Case examples and lessons learned
Conclusions: Growth plate injuries of the lower extremity require a high index of suspicion and close monitoring during skeletal growth. Early recognition and proper management of these injuries can minimize long term morbidity. The treatment plan should be individualized after a comprehensive analysis of the injury pattern in each patient. Establishing a long term treatment plan and discussing the prognosis of these injuries with the child's caretakers is imperative. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Samir Sabharwal Sanjeev Sabharwal Source Type: research
Management of orthopaedic injuries in multiply injured child
Om Lahoti, Anand AryaIndian Journal of Orthopaedics 2018 52(5):454-461Multiply injured child is a unique challenge to the medical communities worldwide. It is a leading cause of preventable mortality and morbidity in children. Common skeletal injuries include closed or open fractures of tibia and femur and pelvic injuries. Initial management focuses on saving life and then saving limb as per pediatric advanced life support and advanced trauma life support. Orthopedic management of open fracture includes splinting the limb, administration of prophylactic antibiotic, and surgical debridement of the wound when safe. However, ...
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Om Lahoti Anand Arya Source Type: research
Epidemiology of pediatric musculoskeletal injuries and their pattern in a tertiary care center of North India
Conclusion: The high incidence of pediatric trauma on roads and falls indicates the need for more supervision during playing and identification of specific risk factors for these injuries in our setting. Injuries in pediatric age group by and large is a preventable condition. Therefore, injury prevention in children should be a priority. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Omeshwar Singh Sanjeev Gupta Mohammad Azhar Ud Din Darokhan Shakeel Ahmad Sumeet Singh Charak Anuradha Sen Source Type: research
Let & #39;s give our best to the children: The pediatric trauma symposium
Anil AgarwalIndian Journal of Orthopaedics 2018 52(5):447-448 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - September 4, 2018 Category: Orthopaedics Authors: Anil Agarwal Source Type: research
Retraction: Evaluation of a modified POSSUM scoring system for predicting the morbidity in patients undergoing lumbar surgery
Indian Journal of Orthopaedics 2018 52(4):445-445 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Source Type: research
Legends of Indian Orthopedics: Prof. B. N. Sinha
Vineet Sharma, Bhavuk GargIndian Journal of Orthopaedics 2018 52(4):443-444 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Authors: Vineet Sharma Bhavuk Garg Source Type: research
The ASSI Monographs: Complications in spine surgery, ankylosing spondylitis, lumbar spinal stenosis
Anil K JainIndian Journal of Orthopaedics 2018 52(4):441-442 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Authors: Anil K Jain Source Type: research
Author reply
Ish Kumar Dhammi, Rehan Ul HaqIndian Journal of Orthopaedics 2018 52(4):439-440 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Authors: Ish Kumar Dhammi Rehan Ul Haq Source Type: research
Submission to publication demystified: A guide for authors
Raju VaishyaIndian Journal of Orthopaedics 2018 52(4):438-438 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Authors: Raju Vaishya Source Type: research
