Cement pedestal spacer technique for infected two-stage revision knee arthroplasty: Description and comparison of complications
Conclusions: The cement pedestal technique minimizes complications by optimizing component positioning and balancing. It also safely extends the indication for an articulated spacer into a set of cases with more extensive bone loss and allows for extended monitoring of inflammatory markers. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - October 6, 2019 Category: Orthopaedics Authors: Ahsan Akhtar Chris Mitchell Catarina Assis Farhad Iranpour Anna Kropelnicki Robin Strachan Source Type: research

Monofilament cerclage wiring fixation with locking plates for distal femoral fracture: Is it appropriate ?
Conclusions: Open reduction and locking plate fixation with additional cerclage wiring is a useful method for the reduction of complicated distal femoral fractures, without increased complications such as nonunion. Level of Evidence: Level III, retrospective cohort design, treatment study. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - October 6, 2019 Category: Orthopaedics Authors: Sung Hyun Lee Young Chae Choi Suc Hyun Kweon Source Type: research

Chondromalacia patella among military recruits with anterior knee pain: Prevalence and association with patellofemoral malalignment
Conclusion: CMP is a common disorder among military recruits with AKP. Patellofemoral malalignment is an important contributory factor in the development of CMP, and the presence of edema in SHFP may be a strong indicator of underlying severe CMP in this population. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - October 6, 2019 Category: Orthopaedics Authors: Meltem Ozdemir Rasime Pelin Kavak Source Type: research

Heralding change: The evolution of the IJO in 2019
Murali Poduval, Lalit MainiIndian Journal of Orthopaedics 2019 53(6):679-681 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - October 6, 2019 Category: Orthopaedics Authors: Murali Poduval Lalit Maini Source Type: research

Femur lengthening in a patient with a pseudoaneurysm of the superficial femoral artery treated with covered stent
Charles Dejean, Mathieu Desvergnes, Pierre Bouget, Philippe Rigoard, Tanguy VendeuvreIndian Journal of Orthopaedics 2019 53(5):674-676This case report presents a 29-year-old male patient who presented an articular distal femoral fracture sustained in a road traffic accident in Benin. After the different surgical procedures, the patient presents a knee stiffness and a shortening of the left leg of 7 cm. An ablation of osteosynthesis material and a Judet procedure was done. After this surgical intervention, the patient developed pain, pulsatile swelling of the left knee. A false aneurysm of the superficial femoral artery was...
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Charles Dejean Mathieu Desvergnes Pierre Bouget Philippe Rigoard Tanguy Vendeuvre Source Type: research

The orthopedic manifestations of congenital insensitivity to pain: A population-based study
Conclusions: This paper is the first population-based study of this condition and one of the largest series with functional scores. A multidisciplinary approach is essential in managing these patients. The surgical treatment of these conditions is often difficult and protracted, and judicious and careful consideration to both the bony and soft tissues aspects of the management need to be taken into account, with functional limb amputation not necessarily being considered as a last resort. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Maximillian Mifsud Michelle Spiteri Karl Camilleri Matthew Bonello Thomas Azzopardi Massimo Abela Source Type: research

Langenski & #246;ld classification for blount disease: Is it reliable ?
Conclusion: Agreement to Langenskiöld classifications found excellent for three groups. Surgical experience did not change intraobserver and interobserver reliability in Langenskiöld classification. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Serkan Erkus Ali Turgut Onder Kalenderer Source Type: research

Gait pattern of adults with cerebral palsy and spastic diplegia more than 15 years after being treated with an interval surgery approach: Implications for low-resource settings
Conclusion: Although different to TD adults, the gait patterns observed in the adult with CP treated with ISA is in line with other studies. Gait patterns suggest that derotation osteotomies potentially could have improved the long term gait patterns. Although SEMLS might be the preferred treatment method, potentially resulting in better outcomes, ISA can also be used to treat children with CP in developing countries as India and South Africa, where a SEMLS approach is not always feasible. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Nelleke Gertrude Langerak Nicholas Tam Jacques du Toit A Graham Fieggen Robert Patrick Lamberts Source Type: research

A clinico-microbiological study of prosthetic joint infections in an indian tertiary care hospital: Role of Universal 16S rRNA gene polymerase chain reaction and sequencing in diagnosis
Conclusions: The incidence of PJI at our Institute compares well with other published reports. Contrary to previous reports, a predominance of Gram-negative PJI's was found. The preponderance of multidrug-resistant organisms in PJI's is worrisome. The high sensitivity and specificity of the 16S PCR assay used in our study support its use in culture-negative PJI suspected cases. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Sujeesh Sebastian Rajesh Malhotra Vishnubhatla Sreenivas Arti Kapil Rama Chaudhry Benu Dhawan Source Type: research

Bicruciate substituting total knee arthroplasty improves stair climbing ability when compared with cruciate-retain or posterior stabilizing total knee arthroplasty
Conclusion: BCS-TKA resulted in significantly better stair climbing ability when compared with CR or PS-TKA. This may indicate that the design of BCS-TKA better reproduces native anterior cruciate ligament and posterior cruciate ligament function and improves knee stability during stair climbing activity. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Takanori Iriuchishima Keinosuke Ryu Source Type: research

Total hip arthroplasty using hybrid ceramic bearing: A minimum 10-year followup study
Conclusions: The long term result of cementless THA with the use of a large BIOLOX forte head on the BIOLOX delta liner showed an encouraging result. Wear or osteolysis associated with composite of 24% zirconia in the fourth-generation ceramic was not observed at a minimum followup of 10 years. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Jun-Il Yoo Yong-Chan Ha Dong-Hyun Kim Young-Kyun Lee Kyung-Hoi Koo Source Type: research

Midterm results of fourth-generation ceramic-on-ceramic total hip arthroplasty
Conclusion: Our midterm study demonstrated excellent clinical and radiological results with only one ceramic liner fracture. Moreover, the results of this study indicate that one possible cause of pulling-out phenomenon is the resonance effect during implantation in Dorr type A patients with the thick cortex. If the surgeon is aware of the liner malposition throughout the operation, the fourth-generation CoC articulation THA could be an outstanding treatment. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Kyu-Jin Cho Kyung-Soon Park Won-Young Jang Chun-Gon Park Taek-Rim Yoon Source Type: research

Differentiating nutrient artery canals of the femur versus fracture lines in patients with total hip arthroplasty on plain radiographs
Conclusions: Based on the results of this study, there are clearly distinguishable differences between nutrient artery canals of the femur and fracture lines on plain radiographs. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Ho Hyun Yun Gi Won Choi Wan Tae Kim Jung Ro Yoon Source Type: research

Cup alignment change after screw fixation in total hip arthroplasty
Conclusions: Changes in cup alignment after screw fixation were detected in most cases. It is one possible cause of cup malalignment. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Yingyong Suksathien Urawit Piyapromdee Thanut Tippimanchai Source Type: research

Fracture of the fifth finger sesamoid: A rare injury
We report a case of fifth-digit sesamoid fracture, treated conservatively. In 6 months of followup, the patient had a full range of motion without pain. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - August 11, 2019 Category: Orthopaedics Authors: Okan Aslanturk Emre Ergen Source Type: research