Journal of Orthopedic Education

Keywords: Psychometric Properties; Clinimetrics; Measurement Properties; Physical Examination; Outcome Assessment; Shoulder Orthopedics. 

 Isolated tuberculosis of talus is a rare form of tuberculous involvement. We report a case of isolated tuberculosis of talus in a young immune-competent female with no evidence of tuberculosis involvement in any other part of the body. An 18 year old female patient presented with a 5 month history of pain and swelling in her right ankle joint. Routine investigations indicated positive etiology of tubercular infection. Bone curettage was performed and a below knee fiber cast applied along with administration of antitubercular treatment (ATT) which resulted in a favorable clinical outcome. 

Keywords: Functional Status; Disability; Activity limitation; Foot Function; Orthopedic Examination. 

Key words: Negative Pressure Wound Therapy (NPWT); Cellophane; External Fixators. 

Keywords:  Intramedullary Interlocking Nail (IMILN); Plating; Union; Biological fixation. 

 Background: Management of intra-articular calcaneal fractures has always been a matter of debate among orthopaedic surgeons. We prospectively analyzed radiological and functional results of depressed intra-articular calcaneal fractures fixed by locking calcaneal plates. Materials and Methods: We operated 28 intra-articular joint depression type calcaneal fractures (as per Essex-Lopresti classification system) using the standard extended lateral approach and fixed them with locking plate during the period, October 2011 to September 20014. Patients were followed up clinically and radiologically for at least 1 year. Radiological assessment was done by Bohler’s angle and Gissane’s angle along with measurement of calcaneal height and width. Functional outcome was assessed using the American Orthopedics Foot and Ankle Society (AOFAS) scale. Results: Wound healing complications were 7/28. Four patients had flap necrosis, two had superficial and one had deep infection. Preoperative size of Böhler’s angle corrected to normal range in all cases. The overall results according to the AOFAS Ankle Hindfoot Scale were good or excellent in 84%. None of the patients had compartment syndrome, heel pad problems, peroneal tendinitis, reflex sympathetic dystropy or implant failure. Conclusion: Open reduction and internal fixation of intra-articular calcaneal fractures has become a standard surgical method. Fewer complications and better results related to treatment with locking compression plates have been observed for all Sanders types of intra-articular calcaneal fractures. 

 High energy complex tibia plateau fracture due to intra-articular are usually associated with injury to ligaments, capsule and other soft tissues surrounding the joint. They present multifaceted problems of difficulty of achieving accurate joint reconstruction. It also contributes to other complications   i.e. infection, fixed flexion deformity, knee stiffness. These complications make treatment of tibia plateau fractures a difficult task   for an orthopaedic surgeon. This study was undertaken to evaluate and explore locking compression plate   fixation   in tibia plateau fractures, which is expected to provide a stable fixation with minimum exposure, early mobilization, less complications and a better quality of life.

This letter to editor brings into notice the dearth of research in the area of clinical prediction rules (CPR) and clinical decision rules (CDR) on examination and treatment of orthopedic hip disorders. There were three studies that reported CPRs/CDRs which are described in this letter. There was one study each on hip pain/osteoarthritis, septic arthritis versus transient synovitis, and nursing home stay after hip fracture.

Keywords: Hip Disorders; Physical Examination; Predictive Validity; Orthopedic Examination. 

 Not Provided.