Journal of Orthopedics & Bone Disorders

06/28/2024

Association of Hip Geometry with Proximal Femoral Fracture in Elderly Population

https://medwinpublishers.com/JOBD/association-of-hip-geometry-with-proximal-femoral-fracture-in-elderly-population.pdf

Authors: Padhya IG*, Acharya BM and Basnyat S

DOI: DOI: 10.23880/jobd-16000269

Abstract:

Introduction: Hip fractures are a significant global health concern, particularly among the elderly population, with increasing incidence rates predicted in the coming decades. Although different factors like age-related osteoporosis, alcoholism, smoking, high BMI are established causes of hip fracture but none can fully explain the cause of hip fracture. Proximal hip geometry (HAL. FNAL, FNA, FHD, FND) may be associated with hip fracture and is under investigation with conflicting reports. Method: Our study is X-ray based prospective case-control study aiming to evaluate the association of hip geometry parameters with proximal femoral fractures in elderly population. We conducted study involving 102 subjects, including 34 cases with proximal femoral fractures and 68 controls. Various hip geometry parameters were calculated, tabulated and compared to see the difference in hip parameters among fractured and non-fractured group. Additionally, we calculated the mean and standard deviation among male and female subjects and compared between them Result: Our study revealed differences in HAL and FNAL between the case and control groups, suggesting their potential role as risk factors for proximal femoral fractures. However, no significant differences were observed in NSA, FHD, and FND between the two groups. Gender-wise analysis showed significant differences in HAL, FNAL, FHD, and FND between males and females, possibly due to variations in height among them. Conclusion: This study contributes to the understanding of hip fracture risk factors in the elderly population and underscores the importance of considering hip geometry parameters in fracture risk assessment. Larger studies are recommended to further validate these findings.

Keywords: Hip Geometry; Proximal Femoral Fracture; Elderly Population has context menu

05/30/2024

Results of LRS (Limb Reconstruction System) in Management of Infected Non Unions of Femur

https://medwinpublishers.com/JOBD/infective-spondylodiscitis-of-unknown-origin-in-a-patient-with-chronic-kidney-disease.pdf

Authors: Jenil Patel*, Chetan Puram, Yogesh Panchwagh, Parag Sancheti and Ashok Shyam

DOI: 10.23880/jobd-16000267

Abstract:

Introduction: Infected non-union needs prolonged treatment and repeated surgeries which significantly impacts patient’s
social, financial, physical and mental life. In relation to Ilizarov technique monolateral external fixator is less bulky, more
comfortable and better tolerated by patient. In this study we aim to assess the union rates, infection control, alignment,
complications and the functional outcome of infected femoral non-union managed with monolateral external fixator.

Material and methods: This is a prospective interventional study carried out between June 2017 and June 2021 at tertiary
care centre operated by a single surgeon. Patients diagnosed as infected non-union of femur clinically and radiologically and
operated with monolateral external fixator were assessed. Functional and radiological assessment was done using ASAMI
classification.

Results: In our study 21 patients were operated which included 20 males (95.2%) and one female with mean follow up is 29.85
± 11.42 months. The most common site of non-union is mid-shaft of the femur. The mean bone defect after debridement is 3.52
± 2.23cm (1 -10cm). The mean time of bony union in our study is 180.65 days (range 95-740 days). The ASAMI classification
of bone results is Excellent to good in 90% of patients.

Conclusion: Our study suggested that the Limb reconstruction system can be successfully used in the management of infected
non-union of femur as a stable fixation modality and achieve satisfactory outcome in terms of bony union and functional
results. Pre-operatively planning of the LRS frame, radical debridement and maintaining stability of the LRS frame are key
steps of the treatment.

Keywords: Infected Non Union; External Fixator; LRS; Femur Non Union; Septic Non Union

05/29/2024

Biomechanical Study of the Behavior of the Intervertebral Disc: Intact Lumbar Spine Versus Arthrodesis

https://medwinpublishers.com/JOBD/biomechanical-study-of-the-behavior-of-the-intervertebral-disc-intact-lumbar-spine-versus-arthrodesis.pdf

Authors: Meddeba M*, Hatirab FB, Habboubia K and Mestiria M

DOI: 10.23880/jobd-16000265

Abstract:

Introduction: Arthrodesis is the most common solution for the treatment of degenerative pathology of the lumbar spine but

it can expose to adjacent syndrome in the long term. However, this entity is currently debated, disc degeneration could simply

be the consequence of degenerative evolution.

The aim of our study was to make numerical simulations on finite element model of the lumbar spine, to analyze the behavior

of the adjacent upper and lower intervertebral discs after an arthrodesis.

Methods: Von Mises stress distribution on intervertebral discs was analyzed from a validated finite element model of lumbar

spine (from L2 to L5), and compared to Von Mises stress distribution on intervertebral disks of the same subject, having an

L3-L4 arthrodesis. We fixed the inferior surface of L5 vertebral body and applied increasing loads in axial compression and

flexion on the upper surface of L2 vertebral body for the two models, with and without arthrodesis.

Results: Von Mises stress in the adjacent discs increase, especially for the upper level, causing an accelerated degeneration of

the disc responsible for adjacent syndrome. Our results showed also that L4-L5 disc support the maximum of pressure of the

lumbar spine.

Conclusion: Intervertebral discs adjacent to an arthrodesis are exposed to an increasing pressure and accelerated degeneration,

proving the risk of adjacent syndrome.

Keywords: Spine; Arthrodesis; Spinal fusion; Adjacent Syndrome

05/29/2024

Infective Spondylodiscitis of Unknown Origin in A Patient with Chronic Kidney Disease

https://medwinpublishers.com/JOBD/infective-spondylodiscitis-of-unknown-origin-in-a-patient-with-chronic-kidney-disease.pdf

Authors: Patel J*, Patil M, Vikraman Nair V, Kundnani V and Chodavadiya S

DOI: 10.23880/jobd-16000266

Abstract:

Infective spondylodiscitis is a rare but serious condition characterized by the involvement of the intervertebral disc and
adjacent vertebral bodies. The late discovery of this infectious process has been attributed to its delayed and sneaky beginning
and ambiguous symptoms. Here, we looked at the clinical traits and prognoses for haemodialysis patient who suffered
spondylodiscitis and was diagnosed with it. This report delves into a challenging case of infective spondylodiscitis in a 53-yearold
male with chronic kidney disease (CKD) undergoing hemodialysis. The patient's complex presentation, diagnostic journey,
and treatment outcomes are meticulously examined, highlighting the intricacies of managing this condition in individuals with
underlying health issues.

Keywords: Spine; Infective Spondylodiscitis; Chronic Kidney Disease; Unknown Origin; Haemodialysis; Corpectomy; Acdf; Fusion

05/03/2024

Biomechanics in Pathological Fractures

https://medwinpublishers.com/JOBD/biomechanics-in-pathological-fractures.pdf

Authors: Santhosh Kumar TN*, Shivanna HY and Kumar NN

DOI: 10.23880/jobd-16000264

Abstract:
In the setting of a benign or malignant lesion the altered physiology and mechanics may lead to pathological fractures. Patient outcome depends on proper diagnosis, staging and treatment of pathological fractures. On conventional X rays or computed tomography scan (CT) images it becomes extremely difficult to assess the clinical fracture risks.

Keywords: Pathological Fractures; computed tomography based rigidity analysis (CTRA)

06/09/2022

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We would be glad to publish your Eminent articles in our journal Journal of Orthopedics & Bone Disorders, so please grab this opportunity to share your work towards our journal included all classification. And if possible please suggest your colleagues/friends/students to submit their work towards our upcoming issue through https://bit.ly/3toMc6F
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05/26/2022

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05/17/2022

e are glad to inform you that is commencing virtual conferences to acquire knowledge in an effective way.

We are organizing a webinar about Terrible Triad Of The Elbow : A Spectrum Of Theories with the eminent speaker

So we would be glad if eminent scholars could join and participate like and can also suggest others to join. Please DM us for any queries.

09/04/2019