From the Editor’s Desk

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Vol 06 Issue 1 | January 2025 | page: 01 | Satya Ranjan Patra

DOI: https://doi.org/10.13107/ojot.2025.v06.i01.60

Authors: Satya Ranjan Patra [1]

[1] Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.

Address of Correspondence

Dr. Satya Ranjan Patra
Chief Consultant, Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.
Email: ojot.editor@gmail.com, drsrpatra@healthvillagehospital.com

Editorial

Odisha Journal of Orthopaedics and Trauma (OJOT), 2025 Issue

The 2025 issue of the Odisha Journal of Orthopaedics and Trauma (OJOT) arrives during a landmark year for our fraternity. As we celebrate the Golden Jubilee of the Odisha Orthopaedic Association (OOA), we reflect on fifty years of surgical excellence, mentorship, and the enduring spirit of service that has defined orthopaedics in Odisha since 1975.

Fifty Years of Clinical Legacy

Half a century ago, the OOA began as a vision to unite orthopaedic surgeons across our state. Today, we stand as a robust professional body. While our clinical skills have reached global standards—from complex trauma management to advanced subspecialty care—the documentation of this work remains our next great frontier. This 50th-anniversary issue is not just a celebration of where we have been, but a call to action for where we must go.

Addressing the Academic Challenge

It is no secret that maintaining a steady stream of high-quality, original research is a challenge for regional journals. However, we are currently witnessing a significant shift in our institutional landscape. With a substantial increase in the number of Postgraduates (PGs) and dedicated faculty members across the state, we are sitting on a vast, untapped reservoir of clinical data and intellectual energy.

The editorial board is optimistic that this growth in our academic workforce will lead to a “culture of publication.” We urge our faculty and residents to move beyond simple documentation and embrace rigorous clinical audits and prospective studies. The “Odisha experience” in orthopaedics is unique and valuable; it deserves to be shared with the wider scientific world through the pages of OJOT.

Looking Toward the Next Decade

As we celebrate our Golden Jubilee, our focus must remain on the quality and integrity of our scientific output. We are committed to supporting our young researchers through better mentorship in methodology and writing. By channelling the energy of our expanding academic community, we can ensure that OJOT evolves from a regional record into a highly cited, authoritative journal.

A Shared Responsibility

We thank the authors who have contributed their work to this milestone edition. Your commitment is the lifeblood of this journal. We also extend our gratitude to the pioneers of the OOA whose legacy we honor this year.

Let this 50th-anniversary issue serve as a turning point—a moment where we commit to matching our renowned clinical expertise with equally rigorous academic scholarship

Dr Satya Ranjan Patra
Editor-in-Chief
The Odisha Journal of Orthopaedics and Trauma
Golden Jubilee Edition, 2025
Email: ojot.editor@gmail.com, drsrpatra@healthvillagehospital.com

How to Cite this Article: Patra SR | From the Editor’s Desk | The Odisha Journal of Orthopaedics and Trauma | January 2025; 06;01: 01 | https://doi.org/10.13107/ojot.2025.v06.i01.60

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Periprosthetic Fracture Fixation in Ankylosing Spondylitis: A Surgical Challenge in a Stiffened Skeleton

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Vol 06- Issue 1 | January 2025 | page: 26-29 | Soumitesh Sibananda Das, Nirmal Chandra Mohapatra, Rajesh Rana, Eshaan Mishra

DOI: https://doi.org/10.13107/ojot.2025.v06.i01.70

Received 01/04/2024; Reviewed 29/4/2024; Accepted 27/10/2024; Published 10/01/2025

Authors: Soumitesh Sibananda Das [1], Nirmal Chandra Mohapatra [1], Rajesh Rana [1], Eshaan Mishra [1]

[1] Department of Orthopaedics, Srirama Chandra Bhanja Medical College and Hospital,753007, Cuttack, Odisha, India

 

Address of Correspondence

Dr Soumitesh Sibananda Das,
Department of Orthopaedics, Srirama Chandra Bhanja Medical College and Hospital,753007, Cuttack, Odisha, India
Email: soumiteshdas@gmail.com

Abstract

Periprosthetic femoral fractures are challenging complications following total hip arthroplasty, especially in patients with ankylosing spondylitis due to altered biomechanics and compromised bone quality. We report a 37-year-old male with a history of bilateral total hip replacement (13 years prior) for ankylosed hips, who presented after a motorcycle fall with a right Vancouver type B1 periprosthetic femoral fracture. He was successfully managed with open reduction and internal fixation using a reversed contralateral distal femur anatomical locking plate augmented with cerclage wire. At six-month follow-up, the fracture had united, resulting in an excellent functional outcome. This case highlights the importance of accurate classification, stable fixation, and appropriate implant selection in complex periprosthetic settings.
Keywords: Periprosthetic fracture, Ankylosing spondylitis, Vancouver B1, Locking plate, Cerclage wire.

References

1. Chakravarthy J, Bansal R, Cooper J. Locking plate osteosynthesis for Vancouver type B1 and type C periprosthetic femoral fractures. Injury. 2007;38(6):725–33. PubMed
2. Brady OH, Garbuz DS, Masri BA, Duncan CP. Classification of periprosthetic femoral fractures. Orthop Clin North Am. 1999;30:235–47.
3. Lindahl H. Epidemiology of periprosthetic femur fracture around a total hip arthroplasty. Injury. 2007;38:651–4. SpringerLink
4. Kulkarni SL, Mannual S, Daragad M, Kumar A. Vancouver type B1 periprosthetic fracture managed with locked compression plate: a case report. Int J Case Rep Orthop. 2020;2(2):64–67. orthocasereports.com
5. Locking plate fixation for Vancouver B1 periprosthetic femoral fractures: a critical analysis. J Orthop Sci. 2013. PubMed
6. Rastogi D, Dwivedi MK, Singh S, Ullah SW. Management of Vancouver type B1 periprosthetic femoral shaft fracture using reversed contralateral distal femur locking plate. Natl J Clin Orthop. 2018. orthoresearchjournal.com
7. Distal femoral fractures: periprosthetic fractures have more complications; cerclage should be avoided. J Orthop Traumatol. 2024. SpringerLink
8. Outcomes of cemented and uncemented stem fixation in Vancouver B1 periprosthetic femur fractures treated with locking plates. J Orthop Surg Res. 2025. SpringerLink
9. Locking compression plate fixation of Vancouver type-B1 PFFs. PubMed. 2007. PubMed
10. Locking Plate Fixation of Periprosthetic Femur Fractures with and without Cerclage Wires. Orthop Surg. 2013.

How to Cite this Article: Das SS, Mohapatra NC, Rana R, Mishra E. Periprosthetic Fracture Fixation in Ankylosing Spondylitis: A Surgical Challenge in a Stiffened Skeleton. The Odisha Journal of Orthopaedics and Trauma| January 2025; 06;01:26-29.

https://doi.org/10.13107/ojot.2025.v06.i01.70

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From the Editor’s Desk…

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Vol 05 Issue 1 | January 2024 | page: 01 | Satya Ranjan Patra

DOI: https://doi.org/10.13107/ojot.2024.v05i01.046

Authors: Satya Ranjan Patra [1]

[1] Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.

Address of Correspondence

Dr. Satya Ranjan Patra
Chief Consultant, Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.
Email: ojot.editor@gmail.com, drsrpatra@healthvillagehospital.com

Editorial

As we usher in the new year, it is with great pride and enthusiasm that we present the 2024 issue of The Odisha Journal of Orthopaedics and Trauma. This edition is a testament to the relentless pursuit of excellence by our contributors, reviewers, and editorial team. The articles featured in this issue span a wide range of topics, reflecting the dynamic and evolving nature of orthopaedic practice and research. The founders of our journal intended it to serve as a beacon of knowledge and a platform for the exchange of ideas within the orthopaedic community.
However, the journey has not been without its challenges. One of the primary hurdles we face is the timely submission and review of manuscripts. Delays in these processes can hinder the publication schedule and affect the dissemination of valuable research. Additionally, maintaining the high standards of scientific rigor and ethical integrity in all published works requires constant vigilance and dedication. To overcome these challenges, we call upon the members’ of the Odisha Orthopaedics Association to actively participate in the journal’s activities. By contributing high-quality research, volunteering as peer reviewers, and providing constructive feedback, members can play a pivotal role in enhancing the journal’s impact and reputation. Together, we can ensure that The Odisha Journal of Orthopaedics and Trauma remains at the forefront of orthopaedic research and continues to inspire and inform practitioners and researchers alike.
We extend our heartfelt gratitude to all our contributors, reviewers, and readers for their unwavering support. As we look forward to another year of academic excellence, we remain committed to advancing the field of orthopaedics and improving patient care through the dissemination of cutting-edge research. Thank you for being a part of this journey.

Warm regards,

Editor-in-Chief
Satya Ranjan Patra
Dr. Satya Ranjan Patra
Chief Consultant, Department of Orthopaedics, Health Village Hospital, Bhubaneswar, India.
Email: ojot.editor@gmail.com, drsrpatra@healthvillagehospital.com

How to Cite this Article: Patra SR | From the Editor’s Desk… | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 01 | https://doi.org/10.13107/ojot.2024.v05i01.046

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Comparative Analysis of Tibial Extender Usage in Total Knee Replacement for Mild Varus Deformities

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Vol 05 Issue 1 | January 2024 | page: 09-11 | Akshaya Kumar Sahoo

DOI: https://doi.org/10.13107/ojot.2024.v05i01.049

Received 13/05/2023; Reviewed 09/06/2023; Accepted 02/11/2023; Published 10/01/2024

Authors: Akshaya Kumar Sahoo [1]

[1] Department of Orthopaedics, Apollo Hospitals, Bhubaneswar, Odisha, India.

Address of Correspondence

Dr. Akshaya Kumar Sahoo,
Senior Consultant, Department of Orthopaedics, Apollo Hospitals, Bhubaneswar, Odisha, India.
E-mail: drakskp@gmail.com

Abstract

Background: This study evaluates the effectiveness of using tibial extenders in total knee replacement (TKR) for patients with mild varus deformities.

Methods: A retrospective analysis of 48 TKR cases performed between January 2015 and December 2021 was conducted. Patients were divided into two groups: 24 received tibial extenders (Group A) and 24 did not (Group B). Data included demographic information, clinical assessments, and radiographic evaluations. Primary outcomes measured were knee alignment, range of motion, pain relief, and functional improvement. Secondary outcomes included complication rates and the need for revision surgery.

Results: Group A showed better postoperative knee alignment (mean deviation of 2.5 degrees vs. 4.1 degrees in Group B, p < 0.05), greater range of motion (120 degrees vs. 115 degrees, p < 0.05), and more pain relief (VAS scores decreased from 8.2 to 2.1 vs. 8.0 to 2.5, p < 0.05). Functional improvement was higher in Group A (KSS improvement from 45 to 85 vs. 43 to 80, p < 0.05). Complication rates and revision surgery needs were comparable between groups.

Conclusion: Tibial extenders in TKR for mild varus deformities result in better postoperative outcomes without increasing complication rates. Further research is needed to validate these findings and explore long-term benefits.

Keywords: Total Knee Replacement (TKR), Tibial Extenders, Varus Deformities, Postoperative Outcomes

References

1. Kim, Y.H.; Yoon, S.H.; Kim, J.S. The long-term results of simultaneous fixed-bearing and mobile-bearing total knee replacementsperformed in the same patient. J. Bone Jt. Surg. Br. 2007, 89, 1317–1323.
2. Walsh, C.P.; Han, S.; Canham, C.D.; Gonzalez, J.L.; Noble, P.; Incavo, S.J. Total knee arthroplasty in the osteoporotic tibia: Abiomechanical evaluation of the role of stem extensions and cementing techniques. J. Am. Acad. Orthop. Surg. 2019, 27, 370–374.
3. Hegde, V.; Bracey, D.N.; Brady, A.C.; Kleeman-Forsthuber, L.T.; Dennis, D.A.; Jennings, J.M. A Prophylactic Tibial Stem ReducesRates of Early Aseptic Loosening in Patients with Severe Preoperative Varus Deformity in Primary Total Knee Arthroplasty. J.Arthroplast. 2021, 36, 2319–2324.
4. Kutzner, I.; Heinlein, B.; Graichen, F.; Bender, A.; Rohlmann, A.; Halder, A.M. Loading of the knee joint during activities of daily living measured in vivo in five subjects. J. Biomech. 2010, 43, 2164–2173.
5. Kim, Y.H.; Kim, J.S.; Choe, J.W.; Kim, H.J. Long-term comparison of fixed-bearing and mobile-bearing total knee replacements in patients younger than fifty-one years of age with osteoarthritis. J. Bone Jt. Surg. Am. 2012, 94, 866–873.
6. Callaghan, J.J.; Wells, C.W.; Liu, S.S.; Goetz, D.D.; Johnston, R.C. Cemented rotating platform total knee replacement: A concise follow-up, at a minimum of twenty years, of a previous report. J. Bone Jt. Surg. Am. 2010, 92, 1635–1640.
7. Kim, Y.H.; Yoon, S.H.; Kim, J.S. The long-term results of simultaneous fixed-bearing and mobile-bearing total knee replacements performed in the same patient. J. Bone Jt. Surg. Br. 2007, 89, 1317–1323.
8. Tang, Z.; Gong, Z.; Sun, X. LncRNA DANCR involved osteolysis after total hip arthroplasty by regulating FOXO1 expression to inhibit osteoblast differentiation. J. Biomed. Sci. 2018, 25, 4.
9. Anthony, G.; Raso, V.; Liggins, A.; Amirfazli, A. Contribution of loading conditions and material properties to stress shielding near the tibial component of total knee replacements.J.Biomech.2007,40,1410–1416.

How to Cite this Article: Sahoo AK Comparative Analysis of Tibial Extender | Usage in Total Knee Replacement for Mild Varus Deformities | The Odisha Journal of Orthopaedics and Trauma| January 2024; 05;01: 09-11 | https://doi.org/10.13107/ojot.2024.v05i01.049

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Outcomes of Bipolar Hemiarthroplasty in Neck of Femur Fractures: Comparing Modular Vs. Monoblock Prosthesis

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Vol 05 Issue 1 | January 2024 | page: 06-08 | Lalit Kumar Das, Chandrasekhar Pradhan, Chinmoy Pradhan, Aryan Mohanty

DOI: https://doi.org/10.13107/ojot.2024.v05i01.048

Received 19/04/2023; Reviewed 11/05/2023; Accepted 08/11/2023; Published 10/01/2024

Authors: Lalit Kumar Das [1], Chandrasekhar Pradhan [1], Chinmoy Pradhan [1], Aryan Mohanty [1]

[1] Department of Orthopaedics, MKCG MCH, Berhampur, Odisha, India.

Address of Correspondence

Dr. Lalit Kumar Das,
Assistant Professor, Department of Orthopaedics, MKCG MCH, Berhampur, Odisha, India.
E-mail: daslalit.00@gmail.com

Abstract

The management of neck of femur fractures, particularly in the elderly population, remains a significant challenge in orthopedic surgery. Bipolar hemiarthroplasty is a commonly performed procedure for these fractures, offering pain relief and functional restoration. This retrospective case series compares the clinical outcomes of bipolar hemiarthroplasty using modular versus monoblock prosthesis in patients with neck of femur fractures. The study includes patients aged 65 years and older who underwent the procedure between January 2018 and December 2022. Clinical outcomes were assessed using the Harris Hip Score (HHS), incidence of complications, prosthesis-related issues, and patient satisfaction. The results indicate that modular prostheses offer superior functional outcomes and customization benefits, while monoblock prostheses provide simplicity and stability. However, the modular group demonstrated slightly better functional outcomes and patient satisfaction. The choice of prosthesis should be tailored to the individual patient’s needs, considering factors such as bone quality, fracture type, and surgeon expertise. Further studies with larger sample sizes and longer follow-up periods are necessary to validate these findings and provide more definitive recommendations.
Keywords: Bipolar Hemiarthroplasty, Neck of Femur Fractures, Modular Prosthesis, Monoblock Prosthesis

References

1. Smith, T., et al. (2019). “Comparison of Modular vs Monoblock Bipolar Hemiarthroplasty in Neck of Femur Fractures: A Clinical Outcome Study.” Journal of Orthopedic Research, 37(4), 543-549.
2. Jones, A., et al. (2020). “Modular vs Monoblock Prosthesis in Hip Hemiarthroplasty: A Retrospective Analysis.” International Journal of Orthopedics, 45(2), 123-130.
3. Williams, R., et al. (2021). “Outcomes of Bipolar Hemiarthroplasty in Elderly Patients with Femoral Neck Fractures.” Clinical Orthopedics and Related Research, 479(6), 1153-1161.
4. Brown, L., et al. (2022). “Prosthesis Design and Hip Function: A Comparison of Modular and Monoblock Prostheses.” Hip International, 32(5), 631-637.
5. Paul P, Riyaz NN. Is Modular Prosthesis Superior to Monoblock Variant in Hemiarthroplasty for Fracture Neck of Femur? J Orthop Case Rep. 2024 Apr;14(4):181-186. doi: 10.13107/jocr.2024.v14.i04.4404. PMID: 38681931; PMCID: PMC11043971.
6. Huddleston JI 3rd, Tetreault MW, Yu M, Bedair H, Hansen VJ, Choi HR, Goodman SB, Sporer SM, Della Valle CJ. Is There a Benefit to Modularity in ‘Simpler’ Femoral Revisions? Clin Orthop Relat Res. 2016 Feb;474(2):415-20. doi: 10.1007/s11999-015-4474-8. PMID: 26245164; PMCID: PMC4709297.
7. Engh CA Jr. CORR Insights(®): Is There a Benefit to Modularity in ‘Simpler’ Femoral Revisions? Clin Orthop Relat Res. 2016 Feb;474(2):421-2. doi: 10.1007/s11999-015-4524-2. Epub 2015 Aug 25. PMID: 26304044; PMCID: PMC4709287.

How to Cite this Article: Das LK, Pradhan C, Pradhan C, Mohanty A | Outcomes of Bipolar Hemiarthroplasty in Neck of Femur Fractures: Comparing Modular Vs. Monoblock Prosthesis | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 06-08 |

https://doi.org/10.13107/ojot.2024.v05i01.048

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A Unique Presentation of Eumycotic Mycetoma Involving the Left Medial Cuneiform: A Case Report

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Vol 05 Issue 1 | January 2024 | page: 24-26 | Atanu Mohanty, Anuraag Mohanty

DOI: https://doi.org/10.13107/ojot.2024.v05i01.054

Received 14/07/2023; Reviewed 11/08/2023; Accepted 26/10/2023; Published 10/01/2024

Authors: Atanu Mohanty [1], Anuraag Mohanty [2]

[1] Department of Orthopaedics, Jajati Kesari Medical College and Hospital, Jajpur, Odisha, India.
[2] Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Address of Correspondence

Dr. Anuraag Mohanty,
Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.
E-mail: anuraag98@gmail.com

Abstract

Eumycotic mycetoma is a chronic, destructive fungal infection predominantly affecting the subcutaneous tissues and bones, commonly seen in tropical and subtropical regions. We report a rare case of eumycotic mycetoma involving the left medial cuneiform in a 42-year-old male factory worker from India. The patient presented with a two-year history of a painful ulcer on the sole of his foot following a thorn prick. Clinical examination revealed tumefaction, multiple discharging sinuses, and purulent exudate containing black granules, characteristic of eumycotic mycetoma. Radiological evaluation showed an osteolytic lesion localized to the medial cuneiform bone, suggestive of chronic osteomyelitis. Surgical intervention comprising debridement and saucerization of the affected bone and soft tissues was performed. Tissue biopsy confirmed the diagnosis of eumycotic mycetoma, demonstrating granulomas with fungal hyphae. The patient was treated postoperatively with oral itraconazole for one year, resulting in complete resolution of symptoms and radiological healing. This case highlights the diagnostic challenges posed by eumycotic mycetoma, the importance of integrating clinical, radiological, and histopathological findings, and the need for prolonged antifungal therapy in combination with surgical management for optimal outcomes.

Keywords: Eumycotic mycetoma, Medial cuneiform, Chronic osteomyelitis, Fungal infection, Black granules, Itraconazole therapy

References

1. Dubey N, Capoor MR, Hasan AS, Gupta A, Ramesh V. Epidemiological profile and spectrum of neglected tropical disease eumycetoma from Delhi, North India. Epidemiol Infect. 2019;147:e294. doi:10.1017/S0950268819001766.
2. Singh G, Roy P, Grover S. Madura foot: An interesting case of mycetoma reoccurring fifteen years after initial treatment. Bull Am Coll Surg. 2020;105(2):36-38.
3. van de Sande WWJ. Global burden of human mycetoma: A systematic review and meta-analysis. PLoS Negl Trop Dis. 2013;7(11):e2550. doi:10.1371/journal.pntd.0002550.
4. Krishnamoorthy A, Dinesh P, Kumaran S, et al. An overview of mycetoma and its diagnostic dilemma: Time to move on to advanced techniques. Indian J Dermatol Venereol Leprol. 2020;86(3):251-259. doi:10.25259/IJDVL_107_20.
5. Yadav A, Singh J, Rani S, et al. Eumycetoma infection of foot: A rare case report. J Orthop Surg. 2021;29(3):563-566. doi:10.1177/23094990211019123.
6. Verma P, Jha A. Madura foot: A comprehensive exploration of diagnosis and treatment. World J Pharm Med Res. 2018;4(1):201-204.
7. Priyanka AN. Mysterious mycetoma foot – A case series. IP Indian J Clin Exp Dermatol. 2023;9(1):58-60. doi:10.18231/j.ijced.2023.010.

How to Cite this Article: Mohanty A, Mohanty A A Unique Presentation | of Eumycotic Mycetoma Involving the Left Medial Cuneiform: A Case Report | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01:24-26 | https://doi.org/10.13107/ojot.2024.v05i01.054

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Outcomes of Ulnar Shortening Osteotomy after Distal Radius Malunion: A Comprehensive Analysis

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Vol 05 Issue 1 | January 2024 | page: 12-14 | Naresh Kumar Panigrahi, Arun Kumar Naik

DOI: https://doi.org/10.13107/ojot.2024.v05i01.050

Received 29/05/2023; Reviewed 21/06/2023; Accepted 21/11/2023; Published 10/01/2024

Authors: Naresh Kumar Panigrahi [1], Arun Kumar Naik [1]

[1] Department of Orthopaedics, Hitech Medical College and Hospital, Rourkela, Odisha, India.

Address of Correspondence

Dr Naresh Kumar Panigrahi
Professor and HoD, Department of Orthopaedics, Hitech Medical College and Hospital, Rourkela, Odisha, India.
Email: drnareshpanigrahi@gmail.com

Abstract

Ulnar shortening osteotomy (USO) is a surgical intervention often performed to correct ulnar impaction syndrome, particularly following malunion of a distal radius fracture. This retrospective study examines the outcomes of 14 cases of USO, focusing on patient demographics, surgical techniques, and long-term results. The study found significant pain relief, improved range of motion, and enhanced grip strength in all patients. The average extension increased from 45 degrees preoperatively to 70 degrees postoperatively, and the average flexion improved from 40 degrees to 65 degrees. Grip strength increased from 60% to 90% of the contralateral side. Radiographic analysis revealed successful correction of ulnar variance in all patients, with an average reduction of 3.5 mm. Complications were rare, with only one case of superficial infection and one case of hardware irritation. The study underscores the efficacy of USO in treating ulnar impaction syndrome secondary to distal radius malunion, highlighting the importance of careful preoperative planning, precise surgical technique, and diligent postoperative care in achieving optimal results.

Keywords: Ulnar Shortening Osteotomy, Distal Radius Malunion, Ulnar Impaction Syndrome, Surgical Outcomes

References

  1. A.K. Palmer Triangular fibrocartilage complex lesions: a classification J. Hand. Surg. Am., 14 (1989), pp. 594-606, 10.1016/0363-5023(89)90174-3
  2. K. Sachar Ulnar-sided wrist pain: evaluation and treatment of triangular fibrocartilage complex tears, ulnocarpal impaction syndrome, and lunotriquetral ligament tears J. Hand. Surg. Am., 37 (2012), pp. 1489-1500, 10.1016/j.jhsa.2012.04.036
  3. A. Terzis, S. Koehler, J. Sebald, et al.Ulnar shortening osteotomy as a treatment of symptomatic ulnar impaction syndrome after malunited distal radius fractures Arch. Orthop. Trauma. Surg., 140 (2020), pp. 681-695
  4. D.J. Stockton, M.E. Pelletier, J.M. Pike Operative treatment of ulnar impaction syndrome: a systematic review J. Hand. Surg. Eur., 40 (2015), pp. 470-476
  5. G.H. Baek, M.S. Chung, Y.H. Lee, et al. Ulnar shortening osteotomy in idiopathic ulnar impaction syndrome J. Bone Joint. Surg. Am., 87 (2005), pp. 2649-2654
  6. M. Tatebe, R. Nakamura, E. Horii, et al. Results of ulnar shortening osteotomy for ulnocarpal impaction syndrome in wrists with neutral or negative ulnar variance J. Hand. Surg. Br., 30 (2005), pp. 129-132
How to Cite this Article: Panigrahi N, Naik A | Outcomes of Ulnar Shortening Osteotomy after Distal Radius Malunion: A Comprehensive Analysis | The Odisha Journal of Orthopaedics and Trauma| January 2024; 05;01: 12-14 | https://doi.org/10.13107/ojot.2024.v05i01.050

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Fractures of Mid-Shaft Clavicle: A Systematic Review

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Vol 05 Issue 1 | January 2024 | page: 02-05 | Bikram Kar, Aakash Mishra, Dusyant Chauhan

DOI: https://doi.org/10.13107/ojot.2024.v05i01.047

Received 20/05/2023; Reviewed 18/06/2023; Accepted 14/11/2023; Published 10/01/2024

Authors: Bikram Kar [1], Aakash Mishra [1], Dusyant Chauhan [1]

[1] Department of Orthopaedics, AIIMS Raipur, Chhattisgarh, India

Address of Correspondence

Dr. Aakash Mishra

Senior Resident, Department of Orthopaedics, AIIMS Raipur, Chhattisgarh, India.

Email: aakash3040@gmail.com

Abstract

Clavicle fractures, particularly those occurring in the mid-shaft, are common injuries, accounting for approximately 2.6% of all fractures. These fractures predominantly affect males in their second and third decades of life, with a bimodal distribution in females. Historically, conservative treatment was preferred due to low nonunion rates. However, recent studies indicate higher nonunion rates with conservative treatment for displaced fractures. Surgical intervention, including plate fixation and intramedullary fixation, has shown better functional outcomes and higher patient satisfaction. This systematic review evaluates various treatment modalities, highlighting the benefits of surgical intervention for specific patient groups.
Keywords: Clavicle fractures, Mid-shaft, Surgical intervention, Conservative treatment, Functional outcomes

References

  1. Curtis RJ, Dameron TB, Rockwood CA. Fractures and dislocations of the shoulder in children. Fractures in children. 1991;3:829-919.
  2. Craig EV. Fractures of the clavicle. Rockwood CA, Matsen FA III editors. The Shoulder.
  3. CM R. Fractures of the clavicle in the adult-epidemiology and classification. J Bone Joint Surg, B. 1998;80:476-84.
  4. Nordqvist AN, PETERSSON C. The incidence of fractures of the clavicle. Clinical Orthopaedics and Related Research (1976-2007). 1994 Mar 1;300:127-32.
  5. ALLMAN JR FL. Fractures and ligamentous injuries of the clavicle and its articulation. JBJS. 1967 Jun 1;49(4):774-84.
  6. Stanley D, Trowbridge EA, Norris SH. The mechanism of clavicular fracture. A clinical and biomechanical analysis. The Journal of Bone & Joint Surgery British Volume. 1988 May 1;70(3):461-4.
  7. CS N. Nonunion of the clavicle. JAMA. 1960;172:1006-11
  8. ROWE CR. 4 An Atlas of Anatomy and Treatment of Midclavicular Fractures. Clinical Orthopaedics and Related Research (1976-2007). 1968 May 1;58:29-42.
  9. Hill JM. Closed treatment of displaced middle-third fractures of the clavicle gives poor results. The Journal of Bone & Joint Surgery British Volume. 1997 Jul 1;79(4):537-8.
  10. Zlowodzki M, Zelle BA, Cole PA, Jeray K, McKee MD. Treatment of acute midshaft clavicle fractures: systematic review of 2144 fractures: on behalf of the Evidence-Based Orthopaedic Trauma Working Group. Journal of orthopaedic trauma. 2005 Aug 1;19(7):504-7.
  11. Khan MA, Lucas HK. Plating of fractures of the middle third of the clavicle. Injury. 1977 Jan 1;9(4):263-7.
  12. Naveen BM, Joshi GR, Harikrishnan B. Management of mid-shaft clavicular fractures: comparison between non-operative treatment and plate fixation in 60 patients. Strategies in trauma and limb reconstruction. 2017 Apr;12:11-8.
  13. Chen CH, Chen WJ, Shih CH. Surgical treatment for distal clavicle fracture with coracoclavicular ligament disruption. Journal of Trauma and Acute Care Surgery. 2002 Jan 1;52(1):72-8.
  14. Flinkkilä T, Ristiniemi J, Hyvönen P, Hämäläinen M. Surgical treatment of unstable fractures of the distal clavicle: a comparative study of Kirschner wire and clavicular hook plate fixation. Acta Orthopaedica Scandinavica. 2002 Jan 1;73(1):50-3.
  15. Frima H, van Heijl M, Michelitsch C, van Der Meijden O, Beeres FJ, Houwert RM, Sommer C. Clavicle fractures in adults; current concepts. European Journal of Trauma and Emergency Surgery. 2020 Jun;46:519-29.
  16. Wiesel B, Nagda S, Mehta S, Churchill R. Management of midshaft clavicle fractures in adults. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2018 Nov 15;26(22):e468-76.
  17. Kim YS, Lee HJ, Kim JI, Yang H, Jin HK, Patel HK, Kim JH, Park I. Arthroscopic fixation of the clavicle shaft fracture: Technical tricks. Journal of Orthopaedic Surgery. 2017 Jan 31;25(1):2309499016684411.
  18. King PR, Lamberts RP. Management of clavicle shaft fractures with intramedullary devices: a narrative review. Expert Review of Medical Devices. 2020 Aug 2;17(8):807-15.
  19. Annicchiarico N, Latta A, Santolini E. Plate osteosynthesis for mid-shaft clavicle fractures: An update. Injury. 2023 Mar 1;54:S53-7.
  20. Smekal V, Oberladstaetter J, Struve P, Krappinger D. Shaft fractures of the clavicle: current concepts. Archives of orthopaedic and trauma surgery. 2009 Jun;129:807-15.
  21. Jung GH, Park CM, Kim JD. Biologic fixation through bridge plating for comminuted shaft fracture of the clavicle: technical aspects and prospective clinical experience with a minimum of 12-month follow-up. Clinics in orthopedic surgery. 2013 Dec 1;5(4):327-33.
  22. Barsaoui M, Kraiem H, Arfa M, Zitouna K. Midshaft clavicle fracture synthesis with twisted one-third tubular plate with anterior-inferior approach. La Tunisiemedicale. 2018 May;96(5):264-8.
  23. Ko SH, Kim MS. Comparison of supraclavicular nerve injuries after clavicle mid-shaft surgery via minimally invasive plate osteosynthesis versus open reduction and internal fixation. Archives of Orthopaedic and Trauma Surgery. 2022 Aug 1:1-8.
  24. Ni M, Niu W, Wong DW, Zeng W, Mei J, Zhang M. Finite element analysis of locking plate and two types of intramedullary nails for treating mid-shaft clavicle fractures. Injury. 2016 Aug 1;47(8):1618-23.
  25. Zhang B, Zhu Y, Zhang F, Chen W, Tian Y, Zhang Y. Meta-analysis of plate fixation versus intramedullary fixation for the treatment of mid-shaft clavicle fractures. Scandinavian Journal of Trauma, Resuscitation and Emergency Medicine. 2015 Dec;23:1-1.
  26. Delvaque JG, Bégué T, Villain B, Mebtouche N, Aurégan JC. Surgical treatment of mid-shaft clavicle fractures by minimally invasive internal fixation facilitated by intra-operative external fixation: a preliminary study. Orthopaedics& Traumatology: Surgery & Research. 2019 Sep 1;105(5):847-52.
  27. Xie L, Zhao Z, Zhang S, Hu Y. Intramedullary fixation versus plate fixation for displaced mid-shaft clavicle fractures: a systematic review of overlapping meta-analyses. Medicine. 2018 Jan;97(4).
  28. Saragaglia D, Refaie R. Displaced mid-shaft clavicular fractures: state of the art for athletes and young active people. International Orthopaedics. 2021 Oct;45:2679-86.
  29. Sidhu N, Huntington LS, Richardson M, Ackland DC. Biomechanical performance of an intramedullary Echidna pin for fixation of comminuted mid‐shaft clavicle fractures. ANZ Journal of Surgery. 2019 Oct;89(10):1308-13.
  30. Van Olden GD. VA-LCP anterior clavicle plate: the anatomically precontoured fixation system with angular stability for clavicle shaft. Musculoskelet Surg 2014; 98: 217-23. Naderipour A, McKee MD. Precontoured plate fixation with interfragmentary lag screw use in a middle third clavicle fracture fixation. Journal of Orthopaedic Trauma. 2020 Mar 9.
  31. Zhu Y, Tian Y, Dong T, Chen W, Zhang F, Zhang Y. Management of the mid-shaft clavicle fractures using plate fixation versus intramedullary fixation: an updated meta-analysis. International orthopaedics. 2015 Feb;39:319-28.
  32. Smith SD, Wijdicks CA, Jansson KS, Boykin RE, Martetschlaeger F, de Meijer PP, Millett PJ, Hackett TR. Stability of mid-shaft clavicle fractures after plate fixation versus intramedullary repair and after hardware removal. Knee Surgery, Sports Traumatology, Arthroscopy. 2014 Feb;22:448-55.
  33. Naveen BM, Joshi GR, Harikrishnan B. Management of mid-shaft clavicular fractures: comparison between non-operative treatment and plate fixation in 60 patients. Strategies in trauma and limb reconstruction. 2017 Apr;12:11-8.
  34. Ai J, Kan SL, Li HL, Xu H, Liu Y, Ning GZ, Feng SQ. Anterior inferior plating versus superior plating for clavicle fracture: a meta-analysis. BMC Musculoskelet Disord. 2017 Apr 18;18(1):159. doi: 10.1186/s12891-017-1517-1. PMID: 28420364; PMCID: PMC5395806.
How to Cite this Article: Kar B, Mishra A, Chauhan D | Fractures of Mid-Shaft Clavicle: A Systematic Review | The Odisha Journal of Orthopaedics and Trauma|January 2024; 05;01: 02-05 |

https://doi.org/10.13107/ojot.2024.v05i01.047

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Non-Traumatic Humerus Fracture Treated with Internal Fixation: A Case Report

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Vol 05 Issue 1 | January 2024 | page: 21-23 | Manmatha Nayak, Nirmal Chandra Mohapatra, Rajesh Rana

DOI: https://doi.org/10.13107/ojot.2024.v05i01.053

Received 17/07/2023; Reviewed 12/08/2023; Accepted 26/11/2023; Published 10/01/2024

Authors: Manmatha Nayak [1], Nirmal Chandra Mohapatra [1], Rajesh Rana [1]

[1] Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India.

Address of Correspondence

Dr. Manmatha Nayak

Assistant Professor, Department of Orthopaedics, SCB Medical College, Cuttack, Odisha, India.

Email: manmatha0002@gmail.com

Abstract

Non-traumatic humerus fractures, particularly those occurring spontaneously in the mid to distal third of the humeral diaphysis, are rare and often associated with throwing motions. This case report describes a 22-year-old male who presented with a painful swelling and deformity in the arm following a cricket ball throw. Radiographic examination revealed a spiral fracture at the middle and distal third junction of the humerus. The patient underwent internal fixation using a posterior triceps splitting approach, resulting in excellent outcomes with no malunion or cosmetic deformity. This report highlights the importance of internal fixation in managing non-traumatic humerus fractures to ensure optimal functional and aesthetic results.

Keywords: Non-traumatic humerus fracture, Internal fixation, Spiral fracture, Throwing motion

References

1. Wilmoth CL. Recurrent fracture of the humerus due to sudden extreme muscular action. J Bone Joint Surg.1930;12(1):168-169.ENCE.
2. Chao SL, Miller M,Teng SW. A mechanism of spiral fracture of the humerus: a report of 129 cases following the throwing of hand grenades. J Trauma. 1971;11(7):602-605.
3 Tytherleigh-Strong G, Walls N, et al. The epidemiology of humeral shaft fractures. J Bone Joint Surg (Br) 1998;80-B:249–53.
4 Kaplan H, Kiral A, Kuskucu M, et al. Report of eight cases of humeral fracture following the throwing of hand grenades. Arch Orthop Trauma Surg 1998;117:50–2.
5 Sabick MB, Torry MR, Kim YK, et al. Humeral torque in professional baseball pitchers. Am J Sports Med 2004;32:892–8.
6 Weseley MS, Barenfeld PA. Ball throwers’ fracture of the humerus. Six case reports. Clin Orthop Relat Res 1969;64:153–6.

How to Cite this Article: Nayak N, Mohapatra NC, Rana R Non-Traumatic | Humerus Fracture Treated with Internal Fixation: A Case Report | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 21-23 | https://doi.org/10.13107/ojot.2024.v05i01.053

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Functional Outcome following Capitellum Excision in Isolated Capitellum Fracture: A Case Series

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Vol 05 Issue 1 | January 2024 | page: 15-17 | Saurav Narayan Nanda, Saswat Samant, Debashish Mishra, Sayashi

DOI: https://doi.org/10.13107/ojot.2024.v05i01.051

Received 02/07/2023; Reviewed 04/08/2023; Accepted 04/10/2023; Published 10/01/2024

Authors: Saurav Narayan Nanda [1], Saswat Samant [1], Debashish Mishra [1], Sayashi [1]

[1] Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Address of Correspondence

Dr Sayashi

Department of Orthopaedics, Kalinga Institute of Medical Sciences, Bhubaneswar, Odisha, India.

Email: sayashi.96@gmail.com

Abstract

Background: Capitellum fractures are rare, and outcomes of fragment excision are reported by very few studies. The purpose of this study was to determine the range of motion and clinical outcomes for patients treated with capitellum excision.

Methods: Five patients with isolated capitellum fractures who underwent capitellum excision were retrospectively followed up for functional outcomes. The mechanism of injury, complications, type of fracture, and postoperative outcomes were assessed using the Disabilities of the Arm, Shoulder, and Hand (DASH) score and Oxford Elbow Score. Final elbow range of motion (ROM) and elbow instability were also evaluated.

Results: The clinical follow-up was 12 months. The final examination demonstrated an average elbow range of motion from 8.3 degrees to 123.3 degrees flexion. Patients had full forearm rotation, and there was no clinical evidence of elbow instability. The DASH score and Oxford Elbow Score had improved for the patients at the final follow-up.

Conclusion: Capitellum excision can provide good functional outcomes in cases where open reduction and internal fixation cannot offer a satisfactory fixation and postoperative functional range of motion.

Keywords: Capitellum fractures, Excision, Range of motion, Clinical outcomes

References

  1. Bryan RS, Morrey BF. Fractures of the distal humerus. In: Morrey BF, ed. The elbow and its disorders. Philadelphia: WB Saunders; 1985: 325.
  2. Mighell MA, Harkins D, Klein D, et al. Technique for internal fixation of capitellum and lateral trochlea fractures. J Orthop Trauma. 2006; 20(10): 699-704
  3. Alvarez E, Patel MR, Nimberg G, et al. Fracture of the capitulum humeri. J Bone Joint Surg Am. 1975; 57(8): 1093-1096
  4. Hahn NF. Fall von einer besonderes varietat der frakturen des ellenbogens. Z Wund Geburt. 1853; 6: 185.
  5. Dushuttle RP, Coyle MP, Zawadsky JP, et al. Fractures of the capitellum. J Trauma. 1985; 25(4): 317-321.
  6. Collert S. Surgical management of fracture of the captulum humeri. Acta Orthop Scand. 1977; 48(6): 603-606.
  7. Cottalorda J, Bourelle S. The often-missed Kocher-Lorenz elbow fracture. Orthop Traumatol Surg Res. 2009; 95(7): 547-550
  8. McKee MD, Jupiter JB. A contemporary approach to the management of complex fractures of the distal humerus and their sequelae. Hand Clin. 1994; 10(3): 479-494.
  9. McKee MD, Jupiter JB, Bamberger HB. Coronal shear fractures of the distal end of the humerus. J Bone Joint Surg Am. 1996; 78(1): 49-54.
  10. Ruchelsman DE, Tejwani NC, Kwon YW, et al. Open reduction and internal fixation of capitellar fractures with headless screws. Surgical technique. J Bone Joint Surg Am. 2009; 91(Suppl 2 Pt 1): 38-49.
  11. Poynton AR, Kelly IP, O’Rourke SK. Fractures of the capitellum—a comparison of two fixation methods. Injury. 1998; 29(5): 341-343.
How to Cite this Article: Nanda SN, Samant S, Mishra D, Sayashi | Functional Outcome following Capitellum Excision in Isolated Capitellum Fracture: A Case Series | The Odisha Journal of Orthopaedics and Trauma | January 2024; 05;01: 15-17 | https://doi.org/10.13107/ojot.2024.v05i01.051

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