GLENOHUMERAL ARTHRITIS Aetiology: Osteoarthritis(associated with posterior glenoid wear) Rheumatoid arthritis( assoc. with central glenoid wear) Secondary degenerative joint disease -Repetitive and major trauma -End-stage AVN -Rotator cuff tear arthropathy -Arthritis associated with instability or surgery for instability Clinical Features: – Pain and stiffness in the shoulder – adduction and internal rotation deformity of the joint […]
Oxinium bearings- Fact or Fiction
Oxinium or otherwise “oxidised zirconium” was suggested as a good bearing surface by Bourne in his article in CORR 2005. These oxinium surfaces are derived from a zirconium base that is heated and then infused with oxygen, transforming the outermost layer into a ceramic shell This surface possibly combines the fracture resistance of metal, with […]
Ultrasound Therapy
ULTRASONIC THERAPY Ultrasound is an electromagnetic wave with frequencies above 20,000Hz For therapy the frequency of sound waves used are between 85kHz to 3MHz and delivered at intensities between 0 and 3W/sq.cm Production: When electrical energy is applied on piezoelectric crystals they produce vibration and mechanical deformity of their molecular structure. This phenomenon is […]
Tarsal Coalition
Courtesy: POSI, David Scher, NY, USA, Ashok Shyam, IORG and OrthoTV
Current Concepts in IM Nailing of Femoral Shaft fractures
CURRENT CONCEPTS IN INTRAMEDULLARY (IM) NAILING OF FEMORAL SHAFT FRACTURES Siddhartha Sharma, Hitesh Gopalan U INTRODUCTION Intramedullary (IM) nailing is one of the preferred methods for treatment of femoral diaphyseal fractures. Successful intramedullary nailing results in a short hospital stay, a rapid return of motion in all joints, prompt return to walking, and a relatively short […]
Retrograde Ejaculation after ALIF with rh-BMP 2
Retrograde ejaculation after anterior lumbar interbody fusion using rhBMP-2: a cohort controlled study Eugene J. Carragee, MD Kyle A. Mitsunaga, MD Eric L. Hurwitz, DC, PhD Gaetano J. Scuderi, MD doi:10.1016/j.spinee.2011.02.013 Abstract Background Context The commercially available growth factor recombinant bone morphogenic protein-2 (rhBMP-2) used in spinal fusion has been associated with numerous adverse reactions, including inflammatory reactions in […]
Fellowship @ Bombay Hospital
Hip and Knee replacement fellowship Bombay Hospital,Mumbai, India, Speciality: General orthopaedics, Sports medicine, Trauma, Arthroscopy, Adult reconstruction Aims of Fellowship: To provide either clinical or observatory experience Period of Fellowship: Long-term (more than 3 months) Contact Person for Applications: Gurav Suraj Application Address: Bombay Hospital, h/7 Prathamesh, v s Marg, Prabhadevi, Mumbai, Maharashtra 400025, India […]
Use of Povidone I and H2O2 to reduce spinal infections
Prevention of post-operative infections in spine surgery by wound irrigation with a solution of povidone–iodine and hydrogen peroxide Simone Ulivieri, Stefano Toninelli, Carlo Petrini, Antonio Giorgio and Giuseppe Oliveri Arch Orthop Trauma Surg. 2011. doi:10.1007/s00402-011-1262-0. Abstract Introduction Starting from January 2009, we systematically irrigated the surgical wounds of patients undergoing spine surgery with a solution […]
OTA powerpoint Links
COURTESY: The Orthopaedic Trauma Association Disclaimer: The below Lectures are only Powerpoint “Links” to the OTA website. All Presentations are available through the OTA. GENERAL TOPICS G01: Initial Assessment and Management of the Multiply Injured Patient G02: Assessment, Management and Decision Making in the Treatment of Polytrauma Patients with Head Injuries* G03: Evaluation and Treatment of Vascular […]
New test detects early osteolysis after arthroplasty
Investigators at the University of Nebraska Medical Centre developed a system to detect early inflammation and osteolysis associated with arthroplasty The study was published in the Molecular pharmaceuticals Journal by Ren et al.. They developed a polymer-based system — a N-(2-hydroxypropyl)methacrylamide (HPMA) copolymer-based optical imaging contrast agent (P-IRDye) — for imaging the inflammation that is associated […]
Management of Acute Arterial Trauma
Courtesy: Professor L Andrew Koman and CMC Orthopaedic Residency
Powerpoint collection
——————————————————————————————– Indirect Reduction Techniques http://www.hwbf.org/ota/bfc/dhak/exp.htm ——————————————————————————————– Fracture healing with Plating and IM Nailing http://www.hwbf.org/ota/bfc/brown/exp.htm ——————————————————————————————— Bone grafting and bone graft substitutes http://www.hwbf.org/ota/bfc/ccor/exp.htm ——————————————————————————————— Biological and Mechanical Adjuncts in Fractures and Nonunions http://www.hwbf.org/ota/bfc/dhak2/exp.htm ——————————————————————————————- Principles of Splinting, Casting and Bracing http://www.hwbf.org/ota/bfc/latta/exp.htm —————————————————————————— Fracture Healing by Non Operative Methods http://www.hwbf.org/ota/bfc/sarm1/exp.htm —————————————————————————– Concepts of Fracture Healing http://www.hwbf.org/ota/bfc/tonyr1/exp.htm ———————————————————————————————- […]
IOA Inland fellowship 2011
Applications are invited for the following Inland Fellowships of the Indian Orthopaedic Association TheIOA- Johnson & Johnson Travelling Fellowship The Dr. S.S. Babhulkar Fellowship The Dr. G.S. Kulkarni Fellowship The IOA-WOC Fellowship IOA – Panacea Biotec Research Grant INOR Research Grant Dr. Ashoke Sengupta Visiting Professorship IOA-JMRF Paediatric fellowship IOA-KOA-ROBERTROAF Fellowship(New) Please mention Source: www.orthopaedicprinciples.com […]
AAOS guidelines on OCD Knee
Osteochondritis dissecans is a condition of the joints that appears to affect subchondral bone primarily, with secondary effects on articular cartilage Osteochondritis Dissecans of the knee has been a disorder in which proper treatment guidelines have not been established Several aetiologies like, family history, repetitive micro-trauma, growth disorders, and ischemia—have been proposed One study identified the […]
ACL and Ramp Lesions: When and How
Courtesy: Moira M. McCarthy, Ashok Shyam, IORG, OrthoTV MENISCUS-ANATOMY GROSS SHAPE MEDIAL MENISCUS C-shaped with triangular cross section LATERAL MENISCUS is more circular (the horns are closer together and approximate the ACL) covers a larger portion of the articular surface ATTACHMENT TRANSVERSE (INTERMENISCAL) LIGAMENT connects the medial and lateral meniscus anteriorly CORONARY LIGAMENTS: connects […]