Journal profile
Global Journal of Orthopedics (GJO) is a peer reviewed international journal dedicated to the latest advancement in Orthopedics. The goal of this journal is to keep a record of the state-of-the-art research and to promote study, research and improvement within its various specialties.
Latest Articles
Long Term Outcomes and Survivorship of Bilateral Lower Limb Arthroplasties in Patients with Multiple Epiphyseal Dysplasia
Abstract
Background: Multiple epiphyseal dysplasia (MED) a rare form of skeletal dysplasia with early-onset osteoarthritis affecting the hip and knee joints. There is paucity of evidence regarding the long term outcomes of arthroplasty in this patient cohort. This is the first study to describe the outcomes of bilateral arthroplasty of the
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Background: Multiple epiphyseal dysplasia (MED) a rare form of skeletal dysplasia with early-onset osteoarthritis affecting the hip and knee joints. There is paucity of evidence regarding the long term outcomes of arthroplasty in this patient cohort. This is the first study to describe the outcomes of bilateral arthroplasty of the hip and knee in patients with MED. Methods: A prospective study of patients with MED who underwent bilateral staged total hip arthroplasty (THA) and bilateral simultaneous total knee arthroplasty (TKA) between July 2013 to April 2014. Preoperative and postoperative clinical and radiographic assessment including functional outcomes namely Merle d’aubigne score, Harris hip score (HHS), Knee society score (KSS) and numeric rating scale (NRS) for pain were recorded in prospective database and evaluated. Results: 3 patients (female - 1 / male - 2) with MED who underwent bilateral lower limb arthroplasty of the hip and knee were reviewed periodically with an average followup of 7.31 years. Mean preoperative Merle d'Aubigné score (6.33 ± 0.58), HHS (31.83 ± 5.31) and KSS (28.67 ± 7.97) increased following bilateral lower limb arthroplasty with mean postoperative Merle d'Aubigné score (16.33 ± 0.58), HHS (84.33 ± 5.99) and KSS (86.33 ± 7.09) (P<0.001). Mean NRS decreased from 7.33 ± 0.58 in the preoperative period to 0.67 ± 0.58 at the most recent followup (P<0.001). One patient had heterotrophic ossification following THA. There were no revisions. Conclusions: Bilateral lower limb arthroplasty of the hip and knee is a good treatment option to restore function and mobility in MED patients with advanced degenerative arthritis. Careful preoperative planning, meticulous surgical techniques, patient focussed postoperative rehabilitation with multidisciplinary team approach are vital to ensure good functional outcomes and implant survivorship.Full article
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Case Series
Stress Riser in Orthopedics
Abstract
For the adequate treatment of bone fractures, it is necessary to have knowledge about mechanical concepts as the interaction of implants and bone. The understanding of the concept of stress riser must be clear for surgeon for adequate surgical planning, thus preventing refracture due to incorrect application of implants. This
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For the adequate treatment of bone fractures, it is necessary to have knowledge about mechanical concepts as the interaction of implants and bone. The understanding of the concept of stress riser must be clear for surgeon for adequate surgical planning, thus preventing refracture due to incorrect application of implants. This article presents the concept of stress riser applied to orthopedics and briefly discussion.Full article
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Communication
Hallux Valgus Deformity Correction using Proximal Transverse Derotational Metatarsal Osteotomy: A Report of 3 Cases
Abstract
To date, numerous operative techniques for hallux valgus correction have been introduced by several authors. The past decades have seen a surge in minimally invasive techniques partly because of the increasing demand for cosmetic surgery. Undoubtedly, the 2nd generation minimally invasive procedure introduced by Bösch et al. largely has an
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To date, numerous operative techniques for hallux valgus correction have been introduced by several authors. The past decades have seen a surge in minimally invasive techniques partly because of the increasing demand for cosmetic surgery. Undoubtedly, the 2nd generation minimally invasive procedure introduced by Bösch et al. largely has an advantage of minimizing scars; but the result can vary in the hands of different surgeons. More recently, the 3rd generation Chevron-Akin procedure has demonstrated good results for mild to moderate deformity correction, however, a special equipment such as Shannon burr is required to perform this procedure. In this study, we report the operative outcome of proximal transverse derotational metatarsal osteotomy followed by cannulated screws or Kirschner’s wires fixation across the osteotomy for three patients with moderate hallux valgus. Satisfactory to excellent correction was achieved by lateral translation and supination of the distal fragment for all three cases.Full article
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Case Report
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Publication year
2021-2024
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