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JAYPEE JOURNALS
International Scientific Journals from Jaypee
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List of All Articles
1.  Special Interest Article
Tribute to Dr William T Hardaker Jr
Elizabeth W Hubbard MD, Mitchell R Klement MD
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:xvii-xix] [No of Hits : 2096]
Full Text PDF | Abstract | FREE

ABSTRACT

Dr William T Hardaker Jr, MD, was born in December 24, 1941, in Charleston, South Carolina, to parents, William Hardaker Sr and Gale Angas Hardaker. He demonstrated tremendous leadership, dedication and commitment to his activities early on, rising to the rank of Eagle Scout. These qualities also allowed him to excel both academically and athletically where he went on to pursue BA in Political Science from the University of Pennsylvania. At Penn, he was both an active member of the Reserve Officers’ Training Corps (ROTC) and was a 4 years starter on the football team. He was elected as a team captain in his senior year and graduated in 1963.

 
2.  Review Article
Cervical Spine Injuries in Sports
Lindsay T Kleeman MD, Michael A Gallizzi MD MS, Daniel J Blizzard MD MS, Melissa M Erickson MD
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:58-62] [No of Hits : 1619]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1057 | FREE

ABSTRACT

Injuries to the cervical spine in athletes are rare but potentially devastating outcomes resulting from involvement in sports activities. New rules and regulations implemented by national sports organizations have helped to decrease the rate of cervical spine and spinal cord injuries sustained by athletes. A basic understanding of cervical spine anatomy, physical examination and spine precautions is necessary for any physician evaluating athletes on the field to determine if transfer to higher level of care is needed. It is particularly important to know the systematic protocol for spine immobilization, neurologic exam and helmet removal in a patient with a suspected cervical spine injury. While cervical strain is the most common cervical spine injury, physicians should be familiar with the presentation for other injuries, such as Burner’s syndrome (Stinger), cervical disk herniation, transient quadriplegia and cervical spine fractures or dislocations. Special consideration is needed when evaluating patients with Down syndrome as they are at higher risk for atlantoaxial instability. Determination of when an athlete can return to play is patient-specific with early return to play allowed only in a completely asymptomatic patient.

Keywords: Athlete, Cervical, Cervical spine, Sports, Sports injury, Management.

Kleeman LT, Gallizzi MA, Blizzard DJ, Erickson MM. Cervical Spine Injuries in Sports. The Duke Orthop J 2015;5(1):58-62.

Source of support: Nil

Conflict of interest: None

 
3.  Technical Report
Pantalar Arthrodesis: Surgical Technique and Review of Literature
Glenn Shi MD, Christopher E Gross MD, Jeannie Huh MD MSc, Selene G Parekh MD MBA
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:48-52] [No of Hits : 1546]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1055 | FREE

ABSTRACT

Surgical options for treatment of tibiotalar, subtalar, and transverse tarsal joint arthritis are limited. Pantalar arthrodesis can produce a stable and braceable if not painless foot in the plantigrade position. This article presents a review of etiology, clinical evaluation, procedural technique and outcomes reported in literature.

Keywords: Pantalar, Arthrodesis, Fusion, Technique.

Shi G, Gross CE, Huh J, Parekh SG. Pantalar Arthrodesis: Surgical Technique and Review of Literature. The Duke Orthop J 2015;5(1):48-52.

Source of support: Nil

Conflict of interest: None

 
4.  Review Article
Management of Terrible Triad Injuries of the Elbow
Tyler Vovos MS, Daniel J Blizzard MD MS, Grant Garrigues MD
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:28-34] [No of Hits : 1006]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1053 | FREE

ABSTRACT

The term ‘Terrible Triad’ was initially coined by Hotchkiss et al to describe fracture-dislocations of the elbow involving three specific injuries: a posterolateral dislocation, coronoid fracture and radial head fracture.1 Fracture-dislocations of this type are notoriously unstable secondary to loss of the anterior buttress support from the coronoid, valgus support from the radial head, and the posterolateral stabilization of the lateral ulnar collateral ligament (LUCL).2,3 Furthermore, these injury patterns are particularly difficult to treat and have resulted in poor functional outcomes including the need for multiple reoperations.4-6
Herein, the pathoanatomy, classification, diagnosis and management of these challenging injuries will be discussed.

Keywords: Terrible triad elbow, Collateral ligaments, Dislocations, Fractures, Elbow, Elbow joint, Radius, Radius fractures, Coronoid, Coronoid fractures.

Vovos T, Blizzard DJ, Garrigues G. Management of Terrible Triad Injuries of the Elbow. The Duke Orthop J 2015;5(1): 28-34.

Source of support: Nil

Conflict of interest: None

 
5.  Review Article
Current Trends in the Management of Lumbar Spine Injuries in Athletes
Michael A Gallizzi MD MS, Lindsay T Kleeman MD, Daniel J Blizzard MD MS, Melissa M Erickson MD
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:63-67] [No of Hits : 954]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1058 | FREE

ABSTRACT

Lumbar spine injuries are prevalent among athletes and are likely to increase with the rising popularity of extreme sports. It is important for physicians to understand the basic anatomy of the lumbar spine along with the injury patterns that can occur with axial loading, hyperflexion and flexion-distraction forces. The majority of low back injuries in athletes are due to muscle strains and rarely need further treatment. Athletes that are subjected to repetitive hyperextension forces are at risk for spondylolysis with or without spondylolisthesis which requires further imaging to determine need for surgical intervention. Lumbar disk herniations are usually from axial forces and can be result in surgical emergencies, if they cause compression on the spinal cord or conus. Lumbar spine fractures can vary from stress fractures of the endplates to burst fractures or fracturedislocations which require surgical intervention, if associated with neurologic deficit or instability. Similar to the management of cervical spine injuries, patients with a suspected lumbar injury should be evaluated systematically with full spine precautions and careful neurologic examination to determine need for transfer to higher care center.

Keywords: Athlete, Lumbar, Lumbar spine, Sports, Sports injury, Management.

Gallizzi MA, Kleeman LT, Blizzard DJ, Erickson MM. Current Trends in the Management of Lumbar Spine Injuries in Athletes. The Duke Orthop J 2015;5(1):63-67.

Source of support: Nil

Conflict of interest: None

 
6.  Clinical Studies
Comparative Study between Bridging External Fixation vs Volar Plating (Ellis-T Plate) for Comminuted Fracture of the Distal End Radius
SK Venkatesh Gupta MS, Pradeep Mandapalli MS
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:20-24] [No of Hits : 944]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1051 | FREE

ABSTRACT

Background: The purpose of this study is to compare between the open reduction and internal fixation (ORIF) using a volar plate and external fixation with K-wire fixation for the treatment of unstable distal radius fractures.

Materials and methods: This investigation was designed to prospectively evaluate the outcomes of similar distal radius fracture patterns treated by ORIF with volar plating vs closed reduction and pinning with external fixation.

Results: Open reduction and internal fixation with volar locking plate group has overall decrease incidence of complications significantly less radial shortening and significantly greater postoperative wrist motion when compared to external fixation.

Conclusion: Use of volar locking plate resulted in a faster recovery of function compared with external fixation. Use of volar locking plate resulted in better anatomical function and grip strength. However, no functional advantage was demonstrated at or beyond 12 weeks or 1 year.

Keywords: Distal radius fracture, Volar plating, External fixation, K-wire, Comminuted.

Gupta SKV, Mandapalli P. Comparative Study between Bridging External Fixation vs Volar Plating (Ellis-T Plate) for Comminuted Fracture of the Distal End Radius. The Duke Orthop J 2015;5(1):20-24.

Source of support: Nil

Conflict of interest: None

 
7.  Review Article
Wound Issues after Total Knee Arthroplasty
Jason M Jennings MD DPT, Douglas A Dennis MD
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:10-13] [No of Hits : 923]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1049 | FREE

ABSTRACT

Wound healing problems following total knee arthroplasty (TKA) are infrequent, but if present may lead to devastating results. Occurrence may be minimized by modifying patient risk factors, proper selection of skin incisions, and using operative techniques that protect soft tissues. When wound complications arise, prompt management is imperative to assure the best outcome after TKA.

Keywords: Total knee arthroplasty, Wound healing, Wound complications.

Jennings JM, Dennis DA. Wound Issues after Total Knee Arthroplasty. The Duke Orthop J 2015;5(1):10-13.

Source of support: Nil

Conflict of interest: None

 
8.  Review Article
Surgical Management of Osteochondral Lesions of the Talus
Samuel B Adams Jr MD, Christopher E Gross MD, David M Tainter MD, Mark E Easley MD, Selene G Parekh MD MBA
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:35-47] [No of Hits : 914]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1054 | FREE

ABSTRACT

Osteochondral lesions of the talus (OLT) present a formidable treatment challenge to the orthopaedic surgeon. Historical cartilage repair strategies often result in the formation of fibrocartilage leading to suboptimal clinical results. With advances in regenerative medicine, modern surgical techniques are diverse and employ autograft, allograft and tissue-engineered constructs for cartilage repair. Fresh and particulated juvenile allograft transplantation have become popular options in the United States. Worldwide, both cellular and acellular tissue-engineered constructs are utilized. In all cases, there is still debate as to the optimal cell source and scaffold material and only shortterm clinical results are available. This article will review these current as well as experimental techniques for cartilage repair of osteochondral lesions of the talus.

Keywords: Talus, Osteochondral, Lesion, Osteochondritis dissecans, Microfracture, OLT, Allograft, OATS, PJCAT, ACI, MACI, AMIC, Metal resurfacing, Cartilage.

Adams Jr SB, Gross CE, Tainter DM, Easley ME, Parekh SG. Surgical Management of Osteochondral Lesions of the Talus. The Duke Orthop J 2015;5(1):35-47.

Source of support: Nil

Conflict of interest: None

 
9.  Case Report
Lipoma in Thenar Region
Ankit Arunbhai Desai MD Ortho DNB, BL Chandrakar MS, Rakesh Thakkar MS, Rahul Peswani JR
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:68-69] [No of Hits : 832]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1059 | FREE

ABSTRACT

Lipomas can be found anywhere in the body, with the majority being located in the head and neck region, as well as the back and abdomen. Lipomas are one of the most common benign, mesenchymal neoplasms. They may progress in size overtime and they may or may not be painful. They may be superficial or deep. Deep soft-tissue lipomas of the hand are rare. Among them, thenar intramuscular lipomas are very rare. We are reporting case of thenar intramuscular lipoma.

Keywords: Lipoma, Thenar, Intramuscular lipoma.

Desai AA, Chandrakar BL, Thakkar R, Peswani R. Lipoma in Thenar Region. The Duke Orthop J 2015;5(1):68-69.

Source of support: Nil

Conflict of interest: None

 
10.  Review Article
Proper Postsurgical Pain Management in Orthopaedics: Reviewing the Efficacy of Wound Infiltration with Liposomal Bupivacaine (Exparel)
Vani Sabesan MD, Timothy R Jelsema MS, Daniel J Lombardo MD
[Year:2015] [Month:July-June] [Volume:5 ] [Number:1] [Pages:72] [Pages No:6-9] [No of Hits : 760]
Full Text PDF | Abstract | DOI : 10.5005/jp-journals-10017-1048 | FREE

ABSTRACT

Adequate postoperative pain management after an orthopaedic procedure is critical for patient well-being, acceptable clinical outcomes and patient satisfaction. Current literature suggests over 80% of surgical patients’ state they have moderate to severe pain within 24 hours postoperatively. The standard in pain management for more than 40 years has been opioids, medications known for their many adverse effects and limited efficacy. Recently, a multimodal approach to pain control has been sought after for optimal postoperative pain management. This approach utilizes multiple methods of pain management, such as nerve blocks, wound infiltration with local anesthetics and oral analgesics, to concomitantly reduce postoperative pain. Liposomal bupivacaine, EXPAREL, has been shown to reduce pain for as long as 96 hours postoperatively in select studies. These studies have included both hard and soft-tissue procedures. The goal of this review is to examine the literature on EXPAREL and provide a comprehensive presentation for orthopaedic surgeons to apply to their practices.

Keywords: EXPAREL, Bupivacaine, Liposomal, Orthopaedics, Postoperative management, Pain.

Sabesan V, Jelsema TR, Lombardo DJ. Proper Postsurgical Pain Management in Orthopaedics: Reviewing the Efficacy of Wound Infiltration with Liposomal Bupivacaine (EXPAREL ). The Duke Orthop J 2015;5(1):6-9.

Source of support: Nil

Conflict of interest: None

 
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