Grade I osteochondritis dissecans in a young professional athlete
Conclusions: We recommend initial nonoperative line of management in patients with open physis. In case of progression of the lesion or failure of conservative treatment a reparative, restorative or palliative surgical intervention can be done. For Stage I OCD lesions in patients with closed physis, we advocate reparative surgery either by means of retro- or trans-articular drilling. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Authors: Vinod Kumar Nishit Bhatnagar Jeetendra Singh Lodhi Source Type: research

Standard format for writing a manuscript: A guide to authors
Ish Kumar Dhammi, Rehan Ul HaqIndian Journal of Orthopaedics 2018 52(4):341-343 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - July 6, 2018 Category: Orthopaedics Authors: Ish Kumar Dhammi Rehan Ul Haq Source Type: research

Legends of Indian orthopedics: Prof. B Mukhopadhaya
DK Taneja, Bhavuk GargIndian Journal of Orthopaedics 2018 52(3):339-340 (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: DK Taneja Bhavuk Garg Source Type: research

Combined ipsilateral fracture of the tibial pilon, talar body, and calcaneus: Outcome at 4 years
We present a case of a 35-year-old male with a complex foot and ankle trauma resulting in an unusual combined ipsilateral fracture of the anterolateral tibial plafond, talar body, and sustentaculum tali of the calcaneus. To the best of our knowledge, this particular combination of fractures has not yet been reported in the literature. The combination of talar body fracture with fractures of the adjacent bones was treated by a bilateral open reduction with anatomic reconstruction of the joint surfaces resulting in an excellent clinical outcome at 4-year followup. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Henriette Bretschneider Stefan Rammelt Source Type: research

The use of tubular retractors for translaminar discectomy for cranially and caudally extruded discs
Conclusions: The targeted translaminar approach preserves structures important for segmental spinal stability thus causing minimal anatomical disruption. This approach allows access to the extruded disc fragment and intervertebral disc space comparable to classical approaches. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Arvind G Kulkarni Shashidhar Bangalore Kantharajanna Abhilash N Dhruv Source Type: research

Screw intramedullary elastic nail fixation in midshaft clavicle fractures: A clinical outcome in 36 patients
Conclusion: Screw intramedullary nail is a safe, minimally invasive surgical technique with a lower complication rate, faster return to daily activities, excellent cosmetic and good functional results, and can be used as an equally effective alternative to plate fixation in displaced midshaft clavicle fractures. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Wasudeo Mahadeo Gadegone Vijayanand Lokhande Source Type: research

A modified brostr & #246;m repair with transosseous fixation for chronic ankle instability: A midterm followup study in soldiers
Conclusion: The procedure described here could be considered a viable alternative option to anatomic reconstruction such as the modified Broström procedure and might be appropriate for the general population. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Pei-Wei Weng Chih-Yu Chen Yang-Hwei Tsuang Jui-Sheng Sun Chian-Her Lee Cheng-Kung Cheng Source Type: research

Posterior malleolus fractures in trimalleolar ankle fractures: Malleolus versus transyndesmal fixation
Conclusions: These results demonstrate that posterior malleolar fracture fixation is closely related to successful radiological and functional outcomes after trimalleolar fractures. Transyndesmal screw fixation may not be needed in the cases where the posterior malleolar fracture fixated. For these reasons, we recommend that all posterior malleolar fractures have to be fixed regardless of size. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Bilgehan Tosun Ozgur Selek Umit Gok Halil Ceylan Source Type: research

Arthroscopic and endoscopic management of posttraumatic hindfoot stiffness
Tun Hing LuiIndian Journal of Orthopaedics 2018 52(3):304-308Ankle, hindfoot, and toe stiffness can result from hindfoot trauma. It can be due to capsular fibrosis, tendon adhesion, muscle fibrosis, or malunion. For symptomatic stiffness that is resistant to nonoperative treatment, operative treatment should be considered. It is important to tackle the sources of stiffness, and careful preoperative clinical assessment is the key for proper formulation of the surgical plan. Whenever possible, arthroscopic/endoscopic surgery is preferable to open surgery because less extensive dissection and small surgical incisions allow im...
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Tun Hing Lui Source Type: research

Cuboid injuries
Ippokratis Pountos, Michalis Panteli, Peter V GiannoudisIndian Journal of Orthopaedics 2018 52(3):297-303Cuboid fractures are rare injuries. A number of different treatment methods have been proposed including plaster immobilization, open reduction, and internal fixation or external fixation. Bone grafting is commonly used to restore bony length. The majority of the current literature suggests that the loss of length of the lateral column and articular congruency are the two criteria opting for the surgical management of these fractures. Nevertheless, the exact indications and ideal management of these fractures are not es...
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Ippokratis Pountos Michalis Panteli Peter V Giannoudis Source Type: research

Management options in avascular necrosis of talus
Mandeep S Dhillon, Balvinder Rana, Inayat Panda, Sandeep Patel, Prasoon KumarIndian Journal of Orthopaedics 2018 52(3):284-296Avascular necrosis (AVN) of the talus can be a cause of significant disability and is a difficult problem to treat. The most common cause is a fracture of the talus. We have done a systematic review of the literature with the following aims: (1) identify and summarize the available evidence in literature for the treatment of talar AVN, (2) define the usefulness of radiological Hawkins sign and magnetic resonance imaging in early diagnosis, and (3) provide patient management guidelines. We searched M...
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Mandeep S Dhillon Balvinder Rana Inayat Panda Sandeep Patel Prasoon Kumar Source Type: research

Talar body reconstruction for nonunions and malunions
Conclusion: Reconstruction of talar nonunions and malunions improved function in selected patients with a low risk of complications. Three different anatomical patterns of talar nonunions and malunions were identified. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Marcos Hideyo Sakaki Rodrigo Sousa Macedo Alexandre Leme Godoy Dos Santos Rafael Trevisan Ortiz Rafael Barban Sposeto T & #250;lio Diniz Fernandes Source Type: research

Surgical treatment of posteromedial talus fractures: Technique description and results of 10 cases
Conclusions: Operative fixation of posteromedial talus fractures with the described surgical technique resulted in acceptable outcomes in this series of patients with improved outcomes when compared to prior reports in the literature. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Michael Swords John Shank Stephen Benirschke Source Type: research

Management of talar body fractures
SR Sundararajan, Abdul Azeem Badurudeen, R Ramakanth, Shanmuganathan RajasekaranIndian Journal of Orthopaedics 2018 52(3):258-268Fractures of talar body are uncommon injuries often associated with fractures of other long bones and in polytraumatized patients. The integrity of the talus is essential for the normal function of the ankle, subtalar, and midtarsal joints. The relative infrequency of this injury limits the number of studies available to guide treatment. They occur as a result of high-velocity trauma and are therefore associated with considerable soft tissue damage. Axial compression with supination or pronation ...
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: SR Sundararajan Abdul Azeem Badurudeen R Ramakanth Shanmuganathan Rajasekaran Source Type: research

Plate fixation of talus fractures: Where, when, and how ?
Michael Swords, Harrison Lakehomer, Michael McDonald, Jay PatelIndian Journal of Orthopaedics 2018 52(3):253-257Talus fractures are rare orthopedic injuries. Surgical fixation is challenging for treating surgeons. The clear majority of fractures require operative treatment. The indication and use of plates in fixation of talus fractures are reviewed. Specific applications including fractures of the lateral process, posterior fractures, extreme comminution, bone grafting, and spring plating to hold key segments are reviewed in this article. (Source: Indian Journal of Orthopaedics)
Source: Indian Journal of Orthopaedics - May 7, 2018 Category: Orthopaedics Authors: Michael Swords Harrison Lakehomer Michael McDonald Jay Patel Source Type: research