Juniper Publishers Journal of Orthopedic and Orthoplastic Surgery

Juniper Online Journal of Orthopedic & Orthoplastic Surgery  Introduction Osteoradionecrosis is the long term and most serious side of radiotherapy. The definition of osteoradionecrosis is generally accepted as presence of exposed bone in an irradiated field, which fails which to heal within a three-month a period [ 1 ]. Treatment of osteoradionecrosis is a challenging problem. There is a variety of treatment options and no universal approach to management, as this depends on institutional or individual experiences. Early case of osteoradionecrosis treated with hyper baric oxygen therapy, antibiotics, tocopherol and pentaxyphyllin [ 2 ]. Conservative debridement may be necessary to remove spicules of devitalised bone particularly if the adjacent tongue is abraded. Patients who have osteoradionecrosis are traditionally treated with HBO alone or combined with debridement. Segmental mandibulectomy and reconstruction are necessary in patient with severe ost...

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Juniper Publishers: Airway Microbiota and Allergic Diseases: Clinical ... : INTERNATIONAL JOURNAL OF PULMONARY & RESPIRATORY SCIENCES Introduction Bronchial Asthma is an airway disease with variable ...

Juniper Online Journal of Orthopedic & Orthoplastic Surgery  Introduction A diabetic foot is a non-healing ulcer due to the presence of diabetes in a patient. [ 2 ] The most important and serious foot complications in diabetes are: a) Ulceration (an estimate shows lifetime incidence of foot ulcers among people affected by diabetes is around 15-25%] “A Diabetic foot ulcer (DFU] affects around 15% of all the people suffering from diabetes along the course of their life and is a major factor in predisposing amputations in almost 15% of all cases [ 3 - 6 ]. b) Neuropathic osteoarthropathy. These are the significant risk factors for lower extremity amputation. Administration of antimicrobial agents, to which they are sensitive to, is very important part of the management of these patients. “Of all the methods that are proposed for the prevention of DFU, the only beneficial therapy in RCTs was foot temperature-guided avoidance therapy “a meta-analysis s...

Juniper Publishers: Post Disaster Housing Reconstruction after 2014 Ga... : Civil Engineering Research Journal Abstract Housing reconstruction projects are complex in nature because of the many stages and als...

Juniper Publishers: Airway Microbiota and Allergic Diseases: Clinical ... : INTERNATIONAL JOURNAL OF PULMONARY & RESPIRATORY SCIENCES Introduction Bronchial Asthma is an airway disease with variable ...

Juniper Online Journal of Orthopedic & Orthoplastic Surgery  Case History Patient aged 34 years reported to the department of Periodontology with the complaint of long corner tooth with sensitivity. On clinical examination, gingival recession was observed on maxillary right canine ( Figure 1 ). Diagnosis was made as Miller's Class I gingival recession with 13. Coronally advanced flap with alloderm with microsurgical approach was planned. Patient's consent as well as ethical clearance was obtained prior to the surgical intervention. Following administration of local anesthesia, the tooth with the recession was root planed. A split-thickness flap with two vertical releasing incisions with micro scalpels was raised with microelevaters, and the papillae were de-epithelialized ( Figure 2 ). Alloderm was measured, cut and rehydrated before suturing it with chromic gut 5-0 covering the defect as shown in Figure 3 . The flap was coronally moved and secured...

Juniper Online Journal of Orthopedic & Orthoplastic Surgery    Case Presentation A 50-year-old female diagnosed an advanced carcinoma of the right breast. After four cycles of neoadjuvent therapy, tumour size was decreased but still it was 15* 10 cm in dimension, free from chest wall, multiple ulcerations with foul smelling discharge with liver metastasis. Patient underwent a right sided total paliative mastectomy and immediate breast reconstruction with a right sided latissimus dorsi (LD) myocutaneous flap, but the defect was very large, flap and skin was opposed under tension. On seventh post operative day, it was noticed that upper flap was not apposed, there after patient was subjected for skin graft. Post operative period was uneventfull. Patient is sent into radiotherapy department for further managment. Discussion The latissimus dorsi (LD) flap was first described in the seventies for breast reconstruction [ 1 ]. Early attempts to i...

Juniper Online Journal of Orthopedic & Orthoplastic Surgery Introduction Though uncommon, femoral nerve palsies are potentially devastating injuries which can occur as a result of penetrating trauma or malignancies, however the most common cause is inadvertent iatrogenic injury following intra abdominal surgery such as gynaecological/vascular surgery or total hip replacement [ 1 ]. We present a case of iatrogenic femoral nerve injury with a delayed presentation resulting in an 8.5cm nerve defect, which was managed with both traditional cable grafting and a contemporary nerve transfer utilising a modification of an existing technique. Case Report In September 2015 a 49 year old female presented to our institution 6 months following a laparoscopic inguinal hernia repair which had resulted in a complete transection of the right femoral nerve. There was a 6 month delay in diagnosis of the iatrogenic injury. The patient had an extraperit...