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Showing posts from December, 2021

“T" For Tuberculosis, “T" For Tumour, “T" For Tension- Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery- Juniper Publishers Editorial Low back ache is one of the most common complain of patients reporting to any Orthopaedic outpatient department. After exclusion of post traumatic, osteopenic and inflammatory arthropathy for chronic back ache, the bulk of the etiology is either tuberculosis or anaplastics (metastasis being the most common anaplastic condition).In my country, due to the increased prevalence of Tuberculosis and the practical acceptance of trial first line Anti Tubercular Therapy, it is the first diagnosis that comes to our mind while anaplastic conditions are our last bet. More often than not, on getting the traid of constitutional symptoms, spondylodiscitis and raised ESR, we start trial first line ATT, forgetting that the features of TB and anaplastics may mimic each other. Only after failure to respond to trial first line ATT, we go for Gene Xpert test (for Drug resistance tuberculosis), biopsy (for tu...

Functional Results of Total Hip Arthroplasty for Ankylosed Hip- Juniper Publishers

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  Juniper Online Journal of Orthopedic & Orthoplastic Surgery- Juniper Publishers Abstract Objective:  To evaluate the long term results of THA in patients with surgically hip ankylosed and define a postoperative rehabilitation program for this patients. Materials & Methods:  Seven patients’ 8 hips in whom ankylosed hips were converted to total hip arthroplasty between October 2011 and November 2015. All patients had surgery ankylosis. All patients received the same rehabilitation program after total hip arthroplasty. The patients evaluated before surgery and after 1 year surgery for lomber and kontralateral hip pain, hip joint range of motion, funtional status and satisfaction from treatment. Result:  In our study the etiology of the ankylosis was tuberculous septic arthritis in 2 (25%] and developmental hip dysplasia in 6 (75%] hips. The mean duration of the surgical ankylosis before conversion surgery was 29±13.6 years. The mean age of the patients was 41....