Journal of Orthopedic Surgery and Techniques

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 ISSN: 2578-7187

Journal of Orthopedic Surgery and Techniques

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Table of Content: Volume 3, Issue 2

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Case Report Pages 228-230

Fastest Recovery Time in Pediatric Tibial Tubercle Avulsion Fracture Repair Using SpeedBridge Double-Row Technique: A Case Report

Authors: Noah Embry and Chris Miller, MD

Abstract: A 13-year-old boy presented with right knee pain and severe swelling following an injury during a basketball game a week prior. The injury was described by the patient as "knee to knee" contact with another player and he was immediately taken out of the game, unable to walk. Upon examination, diffuse tenderness and swelling were present, and the patient was unable to weight bear or extend his right leg.

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Research Article Pages 221-227

Impact of COVID-19 on Pediatric and Adult Orthopaedics

Authors: Daniel S Hayes, BS, S Elliott Holbert, BS, J Alexander Holbert, MD, Mark A Seeley, MD and Michael Suk, MD, FACS

Abstract: Social practices, hospital guidelines, and government regulations in response to COVID-19 have influenced orthopaedic practice volumes. The widespread cessation of non-essential surgeries has greatly decreased elective practices, but the extent to which trauma volumes diminish remains unknown. Access to common sites of orthopaedic injury were limited during this period, including organized sports, play grounds, and travel.

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Case Presentation and Surgical Technique Pages 205-210

Surgical Hip Dislocation for the Treatment of Slipped Upper Femoral Epiphysis Demonstration of Surgical Technique

Authors: Saeed Al-Naser, MD, Anas Jawad AR Altamimi, MD, Monther A Gharaibeh, MD and Mohammad Abu Rumman, MD

Abstract: Surgical hip dislocation for treatment of hip intra-articular pathology has been popularized by the Bernese group over the last few years. This approach provides excellent and safe exposure of the hip joint without compromising the femoral head blood supply. It is, however a very demanding approach and requires surgical experience and attention to detail.

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Case Report Pages 199-204

Pelvic Osteosarcoma: Resection and Reconstruction Using A Customised Plate

Authors: Mohamed Ali Khalifa, Zeineb Alaya, Lassaad Hassini, Mehdi Jedidi, Adnen Siala, Walid Osman, Karim Bouattour

Abstract: Primitive bone tumours of the pelvis represent a considerable challenge for carcinologic surgeons. Resections made in the acetabular zone could disrupt the continuity of the pelvic ring. The morbidity that comes after such a procedure requires a reconstruction surgery in order to improve the functional outcome. In this aim, multiple techniques have been reported.

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Case Report Pages 194-198

Sarcomas Associated with Metal Implants in Orthopedic Surgery and Traumatology. A Report of 3 Cases in 2 Patients

Authors: Israel Rubio-Saez, Luis Rodrigo Merino-Rueda, Javier Alonso-Sanz, Carmen Iglesias-Urraca, Manuel Peleteiro-Pensado, Jose Juan Pozo-Kreilinger and Eduardo Jose Ortiz-Cruz

Abstract: We presented 3 cases of sarcomas associated with metal implants in 2 patients around metal implants with a previous history of chronic inflammation due to initial high energy trauma, several surgical operations, and implants in the region. Sarcoma rising in association with a metallic orthopedic prosthesis or hardware is an infrequent, but well documented complication.

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Research Article Pages 191-193

Multiple Elastic Retrograde Intramedullary Nailing for Adult Humeral Diaphyseal Fractures

Authors: Yogesh S Salphale, D Ortho, MS, DSc, LLB and Wasudeo Gadegone, MS, MNAMS

Abstract: The medial epicondyle is palpated and a small incision is then made over it for the passage of nail after abducting the limb. The incision is extended and care is taken to protect the ulnar nerve by performing the blunt dissection down to the medial epicondyle. The area is drilled gradually, first with the 2.5 mm K wire perpendicular to the shaft and thereafter with a small curved awl directed in the cephalad direction to get an access to the medullary canal. The second titanium nail of adequate length is then selected, is prebent and advanced across the fracture site. It is advanced as close to the proximal humerus to embed into neck of humerus.

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Retrospective Study Pages 179-190

The Effect of Multilevel Surgery on the Gait Pattern of Children with Hereditary Spastic Paraplegia, are there Differences in Outcome Compared to Those with Bilateral Spastic Cerebral Palsy?

Authors: Sandra Prinsen, MD, Charlotte Buyck, PT, Nathalie de Beukelaer, PT, Lynn Bar On, PhD, Els Ortibus, MD, PhD, Kaat Desloovere, MD, PhD, and Anja Van Campenhout, MD, PhD

Abstract: Hereditary spastic paraplegia (HSP) is a group of neurodegenerative genetic disorders with clinical similarity to spastic diplegic Cerebral Palsy (CP). Multilevel surgery (MLS) is frequently used to treat the secondary musculoskeletal problems in patients with neuromuscular disorders.

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Case Report Pages 175-178

Possible Migration of an Antecubital Entry Sewing Needle to the Axillary Region: Case Report

Authors: Mehmet Burtac EREN

Abstract: Many foreign body penetrations can occur in the limb. Common puncture injuries to the upper extremity involve items such as glass, metal, and wood splinters, plant thorns, and fish spines. We report on the case of a foreign body that migrated in the early period after entry through the elbow antecubital fascia to the shoulder pectoralis major fascia.

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Research Article Pages 167-174

Assessment of the Relationship between Hamstring Tightness and Pelvic Tilt in Cerebral Palsy: Are We Overdoing Hamstring Releases in Children with Spastic Bilateral CP, GMFCS Level I-III?

Authors: Mohamed Tageldeen Mohamed, MD, Salmeen Awad Salmeen Bahassan, MSc, Nader M. Diab, MD and Ahmed Samir Barakat, MD

Abstract: The principle that all diplegic CP patients need hamstring release is controversial as this may further aggravate gait with apparent hamstring tightness. In 50 consecutive ambulating purely spastic diplegic children (100 limbs), with a mean age of 6.4 y having bilateral hamstring tightness with a popliteal angle

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Case Report Pages 164-166

Small Diameter Cement Injection: A New Cementation Technique

Authors: Youssef M Khalafallah, Leesa ktytor and Felasfa M Wodajo, MD

Abstract: Cementation is a very common practice in orthopaedic surgery. It is one of the few steps in orthopaedic surgery that is very time sensitive. Standard cement guns can access and easily fill long segments of diaphyseal bone. However filling narrow canals, such as a humerus, or a proximal femur in the presence of an existing femoral nail remain challenging due to the inability to introduce a standard cement tip into small spaces. Over the years we have tried many techniques for packing cement into a long narrow shaft, most with limited success. These have included use of a narrow “humeral” cement tip and extending the cement tip with a chest tube or large diameter rubber catheter.

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Research Article Pages 158-163

Femoroacetabular Impingement and Abnormal Femoral Version-Treatment with Arthroscopy and Derotational Osteotomy

Authors: David J Kirby, MD, Daniel B Buchalte, MD, Craig M Capeci, MD and Thomas Youm, MD

Abstract: Femoroacetabular impingement (FAI) leads to chondral defects and labral degeneration of the hip joint which present initially with pain and functional limitation, eventually progressing to osteoarthritis. This disease process is associated with femoral version abnormalities which in and of themselves can result in aberrant joint stresses and joint degeneration.

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Research Article Pages 150-157

Tibial Sesamoid Graft as a Treatment for Chronic Unstable Proximal Interphalangeal Joint Fracture Dislocation, a New Surgical Technique

Authors: Oussama MANSOUR, Ali HELLANI, Mohamad K MOUSSA, Houssein ZREIK, Yousif ZAAROUR and Hassan NAJDI

Abstract: This article reports a new surgical technique applied to treat a patient with chronic comminuted intra-articular volar middle phalanx base fracture of the 3rd finger. This technique uses the tibial sesamoid bone as an osteochondral graft and is characterized bya long-term follow-up.

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Research Article Pages 143-149

Cement Debonding: Is it a Problem with Antibiotic Cement Coated Nails?

Authors: Somasekhara Reddy Nallamilli, MS, MCh, Rajyalakshmi N Reddy, MS and Mohan Krishna Althuri

Abstract: It is a common practice to use antibiotic impregnated cement coated intramedullary nails, Rush pins and other metal rods to treat infection in the medullary canal which may be secondary to open injuries or following previous internal fixations or prosthetic replacement surgeries. They helped to control the infection and also to act as interim fixators and prosthetic spacers. There are several reports of debonding or delamination of the cement from the underlying metal implant.

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Case Report Pages 140-142

Preparation of Eight Strands Hamstring Tendon Graft for Anterior Cruciate Ligament Reconstruction Regardless Fixation Methods: Technical Note

Authors: Emad Mureed Shohdy

Abstract: Anterior cruciate ligament reconstruction is one of the most commonly performed procedures in orthopedics. There are several reconstruction graft choices that can be used to reconstruct the anterior cruciate ligament, with autograft hamstring tendons being one of the most commonly used.

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Case Report Pages 133-139

Management of Chondroblastoma of the Femoral Head by Controlled Hip Dislocation Technique and Use of Allograft: Case Report

Authors: Carlos A Sanchez, Pablo J Coronel, Francisco B Linares, Juan C Taborda and O Messa Botero

Abstract: Epiphyseal Chondroblastoma (EC) is known to be a very rare tumor with highly aggressive local capacity despite its benign nature. We report a case of a female patient treated for long lasting right hip pain diagnosed with EC of the femoral head. The lesion was treated with complete local resection by means of controlled surgical hip dislocation

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