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Current Strategy of Management of Distal Radius Fractures in Geriatric Populations

Journal of Clinical Orthopaedics | Vol 8 | Issue 2 |  Jul-Dec 2023 | page: 72-74 | Parag B Lad

DOI: https://doi.org/10.13107/jcorth.2023.v08i02.606


Authors: Parag B Lad [1, 2]

[1] Department of Hand & Reconstructive Microsurgery, Pinnacle Orthocentre, Thane, Maharashtra, India,
[2] Department of Orthopaedics, Jupiter Hospital, Thane, Maharashtra, India.

Address of Correspondence
Dr. Parag B Lad,
Pinnacle Orthocentre, 1st floor, Blue Nile, Almeda Road, Thane, Maharashtra, India India, Jupiter Hospital.
E-mail: orthodoc_p@yahoo.com


Abstract

The distal radius fractures in geriatric population is one of common emergency admission in hospitals. In view of increasing life expectancy, requirement of continuation of work for having independent life, expectation of better outcome in active elderly population is changed. Non-operatively treated undisplaced and extra-articular fractures give good functional outcome. Intra-articular fractures or grossly displaced fractures in active geriatric patients are treated by open reduction and volar locking plate osteosynthesis. This article described factors to consider for treatment, methodology of treatment for various fracture patterns depending upon physical fitness of patient and radiological parameters.
Keywords: distal radius, geriatric, management


References

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11. Tulipan JE, Lechtig A, Rozental TD, Harper CM. “Age is just a number”: Distal radius fractures in patients over 75. Hand (N Y) 2022;17:128-33.
12. Cooper AM, Wood TR, Scholten Ii DJ, Carroll EA. Nonsurgical management of distal radius fractures in the elderly: Approaches, risks and limitations. Orthop Res Rev 2022;14:287-92.
13. Kim KH, Duell B, Munnangi S, Long M, Morrison E. Radiographic predictors of delayed carpal tunnel syndrome after distal radius fracture in the elderly. Hand (N Y) 2022;17:652-8.
14. Gutiérrez-Espinoza H, Araya-Quintanilla F, Olguín-Huerta C, Gutiérrez-Monclus R, Valenzuela-Fuenzalida J, Román-Veas J, et al. Effectiveness of surgical versus conservative treatment of distal radius fractures in elderly patients: A systematic review and meta-analysis. Orthop Traumatol Surg Res 2022;108:103323.
15. Olech J, Kopczyński B, Tomczyk Ł, Konieczny G, Kazubski K, Morasiewicz P. The functional and radiographic outcomes following distal radius fracture treatment in a cast for 4 and 6 weeks in the elderly: A randomized trial. Adv Clin Exp Med 2022;31:701-6.

How to Cite this article: Lad PB. Current Strategy of Management of Distal Radius Fractures in Geriatric Populations. Journal of Clinical Orthopaedics 2023;8(2):72-74.

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Guidelines on Infection after ACL Reconstruction

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 53-59 | I. Geethan, Raju Easwaran


Author: I. Geethan [1], Raju Easwaran [2]

[1] Department of Orthopaedics, Dhanalakshmi Srinivasan Medical College, Siruvachur, Perambalur

[2] Director, Shree Meenakshi Orthopaedics & Sports Medicine Clinic

 

Address of Correspondence
Dr. I. Geethan,
Department of Orthopaedics, Dhanalakshmi Srinivasan Medical College, Siruvachur, Perambalur
E-mail: igeethan@gmail.com


Abstract

Infection after ACL reconstruction (ACLR) is a rare but disastrous event that increases the cost of treatment and affects the short and long term outcome. Clinicians must be aware of the best preventive practices and be knowledgeable regarding the early diagnosis and prompt management to minimise the complications following ACLR. Recent literature has identified the risk factors for infection after ACLR and has proposed recommendations for its management. This article reviews the recent literature and proposes a plan for prevention of infection and its treatment. Specifically, the use of Bone Patellar Tendon Bone graft in patients at a higher risk of infection and Vancomycin wrapping of graft are the two interventions that can reduce the risk of infection. A surgeon must have a low threshold for suspecting infection and early graft preserving arthroscopic lavage must be performed on suspicion of infection. Culture directed antibiotics must be given for 6 weeks following infection. Graft and hardware must be removed in patients requiring repeat debridement. Revision ACLR is offered only for those patients who report instability.
Keywords: Infection, ACL reconstruction, Prevention, Management


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How to Cite this article: Geethan I, Easwaran R. Guidelines on Infection after ACL Reconstruction. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1): 53-59.

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Surgical Management of Surgical Site Infections in Orthopaedics

Journal of Clinical Orthopaedics | Vol 4 | Issue 2 |  July-Dec 2019 | page:17-25 | Dr. Sitaram Prasad, Dr. Gautam Zaveri


Author: Dr. Sitaram Prasad [1], Dr. Gautam Zaveri [2]

[1] Department of Plastic Surgery, Fortis & Zen Hospitals, Mumbai.
[2] Department of Spine Surgery, Jaslok, Fortis & Zen Hospitals, Mumbai.

Address of Correspondence
Dr. Gautam Zaveri
Department of Plastic Surgery, Fortis & Zen Hospitals, Mumbai
Email: gautamzaveri1969@gmail.com


Abstract

Surgical site infections are a source of great misery to both patients and surgeons. The management requires a multipronged approach specially in orthopaedics. The current chapter outlines the various methods of source control when dealing with musculoskeletal infections.
Keywords: Surgical site infections, orthopaedics, management


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How to Cite this article: Prasad S, Zaveri G. Surgical Management of Surgical Site Infections in Orthopaedics. Journal of Clinical Orthopaedics July-Dec 2019;4(2):17-25.

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Management of Infected Non – Unions

Vol 2 | Issue 2 |  July – Dec 2017 | Page 25-31 | John Mukhopadhaya


Authors: John Mukhopadhaya [1]

[1]Department of Orthopaedics and Joint Replacement, Paras HMRI Hospital, Patna, Bihar, India.

Address of Correspondence
Dr. John Mukhopadhaya
Department of Orthopaedics and Joint Replacement,
Paras HMRI Hospital, Patna, Bihar, India.
Email: mukhoj@gmail.com


Abstract

Infected nonunions are difficult problems to tackle. The treatment is often multistaged and involves high expenses and has major impact on both patient as well as surgeons. Understanding of the basics of infected non-union including etiopathology, diagnostic criteria and management algorithms is helpful in successfully managing this complication. This article provides a basic overview of infected nonunions along with new methods of management including Masquelet technique and techniques of managing bone gaps
Keywords: infected non-union, diagnosis, management


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How to Cite this article:  Mukhopadhaya J. Management of Infected Non-unions. Journal of Clinical Orthopaedics July-Dec 2017; 2(2):25-31

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