Vol 10 | Issue 1 | January-June 2025 – Journal of Clinical Orthopaedics

Lumbar Bone Stress Injuries in Cricket Fast Bowlers: A Review

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.718

Open Access License: CC BY-NC 4.0

Submitted Date: 25 March 2025, Review Date: 26 april 2025, Accepted Date: 16 May 2025 & Published Date: 30 Jun 2025

Author: Parth Bansal [1], Sarvdeep Singh Dhatt [1], Vishal Kumar [1], Sachin Kale [2], Ojasv Gehlot [2], Akhil Gailot [2]

[1] Department of Orthopaedics, PGIMER, Chandigarh, India, 2Department of Orthopaedics, D Y Patil Medical School and Hospital, Pune, Maharashtra, India

Address of Correspondence

Dr. Parth Bansal,
Spine Fellow, PGIMER, Chandigarh, India.
E-mail: parthbansal93@gmail.com

Abstract

Lumbar Bone Stress Injuries (LBSI) encompass a spectrum ranging from bone stress reactions to lumbar stress fractures (LSF). These injuries are among the most prevalent in cricket players, particularly fast bowlers. This review highlights the epidemiology of LBSIs and explores both modifiable and non-modifiable risk factors associated with their development. Early diagnosis, along with appropriate workload management, plays a crucial role in the effective management of these injuries. Furthermore, structured prevention programs implemented by cricket organizations can significantly reduce the incidence and long-term impact of LBSIs in the sport.
Keywords: Cricket, Lumbar, LBSI, Fast bowlers, Stress reaction

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How to Cite this article: Bansal P, Dhatt SS, Kumar V, Kale S, Gehlot O, Gailot A. Lumbar Bone Stress Injuries in Cricket Fast Bowlers: A Review. Journal of Clinical Orthopaedics. January-June 2025;10(1):53-56.

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The Shoulder Surgery Update: Innovations and Insights

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.716

Open Access License: CC BY-NC 4.0

Submitted Date: 25 March 2025, Review Date: 26 april 2025, Accepted Date: 16 May 2025 & Published Date: 30 Jun 2025

Author: Clevio Desouza [1,2], Nicholas Antao [1]

[1] Department of Orthopaedics, Holy Spirit Hospital, Mumbai, India,
[2] Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India

Address of Correspondence

Dr. Clevio Desouza,
Centre for Bone and Joint, Kokilaben Dhirubhai Ambani Hospital and Medical Research Institute, Mumbai, India.
E-mail: ceviod@gmail.com

Abstract

This comprehensive update on shoulder surgery highlights recent advancements in managing shoulder instability, rotator cuff tears, shoulder arthroplasty, and adhesive capsulitis. It highlights the evolution of surgical techniques, non-operative interventions, and biologic augmentation approaches. Innovations in rotator cuff repair include biologic solutions, such as platelet-rich plasma, while advancements in arthroplasty focus on tailored rehabilitation and infection control strategies. Adhesive capsulitis management now incorporates novel injection techniques and surgical options for refractory cases. This summary underscores the ongoing development of individualized treatment protocols, which are essential for optimizing patient outcomes and addressing the diverse challenges in shoulder surgery.
Keywords: Shoulder instability, Rotator cuff, Biologic augmentation, Shoulder arthroplasty, Adhesive capsulitis.

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8. Peng Y, Li F, Ding Y, Sun X, Wang G, Jia S, et al. Comparison of the effects of platelet-rich plasma and corticosteroid injection in rotator cuff disease treatment: A systematic review and meta-analysis. J Shoulder Elbow Surg 2023;32:1303-13.
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11. Lei M, Zhu Z, Hu X, Wu D, Huang W, Zhang Y, et al. Postoperative antiosteoporotic treatment with zoledronic acid improves rotator cuff healing but does not improve outcomes in female patients with postmenopausal osteoporosis: A prospective, single-blinded, randomized study. Arthroscopy 2024;40:714-22.
12. Chen H, Wu S, Qiang H, Liu S. Effectiveness of abduction brace versus simple sling rehabilitation following rotator cuff repair: Systematic review and meta-analyses. J Shoulder Elbow Surg 2023;32:1524-33.
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How to Cite this article: Desouza C, Antao N. The Shoulder Surgery Update: Innovations and Insights. Journal of Clinical Orthopaedics January-June 2025;10(1):48-52.

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Vitamin D Deficiency and Surgical Outcome in Adolescent Idiopathic Scoliosis in Low Socioeconomic Status in Rural India

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.703

Open Access License: CC BY-NC 4.0

Submitted Date: 13 Feb 2025, Review Date: 15 Mar 2025, Accepted Date: ?? Apr 2025 & Published Date: 30 Jun 2025

Author: Ujjwal Kanti Debnat [1], Shweta Bhyri [2], Biplab Maji [2], Alaaeldin Ahmad [2], Shubhadip Chakraborty [1], Joydeep Das [1]

[1] Department of Orthopaedics, Jagannath Gupta Institute of Medical Sciences (JIMSH), Budge Budge, Kolkata, India
[2] Department of Paediatrics, Jagannath Gupta Institute of Medical Sciences (JIMSH), Budge Budge, Kolkata, India

Address of Correspondence

Dr. Ujjwal K Debnath,
Consultant, Orthopaedics & Spine Surgeon, Professor Department of Orthopaedics, Jagannath Gupta Institute of Medical Sciences (JIMSH), Budge Budge, Kolkata, India
India.
E-mail: debs10uk@gmail.com

Abstract

Introduction: Patients with adolescent idiopathic scoliosis (AIS) have a higher prevalence of Vitamin D deficiency compared with healthy peers. Hypothesis: Vitamin D deficiency in AIS patients does not have a good functional outcome after posterior instrumented corrective spinal fusion.
Materials and Methods: A prospective consecutive study of 62 children who underwent surgery for AIS had pre-operative measurement of Vitamin D levels [serum 25-hydroxyvitamin D (ng/mL)]. Post-operative AIS patients were followed up for 2 years after surgery. Data on the history of back pain, socioeconomic status, curve magnitude, age, and gender were recorded. Patients were categorized based on Vitamin D level: deficient (<20 ng/mL), insufficient (20–29 ng/mL), or sufficient (≥30 ng/mL). The correlation between Vitamin D levels and Scoliosis Research Society (SRS)-22 scores was analyzed using multivariable analysis and pair-wise comparisons using Tukey method.
Results: Sixty-two AIS patients (47 Females and 15 Males) were enrolled who underwent posterior instrumented spine fusion. The mean age at surgery was 15.24 ± 4.5 years. Major coronal curves had a mean of 68.08 ± 12° preoperatively and 12.19 ± 4.2° postoperatively. It was found that 35 (56.45%) of patients were Vitamin D deficient, 23 (37.09%) were insufficient, and 4 (6.45%) were sufficient. Although there was no correlation between Vitamin D level and pain, mental health, or satisfaction domains (P > 0.05), Vitamin D-deficient patients were found to be younger than 18 years of age (P < 0.001) and had lower SRS-22 function (P = 0.010), Self-image (P = 0.049), and total scores (P = 0.007).
Conclusion: AIS patients with Vitamin D deficiency (<20 ng/mL) are more likely to be younger at the time of surgery, and report lower function, self-image, and total SRS-22 scores postoperatively.
Keywords: Adolescent Idiopathic Scoliosis, Posterior Spinal Fusion, Vitamin D Deficiency

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How to Cite this article: Debnat UK, Bhyri S, Maji B, Ahmad A, Chakraborty S, Das J. Vitamin D Deficiency and Surgical Outcome in Adolescent Idiopathic Scoliosis in Low Socioeconomic Status in Rural India. Journal of Clinical Orthopaedics January-June 2025;10(1):00-00.

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Bracing for Impact: A Survey Analysis of the Impact of Socioeconomic Factors on Brace Adherence in Clubfoot

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.702

Open Access License: CC BY-NC 4.0

Submitted Date: 11 Jan 2025, Review Date: 08 Mar 2025, Accepted Date: 10 Apr 2025 & Published Date: 30 Jun 2025

Author: Océane Mauffrey [1], Kevin Yu [2], Malvika Choudhari [1], Ashley Lynn Habig [3], Alec Pugh [1], Vinay Narotam [4]

[1] The University of North Carolina, School of Medicine, 321 S. Columbia Street, Chapel Hill, NC 27599, United States of America
[2] The University of North Carolina, Gillings School of Public Health 135 Dauer Drive, Chapel Hill, NC, 27599, United States of America
[3] The University of North Carolina, Undergraduate, Chapel Hill, NC, 27599, United State of America
[4] The University of North Carolina, Department of Orthopaedics, 130 Mason Farm Road, Chapel Hill, NC 27514, United States of America Address of Correspondence

Address of Correspondence

Dr. Océane Mauffrey,
The University of North Carolina, School of Medicine, 321 S. Columbia Street, Chapel Hill, NC 27599, United States of America
E-mail: Oceane_mauffrey@med.unc.edu

Abstract

Background: Clubfoot is a congenital deformity characterized by cavus deformity of the midfoot, adductus of the forefoot and equinus and varus of the hindfoot. The Ponseti method, a series of casting and bracing protocols has become the standard of care as a highly effective non-surgical intervention. Poor adherence with stringent brace wearing protocols has been identified as one of the leading causes of deformity recurrence with the Ponseti method. The present study seeks to uncover the socioeconomic variables which may contribute to brace adherence.
Methods: This survey study included 219 patients, 56 responded (25.5% RR). The survey assessed zip code, annual income, number of caregivers and siblings, brace adherence, and recurrence. Adherence was measured categorically (Likert) and continuously (0-100%); recurrence was measured categorically (yes/no). A t-test was used to evaluate the relationship between adherence and deformity recurrence. All other variables were analyzed using chi squared and Fischer’s exact.
Results: 23 patients reported an annual income of $100,000 or greater (n=23), and most had received at least a college education (n=37), many had graduate’s degrees (n=20), most reported two caregivers (n=44), and 1 sibling (n=21). 36 patients reported brace wearing All of the time, and 21 patients reported their child needing to repeat serial casting or additional surgery, indicating recurrence. No significant relationship was found between brace adherence and deformity recurrence (p>0.05). No significant relationship was found between annual income, number of caregivers, highest level of education, number of siblings against brace adherence (p>0.05).
Conclusion: These findings contrast with the well-documented risk of recurrence with decreased brace adherence; perhaps due to parental overreporting of brace wearing. The expected relationship between social variables and brace adherence was also not supported potentially because of a skew in our population towards patients with higher education and income.
Keywords: Clubfoot, Social Determinants of Health, Clinical Outcomes, Brace Compliance

References

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17. Van Schelven H, Moerman S, Van Der Steen M, Besselaar AT, Greve C. Prognostic factors for recurrent idiopathic clubfoot deformity: a systematic literature review and meta-analysis. Acta Orthop. Published online October 5, 2021:1-9. doi:10.1080/17453674.2021.1982576
18. Morgenstein A, Davis R, Talwalkar V, Iwinski H, Walker J, Milbrandt TA. A Randomized Clinical Trial Comparing Reported and Measured Wear Rates in Clubfoot Bracing Using a Novel Pressure Sensor. J Pediatr Orthop. 2015;35(2):185-191. doi:10.1097/BPO.0000000000000205
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How to Cite this article: Mauffrey O, Yu K, Choudhari M, Habig AL, Pugh A, Narotam V. Bracing for Impact: A Survey Analysis of the Impact of Socioeconomic Factors on Brace Adherence in Clubfoo. Journal of Clinical Orthopaedics January-June 2025;10(1):4-7.

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Outcome of total knee replacement in advanced osteoarthritis knee with posteromedial bone defect

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.708

Open Access License: CC BY-NC 4.0

Submitted Date: 5 April 2025, Review Date: 26 April 2025, Accepted Date: 12 June 2025 & Published Date: 30 Jun 2025

Author: Javed Iqbal [1], Faaiz Ali Shah [2], Naeem Ullah [3], Rafi Ullah [4], Mian Amjad Ali [5], Shams Rehman [6]

[1] Department of Orthopaedic, Traumatology and Sports Medicine, MTI, LRH, Pakistan.

Address of Correspondence

Dr Faaiz Ali Shah,
Department of Orthopaedic, Traumatology and Sports Medicine, MTI, LRH. Pakistan.
E-mail: faaizalishah@yahoo.com

Abstract

Introduction: OA in its late stages is characterized by serious joint tissue deterioration and possible bone loss and deformities. Non-contained posteromedial bone defect is a challenge in Primary total knee replacement (TKR) due to the issue with implant stability and placement. Each of these defects needs special attention if there is to be a desired outcome. The management plan of TKR in these patient populations is to provide relief from pain, regain the function of the affected joint, and minimize its further degradation.
Objectives: To assess the functional and clinical results of Primary TKR in patients with advanced osteoarthritis of the knee presenting with posteromedial bone loss.
Materials and Methods: A descriptive case series study of 25 patients with advanced OA and non-contained posteromedial bone defects was included in this study from Jan 2021 to December 2023. For bone defect, an autologous bone graft from a tibial cut was utilized and fixed with two fully threaded cortical 3.5 mm screws. Then, the tibial stem was used for load sharing across the tibial bone to increase stability, and cemented prostheses were used for routine Primary TKR. Quantitative data of pre- and post-operative functional scores were collected and then compared statistically to assess the degree of improvement.
Results: With respect to functional outcome, the mean pre-operative knee society score (KSS) was 42.3 ± 5.7, and the mean post-operative KSS was 85.4 ± 6.1 (P < 0.001). Post-operative, mean flexion of 115 ± 8. Mean pain relief and joint stability scores demonstrated statistically significant improved results. Two patients had superficial surgical site infections, which were then resolved with debridement and antibiotics.
Conclusion: Surgical reconstruction of bone defect with autologous bone graft with primary TKR in patients with advanced OA with posteromedial bone defects is an approach to lessen the quantity and burden of hardware, resulting in low cost and satisfactory function, pain relief, and overall improvement in the gait.
Keywords: Total knee replacement, Osteoarthritis, Non-contained bone defect, Bone reconstruction, Tibial stem, Posteromedial bone defect.

References

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13. Morgan-Jones R, Oussedik SI, Graichen H, Haddad FS. Zonal fixation in revision total knee arthroplasty. Bone Joint J 2015;97:147-9.
14. Backstein D, Safir O, Lee P, Gross AE. Long-term follow-up of revision total knee arthroplasty with modular augmentation for bone loss. Clin Orthop Relat Res 2007;464:58-64.
15. Haddad FS, Masri BA, Garbuz DS, Duncan CP, Gross AE. The treatment of type II and III bone defects in revision total knee arthroplasty: A survey of the royal college of surgeons (England) and American association of hip and knee surgeons. J Arthroplasty 1999;14:446-51.

How to Cite this article: Iqbal J, Shah FA, Ullah N, Ullah R, Ali MA, Rehman S. Outcome of total knee replacement in advanced osteoarthritis knee with posteromedial bone defect. Journal of Clinical Orthopaedics January-June 2025;10(1):26-31.

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Calcinosis mimicking tumor: A rare case report

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.726

Open Access License: CC BY-NC 4.0

Submitted Date: 10 April 2025, Review Date: 28 May 2025, Accepted Date: 19 May 2025 & Published Date: 30 Jun 2025

Author: Suyog Wagh [1], Sudhir Sharan [1], Arvind Goregaonkar [1], Aditya Mugutrao [1], Kishan Panjwani [2]

[1] Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India,
[2] Department of Orthopaedics, V. N. Desai Hospital, Mumbai, Maharashtra, India

Address of Correspondence

Dr Suyog Wagh,
Department of Orthopaedics, Lokmanya Tilak Municipal Medical College and Hospital, Mumbai, Maharashtra, India.
E-mail: suyogwagh6159@gmail.com

Abstract

Background: Scapula is a common site for bony and soft tissue lesions. However, due to the vast number of lesions presenting around the scapula and their relatively low incidence, diagnosis is often missed or delayed, thereby affecting the clinical outcome. Common lesions around the scapula are osteochondromas, osteosarcoma, chondrosarcoma, etc. We present a case of a 12-year-old female child with a scapula mass, which was reported ambiguously in multiple radiographic investigations as well as biopsies.
Case: A 12-year-old female patient presented to the outpatient department with complaints of swelling in the right scapular region along with difficulty in range of motion (ROM) and chest pain. The mass had irregular margins and was non-tender. A computed tomography scan was suggestive of Parosteal osteosarcoma involving the scapula, serratus anterior, latissimus dorsi, and parietal pleura. Magnetic resonance imaging was suggestive of a primary neoplastic lesion. Blood reports revealed hyperphosphatemia. A J needle biopsy was inconclusive. The patient was managed with In-toto excision of the mass. The inferior angle of the scapula had to be removed as the mass was adhered to it. Histopathological examination (HPE) was suggestive of tumor calcinosis. The patient was started with physiotherapy as per pain tolerance immediately. The patient was followed for 6 months. There was no clinical or radiological evidence of recurrence, and the patient regained her complete ROM without pain.
Results: The patient was followed up for six months, during which no clinical or radiological signs of recurrence were observed. She regained full, pain-free range of motion. The patient is able to do activities of daily living.
Conclusion: Scapula is often affected by multiple pathologies of varying origins, which have morphological and radiological resemblances leading to confusion and delayed diagnosis. A comprehensive clinical evaluation, along with correlating metabolic and radiological investigations, may suggest a diagnosis; however, definitive confirmation should always be obtained through excision and histopathological examination (HPE).
Keywords: Tumour calcinosis, Scapula, Osteosarcoma.

References

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How to Cite this article: Wagh S, Sharan S, Goregaonkar A, Mugutrao A, Panjwani K. Calcinosis mimicking tumor: A rare case report. Journal of Clinical Orthopaedics. January-June 2025;10(1):69-73.

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Unveiling the Layers: Mental Health Dynamics in Orthopedic Trauma Patients and Future Implications

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.722

Open Access License: CC BY-NC 4.0

Submitted Date: 13 April 2025, Review Date: 28 April 2025, Accepted Date: 29 May 2025 & Published Date: 30 Jun 2025

Author: Sudip Bhattacharya [1], Sitanshu Barik [2], Vishal Kumar [3], Abhishek Bhati [4], Aditya Vyasv [ ], Moin Darvesh [4]

[1] Department of Community and Family Medicine, AIIMS Deoghar, Deoghar, Rampur, Jharkhand, India,
[2] Department of Community and Family Medicine, AIIMS Nagpur, Dahegaon, Maharashtra, India,
[3] Department of Community and Family Medicine, PGIMER, Chandigarh, India,
[4] Department of Orthopaedics, D Y Patil School of Medicine and Hospital, Nerul, Navi Mumbai, Maharashtra, India

Address of Correspondence

Dr Sitanshu Barik,
Associate Professor, AIIMS Nagpur, Maharashtra, India.
E-mail: sitanshubarik@gmail.com

Abstract

Orthopaedic trauma care has traditionally operated within the confines of the biomedical model, focusing on physical recovery markers such as bone healing and functional restoration. However, this narrow approach often overlooks the profound influence of psychological and social factors on recovery. Emerging evidence underscores that mental health conditions—including depression, anxiety, PTSD, and substance use disorders—substantially affect rehabilitation outcomes in orthopaedic trauma patients. Psychological distress not only prolongs recovery times but also impairs treatment adherence and functional return. Moreover, patients’ cognitive responses, such as catastrophizing and self-efficacy, play pivotal roles in shaping their rehabilitation trajectories. Catastrophizing magnifies perceived disability and pain, while high self-efficacy fosters resilience and active engagement in recovery.
To address these psychosocial dimensions, the biopsychosocial model of care is gaining traction. Targeted interventions such as cognitive behavioral therapy (CBT), psychoeducation, graded physical exposure, and goal-setting have proven effective in reducing distress and enhancing recovery motivation. Furthermore, injury-specific strategies—for conditions like femoral fractures, ACL tears, and spinal surgeries—can be tailored to address patients’ unique informational and emotional needs through in-hospital counselling, digital resources, and home-based support.
The integration of mental health screening, early referral, and multidisciplinary intervention is essential in orthopaedic practice. Clinical guidelines from leading orthopaedic bodies now recommend psychosocial evaluation as part of trauma care. Ultimately, incorporating structured, time-efficient, and scalable interventions into routine orthopaedic workflows—especially in high-volume settings—can improve both mental health outcomes and physical rehabilitation. This shift toward holistic, patient-centred care is imperative for optimizing outcomes in orthopaedic trauma recovery.
Keywords: Orthopedics, Mental health, Caregivers

References

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5. Keizer BM, Wegener ST. AAOS/major extremity trauma and rehabilitation consortium clinical practice guideline summary for evaluation of psychosocial factors influencing recovery from orthopaedic trauma. J Am Acad Orthop Surg 2022;30:e307-12.
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8. Vincent HK, Horodyski M, Vincent KR, Brisbane ST, Sadasivan KK. Psychological distress after orthopedic trauma: Prevalence in patients and implications for rehabilitation. PM R 2015;7:978-89.
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10. Gosens T, Den Oudsten BL. Psychology in orthopedics and traumatology: An instructional review. EFORT Open Rev 2023;8:245-52.

How to Cite this article: Bhattacharya S, Barik S, Kumar V, Bhati A, Vyasv A, Darvesh M. Unveiling the Layers: Mental Health Dynamics in Orthopedic Trauma Patients and Future Implications. Journal of Clinical Orthopaedics January-June 2025;10(1):61-64.

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Comparative study of different approaches of Total Hip Arthroplasty based on inclination angle of acetabular cup and Post operative rehabilitation

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.710

Open Access License: CC BY-NC 4.0

Submitted Date: 11 Jan 2025, Review Date: 08 Mar 2025, Accepted Date: 10 Apr 2025 & Published Date: 30 Jun 2025

Author: Mohd Danish [1], Akhilesh Yadav [1], Ashutosh Karn [2]

[1] Department of Orthopaedics, Max Superspeciality Hospital, Vaishali, Ghaziabad, Uttar Pradesh, India,
[2] Department of Orthopaedics, Max Superspeciality Hospital, Saket, Delhi, India

Address of Correspondence

Dr. Mohd Danish,
Department of Othopedics, Max Superspeciality Hospital, Ghaziabad, Uttar Pradesh, India.
E-mail: danish.shan@gmail.com

Abstract

Introduction: Total hip arthroplasty (THA) is considered to be one of the most successful orthopaedic interventions of its generation. Joint replacement (arthroplasty) as a surgical option for end stage arthritis is well established now and millions of patients across the world have benefited. India is a country of 1.4 billion people with significant knee and hip arthritis population. According to Frost and Sullivan research, 70,000 joint replacement surgeries were performed in India in the year 2011. The most common cause of chronic hip pain and disability is arthritis. Osteoarthritis, rheumatoid arthritis, and traumatic arthritis are the most common forms of this disease.
Aims of Study: To compare post-operative outcome as implant positioning in terms of abduction angle of the cup & rehabilitation based on Harris Hip Score at 2 months and 4 months respectively in different approaches of approach of total hip replacement.
Materials and Methods: This study was conducted in the department of Orthopaedics at Max Super specialty hospital, Vaishali, Ghaziabad, UP after receiving clearance from the Ethical Committee of the institution. It was a randomized case control study. Two different groups of 32 patients each were evaluated and inclination of acetabular cup was calculated on plain radiograph, subsequently the rehabilitation was also evaluated on basis of Harris Hip score in these patients.
Results: In the present study, it was observed that mean postoperative abduction angle in Group A 47.82 ±6.87 and Group B was 51.19 ±7.21 degree respectively. The mean postoperative abduction angle in Group A was less compared to Group B with statistical significance. (P<0.05) In the present study, it was observed that intergroup comparison of mean Harris hip score post-operative at discharge, at 2 months & 4 months in Group A and Group B showed no statistical significance. (P>0.05) The intragroup comparison of mean Harris hip score post-operative at discharge, 2 months and 4 months in Group A and Group B showed statistical significance. (P<0.05)
Conclusion: Present study revealed a significant statistical difference on intragroup comparison of inclination angle and rehabilitation based on Harris Hip Score in both the groups.
Keywords: Arthroplasty, Harris Hip Score, Angle of Inclination

References

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How to Cite this article: Danish M, Yadav A, Karn A. Comparative study of different approaches of Total Hip Arthroplasty based on inclination angle of acetabular cup and Post operative rehabilitation. Journal of Clinical Orthopaedics January-June 2025;10(1):32-37.

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A Retrospective Review Assessing the Impact of Socioeconomic Factors on Brace Adherence in Clubfoot Patients Treated with the Ponseti Method

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.712

Open Access License: CC BY-NC 4.0

Submitted Date: 14 Feb 2025, Review Date: 15 Mar 2025, Accepted Date: 28 Apr 2025 & Published Date: 30 Jun 2025

Author: B S Océane Mauffrey [1], B A Kevin Yu [2], B S Malvika Choudhari [1], Ashley Lynn Habig [3], Vinay Narotam [4]

[1] Department of Orthopaedics, University of North Carolina, School of Medicine, Chapel Hill, North Carolina, United States of America,
[2] Department of Orthopaedics, University of North Carolina, Gillings School of Public Health, Chapel Hill, North Carolina, United States of America,
[3] Department of Orthopaedics, University of North Carolina, Undergraduate, Chapel Hill, North Carolina, United States of America,
[4] Department of Orthopaedics, University of North Carolina, Chapel Hill, North Carolina, United States of America

Address of Correspondence

Dr Océane Mauffrey,
Department of Orthopaedics, University of North Carolina, School of Medicine, Chapel Hill, North Carolina, United States of America,
E-mail: oceane_mauffrey@med.unc.edu

Abstract

Objective: The Ponseti method is a widely adopted nonsurgical approach for correcting clubfoot deformities, but its success relies heavily on consistent brace usage during the maintenance phase. The present study seeks to analyze whether socioeconomic factors affect brace adherence in clubfoot patients.
Study Design: The present study was reviewed and approved by the Institutional Review Board. The charts of 83 patients treated for clubfoot by two providers at a single institution between 2013 and 2022 were reviewed to investigate the impact of various socioeconomic variables on brace adherence and its association with treatment outcomes. Brace adherence was determined based on provider documentation noting self-reported parental accounts of adherence. Annual family income was derived from North Carolina census data based on zip code. Chi-squared tests and two sample t-tests analyses were performed, controlling for clinical factors such as treatment strategy, comorbidities, laterality, and prenatal diagnosis.
Results: Patients from families with higher annual income based on zip codes demonstrated higher brace adherence rates. Patients from racial minority backgrounds exhibited reduced adherence with brace usage, likely in the context of greater obstacles to care. No significant correlations were found between brace adherence and distance to the hospital, gender, or language.
Conclusion: The findings highlight the multifaceted nature of brace adherence in clubfoot patients undergoing Ponseti treatment, suggesting the importance of addressing specific patient demographics, socioeconomic contexts, and caregiver support structures to optimize treatment outcomes. Further research involving a larger and more diverse cohort is necessary to validate these findings.
Keywords: Clubfoot, Social determinants of health, Clinical outcomes, Brace compliance.

References

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How to Cite this article: Mauffrey BSO, Yu BAK, Choudhari BSM, Habig AL, Narotam V. A Retrospective Review Assessing the Impact of Socioeconomic Factors on Brace Adherence in Clubfoot Patients Treated with the Ponseti Method. Journal of Clinical Orthopaedics January-June 2025;10(1):38-44.

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Reducing Joint Loading and Preventing Osteoarthritis with Proper Footwear Choices in India

June 10, 2025/in Vol 10 | Issue 1 | January-June 2025 /by editor.jcorth

DOI: https://doi.org/10.13107/jcorth.2025.v10i01.714

Open Access License: CC BY-NC 4.0

Submitted Date: 15 March 2025, Review Date: 24 April 2025, Accepted Date: 29 May 2025 & Published Date: 30 Jun 2025

Author: Sudip Bhattacharya [1], Vishal Kumar [2], Sachin Kale [3], Abhishek Bhati [3], Aditya Vyas [3], Moin Darvesh [3]

[1] Department of Community and Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand, India,
[2] Department of Orthopaedics PGIMER, Chandigarh, India,
[3] Department of Orthopaedics, D Y Patil School of Medicine and Hospital Nerul Navi Mumbai, India

Address of Correspondence

Dr Sudip Bhattacharya,
All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
Email: drsudip81@gmail.com

Abstract

The abstract outlines a comprehensive study on the increasing prevalence of osteoarthritis (OA) in India from 1990 to 2019. The number of affected individuals rose from 23.46 million to 62.35 million during this period. Standardized OA prevalence per 100,000 people also saw an increase, along with Disability-Adjusted Life Years (DALYs) attributed to OA, highlighting the growing burden of the condition. Knee OA emerged as the most widespread form, with higher prevalence, incidence, and DALYs observed in females compared to males. The present OA management primarily focuses on symptom alleviation rather than addressing the underlying biomechanical stress. Research indicates that abnormal dynamic loads during walking contribute to joint damage, and reducing these loads can provide relief from symptoms. This opinion emphasizes the significant impact of modern footwear on knee loads, particularly in individuals with symptomatic knee OA. Cheaper, budget-friendly footwear often lacks proper cushioning and ergonomics, potentially worsening knee joint issues over time. To address the issue, a multi-pronged approach is proposed. Government subsidies and incentives, Public-Private Partnerships, indigenous research and development, public awareness campaigns, and community clinics are suggested strategies to make ergonomically designed footwear more affordable and accessible. In addition, offering affordable orthotic inserts and encouraging local shoemakers and small-scale manufacturers can contribute to this effort. We concluded by emphasizing the importance of quality assurance in ensuring that low-cost ergonomic footwear meets essential ergonomic criteria. Overall, the proposed strategies aim to reduce the burden of knee osteoarthritis in India and improve public foot health.

Keywords: Osteoarthritis, Gait, Posture.

References

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How to Cite this article: Bhattacharya S, Kumar V, Kale S, Bhati A, Vyas A, Darvesh M. Reducing Joint Loading and Preventing Osteoarthritis with Proper Footwear Choices in India. Journal of Clinical Orthopaedics January-June 2025;10(1):45-47.

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Author: Parth Bansal [1], Sarvdeep Singh Dhatt [1], Vishal Kumar [1], Sachin Kale [2], Ojasv Gehlot [2], Akhil Gailot [2]

Abstract

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Author: Océane Mauffrey [1], Kevin Yu [2], Malvika Choudhari [1], Ashley Lynn Habig [3], Alec Pugh [1], Vinay Narotam [4]

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Author: Javed Iqbal [1], Faaiz Ali Shah [2], Naeem Ullah [3], Rafi Ullah [4], Mian Amjad Ali [5], Shams Rehman [6]

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Author: Suyog Wagh [1], Sudhir Sharan [1], Arvind Goregaonkar [1], Aditya Mugutrao [1], Kishan Panjwani [2]

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Author: Sudip Bhattacharya [1], Sitanshu Barik [2], Vishal Kumar [3], Abhishek Bhati [4], Aditya Vyasv [ ], Moin Darvesh [4]

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Author: Mohd Danish [1], Akhilesh Yadav [1], Ashutosh Karn [2]

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Author: B S Océane Mauffrey [1], B A Kevin Yu [2], B S Malvika Choudhari [1], Ashley Lynn Habig [3], Vinay Narotam [4]

Abstract

References

Author: Sudip Bhattacharya [1], Vishal Kumar [2], Sachin Kale [3], Abhishek Bhati [3], Aditya Vyas [3], Moin Darvesh [3]

Abstract

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