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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Role of anterolateral reconstruction in ACL surgery. Why, When and How?

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 45-52 | Philippe Landreau


Author: Philippe Landreau [1]

[1] DxBone, Bone and Joint Excellence Center Dubai, United Arab Emirates

Address of Correspondence
Dr. Philippe Landreau,
DxBone, Bone and Joint Excellence Center Dubai, United Arab Emirates
E-mail: landreau@mac.com


Abstract

Ruptures of the anterior cruciate ligament (ACL) cause both abnormal anterior translation and anterolateral rotation of the tibia under the femur. Isolated intra-articular ACL reconstruction has evolved significantly over the past years, but in many cases it is insufficient to correct rotational laxity. There are several justifications for anterolateral plasty in the context of ACL surgery: The persistence of anterolateral laxity after some isolated ACL intra-articular reconstructions, the evidence of traumatic lesions of these anterolateral structures after ACL tear and the recent anatomical and biomechanical research on the anterolateral complex of the knee. One more justification is that some recent studies comparing the outcomes after isolated ACL reconstruction and those after ACL reconstruction combined with anterolateral reconstruction are in favor of the simultaneous procedures. The addition of an extra-articular procedure to the intra-articular reconstruction of the ACL can improve the outcomes particularly in these situations: Young age (<25 ans), sports with pivot contact particularly if high level, pivot-shift Grades 2–3, recurvatum of the knee and generalized hyperlaxity, posterior tibial slope superior to 12°, meniscus deficiency, and ACL revision. Different surgical techniques have been proposed and described. They can be classified in two groups: The techniques using an ilio-tibial band graft to perform a lateral tenodesis and the procedures aiming to reconstruct the anterolateral ligament. Both techniques intend to control the anterolateral displacement of the tibial plateau.
Keywords: Anterolateral ligament, anterior cruciate ligament, anterolateral reconstruction, lateral tenodesis, condylar strap


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  36. Zaffagnini S, Marcheggiani Muccioli GM, Grassi A, et al. Over[1]the-top ACL reconstruction plus extra-articular lateral tenodesis with ham- string tendon grafts: prospective evaluation with 20- year minimum follow-up. Am J Sports Med. 2017;45(14):3233-3242.
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How to Cite this article: SLandreau P. Role of anterolateral reconstruction in ACL surgery, why, when and how?. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):45-52.

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Tibial Condyle Fractures: Current Concepts of Internal Fixation

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 32-44 | Vivek Shetty, Sajeev Shekhar, Yash Wagh


Author: Vivek Shetty [1], Sajeev Shekhar [2], Yash Wagh [2]

[1] Consultant Orthopaedic Surgeon, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
[2] Department of Orthopaedics, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India.

Address of Correspondence
Dr. Vivek Shetty,
Consultant Orthopaedic Surgeon, P.D Hinduja National Hospital and Medical Research Centre, Mumbai, Maharashtra, India
Sector 7, Nerul, Navi Mumbai – 400706
E-mail: vivshetty7777@gmail.com


Abstract

Intraarticular Proximal Tibial fractures pose a great challenge, due to its wide variety of complex injury patterns and hence have a varied management protocol. There are various classifications and treatment options described in literature which do not give any guidelines on surgical approach and management. This review article is an attempt to provide a surgical protocol of treatment of these complex challenging fractures keeping in mind the mechanism of injury, understanding of the fracture pattern, surgical approach and column specific reconstruction.
Keywords: Tibial, Condyle


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How to Cite this article: Shetty V, Shekhar S, Wagh Y. Tibial Condyle Fractures: Current Concepts Of Internal Fixation. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):32-44.

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Ten Lessons Learnt From Covid Pandemic

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 4-5 | Dr. Parag Sancheti, Dr. Ashok Shyam


Author: Dr. Parag Sancheti [1], Dr. Ashok Shyam [1]

[1] Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India

[1] Hospital: Sancheti Institute for orthopaedics and rehabilitation, Pune, India

Address of Correspondence
Dr. Ashok Shyam
Sancheti Institute for Orthopaedics and Rehabilitation, Pune, India.
Hospital: Sancheti Institute for orthopaedics and rehabilitation, Pune, India.
E-mail: drashokshyam@gmail.com

 


Ten Lessons Learnt From Covid Pandemic

We are living through unprecedented times of Covid19 Pandemic. The sudden onset and heavy impact of the Pandemic caught most of us unaware and took us on a long roller coaster ride of uncertainty. We are in still the clutches of an unseen enemy that is dismantling us at our very genetic code level. However, we believe ‘Adversities Bring out the Worst & Best in Everything’ At the onset, we would like to pay homage to everyone who has lost near and dear ones during this Pandemic. We were among the more fortunate ones to not face such eventuality, but we all have met our own dark places and have indeed learnt something valuable from this experience. We will be sharing ten lessons and insights that we have learnt at various levels, including professional, community, administrative family, personal and global perspectives.

1. Use of the Internet: Our use of online resources has exponentially increased during the Pandemic. The use of webinars, Zoom meetings, work from home, telemedicine all played a significant role during the last few months of our lives. And we predict these will continue to be part of our lives in future too. However, social media and online resources are also double-edged swords, and we have to learn to Utilize Social Media wisely and optimally

2. Work Expands to The Time Available: We have always cribbed about not having enough time but the pandemic made us realise that having more time was not the solution. With more available time, we realize that we were performing lesser. However, we now understand the importance of time more acutely than ever before, and should learn good time management

3. Administrative Responsibilities: As head of the hospital or organizations, we were in unique positions. We were faced with anxieties and fear of our staff and co-workers. We quickly realized Reassurance & Positive Communication played a vital role. We also recognized the Urgent Need for the Reorganization of our work systems. Challenging times help us differentiate between people who are with you or otherwise. This realization helps us a lot in the long run specially for growth of an organisation

4. Humility, Gratitude: If we have to take one single lesson to take away from this Pandemic, then it will be humility and gratitude. Migrant helpless labourer’s and many others faced very tough times, and this made us realize and learn to understand & live life in a different view. We must stop complaining about minor things, be thankful that we are in a better position. We must show gratitude to the higher power or have faith in whatever we individually perceive as divine. It is one of our greatest sources of strength and courage.

5. Strengthen Family Relationships: In our busy schedules, most of us had lost touch with our families, even with our close ones. Pandemic gave us time to strengthen these ties and reinvent them. We realized the importance of the safety of our family and understand that one of the greatest gifts that we have is that the closest people that we care for, are healthy and happy

6. Opportunity for Great Personal Development: Pandemic also gave us enough time to introspect about ourselves and realign priorities in our lives. We needed to Introspect & Rediscover ourselves and our Value Systems. Many of us realized our long lost passions and started working on them, and hopefully, we would continue working on them

7. Adequate reserves for bad times: Money is essential, and those who had reserves and resources used them to tide over difficult times. We have to educate ourselves in terms of financial knowledge and be wiser about our economic outlooks

8. Everything was on a standstill but still life went on. Things like restaurants, mall, movie theatres, entertainment centres, air travels etc all were closed but we were still very much here. We realized that many things that we thought were important in our lives were quite dispensable and this realization will help us in future too

9. E- education is one of the greatest discovery of this Pandemic. The gain and sharing of knowledge were simplified, and it diversified into massive knowledge sharing platforms. Starting from schools to colleges to universities and national and international societies all focussed on e-education. This increased the outreach of quality education to each and every corner of the world.

10. Pandemics Shape History: Plague – 14th Century had 200 million deaths, Smallpox – 15th Century – 50 million deaths, Cholera – 1817 – 1 million deaths, Spanish flu – 1918 – 50 million deaths and now in Covid-19 Ongoing – more than a million deaths so far and still counting. However, we realize that we are all in this together, and Together, we WILL Survive & Thrive We have to realize that We are Descendent of Cavemen, Who have braved and survived with much fewer resources, and we will survive this too. Although we are practising social distancing, in a way, we are more socially connected than ever

Many of these lessons or insights we already knew; however, Pandemic has forced us to perceive these things intimately. We would underline again that humility, gratitude and understanding that safety of our family and dear ones is most valuable things in our lives have been major learning points for us. We believe many of us have also learned many more and many different lessons from this Pandemic. We hope we all come out of it as a better person, both individually and professionally.

How to Cite this article: Sancheti P, Shyam A. Ten Lessons Learnt From Covid Pandemic. Journal of Clinical Orthopaedics. January-June 2021;6(1):4-5.


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Current Concepts in High Tibial Osteotomy

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page:24-31 | Vikram Arun Mhaskar, Yogesh Jain, Jitendra Maheshwari


Author: Vikram Arun Mhaskar [1], Yogesh Jain [1], Jitendra Maheshwari [1]

[1] Knee & Shoulder Clinic, New Delhi, Max Superspecilaity Hospital Saket, New Delhi, India

Address of Correspondence
Dr. Vikram Arun Mhaskar,
Knee & Shoulder Clinic, New Delhi, Max Superspecilaity Hospital Saket, New Delhi, India
E-mail: drvikrammhaskar@gmail.com


Abstract

Background: High tibial osteotomy is an effective procedure for the management of medial compartment osteoarthritis. This paper intends to analyze the current indications, contra indications, technique, complications, survival, and recent advances of this procedure.

Method: Literature review was done by searching journals with “High tibial osteotomy,” “Indications of HTO,” “Alignment in HTO,” “Survival and clinical outcomes of HTO,” and “Recent advances in HTO.” A total of 12 articles were found suitable for this study and reviewed.

Outcomes: Indications have largely remained the same except for thrust, which was earlier, a contra indication, Biplanar osteotomy, patient specific instrumentation; 3D printing and computer navigation are the recent technical modifications. The rate of complications is variable in different studies and the 5-year survival is still over 90% in most studies. Rate of serious complications is low but minor complications are high.

Conclusion: HTO is a successful procedure in treating medial compartment OA in isolation or with ligament deficiencies with a good 5 and 10-year survival. Recent advances have focused on improving planning, rehabilitation, and accuracy of alignment.

Keywords: High Tibial Osteotomy, osteotomy, deformity, gene varum, osteoarthritis, knee preservation, deformity correction


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How to Cite this article: Mhaskar VA, Jain Y, Maheshwari J. Current Concepts in High Tibial Osteotomy. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):24-31.

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From the Desk of the President…

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 2-3 | Dr. Shubhranshu S. Mohanty


Author: Dr. Shubhranshu S. Mohanty [1]

Bombay Orthopaedic Society, KEM Hospital and Nanavati Hospital – 400050, India.

Address of Correspondence
Prof (Dr). Shubhranshu S. Mohanty
Hon. President, Bombay Orthopaedic Society.
Hospital: KEM Hospital and Nanavati Hospital, India.
E-mail: drssmohanty@hotmail.com

 


From the Desk of the President…

All over the world, people were worried about the pandemic that took a toll on the entire mankind. However, an old adage goes: “Instead of worrying about what you cannot control, shift your energy to what you can create”. But creation is always difficult, time-consuming, and involves utilising your body and mind towards an appropriate direction and cause. Moreover, when the creation is nearing completion, one tries to achieve excellence, thereby making the process longer. But when the creation is complete, the satisfaction you get is unparalleled! It’s like a mother having a baby. Despite all the ordeals, after looking at the baby’s face, a mother forgets them instantly because when the baby is born, he/she creates a Mother as well!

Academic writing’ has been the most difficult task for an Orthopod. Dealing with a difficult patient, diagnose a difficult problem, perform a difficult surgery is one thing — but to pen these experiences has traditionally not been a cup of tea for most of our esteemed members. The Bombay Orthopaedic Society (BOS) stands for academics, and academic writing is the strength of any Association. It is relatively easy to present a case, but becomes difficult to present a series of cases, and it is even more difficult to follow it up and write a manuscript. But when the manuscript is ready and accepted for publication by a peer-reviewed journal, the amount of satisfaction is overwhelming. It leaves a permanent impression about your excellence around the world and you stand alone among the peers. That is why BOS began recognising the publications of its members since 2006, when I was the Secretary of this August society.

In a time of destruction, create something… at least start with a case report. The case which you have handled differently and unconventionally gives a better outcome to not only the patient, but the entire Orthopaedic community. After your case reports are published, you can get a little confidence in going for a case series, then retrospective analysis, followed by prospective studies. Of course, all these creations are possible with good record keeping. You need to maintain a record of each and every patient you handle, from conservative or operative. Electronic gadgets are a useful tool now-a-days. Besides your creation, the record keeping will help you in handling any medicolegal issues as well. Hence it is of dual benefit to every orthopod.

While I am coming close to the end of my tenure, I shall be devoting more time to the editorial board of our journal in a different role. We are striving hard to make our “Journal of Clinical Orthopaedics” to make it indexed in PubMed. This needs more and more original articles or case reports. Hence, contributions from the grass-root level will help to build up our journal to national and international repute and get recognition with our 2,740-strong members contributing to reach a mammoth academic platform!

Let’s do it together!!

Long live BOS !

Prof. (Dr) Shubhranshu S. Mohanty

President BOS


How to Cite this article: Mohanty S. From the Desk of the President. Journal of Clinical Orthopaedics. January-June 2021;6(1):2-3.


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Treatment of unstable intertrochanteric femoral fractures in elderly population – A retrospective comparison between those treated by PFNA versus Primary Hemiarthroplasty of the hip

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 19-23 | Ranade Uday Arun, Anne Sai Laxman


Author: Ranade Uday Arun [1], Anne Sai Laxman [1]

[1] Department of Orthopaedics, KIMS Hospitals, Kondapur, Hyderabad, Telangana – 500084, India

Address of Correspondence
Dr. Ranade Uday Arun,
Department of Orthopaedics, KIMS Hospitals, # 1-112/86, Survey No 55/ EE, Kondapur Village, Serilingampally Mandal, Hyderabad – 500084, India
E-mail: dr.udayranade@gmail.com


Abstract

Introduction: Unstable intertrochanteric femur fractures (IFF) have traditionally been reduced and internally fixed with either a hip screw and a side plate or more recently with the proximal femur nails. To counteract the complications of prolonged recumbency, some surgeons advocated using a primary hemiarthroplasty of the hip to treat such patients.
Aim:  Present study is being done to present the data at our institute in order to further our understanding of treatment of unstable IFFs in the elderly.

Methods and Material: A retrospective comparison study where data of 32 patients with unstable IFF (AO type 31 A2 and A3), who satisfied the inclusion and exclusion criteria and who underwent either a PFNA fixation or a primary hemiarthroplasty of the hip from the period of June 2018 to Jan 2019 was collected. Follow up was for a minimum of 12 months. Baseline data, perioperative data and post-operative data was collected. Statistical analysis was done by a statistician using SPSS software Ver 21.0.
Results: PFNA group showed significantly better Harris hip scores at the end of 12 months than the PHH group. Even the surgical time, intra-operative bleeding, amount of blood transfusions and length of stay was significantly less in PFNA group than PHH group.
Conclusions: Proximal femur fixation with PFNA device with its smaller incision, lower blood loss, faster operating time and shorter hospital stay has definitive advantages over a primary hemiarthroplasty hip.
Keywords: Unstable Intertrochanteric Femur Fractures, PFNA, Primary hemiarthroplasty Hip, Bipolar modular prosthesis, Proximal femur fixation


References

1. . Zhou S, Liu J, Zhen P, Shen W, Chang Y, Zhang H, et al. Proximal femoral nail anti-rotation versus cementless bipolar hemiarthroplasty for unstable femoral intertrochanteric fracture in the elderly: Aretrospective study. BMC Musculoskelet Disord 2019;20:500.
2. Koval KJ. Intramedullary nailing of proximal femur fractures. Am J Orthop (Belle Mead NJ) 2007;36 Suppl 4:4-7.
3. Park MS, Cho HM, Kim JH, Shin WJ. Cementless bipolar hemiarthroplasty using a rectangular cross-section stem for unstable intertrochanteric fractures. Hip Int 2013;23:316-22.
4. Luo X, He S, Zeng D, Lin L, Li Q. Proximal femoral nail antirotation versus hemiarthroplasty in the treatment of senile intertrochanteric fractures: Case report. Int J Surg Case Rep 2017;38:37-42.
5. Bansal K, Dahuja A, Kaur R, Singh J, Shyam R. Proximal femur nail vs cemented bipolar prosthesis in unstable intertrochanteric femur fractures in elderly: A prospective study. Int J Orthop Sci 2019;5:642-5.
6. Sexson SB, Lehner JT. Factors affecting hip fracture mortality. J Orthop Trauma 1987;1:298-305.
7. Kumar GN, Meena S, Kumar NV, Manjunath S, Raj MK. Bipolar hemiarthroplasty in unstable intertrochanteric fractures in elderly: A prospective study. J Clin Diagn Res 2013;7:1669-71.
8. Lee YK, Ha YC, Chang BK, Kim KC, Kim TY, Koo KH. Cementless bipolar hemiarthroplasty using a hydroxyapatite-coated long stem for osteoporotic unstable intertrochanteric fractures. J Arthroplasty 2011;26:626-32.
9. Enocson A, Mattisson L, Ottosson C, Lapidus LJ. Hip arthroplasty after failed fixation of trochanteric and subtrochanteric fractures. Acta Orthop 2012;83:493-8.
10. Tang P, Hu F, Shen J, Zhang L, Zhang L. Proximal femoral nail antirotation versus hemiarthroplasty: A study for the treatment of intertrochanteric fractures. Injury 2012;43:876-81.
11. Kumar P, Rajnish RK, Sharma S, Dhillon MS. Proximal femoral nailing is superior to hemiarthroplasty in AO/OTA A2 and A3 intertrochanteric femur fractures in the elderly: A systematic literature review and meta-analysis. Int Orthop 2020;44:623-33.

How to Cite this article: Arun RU, Laxman AS. Treatment of unstable intertrochanteric femoral fractures in elderly population – A retrospective comparison between those treated by PFNA versus Primary Hemiarthroplasty of the hip. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):19-23.

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Interview with Dr. Nandkishore Laud conducted by Dr Ashok Shyam and Dr Nicholas Antao

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 92-94 | Nandkishore Laud, Ashok Shyam, Nicholas Antao


Author: Nandkishore Laud [1], Ashok Shyam [1], Nicholas Antao 

[1] Department of Orthopaedics, KIMS Hospitals, Kondapur, Hyderabad, Telangana – 500084, India

Address of Correspondence
Dr. Ranade Uday Arun,
Department of Orthopaedics, KIMS Hospitals, # 1-112/86, Survey No 55/ EE, Kondapur Village, Serilingampally Mandal, Hyderabad – 500084, India
E-mail: dr.udayranade@gmail.com


Abstract

Introduction: Unstable intertrochanteric femur fractures (IFF) have traditionally been reduced and internally fixed with either a hip screw and a side plate or more recently with the proximal femur nails. To counteract the complications of prolonged recumbency, some surgeons advocated using a primary hemiarthroplasty of the hip to treat such patients.
Aim:  Present study is being done to present the data at our institute in order to further our understanding of treatment of unstable IFFs in the elderly.

Methods and Material: A retrospective comparison study where data of 32 patients with unstable IFF (AO type 31 A2 and A3), who satisfied the inclusion and exclusion criteria and who underwent either a PFNA fixation or a primary hemiarthroplasty of the hip from the period of June 2018 to Jan 2019 was collected. Follow up was for a minimum of 12 months. Baseline data, perioperative data and post-operative data was collected. Statistical analysis was done by a statistician using SPSS software Ver 21.0.
Results: PFNA group showed significantly better Harris hip scores at the end of 12 months than the PHH group. Even the surgical time, intra-operative bleeding, amount of blood transfusions and length of stay was significantly less in PFNA group than PHH group.
Conclusions: Proximal femur fixation with PFNA device with its smaller incision, lower blood loss, faster operating time and shorter hospital stay has definitive advantages over a primary hemiarthroplasty hip.
Keywords: Unstable Intertrochanteric Femur Fractures, PFNA, Primary hemiarthroplasty Hip, Bipolar modular prosthesis, Proximal femur fixation

How to Cite this article: Laud N, Shyam AK, Antao N. Orthowalkathon: Interview with Dr. Nandkishore Laud
conducted by Dr Ashok Shyam and Dr. Nicholas Antao. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):92-94.

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ALPSA Lesion or Bankart does it Really Matter in Shoulder Instability? A Review of Literature with Surgical Technique for ALPSA Repair

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  January-June 2021 | page: 14-18 | Timothy Weiwen Teo, Andy Teck Huat Wee


Author: Timothy Weiwen Teo [1], Andy Teck Huat Wee [1]

[1] Consultant Orthopaedic Surgeon Khoo Teck Puat Hospital

[2] Consultant Orthopaedic Surgeon Pinnacle Orthopaedic Group

Address of Correspondence
Dr. Timothy Weiwen Teo,
Consultant Orthopaedic Surgeon Khoo Teck Puat Hospital
E-mail: timothyteo.ww@gmail.com


Abstract

The anterior labroligamentous periosteal sleeve avulsion (ALPSA) lesion has been described as a distinct pathology from the classic Bankart lesion in anterior glenohumeral instability. ALPSA lesions are associated with younger patients, patients with more chronic symptoms, more episodes of pre-operative instability and associated with increased humeral and glenoid bone loss as compared to Bankart lesions. After surgery, ALPSA lesions also have a higher risk of redislocations and greater loss of range of motion. In this article, we outline some surgical pearls in dealing with ALPSA lesions.

Keywords: Anterior labroligamentous periosteal sleeve avulsion, bankart, traumatic anterior shoulder instability, labrum


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How to Cite this article: Teo TW,  Wee ATH. ALPSA Lesion or Bankart does it Really Matter in Shoulder Instability? A Review of Literature with Surgical Technique for ALPSA Repair. Journal of Clinical Orthopaedics Jan-Jun 2020;6(1): 14-18.

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Whats new in Paediatric Orthopaedics in 2020?

Journal of Clinical Orthopaedics | Vol 6 | Issue 1 |  Jan-Jun 2021 | page: 89-91 | Arkesh M, Sandeep Patwardhan, Ashok Shyam


Author: Arkesh M [1], Sandeep Patwardhan [1], Ashok Shyam [1]

[1] Sancheti Institute for Orthopaedics and Rehabilitation, Shivajinagar, Pune, Maharashtra India.

Address of Correspondence
Dr. Arkesh M,
Paediatric Orthopaedic Fellow, Sancheti Institute for Orthopaedics and Rehabilitation, Shivajinagar, Pune, Maharashtra India
E-mail: dr.arkesh@gmail.com


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How to Cite this article: Arkesh M, Patwardhan S, Shyam A. Whats new in Paediatric Orthopaedics in 2020. Journal of Clinical Orthopaedics Jan-Jun 2021;6(1):89-91.

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