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Dynamic hip screw with locking side plate： a viable treatment option for intertrochanteric fracture

Chinese Journal of Traumatology 2014年第2期17卷 88-92页

作者： Nilesh Barwar sanjay meena Shashi Kant Aggarwal Prashant Garhwal Department of Orthopedics All India Institute ofMedical Sciences New Delhi 110029 India Department of Orthopaedics SP Medical College andAssociated Group of Hospitals Bikaner Rajasthan India

Objective： Dynamic hip screw （DHS） is recommended for the fixation of stable intertrochanteric fractures. Its postoperative cut-out rate ranges from I% to 6%. In osteoporotic bone, normal screws in DHS blade provide less anchorage compared to locking screws. This study aims to compare DHS with locking side plate and conventional side plate. Methods： Fifty consecutive patients with intertrochanteric fractures were randomly allocated for fixation with a standard DHS （group A） and locking DHS （Combi plate, group B）. We compared the clinical and radiological outcomes for the conventional DHS and locking DHS in intertrochanteric fractures. Functional outcome was evaluated using the Parker mobility score. Results： Coxa valga was found more frequently in group A than in group B （12% vs. 0%, P=0.42）. Coxa vara showed the same trend （12% vs. 8%, P=0.81）. Rate of restoration of postoperative neck-shaft angle within 20° of sound side was higher in group B （8% cases） than in group A （4% cases, P=0.98）. The rate of anteversion angle restoration within 10° of sound side was also higher in group B （100% vs. 88%, P=0.85）. The average lag screw slippage in group A and group B was 3.2 mm and 4.2 mm, the average fracture union duration was 17.1 weeks and 16.4 weeks, and the mean Parker score was 5.6 and 5.8 respectively. Screw cut-out was seen in one patient in group A. No cut-out was seen in any of the patient in group B. No patient developed deep infection, avascular necrosis, deep vein thrombosis or any other significant complications. Conclusion： The present study demonstrated that treating intertrochanteric fracture with a locking DHS allows sound bone healing and is not associated with any major complications. Although this report is promising, it should be interpreted with caution because only a prospective study with a large sample size would allow definitive conclusion.

关键词： Hip fractures Bone screws Bone plates

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Epidemiology of patients admitted to a major trauma centre in northern India

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Chinese Journal of Traumatology 2014年第2期17卷 103-107页

作者： Devarshi Rastogi sanjay meena Vineet Sharma Girish Kumar Singh Department of Orthopaedics All India Institute of Med-ical Sciences New Delhi 110029 India Department of Orthopaedic Surgery Chhatrapati Sha-huji Maharaj Medical University Lucknow Uttar PradeshIndia

Objective： Trauma in India is an increasingly significant problem, particularly in light of rapid development and increasing motorization. Social changes are resulting in alterations in the epidemiology of trauma. The aim of the study was to assess the various epidemiological parameters that influence the cause of injury in the patients admitted to a major trauma centre in northem India. Methods： An observational study of 748 patients chosen by random assortment was carried out over a peri- od of 1 year （August 2008 to July 2009）. Age, sex, injury type and pattern were noted. Injury mode of upper and lower limbs was also noted. Results： Injuries occur predominately in the age group of 15-30 years. Males incurred more injury with male to female ratio of 6：1. The most vulnerable group was motorcycle users. Among the injured, farmers were the most commonly involved. Blunt injuries （94.92%） were much more common than penetrating injuries. Among patients with head injury, two wheelers related accidents were the most common （40.3%）. Most spinal cord injuries were caused by falls from height （51.09%）. Most lower limb fractures were simple type. Compound fractures of the lower limb were more common than up- per limb fractures. Conclusion： Strict enforcement of traffic rules, combined with improved infrastructure and behavior change can decrease the burden of road traffic accidents in India and other developing countries. This study could assist in raising the profile of road traffic accidents as a public health problem which needs to be addressed as a preventable cause of mortality and morbidity, and plan- ning appropriate interventions for this major challenge. Preventive strategies should be made on the basis of these epidemiological trends.

关键词： Wounds and injuries Epidemiology Accidents, traffic India

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Orthopaedic surgeon＇s nightmare： iatrogenic fractures of talus and medial malleolus following tibial nailing

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Chinese Journal of Traumatology 2013年第4期16卷 243-245页

作者： sanjay meena Vivek Trikha Pramod Saini Rakesh Kumar Buddhadev Chowdhary Department of Orthopaedics All India Institute of Medi-cal Sciences (AIIMS) Ansari Nagar New Delhi 110029India

Intramedullary interlocking nailing is the gold standard for treatment of tibial shaft fractures. The growing use of intramedullary nailing has resulted in an increased number of tibial nailing in daily clinical practice. Despite adequate surgeon experience, tibial nailing is not without complications if proper techniques are not followed. A case of iatrogenic talar neck and medial malleolus frac- tures during intramedullary nailing of tibia in a 24-year-old male is reported. It is believed to be caused by forceful hammering of insertion zig with foot dorsiflexed. To the best of our knowledge, no such case has been reported in the literature. It is possible to reduce the risk of this complication by adoption of preventive measures.

关键词： Tibial fracture Talus Fracture fixation, intramedullary

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Nonunion of forearm fracture： a rare instance in a toddler

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Chinese Journal of Traumatology 2012年第6期15卷 379-381页

作者： Pramod Saini sanjay meena Vishal Shekhawat Tanmay S Kishanpuria Department of Orthopaedics All India Institute of Medi-cal Sciences(AIIMS)Ansari NagarNew Delhi 110029India Department of Orthopaedics SMS Medical CollegeJaipurRajasthan 302004

When compared to adults, pediatric frac- tures unite readily and nonunion is quite rare. Nonunion is often associated with open fractures, operative interventions, infection, pediatric osteogenesis imperfecta and neurofibromatosis. There are only a few studies and reports mentioning nonunion following conservative ma- nagement of closed pediatric fractures. We report here a case of an eighteen-month-old child who developed non-union following treatment of fracture of both forearm bones with cast and was successfully treated with plating. To the best of our knowledge, this is the youngest reported case of nonunion following conservative management of closed diaphyseal pediatric fracture.

关键词： Forearm Fractures, bone Child

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Traumatic posterior hip dislocation in a 16-month-old child： a case report and review of literature

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Chinese Journal of Traumatology 2012年第6期15卷 382-384页

作者： sanjay meena Tanmay Kishanpuria Shreesh Kumar Gangari Pankaj Sharma Department of Orthopaedics All India Institute of Medi-cal Sciences(AIIMS)Ansari NagarNew Delhi 110029India Department of Orthopaedics Maulana Azad MedicalCollegeNew Delhi 110001India

Traumatic posterior hip dislocation is an uncommon injury in children, constituting less than 5% of paediatric dislocations. In a younger child （〈5 years）, minor trauma such as a slip or fall from a low height may cause a hip dislocation, whereas in an adolescent a dislocation is usually caused by a major trauma such as motor vehicle accident. In this case report we present a rare case of trau- matic hip dislocation in a 16-month-old girl. Early detectionand closed reduction ensured good outcome in our case. A high index of suspicion is necessary to achieve satisfactory reduction within six hours of dislocation because reduction after this period will greatly increase the risk of complications.

关键词： Hip dislocation Child Accidents Wounds and injuries

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Anterior dislocation of shoulder in eclampsia： a case report

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Chinese Journal of Traumatology 2012年第4期15卷 249-250页

作者： Seema Rawat sanjay meena Shreesh Kumar Gangari Lafit Kumar Lohia Department of Obstetrics and Gynaecology Maulana Azad Medical CollegeNew Delhi 110001India Department of Orthopaedics All India Institute of Medi-cal SciencesNew Delhi 110029India Department of Orthopaedics Maulana Azad Medical CollegeNew Delhi 110001India Department of Orthopaedics Lady Hardinge Medical CollegeNew Delhi 110001India

This case report presents a 25-year-old female patient with anterior dislocation of right shoulder secondary to seizures as a complication of eclampsia. This is an unusual mechanism of injury, but similar to other un- controlled muscular contractions caused by electroconvul- sive therapy, etc. To the best of our knowledge only one such case has been reported in the English literature. Closed reduction under general anaesthesia was successfully achieved. High suspicion in patients complaining of pain over shoulder joint is necessary for early diagnosis of this condition.

关键词： Shoulder dislocation Seizures Eclampsia Pregnancy

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Spontaneous atraumatic dislocation of sternoclavicu- lar joint in Reiter＇s syndrome

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Chinese Journal of Traumatology 2012年第4期15卷 251-253页

作者： Vijay Kumar Digge sanjay meena Shah Alam Khan Ravi Mittal Department of Orthopaedics All India Institute of Medi-cal Sciences(AIIMS)Ansari NagarNew Delhi 110029India

Reactive arthritis or Reiter＇s syndrome characteristically affects the joint of the lower limb in an asymmetrical pattern. Usually it does not affect the axial skeleton or upper limbs. Although cases of atraumatic at- lantoaxial subluxations have been reported, no case of spon- taneous sternoclavicular dislocation in Reiter＇s syndrome has been reported. This paper describes a case of a 26 year old male patient who developed a spontaneous posterior sternoclavicular joint dislocation. No attempt of reduction was made and the patient was managed conservatively with good results.

关键词： Arthritis, reactive Sternoclavicularjoint Dislocations

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Delayed migration of K-wire into popliteal fossa used for tension band wiring of patellar fracture

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Chinese Journal of Traumatology 2013年第3期16卷 186-188页

作者： sanjay meena Hira Lal Nag Senthil Kumar Nilesh Barwar Samarth Mittal Amit Singla Department of Orthopedics All India Institute of Medi-cal Sciences New Delhi 110029 India

Breakage of K-wires and stainless steel wires which are used for fracture fixation is not uncommon, but migration is rare. We report a case of migration of bro- ken K-wire used for patella tension band wiring to the popliteal fossa. The broken hardware was removed surgically. We would like to suggest that K-wire and wire fixation used for treatment ofpatellar fractures can migrate into the posterior compartment of the knee and cause clini-cal symptoms. Close clinical and radiological follow-up af- ter internal fixation to identify the presence of hardware breakage or movement and removal of wires once fracture has united can avert such complications.

关键词： Patella Fracture fixation, internal Bonewires

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Restless head syndrome:A retrospective study

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World Journal of Methodology 2025年第1期15卷 51-59页

作者： sanjay Prakash Varoon Vadodaria Niraj Chawda Chetsi S Shah Anurag Prakash Department of Neurology Smt.B.K.Shah Medical Institute and Research CentreSumandeep VidyapeethVadodara 391760GujarātIndia Department of Medicine Smt.B.K.Shah Medical Institute and Research CentreSumandeep VidyapeethVadodara 391760GujarātIndia Department of Medicine Parul Institute of Medical Sciences and Research CentreParul University WaghodiaVadodara 391760India

BACKGROUND Restless legs syndrome(RLS)is characterized by an urge to move with an unpleasant sensation in the lower *** typically affects the ***,it can also affect several other body regions,such as the arms,abdomen,face,neck,head,and genital *** are only a few reports of the RLS variant affecting the *** To assess the epidemiological,clinical,and other aspects of the RLS variant affecting the *** We conducted a retrospective study of 17 adult patients(>18 years)who met the RLS criteria and simultaneously experienced RLS-like symptoms in the *** The median age at which symptoms appeared was 41.6 *** and females were equally affected(1.1:1).All 17 patients had uncomfortable sensations in the lower *** or disturbed sleep was the most common comorbidity(n=16,88.2%).However,headache was the most common presenting or primary symptom(n=10,70.5%).Dizziness or an abnormal sensation in the head was the second most common presenting symptom(5 patients,29.4%).Other presenting features were leg pain,backache,and generalized body *** patients responded favorably to dopaminergic *** If RLS-related unpleasant sensations and pain are felt in the head,they may be misinterpreted as headache,dizziness,or psychosomatic *** and headaches in a subset of patients may be two phenotypic manifestations of the same disorder.

关键词： Restless legs syndrome Restless head syndrome Dopamine Headache Migraine Tension-type headache

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Comparative efficacy of hyperbaric bupivacaine vs hyperbaric ropivacaine in spinal anesthesia for cesarean section:A metaanalysis

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World Journal of Methodology 2025年第2期15卷 154-165页

作者： Rishi Anand Deb sanjay Nag Roushan Patel Prashant Sharma Vamsi Krishna Uppalapati Umesh Kumar Singh Department of Anaesthesiology Tata Main HospitalJamshedpur 831001JhārkhandIndia

BACKGROUND Intrathecal bupivacaine is the traditional anesthetic drug used in spinal anesthesia for caesarean sections(CSs),but ropivacaine has emerged as a potential *** meta-analysis compares the efficacy and safety of intrathecal hyper-baric bupivacaine vs hyperbaric ropivacaine for cesarean *** To systematically evaluate and compare the efficacy and safety of intrathecal hyperbaric bupivacaine and hyperbaric ropivacaine for spinal anesthesia in *** A thorough search of electronic databases was carried out to find pertinent randomized controlled trials(RCTs)comparing intrathecal hyperbaric ropi-vacaine and hyperbaric bupivacaine during ***,Cochrane database,Google Scholar,and Scopus were searched,and papers from January 2000 to January 2024 were deemed eligible and filtered using predetermined inclusion and exclusion *** were assessed for methodological quality,and data were extracted for time to adequate anesthesia(sensory and motor blockade),duration of sensory and motor block,hemodynamic changes and side effect *** standardized mean difference with 95%CI was used for continuous *** variables were assessed using the Mantel-Haenszel test and the random effect model to compute the odds *** Total 8 RCTs were selected from a pool of 119 search results for *** meta-analysis evaluated pooled effect sizes and assessed heterogeneity among the *** primary objective was to compare key outcomes to identify any significant variances in efficacy and safety profiles between two local *** analysis revealed that the difference in the onset of sensory blockade between the two local anesthetics was statistically insignificant(P=0.1586).However,the onset of motor blockade appeared to be faster with bupivacaine(P=0.03589).Additionally,the regression of sensory and motor blockade occurred earlier in the ropivacaine ***,the duration of the first analgesic

关键词： Ropivacaine Bupivacaine Anesthesia Spinal Cesarean section Meta-analysis

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