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Bashir A, Seth S, Wani IH, Farooq M, Ul Gani N, Naqshi BF. Mini-Open Rotator Cuff Tear Repair: An Institutional Experience with a Midterm Follow-up. Ortop Traumatol Rehabil 2019; 20:383-387. [PMID: 30648663 DOI: 10.5604/01.3001.0012.8274] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
BACKGROUND Rotator cuff tears have long been recognised as a cause of pain and disability. Over the past decades the treatment of rotator cuff tears has evolved from an open procedure to a mini-open procedure to an all-arthroscopic one. The indications and benefits of each of the procedures are still debated. The purpose of this study was to observe the results of "Mini-open repair rotator cuff tear". MATERIAL AND METHODS This was a prospective study conducted in the postgraduate department of Ortho-paedics Government Medical College, Srinagar, from March 2013 to January 2018 with cases followed up for a minimum of 3 years. This study included 50 patients of either sex with non-massive full thickness tears of rotator cuff. RESULTS The mean UCLA score improved from 10.96 preoperatively to 30.68 at final follow-up. Overall, 88% of the patients achieved excellent or good results and 92% were satisfied. No significant difference was noted in functional outcomes between traumatic and degenerative tears. Size of tear seems to be a determining factor in the functional outcome. Stiffness as a complication occurred in two patients. CONCLUSION 1. Mini-open rotator cuff tear repair eliminated sym-pto-matic full thickness rotator cuff tears with significant improvement in functional scores. 2. There were no major complications of the surgical procedure adop-ted or the fixation method used. 3. Mini-open rotator cuff repair remains a useful technique despite advan-ces in arthroscopy.
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Affiliation(s)
- Adil Bashir
- Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir, India / Department of Anatomy, Government Medical College Srinagar, India
| | - Suleiman Seth
- Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir, India / Department of Anatomy, Government Medical College Srinagar, India
| | - Iftikhar H Wani
- Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir, India / Department of Anatomy, Government Medical College Srinagar, India
| | - Munir Farooq
- Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir, India / Department of Anatomy, Government Medical College Srinagar, India
| | - Naseem Ul Gani
- Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir, India / Department of Anatomy, Government Medical College Srinagar, India
| | - Berjina Farooq Naqshi
- Hospital for Bone and Joint Surgery, GMC Srinagar, Jammu and Kashmir, India / Department of Anatomy, Government Medical College Srinagar, India
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Wani IH, Ul Gani N, Yaseen M, Bashir A, Bhat MS, Farooq M. Operative Management of Distal Tibial Extra-articular Fractures - Intramedullary Nail Versus Minimally Invasive Percutaneous Plate Osteosynthesis. Ortop Traumatol Rehabil 2017; 19:537-541. [PMID: 29493524 DOI: 10.5604/01.3001.0010.8045] [Citation(s) in RCA: 17] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
BACKGROUND The ideal treatment of distal tibial extra articular fractures remains controversial. Minimally invasive percutaneous plate osteosynthesis and intramedullary nailing are the two most commonly used methods. We did a prospective randomized controlled study to assess the functional outcome of distal tibial extra articular tibial fractures by comparing these treatment methods. MATERIALS AND METHODS Sixty patients with distal tibial extra articular fractures were randomly assigned to an IMN (intramedullary nailing) group and a MIPPO (minimally invasive percutaneous plate osteosynthesis) group. All patients were followed up for a period of one year. At final follow-up, clinical and radiological outcome was assessed by foot function index. Malunion, infection, implant removal, time to union and secondary interventions were compared between the two groups. The comparison of continuous variables was performed by using the Student t-test or Mann-Whitney U test in accordance with normality testing. A value of p less than 0.05 was considered statistically significant. RESULTS All patients were followed up for a period of one year. Time to callus formation was equal in both groups. There was no non-union in our series. Malunion was more common in the nailing group. The foot function index was similar in both groups. CONCLUSION MIPPO and intramedullary nailing are effective treatment options in the management of distal tibial extra particular fractures, with comparable functional outcomes.
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Affiliation(s)
- Iftikhar H Wani
- Government Medical College Hospital for Bone and Joint Surgery Barzulla Srinagar, Jammu and Kashmir
| | - Naseem Ul Gani
- Government Medical College Hospital for Bone and Joint Surgery Barzulla Srinagar, Jammu and Kashmir
| | - Mohammad Yaseen
- Government Medical College Hospital for Bone and Joint Surgery Barzulla Srinagar, Jammu and Kashmir
| | - Adil Bashir
- Government Medical College Hospital for Bone and Joint Surgery Barzulla Srinagar, Jammu and Kashmir
| | - Mohammad Shahid Bhat
- Government Medical College Hospital for Bone and Joint Surgery Barzulla Srinagar, Jammu and Kashmir
| | - Munir Farooq
- Government Medical College Hospital for Bone and Joint Surgery Barzulla Srinagar, Jammu and Kashmir
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Abstract
Background. Injuries of the midfoot are often missed and therefore underestimated. Early diagnosis and treatment are crucial for the final outcome. The primary aim of this study was to assess the pattern and results of early operative management of mid-foot injuries after a midterm follow up. Material and methods. This study was conducted on 25 patients (19 Males, 6 Females ) with mean age of 34.6 years (range 18-60 years) with mid-foot fracture dislocations who were admitted consecutively at our centre from May 2008 through November 2010. 25 patients fulfilling our inclusion criteria with mid-foot fracture dislocations were included in this study. Mechanism of injury, its pattern and results of operative management of midfoot injuries were assessed after acute management of these fractures on urgent basis. Evaluation of results was done by AOFAS Score. Results. Most common mode of injury was indirect trauma due to fall (n=12) followed by road traffic accident (n=9). Males (n=19) outnumbered females (n=6). The pattern of injuries requiring operative treatment as per our criteria were Lisfranc fracture dislocations (n=22) and navicular fractures (n=3). The mean follow up was 3.2 years and mean AOFAS score at 3.2 years was 78.36, with most patients losing points to pain and decreased recreational function. Conclusion. The Lisfranc fracture dislocations are the most common injuries around midfoot requiring operative treatment, and we believe that operative treatment considerably improves functional outcome in these injuries.
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Affiliation(s)
- Irfan A Latoo
- Postgraduate Department of Orthopaedics, Hospital for Bone and Joint Surgery Government Medical College Srinagar, Kashmir, India
| | - Iftikhar H Wani
- Postgraduate Department of Orthopaedics, Hospital for Bone and Joint Surgery Government Medical College Srinagar, Kashmir, India
| | - Munir Farooq
- Postgraduate Department of Orthopaedics, Hospital for Bone and Joint Surgery Government Medical College Srinagar, Kashmir, India
| | - G R Wali
- Postgraduate Department of Orthopaedics, Hospital for Bone and Joint Surgery Government Medical College Srinagar, Kashmir, India
| | - Younis Kamal
- Postgraduate Department of Orthopaedics, Hospital for Bone and Joint Surgery Government Medical College Srinagar, Kashmir, India
| | - Naseem Ul Gani
- Postgraduate Department of Orthopaedics, Hospital for Bone and Joint Surgery Government Medical College Srinagar, Kashmir, India
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Gani NU, Khan HA, Kamal Y, Farooq M, Jeelani H, Shah AB. Long term results in refractory tennis elbow using autologous blood. Orthop Rev (Pavia) 2014; 6:5473. [PMID: 25568727 PMCID: PMC4274448 DOI: 10.4081/or.2014.5473] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/06/2014] [Revised: 08/25/2014] [Accepted: 09/07/2014] [Indexed: 11/30/2022] Open
Abstract
Tennis elbow (TE) is one of the commonest myotendinosis. Different treatment options are available and autologous blood injection has emerged as the one of the acceptable modalities of treatment. Long term studies over a larger group of patients are however lacking. The purpose of this study was to evaluate these patients on longer durations. One-hundred and twenty patients of TE, who failed to respond to conventional treatment including local steroid injections were taken up for this prospective study over the period from year 2005 to 2011 and were followed up for the minimum of 3 years (range 3-9 years). Two mL of autologous blood was taken from the ipsilateral limb and injected into the lateral epicondyle. The effectiveness of the procedure was assessed by Pain Rating Sscale and Nirschl Staging, which was monitored before the procedure, at first week, monthly for first three months, at 6 months and then 3 monthly for first year, six monthly for next 2 years and then yearly. Statistical analysis was done and a P value of <0.05 was taken as significant. The patients (76 females and 44 males) were evaluated after procedure. The mean age group was 40.67±8.21. The mean follow up was 5.7±1.72 (range 3 to 9 years). The mean pain score and Nirschl stage before the procedure was 3.3±0.9 and 6.2±0.82 respectively. At final follow up the pain score and Nirschl were 1.1±0.9 and 1.5±0.91 respectively. Autologous blood injection was found to be one of the modalities for treatment of TE. Being cheap, available and easy method of treatment, it should be considered as a treatment modality before opting for the surgery. Universal guidelines for the management of tennis elbow should be made as there is lot of controversy regarding the treatment.
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Affiliation(s)
- Naseem Ul Gani
- The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India
| | - Hayat Ahmad Khan
- The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India
| | - Younis Kamal
- The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India
| | - Munir Farooq
- The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India
| | - Hina Jeelani
- The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India
| | - Adil Bashir Shah
- The Government Hospital for Bone and Joint Surgery , Barzullah, Srinagar, India
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Gani NU, Kangoo KA, Bashir A, Muzaffer R, Bhat MF, Farooq M, Badoo AR, Dar IH, Wani MM. External fixation of "intertrochanteric" fractures. Orthop Rev (Pavia) 2009; 1:e18. [PMID: 21808680 PMCID: PMC3143994 DOI: 10.4081/or.2009.e18] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2009] [Revised: 08/02/2009] [Accepted: 08/09/2009] [Indexed: 11/23/2022] Open
Abstract
In developing countries, due to limited availability of modern anesthesia and overcrowding of the hospitals with patients who need surgery, high-risk patients with "intertrochanteric" fractures remain unsuita ble for open reduction and internal fixation.The aim of this study was to analyze the results of external fixation of "intertrochanteric" fractures in high-risk geriatric patients in a developing country.The results of 62 ambulatory high-risk geriatric patients with a mean age of 70 years (range 58-90 years) with "intertrochanteric" fractures, in whom external fixation was performed, are reported.Eight patients died during follow-up due to medical causes unrelated to the surgical procedure. So only 54 patients were available for final assessment. Procedure is simple, performed under local anesthesia, requires less time for surgery and is associated with less blood loss. Good fixation and early ambulation was achieved in most of the patients. Average time to union was 14 weeks. Thirty-one patients developed superficial pin tract infection and 28 patients had average shortening of 15 mm due to impaction and varus angulation. Functional outcome was assessed using Judet's point system. Good to excellent results were achieved in 44 patients.This study demonstrated that external fixation of "intertrochantric" fractures performed under local anesthesia offers significant advantage in ambulatory high-risk geriatric patients especially in a developing country.
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Affiliation(s)
- Naseem Ul Gani
- Govt. Hospital for Bone & Joint Surgery, Barzallah, Srinagar, Kashmir
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Abstract
This is a retrospective review of paediatric elbow trauma, which was initially treated by bonesetters and subsequently reported to the hospital for management. This paper describes the pattern of trauma and the complications of unscientific management. The report also recommends a basic training program for the bonesetters so as to make them aware of the potential complications involved in managing paediatric elbow trauma.
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Affiliation(s)
- Mohammad Farooq Butt
- Government Hospital for Bone and Joint Surgery, Srinagar, Kashmir, India 190005.
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Gani NU, Rather AQ, Mir BA, Halwai MA, Wani MM. Humeral biepicondylar fracture dislocation in a child: A case report and review of the literature. Cases J 2008; 1:163. [PMID: 18801199 PMCID: PMC2556314 DOI: 10.1186/1757-1626-1-163] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 08/18/2008] [Accepted: 09/19/2008] [Indexed: 12/18/2022]
Abstract
INTRODUCTION Humeral biepicondylar fracture dislocation is a very rare injury reported only once in English literature by G R Taylor et al. We report a case of humeral biepicondylar fracture dislocation in a 13-year-old girl with a unique mechanism of injury. CASE PRESENTATION A 13-year-old girl presented with trauma elbow. Radiographs showed biepicondylar fracture of humerus with dislocation of elbow. CONCLUSION In humeral biepicondylar fracture dislocation, reduction is always unstable. So treatment is open reduction and internal fixation.
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Affiliation(s)
- Naseem Ul Gani
- Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India.
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Gani NU, Kangoo KA, Butt MF, Dar GN, Wani MM. More than two years delay in the union of fracture neck of femur after primary intervention. Cases J 2008; 1:61. [PMID: 18655710 PMCID: PMC2516509 DOI: 10.1186/1757-1626-1-61] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 06/06/2008] [Accepted: 07/25/2008] [Indexed: 12/02/2022]
Abstract
Introduction More than two years delay in the union of fracture neck of femur is a very rare entity. The treatment of an established non union depends on numerous factors including age of the patient, vascularity of the femoral head and other factors. It is timing of intervention that is not clearly defined in the literature. Case presentation We report 2 cases where fracture neck of femur in 2 Asian males of 37 and 52 years of age took more than 2 years to unite after primary intervention. Conclusion We believe if the implant is holding and patient is able to bear some weight, some of these fractures may unite without any further intervention.
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Affiliation(s)
- Naseem Ul Gani
- Department of orthopedics, Govt hospital for bone and joint surgery Barzullah, Srinager, India.
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Butt MF, Dhar SA, Gani NU, Farooq M, Mir MR, Halwai MA, Kangu KA, Mir BA, Kawoosa AA. Delayed fixation of displaced femoral neck fractures in younger adults. Injury 2008; 39:238-43. [PMID: 18241865 DOI: 10.1016/j.injury.2007.09.002] [Citation(s) in RCA: 32] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2007] [Revised: 09/05/2007] [Accepted: 09/06/2007] [Indexed: 02/02/2023]
Abstract
We report the results of 52 patients aged 20-55 years with displaced femoral neck fractures, in whom delayed closed reduction and internal fixation was performed. Seven patients developed avascular necrosis (AVN) and non-union was seen in five patients. Whereas most patients with non-union were subjected to repeat procedures, none of the patients with AVN required surgery. The follow-up averaged 40 months (range 22-64 months). Three patients were lost to follow-up. Functional outcome was defined by Judet's system. Good to excellent functional outcome was achieved in 45 cases. The study demonstrated that delayed closed reduction and internal fixation of displaced fractures in young adults which, we believe, is the prevalent form of treatment of these injuries in the developing world results in high rate of fracture union and good functional outcome. The rate of AVN, however, may be a concern if the patients are followed for a longer period.
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