Journal of Orthopedic Education

Second-degree burns are the most common type injury in clinical scenario and not easy to manage. Evaluation of burn wounds is not an easy task, as depth of the burn wound is not remaining same, it differs from one individual patient to another. Depth of burn wound depends upon infections, geography, socioeconomic factors, pharmacological agents, personal hygiene, nutritional factors etc. A Quick start of the treatment can avoid all complications of burn wounds effectively. Proper antiseptic techniques should be used during dressing of burn wounds. With proper advanced antibiotics could inhibit infection chances. Paraffin and chlorhexidine gauge is required for dressing of burn wound. These mentioned precautions and use of proper antibiotics and anti- inflammatory medication for 7-10 days could treat the second - degree burn wounds within a short. On physical examination, we found our all burn patients recovered well without any infection or Musculoskeltal complications. In case of burn injuries, paraffin and chlorhexidine gauge and antiseptic dressing of wound is able to protect the burn wound from friction and change the micro environment of the wound to keep the recovery fast and also protect it from infection and insects.

We report an exceptionally rare and complex polytrauma in a 38-year-old male who sustained a right acetabulum fracture (Posterior column and wall fracture with Anterior column fracture) in combination with an ipsilateral open (GustiloAnderson Type 3) comminuted intra-articular distal femur fracture involving the lower one third of the femoral shaft, further complicated by a complete avulsion of the quadriceps tendon from the patella in a single limb. Such combined injuries present extraordinary challenges to the orthopaedic surgeon, requiring a staged, multidisciplinary approach to optimize functional recovery. This case highlights the importance of systematic injury assessment, meticulous wound management, staged surgical planning, and intensive rehabilitation in achieving a satisfactory outcome.

Interphalangeal joint injuries remain challenging because of the small articular surface and the high propensity for post-immobilization stiffness. Conventional dynamic traction systems commonly utilise transosseous Kirschner wire fixation, which increases procedural complexity, soft tissue trauma, and implant-related complications. We describe a novel non-invasive dynamic traction technique utilizing stainless steel hook anchors externally mounted over adhesive bandages using silk sutures reinforced with cyanoacrylate adhesive. The construct serves as an external traction anchor system for elastic rubber band-mediated distraction across the PIP joint. Reduction is achieved through ligamentotaxis without the need for skeletal fixation. The technique is inexpensive, reproducible, minimally invasive, and particularly suitable for low-resource settings.

Clavicle fractures account for a significant proportion of shoulder girdle injuries, with an estimated annual incidence of approximately 29 per 100,000 population. Distal (lateral-end) clavicle fractures represent a clinically important subgroup because disruption of the coracoclavicular ligament complex frequently results in fracture instability and displacement. Consequently, these injuries have a higher incidence of delayed union and non-union than fractures involving the middle third of the clavicle. The usual mechanism of injury is a direct impact to the lateral aspect of the shoulder or a fall onto the shoulder, commonly occurring during sports activities, falls, or road traffic accidents. Patients typically present with shoulder pain, swelling, tenderness, restricted range of motion, and, in displaced fractures, a visible deformity over the lateral clavicle. Although non-operative treatment may be appropriate for selected stable fractures, displaced unstable distal clavicle fractures often require surgical stabilization to restore anatomical alignment, promote fracture union, and facilitate early functional recovery. Various operative techniques have been described, including locking plate fixation, hook plate fixation, coracoclavicular screw fixation, Kirschner (K)- wire fixation, tension-band wiring, intramedullary fixation, and coracoclavicular suture augmentation. We report the case of a displaced lateral-end clavicle fracture treated with open reduction and internal fixation using two 2.0-mm Kirschner wires combined with coracoclavicular stabilization using No. 5 FiberWire. Early supervised shoulder mobilization was initiated three weeks postoperatively, resulting in satisfactory fracture union and a good functional outcome.

Malunion of proximal phalanx fractures can lead to considerable functional impairment, especially in the presence of angular or rotational deformities. Established malunions are typically addressed through open corrective osteotomy, whereas the treatment of early malunion is not as well delineated. We present a case of a four-week-old malunion of the proximal phalanx of the fifth finger successfully treated with percutaneous corrective osteotomy and Kirschner wire fixation. This minimally invasive technique made it possible to realign accurately, kept the soft tissue intact, and made it easier to start rehabilitation early. The case shows that there is a small but clinically important time frame during early malunion when percutaneous correction is still possible. This could help avoid the complications that come with open osteotomy. The technical aspects, reasoning behind decisions, and functional effects are examined in relation to the current literature.

Musculoskeletal pain is among the most prevalent health concerns in all clinical settings worldwide, significantly affecting daily life and quality of life, physical fitness, and efficiency and productivity. Conservative treatment methods consist of non- surgical, non- invasive strategies. Key modalities include physical exercise, Traditional Chinese medicine (TCM), acupuncture, moxibustion,manual therapy, patient education, stem cell therapy, electrotherapy,Hijama techniques, all of which enhance functional recovery, and self cure. Conservative treatment not only reduces the adherence to drugs and medicine with hazardous side effects, but also lowers healthcare cost and prevent complications associated with invasive techniques. Future directions focus personalised rehabilitation, digital health tool and gadgets, and prevention strategies to mitigate chronic Musculoskeletal pain. Recently, we are living in the era of robotics and artificial intelligence. Digital gadgets are designed to monitor our vitals and predict the upcoming health issues in Musculoskeltal system. Software equipped with Artificial intelligence can diagnose the musculoskeletal tumors faster than human clinicians and also suggest treatments. Even, robots can perform minimal invasive surgeries with hundred percent accuracy. In sum, conservative treatment of musculoskeletal disorders is multimodal management of single disease with variety of tactistics.No method or procedure is ideal for all musculoskeletal pain, that means treatment methods differs in every individual patient depending upon condition. For instance, in old patients with immunocompromised conditions like diabetes or other conditions, surgeons avoid surgeries. Clinicians opt conservative treatment in these patients.