Journal of Orthopedic Education

A fifteen-year-old male patient complains of pain in left hip and plain radiographs revealed an eccentric lesion in the epiphyseal region of femoral head. Lesion was excised by curettage with “g” bone graft through Ganz surgical safe dislocation of hip with trochanteric osteotomy. Histopathology report showed osteoclastoma. Full weight bearing after 3 months, with no recurrence after 2 years.

Low Level Laser Therapy (LLLT) has a stimulatory effect on raw areas and wounds by improving granulation. Cross leg flap from the opposite healthy leg is one of the options of donor site for flaps inn leg defects. However there is a risk of necrosis of the distal part of the flap, which may lead to flap failure. Low level laser therapy is one method to improve vascularity of the flap.

Volar plate avulsion fracture of the proximal interphalangeal (PIP) joint is one of the most common hand injuries. Unstable intra-articular proximal interphalangeal (PIP) joint fracture dislocations present a difficult problem that requires congruous joint reduction and stable internal fixation or distraction. Though fractures with limited articular involvement may be treated successfully with less invasive procedures, fracture dislocations with a volar shear component may benefit from joint reduction with subchondral support for maintenance of stability. The purpose of this article is to describe a volar screw technique and report the short term post-operative results. This treatment allows early active range of motion and provides good objective and subjective outcomes.

Fracture neck of femur is a complex injury that predominantly affects young adults. Surgical management options include the use of dynamic hip screw (DHS) or multiple cancellous screw (MCS) fixation techniques. However, the optimal choice between these two approaches remains a subject of debate. This study aims to compare the effectiveness and outcomes of using DHS versus MCS in young adults with fracture neck of femur. The study design was a comprehensive comparative analysis involving a thorough evaluation of medical records, patient demographics, surgical technique, and post-operative data collected over a specific period. Several clinical outcomes, including surgical time, perioperative blood loss, functional recovery, implant failure rates, and patient satisfaction ratings, were considered in the analysis. Results demonstrated that both DHS and MCS techniques yielded satisfactory outcomes in young adults with fracture neck of femur. However, certain differences were observed. The DHS technique exhibited advantages in terms of biomechanical stability and load sharing capacity, which can promote early mobilization and enhanced recovery. On the other hand, the MCS approach offered an alternative procedure that is less invasive, demands shorter surgical time, and presents minimal risk of avascular necrosis. A comparison of functional recovery indicated that patients treated with DHS achieved improved ambulation and quality of life compared to those treated with MCS. However, both techniques yielded similar rates of implant failure and overall patient satisfaction. These findings suggest that the optimal choice between DHS and MCS should be tailored to the individual patient, considering factors such as age, fracture pattern, bone quality, and surgeon expertise.