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    Mohit Patralekh

    Introduction: Tuberculosis of posterior spinal elements or neural arch tuberculosis is a rare clinical entity. We report a patient with isolated tuberculosis of the C5 spinous process and reformation of destroyed spinous process in... more
    Introduction: Tuberculosis of posterior spinal elements or neural arch tuberculosis is a rare clinical entity. We report a patient with isolated tuberculosis of the C5 spinous process and reformation of destroyed spinous process in response to antitubercular therapy (ATT). This is first case report of the kind to the best of our knowledge. Case Report: A young male aged 22 years presented to us with a slow-growing, painful lump for the past 3 months accompanied by a discharging sinus at the back of his neck. Plain radiograph and computed tomography scan showed destruction of the C5 spinous process. Magnetic resonance imaging cervical spine showed presence of abscess in addition to the above finding. The patient underwent incision and drainage of abscess followed by local injection of streptomycin. CB-NAAT (Gene Xpert) and histopathological examination confirmed the diagnosis of tuberculosis. The patient responded to ATT very well. The C5 spinous process which was destroyed by the di...
    Purpose The purpose of this study was to compare (1) sports participation and type of sports activity between TKA and UKA patients; (2) functional outcome and activity level between TKA and UKA; and (3) survivorship of the prosthesis in... more
    Purpose The purpose of this study was to compare (1) sports participation and type of sports activity between TKA and UKA patients; (2) functional outcome and activity level between TKA and UKA; and (3) survivorship of the prosthesis in both the groups. Methods Prospectively collected data were obtained from an arthroplasty database to identify patients who underwent primary TKA and UKA. Both the cohorts of TKA and UKA were matched, controlling for age, sex, BMI and preoperative patient-reported outcomes, which include Oxford Knee Score (OKS), Tegner activity level, and visual analog scale (VAS) for pain score. After matching the two groups, 287 TKA and 69 UKA cases were available to be included in the study. Patients were evaluated pre- and postoperatively at 2 years for sports participation and sports preference, patient-reported outcomes, activity levels, and improvement in knee pain. Results The mean age of the TKA and UKA groups were 75.7 ± 8.1 and 74.2 ± 8.8, respectively. The...
    Background/Purpose of the Study C-arm-guided biopsy is a safe and effective technique for evaluating TB spine and is useful in planning therapy. The purpose of this study was to find a correlation between clinically and radiologically... more
    Background/Purpose of the Study C-arm-guided biopsy is a safe and effective technique for evaluating TB spine and is useful in planning therapy. The purpose of this study was to find a correlation between clinically and radiologically suspected TB spine and C-arm image-guided biopsy-proven cases and to study the complications encountered. Methods After evaluating the clinical, laboratory, X-ray and MRI findings, 92 patients with provisionally diagnosed tubercular spine were subjected to C-arm image-guided biopsy. Results Among our 92 cases, histopathology was positive in 55 cases (59.78%). Out of these 55 histologically positive cases, CBNAAT was positive in 42 cases and negative in the rest 13 cases. Overall, among the 92 cases, CBNAAT was positive in 51(55.43%) of cases, and out of these, histopathology turned out to be positive in 42 of cases. Out of 41 cases with negative CBNAAT, histopathology was suggestive of tuberculosis in 13. The strength of agreement between CBNAAT and histopathology was statistically significant (p < 0.0001; kappa = 0.511). No complication such as bleeding, nerve/cord injury, infection, injury to aorta or pneumothorax was encountered during and after the C-arm biopsy in any case. Conclusion C-arm image-guided biopsy is reasonably accurate and should be used as a tool for diagnosis of TB spine. We recommend histopathological examination as a key component for the diagnosis of TB spine, as it is precise and consumes relatively shorter time. CBNAAT is more rapid but is not a substitute for histopathology for spine TB diagnosis.
    BackgroundPeriprosthetic tibial fractures in Total Knee Arthroplasty are much less commonly seen than femoral fractures, and there is a paucity of available literature and management recommendation for these fractures. We aimed to... more
    BackgroundPeriprosthetic tibial fractures in Total Knee Arthroplasty are much less commonly seen than femoral fractures, and there is a paucity of available literature and management recommendation for these fractures. We aimed to identify the relevant and up-to-date literature on this subject to analyse the incidence, risk factors, and management recommendations.MethodsA literature search was done on the databases of PubMed and SCOPUS using appropriate keywords. All the published literature in the English language was included for this review.ResultsWe included 21 studies comprising 260 tibial periprosthetic fractures (91 intra-operative (35%) and 169 (65%) post-operative or delayed fractures). Only 5.9% of these fractures were managed conservatively. Whereas 98 cases (58%) were managed with open reduction and internal fixation (ORIF) with plating, 19 (11.2%) were managed with revision TKA. Seventeen cases (10%) were managed with minimally invasive percutaneous plate osteosynthesis (MIPPO), and 8 (4.7%) were managed with intramedullary nailing. Less than 6% of cases were managed with other means, viz. megaprosthesis (n = 4), arthrodesis (n = 5), amputation (n = 1), and external fixator (n = 1).ConclusionIntraoperative fractures accounted for one-third of the fractures in our review. A majority of the delayed periprosthetic fractures were treated with surgical intervention. The most preferred surgical treatment method was ORIF of fractures using locking plates (either open or MIPPO). Revision TKA or megaprosthesis was used in cases with the loosened implants in association with the fracture.Level of evidenceIV
    Study Design Systematic Review and Meta-analysis Objectives This systematic review and meta-analysis is aimed to assess effectiveness, safety, clinical, functional and radiological outcome of either combined anteroposterior or... more
    Study Design Systematic Review and Meta-analysis Objectives This systematic review and meta-analysis is aimed to assess effectiveness, safety, clinical, functional and radiological outcome of either combined anteroposterior or posterior-only approach in the surgical management of active tubercular disease of paediatric thoracolumbar spine. Methods A systematic literature search through PubMed, Scopus, Web of Science and Cochrane Library database was performed. Data extraction was undertaken following methodological quality assessment. Results 9 out of the 182 publications identified, were included for analysis. A total of 247 patients were analysed. Two amongst the 9 studies were retrospective comparative studies evaluating posterior approach with combined anteroposterior approach and were considered for comparative meta-analysis. Blood loss and duration of surgery was significantly higher in the anteroposterior group, as compared to the posterior-only group. There was no significan...
    Rapid development and popularity of three-dimensional (3D) printing technology, has inspired orthopedic trauma surgeons to apply this to nearly all anatomical areas. Computed tomography or magnetic resonance imaging data of trauma... more
    Rapid development and popularity of three-dimensional (3D) printing technology, has inspired orthopedic trauma surgeons to apply this to nearly all anatomical areas. Computed tomography or magnetic resonance imaging data of trauma patients, can be used for manufacturing graspable objects from 3D reconstructed images. Patient-specific anatomical models of normal, as well as injured body parts, can, therefore, be created. They help to enhance surgeons' knowledge of their patients' precise pathomorphology, regarding both injured bones and soft tissue, as well as normal areas on the contralateral side in limb injuries, and therefore, help in precise preoperative planning. 3D printed patient-specific instrumentation allows to achieve precise implant placement and better surgical results. Most importantly, customized implants, casts, orthoses, and prosthetics can be made to match an individual patient's anatomy. 3D printing, also called as “additive manufacturing” and “rapid p...
    Background The Journal of Clinical Orthopaedics and Trauma (JCOT) is one of the top three orthopaedic journals from India. We set out to analyse the top 50 cited articles from JCOT since indexing in PubMed and Scopus. Methods We looked... more
    Background The Journal of Clinical Orthopaedics and Trauma (JCOT) is one of the top three orthopaedic journals from India. We set out to analyse the top 50 cited articles from JCOT since indexing in PubMed and Scopus. Methods We looked into the bibliometrics of the top 50 cited articles and compared citations from PubMed and Scopus, and depicted outputs from VOS viewer analysis on co-authorship and keywords. Results Total citations for top-cited articles were 1076 in numbers, with a maximum of 103.2016 and 2018 were the most productive years. The major contribution was from India with 74%, followed by the USA. New Delhi published maximally at 72%. Clinical topics and narrative reviews were the most common types of studies. Trauma and Adult reconstruction was the most common sub-specialities, and Level 4 was the most frequent level of study. The basic science and COVID-19 related articles received the maximum citations. The authors from Indraprastha Apollo Hospitals published the maximum number of top-50 cited articles in the JCOT. Conclusions There is a steady increase in the number of publications in the JCOT, with an increasing number of citation counts. Both the Indian and foreign authors have been publishing in this journal at a comparative rate. Although the citation counts in Scopus are more than those in PubMed for given articles, more than 80% of articles are listed in both databases as top 50 cited articles. The majority of top-cited articles belonged to trauma and adult reconstruction, level III studies, and narrative reviews.
    Background & aims It has been just over a year since the Covid-19 pandemic started. The top 50 cited articles on this subject would help identify trends and focus on the research efforts. Methods We utilised e-utilities in PubMed to... more
    Background & aims It has been just over a year since the Covid-19 pandemic started. The top 50 cited articles on this subject would help identify trends and focus on the research efforts. Methods We utilised e-utilities in PubMed to find publications on Covid-19 until the date of search on 7/2/21. The iCite website was used to find the top 50 citations of the output from the search strategy. We looked into their full text for the editorial dates, type of study, level of evidence, focus of the article and country of origin. We also counted the errata and comments on each of them. Results The total number of citations of all 50 articles was 123,960, the highest being 10, 754 for a single article. Huang C was the most cited first author. They were published from week 4–17, with February being the month with most citations. Lancet was the most cited journal, having published 9 of the 50 articles. Majority belonged to level 3 of the evidence ladder and were retrospective studies. Thirty percent of them had an errata published and an average of 7 comments per article. Conclusion The top 50 most cited articles identify the most impactful studies on Covid-19, providing a resource to educators while identifying trends to guide research and publishing efforts. There has been an explosion of publications and an unprecedented rate and number of citations within the first year for any single condition in the literature.
    Background: The medial patellofemoral ligament (MPFL) is the primary passive restraint to lateral patellar dislocation and there is increasing awareness of its role in recurrent lateral patellar instability.Purpose: This study was... more
    Background: The medial patellofemoral ligament (MPFL) is the primary passive restraint to lateral patellar dislocation and there is increasing awareness of its role in recurrent lateral patellar instability.Purpose: This study was conducted to prospectively analyze the functional results of a modified MPFL reconstruction technique in recurrent patellar dislocation.Study Design: Case series; Level of evidence, 4.Methods: Forty-eight patients (51 knees) with at least 3 episodes of lateral patellar dislocation who had been treated with a 6-month rehabilitation protocol were included in this study. All patients practiced sports regularly. Reconstruction was with a semitendinosus tendon using a divergent 2-tunnel technique. Outcome was evaluated with the Kujala, Larsen, modified Lysholm, and Fulkerson outcome scores. Patient satisfaction with range of motion, pain, and sporting activities was also assessed.Results: Three patients were lost at the final follow-up, giving a follow-up rate ...
    Retrospective cohort study. To study the incidence of concomitant calcaneum fractures in participants with traumatic spine fractures and to study the association of calcaneum injury with the mode of trauma, morphology and level of... more
    Retrospective cohort study. To study the incidence of concomitant calcaneum fractures in participants with traumatic spine fractures and to study the association of calcaneum injury with the mode of trauma, morphology and level of vertebral fracture and neurological status in participants with concomitant spine and calcaneum fracture. Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi, India. Records of participants with traumatic spine fractures were analyzed. Participants who had calcaneum fracture confirmed on radiographs were considered to have concomitant spine and calcaneum fracture. In these participants, variables noted were age, gender, mode of trauma, level and morphology of vertebral fracture and neurological status. Concomitant calcaneum fracture was present in 43 participants out of a total of 358. The lumbar spine was involved in 72.09% of participants. 46.51% of participants had complete burst type of vertebral fractures. Neurology was found to be intact in 58.13% of participants. The association of concomitant calcaneum injury with the level of spine fracture and type of fracture were found to be statistically significant (p < 0.05). In particular, the association of concomitant calcaneal fracture with intact neurology and incomplete paraplegia (ASIA B, C or D) as compared to spinal injury cases without calcaneal fractures was statistically significant (p < 0.001). Calcaneum fractures co-exist with spine fractures in 12.01% participants. Concomitant calcaneal fracture(s) with spine trauma indicate a greater chance of incomplete injury or intact neurology possibly due to dispersion of force vectors.
    Retrospective cohort study. To study the incidence of concomitant calcaneum fractures in participants with traumatic spine fractures and to study the association of calcaneum injury with the mode of trauma, morphology and level of... more
    Retrospective cohort study. To study the incidence of concomitant calcaneum fractures in participants with traumatic spine fractures and to study the association of calcaneum injury with the mode of trauma, morphology and level of vertebral fracture and neurological status in participants with concomitant spine and calcaneum fracture. Central Institute of Orthopaedics, Safdarjung Hospital, New Delhi, India. Records of participants with traumatic spine fractures were analyzed. Participants who had calcaneum fracture confirmed on radiographs were considered to have concomitant spine and calcaneum fracture. In these participants, variables noted were age, gender, mode of trauma, level and morphology of vertebral fracture and neurological status. Concomitant calcaneum fracture was present in 43 participants out of a total of 358. The lumbar spine was involved in 72.09% of participants. 46.51% of participants had complete burst type of vertebral fractures. Neurology was found to be intact in 58.13% of participants. The association of concomitant calcaneum injury with the level of spine fracture and type of fracture were found to be statistically significant (p < 0.05). In particular, the association of concomitant calcaneal fracture with intact neurology and incomplete paraplegia (ASIA B, C or D) as compared to spinal injury cases without calcaneal fractures was statistically significant (p < 0.001). Calcaneum fractures co-exist with spine fractures in 12.01% participants. Concomitant calcaneal fracture(s) with spine trauma indicate a greater chance of incomplete injury or intact neurology possibly due to dispersion of force vectors.
    Purpose Arthroscopy is an established sub-speciality in orthopaedics. With advancing technology, instrumentation and implants, this sub-speciality has seen an explosion of knowledge and techniques since its inception. The indications for... more
    Purpose Arthroscopy is an established sub-speciality in orthopaedics. With advancing technology, instrumentation and implants, this sub-speciality has seen an explosion of knowledge and techniques since its inception. The indications for arthroscopic management are increasing and, hence, the number of publications on this topic. There has been no study looking into the bibliometrics of all publications within this speciality. The purpose of this study was to look into the trends of published articles on arthroscopy from PubMed and Scopus including studying their citation numbers. Materials and methods We set out to look into the number of publications from the earliest up to 2019 and their trends and citation numbers in PubMed and Scopus. We also performed a VOS viewer analysis of MeSH terms and titles of publications to look at research trends over time. Results There were 41,149 articles published on PubMed since 1955 and 50,373 articles on Scopus since 1939. The total number of c...
    Purpose Arthroscopy is an established sub-speciality in orthopaedics. With advancing technology, instrumentation and implants, this sub-speciality has seen an explosion of knowledge and techniques since its inception. The indications for... more
    Purpose Arthroscopy is an established sub-speciality in orthopaedics. With advancing technology, instrumentation and implants, this sub-speciality has seen an explosion of knowledge and techniques since its inception. The indications for arthroscopic management are increasing and, hence, the number of publications on this topic. There has been no study looking into the bibliometrics of all publications within this speciality. The purpose of this study was to look into the trends of published articles on arthroscopy from PubMed and Scopus including studying their citation numbers. Materials and methods We set out to look into the number of publications from the earliest up to 2019 and their trends and citation numbers in PubMed and Scopus. We also performed a VOS viewer analysis of MeSH terms and titles of publications to look at research trends over time. Results There were 41,149 articles published on PubMed since 1955 and 50,373 articles on Scopus since 1939. The total number of c...
    Background and Purpose: COVID-19 was declared as a pandemic on March 11, 2020 by World Health Organization. Resident doctors, including interns, are the frontline of health care workers, have always been at risk of infectious diseases,... more
    Background and Purpose: COVID-19 was declared as a pandemic on March 11, 2020 by World Health Organization. Resident doctors, including interns, are the frontline of health care workers, have always been at risk of infectious diseases, and the spread of the novel severe acute respiratory syndrome (SARS)-CoV-2 virus. The purpose of this survey was to gather opinions about personal safety, general knowledge, preventive behaviors, attitude, risk perception on COVID-19, and institutional approach toward this pandemic. Methods: This cross-sectional, online survey-based study was conducted from April 18, 2020 to April 21, 2020 in India. Data was collected from health care professionals, mainly frontline doctors, that is, residents and interns. Questionnaire consisted of 41 questions, statistical analysis was done using SPSS software version 26 (IBM Corp). Chi-square test was used to investigate the level of association among variables at the significance level of P < 0.05. Results: Abo...
    Background and Purpose: COVID-19 was declared as a pandemic on March 11, 2020 by World Health Organization. Resident doctors, including interns, are the frontline of health care workers, have always been at risk of infectious diseases,... more
    Background and Purpose: COVID-19 was declared as a pandemic on March 11, 2020 by World Health Organization. Resident doctors, including interns, are the frontline of health care workers, have always been at risk of infectious diseases, and the spread of the novel severe acute respiratory syndrome (SARS)-CoV-2 virus. The purpose of this survey was to gather opinions about personal safety, general knowledge, preventive behaviors, attitude, risk perception on COVID-19, and institutional approach toward this pandemic. Methods: This cross-sectional, online survey-based study was conducted from April 18, 2020 to April 21, 2020 in India. Data was collected from health care professionals, mainly frontline doctors, that is, residents and interns. Questionnaire consisted of 41 questions, statistical analysis was done using SPSS software version 26 (IBM Corp). Chi-square test was used to investigate the level of association among variables at the significance level of P < 0.05. Results: Abo...
    As we step into a technology powered era, where information is available everywhere, managing data forms an important part of professional and everyday life. With developments like online databases, high definition videos and images,... more
    As we step into a technology powered era, where information is available everywhere, managing data forms an important part of professional and everyday life. With developments like online databases, high definition videos and images, social media, robotics, explosion of academic publications, telecommunication, artificial intelligence and internet of things, there is a variable amount of data that the orthopaedic surgeon is exposed to and has to deal with on a regular basis. It is imperative that the surgeon has a basic working knowledge on data and its applications in relation to the field of orthopaedic surgery. This review introduces the surgeon to data and its types, its sources, collection, Electronic Medical Records (EMR), management after collection, Big data and legal issues related to data. Data generators from megabytes to yottabytes are discussed along with options for their storage and analysis. Knowledge on the types of data is important to decide on the type of statist...
    As we step into a technology powered era, where information is available everywhere, managing data forms an important part of professional and everyday life. With developments like online databases, high definition videos and images,... more
    As we step into a technology powered era, where information is available everywhere, managing data forms an important part of professional and everyday life. With developments like online databases, high definition videos and images, social media, robotics, explosion of academic publications, telecommunication, artificial intelligence and internet of things, there is a variable amount of data that the orthopaedic surgeon is exposed to and has to deal with on a regular basis. It is imperative that the surgeon has a basic working knowledge on data and its applications in relation to the field of orthopaedic surgery. This review introduces the surgeon to data and its types, its sources, collection, Electronic Medical Records (EMR), management after collection, Big data and legal issues related to data. Data generators from megabytes to yottabytes are discussed along with options for their storage and analysis. Knowledge on the types of data is important to decide on the type of statist...
    A 28 years old lady presented with complaint of chronic left hip pain for 4 years, which increased with exertion and relieved with rest and medication and referred to the left knee. There was no history of fever, pain at any other site or... more
    A 28 years old lady presented with complaint of chronic left hip pain for 4 years, which increased with exertion and relieved with rest and medication and referred to the left knee. There was no history of fever, pain at any other site or dif iculty in walking. On local examination there was mild tenderness over left anterior hip associated with slight restriction of terminal movements. Plain radiograph of pelvis with bilateral hip joints revealed erosion on the inferomedial aspect of the femoral neck. MRI revealed a synovial lesion around neck. Needle biopsy was done from this site and soft tissue mass under C-arm guidance. Report of the biopsy was inconclusive. Post biopsy patient sustained trivial trauma while ambulation followed by severe pain in the affected hip. Plain radiograph revealed fracture neck femur. An excision biopsy with uncemented modular bipolar hemiarthroplasty was planned. Intraoperatively multiple rice bodies were seen in the left hip joint. Synovial lesion loc...
    A 28 years old lady presented with complaint of chronic left hip pain for 4 years, which increased with exertion and relieved with rest and medication and referred to the left knee. There was no history of fever, pain at any other site or... more
    A 28 years old lady presented with complaint of chronic left hip pain for 4 years, which increased with exertion and relieved with rest and medication and referred to the left knee. There was no history of fever, pain at any other site or dif iculty in walking. On local examination there was mild tenderness over left anterior hip associated with slight restriction of terminal movements. Plain radiograph of pelvis with bilateral hip joints revealed erosion on the inferomedial aspect of the femoral neck. MRI revealed a synovial lesion around neck. Needle biopsy was done from this site and soft tissue mass under C-arm guidance. Report of the biopsy was inconclusive. Post biopsy patient sustained trivial trauma while ambulation followed by severe pain in the affected hip. Plain radiograph revealed fracture neck femur. An excision biopsy with uncemented modular bipolar hemiarthroplasty was planned. Intraoperatively multiple rice bodies were seen in the left hip joint. Synovial lesion loc...
    BACKGROUND Patients with postpolio residual paralysis can develop disabling hip arthritis in paralytic as well as a nonparalytic limb, warranting total hip arthroplasty (THA). Limited literature is available on the results of THA among... more
    BACKGROUND Patients with postpolio residual paralysis can develop disabling hip arthritis in paralytic as well as a nonparalytic limb, warranting total hip arthroplasty (THA). Limited literature is available on the results of THA among these patients in the form of small series or case reports. We have undertaken a systematic review to evaluate the clinical outcome of THA in patients with poliomyelitis with hip pathologies. METHODS A systematic search of electronic databases of PubMed, Scopus, and Web of Science pertaining to English literature was undertaken from 1945 to August 2020 to assess the results of THA in patients with poliomyelitis. Information was gathered about demographics, indication, clinical course, complications, functional outcome, survival, and need for any revision surgery in these patients. RESULTS The literature search revealed 81 articles. Finally, after deduplication and manual selection, 16 relevant articles (128 hips) were included for evaluation. There is a paucity of literature evaluating THA in patients with poliomyelitis over the last 2 decades. The principal reason for arthroplasty was osteoarthritis of the hip in the ipsilateral (paralyzed) limb. A combination of cemented, uncemented, and hybrid implant fixation system was found to be used by surgeons. Addressing instability and perioperative management of limb length discrepancy were found to be challenging propositions. CONCLUSION THA remains an effective intervention to relieve pain and improve quality of life in patients of poliomyelitis afflicted with either primary or secondary arthritis of the hip. The use of uncemented nonconstrained hip implant designs appears to demonstrate better results than constrained implants.
    BACKGROUND Patients with postpolio residual paralysis can develop disabling hip arthritis in paralytic as well as a nonparalytic limb, warranting total hip arthroplasty (THA). Limited literature is available on the results of THA among... more
    BACKGROUND Patients with postpolio residual paralysis can develop disabling hip arthritis in paralytic as well as a nonparalytic limb, warranting total hip arthroplasty (THA). Limited literature is available on the results of THA among these patients in the form of small series or case reports. We have undertaken a systematic review to evaluate the clinical outcome of THA in patients with poliomyelitis with hip pathologies. METHODS A systematic search of electronic databases of PubMed, Scopus, and Web of Science pertaining to English literature was undertaken from 1945 to August 2020 to assess the results of THA in patients with poliomyelitis. Information was gathered about demographics, indication, clinical course, complications, functional outcome, survival, and need for any revision surgery in these patients. RESULTS The literature search revealed 81 articles. Finally, after deduplication and manual selection, 16 relevant articles (128 hips) were included for evaluation. There is a paucity of literature evaluating THA in patients with poliomyelitis over the last 2 decades. The principal reason for arthroplasty was osteoarthritis of the hip in the ipsilateral (paralyzed) limb. A combination of cemented, uncemented, and hybrid implant fixation system was found to be used by surgeons. Addressing instability and perioperative management of limb length discrepancy were found to be challenging propositions. CONCLUSION THA remains an effective intervention to relieve pain and improve quality of life in patients of poliomyelitis afflicted with either primary or secondary arthritis of the hip. The use of uncemented nonconstrained hip implant designs appears to demonstrate better results than constrained implants.
    We have studied the growth of three Indian orthopedic journals indexed in PubMed, Scopus, and EMBASE, namely, Indian Journal of Orthopaedics (IJO), Journal of Clinical Orthopaedics and Trauma (JCOT), and Journal of Orthopaedics (JOO).... more
    We have studied the growth of three Indian orthopedic journals indexed in PubMed, Scopus, and EMBASE, namely, Indian Journal of Orthopaedics (IJO), Journal of Clinical Orthopaedics and Trauma (JCOT), and Journal of Orthopaedics (JOO). SCOPUS and PubMed databases (2015–2020) were used. The numbers of papers published and citations received to date (since 2015) in these journals were as follows: JCOT (1158 articles; 2060 times), JOO (1070 articles; 2429 times), and IJO (888 articles; 1872 times). The publication and citation trends are rising for JCOT and JOO and have been constant for the IJO. All three journals have seen significant growth and have acted as torch bearers of knowledge shared by orthopedic surgeons in India and Asia.
    We have studied the growth of three Indian orthopedic journals indexed in PubMed, Scopus, and EMBASE, namely, Indian Journal of Orthopaedics (IJO), Journal of Clinical Orthopaedics and Trauma (JCOT), and Journal of Orthopaedics (JOO).... more
    We have studied the growth of three Indian orthopedic journals indexed in PubMed, Scopus, and EMBASE, namely, Indian Journal of Orthopaedics (IJO), Journal of Clinical Orthopaedics and Trauma (JCOT), and Journal of Orthopaedics (JOO). SCOPUS and PubMed databases (2015–2020) were used. The numbers of papers published and citations received to date (since 2015) in these journals were as follows: JCOT (1158 articles; 2060 times), JOO (1070 articles; 2429 times), and IJO (888 articles; 1872 times). The publication and citation trends are rising for JCOT and JOO and have been constant for the IJO. All three journals have seen significant growth and have acted as torch bearers of knowledge shared by orthopedic surgeons in India and Asia.
    Study Design: A retrospective study was done to assess the outcome of the new technique of flipped reposition laminoplasty for excision of intradural extramedullary (IDEM) spinal tumors of the thoracolumbar region.Purpose: To describe... more
    Study Design: A retrospective study was done to assess the outcome of the new technique of flipped reposition laminoplasty for excision of intradural extramedullary (IDEM) spinal tumors of the thoracolumbar region.Purpose: To describe flipped reposition laminoplasty technique and evaluate its outcomes. Overview of Literature: Laminectomy has been the conventional approach for the surgical excision of IDEM spinal tumors, but it has potential postoperative complications. Laminoplasty maintains the posterior arch of the spine and avoids complications seen in Laminectomy, such as instability, epidural scarring, and kyphotic deformity.Methods: Fourteen patients (nine females and five males) diagnosed with IDEM tumors of the thoracolumbar region operated between 2016 and 2018 were included in this study. Pathologically, five cases were schwannomas; four cases were meningiomas; two cases were ependymomas; and one case each was lymphoma, neurofibroma, and teratoma. All patients had their ne...
    Study Design: A retrospective study was done to assess the outcome of the new technique of flipped reposition laminoplasty for excision of intradural extramedullary (IDEM) spinal tumors of the thoracolumbar region.Purpose: To describe... more
    Study Design: A retrospective study was done to assess the outcome of the new technique of flipped reposition laminoplasty for excision of intradural extramedullary (IDEM) spinal tumors of the thoracolumbar region.Purpose: To describe flipped reposition laminoplasty technique and evaluate its outcomes. Overview of Literature: Laminectomy has been the conventional approach for the surgical excision of IDEM spinal tumors, but it has potential postoperative complications. Laminoplasty maintains the posterior arch of the spine and avoids complications seen in Laminectomy, such as instability, epidural scarring, and kyphotic deformity.Methods: Fourteen patients (nine females and five males) diagnosed with IDEM tumors of the thoracolumbar region operated between 2016 and 2018 were included in this study. Pathologically, five cases were schwannomas; four cases were meningiomas; two cases were ependymomas; and one case each was lymphoma, neurofibroma, and teratoma. All patients had their ne...

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