@article{Quadri_2023,

title = {A study of factors affecting and outcomes in difficult total knee arthroplasty},

author = {Saadullah Khan Quadri and Mohammed Akram and Mohammed Siddique Mohiuddin and Mohammed Abdul Bari and Mohammed Abid Hussain and Mohammed Firdouse and Asapanna Naga Sai Venkata Yeshwanth},

url = {https://healthcare-bulletin.co.uk/article/volume-13-issue-4-pages306-312-ra/},

doi = {10.5083/ejcm},

issn = {2042-4884},

year  = {2023},

date = {2023-10-20},

urldate = {2023-10-20},

journal = {European Journal of Cardiovascular Medicine},

volume = {13},

issue = {4},

pages = {306-312},

abstract = {Background: This prospective observational study was undertaken to look into the factors that affect the outcome of total knee arthroplasty and the short-term results of total knee replacements in complex knee pathologies. Methods: This prospective observational study was conducted between 2021 and 2023 at Owaisi Hospital and Research Centre, Hyderabad. A consecutive series of 12 total knee arthroplasties was performed on 12 patients at our institute using PFC Sigma endoprosthesis. The patients were assessed clinically and radiologically using the INSALL scoring system.  Results: The average pre-operative range of motion (flexion) was 45˚, with a highest of 120˚ and a lowest of 0˚. The average post-operative flexion was 102˚, with a highest of 130˚ and a lowest of 90˚. The average extension lag preoperatively was 18˚, and the average postoperative extension lag was less than 10˚. The average pre-operative knee score was 64.84, with the highest score of 91 and the lowest score of 40. The majority of the patients had a score in the range of 51–100. The average post-operative knee score was 136.84, with the highest score of 160 and the lowest score of 120. A majority of the patients had an improvement in score in the range of 101–150. At 6 months, follow-up relief was excellent in most patients; only 10 patients had anterior knee pain, and all the patients were able to walk more than 50 blocks post-operatively without any walking aid. Conclusion: Determining the factors resulting in a difficult knee helps in formulating an appropriate surgical approach, which results in a better functional outcome following total knee arthroplasty.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bari_2023b,

title = {Functional and radiological outcome by various modalities of surgical fixation of proximal humerus fracture},

author = {Mohammed Abdul Bari and Mohammed Hassan Rafeeq and Bandela Venugopal and Mohmad Irfan Nagnur},

url = {https://www.jcdronline.org/admin/Uploads/Files/6493ad4bac2d60.00919020.pdf},

issn = {0975-3583},

year  = {2023},

date = {2023-06-30},

urldate = {2023-06-30},

journal = {Journal of Cardiovascular Disease Research},

volume = {14},

issue = {6},

pages = {1122-1129},

abstract = {In this study, we wanted to test the efficacy and functional outcome of locking compression plate in proximal humerus fractures, evaluate the incidence of complication that may occur with locking compression plate in proximal humerus fractures, study different modalities of fixations in proximal humerus fractures, and assess and compare the functional outcome. Material and Methods: This was a hospital based observational study conducted among 20 patients who were diagnosed with proximal humerus fracture attending the Department of Orthopaedics, Deccan College of Medical Sciences, Tertiary Care Centre, Hyderabad, from October 2018 to August 2019 after obtaining clearance from the institutional ethics committee and written informed consent from the study participants. Results: ORIF with LCP (35%) was the most common modality of treatment. Percutaneous pinning was done in 20% of the patients. 15% of them had CRIF with IM nails. ORIF with k wires and ORIF with k wires and cancellous wires were done in 10% of patients each. Shoulder hemiarthroplasty and ORIF with Ethibond suture were done in 5% of patients each. 55% of the patients developed complications in the post-operative period in the form of infections and stiffness. Of the twenty patients, four (20%) had excellent results, thirteen patients (65%) had satisfactory results, one (5%) had unsatisfactory results and one (5%) was a failure. Conclusion: Proximal humerus fractures are more common in 30-39 years and 40-49 years. It is more common in females. The most common cause is RTA. 2-part fracture is most common. ORIF with LCP was the most common modality of treatment. About half the patients had complications in the form of infections and stiffness.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bari_2023,

title = {Study of evaluation of functional outcome of compound fractures of tibia treated surgically by unreamed interlocking nail in adult patients},

author = {Mohammed Abdul Bari and Mohammed Akram and Bandela Venugopal and Mohmad Irfan Nagnur},

url = {https://healthcare-bulletin.co.uk/article?article_id=770&download=true},

issn = {2042-4884},

year  = {2023},

date = {2023-06-21},

urldate = {2023-06-21},

journal = {European Journal of Cardiovascular Medicine},

volume = {13},

issue = {2},

pages = {1504-1521},

abstract = {Background and Objectives: Intramedullary interlocking nailing is currently considered the treatment of choice foropen(grade 1 and grade 2)tibial shaft fractures, with high rates of fracture union, advantages of early stabilization which decreases the morbidity and mortality rates in patients, allows early mobilization, reduces the incidence of infection,malunion,nonunion, or implant failure. This study is done to assess compound diaphyseal fractures of tibia and to evaluate the functional outcome of patients with open tibial shaft fracture treated with locked intramedullary nailing without reaming. Methods: Twenty adult patients of both sexes presented with open tibial shaft fractures to Princess Esra Hospital, Deccan College of medical sciences,Hyderabad who satisfies our inclusion criteria and are surgically fit are included in this study. All enrolled Patients were admitted from March 2020 to December 2021 were treated surgically with locked intramedullary interlocking nailing tibia without reaming and evaluated. Final assessment of functional outcome is done using JOHNER and WRUH’S Criteria. Results: The results of interlocking nail for fracture tibia without reaming were excellent in 15 patients (75%), good in 3 patients (15%) and fair in 2 patients (10%).  The average healing time was 20.13 weeks. In our study valgus deformity of 3 degrees (3 patients) and varus deformity of 3 degrees (1 patient) is seen. There were 1 superficial infection (5%), 2 patients with anterior knee pain (10%), 1 patient with delayed union (5%) and 1 patient with shortening of 1cm seen (5%). Conclusion: The method of treatment employing closed intramedullary interlocking nailing without reaming to stabilize open (type 1 and type 2) diaphyseal fractures of tibia is ideal because of its excellent and good results. The method has a long learning curve but with the excellent results. The advantages of rapid rehabilitation and relatively few complications serve to recommend it for wider use.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Siddiquie_2023,

title = {Prevalence of vitamin D deficiency in pregnant population at the first antenatal visit},

author = {Asfia Siddiquie and Amera Afeen and Mohammed Jalal Mohiuddin and Md. Jaan Basha and Chavva Shamsunder},

url = {https://journals.lww.com/jasi/fulltext/2022/19020/prevalence_of_vitamin_d_deficiency_in_pregnant.4.aspx},

doi = {10.4103/joasis.joasis_30_22},

issn = {2667-3665},

year  = {2023},

date = {2023-02-09},

urldate = {2023-02-01},

journal = {Journal of Orthopaedic Association of South Indian States},

volume = {19},

issue = {2},

pages = {65-69},

publisher = {Medknow Wolters Kluwer},

abstract = {Background: Vitamin D deficiency is a growing health concern and pregnant population is considered to be high risk group. The proposed regimen for the Vitamin D supplementation during pregnancy is 400 IU,1000 IU daily for routine and high risk group (dark skin, obese, inadequate sunlight exposure) respectively. 20,000 units weekly for 6-8 weeks followed by maintenance dose in population with Vitamin D deficiency. The effects of Vitamin D deficiency include pre-eclampsia, increased LSCS incidence, impaired glucose tolerance for mother and low birth weight, hypocalcaemia, poor skeletal growth and immunity for the foetus. Although food may provide small amounts of both vitamin D3 (cholecalciferol) and vitamin D2 (ergocalciferol), exposure to sunlight is by far the major source of vitamin D to the body, the vitamin being synthesized from cholesterol derivatives.

Materials and Method: A cross sectional study over 50 subjects was done after ethical clearance in the department of orthopedics of our medical college. The blood samples along with demographic and clinical data in a questionnaire collected.

Results: The results revealed 92% of the study subjects to have either deficiency or insufficiency of vitamin D. The various other parameters contributing directly or indirectly were evaluated.

Conclusion and Recommendation: There is need for taking a multidisciplinary approach to patient care and referral to Orthopedics department at the earliest red flags signs of vitamin D deficiency. Creating awareness in the target population can be achieved with counselling and using print media with the pregnancy kits.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Basha_2022,

title = {Streeter's syndrome of lower limb associated with CTEV},

author = {Md. Jaan Basha and Mohmad Irfan Nagnur and Mohammed Siddique Mohiuddin and Mohammed Jalal Mohiuddin and Sajid Salman and Chavva Shamsunder},

url = {https://jocr.co.in/wp/show-pdf/?file=43533},

doi = {10.13107/jocr.2022.v12.i12.3460},

issn = {2250-0685},

year  = {2022},

date = {2022-01-01},

urldate = {2022-01-01},

journal = {Journal of Orthopaedic Case Reports},

volume = {12},

issue = {12},

pages = {50-53},

publisher = {Indian Orthopaedic Research Group},

abstract = {Introduction: The term Streeter’s syndrome is a term used to describe rare congenital malformations that includes a variety of clinical presentations usually consisting of a constriction band around a part of the body which can be as superficial as involving just the skin which can be only cosmetic and asymptomatic or can be as deep as causing restricted circulation distally which may be in incompatible with life. Such conditions are remarkably rare accounting for an incidence range from 1:1.2 k to 1: 15 k live births and 178:10 k spontaneous abortions [1]. Males and females are uniformly affected. Almost all cases are sporadic; extremely rare evidence of familial transmission. The entity has been described in the literature in 34 different terms, (such as amniotic rupture sequence, ADAM complex, constriction band syndrome, Streeter’s dysplasia, etc.) due to its extremely variable clinical features and lack of understanding of the etiology. This results in a lack of understanding and creates unnecessary stress for the surgeon/physician as well as the parents. Case Report: We discuss case reports of two such cases with their simple nature of treatment with their outcomes. Conclusion: There is a significant deficit in the education of cases with low incidence, such is the case with pediatric patients presenting with amniotic bands, which usually present and are associated with Congenital Talipes Equino Varus deformity. In such cases, improper or incorrect treatment and/or neglect of the constriction may lead to the vascular deficit and eventually auto-amputation of the segment distal to the amniotic band.},

key = {pmid37056605},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bengaluri_2021,

title = {A comparative study between laprade and larson‘s technique for posterolateral corner [PLC] injury of knee},

author = {Ramesh Bengaluri and C. Rahul Reddy and B. Venkatesh and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2021/vol7issue2/PartC/7-1-145-824.pdf},

doi = {10.22271/ortho.2021.v7.i2c.2628},

issn = {2395-1958},

year  = {2021},

date = {2021-03-11},

urldate = {2021-03-11},

journal = {International Journal of Orthopaedics Sciences },

volume = {7},

issue = {2},

pages = {174-180},

abstract = {In the last few decades, injuries to the knee joint are common because of knee pivoting sports. The mechanism of injury to the PLC is due to direct varus stress, hyperextension, or twisting of the knee. These injuries are commonly associated with cruciate ligament tears, but PLC injury are usually overlooked or misdiagnosed. If Left untreated, it can cause chronic pain and residual instability. PLC reconstruction is normally advocated for grade 2 or 3 lesions, as it is superior to conservative treatment. This study is to compare larson’s and laparde techinque. In Larson’s technique there is reconstruction of the fibular collateral ligament and popliteo fibular ligament. In LaPrade technique popliteus graft is reinforced to the PLC. This is a prospective study conducted in 40 patients between April 2016 to January 2018 in Deccan Medical College and Hospitals, to compare the clinical outcome of Laprade and Larson’s techniques in terms of best post-operative stability and function of an isolated PLC injury. Inclusion criteria:age ranging from 18 to 40 years, Posterio lateral corner injury, No previous surgery or damage in the affected knee or the contralateral knee. Exclusion criteria: Patients with medial collateral ligament injury, cruciate ligament injury, generalized ligamentous laxity and arthritis knee. Methods and analysis of results: it is randomized study between Larson’s technique and Laprade’s technique. Postoperative evaluation: is by Lysholm score, IKDC scores and Postoperative complications. In conclusion it revealed that both methods are significant, and equally good at postoperative outcomes.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Bengaluri_2021b,

title = {Salvage procedures in post-polio residual paralysis (PPRP) with or without arthritis},

author = {Ramesh Bengaluri and C. Rahul Reddy and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2021/vol7issue1/PartK/7-1-93-263.pdf},

doi = {10.22271/ortho.2021.v7.i1k.2559},

issn = {2395-1958},

year  = {2020},

date = {2020-12-21},

urldate = {2020-12-21},

journal = {International Journal of Orthopaedics Sciences},

volume = {7},

issue = {1},

pages = {681-683},

abstract = {Poliomyelitis is a rare disease at present, but presentation with its sequalae is not uncommon. In this study we are presenting 5 different cases with 5 different deformities in lower limb, who were managed with arthrodesis, tendon transfer, and osteotomies in combination. All the 5 patients were satisfied with their gait and pain relief after surgery compared with pre-operative status. All patients were followed for period of 2 years post operatively, no major complications were encountered. In conclusion, because of gross muscle power compromise replacement surgeries will not give good results in post residual paralysis patients, so salvage procedures definitely improve the performances of patients with painful unstable joints. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Jaanbasha_2020,

title = {Role of tranexamic acid (TXA) administered locally into the surgical site intraoperatively in reducing the post-operative blood loss in hip arthroplasty},

author = {Md Jaan Basha and Chavva Shamsundar and Lalitmohan},

url = {https://www.orthopaper.com/archives/?year=2020&vol=6&issue=4&part=J&ArticleId=2404},

doi = {10.22271/ortho.2020.v6.i4j.2404},

issn = {2395-1958},

year  = {2020},

date = {2020-10-01},

urldate = {2020-10-01},

journal = {International Journal of Orthopaedics Sciences},

volume = {6},

issue = {4},

pages = {679–681},

publisher = {AkiNik Publications},

abstract = {Total hip arthroplasty (THA) has revolutionized the quality of life of men and women of all ages since the 1960s, earning the title of “the operation of the century. Being a measure surgery there is considerable loss of blood in intra and post operative period along with drop in the level of hemoglobin. Average blood loss is around 1000ml (450 to 1900ml) and the mean hemoglobin fall is 2.1 ± 1.1 g/dl. There are various methods available to control and decrease the blood loss intra and post operatively. Systemic administration of tranexamic acid has been studied and its effectiveness being proved in literature and commonly being used in orthopedics, gynecology and neuro surgery. But, Administration and the effects of tranexamic acid into the operative site haven’t been published in literature, to the best of our knowledge. Present study is based on the estimation of effectiveness of TXA at the surgical site after wound closure.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2020c,

title = {Iatrogenic physeal plate injuries and its sequelae},

author = {Mohammed Jalal Mohiuddin and Mohammed Siddique Mohiuddin and C. Rahul Reddy},

url = {https://www.ijmsir.com/asset/images/uploads/15866649853598.pdf},

issn = {2458-868X},

year  = {2020},

date = {2020-04-30},

urldate = {2020-04-30},

journal = {International Journal of Medical Science and Innovative Research},

volume = {5},

issue = {2},

pages = {66-69},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2020c,

title = {A case report of aneurysmal bone cyst proximal tibia treated with intra-lesional curettage and bone graft cement},

author = {Mazharuddin Ali Khan and Mohammed Amanul Haq Qureshi and Shaik Vazeer Uddin},

url = {https://www.worldwidejournals.com/international-journal-of-scientific-research-(IJSR)/fileview/a-case-report-of-aneurysmal-bone-cyst-proximal-tibia-treated-with-intraandamp-ndash-lesional-curettage-and-bone-graft-cement_March_2020_1582979287_5207453.pdf},

doi = {10.36106/ijsr},

issn = {2277-8179},

year  = {2020},

date = {2020-03-31},

urldate = {2020-03-31},

journal = {International Journal of Scientific Research},

volume = {9},

issue = {3},

pages = {30-32},

abstract = {Aneurysmal bone cyst, abbreviated ABC, is an osteolytic bone neoplasm characterized by several sponge-like blood or serum lled, generally non-endothelialized spaces of various diameters.[1].The term is a misnomer, as the lesion is neither an aneurysm nor a cyst.[1]. Aneurysmal bone cysts (ABCs) are benign bone lesions arising predominantly in the pediatric population more often in females (2:1), usually before the age of 20 years,

and most commonly in long bones metaphysis origin that can cause local pain, swelling, and pathologic fracture. Primary lesions, which constitute roughly two thirds of all ABCs, are thought to be neoplastic in nature due to translocation t(16;17)(q22;p13) leading to juxtaposition of promoter region CDH11 on 16q22, with one third of ABCs arising secondary to other tumors. Diagnosis is made with various imaging modalities, which

exhibit characteristic features such as “uid-uid levels,” Currently, the standard of care and most widely employed treatment is intralesional curettage and bone grafting. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2020b,

title = {Limb length discrepancy (LLD) after lower limb long bone fractures in pediatric age group},

author = {Mohammed Jalal Mohiuddin and C. Rahul Reddy and Syed Abdul Raheem and Chavva Shamsunder and Thoom Shloka},

url = {https://www.orthopaper.com/archives/2020/vol6issue1/PartE/6-1-30-228.pdf},

doi = {10.22271/ortho.2020.v6.i1e.1873},

issn = {2395-1958},

year  = {2019},

date = {2019-12-23},

urldate = {2019-12-23},

journal = {International Journal of Orthopaedics Sciences},

volume = {6},

issue = {1},

pages = {276-279},

abstract = {Background: It has been mentioned that Limb length discrepancy may vary with the age of child, position of fracture and the type of treatment done (ORIF- open reduction and internal fixation/CRIF-closed reduction and internal fixation/Conservative). This treatment methods influence the amount of overriding after reduction of fracture. Aims and Objectives: To determine the Limb Length Discrepancy (LLD) developing after lower limb

long bone fractures in age group 2 years to 16 years. Methodology: They were 20 patients, with history of lower limb long bone fracture with minimal duration post fracture of 6 months. Subject particulars were recorded as per methodology protocol by two different observers. Results: The study group ranged from 3 years to 16 years with mean age of 8.5 years. There were eleven males and nine females. Seven out of twenty patients managed conservatively with plaster application and Open reduction and plating done for 8 patients. Remaining five patients were treated with closed reduction and fixation with either Titanium Elastic nails or external fixator. Post op X ray showed no overriding in eight patients and all were from the group managed by open reduction and plate fixation. Fractures managed by closed reduction found to have over riding which was less than 1 cm in four subjects and 1cm to 2cms in remaining five cases. LLD when measured, it ranged between -1cms to

+3cms (mean +1 cm). Three post fracture limb has no Limb Length Discrepancy (LLD) at all. There was

lengthening seen in rest of patients it was up to 1 cm in 10 and more than 1cm in five cases.2 patients out

of 20 patients developed significant lengthening and presented with limp, so they underwent epiphysiodesis near skeletal maturity. Conclusion: There is need to educate parents and budding orthopedic surgeons regarding the importance of conservative management and acceptance of some degree of allowable mal-alignment. The fractures in pediatric age groups need to be followed till skeletal maturity as there is associated risk of developing LLD during the course of fracture union. This LLD sometime needs intervention in the form of timely epiphysiodesis at the time of near skeletal maturity. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2020,

title = {CTEV- brief over view and short term follow up study},

author = {Mohammed Jalal Mohiuddin and J. Satyanarayana and Sai Rithvika and Syeda Hafsa Razvi and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2020/vol6issue1/PartE/6-1-29-263.pdf},

doi = {10.22271/ortho.2020.v6.i1e.1872},

issn = {2395-1958},

year  = {2019},

date = {2019-12-20},

urldate = {2019-12-20},

journal = {International Journal of Orthopaedics Sciences},

volume = {6},

issue = {1},

pages = {271-275},

abstract = {Background: The plan of studying CTEV correction was proposed as it is one of the common congenital

orthopedic deformity with various available mode of treatment. Among available treatment modalities it

was found that Ponseti method of manipulation is least invasive, easy to learn and highly effective. Under

this impression project was proposed to study its effectiveness. Aim: Aim of study was to evaluate the effectiveness of Ponseti technique of the plaster cast application in the management of CTEV. Objectives: The objectives were to compare the effected limb with the normal limb (in unilateral cases), evaluate the Achilles tendon function and morphology after percutaneous tenotomy clinically and sonologically and to assess the recurrences of deformities. Methodology: The study is Retrospective observational type of study carried out in the Department of Orthopedics with 20 patients diagnosed with CTEV (both unilateral and bilateral) who were treated at our centre from beginning. Pirani score at presentation was taken to quantify the severity of the

deformity. The Ponseti Technique was used to correct this deformity. Percutaneous Tendo Achilles tenotomy was performed in those cases that had resistant equinus deformity. Dennis brown splint was offered to all the patients after complete correction. Ultrasound examination of the hip, vessels, Tendo Achilles was performed to check for underlying hip dysplasia, patency of vessels and for the continuity of Achilles tendon. The strength of the Peronei muscles was measured clinically. Result: It was found that out of 20 patients under study contributing 27 feet, 15 were males and 5 were females. There was bilateral presentation in 7 patients and remaining 13 has unilateral deformity which was on left side in 9 and right side in 4 patients. One patient presented with amniotic band syndrome with right sided CTEV. The average Pirani’s score was 3.74/6. 13 patients showed a Pirani score of 4.5. In patients of unilateral CTEV there was variation in the sizes of foot where the effected foot was smaller than that of the normal with a mean difference of 0.45cms. Great toe shortening was noticed in 17 patients with no significant limb length difference. Ultrasound screening of the hip showed that all the hips were mature and stable with alpha angle being greater than 60 degrees. Ultrasound for the vascular status revealed no abnormality in the wave pattern of the vasculature of effected foot with the normal foot in unilateral cases. In the patient with congenital band syndrome, the peroneal artery was absent. The Tendo Achilles (TA) tendon regained continuity in all the patients that have undergone percutaneous TA tenotomy. Three patients showed recurrence of the deformity and all of them were found noncompliant with the Abduction Brace. These three patients needed surgery for the deformity that has recurred. One had under gone PMSTR; one need limited posterior release and one patient required Tibialis.

Conclusion: The study was about necessity to diagnose this deformity as early as possible, preferably in

antenatal scans. As it helps the patient to seek early intervention for its correction. There are many existing anatomical alterations these all need to be evaluated further in future and their impact on CTEV correction, its relapse and performance of foot in future. The compliance to the abduction brace after correction is most important factor to prevent development of the relapse. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Qureshi_2020,

title = {Case series-spontaneous chronic tendo achilles (TA) rupture and management},

author = {Mohammed Amanul Haq Qureshi and Patlolla Karthik Reddy and Mohammed Jalal Mohiuddin},

url = {https://www.orthoresearchjournal.com/pdf/2020/vol4issue1/PartB/4-1-10-778.pdf},

doi = {10.33545/orthor.2020.v4.i1b.204},

issn = {2521-3466},

year  = {2019},

date = {2019-12-12},

urldate = {2019-12-12},

journal = {National Journal of Clinical Orthopaedics},

volume = {4},

issue = {1},

pages = {90-92},

abstract = {Although being the strongest tendon in the body, the Achilles tendon is the most frequently ruptured tendon in the lower limb and comprises approximately 20% of all large tendon ruptures. The classical site of rupture is generally 3cm-6cm proximal to its insertion into the calcaneal tuberosity, as there is a hypo vascular zone present in this area of tendon. The most common mechanism usually involves eccentric loading on a dorsiflexed ankle with the knee extended (soleus and gastrocnemius on maximal stretch. A bilateral Tendo Achilles rupture is uncommon, and for it to occur spontaneously is notably rare (1%). Risk factors for spontaneous TA ruptures includes local Corticosteroid use Quinolone antibiotics (ciprofloxacin), previous tendon rupture, Systemic disease (like gout, hypothyroidism, diabetes, tuberculosis, gonorrhea, syphilis, systemic lupus erythematosus, rheumatoid arthritis), Ageing, Increased BMI and Primary Achilles tendon tumors etc. Described are the 10 feet (8 patients), two had bilateral presentation. All came after 3 weeks of injury and

treated with debridement, V-Y plasty and FHL (flexor Hallucis Longus) transfer. All patients regained full movements at the ankle and resume their routine activities at 3 months follow-up.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019g,

title = {Variation in the size of foot and great toe in unilateral CTEV (club foot deformity)},

author = {Mohammed Jalal Mohiuddin and Syeda Sadia Sameera and Syeda Hafsa Razvi and Sai Rithvika},

url = {https://www.ijcap.org/journal-article-file/9896},

doi = {10.18231/j.ijcap.2019.066},

issn = {2394-2118},

year  = {2019},

date = {2019-10-12},

urldate = {2019-10-12},

journal = {Indian Journal of Clinical Anatomy and Physiology},

volume = {6},

issue = {3},

pages = {299-303},

abstract = {Introduction: Congenital Talipes Equinovarus (CTEV) is one of the common foot deformities seen in new

born. It has prevalence of 1 in 1000 population with male preponderance. There is lot of anatomical and

functional differences between the effected foot and the normal foot. These differences include variation in

size of foot, size of toes, altered vasculature of foot, muscle imbalance between the everters and invertors

of foot. These differences can easily be made out if it’s a unilateral deformity as the control for comparison

will be the normal foot. Materials and Methods: Present study was done at our institute with coordination with department of orthopedics, including 20 patients with unilateral CTEV. The size of the foot and toes measured after full correction of the deformity. Results: It was found that there is constant decrease in the size of effected foot which is obvious on measurement and there is considerable clinical shortening of the great toe in comparison with the second toe in Club feet. Conclusion: The results obtained in present study will help the orthopedic surgeon to look into the matter of size of foot in future as the child grows and its cosmetic and functional impact over the activity of the subject.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Marupaka_2019,

title = {Avulsion fractures around the knee and their importance},

author = {Sravan Kumar Marupaka and Shweta Kataria and Ravikanth Jakkani and Jampala Venkateshwarlu and Chavva Shamsunder},

url = {https://www.ijcmsr.com/uploads/1/0/2/7/102704056/ijcmsr_312_v1.pdf},

doi = {10.21276/ijcmsr.2019.4.3.54},

issn = {2565-4802},

year  = {2019},

date = {2019-09-21},

urldate = {2019-09-21},

journal = {International Journal of Contemporary Medicine Surgery and Radiology},

volume = {4},

issue = {3},

pages = {C241-C247},

abstract = {Introduction: Avulsion fracture involves pulling off of a bone fragment from the attachment site of a ligament, tendon or joint capsule. Our study evaluated MRI findings associated with avulsion fractures around the knee.

Material and methods: This is a retrospective analytical study of avulsion fractures around the knee. This study has clearance from institutional review board. Informed consent was not needed. There are 62 MRI studies including 51 male and 11 female patients between 14 to 73 years of age. MRI studies of patients with avulsion fractures around the knee were analyzed for associated bone and soft tissue injuries. Results: PCL avulsions with 30 cases was the commonest avulsion around the knee in our study. ACL avulsion noted in 18 cases. Two patients had both cruciates avulsed. There was no statistically significant difference in the medial meniscal injuries between ACL and PCL avulsions with a P value of 0.49 (P < 0.05 is significant). Lateral meniscal injuries

occurred in significantly larger proportion of ACL avulsions compared to PCL avulsions with a P value of 0.007 (P < 0.05 is significant). Conclusion: Significantly larger number of cases of lateral meniscal injuries was seen in ACL avulsions compared to that of PCL. Avulsion fractures are radiographically subtle but are associated with significant soft tissue and bone abnormalities.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohan_2019c,

title = {Study of management of supracondylar femoral fracture using dynamic condylar screw},

author = {Lalith Mohan and Ramesh Bengaluri},

url = {https://www.ijoro.org/index.php/ijoro/article/view/1158/679},

doi = {10.18203/issn.2455-4510.IntJResOrthop20193827 },

issn = {2455-4510},

year  = {2019},

date = {2019-08-26},

urldate = {2019-08-26},

journal = {International Journal of Research in Orthopaedics},

volume = {5},

issue = {5},

pages = {869-874},

abstract = {Background: Supracondylar femoral fracture poses a considerable therapeutic challenge. Operative treatment has become a standardized procedure. Stabilization has usually been achieved by an osteosynthesis with dynamic condylar screws or retrograde supracondylar nailing. In this article we are going to compare the results of surgical management of supracondylar nail and dynamic condylar screw. The aim is to study the effectiveness of dynamic condylar screw in surgical management of supracondylar fractures of femur. Methods: Prospective study of patients who had sustained supracondylar fracture of femur. The patients included in this study were those with supracondylar fractures of the femur with or without articular involvement and disruption of the joint surface. Study was done for a period of two and half years. Results: In our study of 21 cases, there were 8 patients (38%) who had associated fractures. Two patients were more than 50 yrs. 3 patients had compound injury which were grade-II of Gustilo Anderson classification. One of them developed post-operative infection and resulted in poor outcome. Other 2 patients had decrease range of movements resulted in fair outcome. Type C2 constituted highest number 8 (38%) followed by type A3 which was 28.5% i.e., 8 patients. Infection is observed in 9.5% of patients. 2 patients had implant failure and both were due to early weight bearing. In our study excellent and good results were found to be in 61.9%. Conclusions: Role of dynamic compression screw in the surgical management of supracondylar fractures of the femur minimizes the risk of complications.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Basha_2019b,

title = {Evaluation of efficacy of triamcinolone acetate intra articular therapy for knee osteoarthritis: a case control study},

author = {Md. Jaan Basha and Venkat Lakavath},

url = {https://jmscr.igmpublication.org/v7-i7/44%20jmscr.pdf},

doi = {10.18535/jmscr/v7i7.44},

issn = {2347-176X},

year  = {2019},

date = {2019-07-31},

urldate = {2019-07-31},

journal = {Journal of Medical Science and Clinical Research},

volume = {7},

issue = {7},

pages = {223-227},

abstract = {Knee osteoarthritis constitutes a public health concern of immense dimensions, and places a burden on society similar to few other conditions. Corticosteroids are used for treatment. The aim of this study is to evaluate efficacy of intra-articular triamcinolone injections for osteoarthritis of the knee. This is a double blind, prospective, randomized, and controlled study conducted at Deccan college of medical sciences, Hyderabad after obtaining permission from the hospital ethics committee. This study includes 60 patients of both sexes aging from 50-70 years. These patients were divided in two groups randomly by the closed-envelope technique. Diagnosis was done using Kellgren and Lawrence scale for osteoarthritis. The efficacy of pain relief in the 2 groups were compared using Visual analog score (VAS), Oxford knee Score and McGill Quality of life score followed upto 6 months. The study group was given 40mg of 1ml triamcinolone acetate and compared with control normal saline. The base line parameter VAS scores (6.03±1.36 &6.43±1.02) Oxford knee Score (44.46±4.02 & 45.23±5.23) and QOL scores (86.03±4.36 and 85.36±5.32) were comparable. The use of triamcinolone decreased the pain and pain relief was satisfactory to patients and it also improved the Quality of life score   up to 6 months.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Basha_2019,

title = {Evaluation of osteoporosis and osteopenia in elderly people in Hyderabad region},

author = {Md. Jaan Basha and Venkat Lakavath},

url = {https://www.saspublishers.com/article/10789/},

doi = {10.36347/sjams.2019.v07i07.010},

issn = {2320-6691},

year  = {2019},

date = {2019-07-19},

urldate = {2019-07-19},

journal = {Scholars Journal of Applied Medical Sciences},

volume = {7},

issue = {7},

pages = {2312-2316},

abstract = {The aim of this study is to evaluate the incidence of osteoporosis, evaluation of BMD, T-Score, associated serum biochemical factors &socio economic factors in 40 years above men &women. This is a cross sectional study conducted at Princess Esra hospital, Deccan College of medical sciences, Department of orthopedics, after taking informed consent from patients and after obtaining hospital ethics committee permission. In these study 100 patients both males and females above 40 yrs of age presenting with various conditions of non-autoimmune musculoskeletal pains were included in the study. In this study Calcaneal Quantitative Ultrasound (QUS) device used to examine the BMD and the T-score threshold at lumbar spine and femoral neck. In our study, 30% of patients were suffering with osteoporosis and 25% with osteopenia. In males 13% & 10% were suffering with osteoporosis and osteopenia respectively. In females 17% & 15% were suffering with osteoporosis and osteopenia respectively. The BMD and T-scores in males at lumbar spine (1.12±0.14 and -0.7±0.9) and femoral neck (0.93±0.2 and -0.7±0.2), in females at lumbar spine (1.08±0.12and -0.9±1.2) and femoral neck (0.93±0.2 and -1.0±1.1) are comparatively equal. The serum alkaline posphotase, Total cholesterol, uric acid, vitamin D, Calcium also influence the osteoporosis. The socioeconomic factors like occupation, education and physical activity also influence the osteoporosis and osteopenia.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019e,

title = {Musculoskeletal tuberculosis: a diagnostic approach},

author = {Mohammed Jalal Mohiuddin and Syed Farooq Iftekhar Ahmed and Jawad Mirza and Abdul Hai Mohammed and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2019/vol5issue3/PartB/5-2-75-504.pdf},

doi = {10.22271/ortho.2019.v5.i3b.1515},

issn = {2395-1958},

year  = {2019},

date = {2019-06-30},

urldate = {2019-06-30},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {3},

pages = {94-96},

abstract = {Musculoskeletal tuberculosis constitutes 3 percent of extra pulmonary secondary tuberculosis predominantly involving the spine. The variations in its presentation and unclear symptoms make diagnosis difficult in early period. The normal lab values like ESR, TLC, DLC and no clear history of previous pulmonary infection makes the picture unclear and delays the diagnosis. Present work is the overview of the presentation of various musculoskeletal presentations, efficacy of BCG vaccination, time delay in diagnosis, laboratory parameters, x rays and other radiological changes etc. The reliability of the various lab procedures like AFB stain, histopathology, tuberculosis bacteria culture and cartridge-based nucleic acid amplification test (CBNAAT) has also been overviewed. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohan_2019,

title = {Plantar fasciitis-role of intra-lesional steroids injection with multiple puncture technique},

author = {Lalith Mohan and Mohammed Jalal Mohiuddin and Hassan Rafeeq and Chavva Shamsunder and Aslam Mohsin},

url = {https://www.orthopaper.com/archives/2019/vol5issue3/PartN/5-3-115-804.pdf},

doi = {10.22271/ortho.2019.v5.i3n.1633},

issn = {2395-1958},

year  = {2019},

date = {2019-06-23},

urldate = {2019-06-23},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {3},

pages = {822-823},

abstract = {Plantar fasciitis is one of the common OPD presentations in orthopedics. It affects the productivity of the

patients due to its chronic and resistant nature. There is no reproducible investigation for the diagnosis. It

remained the diagnosis of exclusion and most of the time clinical based. There are various treatments available which includes local Ultrasound therapy, MCR (microcellular rubber) sole, silicon soles, Intralesional steroid and PRP (platelet rich plasma). Present study described the modified technique of micro punctures along plantar fascia origin at the time of steroid administration. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohan_2019b,

title = {Effectiveness of dynamic hip screw in surgical management of trochantric fractures- a clinical study},

author = {Lalith Mohan and K. Vishnu},

url = {https://www.orthopaper.com/archives/2019/vol5issue3/PartJ/5-3-78-724.pdf},

doi = {10.22271/ortho.2019.v5.i3j.1590},

issn = {2395-1958},

year  = {2019},

date = {2019-06-15},

urldate = {2019-06-15},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {3},

pages = {557-561},

abstract = {Introduction: Trochanteric fractures of femur has significant structural, clinical, anatomical and biochemical characteristics that distinguish them from intracapsular fractures. In past few decades, the treatment for intertrochanteric fractures has gained tremendous changes. The dynamic hip screw (DHS) development created a revolution in the management of unstable fractures of femur. Aims: To study the effectiveness of Dynamic HIP Screw in surgical management of Trochanteric fractures, to evaluate functional and anatomical outcome.

Materials and Methods: The study consisted of 25 cases of Trochanteric Fractures treated surgically with Dynamic Hip Screw during the period of one and half years. The operative procedure which is commonly done for Trochanteric Fracture is Dynamic Hip Screw fixation the results were recorded and discussed. The average follow up period was for 6.64 months varying from 5 months to 1 ½ years. Results: Forty percent (10 patients) were less than 50 years age. Males outnumbered the females (19:6). Right-sided fractures outnumbered the left-sided (14:11). Fourteen out of twenty five patients were associated with severe violence. The younger age group patients were most often associated with severe violence (90%). The older age group patients were associated with trivial trauma (33%). Four out of the twenty-five patients (16%) were associated with other fractures. Type-I fracture had an excellent or a good result. 89% of Type-II fractures had an excellent or good result. 50% of Type-III and 57% of Type-IV fractures had a good result. Conclusions: Patients treated with this device have recovered early with painless hip movements, Hence Dynamic Hip Screw is an ideal implant for surgical management of Trochanteric Fractures. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019b,

title = {Role of guided growth in deformity correction around the knee using stevens 8 plate},

author = {Mohammed Jalal Mohiuddin and Lalith Mohan and Chavva Shamsunder and Aslam Mohsin and Sajid Salman},

url = {https://www.orthopaper.com/archives/2019/vol5issue3/PartI/5-3-70-926.pdf},

doi = {10.22271/ortho.2019.v5.i3i.1578},

issn = {2395-1958},

year  = {2019},

date = {2019-06-10},

urldate = {2019-06-10},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {3},

pages = {505-507},

abstract = {Angular deformities of knee which includes genu varum, valgum, recurvate and procurator are common

presentation in paediatric orthopaedics OPD. These are the developmental deforformites if attended on time can be managed with minimal invasive procedures (Hemi epiphysiodesis). The various methods described for epiphysiodesis and Stevens 8 plate assisted growth modulation is the best among them. Though Hemi epiphysiodesis correct the deformity over the period of time, it gives correction at CORA level without any complication. Timely done procedure can avoid need of invasive surgeries in future like corrective osteotomies.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019f,

title = {Steroid-induced perilymphatic hypo pigmentation in orthopaedics practice},

author = {Mohammed Jalal Mohiuddin and Ramesh Bengaluri and Mirza Inzamam Ali Baig and Syed Abdul Tahreem and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2019/vol5issue3/PartI/5-3-63-951.pdf},

doi = {10.22271/ortho.2019.v5.i3i.1577},

issn = {2395-1958},

year  = {2019},

date = {2019-06-06},

urldate = {2019-06-06},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {3},

pages = {503-504},

abstract = {Local steroid administration in form of injection or topical preparation is commonly used in various

dermatological, orthopaedics and ophthalmological ailments. Intra-leisonal route of administration provides advantage of achieving high concentration locally without systemic adverse effects. Various indication in orthopaedics practice which need intralesional steroids are ganglion, Dequervian’s tenosynovitis, tennis and golfer’s elbow, Carpal Tunnel syndrome, Trigger finger Etc. Local adverse effects noted following this route of administration include dermal atrophy, ulceration, localized calcification, Hypo pigmentation etc. It seems to be dependent on certain factors such as concentration and potency of the drug being injected. The lesion is self-regressing and repigment by itself over the time. Topical application of various preparation helps in fastening the re-pigmentation process. Discussed are the 10 cases such lesion recovered completely. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2019b,

title = {Report on traumatic avulsion fracture of greater trochanter ipsilateral and fixed with closed reduction and internal fixation with K-wires},

author = {Mazharuddin Ali Khan and Patlolla Karthik Reddy and Shaik Vazeer Uddin},

url = {https://www.ijsr.net/archive/v8i3/ART20196204.pdf},

issn = {2319-7064},

year  = {2019},

date = {2019-03-31},

urldate = {2019-03-31},

journal = {International Journal of Science and Research},

volume = {8},

issue = {3},

pages = {974-976},

abstract = {Isolated greater trochanter fractures are uncommon. [1]Isolated fractures of the greater trochanter are classified either as true fractures, which occur solely in adults, or as epiphyseal separations, which are found in the adolescent population. [2] It is reported that traumatic epiphyseal separations of the greater trochanter in adolescents are much more frequently encountered than true fractures in adults. [3] It is generally accepted that these fractures are caused either by direct trauma over the trochanter, such as a blow, kick or fall, or by muscular violence, in which the bony fragment is avulsed from the trochanter.We present A case of 30 years male patient with traumatic avulsion fracture of greater trochanter associated with pelvic injury treated with closed reduction internal Fixation with k wires under C-Arm fluoroscopy guidance. },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2019e,

title = {A case report on traumatic avulsion fracture of greater trochanter ipsilateral and fixed with closed reduction and internal fixation with K-wires},

author = {Mazharuddin Ali Khan and Patlolla Karthik Reddy and Shaik Vazeer Uddin},

url = {https://www.ijsr.net/archive/v8i3/ART20196204.pdf},

issn = {2319-7064},

year  = {2019},

date = {2019-03-31},

urldate = {2019-03-31},

journal = {International Journal of Science and Research},

volume = {8},

issue = {3},

pages = {974-976},

abstract = {Isolated greater trochanter fractures are uncommon. Isolated fractures of the greater trochanter are classified either astrue fractures, which occur solely in adults, or as epiphyseal separations, which are found in the adolescent population. It is reported that traumatic epiphyseal separations of the greater trochanter in adolescents are much more frequently encountered than true fractures in adults. It is generally accepted that these fractures are caused either by direct trauma over the trochanter, such as a blow, kick or fall, or by muscular violence, in which the bony fragment is avulsed from the trochanter.We present A case of 30 years male patient with traumatic avulsion fracture of greater trochanter associated with pelvic injury treated with closed reduction internal Fixation with k wires under C-Arm fluoroscopy guidance.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019,

title = {Ultra sound assisted calculation of rotational malalignment in supracondylar humerus fracture in pediatrics: comparison with clinical assessment and its reliability},

author = {Mohammed Jalal Mohiuddin and Hassan Rafeeq and Shaik Vazeer Uddin and Chavva Shamsunder and K. Mrudula},

url = {https://www.orthopaper.com/archives/2019/vol5issue2/PartI/5-1-101-499.pdf},

doi = {10.22271/ortho.2019.v5.i2i.63},

issn = {2395-1958},

year  = {2019},

date = {2019-03-15},

urldate = {2019-03-15},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {2},

pages = {633-635},

abstract = {Supra condylar Humerus fracture are the commonest elbow injury in children, constitute 70 – 80 percent. There are three dimensional displacements which include coronal, sagital and rotational planes. Coronal and sagital malalignment can easily calculated by cortical alignments, anterior humeral line, Baumann’s angle, metaphyseo diaphyseal angle. For measuring rotational malalignment we need to rely either clinically or on CT scan (cost and radiation). Ultrasound assisted method is non invasive, cost effective and reproducible. Present study is the assessment of rotational Malunion of Humerus in Supracondylar fracture based on ultrasound calculations in 10 patients and comparison with their contra lateral normal Humerus.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019d,

title = {Genu valgum correction by distal femoral lateral open wedge corrective osteotomy},

author = {Mohammed Jalal Mohiuddin and Hassan Rafeeq and K. Mrudula and Aslam Mohsin and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2019/vol5issue2/PartG/5-1-140-323.pdf},

doi = {10.22271/ortho.2019.v5.i2g.45},

issn = {2395-1958},

year  = {2019},

date = {2019-03-15},

urldate = {2019-03-15},

journal = {International Journal of Orthopaedics Sciences},

volume = {5},

issue = {2},

pages = {344-346},

abstract = {There are various conditions which effects normal growth of the physis. As femoral and tibial physis have maximum growth potential, any such diseases affects them most. Genu valgum is one such condition in which distal femur is commonly effected. The various etiologies are idiopathic, rickets, trauma, infections etc. The genu valgum is not only the cosmetic deformity but also alters biomechanics of knee and predispose knee to early lateral compartment osteoarthritis. After popularization of Steven’s 8 plate assisted growth modulation, the need of corrective osteotomy has declined considerably. For the mature skeleton corrective osteotomy is the only answer for correction. The level of osteotomy which is either metaphyseal or metadiaphyseal and the use of bone graft is merely the surgeon’s choice. The effect of acute correction over the lateral neurovascular bundle is not being studied clearly. Present study is the correction of genu valgum involving femoral component by distal femoral lateral based open wedge osteototomy without bone graft. The subclinical effect of osteotomy over the Common Peroneal nerve measured. The correction achieved, time required for the union of bone etc also documented.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2019c,

title = {Surgical correction of post traumatic cubitus varus deformity using Vellore technique},

author = {Mohammed Jalal Mohiuddin and Wasif Ishaqui and Shaik Vazeer Uddin},

url = {https://www.journalijar.com/uploads/715_IJAR-26547.pdf},

doi = {10.21474/IJAR01/8685},

issn = {2320-5407},

year  = {2019},

date = {2019-03-08},

urldate = {2019-03-08},

journal = {International Journal of Advanced Research},

volume = {7},

issue = {3},

pages = {664-668},

abstract = {Malunion of Supracondylar fractures of the Humerus resulting in CubitusVarus is a common complication in our country. It needs correction not only for the cosmetic deformity but also for the other reasons which include increased incidence of posterior-lateral elbow instability, lateral condyle fracture, ulnar nerve friction neuropraxia and shoulder dislocation if not corrected. Many methods have been described but the correction commonly done now is by modified French osteotomy. There are various techniques for modified French osteotomy, but the described Vellore technique do correction at lower level nearest to the CORA, which is ideal. Described is the case which was corrected using Vellore technique.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2019c,

title = {A rarest presentation of chondromyxoid fibroma in proximal ulna},

author = {Mazharuddin Ali Khan and Patlolla Karthik Reddy and Shaik Feroz Ahmed},

url = {https://www.ijsr.net/archive/v8i2/4021901.pdf},

issn = {2319-7064},

year  = {2019},

date = {2019-02-28},

urldate = {2019-02-28},

journal = {International Journal of Science and Research},

volume = {8},

issue = {2},

pages = {543-547},

abstract = {Chondromyxoid fibroma (CMF)is one of rarest benign tumours of cartilaginous origin. It accounts for less than 0.5% of bone tumours and less than 2% of benign tumours. It mainly affects the metaphysis of long bones of lower extremity, the proximal tibia, distal Femur being the most common location and rare in upper extremity (ulna bone). After taking informed consent from patient for this study, we present a case of chondromyxoid fibroma in a 12 year old female involving right proximal end of ulna which was treated with En bloc Excision and filling with bone grafting (PMMA) With excellent result on Follow up.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2018f,

title = {Late presentation of irreducible complex dorsal dislocation of the metacarpophalangeal joint of the thumb-a case report},

author = {Mazharuddin Ali Khan and Patlolla Karthik Reddy and Shaik Vazeer Uddin},

url = {https://www.journalijar.com/uploads/353_IJAR-25790.pdf},

doi = {10.21474/IJAR01/8287},

issn = {2320-5407},

year  = {2018},

date = {2018-12-22},

urldate = {2018-12-22},

journal = {International Journal of Advanced Research},

volume = {6},

issue = {12},

pages = {1444-1447},

abstract = {Dorsal dislocation of the metacarpophalangeal joint of the thumb is uncommon.complex dislocations occur most commonly in index finger followed in incidence by thumb & small finger &, rarely, long & ring fingers.Complex dislocations are described as dislocations that are irreducible ,infolding of the proximally disrupted volar plate between metacarpal head and base of proximal phalanxand often require surgical intervention because the thumb MP joint, anatomical structures that may become entrapped include the volar plate, sesamoid bones, bony fracture fragments or the flexor pollicislongus tendon. A case report on the post traumatic , complete complex dorsal dislocation the thumb is surgically treated on volar approach is presented.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Mohiuddin_2018,

title = {Brachial plexus injury: following birthday bumps},

author = {Mohammed Jalal Mohiuddin and Mohammed Wajid Hussain and Umaid Mirza},

url = {https://www.joas.in/temp/JOrthopAlliedSci6286-2748498_073804.pdf},

doi = {10.4103/joas.joas_23_18},

issn = {2666-7150},

year  = {2018},

date = {2018-12-19},

urldate = {2018-12-19},

journal = {Journal of Orthopedics and Allied Sciences},

volume = {6},

issue = {2},

pages = {86-88},

abstract = {Fractures and blunt Injuries following birthday bumps are reported in literature, but to the best of our knowledge, brachial plexus injuries following birthday bumps have not been. Reported is one such case which was managed conservatively. The neuro deficit recovered completely over the course of time. Teenagers especially college and hostel students may hide the mechanism of injury, and it may distract the physician from arriving at proper diagnosis. To avoid similar injuries in future, it needs counseling and proper adolescence care.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2018d,

title = {Chronic tophaceous gout with unusual large and multiple tophi at various joints with acute cellulitis like presentation at great toe: case report},

author = {Mazharuddin Ali Khan and Syed Yaser Quadri and Wasif Ishaqui},

url = {https://www.ijsr.net/archive/v7i11/19101805.pdf},

issn = {2319-7064},

year  = {2018},

date = {2018-11-30},

urldate = {2018-11-30},

journal = {International Journal of Science and Research},

volume = {7},

issue = {11},

pages = {945-950},

abstract = {Gout is a metabolic disease, which is characterized by acute or chronic arthritis, and deposition of monosodium urate crystals in joint, bones, soft tissues, and kidneys. But large tophi are unusual in chronic gout. We report the case of a 48-year-old resident of Kandukur region of Rangareddy district, Telangana, Hyderabad, presenting chronic tophaceous gout with unusual large tophi involving multiple joints: hands, feet, elbows, and knees and acute cellulitis/Abscess like presentation on left foot. Laboratory workup revealed normal serum uric acid (5.4 mg/dl,male it is 3.5–8.7 mg/dL and in case of female it is 2.5–6.9 mg/dL)1 with normal renal function test. In untreated patients, chronic tophaceous gout may develop, which is characterized by chronic destructive

polyarticular involvement and tophi. The treatment consists to decrease serum uric acid level which eventually allows the regression of tophi.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2018e,

title = {A rare presentation of a multi-septate extra-articular ganglion cyst around the knee joint},

author = {Mazharuddin Ali Khan and Syed Yaser Quadri and Shaik Vazeer Uddin},

url = {https://www.journalijar.com/uploads/848_IJAR-25431.pdf},

doi = {10.21474/IJAR01/8072 },

issn = {2320-5407},

year  = {2018},

date = {2018-11-01},

urldate = {2018-11-01},

journal = {International Journal of Advanced Research},

volume = {6},

issue = {11},

pages = {866-871},

abstract = {A Multi-septate Extra-Articular Ganglion Cyst At Anterioinferio medial region of Knee joint Is Abstracted and management with surgically excision . Ganglion cysts are benign soft tissue swellings commonly found in the wrist. The etiology of ganglion cysts is unknown or traumatic. Ganglion cysts can occur at any joint or tendon sheath, but they most often present in the dorsum of the wrist at the scapholunate joint, 75% connect with the dorsal scapholunateinterosseous ligament, other sites of ganglion are dorsal carpal ganglion ,second and third CMC joint,DIP (mucous cyst),flexor sheath,guyon`s canal ,ulnar carpus, volar carpal ganglion ,volar retinacular ganglion but rarely to originate in the knee joint . Ganglion cysts are filled with gelatinous and viscous fluid .Many patients will be asymptomatic cysts for months or even years . In general, ganglion cysts around the knee joint are classified into intra-articular, extra-articular soft tissue, periosteal, and intra-osseous ganglion cysts. Extra-articular ganglion cysts usually appear as uni- or multi-septate cysts on magnetic resonance imaging (MRI). },

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Vishwakarma_2018d,

title = {Association of CD14 and macrophage migration inhibitory factor gene polymorphisms with inflammatory microRNAs expression levels in ankylosing spondylitis and polyarthralgia},

author = {Sandeep Kumar Vishwakarma and Chandrakala Lakki Reddy and G. Sravani and B. V. S. Sastry and N. Raju and S. I. Ahmed and Aleem Ahmed Khan and Nooruddin Owaisi and Akash Jaiswal and Mazharuddin Ali Khan},

url = {https://onlinelibrary.wiley.com/doi/10.1111/iji.12366},

doi = {10.1111/iji.12366},

issn = {1744-3121},

year  = {2018},

date = {2018-06-04},

urldate = {2018-06-01},

journal = {International Journal of Immunogenetics},

volume = {45},

issue = {4},

pages = {190-200},

publisher = {Wiley},

abstract = {This study aimed to investigate the genetic basis of ankylosing spondylitis (AS) and polyarthralgia (PA) conditions among Indian subjects through genotyping two immune regulatory genes CD14 (−159C>T) and MIF (−173G>C) and find their association with the expression levels of three circulating inflammatory miRNAs. This investigation may provide early genetic cause of these two forms of arthritis and more optimal biological targets to predict early therapeutic outcomes. A total of 140 patients (AS: 70 and PA: 70) and 156 controls were recruited from Indian population. CD14 and MIF genotyping was performed using ARMS–PCR. Expression level of three inflammatory miRNAs (miRNA-146a, miRNA-155 and miRNA-181) was quantified using RT–qPCR. C/T genotype of CD14 gene was found to cause 2.06-fold risk of developing AS (CI 1.06–5.98},

key = {pmid29863307},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Ajaz_2017,

title = {Surgical management of fracture neck of femur in elderly adults with cemented bipolar hemiarthroplasty},

author = {Shaik Ajaz and Ramesh Bengaluri and Chavva Shamsunder},

url = {https://www.orthopaper.com/archives/2017/vol3issue3/PartP/3-3-72-283.pdf},

doi = {10.22271/ortho.2017.v3.i3p.167},

issn = {2395-1958},

year  = {2017},

date = {2017-06-20},

urldate = {2017-06-20},

journal = {International Journal of Orthopaedics Sciences},

volume = {3},

issue = {3},

pages = {1157-1165},

abstract = {To study the functional outcome of fracture neck of femur treated with cemented bipolar hemiarthroplasty, post operative time required for mobilization of the patient, complications related to this procedure and to study the quality of life after hemireplacement arthroplasty using cemented bipolar endoprosthesis in 20 Patients who have sustained an intracapsular femoral neck fracture and are admitted in Deccan College Of Medical Sciences (PEH) and finally evaluated by Harris Hip Score.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Jaiswal_2017,

title = {A study of association of fluoroquinolones in tendinitis and associated complications},

author = {Akash Jaiswal and Mazharuddin Ali Khan},

url = {https://www.jebmh.com/articles/a-study-of-association-of-fluoroquinolones-in-tendinitis-and-associated-complications.pdf.pdf},

doi = {10.18410/jebmh/2017/362},

issn = {2349-2562},

year  = {2017},

date = {2017-04-17},

urldate = {2017-04-17},

journal = {Journal of Evidence Based Medicine and Healthcare},

volume = {4},

issue = {31},

pages = {1855-1858},

abstract = {BACKGROUND: Fluoroquinolones are the quinolone antimicrobials, which are known to have one or more fluorine substitutions. The first generation fluoroquinolones, which was introduced in 1980s have one fluoro substitution. This was very affective in cases of gram-negative bacterias.1 In the 1990s, compounds with additional fluoro and other substitutions have been developed further extending antimicrobial activity to gram-positive cocci and also anaerobes, which also has higher metabolic stability.2,3,4 It also has a higher half-life. These are referred to as second generation fluoroquinolones. The first generation fluoroquinolone includes

norfloxacin, ciprofloxacin, ofloxacin and pefloxacin. Second generation fluoroquinolone includes levofloxacin, lomefloxacin, sparfloxacin, moxifloxacin, gemifloxacin and prulifloxacin. The present topic of controversy is tendinopathy and tendon rupture induced by fluoroquinolone. There is enough data, which suggest that fluoroquinolones should be used with utmost care in population of patients. That means, not all the patients with gram-negative infections can be given this antibiotic as it has its own side effects. The first one to publish report was that of a fifty-six-year-old patient who had urinary tract infection and was treated with norfloxacin. The patient developed Achilles tendinopathy and the associated rupture was reported in New Zealand in the year 1983. Subsequently, there were many other case reports and case-controlled studies reporting similar findings. Fluoroquinolone are commonly prescribed to treat community-acquired infections involving the respiratory, urogenital and gastrointestinal tracts. Fluoroquinolone concentration is seen on a higher scale in bones and joints when compared to the serum levels. So, it is ideal to treat the bones and joint infections. The cartilage infections is also treated with fluoroquinolone. Achilles tendinitis or rupture is among the most serious side effects associated with fluoroquinolone. This study puts in a sincere effort to understand in depth the tendinitis and rupture complications caused by the drugs, which belong to fluoroquinolones. This study is intended to help the general practitioners and the practicing orthopaedicians to know the depth of the disease and to attend the primary cause of the tendinitis and associated rupture secondary to the use of fluoroquinolones. MATERIALS AND METHODS: Forty patients were selected who attended the Department of Orthopaedics and complained of tendon pain or tendon rupture. The present study was done in the Department of Orthopaedics, Deccan Medical College, at Hyderabad. Detailed history was taken and the patients were divided into 4 age groups. 20-40 years were taken into group-1; 40-60 years were taken into

group-2; 60-80 years were taken into group-3 and >80 years old were taken into group-4. Past history was taken in detail and use of fluoroquinolone drugs were asked. Gender-based statistical analysis was not done as female patients were very low in number. All statistical analysis was done using latest SPSS (2015) Software, California. RESULTS: In the present study, the mean age of the population that was considered for the study was 61.11 years and the standard deviation was 21.739 years. The study group was divided into four groups. 20-40 years were taken into group-1; 40-60 years were taken into group-2; 60-80 years were taken into group-3 and >80 years old were taken into group-4. Group-1 consisted of 3 patients, group-2 consisted of 4 patients, group-3 consisted of the highest number of patients and consisted of 26 patients and the group-4 consisted of 7 patients. Out of the present patients, 2 patients who belonged to group-2 and group-3 complained of tendon rupture and thus there was a strong association of the tendon ruptures with use of fluoroquinolone drugs. Out of the patients, 4 patients who belonged to group-3 and one patient who belonged to group-4 had tendinitis. Thus, there was a strong association of the tendon ruptures with use of fluoroquinolone drugs.

CONCLUSION: There is a positive significant relation between the tendinitis and tendon rupture complications associated with the use of fluoroquinolones. The study successfully shows the association. In a country like ours where these fluoroquinolone drugs are used very commonly has to check its utilisation in a proper way.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2016d,

title = {Minimally invasive/percutaneous talus fracture osteosynthesis- a case report},

author = {Mazharuddin Ali Khan and Chinnala Srujan Kumar and Mohammed Amanul Haq Qureshi and Sarosh Haidry},

url = {https://www.iosrjournals.org/iosr-jdms/papers/Vol15-Issue%209/Version-7/Y150907154157.pdf},

doi = {10.9790/0853-150907154157 },

issn = {2279-0853},

year  = {2016},

date = {2016-09-30},

urldate = {2016-09-30},

journal = {IOSR Journal of Dental and Medical Sciences},

volume = {15},

issue = {9},

pages = {154-157},

abstract = {The talus is involved in about 2% of all lower extremity injuries and about 5-7% of foot injuries. Fractures of Talus are relatively uncommon and can be associated with significant complications. Because it articulates with important joints i.e.,ankle, subtalar, and talonavicular, it is one of the most important bones to stabilize and mobilize soon after a foot injury. Talar fractures are usually associated with hyperdorsiflexion of the ankle as the talar neck impacts the anterior margin of the tibia, such as in a motor vehicle accident or fall from height. We describe the case of a 21year old male presenting with displaced talus fracture of right leg which was treated with a minimally invasive technique.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}

@article{Khan_2016c,

title = {Rifampicin-induced interstitial nephritis: a case report and a short review of the literature},

author = {Ghouse Ahmed Khan and Fahad Abdullah Bin Breik and Yaseen Mohiuddin and S. V. Parathasaradhy and Mazharuddin Ali Khan and Ashfaq Hasan},

url = {https://jmas.in/fulltext/154-1463412038.pdf?1676966897},

doi = {10.5455/jmas.229206},

issn = {2231-1696},

year  = {2016},

date = {2016-07-31},

urldate = {2016-07-31},

journal = {Journal of Medical and Allied Sciences},

volume = {6},

issue = {2},

pages = {84-86},

abstract = {Rifampicin induced acute interstitial nephritis (AIN) is a relatively rare entity, but in a setting of high tuberculosis (TB) prevalence, may be met with on occasion. TB is rife. If diagnosed and treated in time, the prognosis for renal recovery is good. We present such a case of a 42 year old woman who developed ATN after treatment with a rifampicin-based anti-tubercular regimen for TB synovitis of the wrist, nevertheless patient recovered after steriod therapy.},

keywords = {},

pubstate = {published},

tppubtype = {article}

}