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International Orthopaedics (2)
Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology (1)
Nagaraj, Chethan (3)
Singh, Saurabh (3)
Joshi, Anil Kumar (1)
Khare, Ghanshyam N. (1)
Kumar, Sudeep (1)
Kumaraswamy, Vinay (1)
Naik, Rajnikant N. (1)
Patel, Pankaj R. (1)
Singh, Baldeep (1)
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Multicentric tuberculosis at two rare sites in an immunocompetent adult
Khare, Ghanshyam N.
Journal of Orthopaedics and Traumatology : Official Journal of the Italian Society of Orthopaedics and Traumatology
The case of a 20-year-old female who presented with refractory coccydynia and sternal pain is described. She was immunocompetent, and had no systemic features. She was diagnosed with tuberculosis of the sternal and coccygeal regions based on magnetic resonance imaging and histopathology of biopsy specimens. Conservative management with oral multidrug antituberculous therapy completely cured the patient, and she had not suffered any recurrence after three years of follow-up. This case highlights the possibility of the multicentric presentation of tuberculosis at two rare sites in the same immunocompetent patient, even though the differential diagnosis was coccydynia.
Tuberculosis; Immunocompetent; Coccyx; Sternum
Biological approach to treatment of intra-articular proximal tibial fractures with double osteosynthesis
Patel, Pankaj R.
Joshi, Anil Kumar
Naik, Rajnikant N.
The treatment of intra-articular proximal tibial fractures is associated with complications, and much conflicting literature exists concerning the treatment of choice. In our study, an attempt has been made to develop an ideal and adequate treatment protocol for these intra-articular fractures. The principle of double osteosynthesis, i.e., lateral minimally invasive plate osteosynthesis (MIPO), was combined with a medial external fixator to treat 22 intra-articular proximal tibial fractures with soft tissue injury with a mean follow-up of 25 months. Superficial pin track infection was observed in one case, and no soft tissue breakdown was noted. Loss of articular reconstruction was reported in one case. Bridging callus was seen at 12 weeks (8 weeks–7 months). The principle of substitution or double osteosynthesis, i.e., lateral MIPO, was combined with a medial external fixator and proved to be a fairly good method of fixation in terms of results and complications.
Comment on Changulani et al. “Comparison of the use of the humerus intramedullary nail and dynamic compression plate for the management of diaphyseal fractures of the humerus. A randomised controlled study”
Results 1-3 (3)
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