Modified Posterior Approach to The Hip Joint- Surgical Technique

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Vol. 10 | Issue 2 | August-September 2022 | Page: 51-57 | Krishna Mohan Iyer

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.055

Authors: Krishna Mohan Iyer [1]

[1] Department of Orthopaedics, Royal Free Hampstead NHS Trust Hospital, London, UK.

Address of Correspondence

Dr. Krishna Mohan Iyer,
Senior Consultant Orthopaedic Surgeon, Retired and Formerly Locum Consultant, Royal Free Hampstead NHS Trust Hospital, London, UK.
E-mail: kmiyer28@hotmail.com

Abstract

There are more than 100 described cases in literature. I had devised a Modified Posterior Approach to the Hip Joint, which I have been following since 1981 when I had devised it at Liverpool, UK to confer greater stability to the hip joint posteriorly to minimize the greater incidence of dislocation which has been reported extensively in literature.
Keywords: Hip, Posterior Trochanteric Osteotomy, Surgical technique

References

1. Chechik O, Khashan M, Lador R, et al. Surgical approach and prosthesis fixation in hip arthroplasty worldwide. Arch Orthop Trauma Surg. 2013; 133: 1595–600.
2. Enocson A, Tidermark J, Törnkvist H, Lapidus LJ. Dislocation of hemiarthroplasty after femoral neck fracture: better outcome after the anterolateral approach in a prospective cohort study on 739 consecutive hips. Acta Orthop. 2008; 79(2): 211–217.
3. Experience with Thompson’s prosthesis using the New Posterior Approach – K. Mohan Iyer, M.A. Shatwell and M.A. Elloy, Injury,1982, 14, 243-244.
4. Piriformis and obturator internus morphology: a cadaveric study. Clinical Anatomy 01/2011; 24(1): 70-6.
5. Incidence of piriformis tendon preservation on the dislocation rate of total hip replacement following the posterior approach A Series of 226 cases* http://www.lebanesemedicaljournal.org/articles/60-1/original3.pdf Charbel D. Moussallem, Fadi A. Hoyek, Jean-Claude F. Lahoud.
6. Modified technique in the dorsal approach in total hip arthroplasty by Ragnar Johnsson, Einar Hallin, Bertil Nordström, Lars Lidgren in Archives of Orthopaedic and Trauma Surgery. 09/1981; 99(1): 43-45.
7. Mark B.Coventry, The Year Book of Orthopaedics, 1982, 371-373.
8. A Posterior Approach to the Hip Joint with complete posterior capsular and muscular repair: Hedley et al, The Journal of Arthroplasty, 1990, Vol.5, Supplement, October 1990: S 57 to S 66.
9. Rheumatoid Arthritis Surgical Society-Clinical Experience with the Iyer modification of the Posterior Approach to the Hip: F.H. Beddow and C. Tulloch, J. Bone Joint Surg (BR) 1990, 73B, Suppl II:164-165.
10. Experience with modified Posterior Approach to the Hip Joint. A Technical note: Shaw J. A: J Arthroplasty, 1991, Vol.6, No.1: 11-18.
11. Campbell’s Operative Orthopaedics, S.TerryCanale (1992), Ninth Edition, Volume 1, Pages: 140, 387, 466.
12. Callaghan, Rosenberg and Rubash The Adult Hip (Lippincott-Raven),1998, Volume 1, Pages:700-701,718.
13. Failure of Reinserted Short External Rotator Muscles after Total Hip Arthroplasty-Thomas Stahelin, P. Vienne and O. Hershe: The Journal of Arthroplasty, 2002, Vol.17, No.5: 604-607.
14. Deepa Iyer The Orthopaedic Enigma: A Simplified Classification. The Internet Journal of Orthopaedic Surgery, 2006, Vol 3, Number 2.
15. Cofield H. Robert. (2010) Personal Communication.
16. Primary hip arthroplasty through a limited posterior trochnteric osteotomy: Jaoquin Sanchez-Sotelo, John Gipple, Daniel Berry, Charles Rowland, Robert Cofield (2005) Acta Orthop Belg., 71, 548-554.
17. Hamblin DL: Complications of trochanteric osteotomy. In: Ling RSM, ed. Complications of total hip replacement, New York: Churchill Livingstone; 1984.
18. Charnley J: The long-term results of low-friction arthroplasty of the hip performed as a primary intervention. J Bone Joint Surg Br 1972; 54:61.
19. Charnley J: Arthroplasty of the hip: a new operation. Lancet 1961; 1:1129.
20. Iyer KM. Technical note on Modified Posterior Approach to the Hip Joint. Journal of Orthopaedic Case Reports 2015 Jan-March; 5(1): 69-72.
21. The Open Orthopaedics Journal, 2017, 11, (Suppl-7, M7) 1223-1229.
22. Access to the Ischium: A Simple Extension of the Posterior Approach in Revision Hip Arthroplasty by Friedrich Boettner. [Hospital for Special Surgery] and Kilian Rueckl. [University of Wuerzburg] in The Journal of Hip Surgery May 2018 02(01).
23. Technical Note on Modified Posterior Approach to the Hip Joint: Journal of Orthopaedic Case Reports Jan 2015 5(1): 69-72.
24. Surgical Approaches for Primary Total Hip Arthroplasty from Charnley to Now The Quest for the
Best Approach by Vinay K. Aggarwal, Richard Iorio, Joseph D. Zuckerman, and William J. Long.
25. Modified PLOP Osteotomy Approach to the Hip by Xiaoxiao Zhoua and Yang Yangb in BMC Musculoskelet Disorder 2020 Feb 24; 21(1): 119.
26. F. H. Beddow, C. Tulloch (1990). Rheumatoid Arthritis Surgical Society-Clinical Experience with the Iyer modification of the Posterior Approach to the Hip, The Journal of bone and joint surgery British volume, 73B, Suppl II:164-165.
27. Zhang Y, Tang Y, Zhang C, Zhao X, Xie Y, Xu S (2013). Modified posterior soft tissue repair for the prevention of early postoperative dislocation in total hip arthroplasty, Int Orthop, 37(6), 1039-1044.
28. Stuchin SA, Millman JS (2011). Oblique posterior trochanteric osteotomy in revision total hip arthroplasty, The Journal of arthroplasty, 26(3), 472-475.
29. K. Mohan Iyer (2017). Int J Surg & Trans Res.1,6:59-52. [Bio Core: International Journal of Surgery and Transplantation Research: ISSN:2476-2504; Open Access]
30. Heutor’s Anterior Approach to the Hip Joint. EC Orthopaedics 9.1 (2017) 03-06.
31. The Direct Anterior Approach to the Hip Joint. Ortho Res Online J.3(3) OPROJ 000565.2018 [Crimson Publishers (Orthopaedic Research Online Journal) [ISSN:2576-8875].
32. Iyer K. Mohan (2018), Direct Anterior Approach to the Hip Joint, Lambert academic publishing, Germany.
33. Chapter No.17 in my book “Hip Joint in Adults: Advances and Developments”: Direct Anterior Approach to the Hip Joint, by John O’Donnell, Melbourne Australia.
34. Chapter no.18 in my book “Hip Joint in Adults: Advances and Developments”: “Total hip in a day, setup and early experiences in outpatient hip surgery”, by Dr. med. Manfred Krieger and and Dr. med. Ilan Elias, Wiesbaden, Frankfurt, Germany.
35. Chapter No.28 in my book Hip Preservation Techniques The anterior approach to the hip for a minimally invasive prosthesis by Alessandro Geraci, MD, PhD; Alberto Ricciardi, MD Orthopaedic Department, San Giacomo Apostolo Hospital, Castelfranco Veneto, Italy.
36. Chapter No.29 in my book General Principles of Orthopaedics and Truama (2nd edition by K. Mohan Iyer & Wasim Khan), The Direct Anterior approach to the Hip by Hiran Amarasekera.
37. My website: kmohaniyer.com: (https://kmohaniyer.com)

How to Cite this article: Iyer KM | Modified Posterior Approach to The Hip Joint- Surgical Technique | Journal of Karnataka Orthopaedic Association | August-September 2022; 10(2): 51-57.
https://doi.org/10.13107/jkoa.2022.v10i02.055

 

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Liquefied Petroleum Gas Injury of the Hand

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Vol. 10 | Issue 2 | August-September 2022 | Page: 48-50 | Kishore Vellingiri, Anil K Bhat, Ashwath M Acharya, Mithun Pai G

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.054

Authors: Kishore Vellingiri [1], Anil K Bhat [1], Ashwath M Acharya [1], Mithun Pai G [1]

[1] Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Address of Correspondence

Dr. Anil K. Bhat,
Associate Dean, Professor, and Head Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
E-mail: anilbhatortho@gmail.com

Abstract

Liquefied petroleum gas (LPG) is currently more widely used in auto-gas by drivers as it is less expensive than petrol or diesel and produces the same amount of energy. However, it may cause serious cold injuries when body parts are exposed to it due to its quick evaporation and subsequent drop in temperature. We present a 31-year-old man with a history of gas burst injury who sustained second-degree burns to the dorsum of his right hand. It was decided to treat the burns conservatively based on the depth of the wound and severity of the involvement. The patient was followed up at regular intervals, and mobilization of the hand was started early enough to obtain a full range of motion. Our case of a gas burst injury treated with both intravenous and local antibiotic application, and early mobilization of the hand resulted in a positive outcome. LPG-related burns can be avoided to a large extent, and it is critical to increase public awareness regarding the same.
Keywords: Liquefied petroleum gas, Antibiotics, Early mobilization

References

1. Bondurant FJ, Colter HB, Buckle R, Miller-Crotchett P, Browner BD. The medical and economic impact of severely injured lower extremities. J Trauma 1988;28:1270–1273.
2. Helfert DL, Howy T, Sanders R, Johansen K. Limb salvage versus amputation. Clin Orthop Relat Res. 1990;256:80– 86.
3. Hansen ST Jr. Overview of the severely traumatized lower limb reconstruction versus amputation. Clin Orthop Relat Res. 1989;243:17–19.
4. Gayle LB, Lineaweaver WC, Buncke GM, et al. Lower extremity replantation. Clin Plast Surg. 1991;18:437–447.
5. Magee, H. R., and Parker, W. R., Medical J7ournal of Australia, 1972, 1, 751.
6. Robertson PA. Prediction of amputation after severe lower limb trauma. J Bone Joint Surg (Br.) 1991;73:816–818.
7. Cavadas PC, Landin L, Iban˜ez J. Temporary catheter perfusion and artery: Last sequence of repair in macro-replantations. J Plast Reconstr Aesthet Surg. (in press)
8. Cavadas PC, Landin L, Ibanez J, et al. Infrapopliteal lower extremity replantation. Plast Reconstr Surg. 2009;124:532–9.
9. Cavadas PC, Thione A. Lower limb replantation. In: Salyapongse AN, Poore S, Afifi A, et al., editors. Extremity replantation: a comprehensive clinical guide. New York: Springer; 2015. pp. 145–59.
10. Bosse MJ, McCarthy ML, Jones AL, et al. The insensate foot following severe lower extremity trauma: an indication for amputation? J Bone Joint Surg Am. 2005;87:2601–8.
11. Kutz JE, Jupiter JB, Tsai TM. Lower limb replantation: a report of nine cases. Foot Ankle. 1983;3:197–202.
12. Battiston B, Tos P, Pontini I, et al. Lower limb replantations: indications and a new scoring system. Microsurgery. 2002;22:187–92.
13. Hierner R, Betz A, Pohlemann T, et al. Long-term results after lower-leg replantation. Eur J Trauma. 2005;31:389–97.

How to Cite this article: Vellingiri K, Bhat AK, Acharya AM, Pai GM | Liquefied Petroleum Gas Injury of the Hand | Journal of Karnataka Orthopaedic Association | August-September 2022; 10(2): 48-50.
https://doi.org/10.13107/jkoa.2022.v10i02.054

 

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Revascularization and Reconstruction of a Near Total Amputation of Foot

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Vol. 10 | Issue 2 | August-September 2022 | Page: 44-47 | Latheesh Leo , Akhil X. Joseph

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.053

Authors: Latheesh Leo [1], Akhil X. Joseph [1]

[1] Department of Orthopaedic Surgery, Father Muller Medical College Hospital, Kankanady, Mangalore, Karnataka, India.

Address of Correspondence

Dr. Akhil X. Joseph,
Department of Orthopaedic Surgery, Father Muller Medical College Hospital, Kankanady, Mangalore, Karnataka, India.
E-mail: akhilxj@gmail.com

Abstract

Case: A 23-year-old male presented with a history of Road traffic accident, 8 hours post injury. He was diagnosed to have a Type 3C open fracture with near total amputation at the level of distal third of leg (MESS score 10). He underwent tendon repair, neurovascular repair and ex-fix application. On post-op day 5 he developed skin necrosis and underwent an Anterolateral flow-through free flap. 2 months later, after a complete soft tissue recovery, a limb reconstruction system was applied and proximal corticotomy was done, with regular distraction at 1mm/day until limb length was achieved. 11 months post injury he made a complete bony and soft tissue recovery.
Conclusion: Traumatic amputations are more common among the younger population as it is a result of high velocity road traffic accidents. An amputated limb not only physically impairs a patient but is also a psychological hurdle to overcome. Despite a MESS score of 10, in our case study we managed to salvage a foot, that had undergone near total amputation, 8 hours post injury, with a complete soft tissue and bony recovery. With improved survival and functional outcomes of replanted limbs, replantation should be a high priority as opposed to primary amputation in cases of total or subtotal lower extremity amputations.
Keywords: Near Total Amputation Foot, Revascularisation, Reconstruction, Limb Lengthening, Alt Free Fap

References

1. Bondurant FJ, Colter HB, Buckle R, Miller-Crotchett P, Browner BD. The medical and economic impact of severely injured lower extremities. J Trauma 1988;28:1270–1273.
2. Helfert DL, Howy T, Sanders R, Johansen K. Limb salvage versus amputation. Clin Orthop Relat Res. 1990;256:80– 86.
3. Hansen ST Jr. Overview of the severely traumatized lower limb reconstruction versus amputation. Clin Orthop Relat Res. 1989;243:17–19.
4. Gayle LB, Lineaweaver WC, Buncke GM, et al. Lower extremity replantation. Clin Plast Surg. 1991;18:437–447.
5. Magee, H. R., and Parker, W. R., Medical J7ournal of Australia, 1972, 1, 751.
6. Robertson PA. Prediction of amputation after severe lower limb trauma. J Bone Joint Surg (Br.) 1991;73:816–818.
7. Cavadas PC, Landin L, Iban˜ez J. Temporary catheter perfusion and artery: Last sequence of repair in macro-replantations. J Plast Reconstr Aesthet Surg. (in press)
8. Cavadas PC, Landin L, Ibanez J, et al. Infrapopliteal lower extremity replantation. Plast Reconstr Surg. 2009;124:532–9.
9. Cavadas PC, Thione A. Lower limb replantation. In: Salyapongse AN, Poore S, Afifi A, et al., editors. Extremity replantation: a comprehensive clinical guide. New York: Springer; 2015. pp. 145–59.
10. Bosse MJ, McCarthy ML, Jones AL, et al. The insensate foot following severe lower extremity trauma: an indication for amputation? J Bone Joint Surg Am. 2005;87:2601–8.
11. Kutz JE, Jupiter JB, Tsai TM. Lower limb replantation: a report of nine cases. Foot Ankle. 1983;3:197–202.
12. Battiston B, Tos P, Pontini I, et al. Lower limb replantations: indications and a new scoring system. Microsurgery. 2002;22:187–92.
13. Hierner R, Betz A, Pohlemann T, et al. Long-term results after lower-leg replantation. Eur J Trauma. 2005;31:389–97.

How to Cite this article: Leo L, Joseph AX | Revascularization and Reconstruction of a Near Total Amputation of Foot | August-September 2022; 10(2): 44-47.

https://doi.org/10.13107/jkoa.2022.v10i02.053

 

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Spinal Tumor Syndrome with Pericardial Effusion

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Vol. 10 | Issue 2 | August-September 2022 | Page: 40-43 | Srivatsa Nagaraja Rao, Krishnakumar R

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.052

Authors: Srivatsa Nagaraja Rao [1], Krishnakumar R [2]

[1] Department of Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
[2] Department of Orthopaedics, Spine Surgery Division, Medical Trust Hospital, Kochi, Kerala, India.

Address of Correspondence

Dr. Srivatsa Nagaraja Rao,
Department of Orthopaedics, Amrita Institute of Medical Sciences, Kochi, Kerala, India.
E-mail: srivatsa18@gmail.com

Abstract

Spinal tumor syndrome is a condition caused due to extradural granuloma or abscess causing cord compression and neurological deficits. Spinal tumor syndrome with a concurrent pericardial effusion is a very rare presentation and presents a challenge regarding surgical management due to the high perioperative risks.
A rare case of spinal tumor syndrome with pericardial effusion was treated with pericardiocentesis followed by surgical decompression of the spinal cord. A 73 year old lady with history of low back ache and fever presented with recent onset paraparesis. She was diagnosed to have Spinal Tumor Syndrome secondary to an epidural abscess with a paraspinal abscess. She was also incidentally detected to have a concurrent pericardial effusion with impending cardiac tamponade, which was likely a reactive pericardial effusion secondary to an Enterococcus faecium urinary tract infection. She was successfully treated by doing a pericardiocentesis, followed by a laminectomy of T12, L1 and laminotomy of T11. To the best of our knowledge, a case of Spinal Tumor Syndrome with concurrent pericardial effusion has not been reported in literature. Approach to such a case should be a multidisciplinary one. We found that an early intervention to stabilise the cardiac status followed by surgical decompression led to best results for the patient with gradual recovery of neurological status to near normal.
Keywords: Spinal Tumor Syndrome, pericardial effusion, pericardiocentesis, extradural granuloma, epidural abscess, paraspinal abscess.

References

1. Pande KC, Babhulkar SS. Atypical spinal tuberculosis. Clin Orthop. 2002; 398: 67-74.
2. Naim-ur-Rahman. Atypical forms of spinal tuberculosis. J Bone Joint Surg (Br). 1980; 62: 162-165.
3. Martin RJ, Yuan HA. Neurosurgical care of spinal, epidural, subdural, and intamedullary abscess and arachnoiditis. Spinal infection. Orthop Clin North Am. 1996; 27(1): 125-136.
4. Hasengawa K, Hideyuki M et al. Spinal tuberculosis. Clin Orthop. 2002; 403: 100-103.
5. Bongani M. Mayosi, MBChB, DPhil; Lesley J. Burgess, MMed (Chem Path), PhD; Anton F. Doubell, MMed (Int), PhD. Circulation.2005; 112: 3608-3616
6. Fowler NO. Tuberculous pericarditis. JAMA. 1991; 266: 99–103
7. Larrieu AJ, Tyers GF, Williams EH, Derrick JR. Recent experience with tuberculous pericarditis. Ann Thorac Surg. 1980;29(5):464.
8. Babhulkar SS, Tayade WB, Babhulkar SK. Atypical spinal tuberculosis. J Bone Joint Surg (Br). 1984; 66: 239-242.
9. Postacchini F, Montanaro A. Tuberculous epidural granuloma simulating a herniated lumbar disc. Clin Orthop. 1980; 148: 182-185.
10. Pramod Devkota, R Krishnakumar, and J Renjith Kumar. Surgical Management of Pyogenic Discitis of Lumbar Region. Asian Spine J. 2014 Apr; 8(2): 177–182.

How to Cite this article: Rao S N, Krishnakumar R | Spinal Tumor Syndrome with Pericardial Effusion | Journal of Karnataka Orthopaedic Association | August-September 2022; 10(2): 40-43.
https://doi.org/10.13107/jkoa.2022.v10i02.052

 

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Analytical Review of Complex Regional Pain Syndrome for Clinicians

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Vol. 10 | Issue 2 | August-September 2022 | Page: 36-39 | Kishore Vellingiri, Anil K Bhat, Ashwath M Acharya, Mithun Pai G

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.051

Authors: Kishore Vellingiri [1], Anil K Bhat [1], Ashwath M Acharya [1], Mithun Pai G [1]

[1] Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Address of Correspondence

Dr. Anil K. Bhat,
Associate Dean, Professor and Head Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.
E-mail: anilbhatortho@gmail.com

 

Abstract

A painful and incapacitating condition known as complex regional pain syndrome (CRPS) can develop following a stroke, an injury to the limbs, or occasionally even without any known precipitating event. There are two categories for CRPS: Patients with CRPS-I do not have a verified nerve injury, but those with CRPS-II have linked nerve damage. Different physiopathology can cause CRPS. Both peripheral and central mechanisms, including neuroplastic changes like cortical reorganization, altered afferent-efferent feedback, and central autonomic dysregulation, have been observed. Peripheral mechanisms include inflammation, peripheral sensitization, and sympatho-afferent coupling. Patients with CRPS types 1 and 2 may experience clinical symptoms and their severity in this situation differently. The Budapest Criteria stipulates that a patient must exhibit at least one symptom in two or more of the four categories of sensory, vasomotor, sudomotor/edema, and/or motor/trophic at the time of evaluation. Ketamine, memantine, intravenous immunoglobulin, epidural clonidine, intrathecal clonidine/baclofen/adenosine, aerobic exercise, mirror therapy, virtual body swapping, and dorsal root ganglion stimulation may all have therapeutic benefit. Experiments have also shown an increasing role for peripheral sympathetic nerve blocks, as well as lumbar/thoracic sympathetic, stellate ganglion, and brachial plexus blocks.
Keywords: Complex regional pain syndrome, Budapest, Ketamine, Vitamin C

References

1. de Mos M, Sturkenboom MCJM and Huygen FJPM. Current understandings on complex regional pain syndrome. Pain Pract 2009; 9: 86–99.
2. Goh EL, Chidambaram S, Ma D. Complex regional pain syndrome: a recent update. Burns Trauma. 2017;5:2.
3. Birklein F, Handwerker HO. Complex regional pain syndrome: how to resolve the complexity?. Pain. 2001;94(1):1-6.
4. Aneja R, Grover R, Dhir V, Shankar S and Kumar A. Complex regional pain syndrome – Management options. Indian Journal of Rheumatology 2006; 1(3): 111–115.
5. Gierthmühlen J, Binder A and Baron R. Mechanism-based treatment in complex regional pain syndromes. Nat Rev Neurol 2014; 10(9): 518–528
6. Campero M, Bostock H, Baumann TK and Ochoa JL. A search for activation of C nociceptors by sympathetic fibers in complex regional pain syndrome. Clin Neurophysiol 2010; 477 121(7): 1072–1079.
7. Harden NR, Bruehl S, Perez RSGM, et al. Validation of proposed diagnostic criteria (the “Budapest Criteria”) for Complex Regional Pain Syndrome. Pain. 2010;150(2):268-274.
8. Duong S, Bravo D, Todd KJ, Finlayson RJ, Tran Q. Treatment of complex regional pain syndrome: an updated systematic review and narrative synthesis. Traitement du syndrome douloureux régional complexe : étude systématique actualisée et synthèse narrative. Can J Anaesth. 2018;65(6):658-684.
9. Méndez-Rebolledo G, Gatica-Rojas V, Torres-Cueco R, Albornoz-Verdugo M, Guzmán-Muñoz E. Update on the effects of graded motor imagery and mirror therapy on complex regional pain syndrome type 1: A systematic review. J Back Musculoskelet Rehabil. 2017;30(3):441-449.
10. Chitneni A, Patil A, Dalal S, Ghorayeb JH, Pham YN, Grigoropoulos G. Use of Ketamine Infusions for Treatment of Complex Regional Pain Syndrome: A Systematic Review. Cureus. 2021;13(10):e18910.
11. van den Berg C, de Bree PN, Huygen FJPM, Tiemensma J. Glucocorticoid treatment in patients with complex regional pain syndrome: A systematic review. Eur J Pain. 2022;26(10):2009-2035.
12. Kwak SG, Choo YJ, Chang MC. Effectiveness of prednisolone in complex regional pain syndrome treatment: A systematic narrative review. Pain Pract. 2022;22(3):381-390.
13. Dirckx M, Stronks DL, Groeneweg G, Huygen FJ. Effect of immunomodulating medications in complex regional pain syndrome: a systematic review. Clin J Pain. 2012;28(4):355-363.
14. Wiffen PJ, Derry S, Bell RF, et al. Gabapentin for chronic neuropathic pain in adults. Cochrane Database Syst Rev. 2017;6(6):CD007938.
15. Seth I, Bulloch G, Seth N, et al. Effect of Perioperative Vitamin C on the Incidence of Complex Regional Pain Syndrome: A Systematic Review and Meta-Analysis. J Foot Ankle Surg. 2022;61(4):748-754.
16. Giustra F, Bosco F, Aprato A, Artiaco S, Bistolfi A, Masse A. Vitamin C Could Prevent Complex Regional Pain Syndrome Type I in Trauma and Orthopedic Care? A Systematic Review of the Literature and Current Findings. Sisli Etfal Hastan Tip Bul. 2021;55(2):139-145.
17. Fassio A, Mantovani A, Gatti D, et al. Pharmacological treatment in adult patients with CRPS-I: a systematic review and meta-analysis of randomized controlled trials. Rheumatology (Oxford). 2022;61(9):3534-3546.
18. Vescio A, Testa G, Culmone A, et al. Treatment of Complex Regional Pain Syndrome in Children and Adolescents: A Structured Literature Scoping Review. Children (Basel). 2020;7(11):245
19. Mbizvo GK, Nolan SJ, Nurmikko TJ, Goebel A. Placebo responses in long-standing complex regional pain syndrome: a systematic review and meta-analysis. J Pain. 2015;16(2):99-115.

How to Cite this article:  Vellingiri K, Bhat AK, Acharya AM, Pai GM |  Analytical Review of Complex Regional Pain Syndrome for Clinicians | Journal of Karnataka Orthopaedic Association | August-September 2022; 10(2): 36-39.

https://doi.org/10.13107/jkoa.2022.v10i02.051

 

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Editorial

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Vol. 10 | Issue 2 | August-September 2022 | Page: 35 | Anil K. Bhat

DOI: https://doi.org/10.13107/jkoa.2022.v10i02.050

Authors: Anil K. Bhat [1]

[1] Department of Hand Surgery, Kasturba Medical College Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, India.

Address of Correspondence:
Dr. Anil K. Bhat,
Associate Dean, Professor, and Head of Department of Hand Surgery,
Kasturba Medical College Manipal, Manipal Academy of Higher Education,
Manipal, Karnataka, India.
E-mail: jkoa.editor@gmail.com

Editorial

Wishing all our KOA members warm greetings and a very happy new year from the JKOA editorial team. We are delighted to bring you the August-September 2022 issue of KOA Journal. We express a sincere thanks to all our members for their valuable support in submitting scientific articles which made this current issue possible.
This issue brings a refreshing review on the topic which remains a thorn pricking on all our members. Complex Regional Pain Syndrome continues to provoke our imagination and this review comes out with relevant new information on diagnosis and evidence for management. We have a succinct description of a surgical technique on a modified posterior approach to the hip. There are three very interesting case reports which mentions of unique challenges we face in dealing with not so uncommon problems in our practice.
The Editorial team wishes to receive many more articles on the good scientific work being done by our members.
Thanking you all and wishing once again a very prosperous year ahead.

Sincerely
Dr Anil K. Bhat
Editor in Chief, JKOA,
Associate Dean, Professor, and
Head Department of Hand surgery
Kasturba Medical College, Manipal, MAHE

How to Cite this article:  Bhat AK | Editorial | Journal of Karnataka Orthopaedic Association | August-September 2022; 10(2): 35.
https://doi.org/10.13107/jkoa.2022.v10i02.050

 

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