Nepal Orthopedic Association Journal (NOAJ)

One of the primary barriers to adequate orthopedic treatment is the high cost associated with surgeries, rehabilitation, and medical devices. For many individuals in developing countries, out-of-pocket expenses for such therapies are prohibitively expensive, leading to delays in seeking care and worsening conditions. This financial barrier significantly limits access to ...

Introduction: There is a lack of epidemiological studies on tibia fractures in our part of the world. This study aims to describe the epidemiological profile of the patients presenting with tibia fractures in a tertiary care center. 
Method: A descriptive cross-sectional study was conducted at a tertiary care center ...

Introduction: There are various surgeries described in the literature for acromioclavicular (AC) joint dislocation. These surgeries have their own advantage and disadvantages. We routinely practice the double endobutton technique for acute AC joint dislocation for Rockwood type III-VI injuries. The aim of this study was to evaluate the functional outcome ...

Introduction: Lumbar disc degenerative disease, intervertebral disc herniation, lumbar stenosis, and arthritis are usual causes of chronic nonspecific low back pain. Patients with acute lumbosciatic pain usually have elevated levels of inflammatory markers such as highly sensitive C-reactive protein. However, studies that analyze the levels of Erythrocyte sedimentation rate and ...

Introduction: The rates of post-traumatic osteoarthritis after Talar neck and body fractures vary between 16% and 100%, and as the Talar body gets most of its blood supply in a retrograde manner from the anastomosis, this predisposes it to develop avascular necrosis. The need for secondary arthrodesis to address pain, ...

Introduction: Surgical treatment for type III ACJ dislocation remains controversial among orthopedic surgeons, with wide options of techniques and devices. Our study aims to review the functional and radiological outcomes after percutaneous fixation for type III acromioclavicular (AC) joint dislocation using the double Endobutton and fiber wire device.
Method: ...

Introduction: There are many autograft and allograft options available for ACL reconstruction. The use of hamstring autograft has become popular nowadays due to ease of harvest and less donor site morbidity. We have routinely been doing arthroscopic ACLR with hamstring autograft in our center. This study aims to evaluate the ...

Introduction: Closed reduction and percutaneous pinning (CRPP) is a gold standard technique for displaced Gartland type III supracondylar fractures of humerus in children. However, it is sometimes very difficult to have satisfactory closed reduction and may require open reduction which is inherently associated with a number of complications. The aim ...

Introduction: Surgical treatment including intramedullary K wire fixation is desirable for unstable pediatric both bone fracture to avoid angulation, rotational deformity and refracture ensuring optimal functional outcomes. However, it is debatable to leave free end of K wire exposed or to bury underneath the skin. The aim of the study ...

Down syndrome (DS) is commonly associated with pesplanovalgus among foot disorders due to hypotonia and joint laxity. Soft tissue contractures around the ankle and foot are implicated as the pathoanatomy in the case of Clubfoot, which is different from DS. Few cases of Clubfoot have been reported in association with ...

ABSTRACT 
Escobar Syndrome, the non-lethal variant of multiple pterygium syndrome (MPS), is a rare disorder. It is a subgroup of arthrogryposis multiplex congenita characterized by multiple webbing, fixed joint contractures, and distinctive facies like antimongoloid eyes, ptosis, micrognathia, low-set ears, high-arched palate, down-turned corners of lips, epicanthal folds, and long ...