Nepal Orthopaedic Association Journal (NOAJ)

Background: Prolapsed intervertebral disc (PIVD) in lumbar disc herniation is a leading cause of low back pain and radiculopathy, frequently necessitating surgery after failed conservative treatment. This study assesses functional outcomes following surgical management in patients at a tertiary center in eastern Nepal.

Methods: A retrospective review was conducted of ...

Background: Audit is an essential component of healthcare quality improvement. When conducted systematically with predefined standards, it allows institutions to evaluate performance and identify areas for refinement. This audit aimed to evaluate epidemiological characteristics, perioperative parameters, and early complications of spinal deformity surgery at our tertiary spine institute against predefined ...

Background: Recurrent patellar instability (RPI) is strongly influenced by osseous morphology of the patellofemoral joint, yet population-specific data from South Asia remain scarce. This study evaluated magnetic resonance imaging (MRI) parameters of trochlear and patellar geometry in Nepalese patients with RPI compared with matched controls.

Methods: In this hospital-based case-control ...

Background: Tibial plateau fractures are complex injuries that need careful evaluation, classification, and comprehensive management to avoid serious complications. We aimed to assess the epidemiological profile of patients with tibial plateau fractures treated at the B & B Hospital, Lalitpur, Nepal. 

Methods: A retrospective cross-sectional study included 213 patients treated ...

Background: Open reduction and internal fixation (ORIF) for olecranon fractures remains a challenge. Due to intra-articular extension of fractures, anatomical reduction and stable rigid fixation is essential to obtain good functional outcome. We evaluated the functional outcomes of olecranon fracture fixation using pre-contoured anatomical locking olecranon plate.

Methods: A prospective ...

Background: Metacarpal fractures are common hand injuries, and K-wire fixation remains a widely used treatment. However, outcomes during resource-constrained settings such as the COVID-19 pandemic are underreported. This study aimed to evaluate the short-term functional outcomes of metacarpal fractures treated with K-wire fixation in a COVID-19 treatment center and assess ...

Background: Trigger finger, a common condition of finger, is characterized by pain, clicking, catching, or loss of motion of the affected finger. The symptoms are attributed to inflammation and subsequent narrowing of the A1 pulley. Percutaneous release of A1 pulley has shown good success rate and has been an efficient, ...

Background: Patient positioning for performing subarachnoid blockade in hip or proximal  femur fracture patients causes extreme pain which may require substantial amount of analgesic for patient cooperation and success of block. This study aimed to  assess the analgesic efficacy of fascia iliaca compartment block (FICB) to alleviate pain during  positioning ...

Background: Femoral neck fractures present a significant challenge in orthopedic surgery, with surgeon experience being a critical factor in surgical outcomes. However, the impact of experience level on key perioperative metrics remains debated. This study evaluates the relationship between surgeon experience and clinical outcomes in femoral neck fracture management.

Methods: ...

Background: Vertical shear open pelvic fractures are severe, unstable injuries that often require definitive posterior stabilization beyond external fixation. We report a case of a 20-year-old male, two months after a road traffic accident, presenting with bilateral pubic rami fractures, superior displacement of the right hemipelvis. Femoral traction-assisted reduction was ...