Nepal Orthopaedic Association Journal (NOAJ)

In the last few decades, Nepal has made significant leaps in medical education, but important disparities remain, necessitating a debate on the way forward. Having scaled its annual MBBS intake to 2635 seats across 29 Medical Education Commission (MEC)-accredited colleges—a near-50-fold increase since the 1990s—the country confronts a “paradox of ...

Background: Hip dysplasia is a major cause of secondary osteoarthritis, particularly in young adults. Total hip replacement (THR) is often required to restore function and improve quality of life. This main aim of this study was to evaluate the functional outcome, improvement in pain and health-related quality of life after ...

Background: Spinal tuberculosis (STB) often causes neurological deficits, kyphosis, or paraplegia. Anti-tubercular therapy is it’s mainstay of treatment modality and surgery is indicated for neurological deficits, abscess, or instability. This study evaluated the efficacy and safety of transpedicular decompression, fusion, and instrumentation for thoracic/lumbar tuberculosis. 
Methods: A prospective observational ...

Background: Knee osteoarthritis (OA) is one of the leading causes of pain and disability that significantly impacts mobility, independence, and quality of life. Total knee arthroplasty (TKR) is considered the gold standard treatment for end-stage knee OA, with proven benefits in pain relief and functional restoration. This study aimed to ...

Background: End-stage ankle osteoarthritis affects approximately 29,000 patients annually in the United Kingdom. Total ankle replacement (TAR) and ankle fusion (arthrodesis, AF) represent the two principal surgical interventions when conservative management fails. This comprehensive review synthesizes evidence from randomized trials, systematic reviews, and registry data from six countries.

Methods: This ...

Background: Acute lateral ankle sprains are common musculoskeletal injuries presenting to emergency departments. Optimal conservative management remains debated. Immobilization and functional treatment using ankle braces are widely used, each with distinct advantages. To compare clinical and functional outcomes of below-knee slab immobilization versus flexible ankle brace treatment in acute lateral ...

Background: The diameter of the graft is an important determinant of successful anterior cruciate ligament (ACL) reconstruction. If the diameter of the hamstring graft can be predicted accurately, we can determine whether this graft is suitable or if we need to harvest a different one.

Methods: A cross-sectional study was ...

Background: Vitamin D is essential for bone and muscle health. Deficiency is common worldwide and often asymptomatic. This study evaluates the prevalence of Vitamin D deficiency and the proportion of symptomatic cases in patients undergoing routine health check-ups.

Methods: A retrospective analysis of 646 patients attending routine check-ups over six ...

Clinical work and research do not compete with each other; rather, they are complementary. I can understand the urge to drown in clinical work. The success of clinical orthopaedics is intoxicating. We all came to medicine because we wanted to help people. It is, therefore, quite gratifying to see the ...

Background: Acetabular anterior column fractures are challenging to manage due to the complex anatomy and limited surgical corridors. While retrograde screw fixation is commonly used, it often poses technical difficulties. We report a case of a 32-year-old female with an anterior column acetabular fracture, treated with percutaneous antegrade anterior column ...