Nepal Orthopaedic Association Journal (NOAJ)

Our forefathers in Orthopedics to whom we owe our own knowledge and opportunities, had the arduous task of being a generalist while breaking boundaries to create the subspecialities that we know today. With advances in knowledge, technology, and opportunities, the orthopedic discipline today is a constellation of subspecialities including trauma, ...

Introduction: Legg-Calvé-Perthes disease (LCPD) is a self-limiting pediatric hip disorder that can leave femoral head deformity and impaired hip function. Conservative treatment remains an important option, particularly in younger children and less severe disease. This study evaluated functional outcomes after conservative management at a tertiary pediatric orthopedic center in Nepal ...

Background: Ankle sprain is the most frequently occurring lower limb injury among athletes and physically active individuals. There are no specific treatment guidelines for acute lateral ankle sprain. The purpose of the study is to find the functional outcome of a stirrup ankle brace versus a below-knee posterior slab in ...

Background: Foot and ankle disorders are common conditions, but their management in Nepal remains underexplored. This nationwide survey assessed diagnostic and treatment practices and gaps in foot and ankle care among orthopaedic surgeons in Nepal.

Methods: A cross-sectional survey was conducted among orthopaedic surgeons of the Nepal Orthopaedic Association. Of ...

Background: Pelvic resections are complex and challenging in oncologic practice and infection is the most common complication. Our study aims to evaluate whether flap coverage procedures influence infection rates compared to primary closure after major pelvic resection for sarcomas.

Methods: A retrospective comparative study was conducted among pelvic sarcoma patients ...

Background: To evaluate short-term changes in pain and disability, procedure-related adverse events, and subsequent interventions, after a single therapeutic fluoroscopy-guided transforaminal selective nerve-root block (SNRB) in patients with single-level unilateral lumbar disc prolapse.

Methods: In this prospective observational study, 38 patients aged 18–50 with MRI-confirmed single-level lumbar disc prolapse and ...

Background: Spinal cord injury (SCI) significantly impairs physical function and health-related quality of life (HRQoL). Despite its growing burden, research on functional outcomes and HRQoL among SCI patients in developing countries, including Nepal, remains limited.

Methods: A descriptive cross-sectional study was conducted at the Spinal Injury Rehabilitation Center (SIRC), Nepal. ...

Background: The palmaris longus (PL) is a superficial forearm flexor frequently harvested as a donor tendon due to its minimal functional role. Its absence varies across populations, making local prevalence data critical for surgical planning and anatomical education. 

Methods: A descriptive cross-sectional study was conducted among 652 medical and dental ...

Background: Hypoalbuminemia is common in older adults with hip fracture and may reflect nutritional reserve, inflammation, chronic disease, and acute illness. This study described preoperative serum albumin and examined its associations with perioperative outcomes in patients undergoing hip-fracture surgery.

Methods: This prospective observational study was conducted at B&B Hospital, Nepal. ...

Background: Distal leg and ankle defects are challenging to reconstruct because of limited local tissue availability and regional vascularity. Posterior tibial artery pedicled perforator flaps provide vascularized coverage while preserving the main arterial axis.
Methods: This prospective case series included 12 consecutive patients undergoing posterior tibial artery pedicled perforator ...

Background: Low back pain (LBP) is associated with obesity and central adiposity. This study evaluated associations of weight-adjusted waist index (WWI) and waist–hip ratio (WHR) with LBP severity and disability.

Methods: A hospital-based cross-sectional study was conducted from March to December 2025. A total of 500 patients aged 18–80 years ...

A 53-year-old gentleman was found to have a lobulated mass over the left scapula during his annual health checkup and was referred to a musculoskeletal oncologist. The mass was provisionally diagnosed as parosteal osteosarcoma (PaOS) of the scapula, and upfront surgery was performed with wide-margin resection and reconstruction using a ...

Tubercular synovitis of the wrist is a rare form of musculoskeletal tuberculosis, often presenting with nonspecific symptoms leading to delayed diagnosis. We report a case of a 69-year-old male with chronic painless swelling of the wrist and distal forearm. Imaging revealed synovial proliferation with rice bodies and bony erosions. Surgical ...

We report a case of Osteochondroma of the Capitate. A 58-year-old man had a one-year history of pain and swelling over the dorsum of Left wrist. At surgery we found a marble white, lobulated structure overlying the capitate bone. The patient became symptom free after the lesion was excised. 

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Introduction: Distal tibial fractures are one of the perplexing injuries encountered due to their poor blood supply and limited soft tissue cover. We aim to study and compare clinical and radiological outcomes in extra-articular fractures of the distal tibia treated with intramedullary interlocking nail (IMILN) and Minimally Invasive Plate Osteosynthesis ...