Nepal Orthopedic Association Journal (NOAJ)

The ideal strategy of developing sub-specialty education/societies in Orthopaedic surgery is to provide effective relief to a suffering patient, which is predictive, cost effective, and based on scientifi c principles.

Introduction: Tuberculosis (TB) is endemic in South Asia including Nepal. TB spine is the most common musculoskeletal manifestations and can have devastating complications. Early diagnosis by proper history, physical and radiological examination is mandatory. Chemotherapy is effective in most cases while some require surgical treatment.

Methods: Forty-four patients with clinico-radiological ...

Introduction: Thromboembolic complications is common after arthroplasty. The purpose of this study was to find out the incidences of deep vein thrombosis, symptomatic, and fatal pulmonary embolism in Indian patients undergoing arthroplasties and to compare the effectiveness and safety of thromboprophylaxis with low molecular weight heparin versus aspirin plus intermittent ...

Introduction: Osteoporosis represent a worldwide public health problem, frequently resulting in fractures and leading to psychological problem, social consequences, functional limitation and poor quality of life. So it is important to identify those people who have high risk of osteoporosis, in order to reduce the incidence of osteoporotic fractures. The ...

Introduction: Idiopathic Adolescent Scoliosis (IAS) is the commonest type of scoliosis without any known cause. There has been studies in different countries and population on IAS; and its prevalence rate varies for different population. There has been no reported study done in Nepal on prevalence of adolescent idiopathic scoliosis (AIS). ...

Introduction: With the dramatic success of intramedullary fixation for fractures of the femur and tibia, there was speculation that Intramedullary Interlocking Nails might be more appropriate for humeral shaft fractures in comparison to Dynamic Compression Plates. There are very few studies comparing these two methods of fixation in shaft of ...

Introduction: A sensory or motor deficit occurs in about half of patients with symptomatic lumbar canal stenosis. There is no study evaluating neurologically deficient patients with simple degenerative lumbar canal stenosis using validated measures and there are no consensus about outcome predictor of surgical decompression is available in literature. Only ...

Simultaneous dislocation of shoulder with fracture of the ipsilateralhumerus is extremely rare and very little reported in the literature. We report a case of forty three year old man who got right shoulder dislocation with proximal humerus fracture. The patient was treated with open reduction and internal fi xation by ...

Hydrogen peroxide, an over the counter irrigation solution used in infected and dirty wounds, has been reported mainly in the anesthesia literature to have life threatening complications. We report a case of near fatal gas embolism during an orthopedic procedure of irrigating the wound of a 30 year old female ...

Traumatic spondyloptosis is a rare presentation and is usually due to very high energy trauma. It is accompanied with cord injury, mostly complete transaction of the cord. In managing such cases special consideration should be given to soft tissues, surrounding structures and organs in the traumatized area. We present a ...