Bibek Banskota
Editoral
2025-11-30 21:02:02 | Page: 1-2
The use of artificial intelligence (AI) is gaining traction in orthopedic education and research, offering novel surgical training and scientific advancement approaches.1-3 As the global AI healthcare market grows at 47.6% annually, certain fundamental questions on readiness have to be faced.4 While AI technology offers unprecedented opportunities to address healthcare ...
Surya Bajra Lama Waiva, Rajesh Kumar Chaudhary, Ram Krishna Barakoti, Deepak Kaucha, Babu Kaji Shrestha, Saroj Chandra Dahal
Original Article
2025-08-31 06:41:06 | Page: 3-6
BACKGROUND Upper cervical spine injury involving C1 and C2 vertebrae are severe and at times fatal injury. Such injuries can lead to instability and/ or spinal cord injury. These traumatic injuries sometimes can be difficult to diagnose, to manage and to treat. This retrospective study aims at evaluating the demographic ...
Janith Lal Singh, Basanta Maharjan, Dipendra Maharjan, Binayak Dhungel, Rishi Ram Poudel, Krishna Jung Sah, Prashanna Dip Karki, Mandeep Pathak
Original Article
2025-08-31 07:20:43 | Page: 7-10
BACKGROUND
Oncoplastic reconstruction is a critical component in musculoskeletal oncology, aiming to restore form and function following tumour resections. In Nepal, where specialized musculoskeletal oncology services are evolving, this study aims to identify the patterns and types of oncoplastic reconstruction performed after tumour resection across four major tertiary centers.
Sudeep Khanal, Sabin Pokharel, Bhawana Regmi, Yudhisthir Raj Khadka, Prasesh Dhakal, Badri Rijal
Original Article
2025-11-30 21:05:58 | Page: 11-15
BACKGROUND
Supracondylar humerus fracture (SCHF) is common injury in children where displaced type 3 and 4 types require reduction and K wire fixation. But the use of lateral only or crossed pinning configuration is debatable.
METHODS
A prospective comparative study was conducted for a period of two ...
Sachindra Raj Joshi, Om Prasad Shrestha, Niresh Shrestha, Santosh Batajoo, Subhash Regmi
Original Article
2025-11-30 21:08:45 | Page: 16-19
BACKGROUND
Tranexamic acid (TXA) has been widely used to reduce blood loss and maintain postoperative hemoglobin level in elective orthopedic surgeries, but its role in orthopedic trauma surgery hasn’t been well defined. The aim of this study was to assess the role of TXA in reducing postoperative blood loss ...
Sulabh Kumar Shrestha, Aman Krishna Ranjit, Bhanubhakta Chalise, Sailesh Kumar Sah, Sanjeev Acharya
Original Article
2025-11-30 21:11:37 | Page: 20-22
BACKGROUND
Accurate and comprehensive documentation during surgical ward rounds is essential for patient safety, care continuity, and medicolegal purposes. Traditional note-taking, often delegated to junior staff during fast-paced orthopedic rounds, risks omission of vital details. Standardized proformas based on problem-oriented frameworks, such as SOAP (Subjective, Objective, Assessment, Plan), may ...
Bijay Bhujel, Giri Raj Bhattarai, Ram Sharma Subedi, Suman Kumar Shrestha
Original Article
2025-11-30 21:20:14 | Page: 23-26
BACKGROUND
Various modalities of treatment have been advocated in literature for treatment of distal tibia fracture. Treatment is challenging because of poor soft tissue coverage and precarious blood supply. Minimally invasive plate osteosynthesis preserves fracture hematoma, and periosteum with less surgical trauma. The objective of this study was to ...
Nabin Khadka, Bikram Prasad Shrestha, Raju Rijal, Rajiv Maharjan, Jitendra Shah
Original Article
2025-11-30 21:26:33 | Page: 27-31
BACKGROUND
The management of femoral shaft fractures in pediatric age has always been a subject of discussion. In this study, we aim to find out the functional outcomes following the use of Titanium Elastic Nails for diaphyseal femoral fractures in children.
METHODS
This prospective observational study was ...
Gopal Prasad Gnawali, Abhishek Vaish, Raju Vaishya, Karthikeyan P Iyengar
Case Report
2026-01-10 04:56:45 | Page: 32-36
Osteosarcoma of the proximal humerus presents a significant surgical challenge requiring wide excision and reconstruction. Megaprosthetic reconstruction is the preferred surgical treatment, though long-term complications, such as implant failure, may necessitate revision surgery. In this study, we present a case of a 27-year-old female who underwent a successful revision surgery ...
Om Prasad Shrestha, Niresh Shrestha, Nitesh Raj Pandey, Santosh Batajoo
Case Report
2025-11-30 21:43:04 | Page: 37-41
BACKGROUND
Kienböck’s disease, characterized by avascular necrosis of the lunate, remains a therapeutic challenge. Radial core decompression (RCD) has emerged as a joint-preserving option to halt disease progression by improving vascularity. This study evaluates the functional and radiological outcomes of RCD in patients with Kienböck’s disease.
METHODS
...