Nepal Orthopedic Association Journal (NOAJ)

BACKGROUND
Total hip arthroplasty (THA) is the endpoint of failed acetabular fracture surgery. Failure may be attributed to causes related injury causing avascular necrosis (AVN) of the femoral head, inadequate articular restoration leading to post-traumatic arthritis, or rarely massive osteolysis of the femoral head. We present a case series ...

BACKGROUND
Both anterolateral and posterior plating require isolation of radial nerve while anteromedial plating does not require stripping of muscles as well as isolation of radial nerve. Moreover, anteromedial surface is smooth and flat that makes easy to apply plate even without pre-bending. The aim of our study is ...

BACKGROUND
Surgical fixation of unstable pelvic injuries improves fracture reduction, early weight bearing and mobilization, lower mortalities, shorter hospital stays, and superior functional outcomes compared with non-operative treatment. The minimal invasive Iliosacral screws have improved outcomes, reduced complication rates as well as operative time. We aim to find out ...

BACKGROUND
Insertional Achilles tendinopathy (IAT) has been associated with Haglund deformity of the posterosuperior calcaneal tubercle. During surgical treatment of IAT, excision of the Haglund deformity is being performed as a routine, which adds morbidity. We wanted to find out if is that really necessary or not by comparing ...

BACKGROUND
Clavicle fractures are among the most common fractures in traumatic injuries around the shoulder girdle. Different treatment options are tried for its management, which include conservative as well as operative. Open reduction and internal fixation have become the mainstay of treatment for most midshaft clavicle fractures as this ...

BACKGROUND
This study aimed to assess the functional outcomes of percutaneous ilio-sacral screw fixation in the treatment of posterior pelvic ring injuries.
METHODS
A total of 34 (out of 42) adult patients treated with percutaneous ilio-sacral screw fixation for posterior pelvic ring injuries, with or without associated ...

BACKGROUND
Traumatic brachial plexus injuries are devastating injuries often resulting from high velocity road traffic accidents that may lead to severe functional disability. Despite continuous evolution in the surgical technique, the clinical outcomes following these injuries remain poor, especially in developing countries due to a lack of enough information ...

BACKGROUND
Microscopic lumbar discectomy is the common surgical procedure performed for lumbar disc herniation. The incidence of instrument breakage during discectomy ranges from 1% for micro-endoscopic discectomy to 3.1% for open discectomy. We report a case of L5-S1 lumbar disc herniation with left sided radiculopathy who was managed surgically. ...

BACKGROUND
This case outlines the management of a challenging case involving an adolescent patient presenting with open pelvic fracture, bilateral femur fractures and crush injury to the foot. The treatment approach integrates stage wise surgical interventions, wound care, and rehabilitation strategies to address each injury aspect systematically. Emphasis is ...