Asian Journal of Orthopaedic Research 2022-05-11T09:33:05+00:00 Asian Journal of Orthopaedic Research Open Journal Systems <p style="text-align: justify;"><strong>Asian Journal of Orthopaedic Research</strong>&nbsp;aims to publish&nbsp;high-quality&nbsp;papers (<a href="/index.php/AJORR/general-guideline-for-authors">Click here for Types of paper</a>) on all aspects of&nbsp;Orthopaedic&nbsp;research. This journal facilitates the research and wishes to publish papers as long as they are technically correct, scientifically motivated. The journal also encourages the submission of useful reports of negative results. This is a quality controlled,&nbsp;OPEN&nbsp;peer-reviewed, open access INTERNATIONAL journal.</p> The Safety of Early Weight Bearing Following Fixation of Displaced Bimalleolar Ankle Fractures 2022-05-09T11:35:45+00:00 Rajesh Kishanrao Ambulgekar Pritesh Kothari Parag Kulkarni Rahul Sudhir Agrawal <p>The most common fractures in adults are the ankle fracture accounting for incidence up to 173 occurrences per 1,00,000 people per year<sup>.</sup> Ankle fractures which are displaced, are commonly treated with ORIF with variable regimens available<sup>.</sup> Various authors have shown a link between clinical outcome and postoperative radiography. After open reduction and internal fixation (ORIF) of displaced bimalleolar ankle fractures, this paper compared early weight bearing (EWB) to late weight bearing (LWB) to determine union rates after operation, hardware loosening rate, medial clear space on x-ray, and functional outcome. This study found that EWB did not increase markers of outcome failure 3 weeks after surgery compared to 6 weeks of NWB which is considered the gold standard of care to enable healing, good range of motion, reduced risk of muscle weakning and bone osteoporosis, return more quickly for day-to-day living activities and improve postoperative rehabilitation.</p> 2022-05-09T00:00:00+00:00 ##submission.copyrightStatement## Study of the Functional Outcome of Arthroscopic Management of the Meniscal Injury in Knee Joint at Tertiary Care Centre 2022-05-06T07:13:49+00:00 Rajesh K. Ambulgekar Pritesh Kothari Parag Kulkarni Mahesh Deshmukh <p><strong>Background: </strong>Most common knee injury in sportsperson and athletes is meniscal injuries. Other than sports most common reason road traffic accident and person working in mines, mainly it is due to rotational injuries of knee joint. Such meniscal tears or injuries are repaired by surgical management which involves open surgery, arthoscopic surgery, meniscectomy etc, it is seen that of all the total surgical management done meniscectomy is done among 66 per 100,000 population per year.</p> <p><strong>Aim and Objective: </strong>To evaluate the effectiveness of arthroscopy in the diagnosis and management of meniscal injuries.</p> <p><strong>Material and Methods:</strong> This prospective study was carried out among patients with meniscal injuries of knee joint and getting admitted under orthopaedic department at tertiary care center. Study was carried out for a period of one and half year. Mainly all cases having meniscal injury and showing meniscal lesion on MRI findings were studied. Patients aged between 18-80 years with clinically suspected meniscal injuries and suggestive MRI findings of meniscal lesion were included in the study. All patients not willing to participate, having infection around knee, having lower leg fractures were not studied. Patients with both clinically suspected and MRI diagnosed meniscal injury were admitted. Data analysis was done with the help of appropriate software version. Quantitative data was presented with the help of mean, standard deviation, median and comparison among study group was done with the help of unpaired T test. Qualitative data was represented with frequency and percentage tables, association among study parameters was assessed with the help of chi- square test. P value less than 0.05 is taken as significant level.</p> <p><strong>Results:</strong> Mean age in years was 48.56<u>+</u>6.43, ranging from 51 to 73 years. Majority 53.33% were females. Common mode of injury was road traffic accident (56.6%). Medial meniscus was commonly involved (73.3%). Applying multiple regression to KOOS score r2 value is 0.9 and p value was zero.</p> <p>43.4% cases showed good functional outcome, 36.6% showed excellent and 20% showed fair outcome. Complications were seen among 17% cases.</p> <p><strong>Conclusion:</strong> present study concludes that as meniscal tear is very common injury among adults. This should be diagnosed and treated at earliest. Arthroscopy gives good post-operative results. The functional outcome is good in arthroscopy treated patients and complications noted were also very less. So, arthroscopic meniscal repair can be considered as a good operational tool for meniscal repair.</p> 2022-05-06T00:00:00+00:00 ##submission.copyrightStatement## Early Diagnosis of Acute wound Infection in Orthopaedic Trauma using CRP and Serial Periwound Skin Temperature Monitoring by Infrared Thermoradiography 2022-05-11T09:33:05+00:00 Amalu Joy Pradeoth Mukundan Korambayil Prashanth Varkey Ambookan <p><strong>Background:</strong> Infrared imaging allows non-contact, non-radiating, non-invasive investigation of biological systems, both in preclinical research settings and in the clinical assessment of patients. Quantitative measurement of periwound skin temperature using a reliable infrared camera can assist the wound care practitioner with early identification of deep or spreading infection, allow for timely intervention, and help to monitor ongoing treatment response.</p> <p>Aim: To assess the wound healing in orthopaedic trauma using infrared camera as an adjunct in clinical practice.</p> <p><strong>Methods:</strong> Prospective observation study of 40 patients with acute wound managed in a tertiary centre from December 2018 to October 2019. Infrared camera used as an adjunct along with other routine blood investigations to assess the healing of these wounds during the course of hospital stay. All skin temperatures were documented using a handheld infrared camera under consistent environmental conditions on the day of dressing. Wound infection was identified using the combination of a serial CRP value and clinical judgement.</p> <p><strong>Results:</strong> Out of 40 patients, 28 cases were post operative wounds and none of them developed any complications. The remaining 12 cases were post traumatic, in which 4 developed infections. These cases were identified by infrared camera in correlation with CRP and other clinical parameters.</p> <p><strong>Conclusion:</strong> Infrared thermography can act as an adjunct in acute post traumatic and post-surgical wound to monitor healing. It cannot replace an experienced clinician’s assessment and judgement based on individual patient and wound factors.</p> 2022-05-09T00:00:00+00:00 ##submission.copyrightStatement##