Dinesh Chidambaram - Academia.edu (original) (raw)
Uploads
Papers by Dinesh Chidambaram
INTRODUCTION: The shoulder (gleno-humeral) joint is the one joint with maximum mobility and thus ... more INTRODUCTION: The shoulder (gleno-humeral) joint is the one joint with maximum mobility and thus resulting in increased chances of instability which commonly occur in the young individuals . The incidence of recurrent glenohumeral instability is 16 per 100 000 per year 3 with a majority of them are of anterior type. In recurrent anterior glenohumeral instability, there is no role for conservative management as there is no spontaneous recovery 10, unless some surgical intervention is carried out to stop the recurrence cycle to bring out cure for the patient and reduce the apprehension of dislocation so that the patient is free from restricting himself from his routine daily activities. AIM: The aim of the study is to analyse the functional outcome of patients treated with modified Bristow’s repair in recurrent anterior shoulder dislocation in Institute of Orthopaedics and Traumatology, Government General Hospital Chennai from May 2010 to September 2012. MATERIALS AND METHODS: The stu...
Introduction: The incidence of Giant cell tumors is 4%, affecting the meta-epiphyseal region of l... more Introduction: The incidence of Giant cell tumors is 4%, affecting the meta-epiphyseal region of long bones, with commonest involvement being around the knee joint [1]. It commonly occurs in patients around 20 to 40 years of age with slight female predilection. Giant cell tumor involving distal fibula is very rare, whose incidence is less than 1% [2] . Locally aggressive lesion in such an expendable bone needs resection of the involved bone, which compromises ankle stability, particularly in young patients [3]. This case is being presented here for its rare involvement and its unique management using an innovative technique, where tumor is resected and ankle mortise is reconstructed with ipsilateral proximal fibula. Lateral knee stability is restored by incorporating biceps femoris and fibular collateral ligament to lateral proximal tibia with suture anchor [4].
Journal of orthopaedic surgery (Hong Kong)
The cerclage passer instrument was introduced for aiding percutaneous reduction in spiral femur f... more The cerclage passer instrument was introduced for aiding percutaneous reduction in spiral femur fractures, thereby overcoming the risk of devascularization of the fracture ends commonly associated with traditional open cerclage wiring techniques. This may, however, predispose to iatrogenic vascular injuries owing to the proximity of the vessels and several other factors. We report four cases with femoral artery (superficial and deep) injuries caused by the cerclage passer in proximal femur and distal femur shaft fractures and incidence of these injuries in our institution. Retrospective analysis of hospital records of femoral fractures from 2011 to 2015. All cases of femoral fractures and periprosthetic femoral fractures with cerclage wiring done using the standard or the Synthes cerclage passer were included. Cases with wiring done for trochanteric fractures and other locations were excluded. Incidence of vascular injuries due to the cerclage passer in proximal femur shaft fracture...
INTRODUCTION: The shoulder (gleno-humeral) joint is the one joint with maximum mobility and thus ... more INTRODUCTION: The shoulder (gleno-humeral) joint is the one joint with maximum mobility and thus resulting in increased chances of instability which commonly occur in the young individuals . The incidence of recurrent glenohumeral instability is 16 per 100 000 per year 3 with a majority of them are of anterior type. In recurrent anterior glenohumeral instability, there is no role for conservative management as there is no spontaneous recovery 10, unless some surgical intervention is carried out to stop the recurrence cycle to bring out cure for the patient and reduce the apprehension of dislocation so that the patient is free from restricting himself from his routine daily activities. AIM: The aim of the study is to analyse the functional outcome of patients treated with modified Bristow’s repair in recurrent anterior shoulder dislocation in Institute of Orthopaedics and Traumatology, Government General Hospital Chennai from May 2010 to September 2012. MATERIALS AND METHODS: The stu...
Introduction: The incidence of Giant cell tumors is 4%, affecting the meta-epiphyseal region of l... more Introduction: The incidence of Giant cell tumors is 4%, affecting the meta-epiphyseal region of long bones, with commonest involvement being around the knee joint [1]. It commonly occurs in patients around 20 to 40 years of age with slight female predilection. Giant cell tumor involving distal fibula is very rare, whose incidence is less than 1% [2] . Locally aggressive lesion in such an expendable bone needs resection of the involved bone, which compromises ankle stability, particularly in young patients [3]. This case is being presented here for its rare involvement and its unique management using an innovative technique, where tumor is resected and ankle mortise is reconstructed with ipsilateral proximal fibula. Lateral knee stability is restored by incorporating biceps femoris and fibular collateral ligament to lateral proximal tibia with suture anchor [4].
Journal of orthopaedic surgery (Hong Kong)
The cerclage passer instrument was introduced for aiding percutaneous reduction in spiral femur f... more The cerclage passer instrument was introduced for aiding percutaneous reduction in spiral femur fractures, thereby overcoming the risk of devascularization of the fracture ends commonly associated with traditional open cerclage wiring techniques. This may, however, predispose to iatrogenic vascular injuries owing to the proximity of the vessels and several other factors. We report four cases with femoral artery (superficial and deep) injuries caused by the cerclage passer in proximal femur and distal femur shaft fractures and incidence of these injuries in our institution. Retrospective analysis of hospital records of femoral fractures from 2011 to 2015. All cases of femoral fractures and periprosthetic femoral fractures with cerclage wiring done using the standard or the Synthes cerclage passer were included. Cases with wiring done for trochanteric fractures and other locations were excluded. Incidence of vascular injuries due to the cerclage passer in proximal femur shaft fracture...