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Agarwal A, Barik S, Jain A, Sharma L. Factors influencing correction rate following hemiepiphysiodesis using tension band plates for deformities around the knee: a multivariate analysis study. Int Orthop 2024; 48:1411-1417. [PMID: 38351364 DOI: 10.1007/s00264-024-06114-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/16/2023] [Accepted: 02/04/2024] [Indexed: 05/08/2024]
Abstract
PURPOSE The aim of this study was to appraise various factors influencing the correction rate in temporary hemiepiphysiodesis (THE) around the knee joint. Specifically, the study analysed the relationship of correction rate with age, gender, aetiology, type and location of deformity. METHODS The retrospective study included children who underwent THE for a coronal plane deformity (genu valgus or varum) around the knee joint (distal femur or proximal tibia) over a ten year period (2010-2020). The primary outcome of interest was the correction rate of the deformity. RESULTS Thirty-three children (27 females and 6 males) with a mean age of 8.1 years involving 86 plates were included in the study. The mean correction achieved was 12.2° over a treatment period of 13.3 months. Subgroup analysis showed significant differences between the type (varus (0.8° per month), valgus (1.1° per month)) and the location of deformity femur (1.2° per month) and tibia (0.7° per month)]. On multivariate analysis, the location and the duration of treatment showed significant associations with the correction rate. CONCLUSION The correction of coronal deformities following temporary hemiepiphysiodesis is influenced by several factors. Valgus, femoral and deformities in younger children correct at a faster rate. Location of deformity and duration of treatment emerged as potential factors affecting the correction rate.
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Affiliation(s)
- Anil Agarwal
- , Chacha Nehru Bal Chikitsalaya, New Delhi, India
| | | | - Ankit Jain
- , Chacha Nehru Bal Chikitsalaya, New Delhi, India
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Agarwal A, Barik S, Upadhyay A, Patel Y. Retraction Note: Pain behavior of children with bilateral idiopathic clubfoot undergoing Ponseti casting and the effect of non-pharmaceutical pain-relieving agents. Arch Orthop Trauma Surg 2024; 144:985. [PMID: 37934238 DOI: 10.1007/s00402-023-05127-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/08/2023]
Affiliation(s)
- Anil Agarwal
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India.
| | | | - Ankur Upadhyay
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India
| | - Yogesh Patel
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India
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Barik S, Kumar V, Raj V. Letter to the editor regarding "Analysis of patient factors associated with selection of corticosteroid injection in the freezing phase of idiopathic adhesive capsulitis". J Shoulder Elbow Surg 2024:S1058-2746(23)00891-1. [PMID: 38182018 DOI: 10.1016/j.jse.2023.11.007] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/10/2023] [Accepted: 11/13/2023] [Indexed: 01/07/2024]
Affiliation(s)
- Sitanshu Barik
- All India Institute of Medical Sciences, Deoghar, India.
| | - Vishal Kumar
- All India Institute of Medical Sciences, Deoghar, India
| | - Vikash Raj
- All India Institute of Medical Sciences, Deoghar, India
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Barik S, Kumar V, Raj V. Letter Regarding: Split Transfer of the Tibialis Anterior Tendon Combined With Calcaneocuboid Fusion vs Split Transfer of the Tibialis Anterior Tendon Alone to Treat Equinovarus Foot Deformity in Children With Cerebral Palsy. Foot Ankle Int 2024; 45:99. [PMID: 38279769 DOI: 10.1177/10711007231213366] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/28/2024]
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Garg V, Gowda AKS, Regmi A, Barik S, Maheshwari VK, Singh V. Management of Length Unstable Femur Fractures in Children by Flexible Intramedullary Nails: A Systematic Review. Acta Chir Orthop Traumatol Cech 2024; 91:44-51. [PMID: 38447564 DOI: 10.55095/achot2024/006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 03/08/2024]
Abstract
PURPOSE OF THE STUDY Surgical options for paediatric femoral fractures include fl exible intramedullary nailing (FIN), plating, and external fi xators. Length unstable fractures are usually spiral, long oblique, or comminuted and are often associated with > 2 cm of shortening. The purpose of this study was to see whether FIN is effective for managing unstable femur fractures in children. MATERIAL AND METHODS An electronic literature search was performed up to 25 February 2022 in Cochrane Library, PubMed, and Embase databases using a combination of MeSH search terms and keywords related to the population (e.g., "child" AND "diaphyses" AND "femur"), and intervention (e.g., "nail" OR "ESIN"). The data extracted included the study details, Demographic data, surgical details, postoperative immobilization, complications, and outcome. RESULTS Eight studies with a total sample size of 369 patients were reviewed. The mean operative time, blood loss, and length of stay in the hospital were 67.62±12.32 minutes, 33.82±16.82 ml, and 4.9±1.27 days, respectively. The results were excellent in 61.92% of the patients, satisfactory in 32.61%, and poor in 5.43%. 4.54% of patients had major complications requiring reoperation and 32.46% of patients had minor complications. the most common complication was nail prominence seen in 26.30% of patients. Locked Ender's nail was associated with the least reoperation, malunion, and LLD rate compared to other types of FIN. CONCLUSIONS FIN along with a single walking spica cast is a good choice in all forms of paediatric femoral fracture patterns allowing proper alignment and rotation. Locked Ender's nail is safe and effective for managing unstable paediatric femur fracture. KEY WORDS pediatric femur fracture, length unstable, fl exible intramedullary nailing, submuscular plating, Flynn criterion.
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Affiliation(s)
- V Garg
- Department of Orthopedics, Chacha Nehru Bal chikitsalaya, Geeta colony, Delhi, India
| | - A K S Gowda
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, India
| | - A Regmi
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - S Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - V K Maheshwari
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - V Singh
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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Amarnath SS, Kumar V, Barik S. Vitamin D and Calcium and Bioavailability of Calcium in Various Calcium Salts. Indian J Orthop 2023; 57:62-69. [PMID: 38107810 PMCID: PMC10721582 DOI: 10.1007/s43465-023-01056-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/08/2023] [Accepted: 11/12/2023] [Indexed: 12/19/2023]
Abstract
Introduction The active form of vitamin D, 1,25D3, plays an important function in the metabolism of calcium. The recommended daily INTAKE of Calcium varies from 1300 mg/day during adolescence to 1200 mg/day after the age of 50 years. Similarly, for vitamin D, the recommended daily intake varies from 400 IU/day during adolescence to 1000 IU/day after the age of 70 years. There is an intricate inter-play of homeostasis of calcium led by vitamin D and PTH at various sites like intestine, kidney, and bones. The increased fracture risk due to bone loss and osteoporosis creates a burden on the patient, healthcare provider as well as the health system. As the population grows old worldwide gradually, the long-term sequelae like pain, loss of independence, and institutionalized care will become more pervasive. Behavioral change to incorporate a healthy lifestyle, including optimal calcium and vitamin D intake and physical exercise in adolescence, form the important foundation in the program for osteoporosis prevention. Conclusion Increased emphasis on lifestyle modification and nutrition should be given during times of increased bone loss in old age and after menopause.
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Affiliation(s)
- S. S. Amarnath
- Trauma and Orthopedic Surgeon, Trinity Central Hospital, Bangalore, India
| | - Vishal Kumar
- Department of Orthopedics, PGIMER, Chandigarh, India
| | - Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Barik S, Raj V, Kumar V. Prolotherapy for knee osteoarthritis: comment on "Demonstrating the effectiveness of Platelet Rich Plasma and Prolotherapy treatments in knee osteoarthritis" by Ceylan et al. Ir J Med Sci 2023; 192:2859-2860. [PMID: 37010774 DOI: 10.1007/s11845-023-03354-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/22/2023] [Accepted: 03/27/2023] [Indexed: 04/04/2023]
Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Roy AD, Pramanik P, Chatterjee A, Barik S. Perspective of medical undergraduates in India towards the LGBTQIA+ population: a short insight into changes in the medical curriculum. Sex Health 2023; 20:593-596. [PMID: 37925746 DOI: 10.1071/sh23155] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2023] [Accepted: 10/17/2023] [Indexed: 11/07/2023]
Abstract
BACKGROUND Understanding the attitudes of medical students towards individuals from the lesbian, gay, bisexual, transgender, queer, questioning, intersex and asexual (LGBTQIA+) community is a prerequisite for informing competencies-based medical education (CBME) guidelines to make them LGBTQIA+ inclusive. The present study was conducted to assess the attitudes of medical undergraduate students from Indian medical colleges towards the LGBTQIA+ community. METHODS An online cross-sectional survey was conducted in medical undergraduate students across India, which measured the opinions, beliefs, and acceptance of LGBTQIA+ people using a structured questionnaire uploaded on Google Forms. After data collection, the datasheet was downloaded, cleaned, and anonymised before being imported into RStudio for analysis. RESULTS A total of 273 valid entries were assessed from the online survey. There was significant gender-based differences on most traditional opinions and beliefs regarding the LGBTQIA+ population (P <0.05). The female participants appeared to be more accepting of and comfortable with all denominations of LGBTQIA+. Many of the participants believed that members of the LGBTQIA+ community are more prone to sexually transmitted diseases, especially HIV/AIDS. However, a few participants also opined that the increased susceptibility to HIV/AIDS may be due to increased prevalence of intravenous drug abuse in the LGBTQIA+ community. CONCLUSIONS There are some misconceptions about the LGBTQIA+ community among medical students. Therefore, in order to ensure LGBTQIA+ sensitive healthcare provision, there needs to be a concerted, informed effort to incorporate necessary changes in the CBME curriculum.
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Kumar V, Barik S, Raj V. Letter to Editor regrading "Predictors for operative treatment in pediatric proximal third both-bone diaphyseal forearm fractures in children include age and translation, but not initial angulation". J Child Orthop 2023; 17:626-627. [PMID: 38050597 PMCID: PMC10693842 DOI: 10.1177/18632521231205602] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/06/2023] Open
Affiliation(s)
- Vishal Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Devipur, India
| | - Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Devipur, India
| | - Vikash Raj
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Devipur, India
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Kumar V, Raj V, Barik S. Letter to the Editor concerning "The contribution of preoperative balanced halo-pelvic traction to severe rigid spinal deformity correction" by Z. Zhou et al. (Eur Spine J [2023]; doi: 10/1007/s00586-023-07916-w). Eur Spine J 2023; 32:4464. [PMID: 37768338 DOI: 10.1007/s00586-023-07959-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/09/2023] [Revised: 09/09/2023] [Accepted: 09/16/2023] [Indexed: 09/29/2023]
Affiliation(s)
- Vishal Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Vikash Raj
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
| | - Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
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Barik S, Agarwal A. Non-zero Pirani score in corrected clubfoot due to empty heel: A prognostic dilemma. J Clin Orthop Trauma 2023; 47:102295. [PMID: 38196502 PMCID: PMC10772365 DOI: 10.1016/j.jcot.2023.102295] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/01/2023] [Revised: 11/07/2023] [Accepted: 11/22/2023] [Indexed: 01/11/2024] Open
Abstract
Purpose The aim of this study was to track the correction of individual components of Pirani scoring system (PSS) over the manipulation and tenotomy phase of Ponseti casting method in idiopathic clubfoot. Additionally, non-zero PSS scores were analysed to find out the residual deformities. Methods The included feet were assessed initially according to the six component PSS. The individual scores of each component of midfoot and hindfoot were scored at each visit till the final follow up. The final scoring was done before the start of the bracing phase of the feet (with or without tenotomy). Results Evaluation was performed for 42 feet in 28 infants (14 bilateral) with mean age of 42.5 ± 39.2 days (range, 15-150 days). All the six components of PSS showed a significant change from the first cast till the pre tenotomy cast. Post tenotomy, there was a significant change in the scores of posterior crease (0.4 ± 0.2 to 0.1 ± 0.1, p < 0.001) and rigid equinus (0.8 ± 0.3 to 0.1 ± 0.2, p < 0.001). 66.7 % (28/42) of the feet had an abnormal empty heel sign of either 0.5 [22/42 (52.3 %)] or 1 [6/42 (14.4 %)] at initiation of bracing. Conclusions The individual components of Pirani scoring system changed to a variable extent as the treatment progressed. Curvature lateral border and talar head reached normalcy prior to tenotomy. Posterior crease and rigid equinus showed a significant reduction after tenotomy. The non-zero empty heel component may require careful interpretation both post treatment and during follow ups.
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Affiliation(s)
- Sitanshu Barik
- Orthopedics, All India Institute of Medical Sciences, Nagpur, India
| | - Anil Agarwal
- Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India
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Barik S, Kumar V. Male Osteoporosis and Frailty. Indian J Orthop 2023; 57:237-244. [PMID: 38107814 PMCID: PMC10721747 DOI: 10.1007/s43465-023-01027-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/29/2023] [Accepted: 10/12/2023] [Indexed: 12/19/2023]
Abstract
It is estimated that 50% women and 20% of men over the age of 50 years will have an osteoporosis-related fracture in their remaining life. Although, Osteoporosis is generally thought to be a disease affecting females, more than a third of hip fractures occur in males due to reduced bone strength. Along with Osteoporosis, the other pathological process which occurs simultaneously is Sarcopenia. It is defined as age-related atrophy of skeletal muscle mass that reduces muscle strength, function, and quality of life. This chapter discusses the various aspects of the disease process in the males including its classification, clinical features, diagnosis and treatment.
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Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Kumar V, Raj V, Barik S, Richa R. Posterior Instrumentation of Cervical Spine: A Bibliometric Analysis of Trends in Publication. Asian J Neurosurg 2023; 18:708-723. [PMID: 38161607 PMCID: PMC10756788 DOI: 10.1055/s-0043-1777274] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/03/2024] Open
Abstract
Aim The aim of this study was to perform a bibliometric analysis of the articles published on posterior instrumentation of cervical spine and to study the general publishing trends over the years in this topic in terms of journals, authors, topics, keywords, collaborating countries, etc. Material and Methods Articles were searched on the web of science using appropriate keywords. A bibliometric analysis was performed using Bibliometrix R package Results A total of 1,953 studies were identified between 1991 and 2023 including 1,782 articles and 171 reviews from 198 sources. A total of 3,421 author's keywords were used by 6,725 authors. Thirty-four documents are single authored. The average co-author per document is 5.63. The average citation per document is 22.62. There is international co-authorship in 13.11% documents. RM Xu and Sonntag VKH have maximum publications ( n = 28). The "Spine" journal has the maximum number of publications ( n = 335) and best H index of 64. United States has maximum number of publications ( n = 1,720) and citations ( n = 19,573). Publication by Harms et al in the "Spine" in 2001 has the highest global ( n = 956) & local ( n = 272) citations. Three-dimensional printing and atlantoaxial fixation are emerging trends. Conclusion The findings of this study enhance the knowledge on the topic of posterior instrumentation of cervical spine and shall guide the trends and directions of future research and innovation.
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Affiliation(s)
- Vishal Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Vikash Raj
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Richa Richa
- Department of Community and Family Medicine, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
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Barik S, Matic I, Farr S. Long-term results of index finger pollicization for congenital thumb anomalies: a systematic review. J Hand Surg Eur Vol 2023:17531934231212392. [PMID: 37987671 DOI: 10.1177/17531934231212392] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/22/2023]
Abstract
This systematic review analyses the literature for long-term outcomes of index finger pollicization. This review includes all seven studies that reported outcomes of index finger pollicization for congenital thumb aplasia or hypoplasia for qualitative review. The seven studies included 108 index finger pollicizations with 54% male children. The studies did not describe the preoperative quality and function of the transposed index finger. Grip strength was in the range of 52%-76% of the contralateral hand. Lateral pinch and key grip strength were also approximately 50% of the contralateral hand. The main drawback of the collective literature is the lack of homogeneity of results and a standardized protocol for reporting postoperative outcomes. These factors need to be addressed to compare the long-term results of pollicizations accurately.
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Affiliation(s)
| | - Ida Matic
- Department of Pediatric Orthopaedics, Children's Hospital, Zagreb, Croatia
| | - Sebastian Farr
- Department of Pediatric Orthopaedics and Foot and Ankle Surgery, Orthopaedic Hospital Speising, Vienna, Austria
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Kumar V, Kumar A, Barik S, Raj V. Comment on "Adolescent athletes return to sports rapidly after posterior spine fusion for idiopathic scoliosis: a prospective cohort study". Spine Deform 2023; 11:1543-1544. [PMID: 37410354 DOI: 10.1007/s43390-023-00724-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/16/2023] [Accepted: 06/17/2023] [Indexed: 07/07/2023]
Affiliation(s)
- Vishal Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
| | - Aman Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vikash Raj
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
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Kumar A, Barik S, Raj V, Kumar V. Comment on 'Which pediatric supracondylar humerus fractures are high risk for conversion to open reduction?'. J Pediatr Orthop B 2023; 32:621. [PMID: 37820112 DOI: 10.1097/bpb.0000000000001098] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/13/2023]
Affiliation(s)
- Aman Kumar
- Department of Orthopedics, All India Institute of Medical Sciences (AIIMS), Deoghar, Jharkhand, India
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Kumar V, Barik S, Raj V, Varshney S. Prevention of "bygone futures" due to road traffic injuries in children. Eur J Trauma Emerg Surg 2023:10.1007/s00068-023-02378-7. [PMID: 37870567 DOI: 10.1007/s00068-023-02378-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/03/2023] [Accepted: 10/05/2023] [Indexed: 10/24/2023]
Abstract
Road traffic injuries remain one of the common and leading causes of death among children and adolescents till the age of 19 years. Road safety is important for children since their physical activity, active travel, independence and development are largely affected by it. Solutions for road safety with benefits for people as well as an economy exist which should be implemented effectively and efficiently. These solutions which combine engineering, legislation and behavioural interventions should be implemented in an integrated Safe Systems Approach. The future of the children must be safeguarded from these injuries and every effort towards it being converted into "bygone figures" must be done diligently and honestly. The various risk factors and interventions possibly explained in this review article shall help in better understanding of the causes and possible guidelines at a policy level to prevent road traffic injuries in children.
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Affiliation(s)
- Vishal Kumar
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Sitanshu Barik
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Vikash Raj
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Saurabh Varshney
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Barik S, Jain A, Chanakya PV, Raj V, Goyal T. What has changed in total hip arthroplasty in patients of juvenile idiopathic arthritis since 2000? A systematic review and pooled data analysis. Eur J Orthop Surg Traumatol 2023; 33:2737-2748. [PMID: 36947313 DOI: 10.1007/s00590-023-03525-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 08/18/2022] [Accepted: 03/13/2023] [Indexed: 03/23/2023]
Abstract
PURPOSE The prevalence of juvenile idiopathic arthritis (JIA) is estimated to be 16-150 per 100,000 children worldwide. The hip joint may be involved in over 50% of children leading to significant morbidity which may require surgical intervention in the form of arthroplasty. The literature lacks a concise overview of the outcomes, including complication and implant survival of total hip arthroplasty (THA) in juvenile idiopathic arthritis (JIA). The aim of this study is to systematically analyze the literature and report the outcomes of THA in JIA. METHODS Search was conducted in the online databases PubMed, Embase and Cochrane database. It included all original studies which evaluated clinical and/or radiological outcomes of THA in JIA with a minimum sample size of 5 patients and published in English. The level of evidence of the included studies was graded according to the Oxford Centre for Evidence Based Medicine. The Institute of Health Economics checklist was used to assess the quality of the studies included. RESULTS The nine studies included were retrospective in nature with all being Level IV according to Oxford Centre for Evidence Based Medicine. 475 hips in 304 patients with majority of them being females (241/304, 79.2%) were included in this review. All the studies reported the outcome objectively using various scores. The proportion of revision surgeries (92/378), either femoral or acetabular, noted was 22% (95% CI 10-33%). The proportion of acetabular revisions (72/378) was 16% (95% CI 8-25%) as compared to 4% (95% CI 1-6%) for femoral revisions (20/378). There was no difference in survivorship when cemented and uncemented implants were compared. CONCLUSION JIA patients with advanced hip disease represent a unique population with need for extra-long implant longevity. THA in patients of JIA leads to improved pain relief as well as mobility but the conversion of the same outcomes to functional activity is not proportionally improved. The current trend is the use of uncemented and ceramic-on-ceramic implants. Acetabular implants require earlier revision as compared to femoral implants. Age at surgery can be delayed by early institution of methotrexate which indirectly improves implant survival. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Aakash Jain
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - P V Chanakya
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Tarun Goyal
- Department of Orthopedics, All India Institute of Medical Sciences, Bhatinda, India
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Barik S, Raj V, Munshi BD, Rajput O, Prajapati S, Prasad SG, Kumar A. Development and Validation of India-specific Hindi Version of Osteoporosis Knowledge Assessment Tool. J Midlife Health 2023; 14:252-256. [PMID: 38504733 PMCID: PMC10946677 DOI: 10.4103/jmh.jmh_219_22] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/18/2022] [Revised: 03/19/2023] [Accepted: 03/23/2023] [Indexed: 03/21/2024] Open
Abstract
Purpose Patient education is one of the important components of reducing the morbidity of osteoporosis. The aim of this study is to validate the Hindi version of the Osteoporosis Knowledge Assessment Tool (OKAT-H) among a hospital-based sample in the age group of 18-44 years of age. Methods The study was conducted in two phases - translation and adaption of the OKAT in Hindi followed by its validation. The translated tool was analyzed by Flesch reading ease, McNemar test, Cronbach alpha, difficulty index, discrimination index, and principal factor analysis. Results Two hundred and sixty women with a mean age of 28.3 ± 17.2 years were enrolled in the study. The mean score of the OKAT-H tool obtained in the study was 11.3 ± 2.1. A significant difference was noted in the scores based on educational qualification or with any family history of either osteoporosis or fracture (P < 0.05). The Flesch score for the OKAT-H tool was 86. Inter-item correlation for all the items ranged between 0.15 and 0.5. The Cronbach's alpha measured 0.892 suggesting high internal consistency. Items number 6, 7, 8, 9, 13, and 14 showed a significant difference on the McNemar test questioning its consistency on test-retest. Conclusion A new shorter version of the tool may be developed since six items showed low consistency. The use of such an instrument in local language would help spread awareness about the disease as well as help the population in adopting osteoprotective strategies and also to seek help and advice regarding treatment.
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Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Boudhayan Das Munshi
- Department of General Medicine, All India Institute of Medical Sciences, Kalyani, West Bengal, India
| | - Ojasvi Rajput
- Department of Mathematics and Statistics, Indian Institute of Technology, Kanpur, Uttar Pradesh, India
| | - Shivji Prajapati
- Department of Orthopedics, All India Institute of Medical Sciences, Raipur, Chhattisgarh, India
| | - Sant Guru Prasad
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Ashish Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
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Barik S, Raj V, Kumar V, Hems T. Hems T. Natural history of elbow flexion and forearm rotation contractures in obstetric brachial plexus injury. J Hand Surg Eur. 2022, 47: 1121-7. J Hand Surg Eur Vol 2023; 48:823-824. [PMID: 37235724 DOI: 10.1177/17531934231178121] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 05/28/2023]
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Raj V, Barik S, Kumar V. Letter to the Editor concerning "Is procalcitonin a reliable indicator of sepsis in spinal cord injury patients: an observational cohort study" by Anas M, et al. (Eur Spine J [2023] https://doi.org/10.1007/s00586-023-07609-4). Eur Spine J 2023; 32:3309. [PMID: 37258661 DOI: 10.1007/s00586-023-07775-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/29/2023] [Revised: 03/29/2023] [Accepted: 05/09/2023] [Indexed: 06/02/2023]
Affiliation(s)
- Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
- AIIMS Temporary Campus, PTI Campus, Daburgram, Jasidih, Jharkhand, 814142, India.
| | - Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Agarwal A, Barik S, Upadhyay A, Patel Y. Pain behavior of children with bilateral idiopathic clubfoot undergoing Ponseti casting and the effect of non-pharmaceutical pain-relieving agents. Arch Orthop Trauma Surg 2023; 143:5603-5608. [PMID: 37052665 DOI: 10.1007/s00402-023-04877-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/28/2022] [Accepted: 04/04/2023] [Indexed: 04/14/2023]
Abstract
INTRODUCTION This study prospectively investigated the pain response and physiological parameters [heart rate (HR) and oxygen saturation (SpO2)] during sequential casting in bilateral clubfoot. Additionally, it explored the role of non-nutritive sucking and human care contact on the observed responses during casting. METHODS Subjects were allotted to control group (Group A with no intervention) and two intervention groups (Group B: non-nutritive sucking intervention, Group C: human care contact intervention). Neonatal Infant Pain Score (NIPS), heart rate (HR), and oxygen saturation (SpO2) were used to assess the response. RESULTS The three groups matched in age and gender characteristics of the participants. Pain response was noted across all groups. The left foot demonstrated a statistically significant preexisting tachycardia which rose further during casting (p < 0.01). Intergroup comparisons revealed that the alteration for NIPS during casting was in following sequence (Group A > C > B, p < 0.00001). The effect of interventions offered in Group B and C lasted in the post-cast period as well (B > C). CONCLUSION The clubfoot child exhibited moderate pain response during casting of both feet. A tachycardia was noted prior to initiation of second cast which further exaggerated with subsequent cast. Pacifier (non-nutritive sucking) intervention produced better control of pain response than human care contact during casting for both feet.
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Affiliation(s)
- Anil Agarwal
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India.
| | | | - Ankur Upadhyay
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India
| | - Yogesh Patel
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, Delhi, India
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Barik S, Raj V, Kumar V. Pathological fracture in prior diagnosed malignancies: A dilemma. Injury 2023; 54:110817. [PMID: 37268531 DOI: 10.1016/j.injury.2023.05.048] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/09/2023] [Accepted: 05/12/2023] [Indexed: 06/04/2023]
Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Kumar A, Raj V, Kumar V, Barik S. Letter to the Editor concerning "Factors associated with the increased risk of atlantoaxial osteoarthritis: a retrospective study" by Suga Y, et al. (Eur Spine J; 2022: doi 10.1007/s00586-022-07414-5). Eur Spine J 2023; 32:2928-2929. [PMID: 37219711 DOI: 10.1007/s00586-023-07774-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/07/2023] [Revised: 01/07/2023] [Accepted: 05/09/2023] [Indexed: 05/24/2023]
Affiliation(s)
- Aman Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Vikash Raj
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vishal Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
| | - Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
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Kumar V, Kumar A, Barik S, Raj V. Letter to the Editor concerning "Does the use of postoperative brace help preventing mechanical complications following adult deformity surgery?" by J. Pizones et al. (Eur Spine J [2023]; doi: 10.1007/s00586-022-07521-3). Eur Spine J 2023; 32:2932-2933. [PMID: 37270435 DOI: 10.1007/s00586-023-07794-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/13/2023] [Revised: 05/13/2023] [Accepted: 05/21/2023] [Indexed: 06/05/2023]
Affiliation(s)
- Vishal Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
| | - Aman Kumar
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vikash Raj
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, India
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Barik S, Prajapati S, Raj V, Vatkar A, Kumar V. Role of intra-operative traction in deformity correction in neuromuscular scoliosis: a systematic review and meta-analysis. Spine Deform 2023; 11:787-796. [PMID: 36971963 DOI: 10.1007/s43390-023-00682-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/10/2022] [Accepted: 03/18/2023] [Indexed: 06/13/2023]
Abstract
PURPOSE Intra-operative traction (IOT) has emerged as new modality for improving correction rates in scoliosis since it has the potential to reduce operative time and blood loss in neuromuscular scoliosis (NMS). The aim of this study is to describe the effects of IOT in deformity correction in NMS. METHODS The search was conducted in online electronic databases following the PRISMA guidelines. This review included studies on NMS which have described usage of IOT in deformity correction. RESULTS Eight studies were included in analysis and review. There was low-to-moderate heterogeneity across the studies (I2 - 42.4 to 93.9%). All the studies used cranio-femoral traction for IOT. The final Cobb's angle in coronal plane was significantly lower in the traction group as compared to the non-traction group (SMD - 0.36 95% CI - 0.71 to 0). There was a trend towards better outcomes in final obliquity (SMD - 0.78 95% CI - 1.64 to 0.09), operative time (SMD - 1.09 95% CI - 2.25 to 0.08) and blood loss (SMD - 0.86 95% CI significantly lower in the traction group as 2.15 to 0.44) but did not reach statistical significance. CONCLUSION IOT helped to achieve significant scoliotic curve correction in NMS compared to non-traction group. Despite the overall tendency of improved pelvic obliquity correction, reduced operative time and reduced blood loss as compared to a surgery without the use of IOT, it did not achieve statistical significance. Further studies which are prospective with a larger sample size and focussing on a particular etiology may be conducted which would validate the results. LEVEL OF EVIDENCE IV.
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Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, 814112, India.
| | - Shivji Prajapati
- Department of Orthopedics, All India Institute of Medical Sciences, Raipur, India
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, 814112, India
| | | | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, 814112, India
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Barik S, Raj V, Prasad SG, Richa, Garg V, Singh V. Comparison of Various Joint Decompression Techniques in Septic Arthritis of the Hip in Children: A Systematic Review and Meta-Analysis. Hip Pelvis 2023; 35:73-87. [PMID: 37323550 PMCID: PMC10264229 DOI: 10.5371/hp.2023.35.2.73] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/21/2022] [Revised: 01/17/2023] [Accepted: 01/20/2023] [Indexed: 11/22/2023] Open
Abstract
The aim of this review is to conduct an analysis of existing literature on outcomes of application of various methods of joint decompression in management of septic arthritis of the hip in children. A search of literature in PubMed, Embase, and Google Scholar was conducted for identification of studies reporting on the outcomes of intervention for septic arthritis of the hip in children. Of the 17 articles selected, four were comparative studies; two of these were randomized controlled trials while the rest were single arm studies. Statistical difference was observed between the proportion of excellent clinical and radiological outcomes in arthrotomy (90%, 95% confidence interval [CI] 81-98%; 89%, 95% CI 80-98%), arthroscopy (95%, 95% CI 91-100%; 95%, 95% CI 90-99%), and arthrocentesis (98%, 95% CI 97-100%; 99%, 95% CI 97-100%), respectively. The highest overall rate of additional unplanned procedures was observed in the arthrocentesis group (24/207, 11.6%). Patients who underwent arthrocentesis had a statistically greater chance of excellent clinical and radiological outcomes, although the highest level of need for additional unplanned surgical intervention was observed in the arthrocentesis group, followed by the arthroscopy group and the arthrotomy group. Future conduct of a prospective multicentric study focusing on the developed and developing world, along with acquisition of data. such as delay of treatment and severity of disease will enable assessment of the efficacy of one technique over the other by surgeons worldwide.
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Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences Deoghar, Deoghar, India
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences Deoghar, Deoghar, India
| | - Sant Guru Prasad
- Department of Orthopedics, All India Institute of Medical Sciences Deoghar, Deoghar, India
| | - Richa
- Department of Community and Family Medicine, All India Institute of Medical Sciences Deoghar, Deoghar, India
| | - Varun Garg
- Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Rishikesh, India
| | - Vivek Singh
- Department of Orthopedics, All India Institute of Medical Sciences Rishikesh, Rishikesh, India
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Kumar A, Barik S, Raj V, Kumar V. Comment on "The Ulnar Olecranon-Coronoid Notch Angle Affects Terminal Elbow Extension in Children and Adolescents". J Pediatr Orthop 2023:01241398-990000000-00297. [PMID: 37253709 DOI: 10.1097/bpo.0000000000002446] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Affiliation(s)
- Aman Kumar
- All India Institute of Medical Sciences, Deoghar, India
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Raj V, Barik S, Raj M. Attention to the Bone Health of a Neglected Rural-Tribal Population in India: A Pilot Study. Indian J Community Med 2023; 48:501-504. [PMID: 37469910 PMCID: PMC10353670 DOI: 10.4103/ijcm.ijcm_685_22] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/07/2022] [Accepted: 04/20/2023] [Indexed: 07/21/2023] Open
Abstract
Objective The aim of this pilot study was to analyze the need and feasibility of conducting prospective research on the epidemiological factors of bone mineral density (BMD) in the at-risk population in a rural and tribal-dominated area based on a screening test. Methods This community-based retrospective cross-sectional study was based on data from the medical records from July 2021 to September 2021 at community camps organized in a rural area of Deoghar district of Jharkhand, India, and the at-risk patients who had undergone ultrasound-based BMD measurement were included in this study. Results The mean age of the patients (N = 216) was 68.2 ± 10.2 years (range 35-73 years) with a mean T-score of -0.83 ± 0.09 (range -2.78-0.3, 95% CI 0.19). 70.3% (n = 152) of the patients were diagnosed as either osteopenic or osteoporotic based on the T-score. 14.8% (n = 32) of the patients had a comorbidity making them susceptible for low BMD. BMD was significantly low in patients above 60 years of age (t - 3.36, P - 0.0005), presence of comorbidity (t - 3.12, P - 0.001), and urban population (t - -1.93, P - 0.02). Conclusion Although DEXA remains the study of choice, QUS can be used in primary healthcare systems in the developing world for the purposes of screening. Females, elderly, and urban residence have an increased chance of low BMD. This pilot study shows that a large-scale prospective study analyzing various aspects of bone health including dietary and lifestyle practices is the need of the hour.
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Affiliation(s)
- Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Manish Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
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Kandwal P, Barik S, Maini L. Dawn of Superspeciality in Orthopaedics: Time to Embrace the Change. Indian J Orthop 2023; 57:620-623. [PMID: 37128559 PMCID: PMC10147861 DOI: 10.1007/s43465-023-00858-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2023] [Accepted: 02/26/2023] [Indexed: 05/03/2023]
Affiliation(s)
- Pankaj Kandwal
- All India Institute of Medical Sciences, Rishikesh, India
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Raj V, Barik S, Kumar A, Kumar V. Letter to Editor Regarding "Vertebroplasty versus Kyphoplasty in the Treatment of Osteoporotic Vertebral Compression Fractures: A Meta-Analysis". World Neurosurg 2023; 173:297. [PMID: 37189317 DOI: 10.1016/j.wneu.2023.02.006] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2023] [Accepted: 02/02/2023] [Indexed: 05/17/2023]
Affiliation(s)
- Vikash Raj
- All India Institute of Medical Sciences, Deoghar, Jharkhand, India.
| | - Sitanshu Barik
- All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Aman Kumar
- All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - Vishal Kumar
- All India Institute of Medical Sciences, Deoghar, Jharkhand, India
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Raj V, Barik S, Kumar A, Kumar V. Letter to Editor concerning "Long-term outcome of redo discectomy for recurrent lumbar disc herniations" by Cunha et al. (Eur Spine J [2023]. https://doi.org/10.1007/s00586-022-07493-4). Eur Spine J 2023; 32:1856-1857. [PMID: 36928490 DOI: 10.1007/s00586-023-07637-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 01/10/2023] [Revised: 01/10/2023] [Accepted: 03/05/2023] [Indexed: 03/18/2023]
Affiliation(s)
- Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, AIIMS Temporary Campus, PTI Campus, Daburgram, Jasidih, Jharkhand, 814142, India.
| | - Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, AIIMS Temporary Campus, PTI Campus, Daburgram, Jasidih, Jharkhand, 814142, India
| | - Aman Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, AIIMS Temporary Campus, PTI Campus, Daburgram, Jasidih, Jharkhand, 814142, India
| | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, AIIMS Temporary Campus, PTI Campus, Daburgram, Jasidih, Jharkhand, 814142, India
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Patel Y, Barik S, Agarwal A. What exactly is "foot abduction" during management of idiopathic clubfoot in clinical practice? Int Orthop 2023; 47:1109-1114. [PMID: 36715714 DOI: 10.1007/s00264-023-05703-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/11/2022] [Accepted: 01/14/2023] [Indexed: 01/31/2023]
Abstract
PURPOSE There is however gross ambiguity regarding the use of term "foot abduction" in clubfoot treatment. We measured below defined angles at different stages of clubfoot treatment to decipher their precise interpretation. METHODS In a prospective evaluation of 25 unilateral clubfeet in infants' age less than six months treated with Ponseti technique, clinical leg foot and thigh foot angle were measured at talar head reduction (LHT0), pre-tenotomy, and post-tenotomy stage. A "normal" reference was available in the form of measurements of contralateral limb. RESULTS Talar head (LHT0) was reduced at mean leg foot angle of 26 degrees. The corresponding pre- and post-tenotomy angles were 42.6 and 50.0 degrees, respectively. The reference leg foot angles for contralateral limb were 49.8 degrees. The thigh foot angle for LHT0, pre-tenotomy, post-tenotomy, and contralateral side were, respectively, 39.2, 56, 68, and 65.6 degrees. There was an additional tibial external rotation component of mean 13.4 degrees (SD 4.5) in the thigh foot angle when compared to the leg foot angle at tenotomy. This increased to 18 degrees (SD 3.4) post-tenotomy. CONCLUSIONS The study suggested that the foot abduction described in the "Ponseti Manual" probably intends thigh foot rather than leg foot angles. There was a significant difference in the angles when talar head reduced and tenotomy was decided. The foot abduction is an ambiguous term which should be replaced by the more specific leg or thigh foot abduction angle.
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Affiliation(s)
- Yogesh Patel
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India
| | - Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Anil Agarwal
- Department of Pediatric Orthopedics, Chacha Nehru Bal Chikitsalaya, New Delhi, India.
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Barik S, Raj V, Kumar V, Kumar A. Comment on "Symmetry of Shoe Size and Calf Girth in Children With Treated Idiopathic Clubfoot: A Longitudinal Study". J Pediatr Orthop 2023; 43:e310. [PMID: 36580425 DOI: 10.1097/bpo.0000000000002318] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 12/30/2022]
Affiliation(s)
- Sitanshu Barik
- All India Institute of Medical Sciences Deoghar, Jharkhand, India
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Paul S, Barik S, Raj V, Raj M, Kalia RB, Goyal T, Arora M, Nazeer M. A cross sectional survey exploring the awareness and familiarity regarding patient reported outcome measures (PROMs) among joint reconstruction surgeons in India. J Orthop 2023; 37:59-63. [PMID: 36974097 PMCID: PMC10039111 DOI: 10.1016/j.jor.2023.02.009] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/21/2022] [Revised: 02/07/2023] [Accepted: 02/16/2023] [Indexed: 03/29/2023] Open
Abstract
Background The aim of this study is to describe the usage of PROM, its use or lack of use, barriers in using it and its future prospect among the arthroplasty surgeons from a developing country like India. Methods An online survey was conducted by emailing an anonymous questionnaire to orthopaedic surgeons working in three tertiary care academic institutions and two tertiary care private hospitals. All orthopaedic surgeons or residents who have been performing or assisting in arthroplasty and arthroscopy were included in the study. The study was cross-sectional in design based on a single response from all surgeons. Results The mean age of the 87 surgeons participating in this study was 38.6 ± 4.7 years. 62.1% of surgeons had used PROMs for both clinical as well as research purposes at some point. 25.9% of surgeons had an adequate understanding of the function, benefits, and drawbacks of PROMs. Among the barriers against using PROMs, time constraint was agreed upon by most of the surgeons (59.5%). 64.3% of surgeons were willing to incorporate the PROMs into their daily practice if the barriers are overcome. Conclusion The limitations of use of PROM should also be borne in mind before embarking on its widespread implementation. Involvement of regulatory and professional societies as well as substantial investment in manpower, money and time is required for making the use of PROMs regular.
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Affiliation(s)
- Souvik Paul
- Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - Sitanshu Barik
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vikash Raj
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Manish Raj
- Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | | | - Tarun Goyal
- Orthopedics, All India Institute of Medical Sciences, Bhatinda, India
| | - Manit Arora
- Orthopedics, Fortis Hospital, Mohali, Punjab, India
| | - Muhammed Nazeer
- Orthopedics, Kerala Institute of Medical Sciences, Thiruvananthapuram, India
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Barik S, Kumar A, Raj V, Kumar V. Ankle arthrodesis for severe varus ankle arthritis: letter regarding "Does ankle arthrodesis induce satisfactory changes in the medial longitudinal arch height of the foot for severe varus ankle arthritis?" by Choi et al. Int Orthop 2023; 47:1387-1388. [PMID: 36853433 DOI: 10.1007/s00264-023-05743-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Subscribe] [Scholar Register] [Received: 02/14/2023] [Accepted: 02/20/2023] [Indexed: 03/01/2023]
Affiliation(s)
- Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India.
| | - Aman Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vikash Raj
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
| | - Vishal Kumar
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Mishra D, Barik S, Raj V, Kandwal P. A systematic review of complications following selective dorsal rhizotomy in cerebral palsy. Neurochirurgie 2023; 69:101425. [PMID: 36828056 DOI: 10.1016/j.neuchi.2023.101425] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2022] [Revised: 11/18/2022] [Accepted: 01/05/2023] [Indexed: 02/25/2023]
Abstract
PURPOSE The literature lacks a concise overview of complications secondary to selective dorsal rhizotomy (SDR). The aim of this study was to systematically review the literature regarding post-SDR complications, and to present them concisely. METHODS The protocol of the review was registered on Open Science Framework. Studies on SDR in cerebral palsy were included. The studies to be included used SDR for management of spasticity in patients with cerebral palsy. The long-term complications of SDR mentioned in the articles were inventoried. RESULTS Thirty studies were included for qualitative review. Twenty-one types of complication were identified. Structural complications were the commonest: scoliosis (214/1,043, 20.5%), hyperlordosis (101/552, 18.2%), spondylolysis (55/574, 9.5%) and kyphosis (67/797, 8.4%). Neurological complications comprised constipation (70/485, 14.4%), hip subluxation (3/29, 10.3%), spastic syndrome (4/47, 8.5%), sensory changes (106/1290, 8.2%) and urinary incontinence (61/1013, 6%). CONCLUSION This review should help surgeons and parents alike to know about the potential complications of SDR. Complications may affect quality of life and should be weighed. Although the majority of these complications were managed conservatively, there would still be a physical, psychological and financial burden which should be taken into account. Screening should be continued vigorously throughout skeletal growth and at reduced frequency thereafter, for timely intervention in case of structural complications.
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Affiliation(s)
- D Mishra
- All India Institute of Medical Sciences - Bhubaneswar Orthopaedics, Bhubaneswar, India
| | - S Barik
- All India Institute of Medical Sciences - Deoghar Orthopaedics, Deoghar, Jharkhand, India.
| | - V Raj
- All India Institute of Medical Sciences - Deoghar Orthopaedics, Deoghar, Jharkhand, India
| | - P Kandwal
- All India Institute of Medical Sciences - Rishikesh Orthopaedics, Rishikesh, India
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Barik S, Raj V, Kumar A, Kumar V. Letter to the editor concerning "endoscopic endonasal odontoidectomy: a long-term follow-up results for a cohort of 21 patients" by Penner F, De Marco R, Di Perna G, et al. (2022) Eur Spine J 31:2693-2703. Eur Spine J 2023; 32:743-744. [PMID: 36495339 DOI: 10.1007/s00586-022-07485-4] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 10/15/2022] [Revised: 10/15/2022] [Accepted: 12/04/2022] [Indexed: 12/14/2022]
Affiliation(s)
- Sitanshu Barik
- All India Institute of Medical Sciences (AIIMS), Devipur, Deoghar, 814112, India
| | - Vikash Raj
- All India Institute of Medical Sciences (AIIMS), Devipur, Deoghar, 814112, India
| | - Aman Kumar
- All India Institute of Medical Sciences (AIIMS), Devipur, Deoghar, 814112, India
| | - Vishal Kumar
- All India Institute of Medical Sciences (AIIMS), Devipur, Deoghar, 814112, India.
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Barik S, Garg V, Sinha SK, Chaudhary S, Kandwal P, Singh V. A Meta-Analysis on Comparison of Open vs Closed Reduction of Gartland Type 3 Supracondylar Humerus Fractures in Children. Acta Chir Orthop Traumatol Cech 2023; 90:198-205. [PMID: 37395427] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 07/04/2023]
Abstract
PURPOSE OF THE STUDY Although there are numerous studies on outcomes and comparison of open and closed reduction but there is no clarity on relationship between outcomes and complications with type of surgical intervention done for Type 3 Gartland supracondylar humerus fracture. The aim of this study is to compare the outcomes and complications of closed vs open reduction in Type 3 Gartland supracondylar humerus fractures. MATERIAL AND METHODS Electronic literature searches of Embase, MEDLINE and the Cochrane Library was conducted in February 2022 using the terms "supracondylar", "humerus", "fracture", "Gartland type 3" and synonymous. The data extracted included the study details, demographic data, procedure performed, final functional and cosmetic outcome according to Flynn criteria and complications of included studies. RESULTS Pooled data analysis revealed no significant difference in mean satisfactory outcome rate according to Flynn cosmetic criteria in open group (97%, 95% CI 95.5%-98.5%), as compared to closed group (97.5%, 95% CI 96.3%-98.7%), although a statistically significant difference in mean satisfactory rate according to Flynn functional criteria in open group (93.4%, 95% CI 90.8%- 96.1%) as compared to closed group (98.5%, 95% CI 97.5%-99.4%) was noted. On separate comparison of the two-arm studies, closed reduction favoured better functional outcomes (RR 0.92, 95% CI 0.86-0.99). CONCLUSIONS Closed reduction and percutaneous fixation have better functional outcome than open reduction with K-wire fixation. But there was no significant difference in cosmetic outcomes, overall complication rate and nerve injury with either open or closed reduction. The threshold of converting a closed reduction to an open reduction in supracondylar humerus fractures of children should be high. Key words: supracondylar humerus, open reduction, percutaneous pinning, Flynn criteria.
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Affiliation(s)
- S Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, Jharkhand, India
| | - V Garg
- Department of Orthopaedics All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - S K Sinha
- Department of Orthopaedics All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - S Chaudhary
- Department of Orthopaedics All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - P Kandwal
- Department of Orthopaedics All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
| | - V Singh
- Department of Orthopaedics All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India
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Choudhury AK, Verma A, Goyal N, Goyal T, Kandwal P, Arora S, Barik S. Are academic conferences serving their purpose? A survey among faculties and delegates of a national level orthopedic conference in a developing country. Pan Afr Med J 2023; 44:4. [PMID: 36818030 PMCID: PMC9935648 DOI: 10.11604/pamj.2023.44.4.37404] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/17/2022] [Accepted: 12/21/2022] [Indexed: 02/24/2023] Open
Affiliation(s)
| | - Aman Verma
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - Nikhil Goyal
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - Tarun Goyal
- Department of Orthopedics, All India Institute of Medical Sciences, Bathinda, India
| | - Pankaj Kandwal
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - Shobha Arora
- Department of Orthopedics, All India Institute of Medical Sciences, Rishikesh, India
| | - Sitanshu Barik
- Department of Orthopedics, All India Institute of Medical Sciences, Deoghar, India
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Barik S, Raj V, Kumar V. Letter to the editor concerning "development of a decision-making pathway for utilizing standalone lateral lumbar interbody fusion" by Adl Amini D, et al. (Eur Spine J [2022]; 31:1611-1620). Eur Spine J 2022; 31:3784-3785. [PMID: 36167855 DOI: 10.1007/s00586-022-07393-7] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/11/2022] [Revised: 09/11/2022] [Accepted: 09/18/2022] [Indexed: 12/14/2022]
Affiliation(s)
| | - Vikash Raj
- All India Institute of Medical Sciences, Deoghar, India.
| | - Vishal Kumar
- All India Institute of Medical Sciences, Deoghar, India
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Gupta K, Barik S, Sarkar M, Chaudhary S, Sinha S, Raj V, Kandwal P. Use of Growth Rod Systems for Management of Early Onset Scoliosis in Cerebral Palsy: A Systematic Review. Turk Neurosurg 2022; 33:177-184. [PMID: 36799279 DOI: 10.5137/1019-5149.jtn.41939-22.2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/04/2022]
Abstract
Aim Cerebral palsy is frequently associated with neuromuscular scoliosis with larger curves requiring surgical intervention. The aim of this study was to assess the literature for the role and outcome of growing rod surgeries in these patients. Methods A systematic search was conducted according to Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Electronic literature search was conducted of PubMed and Embase databases. Patient demographics, type of growing rod used, lengthening and complications were analyzed from the included studies. Results A total of 11 studies with poor overall study quality (Level of evidence IV, V) were included in the study. A total of 181 patients with mean age 6.8±1.3 (5-13 range) years at index surgery and mean follow-up of 3.02±1.3 (2-5.8 range) years were included in the study, with a female preponderance. The most common curve and instrumentation was thoraco-lumbar and conventional dual growing rods respectively. All studies showed improvement in Cobb's angle and pelvic obliquity. There was better improvement in pelvic obliquity if pelvis was included in instrumentation. Wound related complications (34.6%) were most commonly noted. Conclusion Overall growing rod construct has shown questionable outcomes in cerebral palsy patients with scoliosis in terms of the complication rate observed although allowing growth of the spinal column with regular lengthenings. Magnetic controlled growth rods hold a bright promise for the future considering its ability to maintain correction as well as the lower rate of complications The benefits and risk of immediate fusion with respect to growth sparing surgeries should be considered before the decision.
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Affiliation(s)
- Kshitij Gupta
- All India Institute of Medical Sciences, Department of Orthopedics, Rishikesh, Uttarakhand, India
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Kandwal P, Barik S, Maini L. Orthopedic Undergraduate Education in India: Need for a Change. Indian J Orthop 2022; 56:1843-1846. [PMID: 36310557 PMCID: PMC9561498 DOI: 10.1007/s43465-022-00735-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 08/24/2022] [Indexed: 02/04/2023]
Affiliation(s)
- Pankaj Kandwal
- All India Institute of Medical Sciences, Rishikesh, India
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Barik S, Raj V, Kumar V. Type of Reduction Influences Compartment Pressure in Supracondylar Fractures of Humerus in Children. J Pediatr Orthop 2022; Publish Ahead of Print:01241398-990000000-00143. [PMID: 36730856 DOI: 10.1097/bpo.0000000000002290] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Affiliation(s)
- Sitanshu Barik
- All India Institute of Medical Sciences Deoghar, Jharkhand, India
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Ansari TA, Barik S, Meena P, Arora S. Comparison of Topical Oxygen with Vacuum Assisted Closure in Wound Healing in a Low Resource Setting. Ethiop J Health Sci 2022; 32:955-962. [PMID: 36262707 PMCID: PMC9554766 DOI: 10.4314/ejhs.v32i5.11] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/25/2022] [Accepted: 06/25/2022] [Indexed: 12/02/2022] Open
Abstract
BACKGROUND The aim of this pilot study is to obtain preliminary results comparing topical oxygen therapy (TOT) and vacuum assisted closure (VAC) in terms of its ability to accelerate wound healing. METHODS This non-randomised prospective study included patients with age 16-50 years, wound size ≥ 16cm2 and present below knee joint within seven days of occurrence. Bates-Jensen wound assessment tool (BWAT) was used for evaluation at 8-day interval along with percent area reduction at final follow up. RESULTS Mean number of cycles required in VAC and TOT group were 1.97 (range 1-3) and 2.1 (range 1-3) (each cycle of 5 days) per patient respectively. Percent area reduction was significantly higher in the VAC group (34±9.7%) than TOT (11.3±3.8%) group at final follow up (p<0.05). TOT patients had better improvement in epithelialization compared to VAC at last follow up. More extensive debridement was needed in patients of TOT than VAC. There was no significant difference between final score in both groups. CONCLUSIONS TOT appears to be comparable to well-established VAC in treatment of fresh traumatic wounds below the knee joint. Further large scale, multicentric and randomised studies comparing both these modalities of treatment should be the way forward.
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Affiliation(s)
| | | | - Pradeep Meena
- All India Institute of Medical Sciences, Rishikesh, India
| | - Shobha Arora
- All India Institute of Medical Sciences, Rishikesh, India
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46
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Raj V, Barik S, Richa. Distal Fibula Fractures-Intramedullary Fixation Versus Plating: A Systematic Review and Meta-analysis of Randomized Control Trials. Foot Ankle Spec 2022:19386400221118470. [PMID: 36004427 DOI: 10.1177/19386400221118470] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/15/2022]
Abstract
PURPOSE The aim of the present study is to compare the functional scores and complications of intramedullary fixation versus plate osteosynthesis of distal fibular fractures in adults. METHODS Study was performed in accordance with Preferred Reporting Items for Systematic reviews and Meta-Analyses format from MEDLINE, Embase, Ovid, and Cochrane databases. The included articles were assessed according to the risk of bias assessment tool by Cochrane collaboration. RESULTS A total of 5 randomized control trials were included for quantitative review. Random sequence generation and allocation concealment of the study subjects were the strengths of all the included studies. There was high heterogeneity among the included studies (I2 > 75%). There was no significant difference between the Olerud-Molander scores in both the groups but the trend favored the intramedullary nailing of distal fibula (mean difference of 3.42, 95% confidence interval [CI] of 8.90). Complications were significantly lesser in the intramedullary group across the studies (odds ratio 0.26, 95% CI of 0.81). CONCLUSION Intramedullary nailing of fibula with the use of modern locking fibular nails is an alternative to fibular plating for unstable distal fibular fractures in properly selected cases. There remains the need for standardizing the method of operative treatment of distal fibular fractures which can be done by a well-planned large-scale prospective study design. LEVEL OF EVIDENCE Level 1.
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Affiliation(s)
- Vikash Raj
- Department of Orthopedics (VR, SB) and Department of Community and Family Medicine (R), All India Institute of Medical Sciences, Deoghar, JH, India
| | - Sitanshu Barik
- Department of Orthopedics (VR, SB) and Department of Community and Family Medicine (R), All India Institute of Medical Sciences, Deoghar, JH, India
| | - Richa
- Department of Orthopedics (VR, SB) and Department of Community and Family Medicine (R), All India Institute of Medical Sciences, Deoghar, JH, India
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Ahmad S, Gupta T, Ansari S, Jain A, Barik S, Singh V. Intramedullary Crossed K-wire Fixation for the Hand Fractures is a Useful Treatment Modality: A Prospective Observational Study. Strategies Trauma Limb Reconstr 2022; 17:74-80. [PMID: 35990184 PMCID: PMC9357798 DOI: 10.5005/jp-journals-10080-1556] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Affiliation(s)
- Sabeel Ahmad
- Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India
| | - Tushar Gupta
- Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India
| | - Sajid Ansari
- Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India
| | - Aakriti Jain
- Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India
| | - Sitanshu Barik
- Department of Orthopaedics, AIIMS, Deoghar, Jharkhand, India
| | - Vivek Singh
- Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India
- Vivek Singh, Department of Orthopaedics, AIIMS, Rishikesh, Uttarakhand, India, e-mail:
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Simson D, Mitra S, Khurana H, Barik S, Dobriyal K, Krishnan A, Umesh P, Pathi S, Dewan A. 10P 10-year survival outcome and patterns of failure analysis of patients with localized adenocarcinoma cervix: Our experience from a tertiary cancer care center. Ann Oncol 2022. [DOI: 10.1016/j.annonc.2022.04.028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022] Open
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Barik S, Jain A, Nongdamba H, Chaudhary S, Yasam RP, Goyal T, Singh V. Imaging Parameters of Hip Dysplasia in Cerebral Palsy: A Systematic Review. Indian J Orthop 2022; 56:939-951. [PMID: 35669024 PMCID: PMC9123123 DOI: 10.1007/s43465-022-00610-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2021] [Accepted: 02/03/2022] [Indexed: 02/04/2023]
Abstract
Background Cerebral Palsy is the leading cause of childhood physical disability globally. The motor disorders of CP are often associated with musculoskeletal anomalies, of which hip displacement is the second most common abnormality after abnormalities of foot and ankle. Various radiological parameters have been described in the literature which detects and quantifies hip dysplasia, with MP being the current gold standard. This study aims to review these radiological indicators of hip dysplasia in children with cerebral palsy from the published literature. Methods A literature search using PubMed, Embase, and Google Scholar was done on 15th June 2021 focusing on surveillance of hip dysplasia in cerebral palsy. The studies to be included were to have used anyone or more radiological parameter for detection of hip dysplasia with the use of any of the radiological methods. Results The initial search yielded 1184 results. After the screening of the abstracts and full texts, a final of 30 studies was included for this systematic review. The majority of the studies were graded as Level 3 evidence (16/30), followed by Level 2 studies (14/30). X-ray was the most common modality of detection of dysplasia followed by CT scan, ultrasonography, and arthrogram. The reproducibility of the various parameters shows good to excellent intraclass coefficients. Conclusions Parameters other than MP can be used to screen hips in CP. This would be useful in patients in whom either the lateral acetabular edge is not discernible on a plain anteroposterior radiograph or there are issues in the positioning of the patient. Additional views and structures can be visualized which can lead to improved screening and planning. Further investigations are required to appreciate the full potential of these parameters and how they can be better utilized. Graphical abstract
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Affiliation(s)
- Sitanshu Barik
- Department of Orthopaedics, All India Institute of Medical Sciences, Deoghar, Jharkhand India
| | - Aakash Jain
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India
| | - Hawaibam Nongdamba
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India
| | - Sunny Chaudhary
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India
| | - Rama Priya Yasam
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India
| | - Tarun Goyal
- Department of Orthopaedics, All India Institute of Medical Sciences, Bhatinda, Punjab India
| | - Vivek Singh
- Department of Orthopaedics, All India Institute of Medical Sciences, Rishikesh, Uttarakhand India
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Barik S, Singh G, Singh V. Resposta à carta ao editor referente ao artigo: “Previsão Pré-Operatória de Fraturas Supracondilares de Úmero Gartland IV: É Possível?”. Rev Bras Ortop 2022; 57:898. [PMID: 36226198 PMCID: PMC9550360 DOI: 10.1055/s-0042-1742601] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2021] [Accepted: 11/22/2021] [Indexed: 10/31/2022] Open
Affiliation(s)
- Sitanshu Barik
- Departamento de Ortopedia, All India Institute of Medical Sciences, Deoghar, Jharkhand, Índia
| | - Gobinder Singh
- Ortopedia, Dayanand Medical College and Hospital, Ludhiana, Punjab, Índia
| | - Vivek Singh
- Ortopedia, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, Índia
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