Publications by authors named "J Dheenadhayalan"
Case: A 48-year-old man with multiple injuries sustained a Gustilo type 3A right open distal humerus fracture with a 4-cm wound, contralateral radius shaft, and ilium fractures. Following wound irrigation on the day of injury, second look debridement showed crushed triceps and severe contamination extending into the distal humerus medullary canal. After 6 days of initial plate fixation, he developed signs of deep infection.
View Article and Find Full Text PDFIntroduction And Aims: Arterial pseudoaneurysm is a rare yet potentially life-threatening complication that can arise as a late sequelae of penetrating injuries or orthopaedic procedures. We aim at sharing our institutional experience of managing 18 cases of lower limb arterial pseudoaneurysms in orthopaedic practice and to provide technical tips for emergency management of severe bleeding. A comprehensive literature review resulting from fractures and orthopaedic surgeries is also presented.
View Article and Find Full Text PDFCan locking plate fixation and free Vascularised fibular transfer with skin island achieve good functional outcome in the treatment of large bone defects of Tibia ? A study of 26 cases.
Injury
June 2024
Article Synopsis
- Management of tibial bone loss remains difficult, but free vascularized fibula graft (FVFG) with a skin paddle shows improved outcomes compared to other treatments; the study evaluated its effects on functional recovery and quality of life in patients with significant tibial defects.
- Analyzed 26 patients over a mean follow-up of 42 months, the study found 96% achieved complete bony union, with a union time of about 4 months and significant graft hypertrophy observed in the long term.
- Patients reported a quality of life index average of 0.88, indicating their health status was close to perfect, highlighting FVFG's effectiveness even in challenging healthcare settings.
Purpose: Coronal shear fractures of the distal humerus involving the capitellum and trochlea are rare injuries. Internal fixation with headless compression screws provides a stable construct facilitating early mobilisation. Our study aimed to identify the key determinants of both radiological and functional outcomes of patients with distal humerus coronal shear fractures treated with internal fixation.
View Article and Find Full Text PDFIntroduction: The subtrochanteric region is known for its unique biomechanical properties that contribute to challenges in fracture reduction. To ensure optimal fracture healing, achieving robust mechanical stability is essential. There are very few studies in the literature describing the treatment of subtrochanteric fracture nonunion.
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