Publications by authors named "Ruta M Kulkarni"

Background: Fibular hemimelia is the most common deficiency involving the long bones. Paley classification is based on the ankle joint morphology, identifies the basic pathology, and helps in planning the surgical management. Reconstruction surgery encompasses foot deformity correction and limb length equalization.

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  • Non-union of neck femur fractures is a challenging issue to treat in young adults, with this study focusing on the effectiveness of intertrochanteric valgus osteotomy as a solution.
  • Over a 10-year period, 44 cases of non-union were analyzed, resulting in a 93% complete union rate, despite some complications like infections and AVN in a few patients.
  • The procedure showed promising outcomes with improved angles and allowed most patients to walk with or without assistance, demonstrating that osteotomy can provide a solid treatment option for this condition.
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  • The study evaluated the outcomes of fixing split-depression tibial plateau fractures using a locking plate and periarticular raft construct without bone grafting in 38 patients.
  • After a mean follow-up of about 23 months, all patients achieved bone union within an average of 13 weeks, with a satisfactory range of motion and radiological outcomes.
  • The results suggest that this method is an effective option for treating these types of fractures, with most patients returning to their pre-injury activity levels.
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Background: Guided growth through temporary hemiepiphysiodesis has gained acceptance as the preferred primary treatment in treating pediatric lower limb deformities as it is minimally invasive with a lesser morbidity than the traditional osteotomy. The tension band plate is the most recent development in implants used for temporary hemiepiphysiodesis. Our aim was to determine its safety and efficacy in correcting coronal plane deformities around the knee in children younger than 10 years.

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Purpose: To evaluate outcome of intramedullary nailing supplemented with Poller screws for proximal tibial fractures using small diameter nails.

Methods: 50 men and 20 women (75 fractures) aged 18 to 65 (mean, 33) years underwent intramedullary nailing supplemented with Poller screws for acutely displaced fractures (n=60) or for delayed union (n=10) or mal-union (n=5) of the proximal metadiaphyseal tibia. 88% of the fractures were caused by road traffic accidents.

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Purpose: To compare antegrade interlocking nailing with dynamic compression plating for humeral shaft fractures in terms of functional outcomes, union and complication rates.

Methods: 34 men and 22 women aged >18 years with fresh humeral shaft fractures (up to grade IIIa) with or without neurological deficits underwent either antegrade interlocking nailing (n=31) or dynamic compression plating (n=25). Functional outcome of the upper limbs (according to the American Shoulder and Elbow Surgeons [ASES] score), pain, rates of union, and complications in the 2 groups were compared.

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Purpose: To assess outcomes of antegrade interlocking nailing for supracondylar or intercondylar fractures of the distal femur.

Methods: Records of 10 women and 20 men aged 20 to 70 (mean, 48.7) years who underwent antegrade interlocking nailing for distal femoral fractures were reviewed.

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