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  1. Article: Current concepts in the articular cartilage repair and regeneration.

    Karuppal, Raju

    Journal of orthopaedics

    2017  Volume 14, Issue 2, Page(s) A1–A3

    Language English
    Publishing date 2017-05-19
    Publishing country India
    Document type Editorial
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2017.05.001
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  2. Article: Kinematic alignment in total knee arthroplasty: Does it really matter?

    Karuppal, Raju

    Journal of orthopaedics

    2016  Volume 13, Issue 4, Page(s) A1–A3

    Language English
    Publishing date 2016-11-01
    Publishing country India
    Document type Editorial
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2016.10.001
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  3. Article: Biological fixation of total hip arthroplasty: Facts and factors.

    Karuppal, Raju

    Journal of orthopaedics

    2016  Volume 13, Issue 3, Page(s) 190–192

    Language English
    Publishing date 2016-06-15
    Publishing country India
    Document type Journal Article
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2016.06.002
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  4. Article ; Online: Comparison between clinical, magnetic resonance imaging, and arthroscopic findings in meniscal and cruciate ligament injuries

    V M Predeep Kumar / Raju Karuppal

    Apollo Medicine, Vol 19, Iss 3, Pp 137-

    A cross-sectional study

    2022  Volume 141

    Abstract: Introduction: Complete evaluation of knee injury includes detailed clinical examination, radiological evaluation, and arthroscopy. Objective: The objective of this study was to compare the effectiveness of clinical, magnetic resonance imaging (MRI), and ... ...

    Abstract Introduction: Complete evaluation of knee injury includes detailed clinical examination, radiological evaluation, and arthroscopy. Objective: The objective of this study was to compare the effectiveness of clinical, magnetic resonance imaging (MRI), and arthroscopic findings in meniscal and cruciate ligament injuries. Patients and Methods: A cross-sectional study of 40 post knee injury symptomatic patients aged 20–40 years. Clinical and MR imaging findings were compared with arthroscopic findings (considering arthroscopy as the gold standard diagnostic test). The specificity, sensitivity, accuracy, positive predictive value (PPV), and negative predictive value (NPV) were calculated and compared. Results: The specificity, sensitivity, PPV, NPV, accuracy of clinical examination, and MRI were similar for anterior cruciate ligament (ACL) and posterior cruciate ligament (PCL) injuries. The diagnostic accuracy of clinical examination and MRI were 82.5% and 90%, respectively, and 95% and 92.5% for medial meniscal and lateral meniscal injuries, respectively, and 97.5% and 100% for ACL and PCL injuries, respectively. Conclusion: The diagnostic accuracy of clinical examination is similar to MRI for ligament injuries and marginally lower for meniscal injuries. MRI is useful to clarify clinical diagnosis in clinical cases of meniscal and cruciate ligament injuries that are doubtful.
    Keywords arthroscopy ; cruciate ligaments ; knee clinical examination ; magnetic resonance imaging ; meniscus ; Medicine ; R
    Subject code 610
    Language English
    Publishing date 2022-01-01T00:00:00Z
    Publisher Wolters Kluwer Medknow Publications
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  5. Article ; Online: Functional and Radiological Outcome of Unstable Intertrochanteric Fracture in Old Age Treated with Proximal Femoral Nail Antirotation-2

    OP Jamshad / Jacob Mathew / Raju Karuppal

    Journal of Clinical and Diagnostic Research, Vol 15, Iss 4, Pp RC05-RC

    2021  Volume 07

    Abstract: Introduction: Intertrochanteric fractures are prevalent in the elderly, which leave patients with functional restrictions. Proximal Femoral Nail Antirotation-2 (PFNA) was developed to achieve better fixation strength, particularly in the presence of ... ...

    Abstract Introduction: Intertrochanteric fractures are prevalent in the elderly, which leave patients with functional restrictions. Proximal Femoral Nail Antirotation-2 (PFNA) was developed to achieve better fixation strength, particularly in the presence of osteoporotic unstable intertrochanteric fractures. Aim: To evaluate the role and result of PFNA-2 in the treatment of unstable intertrochanteric fractures in geriatric patients. Materials and Methods: A prospective analytical study was conducted in 35 patients with unstable intertrochanteric fractures. They were followed-up clinically and radiologically for one year. The quality of fixation was assessed, by neck-shaft angle and Tip Apex Distance (TAD). A functional assessment was done with the Harris Hip Score (HHS). Results: The mean follow-up period was 13 months (range, 12- 14). The mean age of patients was 65.6 years and the majority were female patients (62.85%). Functional results according to modified HHS were found to be excellent in 6 (17.1%) patients, good in 14 (40%) patients, fair in 12 (34.3%) patients and poor in 3 (8.6%) patients. The average HHS in this study was 81.6. Statistical analysis was performed using Statistical Package for Social Sciences (SPSS) version 16.0. Conclusion: PFNA-2 helps in achieving biological reduction and good stability which enables early mobilisation and prevention of excessive collapse. A good functional outcome could be achieved when the radiological parameters are restored, i.e., TAD <25 mm and neck-shaft angle difference <5° (compared to the opposite side).
    Keywords harris hip score ; neck shaft angle ; tip apex distance ; Medicine ; R
    Subject code 616
    Language English
    Publishing date 2021-04-01T00:00:00Z
    Publisher JCDR Research and Publications Private Limited
    Document type Article ; Online
    Database BASE - Bielefeld Academic Search Engine (life sciences selection)

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  6. Article: Mini-open transverse flexor crease incision versus limited longitudinal palmar incision carpal tunnel release: A short term outcome study.

    Muhammed Fazil, V V / Surendran, Sibin / Karuppal, Raju / Gopinathan, Patinharayil / Marthya, Anwar

    Journal of orthopaedics

    2021  Volume 29, Page(s) 15–21

    Abstract: Objective: To compare the outcome of carpal tunnel release using the limited longitudinal palmar incision technique and mini open transverse flexor crease incision technique.: Materials and methodsl: Between October 2017 and September 2019, we ... ...

    Abstract Objective: To compare the outcome of carpal tunnel release using the limited longitudinal palmar incision technique and mini open transverse flexor crease incision technique.
    Materials and methodsl: Between October 2017 and September 2019, we performed Carpal Tunnel release procedures on 122 consecutive patients with unilateral idiopathic CTS. Patients in Group A (64 patients) had a palmar mini open longitudinal incision at wrist. Patients in Group B (58 patients) had a small flexor crease transverse incision. In the non palmar transverse incision group, we used a blunt ended facelift scissors to cut the flexor retinaculum after placing a dural retractor between the retinaculum and median nerve. The preoperative and postoperative (2 weeks,6 weeks,3 months, 6 months and 1 year) patient statuses were evaluated with the Boston Carpal Tunnel Syndrome Questionnaire (BCTSQ) scores, VAS, grip strength and return to work days.
    Results: The BCTSQ symptom severity scale and functional status scale showed significant improvement following surgery in Group B compared to Group A at 2 weeks,6 weeks and 3 months (p < 0.05). At 6 months and 1 year follow up, both the symptom severity and functional status scale were comparable in both the groups. Grip strength, pillar pain and scar tenderness showed significant improvement in transverse flexor incision group compared to longitudinal palmar incision group at 6 weeks and 3 months and were comparable later on.
    Conclusion: We conclude that the mini open transverse flexor crease incision technique using the conventional instruments is simple, safe and cost-effective mode of treatment of idiopathic CTS when compared to the limited palmar incision technique. Though the long term outcomes are comparable in both groups, the flexor crease transverse incision group patients had better pain relief, better cosmesis and shorter recovery period than the palmar incision group.
    Language English
    Publishing date 2021-12-13
    Publishing country India
    Document type Journal Article
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2021.11.017
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  7. Article: It is time for a more cautious approach to surgical diathermy, especially in COVID-19 outbreak: A schematic review.

    Karuppal, Raju / Surendran, Sibin / Patinharayil, Gopinathan / Muhammed Fazil, V V / Marthya, Anwar

    Journal of orthopaedics

    2020  Volume 20, Page(s) 297–300

    Abstract: Background: Many surgeons are unaware of the risks posed by the surgical diathermy. Apart from the numerous chemicals, surgical smoke had been shown to harbour intact bacterial and virus particles especially COVID-19 in the current time.: Objective: ... ...

    Abstract Background: Many surgeons are unaware of the risks posed by the surgical diathermy. Apart from the numerous chemicals, surgical smoke had been shown to harbour intact bacterial and virus particles especially COVID-19 in the current time.
    Objective: To identify the inhalational, infectious, chemical, and mutagenic risks of surgical smoke and suggest evidence-based hazard reduction strategies. Also to cogitate on the very high risk of viral spread by the use of surgical diathermy in COVID-19 outbreak.
    Methods: A review of articles indexed for MEDLINE on PubMed using the keywords surgical smoke, diathermy, electrocautery, surgical smoke hazards, smoke evacuator, and guidelines for surgical smoke safety was performed. The review included evidences from 50 articles from the dermatology, surgery, infectious disease, obstetrics, and cancer biology literature.
    Results: There are risks associated with surgical smoke. Although some surgeons were aware, majority were not keen in the hazard reduction strategies.
    Conclusion: Many chemical and biological particles have been found in surgical smoke. It is highly recommended to follow the standardised guidelines for surgical smoke safety. Surgical smoke carries full virus particle(such as COVID-19 virus), it is strongly recommended to minimise or avoid electrocautery during the COVID-19 outbreak.
    Keywords covid19
    Language English
    Publishing date 2020-05-16
    Publishing country India
    Document type Journal Article ; Review
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2020.05.013
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  8. Article: Arthroscopic capsular release and continuous upper arm brachial block in frozen shoulder - A midterm outcome analysis.

    Surendran, Sibin / Patinharayil, Gopinathan / Karuppal, Raju / Marthya, Anwar / Fazil, Muhammed / Mohammed Ali, Shibi

    Journal of orthopaedics

    2020  Volume 21, Page(s) 459–464

    Abstract: Objective: This prospective study aims to evaluate the efficacy of Continuous upper arm brachial block (modified interscalene block) with an arthroscopic capsular release in the outcome of resistant frozen shoulder cases.: Methods: We studied 123 ... ...

    Abstract Objective: This prospective study aims to evaluate the efficacy of Continuous upper arm brachial block (modified interscalene block) with an arthroscopic capsular release in the outcome of resistant frozen shoulder cases.
    Methods: We studied 123 patients who underwent arthroscopic capsular release and subacromial decompression for resistant frozen shoulder cases between June 2016 and July 2019. Postoperative analgesia was provided with Continuous upper arm brachial block and ambulatory patient-controlled analgesia pump for 2-3 weeks. The patients were started on regular physiotherapy on the first postoperative day. All the patients were followed up at 3rd week, 6th week, 3
    Results: At a mean follow-up period of 18 months, there was a statistically significant improvement in the range of motion, VAS scores, and Constant-Murley scores postoperatively (p < .01). None of the cases required postoperative opioid administration for pain control. Minor neurological complications like recurrent laryngeal nerve palsy and Horner's syndrome were seen in few cases that resolved with titration of the drug dose.
    Conclusion: Our study verifies the use of continuous upper arm brachial block (CUABB) with a portable infusion pump for 2-3 weeks in arthroscopic capsular release for resistant frozen shoulder cases. It significantly reduced postoperative pain in the initial two weeks that aided with early recovery of the shoulder movements and functions without an increased incidence of acute or chronic neurologic complications.
    Language English
    Publishing date 2020-09-08
    Publishing country India
    Document type Journal Article
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2020.08.033
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  9. Article: Immunohistochemistry in Primary B-cell Lymphoma of Tibia Masquerading as Chronic Osteomyelitis.

    Karuppal, Raju / Manjunath, Samarth / Raman, Rajendran V / Sandhya, S

    Indian journal of orthopaedics

    2017  Volume 51, Issue 4, Page(s) 477–480

    Abstract: The diagnosis between chronic osteomyelitis, Ewing sarcoma and lymphoma often is being confusing in many occasions. As the latter two conditions are malignant, early diagnosis and interventions are crucial. We present a 28 year old male with features of ... ...

    Abstract The diagnosis between chronic osteomyelitis, Ewing sarcoma and lymphoma often is being confusing in many occasions. As the latter two conditions are malignant, early diagnosis and interventions are crucial. We present a 28 year old male with features of chronic osteomyelitis of right tibia 2 years back then changed through Ewing sarcoma to B-cell lymphoma in the histological diagnosis. This case report highlights the difficulties that arise in diagnosing primary bone lymphomas which may masquerade as chronic osteomyelitis and hence the need for immunohistochemistry in chronic recurrent osteomyelitis.
    Language English
    Publishing date 2017-06-27
    Publishing country Switzerland
    Document type Journal Article
    ZDB-ID 603194-8
    ISSN 0019-5413
    ISSN 0019-5413
    DOI 10.4103/0019-5413.209952
    Database MEDical Literature Analysis and Retrieval System OnLINE

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  10. Article ; Online: It is time for a more cautious approach to surgical diathermy, especially in COVID-19 outbreak

    Karuppal, Raju / Surendran, Sibin / Patinharayil, Gopinathan / Muhammed Fazil, V.V. / Marthya, Anwar

    Journal of Orthopaedics

    A schematic review

    2020  Volume 20, Page(s) 297–300

    Keywords covid19
    Language English
    Publisher Elsevier BV
    Publishing country us
    Document type Article ; Online
    ZDB-ID 2240839-3
    ISSN 0972-978X
    ISSN 0972-978X
    DOI 10.1016/j.jor.2020.05.013
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