|Year : 2018 | Volume
| Issue : 2 | Page : 50
Innovations and new technology in orthopedic and trauma surgery
Department of Orthopaedics and Joint Replacement Surgery, Indraprastha Apollo Hospitals, New Delhi, India
|Date of Web Publication||5-Jul-2018|
Indraprastha Apollo Hospitals, New Delhi - 110 076
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Vaishya R. Innovations and new technology in orthopedic and trauma surgery. Apollo Med 2018;15:50
We are delighted to present a unique issue of Apollo Medicine on the problems related to orthopedics. In this special issue, we have selected some interesting articles on total knee replacement (TKR) and trauma.
The management of trauma and joint diseases has seen a dramatic change in the recent past. Now, the orthopedic and trauma surgeons are equipped with the latest innovations and technology to extend the benefits to their patients. Vaishya et al. have described the use of three-dimensional (3D) printing for the complex trauma and arthroplasty cases. Gulati  described his experience of gyroscope for guiding his TKR and found it be useful in providing accurate positioning of the TKR implants. Osteoarthritis of the knee joint is known to be common in overweight individuals. Still, the obese and morbidly obese cases pose challenges to the surgeons. In a review article, Gulati  observed that the TKR surgery could be performed in selectively screened and medically fit obese individuals and these cases should not be deprived of the benefits of TKR surgery. Despite technical advances in TKR surgery, venous thromboembolism remains a devastating and potentially lethal complication following this surgery. Vaishya et al. reviewed the literature on this issue and found that 40%–85% of patients develop venographically confirmed deep-vein thrombosis (DVT) after TKR if they do not receive any form of thromboprophylaxis, and approximately 0.1%–1.7% may also suffer from fatal complication such as pulmonary embolism (PE). Therefore, it is essential that all attempts to prevent the DVT and PE be made after TKR by both nonpharmacological  and pharmacological means.
In cases with complex trauma, such as open (compound) fractures, fracture dislocation, and malunion and nonunion of the fractures, there are several challenges posed to the surgeons. Kalaria et al. in a research on fifty open tibial fractures emphasized the fact that these injuries are surgical emergencies and must be treated aggressively by early surgical intervention to prevent complications such as infection, nonunion, and amputation. The 3D printing technology is penetrating the health-care field at an astonishing rate. The use of 3D printing is also explored in the field of arthroplasty, sports medicine, spine, pediatric orthopedics, and trauma. 3D printing holds great promise to improve patient as well as surgeon satisfaction in the near future., Tanwar et al. reported an interesting case of posterior fracture dislocation of the shoulder which was successfully treated by an innovative technique method of fixation by Herbert™ screws.
| References|| |
Vaishya R, Vijay V, Vaish A, Agarwal AK. Three-dimensional printing for complex orthopedic trauma: A blessing. Apollo Med 2018;15:51-4. [Full text]
Gulati Y. Knee replacement surgery imbibes aviation technology. Apollo Med 2018;15:55-6. [Full text]
Gulati Y. Knee replacement in obese patient. Apollo Med 2018;15:57-8. [Full text]
Vaishya R, Vijay V, Wamae D, Agarwal AK. Is total knee replacement justified in the morbidly obese? A systematic review. Cureus 2016;8:e804.
Vaishya R, Agarwal AK, Desai P, Vijay V. Chemical thromboprophylaxis in total knee replacement: A critical review. Apollo Med 2018;15:59-68. [Full text]
Vaishya R, Agarwal AK, Vijay V, Kapoor C, Nwagmara IC, Vaish A. Nonpharmacological prophylaxis of venous thromboembolism in total joint replacement: A review article. Asian J Arthoplasty 2017;2:13-8.
Kalaria PV, Kapoor CS, Golwala PP. A study of open tibia and fibula fractures in fifty patients. Apollo Med 2018;15:69-74. [Full text]
Vaish A, Vaish R. 3D printing and its applications in orthopedics. J Clin Orthop Trauma 2018;9 (Suppl 1):S74-5.
Tanwar YS, Jaiswal A, Kharbanda Y, Panda A. Posterior fracture dislocation of shoulder with anatomical neck fracture. Apollo Med 2018;15:75-8. [Full text]