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| 1 | Valgus osteotomy for nonunion and neglected neck of femur fractures显示文摘Nonunion neck of femur can be a difficult problem to treat, particularly in the young, and is associated with high complication rates of avascular necrosis due to the precarious blood supply and poor biomechanics.The various treatment options that have been described can be broadly divided according to the aim of improving either biology or biomechanics. Surgeries aimed at improving the biology, such as vascularized fibula grafting, have good success rates but require high levels of expertise and substantial resources. A popular surgical treatment aimed at improving the biomechanics-valgus intertrochanteric osteotomyoptimizes conditions for fracture healing by converting shear forces across the fracture site into compressive forces. Numerous variations of this surgical procedure have been developed and successfully applied in clinical practice. As a result, the proximal femoral orientation for obtaining a good functional outcome has evolved over the years, and the present concept of altering the proximal femoral anatomy as little as possible has arisen. This technical objective supports attaining union as well as a good functional outcome, since excessive valgus can lead to increased joint reaction forces. This review summarizes the historical and current literature on valgus intertrochanteric osteotomy treatment of nonunion neck of femur, with a focus on factors predictive of good functional outcome and potential pitfalls to be avoided as well as controversies surrounding this procedure. | Viju Daniel Varghese Abel Livingston P R Boopalan Thilak S Jepegnanam | 2016 | World Journal of Orthopedics2016,7,5: | 4 |
| 2 | Intravenous Mannitol reduces intracompartmental pressure following tibia fractures: A randomized controlled trial显示文摘Purpose:Impending compartment syndrome is a common event following closed tibia fractures,which can progress to sinister compartment syndrome.Fasciotomy is the only definitive treatment available,though it has its own drawbacks and complications.Medical management at present consists of limb elevation and adequate hydration.This study aims at determining whether intravenous administration of Mannitol reduced the intracompartmental pressure in patients with closed tibial fractures.Methods:This is a double blinded,randomized control trial done in a single tertiary care center in India.Forty-five patients were recruited between February 2012 and October 2012.Forty patients who presented to the emergency department with isolated,closed,high velocity,and proximal 2/3 tibia fractures were included in this study.Patients with contraindication to Mannitol were excluded.They were allocated into 2 groups by the investigator using computer generated randomization.The pressure in the anterior compartment of the leg was measured with a handheld Stryker pressure monitor.Then either 20%Mannitol or 0.9%normal saline as given intravenously in a blinded manner,based on the randomization.The intracompartmental pressure was measured at 0,1 and 3 h after the infusion.The participant,investigator and statistician were masked to the group assessment.Results:There was no difference in intracompartmental pressures at 1 or 3 h,between the groups.However,in patients with the baseline of compartmental pressures30 mmHg,Mannitol showed a marked reduction in pressure of 8.5 mmHg at 1 h compared to almost no change in pressure in the saline group.There were no adverse events with the use of Mannitol.Conclusions:This preliminary study appears to show that Mannitol is useful in the management of the increased compartment pressure.The limitations of this study were that it only involved a small group of patients and the baseline pressures in both the groups were not comparable.More studies are required before the use of Mannitol as a standard of care in the management of compartment syndrome can be established. | Jerry Nesaraj Viju Daniel Varghese P.R.Boopalan Manasseh Nithyananth Thambu David Sudarsanam Thilak Samuel Jepegnanam | 2021 | Chinese Journal of Traumatology2021,24,2: | 2 |
| 3 | Recent developments in PLA fibers显示文摘 | S Viju G Thilagavathi | 2009 | Chemical Fibers International2009,59,3: | 1 |
| 4 | Fabrication and characterization of silk braided sutures显示文摘 | S. Viju G. Thilagavathi | 2012 | Fibers and Polymers2012,,6: | 1 |
| 5 | Recent developments in PLA fibers显示文摘 | VIJU S THILAGAVATHI G | 2009 | Chemical Fibers International2009,59,3: | 1 |
| 6 | Biodegradable polyester for medical applications 显示文摘 | S Viju | 2008 | The Indian Textile Journal2008,29,6: | 1 |
| 7 | On the Importance of Vaisala RS92 Radiosonde Humidty Corrections for a Better Agreement between Measured and Modeled Satellite Radiances 显示文摘 | Ajil K Stefan A B Viju O J | 2012 | Journal of Atmo- spheric and Oceanic Technology2012,29,2: | 1 |
| 8 | Endoscopist-Directed Administration of Propofol: A Worldwide Safety Experience显示文摘 | Douglas K. Rex Viju P. Deenadayalu Emely Eid Thomas F. Imperiale John A. Walker Kuldip Sandhu Anthony C. Clarke Lybus C. Hillman Akira Horiuchi Lawrence B. Cohen Ludwig T. Heuss Shajan Peter Christoph Beglinger James A. Sinnott Thomas Welton Magdy Rofail | 2009 | Gastroenterology2009,,4: | 1 |
| 9 | Friction and wear behavior of cemented carbides显示文摘 | Juri Pirso Sergei Letunovits Mart Vijus | 2004 | Wear2004,257,34: | 1 |
| 10 | Autonomic Management for Multi-agent Systems显示文摘 | NADIR K S ZANG T Y VIJU G K | 2011 | IJCSL International Journal of Computer Science Issues2011,8,5: | 1 |
| 11 | Big data analytics in healthcare: promise and potential显示文摘 | Wullianallur Raghupathi Viju Raghupathi | 2014 | Health Information Science And Systems2014,,2: | 1 |
| 12 | Recent developments in PLA fibers显示文摘 | S Viju G Thilagavathi | | 0,,03: | 1 |
| 13 | Recent developments in PLA fibers显示文摘 | S Viju G Thilagavathi | 2009 | ChemicalFibers International2009,59,3: | 1 |
| 14 | Biodegradable Polyesters for Medical Applications显示文摘 | S Viju | 2008 | The Indian Textile Journal2008,,6: | 1 |
| 15 | Endoscopist-Directed Administration of Propofol: A Worldwide Safety Experience显示文摘 | Douglas K. Rex Viju P. Deenadayalu Emely Eid Thomas F. Imperiale John A. Walker Kuldip Sandhu Anthony C. Clarke Lybus C. Hillman Akira Horiuchi Lawrence B. Cohen Ludwig T. Heuss Shajan Peter Christoph Beglinger James A. Sinnott Thomas Welton Magdy Rofail | 2009 | Gastroenterology2009,,4: | 1 |