Online ISSN: 2515-8260

Keywords : biomechanics

Triple level percutaneous Achilles tendon tenotomy-how efficient?

Dr. Shivanna, Dr. Manoj Bhagirathi Mallikarjunaswamy, Dr. Krishnaprasad HS, Dr. Yogesh, Dr. Mahadevaprasad

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 529-534

Background: Traditionally Open Z-Plasty lengthening is the choice of the procedure for
treating Achilles tendon contracture seen in equinus deformity of the foot, which is
commonly seen in club foot, spastic cerebral palsy, polio myelitis, post traumatic and post
burn contractures etc. Percutaneous Achilles tendon lengthening by triple level tenotomy
technique is based on sliding of partially cut tendon preserving its biology, strength and
biomechanics. This study aims to evaluate the efficacy and safety of this new surgical
therapeutic method.
Methods: A retrospective analysis of the Achilles tendon contracture cases in our hospital
between 2015 and 2020 was conducted. Fifty-one cases of equinus deformities treated with
percutaneous triple level Achilles tendon tenotomy. Operative time required, hospital stay,
wound healing, Achilles tendon rupture and equinus recurrence were recorded and
statistically analysed. American Orthopaedic Foot & Ankle Society (AOFAS) scoring system
was used to assess the Foot and ankle function.
Results: The mean follow-up period was 20 months. The mean operative time was 6 minutes
and mean hospital stay was 2 days. No cases had infection or wound healing complications.
One patient had equinus recurrence which was minimal. The mean AOFAS score increased
from 53% points before procedure to 96% at final follow-up.
Conclusion: This method of Achilles tendon lengthening by Triple level percutaneous
tenotomy significantly reduces operative time, hospital stay and thus expenses. Also this
technique is much better in maintaining soft tissue biology, strength and biomechanics thus
helping in preventing rupture of the tendon and recurrence of the deformity.

Comprehensive study of surgical treatments of fracture of patella

Dr. Vinayak Prabhu, Dr. Sharat Balemane, Dr. Ullas Mahesh, Dr. H Manjunath

European Journal of Molecular & Clinical Medicine, 2022, Volume 9, Issue 2, Pages 1563-1567

Introduction: Fracture patella is seen in all age groups but less common below 20 years of age. The most common cause of patellar fractures is road traffic accident, direct trauma or forcible pull of quadriceps. Fracture of patella accounts approximately 1% of all skeletal injuries.
Materials and Methodology: The study was a randomized, comparative study conducted from July 1st 2014 to December 31st 2015, at Tertiary center on 50 consenting patients who came to the department of orthopedics and on evaluation was diagnosed to have patellar fractures following which they were randomized to one of the following treatment modality
Conclusion: We concluded that tension band wiring was better as it yielded steady and consistent results


Dr. HarishAtram; Dr.Kalyani Chaudhari; Dr.DamyantiAtram .; Dr. Shantanu Kalokhe; Dr.Nandini Jaiswal; Dr.MohiniDharmadhikari .

European Journal of Molecular & Clinical Medicine, 2021, Volume 8, Issue 3, Pages 624-632

Intrusion is a common orthodontic tooth movement which is employed in the cases of deep
bite where anteriors are intruded for correction, or in anterior open bite where posteriors
are intruded to close the bite for correction. The article includes the biomechanics of
Intrusion in Orthodontic treatment and various methods to achieve the Intrusion tooth
movement successfully without causing any deleterious effect to the tooth. It also
containthe types of Intrusion, their indications and contraindications. Use of various fixed
appliances and their modifications to achieve intrusion mechanics is discussed and
reviewed in the article.


Swapna Sreenivasagan; Aravind S Kumar; Remmiya Mary Varghese; Sri Rengalakshmi

European Journal of Molecular & Clinical Medicine, 2020, Volume 7, Issue 1, Pages 1068-1074

This study was designed to understand and evaluate the choice between friction and frictionless mechanics in extraction space closure. The orthodontics case sheets were evaluated to identify extraction cases. After examining 428 case sample tabulation of choice between friction and frictionless mechanics were examined. More female patients underwent orthodontic treatment. More cases were treated by friction mechanics rather than by frictionless mechanics. Only 55 cases of the whole were treated by loops for retraction and space closure. More orthodontists preferred retraction using friction mechanics which can be attributed to factors like being treated by faster mechanics, less cost and lesser demanding skill of clinician. The chair side time required is reduced