Browsing by Author "B.P. Varma"

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A clinico-pathological study of femoral heads in intracapsular fractures of the neck of the femur
(1978) B.P. Varma; C.T. John; S.K. Gupta; I.M. Gupta
The present study reports the results of a clinico-pathological study of 26 femoral heads removed at operation, and was undertaken with a view to throw some light on the vascular status of the femoral heads in untreated cases of intracapsular fractures of the neck of the femur, and to estimate the true incidence of avascular necrosis in Indian subjects.
An evaluation of the results of medullary nailing in the treatment of infected diaphysial fractures
(1974) B.P. Varma; Y.P.C. Rao
Twenty infected diaphysial fractures were treated by debridement and intramedullary nailing under antibiotic cover after a period of initial wound care; 12 were over 1 mth old at the time of operation; 14 had severe infection and 6 showed low grade infection; 19 were followed for a minimum period of 5 mth and a maximum of 3 yr (average 19.1 mth); one was lost to follow up after 2 mth when the infection was well healed; soft tissue healing was finally achieved in 18. Prolonged minimal drainage was seen in 14; in 12 of these the infection subsided after implant removal and sinus curettage; minor sequestrectomy was performed in 4 following fracture union. Fourteen fractures healed within 6 to 10 mth (average 6.7 mth); 3 required secondary bone grafting for delayed union; 15 had excellent good results, while 2 were classified as satisfactory; 2 are showing good progress and awaiting full consolidation. The main advantages of this treatment include a rapid improvement in patient's general condition with relief of pain, control of infection with gradual healing of the wound, early restoration of weight bearing capacity, and eventual union of the fracture. Properly applied with caution under optimum operating conditions, intramedullary nailing is an effective salvage procedure for infected fractures with soft tissue or bone loss.
An evaluation of the results of primary internal fixation in the treatment of open fractures
(1974) B.P. Varma; Y.P.C. Rao
An analytical study of 91 open fractures treated during the period 1967-1973 has been presented. Fifty-three were treated conservatively, whereas 38 were managed by primary internal fixation. There were 12 cases of deep infection in the conservatively treated group (22.6 per cent), of which 4 had persistent infection in spite of adequate treatment. In contrast to this, the group treated by primary internal fixation showed 5 cases of deep infection (13.1 per cent). All of these healed after the implants were removed, following union of the fractures. Minor sequestrectomy was performed simultaneously in 3 of them. Analysis of the results showed poor results after 22.6 per cent of fractures with conservative treatment in contrast to 5.2 per cent in the group managed by primary internal fixation. It is felt that judicious application of primary internal fixation in injuries associated with severe soft-tissue damage or multiple fractures is of definite advantage to the patient. © 1974.
Dystrophic calcification in tubercular lesions of bursae
(Informa Healthcare, 1978) S.V. Sharma; B.P. Varma; S. Khanna
Four patients with extensive dystrophic calcification, in osteoarticular tubercular lesions of relatively short duration, are described. All lesions healed satisfactorily after treatment with antitubercular drugs combined in some cases with en bloc excision. © 1978 Informa UK Ltd All rights reserved: reproduction in whole or part not permitted.
Effect of low temperature preservation on massive half joint homografts. An experimental study.
(1977) Y.J. Ramakrishna; B.P. Varma
The behaviour of massive half-joint homografts preserved in ether at temperatures ranging from -3° to -8°C has been studied in rabbits. The experimental animals were classified into 6 groups, viz fresh autografts (Group I), fresh homografts (Group II), and 1,2,3, and 4 wk preserved homografts (Groups III to VI). Microscopic, radiographic, histological and microangiographic studies were done on the specimens obtained at 2 wk intervals up to 12 wk. Next to fresh autografts, 4 wk preserved homografts showed the best take up with little host-graft reaction.
Fracture of the medial condyle of the humerus in children: a report of 4 cases including the late sequelae
(1972) B.P. Varma; T.P. Srivastava
Four cases of fracture of the medial condyle of the humerus in children aged between 7 and 12 years are described. Three fresh injuries were treated by open reduction while the fourth case showed a progressive cubitus varus deformity following an injury sustained six years previously. This was treated by corrective osteotomy. The injury, a rare one, appears to be a mirror image of the fracture of the lateral condyle of the humerus. © 1972.
Giant cell tumour of metacarpals
(1975) T.P. Srivastava; S.M. Tuli; B.P. Varma; S. Gupta
Four cases of giant cell tumours of the metacarpals are reported. One patient was treated with en bloc resection and 2 patients with en bloc resection and reconstruction with iliac crest autografts. There was no recurrence in these 3 cases during follow up. One patient with fungation and soft tissue involvement was treated with amputation of the involved ray. There was local soft tissue recurrence in this case 6 months later, for which amputation of the adjacent ray was performed. The patient has been free from further recurrence.
Giant-cell tumour of bone - A study of natural course
(Springer-Verlag, 1978) S.M. Tuli; B.P. Varma; T.P. Srivastava
Thirty-nine patients with giant-cell tumours of bone were reviewed. Twelve of these were unusually large. Fungation of the tumours did not occur spontaneously but only after incision or trauma. Fungation of the tumour or local infiltration of soft tissues was not always associated with histological signs or a clinical course of malignancy. Radical resection in the lower limbs lead to frequent complications with fracture through the bone graft and thorough but more conservative local curretage is recommended particularly in the weight bearing bones. © 1978 Springer-Verlag.
Healing of intra articular fractures: an experimental study
(1977) P.K. Vashist; B.P. Varma
From the present series it is concluded that: For the osseous healing of intra-articular fractures, maintenance of good apposition between the 2 fragments is an important pre-requisite. If good apposition is maintained between the 2 fragments and if pin fixation is stable, healing mainly occurs by endosteal callus, the osseous differentiation occurring in fibrous tissue by as early a 2 weeks leading to primary union. If the fragment gets slightly displaced and the fracture line extends into the metaphyseal region periosteal callus formation also occurs. Union occurs by endochondral bone formation in these cases. If the fragment is appreciably displaced non-union of the fracture usually occurs.
Management of old unreduced traumatic dislocations of the hip. A study of twenty nine cases
(1975) B.P. Varma
Twenty nine cases of neglected traumatic dislocations of the hip seen after an interval of 14 days to 6 years from the date of injury have been studied over a period of 5 years. There were 18 children and 11 adults. The cases were treated by closed reduction, open reduction, corrective trochanteric osteotomy and resection of the head and neck of the femur. Minimum follow up was 3 months and maximum 12 months, average 5.1 months. An initial period of traction followed by manipulation under general anaesthesia succeeded in achieving reduction in 4 cases. Operative reduction was performed after a period of traction in 21 cases. The results were comparatively better in adults, 85.7 percent showed excellent results in contrast to 57.1 percent excellent or good results amongst children. In the limited follow up only one case showed flattening of the capital epiphysis. Anterior approach to the hip was found useful as it permitted mobilisation of the contracted soft tissues in the anterior aspect of the joint.
Myeloma. A correlated clinico pathologic and immunologic study
(1974) R.M. Gupta; B.P. Varma; I.M. Gupta; Y.N. Gupta
[No abstract available]
Pycnodysostosis with intracranial dural calcification. A case report
(1979) S.K. Gupta; K. Sasibabu; B.P. Varma; J.P. Gupta
The clinical and radiological features of a case of pycnodysostosis in an adult male are described. The patient presented with fracture of the left femur following a minor trauma. Roentgen skeletal survey showed classical features of pycnodysostosis and an atypical feature of partial closure of the cranial sutures. It also showed stippled intracranial dural calcification, a new roentgenologic feature. Pertinent genetic, biochemical and histological considerations are briefly touched upon. The differential diagnosis is discussed and the role of a roentgen skeletal survey in such cases stressed.
Reincorporation of early diaphysial sequestra and bone remodelling in extensive haematogenous osteomyelitis in children
(1974) B.P. Varma; S.M. Tuli; T.P. Srivastava; Y.D. Mohindra
Six cases of extensive haematogenous osteomyelitis in children have been described in whom segments of early diaphysial sequestra got reincorporated and remodelled following prolonged protection of the the limb in a plaster cast and administration of antibiotics. Five of these 6 cases were below 5 yr of age. In another group of 6 cases of haematogenous osteomyelitis of tibiae in children, where the diaphysial segment was bare due to necrosis of skin, it failed to reincorporate and went on to complete sequestration probably because of the lack of vascularity, and destruction of the periosteum.
Successful regeneration of large extruded diaphyseal segments of the radius. Report of two cases
(1979) B.P. Varma; T.P. Srivastava
Traumatic extrusion of a large segment of the diaphysis of a long bone is a rare injury. The patients reported in the literature were all treated by replacement of the extruded segments, but the possibility that spontaneous regeneration of the missing segment can occur, particularly in children, has not been considered. This is well documented herein in two cases of ostectomy for osteomyelitis.
Synovial chondromatosis of the knee
(1973) B.P. Varma; V. Kumar; M. Tuli; T.P. Srivastava; I.M. Gupta
Observations on six cases of synovial chondromatosis involving seven knees have been recorded. Subtotal synovectomy with removal of the loose bodies produced a satisfactory result in five of the six knees treated.
Synovial chondromatosis of the shoulder
(1976) B.P. Varma; Y.J. Ramakrishna
Articular synovial chondromatosis is a rare disease commonly affecting the knee, hip or elbow, and characterized by the formation of metaplastic cartilaginous foci in the synovium. A case of synovial chondromatosis affecting the shoulder joint is now reported because of the extreme rarity of the disease in this situation.
Trimeprazine tartrate (Vallergan) in the treatment of plaster pruritus
(1976) K. Kumar; B.P. Varma
[No abstract available]
Typhoid osteitis. A case report
(1975) V.P. Lakhanpal; B.P. Varma; P.C. Sen
The authors present a case of typhoid osteitis of the right fibia in a 35-yr-old Hindu female. She was treated with chloramphenicol. Also a short literature review is given.