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Editorial – Radial Hemimelia Part – I

Volume 2 | Issue 1 | May-Aug 2016 | Page 8| Rujuta Mehta1 Authors :Rujuta Mehta[1] [1] B J Wadia Hospital For Children, Parel, Mumbai India [2]Nanavati Superspeciality Hospital, Mumbai, India. Address of Correspondence Dr Rujuta Mehta HOD, Dept. of Paediatric Orthopaedics, B J Wadia Hospital, Nanavati Hospital, Jaslok Hospital & Shushrusha Hospital. Email: rujutabos@gmail.com The evolution […]

First Anniversary of IJPO

Volume 2 | Issue 2 | May-Aug 2016 | Page 1| Sandeep Patwardhan1, Taral Nagda2, Ashok Shyam1,3 Authors :Sandeep Patwardhan[1], Taral Nagda[2], Ashok Shyam[1],[3] [1] Sancheti Instittue for orthopaedics and Rehabilitation, Pune, India. [2] Institute of Pediatric Orthopedic Disorders Mumbai India. [3] Indian Orthopaedic Research Group, Thane, India Address of Correspondence Dr Ashok Shyam IORG House, […]

Editorial – Radial Hemimelia Part – I

First Anniversary of IJPO

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Editorial – Radial Hemimelia Part – I

Volume 2 | Issue 1 | May-Aug 2016 | Page 8| Rujuta Mehta1

Authors :Rujuta Mehta[1]

[1] B J Wadia Hospital For Children, Parel, Mumbai India
[2]Nanavati Superspeciality Hospital, Mumbai, India.

Address of Correspondence
Dr Rujuta Mehta
HOD, Dept. of Paediatric Orthopaedics, B J Wadia Hospital,
Nanavati Hospital, Jaslok Hospital & Shushrusha Hospital.
Email: rujutabos@gmail.com

The evolution of treating this anomaly is a journey of learning; learning to reform or substitute for nature’s glitch: one of changing paradigms in treatment with a constant reality check at every juncture in terms of complications and recurrence.
The story about the deformity radial hemimelia, radial dysplasia, radial dysmelia or radial club hand as we popularly refer to it is neither new nor too contrasting if we study it carefully looking both backwards and forwards. Paediatric orthopods, hand and plastic surgeons alike have been laboring painstakingly to better their own efforts at recreating the missing elements over the centuries to its contemporary garb (Fig. 1). It is one of those complex congenital anomalies the exact genesis of which is not completely clear but the treatment of which sees a confluence of three major branches of reconstructive surgery.

Figure 1: temoral evolution of Surgical Approaches to reconstruct the missing elements in Radial Hemimelia

Hence we have put together a special anniversary issue, the best known thinkers and experienced surgeons on the Indian scenario as well as extra special contribution from Boston children’s hospital as bonus: masters who are adept at their techniques and have penned down words of wisdom in great detail in the forthcoming chapters. Since the subject is multifaceted, vast and complex we have divided it into two issues.
Part 1 which deals with the evolution ,treatment and preliminary surgeries in infancy and toddler age group and part 2 which deals with the early and late childhood treatment of radial hemimelia and other issues. I would urge the reader to pay attention to the structuring of both these issues and delve into the depths of each sub topic ,as it has been put together with a great deal of thought .
One of the major milestones surely has been the rational concept of radialisation, early surgery, retaining growing cartilage and early pollicisation and that is why it has withstood the test of time. Distraction techniques have been another value addition to the changing face of modern day radial club hand treatment. I congratulate Prof Bhaskaranand and Dr Binoti Sheth for an exhaustive chapter about natural history, treatment and long term outcomes. The focused section on etiology and pathogenesis is albeit a little narrow in scope but by no means trivial and both the lead authors Dr Anirbaan Chaterjee and co-authors have done a commendable job of the same.
The chapter on pollicisation is both a brilliant compilation of literature review as well as lucid technique guide for the senior and junior surgeons alike; a task not as simple as it seems to achieve. Dr Thatte takes the reader elegantly through a surgical technique that truly defines the word reconstruction. The succinct expose by Dr Don Bae offers a thought provoking fresh perspective paving the way for yet another change in the management of this multi focal deformity. Our issue would have been incomplete without these two astute writers.
Before signing off I would ponder on the thought –whether in future genetic engineering and the much hyped concept of stem cells can bring about a dramatic change? My humble submission is that if it has taken centuries for surgeons to a arrive at as complete an approach as possible to the surgical management ,it would be wishful thinking that one can start playing God so soon in the near future.

People forget how fast you did a job—but they remember how well you did it.
–Howard W. Newton
And finally as the guest editor in chief in my chapter, I have endeavored to recount in a simplistic fashion the approach and technique that works best in my hands as that is the bottom line and to my mind a decision that matters the most clinically.

Dr Rujuta Mehta
Guest Editor

How to Cite this Article: Mehta R. Editorial – Radial Hemimelia Par I. International Journal of Paediatric Orthopaedics May-Aug 2016;2(2):8.

Dr. Rujuta Mehta

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First Anniversary of IJPO

Volume 2 | Issue 2 | May-Aug 2016 | Page 1| Sandeep Patwardhan1, Taral Nagda2, Ashok Shyam1,3

Authors :Sandeep Patwardhan[1], Taral Nagda[2], Ashok Shyam[1],[3]

[1] Sancheti Instittue for orthopaedics and Rehabilitation, Pune, India.
[2] Institute of Pediatric Orthopedic Disorders Mumbai India.
[3] Indian Orthopaedic Research Group, Thane, India

Address of Correspondence
Dr Ashok Shyam
IORG House, Mantahn Apts, shreesh CHS, Hajuri Road, Thane
Email: dr ashokshyam@gmail.com

Dear Colleagues,we are glad to present to you the First Anniversary issue of International Journal of Paediatric Orthopaedics (IJPO). First anniversary is a landmark event in history of a Journal. If a journal runs successfully for one year, it reflects that the journal is here to stay. One year is the basic temporal unit after which most of the indexing of the journal arrives and the academic quality of the Journal is evident. IJPO has a consistent history of publication with no issue skipping and every issue having good number of articles. IJPO has started receiving articles from nay countries including UK, Mexico, Canada, India, USA and also Japan. This shows that the authors have developed faith in the journal. This has greatly encouraged us to take IJPO to greater heights. The review process is stringent and effective with each article undergoing blinded peer review. These standard are maintained along with best publishing practices which helps IJPO earn good reputation. We are happy to announce that IJPO has been accepted for Indexing in Index Copernicus thus making it eligible, as per Medical council of India, to be called as indexed Journal.
IJPO was started with the aim to bring practice based practical knowledge to the readers along with high quality research papers. With this aim we ran expert symposia’s in each issue in first year and we will continue this tradition in future. The present issue contain symposia on radial club hand compiled and edited by Dr Rujuta Mehta. We thank her for an excellent effort in selecting authors for the symposia and editing each and every article. This symposia will run in two issue as the number of articles were more. In future too we would love to have much more detailed symposia where every aspect of the selected topic can be comprehensively covered. We invite more colleagues to join us as Guest editors at IJPO.
In this issue we have started a new trend of interviewing legends of paediatric orthopaedics. For the first interview, Dr Ashok Johari’s name was unanimously selected and Dr Sandeep Patwardhan and Dr Ashok Shyam interviewed him in Pune. The interview has come up as an excellent piece of literary work which traces Dr Johari’s journey of becoming a paediatric orthopaedic surgeon. The interview is also to be published in two parts with first part included in this issue and second part in forthcoming issue. These interviews will help us get a glimpse of life and times of the legends and to learn from them. We will continue this tradition of interviewing exceptional personalities in paediatric orthopaedics in every issue of IJPO.
Lastly, IJPO has initiated an active participation in research. A journal need not only be a passive platform for publishing research but it can also be an active platform which can be used to conduct studies. IJPO team has liaised with Trauma Registry app developed by Indian Orthopaedic Research Group to start a supracondylar humerus fracture registry. More on the registry is covered later in the issue but basically this aims to collect epidemiological data as far as paediatric supracondylar humerus fractures are concerned.
We hope these new features will attract more authors and readers to IJPO. We will continue to work hard on developing new formats of articles and publications for IJPO and also focus on improving the indexing of IJPO in next one year.

How to Cite this Article: Patwardhan S, Nagda T, Shyam AK. First Anniversary of IJPO. International Journal of Paediatric Orthopaedics May- Aug 2016;2(1):1

Dr Sandeep Patwardhan

Dr Taral Nagda

Dr Ashok Shyam

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Editorial – Radial Hemimelia Part – I

First Anniversary of IJPO

Editorial – Radial Hemimelia Part – I

First Anniversary of IJPO

Full Sized Blog Element (Big Preview Pic)

Editorial – Radial Hemimelia Part – I

Authors :Rujuta Mehta[1]

(Abstract) (Full Text HTML) (Download PDF)

First Anniversary of IJPO

Authors :Sandeep Patwardhan[1], Taral Nagda[2], Ashok Shyam[1],[3]

(Abstract) (Full Text HTML) (Download PDF)

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