Saturday, August 15, 2020

Top 3 Orthopaedic Websites Globally

We are glad to let you know that Orthopaedic Principles website is quoted one among the top 3 Orthopaedic Blogs/Websites in the World. The Global following at Orthopaedic Principles is around 

400, ooo doctors. We wish to sincerely thank our advisors and friends who have supported us in this journey.






Friday, June 14, 2019

DNB Orthopaedics June 2019





PAPER 1
PART-A
1.a) Antibiotic prophylaxis
b)Operation theatre sterilisation and antisepsis

2. a)Role of embolization in orthopaedic surgery
b)Floor reaction orthoses
c)Psuedo tumours

3. a) Surgical anatomy of hip joint
b) Enumerate surgical approaches of the hip, mention advantages and disadvantages of each technique.

4. a) Kapandji technique
b) Jaipur foot
c) Orthoses in developmental dysplasia of hip

5. Principles of management including recent advances in the treatment of flail chest

PART-B

6.a)Enumerate the various metabolic and endocrine diseases having skeletal manifestations.
b)Clinical features of rickets.
c)Radiologic findings of rickets.

7.a)Mechanism of action and use of TENS in Orthopaedics
b)PET scan in orthopaedics.

8.a)Histology of bone
b)Various factors regulating bone metabolism
c)Electric phenomena and electrical changes in bones.

9.a)Clinical features of gas gangrene.
b)Biofilm.
c)Surgical anatomy of posterior interosseous nerve.

10.a)Anti-tubercular therapy in
muscuoskeletal tuberculosis.
b)Liquid culture(MGIT)


PAPER II

PART A

1.a)Surgical reduction of fractures
b)Absolute and relative stability in the treatment of fractures

2.a)Outline the principles of external fixation.
b)Modular and hybrid external fixator and Taylor spatial frame.
c)Dynamization of external fixator.

3. a) Causes and classification of non union of fractures. 5+5
b)Clinical features and assessment of floating knee and principles of its management.

4a)Early and late onset paraplegia in spinal tuberculosis.
b)Surgical approaches for Pott’s paraplegia.
c)Stages in tuberculosis of the hip joint.


PAPER II

PARTB

6.a)General principles and technique of application of plaster cast.
b)Advantages and disadvantages of plaster of Paris cast.
c)Functional cast brace.

7.a)Etiology and pathoanatomy of old unreduced dislocation of shoulder joint.
b)Clinical features and management of posterior dislocation of shoulder joint.

8.a)Classify nerve injuries.
b)Significance and interpretation of electrodiagnostic studies in nerve injuries.

9.Discuss the various conventional and
modern methods of management and congenital psuedoarthroses of the tibia.

10.a)Volkman splint.
b)Phemister bone grafting.
c)C-clamp.


PAPERIII

PART A

1.a)Define shock and classify different  types of hemorrhagic shock.
b)Reperfusion injury and the principles of treatment of hypovolemic shock.

2.a)The different compartments of leg. b)Clinical features and management of compartment syndrome of leg.
c)Whiteside’s technique.

3.a)Anatomy of joint capsule and its surgical importance.
b)Synovial fluid analysis in various disorders.

4.The pathoanatomy of sciatic nerve  with special surgical considerations in nerve injuries.

5.a)Classify open fractures.
b)Management of grade IIIB open fracture of the tibia.

PART-B

6. Indications and principles of pelvic osteotomies
and their merits and demerits.

7.a)Lateral mass fixation technique.
b)Proximal fibular osteotomy.
c)Medial collateral ligament injury in total knee arthroplasty.

8.Clinical and radiological features and management
of aneurysmal bone cyst of distal femur.

9.a)Corticotomy
b)Custom mega prosthesis.
c)Balloon kyphoplasty.

10.a)Skin grafts.
b)Fasciocutaneous and musculocutaneous flaps.
c)Free flaps.


PAPER IV

PART-A

1 .a Dual mobility in hip arthroplasty
b Orthobiologics in orthopaedics

2. a Indications and principles of revision total hip surgery.
b Discuss the different types of acetabular defects and management.

3.Current concepts in treatment of clavicle fractures.

4.Unreconstructable fractures in elderly and discuss the management options.

5.Principles of early total care and damage control orthopaedics


PAPER IV
PART-B

6.a) 3D and 4 D printing in orthopaedics.
b) Reamer Irrigation aspiration system.
C) Current concepts in treatment of osteomyelitis

7 .a)Patient specific instrumentation in arthroplasty
b)V A C therapy .
c)Fixation devices in cruciate ligament reconstruction.

8 .a)Role of bone marrow aspirate in orthopedic trauma.
b)Minimal invasive spine surgery.

9. Current concepts of classification and management of thoracolumbar spine fractures.

10.a) Tranexamic acid in orthopaedic surgery
b) Principles of volar locking plate.
c) Robotic surgery in orthopaedics

Wednesday, December 12, 2018

DNB Orthopaedics December 2018


ORTHOPAEDICS PAPER I
PART A
1.    Define growth plate. Describe the zones of growth plate with diagram. Discuss the clinical significance of these zones?
2.     Describe the types of fracture healing. Describe the stages of secondary fracture healing. Enumerate the factors affecting the fracture healing.
3.    Describe the investigations and their uses in musculoskeletal system.
a)    DEXA Scan
b)    Bone Scan
c)     Ultrasonography
4.    Define allograft. Describe the types of allograft. Give salient features of each type.
5.    Pathology, clinical features and management of primary hyperparathyroidism.
PART B
6.    Etiopathology , clinical features, radiographic findings and management of scurvy.
7.    Describe strength duration curve. Describe the changes in the curve after nerve injury and following regeneration.
8.    Describe necrotizing fasciitis in following subheads:
a)    Definition
b)    Pathology
c)     Management
9.    Define neuropathic joint. Discuss the causes ,clinical features and treatment.
10.           Discuss anti-tubercular treatment in osteo-articular TB in terms of drugs, doses, regimen and duration of anti-tubercular treatment.

 ORTHOPAEDICS PAPER II  

PART A
1.Define  muscular torticollis .describe  causes ,investigations and treatment .
2.Define recurrent anterior dislocation of shoulder . discuss the pathological anatomy ,investigations and broad principles of treatment .
3.Types  ,causes ,clinical features ,diagnosis and treatment of radial nerve paralysis .
4.Clinical features ,diagnosis and treatment of De Quervains tenovaginitis.
5.proximal femoral osteotomies and the indications of each type .
PART B
6. Classify femoral bone stock deficiency in total hip arthroplasty. Describe the broad principles of management
7. Describe the clinical features of giant cell tumour(GCT). Describe the treatment options in a young patient with GCT upper end of tibia without a pathological fracture
8. Enumerate the sequelae of septic hip in infancy. List the types and indications of each type of reconstruction
9. Describe peri-prosthetic fracture of upper end of femur. Describe the treatment of each type.
10. Define slipped capital femoral epiphysis. Describe its clinical features, diagnosis and treatment in brief.


 ORTHOPAEDICS PAPER III
PART A
1.    Classify ankle fractures. Describe in brief the investigations and treatment of each type.
2.    Describe tension band principle with a diagram. Describe its applications in orthopaedics.
3.    Classify femoral neck fracture in children. Describe its treatment and complications in brief.
4.    Classify cervical spine injuries. Describe diagnosis and treatment of a patient with c5/c6 dislocation(in brief).
5.    Describe the pathophysiological changes in response to intramedullary reaming of long bones. Describe the reamed vs non reamed nails in a patient with polytrauma.
PART B
6.    Describe in brief the mechanism of injury , classification, treatment and complications of calcaneal fractures.
7.    Classify proximal humerus fractures. Describe in brief treatment and complications of proximal humerus fractures.
8.    Describe the classification and broad principles of management of open fractures of tibia.
9.    Define distraction osteogenesis. Describe its clinical applications in orthopaedics practice.
10.Pathoanatomy, investigations and principles of treatment of habitual dislocation of patella.

ORTHOPAEDICS   PAPER 4      
PART A
1.    Define  Surgical   site  infection SSI. Describe the current   WHO guidelines for prevention of SSI
2.    Describe the biomechanics   of ankle joint.  Describe the  current status of total ankle arthroplasty  .
3.    Define drug resistant bone and joint tuberculosis .describe the case identification  , and broad principles of treatment
4.    Define femoro- acetabular  impingement .describe the investigation, types  and their management .
5.    Describe in brief , the principles of limb savage surgery in musculoskeletal tumors .what are the patients not suitable for this procedure?
Part B
6. Define  and enumerate the bearing surfaces in hip arthroplasty  .Describe  each types with their pros and cons .
7. Enumerate  the  bone graft substitutes and describe in brief the advantages and disadvantages of each type .
8. Define evidence based  orthopaedics and how it can be applied in clinical practice .list the hierarchy of evidence (various types of studies)
9. what is spontaneous osteonecrosis of the knee (SPONK)describe the clinical features and principles of treatment .
10. Describe the current concepts of the mechanism of osteolysis after arthroplasty .what is the role of bone grafting in such patients without performing a revision arthroplasty ?




Thursday, September 20, 2018

DNB Orthopaedics June 2018







Paper 1


1. a) Stages of fracture healing.


b) Describe various patterns of fracture healing after intramedullary nailing, locked plates and dynamic compression.


2. a) What is gout?


b) Difference between gout and pseudo gout.


c) Management of gout in middle aged woman


3. a) Write the extensor mechanism of finger with its diagram.


b) Describe brief development of proximal end femur.


c) Blood supply of femoral head.


4. a) Describe calcium metabolism.


b) Skeletal and radiological changes in hyperparathyroidism.


c) Principles and indications of Teriparatide in osteoporosis.


5. a) What is Complex Regional Pain Syndrome(CRPS)?


b) Describe its types and stages.


c) Diagnostic criteria and management of CRPS.






6. a) Anatomy of the arches of the foot.


b) What is posterior tibial tendon dysfunction?


c) Write stages and management of posterior tibial tendon dysfunction.






7. a) Histological zone of growth plate.


b)Classification of physeal injury in children.


c) Management of physeal injury in children.






8. a)What is limb length discrepancy?


b)Classification of limb length discrepancy.


c)Management of limb length discrepancy due to congenital pseudoarthrosis of tibia in children.






9. a)Define entrapment syndrome.


b)Enumerate various entrapment syndromes.


c)Clinical features and management of carpal tunnel syndrome.






10. Etiopathogenesis ,diagnosis and management of gas gangrene in lower extremity.






PAPER –2


Write short notes on:


1.a)Sequelae of osteomyelitis in paediatric patients.


b)Describe management of each sequela.


2. a)Classification of acetabular fracture.


b) Describe necessary radiological views for diagnosis of acetabular fracture.


c) Surgical management of posterior column acetabular fracture.


3. a)Enumerate causes of painless limp.


b) What is perthes disease?


c) Classification and management of perthes disease


4 .a)Types of tourniquets used in orthopaedic surgery.


b) Principles of usage of tourniquet.


c) Complications of tourniquet in orthopaedic surgery and its management.


5. a)Types of proximal tibial osteotomies in children &adults.


b) Indicatioins and contraindications of high tibial osteotomy for O.A Knee.


c) Technique of high tibial osteotomy


6. a)Enumerate various deformities of rheumatoid hand .


b)Management of deformities of rheumatoid hand






7. a)Classify periprosthetic fracture around total hip arthroplasty.


b)Management of periprosthetic fracture around hip






8. a)Define claudication. b)Difference between vascular and neurological claudication


c)Management of 60 year old woman with lumbar canal stenosis.


9. a)Clinical,radiological features and management of giant cell tumour.


b)How to prevent &manage recurrence of giant cell tumour?


10. a)What is dynamization?


b) Describe its role in orthoipaedics using various implants.









Paper 3


1.a)Describe Hoffa’s fracture.


b)Mechanism of injury in Hoffa’s fracture.


c)Diagnosis and management of HOFFA’S FRACTURE.


2. a)Classify thoracolumbar spinal injuries.


b)Management of patient with D12 burst fracture.


3. a)What is Lisfranc joint?


b)Classify Lisfranc joint injury.


c)Management of Lisfranc injury with complications.


4. a)What is unstable trochanteric fracture?


b)Briefly discuss the various methods of treatment of unstable trochanteric fracture.


5. a)Anatomy of posterolateral corner 9f knee joint(PLC).


b) Clinical test for diagnosis of PLC injury.


c) Management of PLC injury.


6. a)Classify Monteggia fractures.


b) Management of Monteggia fracture in children


c) Management of a 3 month old anterior neglected Monteggia fracture dislocation in a 6 year old child


7. a)What is Hagman’s fracture?


b) Mechanism of injury ,classification and management of Hagman’s fracture.


8. a)Surgical anatomy of lower end of radius.


b)Classify lower end of radius fractures


c)Describe management of comminuted fracture of lower end of radius


9.a) Classify nerve injury.


b)Causes of radial nerve palsy in adult


c) Management of Holstein Lewis fracture.


10.a) Indications of amputation.


b)Surgical principles of amputation in children.


c)Levels of various foot amputations,their indication & disadvantages.






Paper 4






1.a)What is free vascularised bone graft?


b)Role of free vascularised bone graft,allograft and bone substitutes in orthopaedics.


2.a)What is biodegradable implants?


b)Describe various biodegradable implants used in orthopaedics.


c)Advantages and disadvantages of biodegradable implants.


3.a)Indications and contraindications of Tibiocalcaneal(TCC) Nail.


b)Advantages and of Tibiocalcaneal Nail over other methods of ankle arthrodesis.


4.a)Classification of cartilage injury.


b)Describe investigation and management of cartilage injuries of knee joint.


5.a)Define non-union.


b)Classification of non-union.


c)Recent advances in management of gap non-union of fracture tibia.


6.a)Anatomy of rotator cuff of shoulder joint.


b)Indications ,contraindications and biomechanics of reverse shoulder arthroplasty


7.a)Recent advances in medical and surgical management of osteoporotic vertebral fracture.


b)Minimal invasive spine surgery in orthopaedics.


8.a)Unicompartmental knee arthroplasty indications.


b)Advantages &disadvantages of unicompartemental knee arthroplasty.


c)Complications of unicompartemental knee arthroplasty


9.a)Radiation hazards in orthopaedics.


b)Preventive measures for radiation hazards in orthopaedics.


10.a)Recent advances in various imaging modalities in orthopaedics.





















Saturday, December 16, 2017

December 2017 DNB Orthopaedics

1.        
a)      What is tibia vara?
b)      Classify tibia vara?
c)       Conventional management of tibia vara and recent advances in its  management

2.            Anterior Interosseous Nerve Syndrome
a)              Enumerate its etiology and clinical features
b)             What are the diagnostic tests for it?
c)              Its treatment protocol

3.        
a)                What is impingement syndrome (Shoulder)?
b)              Pathophysiology of rotator cuff tear?
c)               Various imaging modalities for it?
d)              Diagnostic tests (describe any two)
e)              Management outline

4.        
a)                Enumerate the surgical approaches to reduce and fix pilon fracture
b)              Enumerate steps of posterolateral approach
c)               Enumerate its advantage and disadvantages


5.        
a)               Define spondylolisthesis
b)              Its classification in adults
c)               Clinical features and diagnostic tests
d)              Treatment protocol

6.        
a)             Etiopathogenesis of rheumatoid arthritis
b)             Common deformities of rheumatoid hand and their mechanisms
c)              Enumerate the various drugs used for the management of rheumatoid arthritis


7.        
a)              Indications of spinal osteotomy in a young patient of ankylosing spondylitis
b)             Enumerate osteotomy techniques and their principles
c)              Potential complications of spinal osteotomy


8.         Madelung’s deformity:  
a)        Classification
b)        Pathological anatomy
c)         Management protocol


9.        
a)         Methods of closing gaps between nerve ends during nerve repair
b)         Enumerate expandable nerves
c)          Donor site morbidity of common donor nerves

10.    
a)        Steps of posterior approach to hip joint while performing total hip arthroplasty
b)        Potential complications
c)         What are its advantages and disadvantages as compared to anterior approach?



11.    
a)         Define gait
b)          Outline phases of gait
c)          Define eccentric and concentric muscle contraction.
d)         Give one example of each contraction in the gait cycle

12.    
a)        Types of brachial plexus injuries around birth
b)        Mechanism of causation
c)         Clinical features in a newborn
d)        Management of a neglected/undiagnosed erb’s palsy in a 3 year old child

13.    
a)        Level of Syme’s amputation
b)        Merits and demerits of Syme’s amputation
c)         Modification of Syme’s amputation
d)        Prosthetic management after Syme’s amputation


14.    
a)        Classification of congenital scoliosis
b)        Treatment guidelines in young children with adequate growth potential

15.    
a)        What is Virchow’s triad?
b)        Enumerate the risk factors for developing deep vein thrombosis (DVT)
c)         Prophylactic treatment for DVT


16.    
a)        Terrible triad in elbow fracture dislocation
b)        Clinical cases in acute cases
c)         Management outline
d)        Short term and long complications

17.    
a)        What is flail chest?
b)        Clinical features of flail chest and its diagnostic methods in Emergency room
c)         Acute and definitive management of flail chest

18.    
a)        Classify tibial condylar fractures
b)        Outline its management principles according to classification
c)         Potential complications of tibial condylar fractures and their management

19.    
a)      Classify odontoid fractures
b)      Mechanism of injury
c)       Clinical features of an acute odontoid fracture
d)      Management of acute odontoid fractures

20.    
a)      Classify acromioclavicular joint injuries
b)      Imaging techniques for its diagnosis
c)       Management protocol according to classification

21.    
a)        Define cerebral palsy(CP)
b)        Classify cerebral palsy
c)         Principle of dorsal root rhizotomy in management of static CP

22.    
a)        Risk factors of developing infections following total hip arthroplasty
b)        Classification of prosthetic joint infection
c)         Management protocol of joint infection

23.    
a)        What is Pes cavus?
b)        Classification of Pes cavus
c)         Causes of Pes cavus
d)        Coleman’s block test and its interpretation in Pes cavus.

24.    
a)        Enneking’s staging of benign and malignant bone tumours.
b)        Techniques of biopsy in aggressive (potentially malignant)bone tumours.

25.    
a)        Classify congenital failure of formation of limbs
b)        Pappas classification for congenital femoral deficiency
c)         Management protocol according to Pappas classification



26.    
a)        Define end vertebrae and apical vertebrae in adolescent Idiopathic scoliosis (AIS)
b)        Describe two radiological method to measure the curve in AIS
c)         Fusion technique of correction in idiopathic scoliosis

27.    
a)        Define Osteoporosis
b)        Enumerate  lab tests &  radiological tests to diagnose and prognosticate osteoporosis
c)         Mechanism of action of Teriparatide in treatment of osteoporosis
d)        Potential complication of teriparatide

28.    
a)        Orthopaedic manifestations of HIV infection
b)        Universal guidelines for surgeons while operating a patient with proven HIV infection

29.    
a)        Stulberg classification in Perthes disease
b)        What is hinged abduction
c)         Management principles/techniques for hinged abduction and coxa magna in healed Perthes disease

30.    
a)        What are synthetic bioabsorbable materials for orthopaedic surgery?
b)        Enumerate their advantages
c)         Enumerate their complications and limitations

31.    
a)        Role of posterior cruciate ligament (PCL) in total knee arthroplasty
b)        Benefits of PCL retention prosthesis
c)         Benefits of PCL substitution prosthesis

32.    
a)        Principles of Gamma Camera
b)        Radioactive substances used in Gamma Camera
c)         Indications and use of Gamma Camera

33.    
a)        Broad indications for hip arthroscopy
b)        Portal positioning for hip arthroscopy
c)         Potential complications of hip arthroscopy

34.    
a)        Causes of Intoeing of gait
b)        Radiological investigations and their interpretations in intoeing of gait
c)         Its management protocol



35.    
a)        Indication and contraindications of total elbow arthroplasty
b)        What are the complications of total elbow arthroplasty
c)         Changes in design to reduce complications

36.    
a)        Define stress fracture.
b)        Enumerate common sites for stress fractures
c)         Causes of stress fractures
d)        Clinical features, classification and management of stress fracture of femoral neck in young adults

37.    
a)        Classify proximal radial fractures in children
b)        Its management principles in fresh fractures
c)         Management principles in malunited fractures

38.    
a)        Define amputation
b)        Enumerate the indications for amputation
c)         Discuss any one objective method to decide amputation /limb salvage after traumatic limb injury
39.    
a)        Effects of polytrauma on respiratory physiology
b)        What is ‘second hit phenomena’?
c)         Principles of damage control orthopaedics.

40.    
a)        Discuss wound ballistics briefly
b)        Pathologic anatomy of ballistic wound and its management principles