Ashok N Johari

Ashok N Johari
CHILDRENS ORTHOPAEDIC CENTRE, MUMBAI, INDIA · ORTHOPAEDICS

M.S. Orth., M.Ch. Orth(LIv.)., D.N.B.Orth., D.Ortho., F.C.P.S.Orth., F.R.C.S. (Lon.)., F.A.M.S.

About

72
Publications
5,543
Reads
How we measure 'reads'
A 'read' is counted each time someone views a publication summary (such as the title, abstract, and list of authors), clicks on a figure, or views or downloads the full-text. Learn more
425
Citations

Publications

Publications (72)
Article
Orthopaedic societies, with their diverse membership from across the world, serve a mission to endorse the progress and innovation in the field of orthopaedics and traumatology with a focus on improving patient care, as well as to encourage and develop education, teaching and research. Such organizations, whether small or large, have been successfu...
Article
Full-text available
Introduction: Limb salvage and reconstruction are often challenging and even more so in the limited resource setting. The purpose of this narrative review is to explore the strategies for addressing the unique obstacles and opportunities of limb reconstructive surgery in resource-limited environments globally. Methods: We review (1) the global b...
Article
Full-text available
ABSTRACT: Background: Developmental dysplasia of hip (DDH) is a relatively common disorder of the pediatric age group and can have a significant impact on the quality of life, if left untreated. Some research has been done in this field from India over the past many decades, thereby helping to attain the present state of knowledge about DDH. Throug...
Article
Purpose: To identify literature on variations and knowledge gaps in the incidence, diagnosis, and management of developmental dysplasia of hip (DDH) in India. Methods: Following standard methodology and PRISMA-ScR guidelines, a scoping systematic review of literature on incidence, diagnosis, and treatment of DDH in India was conducted. Studies c...
Article
Background The purpose of this study was to assess Indian orthopaedic surgeons’ current practices and beliefs regarding hip surveillance for children with cerebral palsy (CP), to determine potential support for developing hip surveillance guidelines, and to identify knowledge gaps and key obstacles to guideline implementation in India.Methods An an...
Article
Background Developmental dysplasia of hip (DDH) is a common disorder of childhood and has a good prognosis when treated at an early age. In spite of being a significant concern, many children with DDH are not picked early and present late at walking age. In our country, it is presumed to be due to absence of a national policy for screening of DDH....
Article
Covid-19 is a respiratory disease caused by coronavirus 2 (SARS-CoV-2) first identified in Wuhan, China (December 2019). The disease rapidly crossed the barrier of countries, continents and spread globally. Non-pharmaceutical measures such as social distancing, face mask, frequent hand washing and use of sanitizer remained the best available option...
Article
Osteogenesis imperfecta is characterised by low bone mineral density, bone fragility, fractures and deformity. We present five such children treated with intravenous pamidronate, which resulted in a decrease of fracture rate and increase in spinal bone mineral density.
Article
This editorial discusses the prevailing situation in India as regards early detection of Developmental Dysplasia of the Hip (DDH) and proposes the reasons why this is necessary and what could be the best modalities to apply for this complex situation in a developing country like India. The present time is the best time to develop a National Screeni...
Article
Full-text available
There has been a major resurgence of tuberculosis (TB) and drug-resistant tuberculosis in the last few decades. Although it has been brought under control in most Western countries, it is still a major cause of death in endemic regions like India. Osteoarticular tuberculosis (OA TB) forms a small proportion of the total cases of tuberculosis. Perce...
Article
IntroductionHip displacement is common in cerebral palsy (CP) and is related to the severity of neurological and functional impairment. It is a silent, but progressive disease, and can result in significant morbidity and decreased quality of life, if left untreated. The pathophysiology of hip displacement in CP is a combination of hip flexor-adduct...
Article
Full-text available
The media play a key role in promoting public health and influencing debate regarding health issues; however, some topics seem to generate a stronger response in the public, and this may be related to how the media construct and deliver their messages. Mass media coverage of COVID-19 epidemic has been exceptional with more than 180,000 articles pub...
Article
Full-text available
Background and aims: The fascia iliaca compartment block (FICB) is commonly administered in children for anterolateral thigh surgery. The actual spread of the local anaesthetic (LA) beneath the fascial layers in children is not known. We hypothesised that in children there could be a possibility of the LA to reach lumbar plexus with the dose we us...
Article
Full-text available
While implant-related infections continue to play a relevant role in failure of implantable biomaterials in orthopaedic and trauma there is a lack of standardised microbiological procedures to identify the pathogen(s). The microbiological diagnosis of implant-related infections is challenging due to the following factors: the presence of bacterial...
Article
Full-text available
The definition of peri-prosthetic joint infection (PJI) has a strong impact on the diagnostic pathway and on treatment decisions. In the last decade, at least five different definitions of peri-prosthetic joint infection (PJI) have been proposed, each one with intrinsic limitations. In order to move a step forward, the World Association against Inf...
Article
Full-text available
The definition of peri-prosthetic joint infection (PJI) has a strong impact on the diagnostic pathway and on treatment decisions. In the last decade, at least five different definitions of peri-prosthetic joint infection (PJI) have been proposed, each one with intrinsic limitations. In order to move a step forward, the World Association against Inf...
Article
The gait deviation index (GDI) is a comprehensive tool derived from threedimensional gait analysis providing averaged kinematic data from the pelvis, hip, knee, ankle, and foot. It guides clinicians in quantifying intervention efficacy over time by informing gait performance and magnitude of kinematic change in gait pattern. Severity in motor disab...
Article
Focal fibrocartilaginous dysplasia (FFCD) is a rare developmental disorder frequently leading to angular deformities in young children. It most commonly affects the proximal tibia followed by distal femur. There are totally 22 reported cases of FFCD of femur. We report a case of FFCD of distal femur as a cause of varus deformity that was managed no...
Chapter
Background: Early onset scoliosis (EOS) is a challenging group of disorders, the management of which has witnessed a sea of change in the last decade. Recent developments have worked to improve the treatment of children with EOS. This chapter provides the reader with a brief description of the surgical/therapeutic modalities, their indications for...
Article
Vascular deficiencies and reduced perfusion of the anterior tibial artery and the dorsalis pedis artery were suggested as causes of congenital talipes equino varus (CTEV). In this study, we assessed the prevalence of arterial abnormalities in patients with CTEV (50 patients; 74 feet) compared with a normal control group (16 patients; 32 feet) by Do...
Article
Full-text available
Treatment paradigms for Early Onset Scoliosis have changed from fusion to fusionless methods as the harmful effects of early fusion on the growing spine and thorax were realized. Magnetic rods are a recent addition to fusionless technology for controlling scoliosis in a growing spine. The clinical evidence base on magnet driven growth rods (MDGR) h...
Article
The behavior and treatment of coxa vara and pseudarthrosis of the proximal femur secondary to sepsis is not well described. The aim of this study is to describe the pathoanatomy for coxa vara and pseudarthrosis in postseptic hips, evaluate progression of neck shaft angle (NSA), and discuss treatment. This is a retrospective case series of 20 patien...
Article
The treatment of early onset scoliosis has improved with recent advances in the last ten years. The purpose of this review was to provide the reader with a brief description of the new therapeutic modalities, their indications, and outcomes. In children with a progressive curve that is less than 60 degrees and in whom no surgical treatment has been...
Article
Full-text available
The traditional treatment of the hip with a slip of the capital femoral epiphysis has been an in situ fixation using a single screw. This has the sanctity of a long term result. Recent literature stresses the outcomes of failure to restore the upper femoral alignment and on the basis of the poor results makes a plea for capital realignment. This be...
Chapter
Posttraumatic deformities in children are different from deformities that are congenital or secondary to other causes. Such deformities also differ from those in adults due to the process of growth and remodeling. Posttraumatic deformities may be caused by injury itself or be associated with the management, including complications of the initial in...
Chapter
Congenital limb defects are rare foetal anomalies with a birth prevalence of 0.55 per 1,000.
Chapter
Ultrasound is a better test than plain radiographs in the first 4-6 months of life.
Chapter
Pseudohypertrophy of the calf is classic for DMD, although present in only about 85 % of patients.
Chapter
Age of onset < 16 years, with symptoms > 6 weeks.
Chapter
Failure of anti-gravity biceps recovery by 3-6 months is an indication for microsurgery in BPBB. Gleno-humeral malformation is a well studied phenomenon. Treatment for brachial plexus sequelae is aimed at recreation of anatomy as well as missing functions for activities of daily living. Extra-articular procedures for treating shoulder sequelae usin...
Chapter
The most common cause of a late failure after initial club foot correction with Ponseti casts is poor compliance with the Denis Browne brace.
Chapter
Child abuse should not be ruled out in OI patients.
Chapter
Supplementation with folic acid decreases the risk of myelodysplasia, but only if taken in the first weeks following conception.
Chapter
The key feature of myasthenia gravis is a history of muscle weakness precipitated by activity, termed fatigability.
Chapter
Limb equalization procedures must take into account the final projected LLD, not the LLD present at the time of surgery.
Chapter
The CNS lesion in cerebral palsy is static, but the peripheral manifestations of CP often change over time.
Article
Secondary surgeries for the treatment of birth brachial plexus injury sequelae have witnessed a renaissance since the late 1990s. Glenohumeral malformation is a well-studied phenomenon now. Treatment paradigms are aimed at recreating the anatomy as well as restoring missing functions needed for activities of daily living. Extraarticular procedures...
Article
Clubfoot, talipes equino varus (TEV), is a common congenital foot anomaly. Some cases are resistant to conservative treatment. Many causes of resistance have been reported, among these, the presence of anomalous muscles; however, the effect of the presence of anomalous muscles on the outcome of conservative management is not well studied. These abe...
Article
Background Patient-reported outcomes (PROs) are an increasingly popular research tool used to evaluate the outcomes of surgical intervention. If applied appropriately, they can be useful both for disease monitoring and as a method of assessing the efficacy of treatment. Many disorders can lead to impingement in children and adolescents, but it is...
Article
Full-text available
Background The needle tip placed at the level of posterior cord under ultrasound guidance is described as the most effective way to obtain single shot successful block in adults, for forearm and hand surgeries.Objective The aim of this research was to study the spread of dye (depicting the local anesthetic) through catheters placed along the poster...
Chapter
The global volume of surgery has exploded and has grown so swiftly, that it has come to exceed global total for childbirth- only with a death rate 10–100 times higher. The operating room is one of the most complex work environments in health care, with sophisticated technology and the involvement of persons from multiple disciplines, besides surgeo...
Article
Full-text available
Journal of Orthopaedic Surgery 2013;21(2):140 pins yield no detectable difference in the rates of pin tract infection. Copper and titanium pins enable reduction of infections but not significantly. Lipid-stabilised hydroxyapatite-coated pins are effective for as long as 20 weeks and have lower infection rates than conventional uncoated pins. 7 It s...
Article
Delayed or missed diagnosis of septic arthritis of the hip in children results in various sequelae. In septic hips, dislocations with the capital femoral epiphysis (CFE) present have not been well described. This group is a distinct entity with different management protocol and prognostic implications. There is a paucity of reports in the literatur...
Article
Hip dislocation is a serious but rarely reported complication of femoral lengthening in congenital short femora. We report a retrospective series of three hip dislocations that occurred during lengthening, analyze the factors contributing to the dislocation, and discuss the treatment of this difficult problem. The average lengthening achieved was 9...
Article
Delayed or missed diagnosis of septic arthritis of hip in children results in various sequelae. The group of post septic hip dislocations when the capital femoral epiphysis (CFE) is present has not been described in the commonly used classifications. This is a retrospective series of 21 hips in 18 children. The presence of the CFE was confirmed rad...
Article
Full-text available
Placement of sciatic catheters with ultrasound and stimulating catheters is known. Literature regarding catheter placements with only ultrasound is limited. We aimed to investigate the feasibility of performing continuous sciatic nerve block exclusively with ultrasound guidance and minimal equipment. Forty ASA 1 and 2 patients aged 8 months-10 year...
Article
We report the results of surgical treatment of congenital postero-medial bowing of the tibia and fibula. Twenty patients with congenital postero-medial bowing were seen with nine patients treated surgically (corrective osteotomy or lengthening and deformity correction with Ilizarov fixator) and 11 patients managed conservatively. The angles of medi...
Article
Metaphyseal and diaphyseal fractures have been reported in children with severe spastic cerebral palsy, but there is no reference to epiphyseal separations in these patients. We report nine epiphyseal separations involving the distal femur and proximal humerus in four severely affected children with spastic quadriplegic cerebral palsy. The clinico-...
Article
Various treatments for the management of osteogenesis imperfecta (OI) have been tried, of which bisphosphonates seem to have the maximum benefit in reducing fracture rate and improving bone density. This study investigated the value of oral alendronate for treating OI in Indian children. Between 2002 and 2005, 11 patients with OI were referred for...
Article
Lyophilised, irradiated bone allografts available for the first time in the country from the Tata Memorial Hospital Tissue Bank were used in 30 paediatric patients from January 2001 to August 2004. They included 20 patients of scoliosis of various origin and ten with assorted orthopaedic conditions including one congenital kyphosis, two Pott's spin...
Article
Complete separation of an epiphysis is a rare complication of neonatal osteomyelitis and septic arthritis. We report two cases of pathologic epiphyseal separation after neonatal osteomyelitis, involving the distal and proximal femoral epiphyses with a follow-up of 2 and 7.5 years, respectively. Birth trauma, scurvy, and nonaccidental injury should...
Article
A prospective study of 42 children with forearm fractures, treated by closed reduction and plaster, was conducted to assess the remodeling capacity of the radial epiphyseal plate after union of fracture with angulation. The children's ages ranged from 3 to 15 years. The effect of residual angulation of the healed fracture on the distal radial epiph...

Network

Cited By

Projects

Projects (3)
Project
For Development of The Indian Hip Surveillance Guidelines for Children with Cerebral Palsy from an Indian Perspective for All Stakeholders and Especially for Paediatric Orthopaedic Surgeons, Orthopaedic Surgeons, Physical Therapists, Occupational Therapists, Pediatricians, Developmental Disabilities Specialists, Neurologists etc. The project is chaired by Dr. Ashok N. Johari, on behalf of Indian Academy of Cerebral Palsy and the steering committee members include Dr. Dhiren Ganjwala, President, POSI and Dr. Alaric Aroojis, Vice-President, POSI I am a project committee member representing our national organization: "All India Occupational Therapists' Association"
Project
Biomechanical and Finite Element Analysis of a new implant design and its potential advantages to conventional treatment options
Project
We are working on the incidence and association of spinal dysraphism in congenital scoliosis.