Raju Vaishya

Indraprastha Apollo Hospitals · Orthopaedics and Joint Replacement Surgery

One hundred patients with radial neck fractures treated at the Royal Liverpool Children's Hospital, Alder Hey, were analyzed. Excellent and good results were obtained consistently after closed manipulation. Open reduction was often followed by a fair or poor result. Operative correction should not be attempted unless the radial head is displaced >...

Immediate diagnosis and surgical treatment of acacia thorn injury results in complete cure. Delay or late presentation results in morbidity. The features of this disorder are presented in a series of 22 patients. The principles of treatment can be applied to all other types of thorn injury.

Fourteen patients with displaced fractures of the humeral capitellum were treated by open reduction and internal fixation of the capitellar fragments with Herbert screws. As per Bryan and Morrey classification, there were seven type I fractures, one type II fracture, three type III fractures, and three non-unions. Patient outcomes were evaluated us...

Resistant nonunion of distal femoral fractures in the elderly is a great challenge to treat because it is often associated with multiple problems like poor bone quality, arthritis, disuse osteopenia, joint contractures, and implant failure. We treated ten patients with megaprosthesis and report the outcome. Ten elderly patients of resistant nonunio...

Two cases of isolated fracture and dorsal dislocation of the tarsal navicular are reported. Analysis of the mechanism of injury is made, and it is suggested that the dislocation of the tarsal navicular does not occur without a fracture because of anatomical considerations. The necessity for accurate reduction and internal fixation to hold the fract...

Introduction: Gouty tophi represent an uncommon outcome of prolonged gout. The urate crystal deposition in soft tissues characterizes it. They can present as tender, soft tissue masses, mimicking benign growths. Elbow tophi are uncommon but can cause significant morbidity. Case Report: A 65-year-old man with a history of chronic gout came in with...

“Publish or perish” culture has become a common practice within academia, undermining the quality of research, harming the well-being of researchers, and hindering innovation. To address this issue, a paradigm shift from quantity to quality is required, and a more holistic approach needs to be adopted to evaluate academic performance and create a s...

Background Unicompartmental knee arthroplasty (UKA) is a surgical procedure for managing osteoarthritis of one joint compartment, most commonly the medial side. This systematic review investigates the causes of UKA revision. The outcomes of interest were establishing the revision rate, time to revision, and the most common causes of revision in the...

Introduction: Gouty tophi represents an uncommon outcome of prolonged gout. The urate crystal deposition in soft tissues characterizes it. They can present as tender, soft tissue masses, mimicking benign growths. Elbow tophi are uncommon but can cause significant morbidity. Case Report: A 65-year-old man with a history of chronic gout came in with...

We commend the ongoing development and success of the Archives of Bone and Joint Surgery (ABJS), a journal that has demonstrated remarkable growth and impact in orthopedics over the past years. An analysis of the journal’s metrics from the Scopus database, covering the period from 2013 to 2024 (until October), reveals a positive trend that me...

In 2022, Brazil remained at the top among all the Latin American countries, with a total of 1,589 publications out of a total of 2,616 Latin American publications from 28 participating countries, thus having 60.74% share. Only 5 Latin American nations (Brazil, Chile, Colombia, Argentina, and Mexico) contributed more than 100 papers in a year, where...

Background: Advances in digital technology have led to widespread availability of digital devices and consequent increased usage amongst across the population including practising healthcare professionals. Increased ‘Digital Screen time’ and its effect on physical, psychological health, and sleep patterns has been predominantly evaluated in child...

Age is not a barrier to quality of life. Even in advanced age, individuals can lead active and fulfilling lives. Knee Arthroplasy can significantly improve quality of life: For those suffering from debilitating arthritis, it can provide relief and restore mobility. Insurance companies and healthcare providers should work together to ensure adequate...

The discussion on the definition of nonunion, especially in relation to FDA standards, is essential for establishing a consistent framework for both research and clinical practice. This clarity helps mitigate confusion in the literature and underscores the importance of precise terminology in patient management. We emphasize the importance of mecha...

Our research indicated significant improvements in pain relief and functional outcomes in patients, regardless of their obesity classification, although Class-III obese patients experienced less pronounced benefits. However, the relationship between obesity and TKA outcomes remains ambiguous. While our research provides early outcome comparisons, t...

For 20 years, Apollo Medicine has been a platform for sharing transformative research. We are proud to celebrate two decades of research by highlighting our top 20 most cited articles. Apollo Medicine has consistently provided a platform for high-impact research that addresses critical health challenges. These top-cited articles reflect the journal...

We have observed that the cysts and cystic-appearing lesions around the knee are not uncommon, and it raises the possibility that the presence of multipotent cells in the IFPF could be responsible for producing a variety of cysts and cyst-like tumors in the anterior aspect of the knee joint. This could unveil significant implications for understand...

The COVID-19 pandemic has had a profound impact on healthcare systems globally, disrupting not only patient care but also the training of future surgeons. Surgical training programmes, in particular, have faced considerable challenges due to the redeployment of staff and the prioritisation of urgent care with consequent reduction in supervised or u...

Our meta-analysis supports the findings of Dr. Hoit et al. regarding the association between early surgery and increased risk of arthrofibrosis. However, we also found that early surgery is associated with improved functional outcomes, reduced secondary cartilage damage, and enhanced knee stability. These benefits should be weighed against the pote...

Despite representing a significant portion of the global population, LMICs face numerous obstacles that hinder their ability to contribute significantly to research. Adapting metrics and methodologies to reflect these realities better is essential for their relevance and applicability. A comprehensive approach to narrowing the research divide betwe...

We believe that the inclusion of women in orthopedic training and practice is crucial for enhancing patient care, fostering a more inclusive profession, promoting innovation, and meeting the diverse needs of the patient population. As the field continues to evolve, it is essential to implement strategies that support and encourage women to pursue a...

The intersection of evolving technology and traditional ethical principles create opportunities and challenges within orthopaedic practice. As we continue to navigate these advancements, respecting autonomy, beneficence, nonmaleficence, and justice are steadfast guides in ensuringpatient care remains paramount. Orthopaedic surgeons must remain vigi...

Introduction Historically, anterior cruciate ligament (ACL) ruptures in the paediatric age group were managed conservatively with bracing, casting, activity modification, and physical therapy. However, most of these patients had to reduce their sports activities, and secondary damages to the affected knee were prevalent. Source of data Published s...

The present global rank of Indian Orthopaedic research is at 16 globally and 4th in Asia. Indian Orthopaedic Research is on rise, as there has been 50-fold increase in publications since 1996. But much more is needed to be done. The Indian researchers should not underestimate their research prowess. They should take initial small steps but must aim...

"Research may be Repulsive, BUT Publication is Addictive" - Dr (prof) Raju Vaishya 10 Tips for getting your research published: 1. Target an Appropriate Journal & write a Strong cover letter to the Editor 2. Write now, Edit later 3. Reference Strategically and Correctly 4. Ask Friends to Check Your Work before publishing the article 5. Do not Cra...

Nepal's medical research output has grown significantly over the three decades. Most (around 95%) of Nepal's highly-cited research involved international collaboration, with only a small portion being purely national. Additionally, about half received external funding. These findings highlight the importance of collaboration and funding for i...

Introduction: Acromegalic arthropathy, a rare complication of acromegaly caused by excessive growth hormone (GH) production, primarily affects large joints, leading to pain, stiffness, and functional impairment. Unlike degenerative arthropathy, which is typically due to wear and tear over time, acromegalic arthropathy is driven by the overproductio...

Background: The misuse of antibiotics has led to the emergence of antimicrobial resistance (AMR), particularly threatening critically ill patients reliant on these medications. This review explores the challenges of superbugs and AMR in critical care settings and highlights potential solutions. Methods: This narrative review used keywords like "ant...

Graphical Abstracts and Infographics are the tools that not only aid in bridging the gap between scientific communities and the public but also enhance comprehension, engagement, and retention of information across diverse audiences. By utilising strategic layouts, colours, and interactive elements, they make complex information more digestible and...

The evolution of sports medicine and arthroscopic surgery is undoubtedly a testament to the confluence of technology, clinical skills, and innovative research. The recent contributions, spread across surgical techniques, comprehensive reviews, and groundbreaking research articles in JASSM, provide a panoramic view of the progress within this fascin...

There is a pressing need to address the noticeable disparity in biomedical research output between High-Income Countries (HICs) and Low-Middle Income Countries (LMICs). This imbalance raises urgent concerns about equity and the impact on global health. Despite being home to most of the global population, LMICs face numerous challenges that hinder t...

Introduction: Chronic nonunion of fractures, especially of long-duration standing, is challenging to manage. The nonunion of forearm bones is now often effectively treated with open reduction and internal fixation using a plate. Case report: A 71-year-old male was presented with a nonunion of the ulna following the fractures of radius and ulna, 51...

The October–December issue of Apollo Medicine provides the cause of evidence-based medicine with a panoramic view of current research, innovative treatment methods and the future of medical technology. The diverse range of topics covered reflects the evolving landscape of healthcare and the ongoing efforts to improve patient outcomes. As we face ne...

Nonunion of fractures continue to be the most challenging complication. The increased interest in this area has been anecdotally recognized through published research. The study aimed to conduct a comprehensive bibliometric analysis of global research on nonunion and delayed union of fractures to identify key trends, hotspots, and potential areas f...

We commend the authors of the PROMOTE trial for their valuable contribution to understanding methotrexate (MTX) in the management of knee osteoarthritis (KOA). While the study provides important insights, several limitations warrant consideration. The relatively short follow-up period of 12 months may not adequately capture the long-term effects of...

Dr (Professor) Bishnupada Mukhopadhaya's life story is a testament to his dedication, exceptional skill, and unwavering commitment to advancing the field of orthopaedics in India. His impact transcends his surgical skills. He leaves behind a legacy of excellence, not just through the numerous awards he received but through the countless lives he to...

Scrotal hematoma can often be managed conservatively. In rare cases, hematoma drainage is required if it causes excessive pressure or compromises blood flow to the testicles. Early diagnosis and treatment of scrotal hematoma are crucial to prevent complications like compartment syndrome and testicular damage.

There is a pressing need to address the noticeable disparity in biomedical research output between High-Income Countries (HICs) and Low-Middle Income Countries (LMICs). This imbalance raises urgent concerns about equity and the impact on global health. Despite being home to most of the global population, LMICs face numerous challenges that hinder t...

Highly Cited Papers (HCPs) are influential sources of information that highlight trend-setting areas of research and identify key players within a subject. This study aims to measure the research performance of Pakistan in COVID-19-related research from 2020 to 2023, focusing specifically on HCPs that have received more than 100 citations. A biblio...

The safety of healthcare professionals is a paramount concern that demands immediate and concerted action. It is not merely a matter of individual safety but a fundamental issue of public health. By implementing robust measures to protect healthcare workers, India can create a conducive environment for quality healthcare delivery and ensure the wel...

This research highlights the complex interplay between diabetes, bone health, and physical function. I explored into the potential role of sarcopenia and suggest key areas for future research. Looking forward to continuing this important conversation.

Objectives We aimed to analyse the highly-cited papers on COVID-19 research from Bangladesh. This study used bibliometric methods to examine the characteristics and trends of COVID-19 research in the country. Material and Methods To source publication data for the study, the Scopus database was used, until 26th July 2023, employing a specific sear...

Background The most impactful research on pediatric type 1 diabetes (T1D) remains unknown. Objective We aimed to evaluate the characteristics and impact of the 100 most-cited articles on pediatric T1D. Materials and Methods Using a predefined bibliometric strategy, the Scopus database was searched for high-cited papers (HCPs) published from 2001...

Ramadanov et al.‘s study highlights the importance of minimizing operative time in HHA for femoral neck fractures. Future prospective studies are needed to explore causality and refine strategies for achieving shorter, yet safe, procedures.

Liang et al.'s work1 paves the way for further investigation into PFO as a potential alternative to more invasive procedures like TKA. Future studies could explore cost-effectiveness comparisons and long-term out- comes to solidify PFO's position in the KOA treatment armamentarium. Many questions still need to be answered about the role of PFO in K...

Osteopetrosis is a rare genetic disorder, which often presents with excessively dense bones, yet paradoxically weak that are prone to fractures as seen in our patient. Currently, there is no proven cure, and treatment focuses on managing symptoms and complications like fractures. In our patient, bony union was achieved after open reduction and inte...

Background and Aim Chatbots are computer programs, which are devised to simulate conversations through voice or textual interactive forms. These applications offer multiple benefits in patient education, clinical decision-making, interpersonal communication, research activities, data analysis and administrative affairs. The present scoping review a...

Stem cell therapy holds immense potential for addressing the musculoskeletal challenges faced by the geriatric population. By understanding the mechanisms of action, exploring clinical applications, and overcoming existing challenges, researchers and clinicians can pave the way for innovative regenerative treatments that improve the quality o...

Ochronosis is a rare inherited genetic disorder that affects tyrosine and phenylalanine metabolism. It leads to the deposition of dark pigments in connective tissues and articular cartilage, which are rich in collagen. This may lead to severe joint degeneration, known as end-stage arthropathy of the joints. In such cases, arthroplasty can offer sig...

Introduction: The research output in surgical branches such as orthopedics and sports medicine (OSM) is meager from Africa, considering the population and the high burden of health-related problems. We conducted this study to analyze the trend of publications in OSM from African countries and compared it with other surgical specialities. Methods: W...

Multi-ligament knee injuries (MLKI) are serious and challenging to manage. This study aimed to elucidate the impact of surgical timing on both early and long-term outcomes following an MLKI. A comprehensive search strategy was employed across PubMed, Scopus, Web of Science, and the Cochrane Library. Studies were identified using a combination of re...

Objective. Type 1 diabetes (T1D) publications have increased over the past three decades. However, there is no study to address and identify gaps in this area and to plan future research. This study aims to analyze the global scientific production of T1D in terms of overall structure and hotspots. Methodology. The research literature on T1D from 20...

Objective. Type 1 diabetes (T1D) publications have increased over the past three decades. However, there is no study to address and identify gaps in this area and to plan future research. This study aims to analyze the global scientific production of T1D in terms of overall structure and hotspots. Methodology. The research literature on T1D from 20...

We suggest that future research could explore the following: * Impact of surgical technique and implant design: Do specific techniques or implant designs influence complication and failure rates? ** Cost-effectiveness: How does TFR compare to alternative limb salvage procedures in terms of cost and long-term outcomes? *** Patient experience: Unders...

Our research in JCOT sheds light on the growing scientific interest in the relationship between prediabetes and osteoporosis. However, it also emphasizes the need for further exploration, particularly from a global perspective. By encouraging international collaboration and research funding, we can gain a more comprehensive understanding of how pre...

Arthroplasty represents a cornerstone in the f ield of orthopaedic surgery, offering a definitive solution for patients suffering from debilitating joint diseases. Through ongoing advancements and innovation, arthroplasty continues to evolve, driving improvements in patient outcomes and revolutionizing the standard of care for joint reconstru...

This research found that a significant number of students lose interest in orthopaedics during medical school, with females and Asians disproportionately affected. This decline in interest has implications for workforce diversity in orthopaedic surgery. The study underscores the need for interventions to address potential deterrents and encourage a...

Objective. The global pandemic caused by the SARS-CoV-2 virus has led to a notable surge in research productivity across many academic disciplines, except research specifically focused on the virus. A significant increase in published research articles evidences this. In this study, we have analyzed the impact of the pandemic on recent publication...

Addressing the problem of AMR and reducing SSIs requires a comprehensive and multi-faceted approach. By moving beyond the overreliance on antibiotics and implementing strategies such as targeted prophylaxis, non-antibiotic interventions, and personalized risk assessment, we can work towards reducing SSIs while preserving the effectiveness of antibi...

Articular cartilage injuries and defects have limited or no repair capacity. Most of the current surgical techniques can produce only fibrocartilage and not the actual hyaline cartilage. This review explores current trends in articular cartilage treatment, focusing on established approaches, emerging therapies, and future directions. A detailed l...

Chatbots can offer initial guidance and emotional support for users with health concerns, but may provide inaccurate or misleading information, especially for complex conditions. Hence, these cannot replace professional medical advice and diagnosis. Moreover, Chatbots cannot provide the same level of empathy and understanding as a human healthcare...

Western European countries contributed significantly to the global share of publications in Orthopaedics and Sports Medicine with nearly 1/3rd 33 of the total publications. Eastern European countries’ contribution was minimal to the global publications and was almost 10 times less than the Western European countries. The total number of publication...

The study suggests oral TXA, particularly combined with intra-articular administration, offers comparable efficacy and safety to other routes with the added benefits of lower cost and simpler administration. Further investigation is needed to confirm the optimal dosing regimen and potential long-term effects of combined oral and intra-articular TXA...

This systematic review sheds fresh light on the challenging realm of distal femoral non-union management. Distal femur fractures are common, and non-union, presents a significant hurdle for patients and surgeons alike. This study offers valuable insights. The authors meticulously combed through major databases, amassing data on over 800 patients....

Decoding India's Research on Rheumatoid Arthritis: A Bibliometric Analysis (1994-2023) Rheumatoid Arthritis (RA) is a chronic autoimmune condition impacting millions globally. Understanding research trends in this field is crucial for improving diagnosis, treatment, and ultimately, patient outcomes. Our recent publication in the Journal of Nepal He...

The name Dr. B.D. Chaurasia is synonymous with Anatomy excellence.Dr. Chaurasia's legendary "Human Anatomy" book has guided countless medical students worldwide. Despite a shortened life, his impact remains immense. His legacy is built on clear explanations, innovative teaching, and a deep love for Anatomy. He wasn't just a gifted teacher, but als...

Regenerative orthopedics involves approaches like stem cell therapy, platelet-rich plasma (PRP) therapy, the use of biological scaffold implants, tissue engineering, etc. We aim to present a scoping review of the role of artificial intelligence (AI) in different treatment approaches of regenerative orthopedics. Using the PRISMA guidelines, a search...

Despite the large land area and substantial population, the volume and impact of biomedical research from Afghanistan is limited compared to other countries due to factors such as ongoing conflict, limited resources, and brain drain. We studied the research output in Orthopaedics and Sports Medicine from Afghanistan from 1996 to 2022, using the Sco...

The spectrum of root tears could vary greatly and happen in combinations and . efforts should be made to reconstruct the anatomy as close to normal. With increasing awareness and improving technology, the outlook appears encouraging for such types of injuries.

Radial tears are significant injuries as they can significantly compromise the knee joint's stability, load-bearing capacity, and long-term health. Radial tears, especially the complete ones, can lead to abnormal joint mechanics, increased stress on the articular cartilage and potential for joint instability and osteoarthritis. Radial tears, partic...

Background and Aims Medical Education Technology has witnessed significant transformation over the years, largely influenced by advancements in technology. From traditional lecture-based teaching to the integration of multimedia tools and virtual simulations, the landscape of medical education has evolved to meet the needs of learners in an ever-ch...

Nigeria has a relatively large scientific community that produces an adequate research output among African countries. Not many studies have analysed the research output in orthopaedics and sports medicine from Nigeria and Africa. Hence, we aimed to analyze the research output in orthopaedics and sports medicine from Nigeria and Africa. There is lo...

We commend the authors for their case report on the emerging entity of a ramp lesion with a posterior meniscal root tear (1). This finding contributes to a growing body of research on this complex injury pattern. Our group previously reported on a similar case in 2019, describing a combined root and ramp lesion of the medial meniscus with a posteri...

We commend the authors for their case report on the emerging entity of a ramp lesion with a posterior meniscal root tear (1). This finding contributes to a growing body of research on this complex injury pattern. Our group previously reported on a similar case in 2019, describing a combined root and ramp lesion of the medial meniscus with a posteri...

Background Nigeria has a relatively large scientific community that produces an adequate research output among African countries. Not many studies have analysed the research output in orthopaedics and sports medicine from Nigeria and Africa. Hence, we aimed to analyze the research output in orthopaedics and sports medicine from Nigeria and Africa....

Osteoporosis imposes a significant socioeconomic burden on society due to healthcare expenditures, loss of productivity, and decreased quality of life, with more pronounced effects in low-middle-income countries. Addressing the socio-economic determinants of osteoporosis and implementing comprehensive preventive and management strategies are essent...

Orthopaedic research in Bangladesh has shown progress in the last decade, and their contributions to the global body of knowledge in orthopaedics are increasing. By overcoming existing barriers and fostering collaboration, Bangladesh has the potential to further advance orthopaedic research and improve orthopaedic care delivery for its citizens.

The current issue of Apollo Medicine demonstrates the journal’s commitment to publishing high-quality research across a wide spectrum of medical disciplines. We are committed to providing a platform for researchers and clinicians to share their work and contribute to the advancement of medical knowledge. We encourage submissions that address critic...

Shoulder arthroplasty is being done in increasing numbers globally, and hence radiologists are more likely to encounter imaging tests involving shoulder arthroplasty, either on purpose or by accident. To monitor these implants and rule out any potential complications, standard radiography is the first-line imaging modality before using ultrasound a...

There has been an increasing trend in OSM publications across the globe, and South Africa was found as the leading nation among all African countries. https://saoj.org.za/index.php/saoj/article/view/762

The growing interest in this field of fracture nonunion has been informally acknowledged through published studies. A bibliometric analysis was conducted to objectively outline the patterns in published clinical research concerning nonunion fractures by utilizing highly cited papers (HCPs). Through a predetermined search strategy, we gathered liter...

Introduction The present meta-analysis evaluated current level I clinical trials which compared the use of a suture button (SB) versus syndesmotic screw (SS) fixation techniques for syndesmosis injuries of the ankle. The outcomes of interest were to compare patient-reported outcome measures (PROMs) and complications. It was hypothesised that SB mig...

The research field of stem cell-based therapies in orthopaedics has witnessed significant growth in the recent past. We aimed to identify and analyze the bibliometric characteristics of the global highly cited papers (HCPs) in stem cell research in orthopaedics. This study relied on secondary data extracted from Scopus, Elsevier’s abstract and cita...

Robotic-assisted total knee arthroplasty (RATKA) has been shown to achieve more accurate component positioning and target alignment than conventional jig-based instrumentation; however, concerns remain regarding its adoption since it is associated with steep learning curves, higher operational costs, and increased surgical time. This study aims to...

Research and clinical studies on multiligamentous knee injuries (MLKI) have recently gained interest with several clinical studies reported recently. This study aims to identify, visualize, and characterize the MLKI research, to analyze the knowledge structure of MLKI during 2008–2023 and to identify the emerging research trends from a bibliometric...

Background Conservative management is recommended as the first therapeutic step in chronic low back pain (LBP), but there is no available evidence regarding the possible effect of patients’ baseline characteristics on the therapeutic outcomes. A systematic review of the literature was performed to investigate this point. Methods In February 2024,...