Vol 32 | Issue 2 | July – Dec 2019 | page: 1 | Suresh Pillai

Authors: Suresh Pillai [1]

[1] Department of Orthopaedics,
Baby Memorial Hospital, Calicut, kerala, India.

Address of Correspondence

Dr. Suresh S Pillai
Consultant Spine surgeon
Baby Memorial Hospital, Calicut, kerala, India.
E-mail: sureshorth@googlemail.com


We enter the New year 2020 with immense hope. Our journal being indexed in Google Scholar and index Copernicus, we solicit relevant and best articles to enhance knowledge sharing and reach newer frontiers in the field of Orthopedics.
Change is inevitable. Everything changes. It is a continuous process. Science and its concepts also changes. As we look deeper, newer ideas and concepts emerge. A concept or a procedure which was a dictum in the ester years become obsolete in the present era. Only those procedures and concepts that were beneficial for the humanity or patients at large have stood the test of time. For example, lumbar disc replacement was launched with so much enthusiasm and hope as a solution to the menace of disc prolapse. Now it is almost an abandoned procedure as it was fraught with more complications than expected. Facet joint replacement was added to this, but not of much promise on the horizon so far. This indicate that, we need to evaluate the spine, its biomechanics and behaviour further, till will get an apt solution. Similarly magnetic rods instead of growth rods used for early onset scoliosis, indented to reduce number of surgeries a child undergoes, has recently been reported to have high risk of failure and re-operations. This shows inadequate understanding of the affect of magnetic material inside the body. The drug Nemuselide was banned after a decade of its use. Instead Rofecoxib was introduced to the market which was soon withdrawn due to its unacceptable cardiac complications.
The disadvantage of human study is that the internal milieu of different humans are different. How the body reacts to one particular drug or implant may be different in another human. So we are left with no options than average the affect observed in a large number of people.
Nothing can withstand the constant assault of abstract thinking and with persuasion, we may go on and on. Changes are the dictum whether it is for good or bad.
This is fourth and final issue of KJO, after I have become the editor. Now the change is imminent. I hand over the baton to my friend for a better change. I should place on records the immense support each one of you have extended to me during the tenure and I thank all of you from the bottom of my heart for the same.

Dr Suresh S Pillai
Kerala Journal of Orthopaedics

How to Cite this Article: Pillai S. S. | CHANGE | Kerala Journal of Orthopaedics | July – Dec 2019; 32(2): 1.

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