FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
ORTHOPEDICS
PAPER-IV
TIME: 3 HOURS ORTHO/J/18/27/IV
MAX. MARKS: 100
IMPORTANT INSTRUCTIONS
This question paper consists of 10 questions divided into Part "A" and part each part
containing 5 questions.
Answers to questions of part A and part B are to be strictly attempted in separate answer sheet(s)
and the main supplementary answer sheet(s) used for each part must be tagged separately.
Answers to question(s) of Part A attempted in answer sheet(s) of part B or Vice versa shall not be
evaluated.
Answer sheets of Part A and Part B are not to be tagged together.
Part A and Part B should be mentioned only on the covering page of the respective answer sheets.
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
PART A
1. What is free vascularized bone graft?
Role of free vascularized bone graft, allograft and bone
substitutes in Orthopaedics.
3+7
2. What is biodegradable implants?
Describe various biodegradable implants used in
Orthopaedics.
Advantages and disadvantages of biodegradable implants.

3. Indications and contraindications of Tibiotalocalcaneal
Nail.
Advantages of Tibiotalocalcaneal Nail over other methods of
ankle arthrodesis.
5+5
4. Classification of cartilage injury.
Describe investigation and management of cartilage injuries
of knee joint.
5+5
5. Define non-union.
Classification of non-union.
Recent advances in management of gap non-union of
fracture tibia.


6. Anatomy of rotator cuff of shoulder joint.
Indications, contraindications and biomechanics of reverse
shoulder arthroplasty.
3+7
7. Recent advances in medical and surgical management of
osteoporotic vertebral fracture.
Minimal invasive spine surgery in Orthopaedics.
5+5
8. Unicompartmental knee arthroplasty indications.
Advantages disadvantages of unicompartmental knee
arthroplasty.
Complications of unicompartmental knee arthroplasty.

9. Radiation hazards in Orthopaedics
Preventive measures for radiation hazards in Orthopaedics
5+5
10. Recent advances in various imaging modalities in Orthopaedics.
10