• Dr Danie George

Abstract Gulpha Marma (ankle joint)(1) is described in Ayurvedic Marma Sharira(1) as a Sandhi Marma located at the junction of Jangha (leg) and Pada (foot). Injuries to this Marma produce classical symptoms including pain (ruja), stiffness (stabdhata), limping (khanjata), and deformity. A corresponding orthopaedic entity is Pott’s fracture (4), involving fractures of one or both malleoli with disruption of ankle joint stability. Objective: To establish a structured correlation between Gulpha Sandhi Marma and Pott’s fracture from anatomical, physiological, and clinical perspectives. Methods: Review of Ayurvedic classical texts, modern anatomical literature, and orthopaedic research was conducted. (1, 4) Structural and functional parallels were evaluated to develop a comparative analytical model. Results: Gulpha Marma consists of mamsa, sira, snayu, asthi, and sandhi—structures that are precisely those injured in Pott’s fracture. (1, 4) symptomatically, the clinical features of Gulpha Marma injury closely match those observed in Pott’s fracture. Treatment principles across both systems emphasize restoring joint integrity and preventing deformity. Conclusion: Pott’s fracture represents a severe form of injury to Gulpha Sandhi Marma. (1, 4) The correlation highlights the scope for integrative management combining orthopaedic interventions with principles of Marma Chikitsa. Additional clinical studies are necessary.

Keywords: Gulpha Marma; Sandhi Marma; Pott’s Fracture; Ankle Joint; Marma Anatomy; Ayurveda.

"Gulpha Sandhi Marma and Pott’s Fracture: An Anatomical, Ayurvedic and Clinical Correlation", International Journal of Emerging Technologies and Innovative Research (www.jetir.org), ISSN:2349-5162, Vol.12, Issue 11, page no.e279-e281, November-2025, Available :http://www.jetir.org/papers/JETIR2511435.pdf

"Gulpha Sandhi Marma and Pott’s Fracture: An Anatomical, Ayurvedic and Clinical Correlation", International Journal of Emerging Technologies and Innovative Research (www.jetir.org | UGC and issn Approved), ISSN:2349-5162, Vol.12, Issue 11, page no. ppe279-e281, November-2025, Available at : http://www.jetir.org/papers/JETIR2511435.pdf