Archive

Caudal Epidurography and Therapeutic Steroid Injection in Failed Back Surgery Syndrome (FBSS): A Database Review

Shemila Abbasi*; Gauhar Afshan; Fiza Khan; Ali Sarfraz Siddiqui; Kamran Ali; Ausaf Ahmed; Tanveer Baig

    The role of caudal epidurography and epidural steroid injections in FBSS in low-middle-income countries remains unknown. Failed Back Surgery Syndrome (FBSS) is a chronic pain condition with a significant impact on quality of life. It affects about 5 to 40% of patients who undergo spinal surgery. This retrospective study evaluates the effect of epidural steroid injection using caudal epidurography on pain (static and dynamic) and on functional improvement, mood, and sleep.


Does the Use of Carbon Fiber Devices Allows Better and More Solid Lumbar Interbody Fusion Respect to Metal Ones in Degenerative Lumbar Disc Disease? Preliminary Results from a Multicentric Pilot Study

Maria Concetta Meluzio; Marco Girolami; Riccardo Ghermandi; Maria Ilaria Borruto*; Giovanni Barbanti-Brodano; Francesco Ciro Tamburrelli; Alessandro Gasbarrini

    Prospective observational; multicenter randomized open label study; Preliminary results. The aim of the present investigation was to compare the clinical and radiological outcomes in patients who underwent Transforaminal Lumbar Interbody Fusion (TLIF) procedures performed with carbon fiber devices or metal devices.


Evaluation of Safety and Performance of Hyaluronic Acid Combined with Niacinamide Versus Standard Infiltrative Therapy in the Treatment of Joint Degenerative and Post-Traumatic Diseases

Alberto Gobbi; Katarzyna Herman; Leandra Bizzoco*; Giulia Avio

    Background: This study aims to evaluate the safety and efficacy of high molecular weight hyaluronic acid with addition of niacinamide (N-HA) versus standard medium molecular weight HA in patients with joint degenerative and post-traumatic diseases.


Complications of Reverse Shoulder Arthroplasty, A Review of Literature

Amr Elshahhat

    Complications of reverse shoulder arthroplasty have been reported widely, with its utilization in different shoulder pathologies including rotator cuff deficiency, post-traumatic sequalae, revision procedures, failed rotator cuff surgeries, and glenohumeral osteoarthritis. The most common reported complications include instability, infection, notching, loosening, nerve injury, intra-operative fractures, and glenoid failure.


Factors Contributing to Delay in Fixation of Hip Fracture in Low and Middle-Income Country (LMIC)

Shemila Abbasi*; Muhammad Qamarul Hoda; Jai Parkash

    Hip fractures are common among the aging population and delay in operative repair increase the risk of morbidity and mortality. This study aims to determine the frequency of operative delay and anaesthetic and non-anaesthetic factors that contribute to this delay.


Pulseless Upper Extremity Following Closed Reduction of a Dislocated Shoulder: A Case Report and Review of the Literature

Ean C Schwartz*; Joseph S Geller; Jacob E Milner; David Constantinescu; Paul R Allegra; Justin E Trapana; James C Shaw

    Anterior shoulder dislocation is one of the most common orthopaedic injuries treated in the emergency department. While associated vascular injuries are rare, they can be a potentially devastating complication, usually seen after highenergy or penetrating trauma. Therefore, a complete neurovascular exam is critical on initial presentation.


Treatment of Schatzker Type III Tibial Plateau Fractures: Report of an Alternative, Percutaneous Technique and Brief Review of the Literature

Avraam Christodoulidis*; Piero Giardini; Carlo Raimondo Menna; Micaela Pagliari; Marco Molinari

    Schatzker III Tibial Plateau Fractures (TPF) reduction and stabilization is still a challenging procedure. We present an alternative, percutaneous surgical technique. With an antero-medial transverse incision at the level of the tibial metaphysis, under fluoroscopic control, an osteotome is advanced from medial to lateral, under the depressed fragments, reducing the articular surface of the lateral TP anatomically, without create a significant void and preserving the lateral wall.


Complications of the Traditional Treatment of Limb Fractures: Frequency and Management in the Orthopedics-Traumatology Department of the CHU Ignace Deen

Camara T*; Bah ML; Sidibe M; Sylla FM; Madjirabe NH; Youla M; Camara OB; Keita K; Diallo MM; Lamah L

    Traditional treatment of fractures is common practice in underdeveloped countries. The objective was to report our service’s experience in managing complications related to the traditional treatment of limb fractures.


Long-Term Results of Treatment with Mesenchymal Stem Cells, Growth Factors and Neural Regulation in Post-Traumatic Osteoarthritis of the Ankle

Carlos Chiriboga-Accini*; Ernesto Guerra-Farfan; Georges F Vles; Mario Murgueitio-Eguez; Verdy Rodríguez-Zambrano; Iván Chérrez-Ojeda; Harry Adelson; Peter Chedraui; Antonio WD Gavilanes; Pieter J Emans

    Post-Traumatic Osteoarthritis (PTOA) continues to impose a big challenge on orthopedic surgery worldwide. Biological interventions, such as injections with growth factors and stem cells, combined with improving Extracellular Matrix (ECM), intend to regenerate damaged tissues or minimize further degeneration. The ECM provides structural support and is a fundamental component of stem cell niches.


Prospects of Skeletal Muscle Culture for In-Vitro Cultured Meat Production

Smriti Shukla; Rony S; Emmanuel; Vikash Chandra*

    With the rising food demands and a proportionately growing population, the food business has developed various inventions, alterations, and ways to produce meat in vitro. This innovation has the potential to change the meat industry, with significant effects on the environment, human health, and animal welfare. As a result, animal cells, rather than actual meat from slaughtered animals, are employed to create cell-based meat, with cell division and proliferation taking place in the culture medium.


Relationship between Spinal Disorders and Physical Attributes

Yash Kulshrestha*; Pawan Mishra

    Spinal disorders are a typical phenomenon in the human masses. The specific cause of these issues is unknown, and there are few studies on the causes of spinal abnormalities induced by a person’s physical characteristics. The goal of this study is to discover a link between various spine parameters and the physical attributes of people. This study looked at total 10 spine parameters and several physical attributes of fifty-five individuals obtained with Statico 3D, and footprints were obtained through pedobarography...


Surgical Management of a Pure Lateral Subtalar Dislocation

Mohamed Sidibé*; Mohamed Lamine Bah; Fodé Mahamoud Sylla; Amadou Tanou Bah; Alhassane Soumah; Serge Ntungnawayo

    Subtalar dislocations are rare lesions and represent less than 1% of all dislocations. The lateral variety is rare and accounts for only 17% of all subtalar dislocations. This observation concerned a 60-year-old man with hearing loss who, following a work accident, presented with a purely lateral open subtalar dislocation. He underwent surgical treatment by trimming, reduction and double talocalcaneal and talonavicular pinning...


Lipoma Arborescens of knee

Vijayamohan; Joe Thomas; Shyam Gopal V*

    Synovium is an uncommon site for primary tumors and most of them are benign. Lipoma Arborescens (LA) is one of them. It is a relatively unusual, benign, intra-articular lesion, which more often appears in the knee [1]. Other sites such as the shoulder, the elbow, the wrist, the hip, and the ankle may also be affected Bilateral involvement of the knees has also been described [2].
We report a case of a 57 year old male who presented with pain and swelling of knee, who was diagnosed with lipoma arborescens and underwent synovectomy and got releaved of symptoms...


Relationship between Buccolingual First Mandibular Molar Inclination and Alveolar Bone Thickness by Cone-Beam Computed Tomography

Hoori Mirmohamadsadeghi; Amir Bayatian; Mahmood Dashti; Farnaz Mobini Dehkordi; Yaser Safi; Shohreh Ghasemi*

    Objective: The purpose of this study was to evaluate the relationship between different buccolingual molar inclination and cortical bone thickness of the first mandibular molar.
Materials and methods: The sample consisted of seventy-five cone-beam computed tomography. The inclination of the mandibular first molar, mandibular arch length, and width and the buccal and lingual bone thickness of the mandibular first molar in three different levels (crest, midroot, and apex) were measured by OnDemand3D application...


Role of MRI to Assess the Progress of Spinal Tuberculosis During the Course of Treatment

Saurabh dwivedi

    Spine is the commonest site of skeletal involvement in tuberculosis and constitutes more than 50% of all forms of osteo-articular tuberculosis. MRI is the most valuable non-invasive diagnostic and prognostic tool in the patients with spinal tuberculosis to promote early detection of disease and assess the response of treatment and change in regime of A.T.T. accordingly.


Injection and Manipulation-Under-Anaesthesia for the Treatment of Post-Operative Adhesive Capsulitis

Caroline Dover*; Stuart Hay

    Adhesive capsulitis is a recognised complication of shoulder surgery, reported in 5.8 - 9.5% of patients after simple arthroscopic procedures. Studies have shown an improvement in symptoms following manipulation-under-anaesthetic and injection for primary adhesive capsulitis amongst diabetic patients.


Evaluation of relationship between degenerative changes of the temporomandibular joint and myofascial pain syndrome

Ayhan Kul, MD; Kubra Torenek Agirman, DDS, MD*; Okan Balcancı, MD; Binali Çakır, DDS, PhD; Akın Erdal, MD

    The aim of this study was to investigate whether there is a relationship between Myofascial Pain Syndrome (MPS) and degenerative changes in the Temporomandibular joint (TMJ) in muscle fibers in the upper part of trapezius muscle based on radiological findings.


Anti-inflammatory, antinociceptive and antiarthritic potential of apis cerana indica bee venom by reducing pain and degeneration of articular cartilage in adjuvant and collagen induced rat models of arthritis

Sonali S Nipate*; AA Bhandarkar

    Rheumatoid Arthritis (RA) is a chronic, relapsing inflammatory and autoimmune multisystem illness that affects the joints and characterized by inflammation of the synovial membrane, pain and restricted joint movement. Bee venom has traditionally been used in oriental medicine to relieve pain and to treat Rheumatoid arthritis.


Lesson of the month: Proactive multidisciplinary management of bone metastases in poor prognostic disease to optimise patient wellbeing and function

Elizabeth Green; Mark Price ; Tom Wells*

    This case discusses a fit young man diagnosed with cancer of unknown primary. In the context of disease with a poor prognosis, his case highlights the challenges of weighing up the pros and cons of active and aggressive treatment options, including prophylactic orthopaedic surgery for long bones at high risk of pathological fracture, to maintain function and quality of life.


Indications and clinical outcomes of High Tibial Osteotomy: A literature review

Shakeel Sarwar; Jun Lu*; Cicilia Marcella; Ming-liang JI

    Background: High Tibial osteotomy is a procedure with the goal of repositioning the mechanical axis of a varus malaligned knee into a slightly valgus one, in order to minimize joint tenderness, decrease the rate of cartilage degeneration and forestall or postpone joint replacement.


Aneurysmal bone cyst of the fibular malleolus: Report of an additional case at rare site

Jean Marie Vianney Hope*; Mohamed Sidibe; Jean Claude Sane; Souleymane Diao; Joseph Davy Diouf; Anselme Noaga Nikiema; Amadou Ndiassé Kassé; Mouhamadou Habib Sy

    Aneurysmal Bone Cyst (ABC) is a benign expansile lesions that may occur in any bone in the body, often affecting individuals during their second decade of life. In the modern English language literature, aneurysmal bone cyst occurring at the level of fibular malleolus is rare. Here, we report an additional such case arising from the fibular malleolus of a 16-year-old female patient successfully treated with en-bloc excision and ankle joint stabilization with tibiotalar joint arthrodesis by two cancellous screws and lateral ligament reconstruction.


Changes in the structure of synovial fluids between healthy joints and in osteoarthritis

Aleksandra Mrela; Zenon Pawlak*

    When a mammal’s joint is healthy, the nanostructure of phospholipid bilayers is corrugated, and some phospholipids can be observed in the synovial fluid. During illness, like osteoarthritis, β2-Glycoprotein I changes conformation from closed to open hockey-stick-like, resulting in the degeneration of phospholipid bilayers and an increase in phospholipid levels in the synovial fluid.


Repulsive lubrication on hydrophilic surfaces

Aleksandra Mrela; Zenon Pawlak*

    The lamellar-repulsive mechanisms for aqueous boundary lubrication supported by phospholipid bilayers negatively charged and 80% hydrated surfaces. It is shown that cartilage being a smart material has a hydrophilic surface being intact and hydrophobic when the surface is the air-dry condition. We discuss a controversy associated with the hydrophobic mechanism of boundary lubrication introduced by Hills in 1984.


Reevaluation of the role of knee replacement in management of knee pain: Not whether it works, but whether it is always necessary

Bruce M Rothschild

    Failure of knee replacement to invariably resolve pain, normalize function and achieve full patient satisfaction raises questions as to the efficacy and applicability of that surgical approach. It also raises the question–is the bone and cartilage damage (arthritis) actually the source of the patient's pain and disability? The role of medial-lateral joint stability or lack thereof bears additional consideration.


Neuromuscular blockade used in conjunction with motor evoked potential spinal cord monitoring and blood loss during corrective paediatric scoliosis surgery

Erden Ali*; Yasmin Mahmoud; Geraldine Edge; Jan Lehovsky

    Objective: To establish whether spinal cord IOM with specific regard to transcranial electrical Motor Evoked Potentials (MEPs) and absent use of associated neuromuscular blocking agents led to increased peri-operative blood loss. ...


The clinical application history of microsurgery

Vincent Pang; Zhao-Wei Zhu; Bo He*; Xiao-Lin Liu; Jia-Kai Zhu

    In the 20th century, microsurgery achieved many miracles in the history of surgery. With the development of microsurgery instruments and techniques, the limitations steadily decreased from the time when Dr. Zhong-Wei Chen successfully performed the first replantation of an amputated right forearm in 1963 until super microsurgery today. The developmental history of microsurgery can be divided into 5 parts in chronological order based on significant events in each decade: the feasibly of vascular anastomosis before the 1960s; the successful replantation ...


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