Uncharted Territories: Dynamic Hip Screw Migration Into the Pelvis Requiring Laparotomy.

Hip fractures are common in patients with poor bone quality and are seen to affect the elderly and frail population. We report a case of implant failure after fixing an unstable intertrochanteric fracture with a dynamic hip screw (DHS). The patient presented with a DHS that had migrated into the pelvis approximately six months after surgery.

Phenotypic and genotypic detection of extended spectrum beta lactamase enzyme in Klebsiella pneumoniae.

Background: Klebsiella species are ubiquitous in nature and can be found in the natural environment and on mucosal surfaces of mammals and it is an important multidrug-resistant pathogen affecting humans and is a major source for hospital acquired infections. The aim of this study is to investigate the prevalence of ESBL enzyme among Klebsiella pneumoniae isolates by phenotypic methods from different hospital wards and detection of ESBL resistance genes such as TEM and SHV in Sulaimani city/ Kurdistan-Iraq.

Methods: Klebsiella pneumoniae isolates were collected from different clinical samples from different hospitals, the isolates were identified by standard technique.

Medium-term outcome of titanium nitride, mobile bearing total knee replacement.

This retrospective study examined the medium term outcome of 305 Titanium Nitride (TiN) Mobile bearing total knee. At ten years after the start of the study, there was a significant improvement (p < 0.0001) in the post-operative knee scores.

Intramedullary tibial nailing in distal third tibial fractures: distal locking screws and fracture non-union.

Distal third tibial fractures are prone to non-union following tibial nail insertion. The purpose of this study was to assess the union of distal third tibial fractures in patients who have undergone intra-medullary (IM) tibial nailing with one versus two distal locking screws. Sixty-five patients who had intramedullary tibial nail fixation were retrospectively analysed.

Impact of London's terrorist attacks on a major trauma center in London.

During the morning rush hour on Thursday, 07 July 2005, a series of four bombs exploded, affecting London's public transport system. These terrorist attacks killed 52 people and injured > 700. A major incident was declared, and the Royal London Hospital (RLH) was a primary receiving hospital.