Does closed incision negative wound pressure therapy in non-traumatic major lower-extremity amputations improve survival rates?

Closed incision negative pressure wound therapy (CINPWT) has been shown to be clinically effective compared with the traditional gauze dressing, reducing surgical site infections and wound complications. We evaluated the effect of CINPWT compared with gauze dressing on the need for revision surgery and survival after non-traumatic major lower amputation. We included 309 patients undergoing 403 major lower amputations in a retrospective study from January 1, 2010 to November 23, 2017.

Implants induce a new niche for microbiomes.

Although much work is being done to develop new treatments, research and knowledge regarding factors underlying implant-related microbial colonization leading to infection are less comprehensive. Presence of microorganisms in and around implants clinically characterized as uninfected remains unknown. The objective of this study was to detect and identify bacteria and fungi on implants from various groups of patients with no prior indications of implant related infections.

Orthogeriatric Service Reduces Mortality in Patients With Hip Fracture.

Introduction: Orthogeriatric service has been shown to improve outcomes in patients with hip fracture. The purpose of this study is to evaluate the effect of orthogeriatrics at Bispebjerg University Hospital, Denmark. The primary outcome is mortality inhospital and after 1, 3, and 12 months for patients with hip fracture.

[Congenital aplasia of cruciate ligaments causing knee osteoarthritis].

We report a case of a 56-year-old women with severe unilateral osteoarthritis and translation due to congenital aplasia of both cruciate ligaments, which was found during knee arthroplasty surgery. Cruciate ligament insufficiency is a known risk factor in osteoarthritis but is very rarely caused by congenital aplasia and is most often due to trauma. While the patient had several common risk factors for the development of osteoarthritis the congenital aplasia may have contributed significantly in this case of osteoarthritis.

[Shoulder pain as the first sign of disseminated lung cancer].

The diagnosis of non-small cell lung cancer is in 50% of the cases not made until the metastatic stage. Distant metastases commonly involve the adrenal glands, the liver, the bones and the central nervous system. Metastases are very rarely seen in skeletal muscles.