According to the national joint registry, patello-femoral joint (PFJ) replacement accounts for 1% of all knee arthroplasty procedures in the UK, 1014 of which were performed in 2018. The femoro-patella vialla (FPV) implant by MicroPort orthopaedics has a high reported rate of revision, more than four times that of other knee replacements. The mechanisms of failure are usually loss of fixation at the bone-implant interface.
View Article and Find Full Text PDFIntroduction: This biomechanical study aims to assess the function of patients who were treated non-operatively for delayed diagnosis Achilles tendon rupture. Patients were treated using the Swansea Morriston Achilles Rupture Treatment protocol (SMART), which is a physiotherapy led non-operative treatment program.
Methods: 19 patients (16M:3F) were enrolled and prospectively assessed using Achilles Repair Scores (ARS)/Achilles Tendon Rupture Scores (ATRS) (PROMS), Ankle ROM and isokinetic peak torque for plantarflexion of the ankle.
The increasing use of artificial pitches has occurred in a multitude of sports at both professional and amateur levels. Artificial turf has become an extremely attractive option as it is felt to encourage a faster, safer and more entertaining play. However these pitches are not without controversy among sporting professionals and in the media.
View Article and Find Full Text PDFThe role of uniplanar osteotomy in correction of multiplanar deformity in hallux valgus is a developing and promising concept. Careful consideration should be given to the literature when considering the concept of preexisting pronation of the metatarsal. Recent weight-bearing computed tomography studies contradict the existing literature and state that there is little or no rotation of the metatarsal; therefore, a multiplanar osteotomy should aim to correct the rotation caused by soft tissue imbalance at the tarsometatarsal and metatarsophalangeal joints rather than in the metatarsal itself.
View Article and Find Full Text PDFBackground Context: The main advantage cited for the use of the magnetic controlled growing rod (MCGR) system over the conventional growing rod (CGR) in early-onset scoliosis is avoiding repeated invasive surgical procedures for lengthening, thus reducing, complications.
Purpose: The study aimed to evaluate the complications of the MCGR system against the CGR system in our center.
Study Design/setting: This is a retrospective case control series.
Background Context: There have been no studies with medium-term follow-up of magnetic controlled growing rods (MCGRs).
Purpose: This study aimed to report our single center experience of a magnetic growing rod system with an average of 4 years' follow-up.
Study Design/setting: A retrospective case series was carried out.
One hundred and twenty six paired samples of plasma and whole blood were measured with inductively coupled plasma mass spectrometry technique for metal ions analysis to determine a relationship between them. There was a significant difference between the mean plasma and whole blood concentrations of both cobalt (Co) and chromium (Cr) (p < 0.0001 for both Co and Cr).
View Article and Find Full Text PDFA 28 year old male presented to the Juba Teaching Hospital with progressive shortness of breath. 18 months prior to admission, he presented to a rural hospital with severe abdominal pain. An emergency laparotomy was performed, and a large hepatic cyst was removed.
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