Publications by authors named "Derek Howard Park"

Background: In recent years, the use of Magnesium alloy implants have gained renewed popularity, especially after the first commercially available Conformité Européenne approved Magnesium implant became available (MAGNEZIX CS, Syntellix) in 2013.

Aim: To document our clinical and radiographical outcomes using magnesium implants in treating peri-articular elbow fractures.

Methods: Our paper was based on a retrospective case series design.

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Introduction: Disseminated intravascular coagulation (DIC) is a rare condition that is known to affect patients with metastatic prostate adenocarcinoma. In an unsuspecting orthopaedic surgeon, DIC could lead to significant morbidity and mortality. This article highlights another such case and discusses management strategies to help improve clinical outcomes for these patients.

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We present a case series comprising three patients with concomitant septic arthritis of the knee and osteomyelitis of the femur. Early advanced imaging rendered the accurate diagnosis of the condition and the appropriate surgical approach and technique used to treat the infection. Repeated extensive surgical debridement, irrigation and insertion of antibiotic-impregnated cement rod into the femur were required, in addition to long term antibiotics.

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Background: Acetabular fractures are rare but are severe injuries that occur in younger patients with a significant economic impact. There is limited evidence describing the return to work rates in this group of patients. The aim of our study was to examine the rate and time to return to work (RTW) after surgical fixation of acetabular fractures.

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Article Synopsis
  • The study investigated mortality rates of patients with hip fractures treated conservatively versus surgically in a hospital's Hip Fracture Unit from January 2015 to October 2017.
  • Patients managed non-operatively exhibited significantly higher mortality rates at inpatient (6.01% vs. 0%), 30-day (8.58% vs. 0%), and 1-year (33.05% vs. 8.96%) checkpoints compared to those who received surgical intervention.
  • Co-morbidities were more prevalent in conservatively managed patients (average 5.2) compared to those who underwent surgery (average 4.0), suggesting that both treatment type and patient health status impact mortality outcomes.
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Introduction: Intertrochanteric hip fractures pose a significant health problem. The proximal femur nail anti-rotation (PFNA IIDePuySynthes) is the most commonly used implant for intramedullary nailing of unstable intertrochanteric fractures at our institution. We aim to identify the risk factors predisposing to mechanical failure of intertrochanteric hip fractures fixation with PFNAII in our Southeast Asian population.

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Objectives: Proximal femoral nail antirotation (PFNA) cut-in is a unique phenomenon seen in pertrochanteric hip fractures treated with the PFNA. Cut-in refers to the superomedial migration of the proximal femoral blade into the femoral head and hip joint. We recognize that cut-in is a completely separate entity from the well-described cut-out failure.

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