The young osteoarthritic knee: dilemmas in management.

As a result of increasing life expectancies, continuing physical careers, lifestyles into later life and rising obesity levels, the number of younger patients presenting with osteoarthritis (OA) of the knee is increasing. When conservative management options have been exhausted, the challenge for the orthopedic surgeon is to offer a procedure that will relieve symptoms and allow a return to a high level of function but not compromise future surgery that may be required as disease progresses or prostheses fail and require revision. We discuss the options available to this group of patients and the relative benefits and potential negative points of each.

Endogenous endophthalmitis after methicillin-resistant Staphylococcus aureus sternal wound infection.

Endogenous endophthalmitis is an extremely rare but sight-threatening complication of cardiac surgery. A high index of suspicion, prompt diagnosis and treatment, and early involvement of the ophthalmic surgeon is essential. We describe what we believe is the first case of endophthalmitis in a cardiac surgical patient with a methicillin-resistant Staphylococcus aureus wound infection.