Walking ability before and after a hip fracture in elderly predict greater long-term survivorship.

Aim: The morbidity and mortality after a hip fracture in the elderly population are multifactorial. The aim of this study is to determine the long-term impact of specific factors to mortality rate and mobility after a hip fracture in the elderly.

Materials And Methods: Elderly suffering a hip fracture after a low-energy trauma was included in the study, whereas moribund patients with severe comorbid conditions and high-energy trauma were excluded.

Protrusion of the ceramic head through the acetabular shell in total hip replacement.

Total hip replacement (THR) is one of the most successful elective operations currently being performed. However, increased implant wear in the femoral head-acetabulum articulation has been found to limit the long-term survivorship of the procedure. Clinical complications of this wear process include mechanical failure of the polyethylene insert as well as a biologic foreign-body response to wear debris.

Acute thrombotic thrombocytopenic purpura following orthopedic surgery: a case report.

Thrombotic thrombocytopenic purpura (TTP) or Moschowitz's syndrome is characterized by release of unusually large von Willebrand factor (ULvWF) multimers and a deficiency of vWF metalloprotease. It is a very rare condition, but it causes serious problems. The etiology is still unknown, although surgical stress has been associated with TTP, probably by releasing massive amounts of ULvWF.

Simultaneous bilateral posterior dislocation of the shoulder: diagnostic problems and management. A case report.

We present the case of a patient who sustained simultaneous bilateral posterior dislocation of the shoulder after a possible epileptic fit. The confirmation of the diagnosis was reached only by a computed tomography (CT) scan, after the clinical suspicion. Under general anesthesia, close reduction of both shoulder dislocations was done.