The effect of tranexamic acid in blood loss and transfusion volume in adolescent idiopathic scoliosis surgery: a single-surgeon experience.

Purpose: Intraoperative blood loss in scoliosis surgery often requires transfusions. Autogenous blood decreases but does not eliminate risks typically associated with allogenic blood transfusion. Costs associated with transfusions are significant.

Taylor spatial frame in the treatment of neglected fractures.

Background: The Taylor spatial frame (TSF, Smith and Nephew, Memphis, TN, USA) is a modern multiplanar external fixator that combines ease of application and computer accuracy. Many patients in our geographic area seek treatment for their fractures by traditional bonesetters and present in the middle of treatment with neglected malaligned fractures. These fractures were an average of 10 weeks old (range 6-14 weeks) fractures with callus that were allowed to heal in a poor position.

Taylor spatial frame in the treatment of upper extremity conditions.

Background: Taylor spatial frame (TSF) is a modern multiplanar external fixator that combines ease of application and computer accuracy; it provides the capability of 1 to 6 axes of deformity correction sequentially or simultaneously by adjusting 6 connecting struts between 2 circular rings. Previous reports have documented the effectiveness of the TSF in acute fracture care, nonunion treatment, and in bone lengthening and deformity correction in the lower extremity. To the authors' knowledge, no previous case series in the English literature have documented the use of the TSF in treating upper extremity conditions.

Lower limb lengthening and deformity correction using the Fitbone motorized nail system in the adolescent patient.

Leg lengthening by an external fixation is associated with various difficulties. Pin-tract infections are commonly encountered, and muscle contractures and joint stiffness are additional complications associated with this method. Several researchers explored a purely intramedullary solution for leg lengthening since the 1970s.

Tuberculous arthritis revisited as a forgotten cause of monoarticular arthritis.

Background And Objectives: Tuberculosis (TB) continues to be a major concern for health care workers. The number of reported cases of extrapulmonary tuberculosis, particularly osteoarticular tuberculosis, is increasing. This fact is attributed to different factors such as underestimating the disease and difficulty in diagnosis, which requires tissue sampling and can lead to a delay in the diagnosis, and can result in significant morbidity and mortality.

Evaluation of the calori et Al nonunion scoring system in a retrospective case series.

Nonunion is one of the most challenging orthopedic complications. Although current definitions are accepted, they fail to provide a satisfactory definition of nonunion. Different classifications for nonunion have been described, but these systems did not take all required factors and requirements of nonunion treatment into account for fracture healing.

Results of primary total hip replacement with special attention to technical difficulties encountered in a cohort of Saudi patients.

Objective: To illustrate our experience and the difficulty faced in primary total hip replacement (THR) in Saudi patient population.

Methods: We retrospectively reviewed our database between February 2002 to December 2007 for primary THR cases at King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia and identified 58 hips (54 patients). Patients data were collected from patient's medical records, clinical examination, and x-ray films.

Taylor spatial frame in the treatment of open tibial shaft fractures.

Background: The Taylor spatial frame (TSF) is a modern multiplanar external fixator that combines the ease of application and computer accuracy in the reduction of fractures. A retrospective review of our prospective TSF database for the use of this device for treating open tibial fractures in pediatric, adolescent, and adult patients was carried out to determine the effectiveness and complications of TSF in the treatment of these fractures.

Materials And Methods: Nineteen male patients with open tibial fractures were included.

Ultrastructural changes of compressed lumbar ventral nerve roots following decompression.

Objective: To study whether there will be a permanent lumbar nerve root scarring or degeneration secondary to continuous compression followed by decompression on the nerve roots, which can account for postlaminectomy leg weakness or back pain.

Methods: The study was performed at the Department of Anatomy, Faculty of Medicine, King Abdul-Aziz University, Jeddah, Kingdom of Saudi Arabia during 2003-2005. Twenty-six adult male New Zealand rabbits were used in the present study.

Taylor Spatial Frame in the treatment of pediatric and adolescent tibial shaft fractures.

The Taylor Spatial Frame (TSF) is a modern multiplanar external fixator that combines ease of application plus computer accuracy in the reduction of fractures. A retrospective review of our experience in using this device for treating unstable tibia fractures in pediatric and adolescent patients was carried out to determine the effectiveness and complications of TSF in the treatment of these fractures. Ten tibia fractures were included.

Video-assisted thoracoscopic surgery: the Cincinnati experience.

Video-assisted thoracoscopic surgery is an alternative to open thoracotomy. We analyzed our experience during a consecutive series of 100 patients who had this procedure and who were available for study at 3-year followup. Video-assisted thoracoscopic surgery was done on patients with the following diagnoses: idiopathic scoliosis (n = 49), neuromuscular spinal deformity (n = 15), Scheuermann kyphosis (n = 15), congenital and infantile scoliosis (n = 5), neurofibromatosis (n = 5), Marfan (n = 1), postradiation scoliosis (n = 1), and repair of pseudoarthrosis (n = 1).

Early experiences with video-assisted thoracoscopic surgery: our first 70 cases.

Study Design: Prospective consecutive series.

Objective: Analysis of the results and outcomes of patients treated with video-assisted thoracoscopic surgery for spinal pathology.

Summary Of Background Data: Video-assisted thoracoscopic surgery is an alternative to open thoracotomy.

Effectiveness of spinal release and halo-femoral traction in the management of severe spinal deformity.

The purpose of this retrospective review was to assess the effectiveness of spinal release and halo-femoral traction in the management of severe spinal deformity. Twenty-four patients had halo-femoral traction and a spinal release. Analysis focused on pre-traction curve, preoperative curve in bending or hyperextension films, final traction curve, traction weight as a percent of body weight, and complications associated with traction.

Functional outcome after tibial tubercle transfer for the painful patella alta.

Twenty-five patients with painful patella alta without symptomatic subluxation were identified in a prospective database. All patients had a distal tibial tubercle transfer and preoperative knee arthroscopy. The mean postoperative followup was 2.