Tantalum Versus Titanium Acetabular Cups in Primary Total Hip Arthroplasty: Current Concept and a Review of the Current Literature.

Background: Primary total hip arthroplasty (THA) is becoming an increasingly popular and efficacious medical procedure. There have been a number of studies evaluating tantalum acetabular cups compared with the conventional titanium acetabular cups for use in total hip arthroplasties. We conducted a systematic review and summarize clinical studies comparing tantalum acetabular cups with the conventional titanium acetabular cups for use in primary total hip arthroplasties.

Stress fracture of femoral stem of hip resurfacing a cause of sudden onset hip pain- A case report and review of literature.

Resurfacing arthroplasty of the hip has had a difficult last decade. Fracture of the femoral neck has been a known complication of resurfaced hip replacement; however, fracture of the metal peg within the femoral component has only been reported twice. We encountered and treated a patient with a unique type of metal failure.

Role of psychological distress screening in predicting the outcomes of epidural steroid injection in chronic low back pain.

Background: There is a paucity of studies investigating relationship between psychological distress and effectiveness of epidural steroid injection in patients with chronic lower back pain (CLBP).

Aims: This prospective cohort study assessed whether the outcome can be predicted in CLBP patients undergoing epidural injection by pre-treatment psychological stress stratification using objective screening methods.

Methods: 96 patients with CLBP were recruited to this prospective cohort study.

Extra-abdominal manifestations of retroperitoneal infection: a case of popliteal sinus secondary to duodenal ulcer.

Retroperitoneal abscesses can be gastrointestinal, urological or vascular in origin, and can spread via the retrofascial compartment through the psoas muscle to the lower limb. We describe the case of a 73-year-old woman with right knee pain for three weeks, a cellulitic right thigh and cholestatic liver function tests. A purulent sinus developed in the popliteal fossa and computed tomography of the abdomen revealed a right-sided retroperitoneal collection with gas, extending to the right pelvis and inguinal region.

Revision Total Hip Arthroplasty for Fractured Ceramic Bearings: A Review of Best Practices for Revision Cases.

Background: Total hip arthroplasty revision for a fractured ceramic bearing is rare but offers unique challenges. The purpose of this review was to provide a summary of existing literature on fractured ceramic bearings.

Methods: Two authors performed a literature search of the MEDLINE OVID and PubMed databases with the following search terms: ceramic, fracture, total hip arthroplasty, and revision.

Surgical efficacy of the ankle tourniquet for forefoot surgery.

For precise, safe and proficient procedures haemostasis is critical. For forefoot surgery, the customary thigh tourniquet is commonly accepted for this role as the additional muscle mass and minimal bony prominences in the thigh avert neuromuscular and skin injury. However, for patients with pathophysiological issues that may be exacerbated by a thigh tourniquet, application of an ankle tourniquet may decrease the risks and increase cuff tolerance as the volume of ischaemic tissue is reduced.

Loss of range of motion of the hip joint: a hypothesis for etiology of sports hernia.

Background: sports hernia is a well-recognized cause of groin pain in athletes involved in sports, especially football and rugby. Loss of range of motion of the hip joint is a possible contributory factor to stress across the symphysis pubis leading to the instability.

Methods: twenty-five athletes presenting with sports hernia were matched to age, sex, physical/sports activity and co-morbidities with twenty-five athletes without sports hernia.

Results of non-union of humerus treated with retrograde humeral nail.

Treating non-union of humerus fracture is a surgical challenge with variable outcome. We report series of 51 adult patients of aseptic non-union of humerus from 1998 to 2010 treated retrograde humeral nail. The mean age of patient was 54 years with 33 females and 18 males.

The use of shoulder scoring systems and outcome measures in the UK.

Introduction: In future, outcomes following shoulder surgery may be subject to public survey. Many outcome measures exist but we do not know whether there is a consensus between shoulder surgeons in the UK. The aim of this study was to survey the preferred outcome measures used by National Health Service (NHS) shoulder surgeons operating in the UK.

Desktop-based computer-assisted orthopedic training system for spinal surgery.

Background: Simulation and surgical training has moved on since its inception during the end of the last century. The trainees are getting more exposed to computers and laboratory training in different subspecialties. More needs to be done in orthopedic simulation in spinal surgery.

Cost implications of the physiotherapy management of complex tibial fractures treated with circular frames.

Seventy-three consecutive patients with complex tibial fractures treated with an Ilizarov frame or Taylor Spatial Frame received physiotherapy between April 2008 and April 2010. Data were collected prospectively, and physiotherapy input was recorded (in minutes) for the patients identified. This included treatment received as an inpatient as well as an outpatient.

Computer-assisted orthopedic training system for fracture fixation.

Background: Surgical training has been greatly affected by the challenges of reduced training opportunities, shortened working hours, and financial pressures. There is an increased need for the use of training system in developing psychomotor skills of the surgical trainee.

Aims: To develop the training system for fracture fixation and validate its effectiveness in a cohort of junior orthopedic trainees.

Is discontinuation of clopidogrel necessary for intracapsular hip fracture surgery? Analysis of 102 hemiarthroplasties.

Background: An increasing number of elderly patients are managed with long-term antiplatelet therapy. Such patients often present with hip fracture requiring surgical intervention and may be at increased risk of perioperative bleeding and complications. The aim of this study was to ascertain whether it is necessary to stop clopidogrel preoperatively to avoid postoperative complications following hip hemiarthroplasty surgery in patients with intracapsular hip fracture.

Titanium elastic stable intramedullary nailing of displaced midshaft clavicle fractures: A review of 38 cases.

Introduction: Clavicle fractures accounting for 3 to 5% of all adult fractures are usually treated non-operatively. There is an increasing trend toward their surgical fixation. The aim of our study was to investigate the outcome following titanium elastic stable intramedullary nailing (ESIN) for midshaft non-comminuted clavicle fractures with >20 mm shortening/displacement.

Primary total knee arthroplasty using the P.F.C Sigma®-rotating platform cruciate retaining endoprosthesis--a 6 year follow up.

Background: Mobile-bearing Total Knee Replacement allows unconstrained axial rotation. Increased articular conformity minimizes polyethylene contact stresses, thereby reducing linear wear and fatigue failure.

Methods: We prospectively reviewed a consecutive series of 161 patients with mobile bearing total knee replacements using the PFC Sigma Cruciate Retaining Rotating Platform System.

The relationship between time to surgical debridement and incidence of infection in grade III open fractures.

Objective: The purpose of this study was to determine the association between time to initial debridement and infection rate in high-energy (grade III) open fractures of tibia.

Methods: All patients presenting with open fractures were included in the study. The inclusion criteria were Gustilo III A, B and C open fractures of tibia.

Vaughan-Jackson-like syndrome as an unusual presentation of Kienböck's disease: a case report.

Introduction: Kienböck's disease is a condition of osteonecrosis of the lunate bone in the hand, and most patients present with a painful and sometimes swollen wrist with a limited range of motion in the affected wrist. Vaughan-Jackson syndrome is characterized by the disruption of the digital extensor tendons, beginning on the ulnar side with the extensor digiti minimi and extensor digitorum communis tendon of the small finger. It is most commonly associated with rheumatoid arthritis.

A 2-year experience, management and outcome of 200 clavicle fractures.

Introduction: Clavicle fractures can cause pain and functional impairment if not managed appropriately. This article evaluates the prevalence of clavicular fractures, estimates the number of cases requiring operative treatment, evaluates whether removal of implant is a frequent necessity and compares the final functional outcome of the operative and non-operative groups.

Patients And Methods: Between November 2005 and November 2007, patients with clavicular fractures were eligible for participation.

Impingement syndrome of the shoulder following double row suture anchor technique for arthroscopic rotator cuff repair: a case report.

Introduction: Arthroscopic repair of the rotator cuff is a demanding surgery. Accurate placement of anchors is key to success.

Case Presentation: A 38-year-old woman received arthroscopic repair of her rotator cuff using a double row suture anchor technique.