Publications by authors named "Roderick Kong"

Introduction: Ankle fractures associated with disruption of the syndesmotic complex could potentially have poorer outcomes if missed or malreduced at the time of surgery. Favourable results have been reported for the suture button (SB) technique and may provide advantages over standard screw fixation of the syndesmosis, although this remains the gold standard method in many units.

Aim: To compare the outcomes of syndesmotic screws (SS) with SB fixation of the syndesmosis during ankle fracture fixation at a high-volume orthopaedic department of a Scotland trauma unit.

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Article Synopsis
  • Infections of prosthetic implants in the proximal femur pose significant challenges in orthopedic surgery, often requiring a complex two-stage revision procedure, especially with extensive bone loss.
  • The study presents a case series highlighting a specific technique for addressing these infections, which includes removing infected bone segments and performing a trochanteric slide osteotomy to resect the femur.
  • The use of an antibiotic spacer in the treatment not only reduces hospital stays and costs but also allows for partial weight-bearing and pain relief, enhancing patient quality of life compared to long-term intravenous antibiotics.
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Unlabelled: Following excision of musculoskeletal tumours, patients are at high risk of wound issues such as infection, dehiscence and delayed healing. This is due to a multitude of factors including the invasive nature of the disease, extensive soft tissue dissection, disruption to blood and lymphatic drainage, residual cavity and adjuvant therapies. The use of negative pressure wound therapy (NPWT) has a growing body of evidence on its beneficial effect of wound healing such as promoting cell differentiation, minimising oedema and thermoregulation.

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We describe a rare case, never before published, of migration of a Kirschner wire used for fusion of the proximal interphalangeal in a lesser toe in a 67-year-old female into the calcaneum. This patient presented to the orthopedic clinic 6 months after elective surgery complaining of pain in her right foot. Radiographs of the foot revealed that the Kirschner wire had migrated toward the calcaneum.

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