Three- or four-part proximal humeral fractures in middle-aged and active elderly group of patients: a narrative review of treatment options.

Background And Objective: Proximal humerus fractures (PHFs) occur in all age groups but more in elderly population with variety of treatment options. The choice of treatment of PHFs is rather controversial in the middle-aged and active elderly population. This review article highlights the current literature on the efficacy of treatment options for PHFs in middle-aged and active elderly patients which could help surgeons in decision making in clinical practice.

Common Peroneal Nerve Palsy Due to Chronic Exertional Compartment Syndrome after Military Training: A Case Report.

Introduction: The common peroneal nerve (CPN) palsy in military personnel due to chronic exertional compartment syndrome (CECS) is uncommon. There are no previous reports of treatment of this condition with simultaneous CPN and superficial peroneal nerve (SPN) neurolysis and compartment release.

Case Report: An 18-year-old military recruit presented with complete CPN palsy after sitting cross-legged for 2 h in training.

Image-free handheld robotic-assisted technology improved the accuracy of implant positioning compared to conventional instrumentation in patients undergoing simultaneous bilateral total knee arthroplasty, without additional benefits in improvement of clinical outcomes.

Purpose: The purpose of this study was to compare the clinical and radiological outcomes in patients who underwent simultaneous bilateral total knee arthroplasty (SB-TKA) using either robotic-assisted TKA (RA-TKA) or conventional TKA (C-TKA).

Methods: Included were the patients who underwent SB-TKA between January 2018 and January 2020 and had a minimum follow-up of 2 years. Of 151 patients included, 117 patients were operated using an image-free handheld robotic sculpting system (RA-TKA group) and 34 patients operated using conventional instrumentation (C-TKA group).

Cement Augmentation of Suture Anchor During Arthroscopic Rotator Cuff Repair in Case of Proximal Humeral Bone Deficiency Due to Osteoporosis.

One of the technical challenges during arthroscopic rotator cuff repair is bone deficiency in proximal humerus to get adequate fixation of suture anchors. The typical scenarios that result in bone deficiency at rotator cuff footprint are older individuals, females, osteoporosis, and revision rotator cuff repairs with failed anchors from previous surgery. One of the ways to secure fixation of suture anchors in deficient bone is augmentation with polymethyl methacrylate cement.

Comparison of Intraarticular Versus Combined Intravenous and Intraarticular Tranexamic Acid Administration in Patients Undergoing Primary Unilateral Total Knee Arthroplasty: A Randomized Controlled Trial in the Middle Eastern Patient Population.

Background: This study aimed to determine whether combined intravenous (IV) and intraarticular (IA) tranexamic acid (TXA) reduces blood loss and the requirement of blood transfusion compared to IA use alone in the middle eastern patients undergoing primary cemented unilateral total knee arthroplasty (TKA).

Methods: The present study is a double-blind randomized controlled trial (RTC) comparing the efficacy of IA alone to combined IA and IV routes of TXA administration in patients undergoing primary cemented TKA using a tourniquet performed by two senior surgeons. There were 21 patients in the IA alone and 29 in the combined group.

Position of the Patella among Emirati Adult Knees. Is Insall-Salvati Ratio Applicable to Middle-Easterners?

Background: Abnormal patellar height is associated with anterior knee pain and several conditions that affect the patellofemoral joint. The aim of this study was to 1) report the incidence of patella alta and patella baja and 2) investigate whether the normal limits of the Insall-Salvati ratio is applicable in adult Middle-Easterners.

Methods: A radiographic review of the lateral radiographs of 736 Middle-Eastern knees were performed.