Publications by authors named "Shibby Robati"
Article Synopsis
- A 67-year-old woman had a routine total knee replacement for osteoarthritis without any immediate complications during or after the surgery.*
- Five weeks post-surgery, she experienced new pain in her calf area, which was initially thought not to be serious after a Doppler ultrasound ruled out a blood clot.*
- Further imaging revealed a fibular stress fracture that delayed her recovery slightly, but after a successful manipulation and treatment, she regained excellent knee function and the pain resolved after five months.*
Article Synopsis
- - The study aimed to systematically review orthopedic training and assessment simulators, focusing on their level of evidence (LoE) and recommendation levels based on evidence in education.
- - Researchers reviewed 76 relevant articles and found that most studies were centered on knee arthroscopy simulators, which often included validation studies demonstrating decent LoE, particularly in arthroscopy.
- - While there has been an increase in validation studies for orthopedic simulators, the overall LoE is still low, and the research lacks attention to nontechnical skills and cost-effectiveness of these training tools.
Article Synopsis
- - The study investigated the impact of a specific postoperative shoe, the Medishoe, on knee adduction moments during walking, following concerns from previous literature about rigid-soled shoes potentially affecting knee mechanics.
- - Researchers used advanced technology, including force plates and motion capture systems, to compare the gait of ten healthy subjects wearing and not wearing the Medishoe, measuring knee adduction moments and related angles.
- - Results showed no significant difference in the knee adduction moment or related angles between the two conditions, although there was some indication of a trend worth further exploration with larger sample sizes and more complex modeling.
Background: Chondrolysis involves the breakdown of cartilage following arthroscopic surgery, most commonly affecting the glenohumeral joint.
Methods: This review summarises all clinical and laboratory studies regarding local anaesthetic (LA) and its association with chondrolysis. We identified 289 papers, 41 of which met our inclusion criteria and were included in the final review.
The complex anatomy of the articular bone surfaces, ligaments, tendon attachments and muscles makes the ankle joint difficult to replicate in prosthetic replacements. Ever since the early 1970s, which saw the dawn of the first total ankle replacements, there have been numerous other attempts at replicating the joint, often with poor clinical outcomes. The anatomy of the ankle is discussed, followed by evidence of the normal ankle biomechanics and the ideal requirements of an ankle replacement.
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- This study investigates the risk of sural nerve injury during percutaneous Achilles tendon repairs using the Achillon device, which is becoming more common.
- The research involved testing the device on 15 cadaveric specimens to analyze the position of the sural nerve relative to the Achilles tendon and the rate of nerve puncture.
- Results showed that the sural nerve is located variably near the Achilles tendon and was punctured in 27% of cases, emphasizing the anatomical variability and associated risks when using the device.
Article Synopsis
- A 72-year-old woman needed a total knee replacement but developed low sodium levels due to an Addisonian crisis after surgery, requiring intensive care.
- Upon review, it was discovered she had been using a strong topical steroid cream, clobetasol, for the past two years, which she hadn’t mentioned.
- The authors emphasize the critical need for healthcare providers to specifically inquire about patients' use of topical steroids, as stopping them suddenly before surgery can lead to severe complications.