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Dual-Mobility Total Hip Arthroplasty in Patients with Obesity, Morbid Obesity and Super-Obesity: Medium-Term Outcomes of a Series of 180 Hips.
Indian J Orthop
January 2025
Trauma & Orthopaedics, Hinchingbrooke Hospital, North-West Anglia NHS Foundation Trust, Huntingdon, UK.
Background: Obesity has been consistently proven to be associated with an increased risk of dislocation following total hip arthroplasty (THA). As the prevalence of obesity continues to rise globally, it is of vital importance to minimise risks, including dislocation rates, in these patients undergoing THA.
Methods: We describe a series of patients with obesity, morbid obesity (BMI ≥ 40) and super-obesity (BMI ≥ 50) undergoing THA at our institution over a 10-year period using a dual-mobility acetabular cup.
A Unique Variant of Intra-Prosthetic Dislocation in Dual Mobility Articulation Total Hip Arthroplasty-Displacement of Metal Liner.
Indian J Orthop
December 2024
Trauma & Orthopaedics, Hinchingbrooke Hospital, North-West Anglia NHS Foundation Trust, Huntingdon, UK.
Total hip arthroplasty stands as a milestone in surgical success for alleviating hip arthritis-related pain and enhancing patients' quality of life. While complications persist, advancements like dual-mobility articulation aims to mitigate risks. This manuscript presents an unprecedented unique complication in a 60-year-old woman with a revision dual mobility THA.
View Article and Find Full Text PDFUpdating Relatives of Patients Lacking Capacity in General Medicine: A Quality Improvement Project in a District Hospital in the United Kingdom.
Cureus
October 2024
Medicine, Hinchingbrooke Hospital, Cambridgeshire, GBR.
Background Patient-centred care involves focussing on the individual's needs. Where patients lack capacity, it is important to involve relatives to better understand their needs, encourage positive healthcare outcomes and provide good quality care. Cultivating good rapport between clinicians and families also improves patient safety and satisfaction.
View Article and Find Full Text PDFA Case of Suspected Metastatic Lung Cancer With Delayed Neurologic Presentation.
Cureus
November 2024
Internal Medicine, Hinchingbrooke Hospital, Huntingdon, GBR.
This case report details the clinical journey of an 81-year-old male presenting with significant weight loss, seizures, dysphagia, and rapidly progressive right-sided hearing loss. Initially, he experienced a tonic-clonic seizure, prompting an extensive diagnostic workup. Imaging studies, including CT and MRI, revealed multifocal cortical lesions, initially misinterpreted as cavernous hemangiomas.
View Article and Find Full Text PDFAplastic Anemia With Non-Occlusive Mesenteric Ischemia.
Cureus
October 2024
Endocrinology and Diabetes, Hinchingbrooke Hospital, Huntingdon, GBR.
This case highlights the multifaceted challenges of managing aplastic anemia, especially when complicated by non-occlusive mesenteric ischemia (NOMI). The patient's clinical course underscores the importance of a conservative, multidisciplinary approach in balancing the risks of invasive procedures with the need for effective diagnostics and treatment. Recognizing the risks associated with pancytopenia, including life-threatening bleeding and infections, is critical in managing such patients.
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