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Ikram Nizam, Ashish V Batra
INTRODUCTION: We conducted this study to determine if the pre-surgical patient specific instrumented planning based on Computed Tomography (CT) scans can accurately predict each of the femoral and tibial resections performed through 3D printed cutting guides. The technique helps in optimization of component positioning determined by accurate bone resection and hence overall alignment thereby reducing errors. METHODS: Prophecy evolution medial pivot patient specific instrumented knee replacement systems were used for end stage arthrosis in all consecutive cases over a period of 20 months by a single surgeon...
2018: SICOT-J
Saurabh Gupta, Zachary S Stinson, Rex A Marco, John P Dormans
To obtain a wide resection and safe margins in recurrent spine osteosarcoma, the surgical approach can include - posterior only, combined posterior and anterior, and combined posterior and anterior with a return to posterior in multiple stages. In our case, we used a novel approach of multiple extensile exposures circumferentially in a single stage with a single surgical prep. We present the case of a 9-year-old female with a history of metastatic osteosarcoma, who previously underwent an attempted en bloc resection with an L3 corpectomy and left below knee amputation...
2018: SICOT-J
Gang-Qiang Jiang, Ya-Di Zhang, Yun-Qiang Zhuang
Femoral intertrochanteric fracture is very common in elderly population. The usual treatment for these patients is intra-extramedullary fixation. In normal situations, expand medullary cavity is needed, in order to implant various intramedullary implants. On rare occasion, which will in turn lead to the reamer is stuck into the medullary cavity of femoral shaft. Open or closed technique for moving of the broken nails had been reported before. We firstly report a novel technique by using handy tool which included in orthopaedic instrument set to remove the broken reamer stuck into femoral cavity when implanting a PFNA...
2018: SICOT-J
Zi-Yang Chia, Hee-Nee Pang, Mann-Hong Tan, Seng-Jin Yeo
INTRODUCTION: The success of Total Knee Arthroplasty (TKA) hinges on balanced flexion-extension gaps. This paper aims to evaluate the correlation between imbalanced gaps and clinical outcomes, and hence help quantify the imbalanced gap in navigation-assisted total knee arthroplasty. METHODS: We studied 195 knees with an average follow-up of two years. Flexion-extension gaps were obtained from computer calculation upon cementation of implants in both flexion (90°) and extension...
2018: SICOT-J
Satoshi Iwashita, Hiroshi Hashiguchi, Atsushi Okubo, Minoru Yoneda, Shinro Takai
PURPOSE: The purpose of this study was to analyze factors relating to delamination in full-thickness rotator cuff tears. METHODS: 126 patients with full-thickness rotator cuff tears treated by arthroscopic rotator cuff repair were the subjects of this study. There were 52 females and 74 males whose average age was 64.2 years. Fifty-three patients had history of trauma. The average duration of disorder was 29.5 weeks. Nineteen patients were diagnosed with diabetes...
2018: SICOT-J
Muaaz Tahir, Shahbaz S Malik, Usman Ahmed, Jakub Kozdryk, Syeda Huma Naqvi, Atul Malik
BACKGROUND: Delirium is a common complication after surgery in the elderly that leads to increased length of stay and other adverse outcomes. The aim of this study was to better understand the exact causes of post-operative delirium in patients undergoing surgery for neck of femur (NOF) fractures. METHODS: We performed a prospective cohort study of 381 consecutive patients undergoing surgery for NOF fractures at a single institution. Baseline cognitive status and risk factors were recorded on admission...
2018: SICOT-J
Gaston Camino Willhuber, Joaquin Stagnaro, Matias Petracchi, Agustin Donndorff, Daniel Godoy Monzon, Juan Astoul Bonorino, Danilo Taype Zamboni, Facundo Bilbao, Jose Albergo, Nicolas S Piuzzi, Santiago Bongiovanni
INTRODUCTION: Registration of adverse events following orthopedic surgery has a critical role in patient safety and has received increasing attention. The purpose of this study was to determine the prevalence and severity of postoperative complications in the department of orthopedic unit in a tertiary hospital. METHODS: A retrospective review from the postoperative complication registry of a cohort of consecutive patients operated in the department of orthopedic surgery from May 2015 to June 2016 was performed...
2018: SICOT-J
Tarun Goyal, Naveen Pandita, Souvik Paul
We are presenting a unique case of a sub-periosteal osteoid osteoma involving coronoid fossa in a 25-year-old male. He was symptomatic for 2 years and his presentation mimicked mono-articular inflammatory arthritis. His plain radiographs were normal and the computed tomogram confirmed features of a sub-periosteal osteoid osteoma. He was treated with arthroscopic excision of the lesion. Pain relief was noticed immediately after the surgery and maintained at latest follow up of 1 year.
2018: SICOT-J
Mohamed Elmekaty, Emad ElMehy, Peter Försth, Anna MacDowall, Ahmed El Elemi, Mohamed Hosni, Yohan Robinson
INTRODUCTION: Transforaminal lumbar interbody fusion (TLIF) is used to reconstruct disc height and reduce degenerative deformity in spinal fusion. Patients with osteoporosis are at high risk of TLIF cage subsidence; possibly due to the relatively small footprint compared to anterior interbody devices. Recently, modular TLIF cage with an integral rail and slot system was developed to reduce cage subsidence and allow early rehabilitation. OBJECTIVE: To study the safety of a modular TLIF device in patients with degenerative disc disorders (DDD) with regard to surgical complications, non-union, and subsidence...
2018: SICOT-J
Ioannis P Galanopoulos, Andreas F Mavrogenis, Panayiotis D Megaloikonomos, Christos T Vottis, Evanthia Mitsiokapa, Panayiotis Koulouvaris, Dimitrios S Mastrokalos, Panayiotis J Papagelopoulos, Vasilios A Kontogeorgakos
PURPOSE: To compare short with long intramedullary hip nailing for elderly patients with unstable pertrochanteric fractures. METHODS: We prospectively studied 50 patients (33 women, 17 men; mean age, 80 years; range, 74-93 years) with unstable pertrochanteric fractures admitted and treated with a short (group A) or a long (group B) intramedullary hip nail from January 2013 to 2017. The patients were randomly allocated into each group according to their order of admission...
2018: SICOT-J
Udo Ego Anyaehie, Gabriel Okey Eyichukwu, Cajetan Uwatoronye Nwadinigwe, Amechi Uchenna Katchy
INTRODUCTION: Total hip replacement (THR) surgery is still evolving in Nigeria with increasing awareness as more cases are being done. This has attraction for individuals who hitherto had no solutions for their hip pathologies. These are mostly complex primary hips which present challenging technical difficulties with increased risk of complications, thus requiring detailed planning to ensure successful operation. This work aims to present the pattern of complex primary hips presenting for THR, the challenges and complications...
2018: SICOT-J
Jean Louis Prudhon, Nicolas Tardy
INTRODUCTION: The trans femoral osteotomy was initially described by Wagner in 1987 and the extended trochanteric osteotomy (ETO) was described by Younger et al. in 1995 and is considered to be the gold standard technique for removal of well-fixed femoral stems in revision total hip arthroplasty (THA). The purpose of this report is: to compare the different types of fixation metallic wires, cables, metallic reinforcement plate (MRP) we have used in revision THA where an ETO was performed; analyse the clinical and radiological outcomes of these devices at 1 year; analyse the complication...
2018: SICOT-J
Chahine Assi, Jacques Caton, Thierry Aslanian, Camille Samaha, Kaissar Yammine
Acetabular reconstruction aims at filling bony defects and positioning the acetabular component in its anatomical place. To this, the use of Kerboull plate would give an automatic optimal positioning while reconstructing the acetabular cavity. We developed a technique, the cross technique, that approaches acetabular reconstruction in a systematic way. It consists of placing the KP following its cross design, in reference to a vertical plane (hook, center, palette) and a horizontal plane (horizontal flanges)...
2018: SICOT-J
Anil Agarwal, Anuj Rastogi
INTRODUCTION: We measured the foot dimensions in the Ponseti treated idiopathic clubfeet to compare differences in foot sizes, if any. PATIENT AND METHODS: The foot length and width in unaffected, unilateral and bilateral clubfeet were measured and analysed statistically. RESULTS: Average follow up was 22.2 months. Bilateral feet were similar in size. The unilateral affected feet matched in size with contralateral unaffected feet. The size difference between bilateral and unilateral affected feet was not significant...
2018: SICOT-J
Epaminondas Markos Valsamis, David Ricketts, Adnan Hussain, Amir-Reza Jenabzadeh
INTRODUCTION: Imageless navigation has been successfully integrated in knee arthroplasty but its effectiveness in total hip arthroplasty (THA) has been debated. It has consistently been shown that navigation adds significant time and cost to the operation. Further, the relative success of traditional hip replacements has impeded the adoption of new techniques. METHODS: We compared the operative time between fifty total hip replacements with and without the use of imageless navigation by a single senior surgeon in a retrospective study...
2018: SICOT-J
Viachaslau Bradko, William T Stoll, Lee S Haruno, Scott B Rosenfeld, Scott D McKay
Avulsion fractures of the inferior pole of the patella and proximal tibial apophysis are independently rare injuries. They occur in children due to the relative weakness of the apophyseal cartilage compared to the ligaments and tendons. The combination of these two fractures, is exceedingly rare, with only a few previously described cases in the literature. Due to the infrequent presentation of this injury, careful examination and consideration of advanced imaging is important for diagnosis and preoperative planning...
2018: SICOT-J
Hélder Fonte, Ricardo Rodrigues-Pinto
INTRODUCTION: Femoral neck stress fractures are uncommon and depending on their location, can be at high risk for non-union and significant morbidity.  Their prevalence is higher among runners and military recruits, and women seem to be at higher risk. METHODS: A 27-year-old female, who was enrolled in military recruit, reported left side groin pain after a strenuous running exercise. Due to persistent pain an X-Ray was ordered, which revealed no signs of acute lesions...
2018: SICOT-J
Matthew Hughes, Nikolaos Papadakos, Tim Bishop, Jason Bernard
INTRODUCTION: Lumbar spinal stenosis is degenerative narrowing of the spinal canal and/or intervertebral foramen causing compression of the spinal cord and nerve roots. Traditional decompression techniques can often cause significant trauma and vertebral instability. This paper evaluates a method of increasing pedicle length to decompress the spinal and intervertebral foramen, which could be done minimally invasive. METHODS: Three Sawbone (Sawbones Europe, Sweden) and 1 cadaveric lumbar spine underwent bilateral pedicle distraction at L4...
2018: SICOT-J
Roop Singh, Sushil Kumar Yadav, Sushma Sood, Rohtas Kumar Yadav, Ravi Rohilla
INTRODUCTION: There is increasing emphasis on the sagittal spino-pelvic alignment and its interpretation is of critical importance in the management of spinal disorders. A cross-sectional study of several spino-pelvic radiographic parameters was conducted to determine the physiological values of these parameters, to calculate the variations of these parameters according to epidemiological data, and to study the relationships among these parameters. MATERIAL AND METHOD: Fifty normal healthy volunteers (29 males and 21 females) with no history of back pain were selected and were subjected to standing sagittal spino-pelvic radiographs...
2018: SICOT-J
Dhanasekaran Soundarrajan, Natesan Rajkumar, Palanisamy Dhanasekararaja, Shanmuganathan Rajasekaran
INTRODUCTION: Proximal tibia stress fractures with knee osteoarthritis pose a challenging situation. We evaluated the radiological and functional outcome of one-stage total knee arthroplasty (TKA) and long stem for patients with varied grades of knee arthritis and proximal tibia stress fractures.  Methods: We analysed 20 patients from April 2012 to March 2017 with proximal tibia stress fractures associated with knee osteoarthritis of varied grades. Out of 20 patients, five were acute fresh fractures...
2018: SICOT-J
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