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Tarun Goyal, Mukesh Singla, Souvik Paul
BACKGROUND: Recent evidence has highlighted a risk that the majority of posterior cruciate ligament (PCL) is removed while making bone cuts in tibia and femur during total knee replacement surgery. Aim of this cadaveric study is to calculate how much PCL footprint is retained in a PCL retaining prosthesis after routine tibial and femoral cuts are made.  Methods: Twelve paired formalin-fixed Indian cadaveric knees were studied. Knees were disarticulated and all soft tissues were circumferentially removed from the tibia and femur...
2018: SICOT-J
Anne-Pauline Russo, Alexandre Caubere, Ammar Ghabi, Antoine Grosset, Philippe Mangin, Sylvain Rigal, Laurent Mathieu
INTRODUCTION: The development of damage control orthopedics (DCO) procedures has led to the development of temporary unicortical external fixators (TUEFs) intended to limit deep infectious complications and facilitate early conversion to internal fixation. METHODS: A retrospective study was conducted in two French military trauma centers, including on patients being treated for tibial fractures with a TUEF (UNYCO® - Orthofix® ) followed by an early conversion to intramedullary nailing...
2018: SICOT-J
Kresten Rickers, Michael Bendtsen, Dang Quang Svend Le, Albert Jvan der Veen, Cody Eric Bünger
INTRODUCTION: Altered biomechanical properties, due to intervertebral disc (IVD) degeneration and missing nucleus fibrosus, could be thought as one of the reasons for the back pain many herniation patients experience after surgery. It has been suggested to repair annulus fibrosus (AF) to restore stability and allow nucleus pulposus (NP) replacement and furthermore prevent reherniation. The aim of this study was to evaluate a new method for closing a defect in AF for use in herniation surgery...
2018: SICOT-J
Chahine Assi, Nadim Kheir, Camille Samaha, Pascal Kouyoumdjian, Kaissar Yammine
No abstract text is available yet for this article.
2018: SICOT-J
Jonathan L Ajah
Surgical postgraduate examiners and examinees in Nigeria complain of the low pass rate at all levels of the postgraduate surgical training examinations to which several factors are contributing. For several years there has been being a persistently low surgeon workforce in the country despite having two surgeon producing institutions been for at least 37 years. A review of the probable causes was carried out to shed more light on the matter. At the time of writing there are 52 National Postgraduate Medical College of Nigeria (NPMCN) and 46 West African College of Surgeons (WACS) accredited post graduate surgery training programs in Nigeria compared with 99 in the United Kingdom (UK) and 1056 in the United States (US)...
2018: SICOT-J
Ikram Nizam, Ashish V Batra
Bilateral hip arthrosis is commonly seen and two-staged bilateral Total Hip Arthroplasty (THA) is a preferred choice of treatment due to the fear of complications associated with one-stage bilateral procedures. However, many studies now indicate that the treatment option should be patient specific. We report two cases of one-stage bilateral anterior THA. First, a 54-year-old male operated over a year ago and second a 59-year-old female operated 6 weeks ago. Both presented with a long history of bilateral grade IV hip arthritis causing them severe pain, compromised gait and disturbed sleep...
2018: SICOT-J
Hossam M A Abubeih, Osama Farouk, Mohammad Kamal Abdelnasser, Amr Atef Eisa, Galal Zaki Said, Wael El-Adly
INTRODUCTION: Insertion of gamma nail with the patient in lateral decubitus position have the advantages of easier access to the entry point, easier fracture reduction and easier implant positioning. Our study described the incidence of femoral angular and rotational deformity following gamma nail insertion in lateral decubitus position. METHODS: In a prospective clinical case series, 31 patients (26 males and 5 females; the average age of 42.6 years) with 31 proximal femoral shaft fractures that were treated with gamma IMN were included in our study...
2018: SICOT-J
Pablo Ariel Slullitel, Jose Ignacio Oñativia, Lionel Llano, Fernando Comba, Gerardo Zanotti, Francisco Piccaluga, Martin Alejandro Buttaro
Despite the theoretical advantages of uncemented short stems, postoperative thigh pain is still matter of concern and can be attributed to different causes. We report a peculiar case of a stress fracture around a short cementless stem with cervico-metaphyseal fixation in an otherwise healthy patient. We implanted a MiniHipTM stem in a 43 year-old male professional golf player for the treatment of primary osteoarthritis using a ceramic on ceramic bearing. Against medical advice, the patient started to play soccer at the 4th postoperative month and was completely asymptomatic to that extent; but at 8 months follow-up and without a history of trauma he started complaining about progressive hip pain...
2018: SICOT-J
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
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