keyword
https://read.qxmd.com/read/38546145/effect-of-two-different-peritoneal-dialysis-modalities-on-wound-infection-in-peritoneal-dialysis-patients-a-meta-analysis
#1
JOURNAL ARTICLE
Li Tang, Qijun Cheng, Yonghong Qing, Jie Yu, Xiaoping Yan, Changbin Liao
Peritoneal dialysis(PD) is one of the most efficient methods in end-stage kidney disease, and it is very important for PD to perform well. No research has been conducted to evaluate the effect of various types of PD catheters on the prognosis of post-operative wound complications. While recent meta-analyses are in favour of straight tubing, there is still uncertainty as to whether direct or coiled PD is beneficial. The purpose of this meta-analysis was to compare the efficacy of direct and coiled PD catheters on the incidence of post-operative wound infection, bleeding and peritonitis...
April 2024: International Wound Journal
https://read.qxmd.com/read/38544544/multiple-metacarpal-loss-secondary-to-tuberculous-dactylitis-challenges-and-management-a-case-report
#2
Maulin Shah, Godhasiri Ponugoti, Santosh Raibhagkar, Nitingiri Goswami, Joyance James, Meet Jain
Tuberculous dactylitis is infrequently seen after the age of 6 years. The index and middle fingers are the most common sites. Early diagnosis is essential to eradicate the infection. Delay in diagnosis and management leads to extensive involvement which may require surgical intervention. The current literature reveals conservative management gives satisfactory results in early stages. Though surgical intervention in Tuberculous dactylitis is seldom required, delay in diagnosis and management leads to extensive involvement of the bone and sequestration which does not respond to Anti Tubercular Therapy and needs staged surgical interventions...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544542/does-early-and-late-weight-bearing-have-an-effect-on-the-results-of-elderly-tibial-plateau-fractures-with-internal-fixation-a-multicenter-tron-group-study
#3
JOURNAL ARTICLE
Yoshito Sudo, Yasuhiko Takegami, Katsuhiro Tokutake, Keita Shimizu, Keita Naruse, Tetsuro Takatsu, Shiro Imagama
INTRODUCTION: There is still no consensus on the length of the non-bearing period required for tibial plateau fractures (TPFs) treated surgically. Several studies showed that full weight bearing immediately postoperatively does not affect fixation or cause joint collapse in patients with TPF. While there are concerns about weight bearing in the elderly due to fragile bone quality, their physical disability often makes it difficult to carry out activities of daily life when weight bearing is not allowed...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544541/application-of-intramedullary-calcar-support-plate-and-lateral-locking-plate-in-elderly-patients-with-neer-3-and-4-part-fractures-of-proximal-humerus-through-a-deltoid-splitting-approach
#4
JOURNAL ARTICLE
Yijun Wang, Liang Zhao, Can Liu, Kang Qin
BACKGROUND: The reduction and fixation of Medial humeral calcar is difficult in the treatment of elderly proximal humerus Neer 3 and 4-part fractures with a single lateral locking plate. Our study investigated the efficacy of an intramedullary calcar supporting plate combined with a lateral locking plate for the treatment of 3- and 4-part fractures of the proximal humerus in the elderly through a deltoid splitting approach. METHODS: From June 2022 to December 2022, we treated six elderly patients with Neer 3 and 4-part fractures using proximal humeral intramedullary calcar support plate in combination with lateral locking plate through a deltoid splitting approach...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544538/clinical-efficacy-of-nasal-screening-and-methicillin-resistant-staphylococcus-aureus-decolonization-in-total-hip-arthroplasty-without-chlorhexidine-soap-or-vancomycin
#5
JOURNAL ARTICLE
Masahiko Mihara, Kazuo Hirakawa, Satoshi Takayanagi, Daigo Kobayashi, Akira Morita, Yushi Miyamae
PURPOSE: Nasal colonization with methicillin-resistant Staphylococcus aureus (MRSA) is a known risk factor for periprosthetic joint infection (PJI). In our facility, preoperative prophylaxis with mupirocin without the chlorhexidine soap scrub or vancomycin was consistently implemented for more than 15 years. This study aimed to evaluate the current screening and treatment of intranasal MRSA colonization in our elective primary THA patient population. METHODS: All patients who underwent primary THA between April 2011, and March 2021 were included in this analysis...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38544537/outcome-of-bone-transport-using-ilizarov-external-fixator-in-infected-non-union-of-tibia-with-large-bone-defects-comparison-of-those-with-5-10%C3%A2-cm-bone-defect-with-those-having-%C3%A2-%C3%A2-11%C3%A2-cm-bone-defect
#6
JOURNAL ARTICLE
Karan Kukreja, Shadab Reyaz, Malhar N Kumar
BACKGROUND: Ilizarov external fixation has become the treatment of choice for infected non-union of tibia. Varying degrees of bone loss and different strategies of treatment in the published reports make comparing outcomes difficult. This study hopes to bridge this gap in the literature by focussing exclusively on bone transport in patients with bone loss of 5 cm or more. METHODOLOGY: This is a prospective case series conducted at a tertiary level orthopaedic speciality hospital...
April 2024: Indian Journal of Orthopaedics
https://read.qxmd.com/read/38541006/incidence-of-secondary-osteoarthritis-after-primary-shoulder-and-knee-empyema-and-its-risk-factors
#7
JOURNAL ARTICLE
Sabrina Böhle, Luise Finsterbusch, Julia Kirschberg, Sebastian Rohe, Markus Heinecke, Georg Matziolis, Eric Röhner
Empyema of the joint is an orthopedic emergency that is associated with a prolonged healing process despite adequate surgical and medical therapy. The risk of developing postinfectious osteoarthritis (OA) after successfully treated joint empyema is unknown. Both incidence and risk factors are important for prognostication and would therefore be clinically relevant for the selection of an adequate infectious therapy as well as for the individual follow-up of patients. The aim of this retrospective clinical study was to describe the risk of secondary OA after empyema based on knee and shoulder joint infections after successful primary infection treatment and its risk factors...
February 29, 2024: Journal of Personalized Medicine
https://read.qxmd.com/read/38536401/the-effectiveness-of-perioperative-nursing-interventions-for-surgical-site-infection-prevention-in-orthopedic-surgery
#8
JOURNAL ARTICLE
(no author information available yet)
No abstract text is available yet for this article.
April 2024: AORN Journal
https://read.qxmd.com/read/38534839/use-of-biomaterials-in-3d-printing-as-a-solution-to-microbial-infections-in-arthroplasty-and-osseous-reconstruction
#9
REVIEW
Argyrios Periferakis, Aristodemos-Theodoros Periferakis, Lamprini Troumpata, Serban Dragosloveanu, Iosif-Aliodor Timofticiuc, Spyrangelos Georgatos-Garcia, Andreea-Elena Scheau, Konstantinos Periferakis, Ana Caruntu, Ioana Anca Badarau, Cristian Scheau, Constantin Caruntu
The incidence of microbial infections in orthopedic prosthetic surgeries is a perennial problem that increases morbidity and mortality, representing one of the major complications of such medical interventions. The emergence of novel technologies, especially 3D printing, represents a promising avenue of development for reducing the risk of such eventualities. There are already a host of biomaterials, suitable for 3D printing, that are being tested for antimicrobial properties when they are coated with bioactive compounds, such as antibiotics, or combined with hydrogels with antimicrobial and antioxidant properties, such as chitosan and metal nanoparticles, among others...
March 1, 2024: Biomimetics
https://read.qxmd.com/read/38534671/the-microbiological-profile-and-antibiotic-susceptibility-of-fracture-related-infections-in-a-low-resource-setting-differ-from-high-resource-settings-a-cohort-study-from-cameroon
#10
JOURNAL ARTICLE
Loïc Fonkoue, Elizabeth K Tissingh, Michelle Tognia Ngouateu, Kennedy Olivier Muluem, Olivier Ngongang, Pretty Mbouyap, Perrin Ngougni Pokem, Kuetche Fotsing, Jean Bahebeck, Martin McNally, Olivier Cornu
Fracture-related infection (FRI) is a common and devastating complication of orthopedic trauma in all settings. Data on the microbiological profile and susceptibility of FRI to antibiotics in low-income countries are scarce. Therefore, this study aimed to investigate the microbial patterns and antimicrobial susceptibility of FRI in a sub-Saharan African setting in order to provide guidance for the formulation of evidence-based empirical antimicrobial regimens. We conducted a retrospective analysis of patients treated for FRI with deep tissue sampling for microbiological culture from January 2016 to August 2023 in four tertiary-level hospitals in Yaoundé, Cameroon...
March 4, 2024: Antibiotics
https://read.qxmd.com/read/38532711/infection-microenvironment-responsive-coating-on-titanium-surfaces-for-on-demand-release-of-therapeutic-gas-and-antibiotic
#11
JOURNAL ARTICLE
Kun Wang, Fan Rong, Haowei Peng, Zhang Yuan, Jingjing Huo, Pengxiang Liu, Rui Ding, Cuiping Yan, Guming Liu, Tengjiao Wang, Peng Li
Aseptic loosening and bacterial infection pose significant challenges in the clinical application of titanium (Ti) orthopedic implants, which are primarily caused by insufficient osseointegration and bacterial contamination. To address these issues, we constructed a responsive coating on Ti surface, which achieved enhanced osseointegration and infection elimination by on-demand release of therapeutic gas hydrogen sulfide (H2 S) and antibiotic. TiO2 nanotubes (TNT) were anodized on the Ti surface to enhance its bioactivity and serve as reservoirs for the antibiotic...
March 27, 2024: Advanced Healthcare Materials
https://read.qxmd.com/read/38532126/utilizing-an-antibiotic-eluting-articulated-cemented-spacer-in-the-two-stage-management-of-infected-total-hip-arthroplasty-a-technical-note
#12
JOURNAL ARTICLE
Aditya L Kekatpure, Aashay L Kekatpure, Jae Youn Yoon, Pil Whan Yoon, Jun-Ki Moon
Two-stage revision is generally preferred to eradicate chronic periprosthetic infections after total hip arthroplasty (THA) because of its good infection control and promising results. During two-stage revision, a temporary antibiotic-impregnated cement spacer was initially used for the local delivery of antibiotics, thereby reducing the risk of infection recurrence. Many researchers have reported various techniques for fabricating cemented spacers; however, there is no established standard technique. We share our cost-effective and easily reproducible technique for creating an articulated cemented spacer for managing infected THA...
March 26, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38531534/comprehensive-assessment-of-risk-factors-and-pathogenic-characteristics-of-wound-infections-following-thoracoscopic-radical-resection-for-lung-cancer
#13
JOURNAL ARTICLE
Jian Xu, Jianhua Zhu
Lung cancer remains a leading cause of cancer-related mortality, with surgical resection as a primary treatment modality. However, postoperative wound infections (PWIs) pose significant risks following thoracoscopic radical resection. This study aims to identify the risk factors and pathogenetic characteristics associated with PWIs in lung cancer surgery. A comprehensive retrospective study was conducted from August 2021 to June 2023 at our institution. The study included 30 patients who developed PWIs and 60 controls who did not, following thoracoscopic radical resection for lung cancer...
April 2024: International Wound Journal
https://read.qxmd.com/read/38531532/effect-of-platelet-rich-plasma-on-healing-of-lower-extremity-diabetic-skin-ulcers-a-meta-analysis
#14
JOURNAL ARTICLE
Xiansong Fang, Xiaoling Wang, Ya Hou, Liang Zhou, Yingjie Jiang, Xiaoyun Wen
The aim of this research is to explore the therapeutic efficacy of platelet-rich plasma (PRP) on the cutaneous ulceration of diabetes mellitus (DM). From the beginning of the database until January 2024, we looked through several databases to obtain randomised, controlled PRP studies to treat the wound healing of DM in adult patients. The Cochrane Collaboration's Risk-Of-Bias Instrument was used to evaluate the risk of bias in randomised, controlled studies. Funnel plots, sensitivity analyses and Egger regression tests were employed to determine the reliability and effectiveness of the meta-analyses...
April 2024: International Wound Journal
https://read.qxmd.com/read/38531376/impacts-of-enhanced-recovery-after-surgery-nursing-interventions-on-wound-infection-and-complications-following-bladder-cancer-surgery-a-meta-analysis
#15
JOURNAL ARTICLE
Fan Yang, Jin Nie, Fan Xiao, Juan Liu
A meta-analysis was executed to comprehensively examine the impacts of enhanced recovery after surgery (ERAS) care interventions on complications and wound infections following bladder cancer (BCa) surgery. Computer searches were carried out in Embase, Google Scholar, Cochrane Library, PubMed, Wanfang and CNKI, from their inception to November 2023, for RCTs regarding perioperative ERAS nursing interventions in patients with BCa. Two independent researchers performed literature screening, extracted data and carried out quality evaluations...
April 2024: International Wound Journal
https://read.qxmd.com/read/38530504/nonmetallic-tension-band-fixation-is-a-viable-and-low-complication-surgical-technique-in-patellar-fractures-a-five-year-retrospective-study
#16
JOURNAL ARTICLE
Rovere Giuseppe, Romeo Michele, Farinelli Luca, Giancani Michele, Gangi Giuseppe, Manuri Valentina, Fortunato Giustra, Francesco Bosco, Lawrence Camarda
BACKGROUND: Traditionally, patellar fractures (PFs) have been managed using metallic tension band fixation, a method often associated with a notable rate of complications. Considering these challenges, this study explores the potential of nonmetallic fixation as a treatment option for PFs. This research aims to provide robust evidence supporting the use of the nonmetallic tension band fixation technique as an effective alternative to conventional metallic tension band fixation, thereby advancing the standard of care in treating these fractures...
March 26, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
https://read.qxmd.com/read/38530390/a-longitudinal-evaluation-of-coronavirus-disease-2019-and-its-effects-on-spinal-decompressions-with-or-without-fusion
#17
JOURNAL ARTICLE
Nicholas Siegel, Mark J Lambrechts, Parker L Brush, Alexa Tomlak, Yunsoo Lee, Brian A Karamian, Jose A Canseco, Barrett I Woods, I David Kaye, Alan S Hilibrand, Christopher K Kepler, Alexander R Vaccaro, Gregory D Schroeder
STUDY DESIGN: Retrospective cohort. OBJECTIVE: The objectives were to (1) compare the safety of spine surgery before and after the emergence of coronavirus disease 2019 (COVID-19) and (2) determine whether patients with a history of COVID-19 were at increased risk of adverse events. SUMMARY AND BACKGROUND DATA: The COVID-19 pandemic had a tremendous impact on several health care services. In spine surgery, elective cases were canceled and patients received delayed care due to the uncertainty of disease transmission and surgical outcomes...
April 1, 2024: Clinical Spine Surgery
https://read.qxmd.com/read/38529209/long-term-outcomes-of-birmingham-hip-resurfacing-arthroplasty-a-systematic-review-of-independent-series-with-at-least-10-years-of-follow-up
#18
JOURNAL ARTICLE
J Molloy, C Handford, J Coolican, T Molloy, W Walter
BACKGROUND: Hip resurfacing arthroplasty (HRA) provides an attractive alternative to total hip arthroplasty (THA) for the management of osteoarthritis in younger, more active patients; however, concerns persist over complications specific to HRA. The aims of this systematic review were to assess the documented long-term survival rates of the metal-on-metal BIRMINGHAM HIP Resurfacing System at a follow-up of at least 10 years and to analyze the functional outcomes and cause of failures...
2024: JB & JS Open Access
https://read.qxmd.com/read/38528169/evaluation-of-time-to-reimplantation-as-a-risk-factor-in-two-stage-revision-with-static-spacers-for-periprosthetic-knee-joint-infection
#19
JOURNAL ARTICLE
Jan Puetzler, Marc Hofschneider, Georg Gosheger, Christoph Theil, Martin Schulze, Jan Schwarze, Raphael Koch, Burkhard Moellenbeck
INTRODUCTION: We investigated the time to reimplantation (TTR) during two-stage revision using static spacers with regard to treatment success and function in patients with chronic periprosthetic joint infection (PJI) of the knee. METHODS: 163 patients (median age 72 years, 72 women) who underwent two-stage exchange for chronic knee PJI between 2012 and 2020 were retrospectively analyzed (based on the 2011 Musculoskeletal Infection Society criteria). A cutoff TTR for increased risk of reinfection was identified using the maximally selected log-rank statistic...
March 25, 2024: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://read.qxmd.com/read/38526619/the-influence-of-depression-on-clinical-outcomes-of-total-shoulder-arthroplasty-a-systematic-review
#20
REVIEW
Victoria E Bindi, Keegan M Hones, Bradley S Schoch, Hailey L Hampton, Thomas W Wright, Joseph J King, Kevin A Hao
PURPOSE: Much of the current literature on total shoulder arthroplasty (TSA) has assessed the impact of preoperative medical comorbidities on postoperative clinical outcomes. The literature concerning the impact of psychological disorders such as depression on TSA has increased in popularity in recent years, but there lacks a thorough review of the influence of depression on postoperative pain and functional outcomes. METHODS: We queried PubMed/MEDLINE and identified six clinical studies that evaluated the influence of a psychiatric diagnosis of depression on patient outcomes after TSA...
March 25, 2024: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
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