Current Issue : October - December Volume : 2018 Issue Number : 4 Articles : 7 Articles
This study aimed to determine the kinetics of four inflammatory markers and to identify the variables that affect the natural kinetics\nof inflammatory markers in aged patients having hip fractures with and without elevated preoperative CRP. 240 elderly patients\nwho have been operated on for femoral neck fracture with no infectious complications were divided into two groups on elevated\npreoperative CRP level (>10mg/L). The temporal values of four inflammatory markers of WBC, neutrophil count (...
Angiolipomas are relatively rare benign tumors. Spinal angiolipomas that generally induce slow progressive cord compression are\nmost commonly found in the thoracic region. A 49-year-old female with obesity presented with a 1-week history of progressively\nworsening back pain, paresthesia of lower limbs, and gait disturbance. When thoracic magnetic resonance imaging (MRI) revealed\na dorsal epidural mass at the Th5ââ?¬â??Th8 level, the patient underwent a laminectomy for gross total excision of the lesion. Both mature\nfatty tissue and abnormal proliferating vascular elements with thin or expanded walls were observed in the resected tumor.\nNonfiltrating spinal angiolipoma was diagnosed and confirmed by pathology. After the operation, sensory loss, numbness, and\ngait disturbance were improved following the disappearing severe back pain. Following examinations indicated the absence of\nrecurrence within 1 year. The angiolipomas of the spine are rare causes of spinal cord compression that generally induce slow\nprogressive cord compression, but sudden onset or rapid worsening of neurological deterioration is observed in hemorrhagic\nspinal angiolipoma....
This case report illustrates hip joint pain caused by electromagnetic waves\nfollowing an operation for a complex humerus fracture. The subject was a\n22-year-old woman. The patient complained of pain in her left hip joint and\ndiscomfort, particularly while walking. The subject suffered a fracture in her\nleft upper arm in a traffic accident approximately 3 months previously. She\nunderwent an operation wherein seven titanium bolts were used to fix the\nhumerus. The operation was deemed successful and the prognosis of the operation\nwas also good; however, approximately 3 months after the operation,\nshe developed pain and discomfort in her left hip joint, particularly while\nwalking. Symptoms were improved by covering the surgical field with aluminum\nfoil, blocking electromagnetic waves. Electromagnetic waves attracted by\nthe titanium bolts may have induced pain....
Purpose. The purpose of this studywas to evaluate the approach of using an electromagnetic tracking (EMT) system for measuring\nthe effects of stepwise, simulated knee injuries on patellofemoral (PF) and tibiofemoral (TF) kinematics. Methods. Three cadaver\nknees were placed in a motion rig. EMT sensors were mounted on the patella, the medial/lateral femoral epicondyles, the tibial\ncondyle, and the tibial tuberosity (TT). After determining the motion of an intact knee, three injuries were simulated and the\nresulting bony motion was tracked. Results. Starting with the intact knee fully extended (0âË?Ë? flexion) and bending it to approximately\n20âË?Ë?, the patella shifted slightly in the medial direction. Then, while bending the knee to the flexed position (90âË?Ë? flexion), the patella\nshifted progressively more laterally. After transecting the anterior cruciate ligament (ACL), the base of the medial menisci (MM) at\nthe pars intermedia, and the medial collateral ligament (MCL), individual changes were observed. For example, themedial femoral\nepicondyle displayed a medial lift-off in all knees. Conclusion.We demonstrated that our EMT approach is an acceptablemethod to\naccurately measure PF joint motion. This method could also enable visualization and in-depth analysis of in vivo patellar function\nin total knee arthroplasty, if it is established for routine clinical use....
Purpose: The good of this survey was to analyze the epidemiological aspects\nand evaluate anatomical and functional results of the treatment by screwing of\nfemoral neck fracture in adulthood at the Teaching Hospital of an underequipped\ncountry. Material and Methods: This is a retrospective study from\nJanuary 1, 2011 to December 31, 2015, concerning patients hospitalized for\nfractures of femoral neck and having been operated by screwing. The variables\nstudied were epidemiological and therapeutic aspects. Anatomical results\nwere examined on standard x rays of the pelvis in front and the hip in profil,\nbased on the consolidation of the bony axis. Functional results were analyzed\naccording to the quotation of Postel Merle Dâ��Aubign�©. Results: Eleven screwings\nof femoral neck have been done to 11 patients (9 men and 2 women), average\nage was 47 years (29 and 60 years) from January 2011 to December\n2015, at the mean recoil of 19 months (12 and 24 months). Amongst consolidated\npatients (n = 7), one patient presented a necrosis of femoral head at two\nyears hindsight. Four patients presented an aseptic pseudarthrosis of femoral\nneck, or a bad anatomical result. Amidst this group of patients, one underwent\na joint replacement type Moore and suggestion of intermediary prothesis\nwas recommended to three patients. According to the quotation of Postel\nMerle Dâ��Aubign�©, results were very satisfactory to 5 patients, good to 2 patients\nand bad to 4 patients. According to the score of Parker, 7 patients presented\na score of 9 and 4 patients a score of 7. Conclusion: The treatment of\nfemoral neck fractures in adulthood requires a surgical approach by osteosynthesis\nand must be precocious before 24 hours in order to reduce risks of\npseudarthrosis of femoral neck and necrosis of femoral head....
Background: Most orthopedists are right-handed. However, osteoarthritis\noccurs with equal frequency over both sides. Does perfect and effective arthroplasty\nsurgery require ambidextrous motor skills? Objectives: In this study,\nwe aimed to investigate the clinical features of arthroplasty for hip and knee\njoints (THR and TKR) on different sides affected by orthopedist laterality. Patients\nand Methods: All right-handed orthopedists performed 64 right and 52\nleft primary THR among 100 patients, and 115 right and 118 left primary TKR\namong 192 patients. Clinical and surgical features were retrospectively reviewed\nand analyzed. The body mass index (BMI), inner diameter of acetabular\ncup liners (ACD), diameter of the femoral head (FHD), diameter of the\nfemoral stem (FSD), and the femoral neck length (FNL) were included in\nTHR-receiving patients. The BMI, femoral component (FC) size, tibial plate\n(TP) size, and thickness of articular surface inserts (ASI) were included in\nTKR-receiving patients. Results: No significant differences were observed in\nACD, FHD and FSD between patients receiving right and left THR groups (p\n= 0.16, 0.11, and 0.05, respectively). Similarly, there were no significant differences\nin FC, TP, and ASI between patients receiving right and left TKR\ngroups (p = 0.06, 0.80, and 0.46, respectively). However, FNL in left THR\ngroup was significantly longer than that in right THR group (p = 0.01). Conclusion:\nThis study showed that dexterity or proprioception in handedness\nhad no affect on bone resection and thicknesses of the polyethylene in TKR\nand acetabular reaming and femoral canal rasping in THR. However, it did\nlead to differences in femoral neck resection. Right-handed orthopedists significantly\ntend to perform excessive femoral neck cutting or prefer the larger size of FNL when performing left side THR, while no differences occur when\nperforming TKR....
The purpose of this study was to examine the influence of trunk lean and contralateral hip abductor strength on the peak knee\nadduction moment (KAM) and rate of loading in persons with moderate medial knee osteoarthritis. Thirty-one males (17 with\nosteoarthritis, 14 controls) underwent 3-dimensional motion analysis, strength testing of hip abductors, and knee range of motion\n(ROM)measures, as well as completing the knee osteoarthritis outcome score (KOOS). No differences were found between groups\nor limbs for gait cycle duration, but the osteoarthritis group had longer double-limb support during weight acceptance (...
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