Pub Date : 2023-12-15DOI: 10.58624/svoaor.2023.03.062
Shahzaib Riaz Baloch, Mohammad Idress Shah, Syed Ata Ur Rahman, Zarak Khan, Mohammad Sohail Rafi, I. Hashmi, Saddam Mazar
This study aimed to investigate the functional outcomes of Mini-Open Rotator Cuff Repair compared to Arthroscopic rotator cuff repair surgery. The study included 20 patients, with an average age of 55 years, who underwent either open or arthroscopic rotator-cuff repair surgery. Our data showed that most patients started going back to work and engaging in regular daily activities three months after surgery. In both groups, the patients' range of motion (ROM) was 100% after three months. The CMS score responses increased after 6 months, and similarly, at 12 months, the CMS scores indicate good or excellent outcomes for both groups. Majority of the factors showed statistically insignificant p-values. However, the median ASES score increased as the follow-up months increased in both groups, with significant P-values (0.057, 0.016, and 0.016) for the scores at 3, 6, and 12 months.
这项研究旨在调查迷你开放式肩袖修复术与关节镜肩袖修复手术相比的功能效果。该研究包括20名患者，平均年龄55岁，他们分别接受了开放式或关节镜肩袖修复手术。我们的数据显示，大多数患者在术后三个月就开始重返工作岗位，从事正常的日常活动。两组患者的活动范围（ROM）在三个月后都达到了 100%。6 个月后，两组患者的 CMS 评分均有所上升，同样，12 个月后，两组患者的 CMS 评分均显示良好或优秀。大多数因素的 p 值在统计学上并不显著。不过，随着随访月数的增加，两组的 ASES 中位数得分都有所提高，3、6 和 12 个月时的得分均有显著的 P 值（0.057、0.016 和 0.016）。
{"title":"Functional Outcomes of Mini-Open Rotator Cuff Repair Surgery: Retrospective, Observational Study","authors":"Shahzaib Riaz Baloch, Mohammad Idress Shah, Syed Ata Ur Rahman, Zarak Khan, Mohammad Sohail Rafi, I. Hashmi, Saddam Mazar","doi":"10.58624/svoaor.2023.03.062","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.062","url":null,"abstract":"This study aimed to investigate the functional outcomes of Mini-Open Rotator Cuff Repair compared to Arthroscopic rotator cuff repair surgery. The study included 20 patients, with an average age of 55 years, who underwent either open or arthroscopic rotator-cuff repair surgery. Our data showed that most patients started going back to work and engaging in regular daily activities three months after surgery. In both groups, the patients' range of motion (ROM) was 100% after three months. The CMS score responses increased after 6 months, and similarly, at 12 months, the CMS scores indicate good or excellent outcomes for both groups. Majority of the factors showed statistically insignificant p-values. However, the median ASES score increased as the follow-up months increased in both groups, with significant P-values (0.057, 0.016, and 0.016) for the scores at 3, 6, and 12 months.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"13 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139001308","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.58624/svoaor.2023.03.060
P. Aparicio, José Torres, Enric Domínguez, J. Castellanos, Ó. Izquierdo
Treatment for the sequelae of capitellum fractures is not commonly described in the literature. We present a unique case of a capitellum reconstruction with a vascularized ossseus graft from the second metatarsal bone. A woman of 53 years old fell down and presented a capitellum fracture that was fixed with two cannulated screws, after 6 months the radiograph showed signs of necrosis of the capitellum, the patient was disabled and a surgery was offered. We reconstructed her capitellum by means of a vascularized osteochondral flap from the second metatarsal bone, and end-to-side anastomosis to the radial artery was performed and two cannulated screws were used to fix the graft to the humeral lateral column. After almost two years of follow up the patient is free of pain and is able to perform the activity of the daily live. The vascularized transfer from the foot is a valid technique for the reconstruction of the capitellum in non-synthesizable fractures mainly when the lateral column of the humerus is affected. The complications in the donor site are minimal.
{"title":"Capitellum Reconstruction Using Metatarsal Head Vascularized Transfer","authors":"P. Aparicio, José Torres, Enric Domínguez, J. Castellanos, Ó. Izquierdo","doi":"10.58624/svoaor.2023.03.060","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.060","url":null,"abstract":"Treatment for the sequelae of capitellum fractures is not commonly described in the literature. We present a unique case of a capitellum reconstruction with a vascularized ossseus graft from the second metatarsal bone. A woman of 53 years old fell down and presented a capitellum fracture that was fixed with two cannulated screws, after 6 months the radiograph showed signs of necrosis of the capitellum, the patient was disabled and a surgery was offered. We reconstructed her capitellum by means of a vascularized osteochondral flap from the second metatarsal bone, and end-to-side anastomosis to the radial artery was performed and two cannulated screws were used to fix the graft to the humeral lateral column. After almost two years of follow up the patient is free of pain and is able to perform the activity of the daily live. The vascularized transfer from the foot is a valid technique for the reconstruction of the capitellum in non-synthesizable fractures mainly when the lateral column of the humerus is affected. The complications in the donor site are minimal.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"10 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000560","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-15DOI: 10.58624/svoaor.2023.03.061
Shahzaib Riaz Baloch, Syed Ata Ur Rahman, Mohammad Sohail Rafi, I. Hashmi, Zardana Riaz
A retrospective cohort study aims at assessing the effectiveness of total knee arthroplasty (TKA) in treating pre-operative aberrant posture in a patient with Knee-hip-spine syndrome. Preoperative and post-operative at (6 and 12 months) assessments, were done by combining clinical evaluations, radiographic analyses, and posture assessments, KSS, HOOS and ODI were used to conduct a thorough analysis of a cohort of 62 patients receiving TKA for KHSS. The main goal was to assess how TKA affected individuals who already had aberrant posture in terms of knee, hip, and spine alignment. Our findings showed that after TKA, pre-operative aberrant posture significantly improved in a way that was clinically meaningful. Significant realignment of the knee, hip, and spine was shown by radiographic data, demonstrating the TKA's all-encompassing remedial effect on the musculoskeletal system. Clinical evaluations correlated to the radiological results, with patients expressing better functional results and more effective postoperative pain alleviation which were demonstrated by the HOOS, KSS and ODI scores. The research highlights the advantages of TKA that extend beyond the knee joint by indicating a favourable link between patient-reported improvements and the treatment of aberrant posture. Our study concluded that, in the treatment of knee osteoarthritis, hip dysfunction, and spinal problems, TKA significantly improves preoperative aberrant posture in patients with KHSS. Following total knee arthroplasty (TKA), the realignment of the lower limbs has a role in improving the balance of the spine, which in turn reduces disability and improves the quality of life for patients. The best surgical methods and post-operative care plans must be determined via more study in order to optimize the advantages of TKA for patients with KHSS.
{"title":"Improvement in Pre-Operative Abnormal Posture After Total Knee Arthroplasty for Knee-Hip-Spine Syndrome","authors":"Shahzaib Riaz Baloch, Syed Ata Ur Rahman, Mohammad Sohail Rafi, I. Hashmi, Zardana Riaz","doi":"10.58624/svoaor.2023.03.061","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.061","url":null,"abstract":"A retrospective cohort study aims at assessing the effectiveness of total knee arthroplasty (TKA) in treating pre-operative aberrant posture in a patient with Knee-hip-spine syndrome. Preoperative and post-operative at (6 and 12 months) assessments, were done by combining clinical evaluations, radiographic analyses, and posture assessments, KSS, HOOS and ODI were used to conduct a thorough analysis of a cohort of 62 patients receiving TKA for KHSS. The main goal was to assess how TKA affected individuals who already had aberrant posture in terms of knee, hip, and spine alignment. Our findings showed that after TKA, pre-operative aberrant posture significantly improved in a way that was clinically meaningful. Significant realignment of the knee, hip, and spine was shown by radiographic data, demonstrating the TKA's all-encompassing remedial effect on the musculoskeletal system. Clinical evaluations correlated to the radiological results, with patients expressing better functional results and more effective postoperative pain alleviation which were demonstrated by the HOOS, KSS and ODI scores. The research highlights the advantages of TKA that extend beyond the knee joint by indicating a favourable link between patient-reported improvements and the treatment of aberrant posture. Our study concluded that, in the treatment of knee osteoarthritis, hip dysfunction, and spinal problems, TKA significantly improves preoperative aberrant posture in patients with KHSS. Following total knee arthroplasty (TKA), the realignment of the lower limbs has a role in improving the balance of the spine, which in turn reduces disability and improves the quality of life for patients. The best surgical methods and post-operative care plans must be determined via more study in order to optimize the advantages of TKA for patients with KHSS.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"21 24","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139000688","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-12-11DOI: 10.58624/svoaor.2023.03.059
Shahzaib Riaz Baloch, Saoud Javed, Syed Ata Ur Rahman, Mohammad Sohail Raf, Anisuddin Bhatti, Mohammad Idrees Shah
Objective: The objective of my study is to compare the mortality following DHS vs PFN. Study Design: Observational retrospective study. Place of study: Department of Orthopedic & Spine Surgery, Dr. Ziauddin Hospital. Duration: January 2020 to December 2021. Methodology: Patients were divided into 2 groups according to the surgical implant used. Group A with DHS implant, Group B with PFN and mortality is being checked in each group till 1-year post-operative time period by contacting each patient. Age, Gender, co morbidities, surgical procedure performed, fracture pattern (extracapsular, intracapsular) time of injury data was collected from registry of the hospital after taking permission from the authorities involved. Results: The study included 94 patients. Minimum age was 40 years and maximum age was 95 years, and mean age was 71.11. Out of which 61 (64.8%) patients are included in group A in which DHS was done, 33(35%) patients in group B with PFN implants, (Table 1) Mean age in group A is 72.9 (SD 14.0), group B 67.7 (SD 13.3), (Table 1) In group A 16 patients (26.2%) had mortality within 1 year. In group B 2 patients (6%) has mortality within 1 year. (Table 2) There is significant association of increased mortality in patients with DHS implants (group A) with p value <0.005. (Table 2) Mortality was raised in males that is 10 (22.7%) and in females 8 patients (16%). However, no significant association was found p(0.33). (Table 3) Out of 94 patients 54 patients are ASA III with multiple comorbid and other are ASAII and ASA I. Mortality was higher in patients with ASA III 54 patients (57%) and it was not statistically significant with p (0.168). (Table 4) Conclusion: This study shows increased mortality in patients with DHS implants as compared to patients with PFN implants.
{"title":"One Year Review Compairing Mortality Following DHS Vs PFN","authors":"Shahzaib Riaz Baloch, Saoud Javed, Syed Ata Ur Rahman, Mohammad Sohail Raf, Anisuddin Bhatti, Mohammad Idrees Shah","doi":"10.58624/svoaor.2023.03.059","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.059","url":null,"abstract":"Objective: The objective of my study is to compare the mortality following DHS vs PFN. Study Design: Observational retrospective study. Place of study: Department of Orthopedic & Spine Surgery, Dr. Ziauddin Hospital. Duration: January 2020 to December 2021. Methodology: Patients were divided into 2 groups according to the surgical implant used. Group A with DHS implant, Group B with PFN and mortality is being checked in each group till 1-year post-operative time period by contacting each patient. Age, Gender, co morbidities, surgical procedure performed, fracture pattern (extracapsular, intracapsular) time of injury data was collected from registry of the hospital after taking permission from the authorities involved. Results: The study included 94 patients. Minimum age was 40 years and maximum age was 95 years, and mean age was 71.11. Out of which 61 (64.8%) patients are included in group A in which DHS was done, 33(35%) patients in group B with PFN implants, (Table 1) Mean age in group A is 72.9 (SD 14.0), group B 67.7 (SD 13.3), (Table 1) In group A 16 patients (26.2%) had mortality within 1 year. In group B 2 patients (6%) has mortality within 1 year. (Table 2) There is significant association of increased mortality in patients with DHS implants (group A) with p value <0.005. (Table 2) Mortality was raised in males that is 10 (22.7%) and in females 8 patients (16%). However, no significant association was found p(0.33). (Table 3) Out of 94 patients 54 patients are ASA III with multiple comorbid and other are ASAII and ASA I. Mortality was higher in patients with ASA III 54 patients (57%) and it was not statistically significant with p (0.168). (Table 4) Conclusion: This study shows increased mortality in patients with DHS implants as compared to patients with PFN implants.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"72 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138979538","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-30DOI: 10.58624/svoaor.2023.03.051
S. Barker
Background: Non-traumatic atlantoaxial subluxation in adults is a rare condition usually common in patients with rheumatoid arthritis, and infection of the upper respiratory tract is also considered to be a trigger of inflammation and laxity of ligaments and further subluxation. to date there have been some reported cases of atlantoaxial as complication of COVID-19. Diagnosis and management of atlantoaxial subluxation is currently based on x-ray with special views. Therefore, it is important to early diagnosis and treating adult patients suffering from neck pain and stiffness as a suspected case of nontraumatic atlantoaxial subluxation. Case reports: In this case series, we reported 17 healthy elderly patients (11 male and 6 female) who had atlantoaxial subluxation after a mild (8 patients 4 male and 4 female) and 9 moderate cases (6 males with 3 females) of COVID-19. The patients had neck pain (pain score ranged 6 to9 wit mean 7,5), occipital headache (7 patient with severe and moderate occipital headache with only 3 with mild), and stiffness with different levels of limitation of cervical movements after recovering from Covid-19 in varying periods between 3 and 7 months. Conservative treatment included antibiotics; non-steroid anti-inflammatory agents, short course of corticosteroids, and immobilization with soft cervical collar followed by physiotherapy after pain subsided was done for the patients, and the clinical recovery observed within 8-10 weeks with good results in 10 patients with relieving pain and restoring the cervical motion to the normal, and 7 patients with acceptable result of treatment with slight limitation of cervical movements. Conclusion: As atlantoaxial subluxation in adult patients may be a late complication of COVID-19, more research is needed to determine the specific association between COVID-19 and atlantoaxial subluxation in adults.
{"title":"Adult Atlantoaxial Subluxation in Post COVID-19 Recovery: A Case Series","authors":"S. Barker","doi":"10.58624/svoaor.2023.03.051","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.051","url":null,"abstract":"Background: Non-traumatic atlantoaxial subluxation in adults is a rare condition usually common in patients with rheumatoid arthritis, and infection of the upper respiratory tract is also considered to be a trigger of inflammation and laxity of ligaments and further subluxation. to date there have been some reported cases of atlantoaxial as complication of COVID-19. Diagnosis and management of atlantoaxial subluxation is currently based on x-ray with special views. Therefore, it is important to early diagnosis and treating adult patients suffering from neck pain and stiffness as a suspected case of nontraumatic atlantoaxial subluxation. Case reports: In this case series, we reported 17 healthy elderly patients (11 male and 6 female) who had atlantoaxial subluxation after a mild (8 patients 4 male and 4 female) and 9 moderate cases (6 males with 3 females) of COVID-19. The patients had neck pain (pain score ranged 6 to9 wit mean 7,5), occipital headache (7 patient with severe and moderate occipital headache with only 3 with mild), and stiffness with different levels of limitation of cervical movements after recovering from Covid-19 in varying periods between 3 and 7 months. Conservative treatment included antibiotics; non-steroid anti-inflammatory agents, short course of corticosteroids, and immobilization with soft cervical collar followed by physiotherapy after pain subsided was done for the patients, and the clinical recovery observed within 8-10 weeks with good results in 10 patients with relieving pain and restoring the cervical motion to the normal, and 7 patients with acceptable result of treatment with slight limitation of cervical movements. Conclusion: As atlantoaxial subluxation in adult patients may be a late complication of COVID-19, more research is needed to determine the specific association between COVID-19 and atlantoaxial subluxation in adults.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129833838","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-14DOI: 10.58624/svoaor.2023.03.050
S. Imran
Spinal surgery involves a wide spectrum of procedures during which the spinal cord, nerve roots, and key blood vessels are frequently placed at risk for injury. Neuromonitoring provides an opportunity to assess the functional integrity of susceptible neural elements during surgery. Multimodality neuromonitoring relies on the strengths of different types of neurophysiological modalities to maximize the diagnostic efficacy in regard to sensitivity and specificity in the detection of impending neural injury. Thorough knowledge of the benefits and limitations of each modality helps in optimizing the diagnostic value of intraoperative monitoring during spinal procedures. This case presentation will demonstrate the significance of multimodality IONM.
{"title":"Multimodality IONM Case Report During Spinal Fusion","authors":"S. Imran","doi":"10.58624/svoaor.2023.03.050","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.050","url":null,"abstract":"Spinal surgery involves a wide spectrum of procedures during which the spinal cord, nerve roots, and key blood vessels are frequently placed at risk for injury. Neuromonitoring provides an opportunity to assess the functional integrity of susceptible neural elements during surgery. Multimodality neuromonitoring relies on the strengths of different types of neurophysiological modalities to maximize the diagnostic efficacy in regard to sensitivity and specificity in the detection of impending neural injury. Thorough knowledge of the benefits and limitations of each modality helps in optimizing the diagnostic value of intraoperative monitoring during spinal procedures. This case presentation will demonstrate the significance of multimodality IONM.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121973046","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-08-01DOI: 10.58624/svoaor.2023.03.049
A. Batra
Fibrous dysplasia is a rare entity 0f long bones and these lesions are uncommon in childhood, generally illustrated in the mandible and the maxilla. Tibia is among the long bones in which it typically appears as a painless lump or anterior bowing. Here, we would like to report a rare case of fibrous dysplasia of clavicle in a 15 year old female who presented to us with painful swollen area over her left clavicle region. On radiograph there was visible lytic lesion in the middle 3rd of left clavicle with subtle periosteal reaction. Histopathological features suggested benign fibro-osseous proliferation, favouring fibrous dysplasia. To the best of our knowledge, there are very few cases of fibrous dysplasia affecting clavicle to be reported in the literature.
{"title":"A Rare Case of Fibrous Dysplasia of Clavicle","authors":"A. Batra","doi":"10.58624/svoaor.2023.03.049","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.049","url":null,"abstract":"Fibrous dysplasia is a rare entity 0f long bones and these lesions are uncommon in childhood, generally illustrated in the mandible and the maxilla. Tibia is among the long bones in which it typically appears as a painless lump or anterior bowing. Here, we would like to report a rare case of fibrous dysplasia of clavicle in a 15 year old female who presented to us with painful swollen area over her left clavicle region. On radiograph there was visible lytic lesion in the middle 3rd of left clavicle with subtle periosteal reaction. Histopathological features suggested benign fibro-osseous proliferation, favouring fibrous dysplasia. To the best of our knowledge, there are very few cases of fibrous dysplasia affecting clavicle to be reported in the literature.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"144 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123250798","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-25DOI: 10.58624/svoaor.2023.03.047
Shahzaib Riaz Baloch
Hydatid cysts, caused by the larval stage of the tapeworm Echinococcus Granulosus, are rare in the musculoskeletal system. We present a unique case of a hydatid cyst found in the proximal femur / hip joint of a patient with an implanted hip prosthesis. A 75-years old male with a history of cemented Hemi-arthroplasty (Thompson prosthesis) presented with hip pain and limited (painful) range of motion of the hip. Radiologically osteolysis was appreciated, suggestive of implant loosening. Surgical intervention was done. Per-operative cystic lesions were found. Clinical diagnosis of Hydatid disease was made and the cysts were successfully treated with Hypertonic saline and albendazole. Histopathological examination confirmed the diagnosis of Hydatid cyst. This case highlights the importance of considering Hydatid cyst as a rare, differential diagnosis in patients even with a prosthetic joint, residing especially in endemic regions of the world, which would require multidisciplinary approach for their management.
{"title":"Hydatid Cyst in Proximal Femur: A Case Report","authors":"Shahzaib Riaz Baloch","doi":"10.58624/svoaor.2023.03.047","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.047","url":null,"abstract":"Hydatid cysts, caused by the larval stage of the tapeworm Echinococcus Granulosus, are rare in the musculoskeletal system. We present a unique case of a hydatid cyst found in the proximal femur / hip joint of a patient with an implanted hip prosthesis. A 75-years old male with a history of cemented Hemi-arthroplasty (Thompson prosthesis) presented with hip pain and limited (painful) range of motion of the hip. Radiologically osteolysis was appreciated, suggestive of implant loosening. Surgical intervention was done. Per-operative cystic lesions were found. Clinical diagnosis of Hydatid disease was made and the cysts were successfully treated with Hypertonic saline and albendazole. Histopathological examination confirmed the diagnosis of Hydatid cyst. This case highlights the importance of considering Hydatid cyst as a rare, differential diagnosis in patients even with a prosthetic joint, residing especially in endemic regions of the world, which would require multidisciplinary approach for their management.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"235 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114994833","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-25DOI: 10.58624/svoaor.2023.03.048
Nguyen Ngoc Hung
Objectives: The aim of this study was to evaluate the results of open reduction and internal fixation of humeral supracondylar fractures in pediatric patients. Patients and methods: A retrospective descriptive study conducted from 2006 to 2016, including 24 patients who underwent open reduction and internal fixation for the treatment of condylar fractures, adjusted by the closed method. The patients were clinically and radiographically evaluated according to the Gartland’s classification. Data collection also included postoperative radiological assessment, range of motion, presence of postoperative complications, and satisfaction questionnaire with treatment received. Results: Patient’s age: Mean 9.46 ± 2.07; Males : 15 (62.5%), Femeals: 9 (37.5%); Injured elbow: Left 17 (70.8%), Right 07 (29,2%); Injury/Sugery Interval (days): 2.2 ± 0.78; Gartland’s classification: Type II: 6 (25%), Type III: 17 (70.8%), Type IV: 1 (4.2%); Foll-up Period (months): 44. 08 ± 5.78; Baumann angle: 16.12° ± 2.23°; Final loss of flexion: averaged 5.9°; loss of extension: 0.73°. The KW was removed was 4.2 months (range: 3 - months). Complications: KW Pierce through brachial artery (intra - Operatively) 1 (4.2%), Iatrogemic ulnar injury 1 (4.2%), Cubitus varus 1 (4.2%). Evaluation: Satisfactory 22 (91.7%), Unsatisfactory 02 (8.3%). Conclusions: Conservative treatment is recommended for Gartland type I and nondisplaced type II fractures. Open reduction with two or three pins is the preferred treatment option for most supracondylar fractures. The use of appropriate criteria is wise in managing these cracks; Prognosis in the event of complications or possible complications should be explained.
{"title":"Outcomes of Open Reduction and Internal Fixation for Supracondylar Humeral Fractures in Children","authors":"Nguyen Ngoc Hung","doi":"10.58624/svoaor.2023.03.048","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.048","url":null,"abstract":"Objectives: The aim of this study was to evaluate the results of open reduction and internal fixation of humeral supracondylar fractures in pediatric patients. Patients and methods: A retrospective descriptive study conducted from 2006 to 2016, including 24 patients who underwent open reduction and internal fixation for the treatment of condylar fractures, adjusted by the closed method. The patients were clinically and radiographically evaluated according to the Gartland’s classification. Data collection also included postoperative radiological assessment, range of motion, presence of postoperative complications, and satisfaction questionnaire with treatment received. Results: Patient’s age: Mean 9.46 ± 2.07; Males : 15 (62.5%), Femeals: 9 (37.5%); Injured elbow: Left 17 (70.8%), Right 07 (29,2%); Injury/Sugery Interval (days): 2.2 ± 0.78; Gartland’s classification: Type II: 6 (25%), Type III: 17 (70.8%), Type IV: 1 (4.2%); Foll-up Period (months): 44. 08 ± 5.78; Baumann angle: 16.12° ± 2.23°; Final loss of flexion: averaged 5.9°; loss of extension: 0.73°. The KW was removed was 4.2 months (range: 3 - months). Complications: KW Pierce through brachial artery (intra - Operatively) 1 (4.2%), Iatrogemic ulnar injury 1 (4.2%), Cubitus varus 1 (4.2%). Evaluation: Satisfactory 22 (91.7%), Unsatisfactory 02 (8.3%). Conclusions: Conservative treatment is recommended for Gartland type I and nondisplaced type II fractures. Open reduction with two or three pins is the preferred treatment option for most supracondylar fractures. The use of appropriate criteria is wise in managing these cracks; Prognosis in the event of complications or possible complications should be explained.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"42 4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126050026","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-24DOI: 10.58624/svoaor.2023.03.046
M. I. Ansari, R. Gul
Objectives: We conducted a retrospective observational study to investigate the patients’ reported outcomes and survival of ceramic-on-ceramic total hip arthroplasty. Patients and Methods: 238 patients underwent ceramic on ceramic hip arthroplasties between January, 2010 and October 2012. Out of these, 205 patients (86.1%) had uncemented fixations and 33 patients (13.9%) had cemented fixations with THA using a CoC femoral head and liner. For each patient, WOMAC and SF-12 scores were measured at six weeks, six months, two years, and five years. Radiological follow up to 10 years. The patients who received revision surgery were identified in the database. Results: The mean preoperative WOMAC and SF-12 scores were 39.83±12.29 and 30.07±2.18, respectively. At 5 years, the mean WOMAC score had improved from 39.83 ± 12.29 to 90.40 ± 5.30 (p < 0.01), Wilcoxon signed-rank test; the mean SF-12 score had improved from 30.07 ± 2.18 to 34.40 ± 2.22 (p < 0.01, Wilcoxon signed-rank test). Four patients (1.68%) got revision within 10 years postoperatively. Conclusion: The CoC THA showed statistically significant clinical improvement in WOMAC score and functional score of SF-12 after 5 years follow-up with satisfactory survival after 10 years.
{"title":"Outcomes of Ceramic-on-Ceramic Total Hip Arthroplasties After Ten Years at Cork University Hospital Ireland","authors":"M. I. Ansari, R. Gul","doi":"10.58624/svoaor.2023.03.046","DOIUrl":"https://doi.org/10.58624/svoaor.2023.03.046","url":null,"abstract":"Objectives: We conducted a retrospective observational study to investigate the patients’ reported outcomes and survival of ceramic-on-ceramic total hip arthroplasty. Patients and Methods: 238 patients underwent ceramic on ceramic hip arthroplasties between January, 2010 and October 2012. Out of these, 205 patients (86.1%) had uncemented fixations and 33 patients (13.9%) had cemented fixations with THA using a CoC femoral head and liner. For each patient, WOMAC and SF-12 scores were measured at six weeks, six months, two years, and five years. Radiological follow up to 10 years. The patients who received revision surgery were identified in the database. Results: The mean preoperative WOMAC and SF-12 scores were 39.83±12.29 and 30.07±2.18, respectively. At 5 years, the mean WOMAC score had improved from 39.83 ± 12.29 to 90.40 ± 5.30 (p < 0.01), Wilcoxon signed-rank test; the mean SF-12 score had improved from 30.07 ± 2.18 to 34.40 ± 2.22 (p < 0.01, Wilcoxon signed-rank test). Four patients (1.68%) got revision within 10 years postoperatively. Conclusion: The CoC THA showed statistically significant clinical improvement in WOMAC score and functional score of SF-12 after 5 years follow-up with satisfactory survival after 10 years.","PeriodicalId":228293,"journal":{"name":"SVOA Orthopaedics","volume":"67 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131375860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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