Pub Date : 2022-07-18DOI: 10.36349/easjop.2023.v05i04.002
Wadia Montassar, B. Malek, Z. Hamdi, Mohamed Salem Zein, Lahssini Wael, Mohamed Amine Bennour
Introduction: Acute haematogenous osteomyelitis (AHO) of the acetabulum is a rare condition in children. Presentation of case: We report a rare case in a ten-year-old child who had an acute presentation with new-onset hip pain and fever evolving for one week. The standard radiograph was without abnormalities. Emergency MRI showed osteoarthritis of the hip, with a 15 mm internal acetabular subchondral lacuna. Therefore, the child had antibiotic therapy. Pain relief and radiological improvement was obtained after 3 months of antibiotic treatment. At a two-year follow-up, the X-ray was normal. Discussion: Diagnosis is delayed because of the deep-seated location. Staphylococcus aureus is the most common causative organism. In the event of strong clinical-radiological suspicion, empirical treatment must be started rapidly, in order to obtain satisfactory results. Conclusion: Because of the atypical location of acute osteomyelitis of the acetabulum, diagnosis can be delayed. In some cases, treatment may be based on antibiotics therapy alone.
{"title":"Osteomyelitis of the Acetabulum in a Child: A Case Report of an Unusual Localization","authors":"Wadia Montassar, B. Malek, Z. Hamdi, Mohamed Salem Zein, Lahssini Wael, Mohamed Amine Bennour","doi":"10.36349/easjop.2023.v05i04.002","DOIUrl":"https://doi.org/10.36349/easjop.2023.v05i04.002","url":null,"abstract":"Introduction: Acute haematogenous osteomyelitis (AHO) of the acetabulum is a rare condition in children. Presentation of case: We report a rare case in a ten-year-old child who had an acute presentation with new-onset hip pain and fever evolving for one week. The standard radiograph was without abnormalities. Emergency MRI showed osteoarthritis of the hip, with a 15 mm internal acetabular subchondral lacuna. Therefore, the child had antibiotic therapy. Pain relief and radiological improvement was obtained after 3 months of antibiotic treatment. At a two-year follow-up, the X-ray was normal. Discussion: Diagnosis is delayed because of the deep-seated location. Staphylococcus aureus is the most common causative organism. In the event of strong clinical-radiological suspicion, empirical treatment must be started rapidly, in order to obtain satisfactory results. Conclusion: Because of the atypical location of acute osteomyelitis of the acetabulum, diagnosis can be delayed. In some cases, treatment may be based on antibiotics therapy alone.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116615519","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 : 2022-03-19DOI: 10.36349/easjop.2022.v04i01.002
Dr. M. Sharif Uddin, Dr. Md. Asadujjaman Azad, Dr. Shahana Parvin
Treatment of infected gap non-union of tibia occurring mostly after trauma and often complicated by infection is difficult to treat. Daily clinical practice in fixation, soft tissue management, and antibiotic therapy, treating infected gap nonunion of the tibia remains a problem for Orthopaedic surgeons. Management includes thorough debridement, stabilization of the fracture, and reconstruction of the bone defect. The study's goal was to evaluate the Ilizarov fixator frame's effectiveness in treating tibial gap nonunion.
{"title":"Treatment of Infected Gap Non-Union of Tibia with Ilizarov Technique: A Case Report","authors":"Dr. M. Sharif Uddin, Dr. Md. Asadujjaman Azad, Dr. Shahana Parvin","doi":"10.36349/easjop.2022.v04i01.002","DOIUrl":"https://doi.org/10.36349/easjop.2022.v04i01.002","url":null,"abstract":"Treatment of infected gap non-union of tibia occurring mostly after trauma and often complicated by infection is difficult to treat. Daily clinical practice in fixation, soft tissue management, and antibiotic therapy, treating infected gap nonunion of the tibia remains a problem for Orthopaedic surgeons. Management includes thorough debridement, stabilization of the fracture, and reconstruction of the bone defect. The study's goal was to evaluate the Ilizarov fixator frame's effectiveness in treating tibial gap nonunion.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114140951","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 : 2022-02-19DOI: 10.36349/easjop.2022.v04i01.001
Dr. Md. Hasan, Dr. Md. Bahauddin Al Mamun, Dr. Masum Billah, S. Islam, Nozrul Islam, Dr. Gulshan Ara Akhter
Background: Posterior lumbar spine fusions (PLSF) surgery is widely used in the field of spinal surgery for the treatment of lumbar spinal stenosis and spondylolisthesis, because of its surgical effectiveness and simple approach. But in such surgery, surgical site infection (SSI) is a matter of concern. In Bangladesh, we have very few research-oriented information regarding SSI and related complications after posterior lumbar spine fusions (PLSF) among patients. Aim of the study: The aim of to this study was to determine the incidences of postoperative surgical site infection after lumbar spinal surgery and its several characteristics. Methods: This study was a prospective observational study which was conducted in the department of Orthopedics, Holy Family Red Crescent Hospital Dhaka, Bangladesh during the period from March 2019 to December 2019. In total 47 patients of surgical site infections (SSI) following posterior lumbar spine fusions (PLSF) from several age groups were selected as the study people. Data regarding causes of surgery, frequencies of SSIs, associated causative organisms and other clinical status were recorded and analyzed. All data were processed, analyzed and disseminated by MS Office and SPSS programs as per need. Results: In analyzing types of SSI after posterior lumbar surgery among participants we observed 38.30%, 34.04% and 21.28% patients were with lumbar spinal stenosis and lumbar spondylolisthesis and lumbar disc herniation respectively. Among all the participants, among the highest number of patients S. aureus was associated as (19%) were found among noticeable number of patients. a single micro-organism. Besides these, MSSA (19%), S. epidermidis (26%) and MRSE. Conclusion: The pre-assessment of microbiological characteristics should be done in all cases of surgical site infections (SSIs) in patients after posterior lumbar spine fusions. Prompt application of antibiotics may reduce the complications in patients after posterior ........
{"title":"Surgical Site Infections in Patients after Posterior Lumbar Spine Fusions","authors":"Dr. Md. Hasan, Dr. Md. Bahauddin Al Mamun, Dr. Masum Billah, S. Islam, Nozrul Islam, Dr. Gulshan Ara Akhter","doi":"10.36349/easjop.2022.v04i01.001","DOIUrl":"https://doi.org/10.36349/easjop.2022.v04i01.001","url":null,"abstract":"Background: Posterior lumbar spine fusions (PLSF) surgery is widely used in the field of spinal surgery for the treatment of lumbar spinal stenosis and spondylolisthesis, because of its surgical effectiveness and simple approach. But in such surgery, surgical site infection (SSI) is a matter of concern. In Bangladesh, we have very few research-oriented information regarding SSI and related complications after posterior lumbar spine fusions (PLSF) among patients. Aim of the study: The aim of to this study was to determine the incidences of postoperative surgical site infection after lumbar spinal surgery and its several characteristics. Methods: This study was a prospective observational study which was conducted in the department of Orthopedics, Holy Family Red Crescent Hospital Dhaka, Bangladesh during the period from March 2019 to December 2019. In total 47 patients of surgical site infections (SSI) following posterior lumbar spine fusions (PLSF) from several age groups were selected as the study people. Data regarding causes of surgery, frequencies of SSIs, associated causative organisms and other clinical status were recorded and analyzed. All data were processed, analyzed and disseminated by MS Office and SPSS programs as per need. Results: In analyzing types of SSI after posterior lumbar surgery among participants we observed 38.30%, 34.04% and 21.28% patients were with lumbar spinal stenosis and lumbar spondylolisthesis and lumbar disc herniation respectively. Among all the participants, among the highest number of patients S. aureus was associated as (19%) were found among noticeable number of patients. a single micro-organism. Besides these, MSSA (19%), S. epidermidis (26%) and MRSE. Conclusion: The pre-assessment of microbiological characteristics should be done in all cases of surgical site infections (SSIs) in patients after posterior lumbar spine fusions. Prompt application of antibiotics may reduce the complications in patients after posterior ........","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132932351","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 : 2021-04-12DOI: 10.36349/easjop.2021.v03i02.001
A. K. M. Latiful Bari, Md. Rashed Hasan, Md. Wares Ali, Md. Anisur Rahman, A. Miraj, Shohel Mahmud Khan, Md. Kawsur Ahmed, Md. Akter Hossain
Medical Officer, Department of Orthopedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka, Bangladesh Junior Consultant, Orthopaedic Surgery, Kushtia Medical College Hospital, Kushtia Bangladesh Junior Consultant, Orthopedic & Trauma Surgery Department, Mugda Medical College Hospital, Dhaka, Bangladesh Lecturer, Forensic Medicine, Kushtia Medical College, Kushtia Bangladesh Research Assistant, Department of Vascular Surgery, BSMMU, Dhaka, Bangladesh Junior Consultant, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh Assistant professor (Orthopedic surgery), City Medical College, Dhaka, Bangladesh Junior consultant, Orthopedic &Trauma Surgery Department, Mymensingh Medical College Hospital, Mymensingh, Bangladesh
{"title":"To Assess the Clinical Outcome of the Total Hip Arthroplasty-A Study in Tertiary Care Hospital, Bangladesh","authors":" A. K. M. Latiful Bari, Md. Rashed Hasan, Md. Wares Ali, Md. Anisur Rahman, A. Miraj, Shohel Mahmud Khan, Md. Kawsur Ahmed, Md. Akter Hossain","doi":"10.36349/easjop.2021.v03i02.001","DOIUrl":"https://doi.org/10.36349/easjop.2021.v03i02.001","url":null,"abstract":"Medical Officer, Department of Orthopedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU) Dhaka, Bangladesh Junior Consultant, Orthopaedic Surgery, Kushtia Medical College Hospital, Kushtia Bangladesh Junior Consultant, Orthopedic & Trauma Surgery Department, Mugda Medical College Hospital, Dhaka, Bangladesh Lecturer, Forensic Medicine, Kushtia Medical College, Kushtia Bangladesh Research Assistant, Department of Vascular Surgery, BSMMU, Dhaka, Bangladesh Junior Consultant, Department of Orthopaedic Surgery, Bangabandhu Sheikh Mujib Medical University (BSMMU), Dhaka, Bangladesh Assistant professor (Orthopedic surgery), City Medical College, Dhaka, Bangladesh Junior consultant, Orthopedic &Trauma Surgery Department, Mymensingh Medical College Hospital, Mymensingh, Bangladesh","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"24 6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124415651","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 : 2020-12-25DOI: 10.36349/EASJOP.2020.V02I05.003
G. Upadhyay
Quick Response Code Abstract: Background: In era of increased air travel, airport security screening measures has been increased. A lot of anxiety to the patient that may trigger an alarm at airport securities post-surgery. The purpose of this study is to find out experiences of patients after total knee arthroplasty (TKA) passing through airport security. Methods: A retrospective case series of 250 TKA patients in a single high-volume center from January 2017 to January 2019, who had passed through airport security and met inclusion criteria. Patients were contacted during their regular follow ups or via phone. The patients were asked for alarm trigger, perceived inconvenience, whether security officials asked to show documentation regarding prosthesis, and any extra screening procedures check measures. Results: Out of 250 patients, 52 patients met inclusion criteria travelling by airplane. 27 patients reported alarm trigger. 7 patients had to undergo additional security check measures. 43% of the patients believed that having their TKA increased the inconvenience while traveling. Conclusions: This study provides information to surgeons regarding airport travel post TKA. Patients can be counselled regarding the inconvenience and to be prepared for delays in airport and to be prepared to present documentation of their prosthesis.
{"title":"“Detection of Total Knee Arthroplasty at Airport Securities”","authors":"G. Upadhyay","doi":"10.36349/EASJOP.2020.V02I05.003","DOIUrl":"https://doi.org/10.36349/EASJOP.2020.V02I05.003","url":null,"abstract":"Quick Response Code Abstract: Background: In era of increased air travel, airport security screening measures has been increased. A lot of anxiety to the patient that may trigger an alarm at airport securities post-surgery. The purpose of this study is to find out experiences of patients after total knee arthroplasty (TKA) passing through airport security. Methods: A retrospective case series of 250 TKA patients in a single high-volume center from January 2017 to January 2019, who had passed through airport security and met inclusion criteria. Patients were contacted during their regular follow ups or via phone. The patients were asked for alarm trigger, perceived inconvenience, whether security officials asked to show documentation regarding prosthesis, and any extra screening procedures check measures. Results: Out of 250 patients, 52 patients met inclusion criteria travelling by airplane. 27 patients reported alarm trigger. 7 patients had to undergo additional security check measures. 43% of the patients believed that having their TKA increased the inconvenience while traveling. Conclusions: This study provides information to surgeons regarding airport travel post TKA. Patients can be counselled regarding the inconvenience and to be prepared for delays in airport and to be prepared to present documentation of their prosthesis.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133630942","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 : 2020-12-19DOI: 10.36349/EASJOP.2020.V02I05.002
M. Danfulani, A. Musa, S. Aliyu, Ibrahim Haruna Gele, Sule Muhammed Baba
Quick Response Code Abstract: Osteochondroma is a developmental anomaly of the bone that results in the formation of an exophytic outgrowth on the surface of the bone. It is the most common benign bone tumor. Distal Femur and Proximal Tibia are the most common sites for this tumor. Osteochondroma is rare in the Pelvis. Osteochondroma is also known as Exostosis. We hereby report a case of solitary osteochondroma from the Anterior Superior Iliac Spine in a 22-year-old boy which was managed in our Centre.
{"title":"A Rare Case of Anterior Iliac Blade Osteochondroma in a 22 Year Old Male: A Case Report","authors":"M. Danfulani, A. Musa, S. Aliyu, Ibrahim Haruna Gele, Sule Muhammed Baba","doi":"10.36349/EASJOP.2020.V02I05.002","DOIUrl":"https://doi.org/10.36349/EASJOP.2020.V02I05.002","url":null,"abstract":"Quick Response Code Abstract: Osteochondroma is a developmental anomaly of the bone that results in the formation of an exophytic outgrowth on the surface of the bone. It is the most common benign bone tumor. Distal Femur and Proximal Tibia are the most common sites for this tumor. Osteochondroma is rare in the Pelvis. Osteochondroma is also known as Exostosis. We hereby report a case of solitary osteochondroma from the Anterior Superior Iliac Spine in a 22-year-old boy which was managed in our Centre.","PeriodicalId":287099,"journal":{"name":"EAS Journal of Orthopaedic and Physiotherapy","volume":"62 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123465305","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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