Journal of Orthopedic Surgery and Techniques Archives

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Case Report | 10.36959/453/608 Volume 6 Issue 2

Pathological Humeral Fracture from Bone Metastasis of a Gastrointestinal Stromal Tumour: First Reported Case

Authors: Johnson Pok-Him Tam, Anderson Siu-Ming Leung, Raymond Chi-Hin Yau, Kenneth Wai-Yip Ho and Albert Ying-Lee Lam

Gastrointestinal stromal tumour (GIST) is the most prevalent mesenchymal tumour of the GI tract. Metastases commonly occur in the liver and peritoneum, with very rare reported cases of bone metastases... Read more

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Case Report | 10.36959/453/610 Volume 6 Issue 2

Reconstruction of the Tibialis Posterior Flexor Retinaculum: Description of Surgical Technique

Authors: Matthew H Adsit, MD, Dallas Hampton, BS, Conor N. O'Neill, MD, James Satalich, MD and Alexander Vap, MD

Dislocation of the tibialis posterior tendon is a rare traumatic injury often with a delayed diagnosis. The surgical management of the majority of these injuries is reconstruction of the flexor retina... Read more

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Review Article | 10.36959/453/609 Volume 6 Issue 2

The Use of Preoperative CRP and ESR as Predictive Markers of Prosthetic Joint Infection in Primary Total Hip and Knee Arthroplasty

Authors: Andrew Hester, MD, Keenan Gibson, DO, Noah Embry, BS, Josiah Snowden, BS, Blake Campbell, BS and Russell Wagner, MD

C-reactive protein (CRP) and erythrocyte sedimentation rate (ESR) are inflammatory markers commonly used during the diagnosis and treatment of periprosthetic joint infection (PJI) in arthroplasty pati... Read more

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Case Report | 10.36959/453/607 Volume 6 Issue 2

An Atypical Iatrogenic Fracture Pattern: A New Modification of Mallory Classification for Intraoperative Femoral Fracture

Authors: Johnson Pok Him Tam and Marvin Man Ting Chung

This case illustrates an atypical intra-operative femoral fracture pattern during femoral stem insertion, that was not previously reported in the literature. We propose a new modification of the curre... Read more

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Clinical Technique | 10.36959/453/606 Volume 6 Issue 2

The Hyper Wag Fluoroscopic View for Cephallomedullary Screw Placement in Hip Fracture Treatment

Authors: Matthew Weber, DO, Bryon Thompson, DO and Cris Sherman, DO

Intraoperative fluoroscopy is routinely used to guide appropriate guide wire placement and eventual lag screw placement during internal fixation of a proximal femoral fracture. The femoral head and ne... Read more

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Case Report | 10.36959/453/605 Volume 6 Issue 1

Bizarre Parosteal Osteochondromatous Proliferation (Nora Lesion) Mimicking Giant Cell Tumour of Tendon Sheath: A Case Report

Authors: Tsang Ming Kin Alan, MBChB and Lee Syn Yuk Michelle, MBChB, FRCSEd, FHKCOS, FHKAM

Nora lesion is a rare benign disease of parosteal osteochondromatous proliferation typically affecting the hand and feet, with notoriously high recurrence rates. Since its discovery, only few cases ha... Read more

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Clinical Study | 10.36959/453/604 Volume 6 Issue 1

Evaluating the Necessity of Screw Replacement in Sacral Bone Loosening: A Percutaneous Approach to Bridging the Bone-Screw Gap

Authors: Murat Baloglu, MD, Hakan Millet, MD and Serdar Ercan, MD

Bone loosening is a widespread challenge faced by patients who have undergone posterior spinal fusion surgery. While replacing the loosened screw with a larger one is a possibility, this approach nece... Read more

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Review Article | 10.36959/453/603 Volume 6 Issue 1

Computer Navigation-Assisted Resection of Heterotopic Ossification around the Hip: A Technical Note

Authors: Mohamed Amine Selmene Peter Upex, Pierre Emmanuel Moreau, Mourad Zaraa and Guillaume Riouallon

Heterotopic ossification is a rare but a debilitating situation. It occurs in patients who have undergone paralysis and/or immobilization. Hip osteoma is one of the most frequent locations and associa... Read more

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Case Series | 10.36959/453/602 Volume 6 Issue 1

Outcome of Limb Salvaging Procedure for Bone Tumor Using Liquid Nitrogen Technique: A Case Series of 21 Patients

Authors: Chun Wai Cheng, Anderson SM Leung, Raymond CH Yau, Kenneth WY Ho and Albert YL Lam

Autologous bone graft treated with liquid nitrogen is an option for biological reconstruction of bone defects in patients receiving tumor resection. This is the first report in Hong Kong on the outcom... Read more

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Image Article | 10.36959/453/601 Volume 6 Issue 1

Technical Tip: The Modified SPAIRE (Spare Piriformis and Internus, Repair Externus) Approach for Hip Arthroplasty Surgery

Authors: Veenesh Selvaratnam, Izyan Irdina and Shalina Gunainthran

The inferior gemellus is a muscular structure rather than tendinous unlike the obturator internus. It therefore almost always tears due to retraction to expose the hip joint when performing the SPAIRE... Read more

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Original Article | 10.36959/453/600 Volume 6 Issue 1

Deltoid Ligament Repair in Bimalleolar Equivalent Ankle Fractures: A Technique Tip

Authors: Shakir Hussain, FRCS, FCPS, MRCS, MBBS and Ashok Acharya, MBBS, MS, FRCSG, MSc, FRCS, FEBOT

Deltoid ligament is injured in bimalleolar equivalent fractures. Though its acute repair is controversial, some recent studies have shown that anatomical reduction of the talus in the ankle mortise vi... Read more

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Research Article | 10.36959/453/599 Volume 5 Issue 2

Short Segment vs. Long Segment Posterior Spinal Fixation of Unstable Thoracolumbar Burst Fractures: A Retrospective Cohort Study

Authors: Bander S Alrashedan, Mohammad O Alawad, Mohammed O Alsabieh, Nasser Alenezi, Saad Surur and Biswadev Mitra

Fractures of the thoracolumbar (TL) vertebrae are common. Optimal surgical management aims to enhance movement and provide long-term stability. Short segment posterior spinal fixation (SSPSF) provides... Read more

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Prospective Study | 10.36959/453/597 Volume 5 Issue 2

The Success of the Ponseti Method in the Treatment of Congenital Varus Bot Foot (Cvbp) in a Low-Income Country: Preliminary Results of a 125pbve Series in 82 Patients

Authors: Keita B, Toure MA, Sacko MLS, Barry MM, Sylla Y and Agbo-Panzo D

Varus equines club foot (VEBF) is a complex, three-dimensional deformity characterized by equines and Varus of the hind foot, adduction of the forefoot and supination of the foot. The purpose of this ... Read more

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Research Article | 10.36959/453/596 Volume 5 Issue 2

Optimising Screw Trajectory in the Bristow-Latarjet Procedure: A Simple Technique to Improve the Alpha Angle

Authors: Rebecca Lauren Emma TANG, MBBS, FRACS (Orth)1*, Samuel P MACKENZIE, MBChB, MD, BMedSci (hons), FRCSEd (Tr & Orth)2 , Diego CUZMAR GRIMALT, MD, Allan Andrew YOUNG, MBBS MSp Med PHD FRACS (Orth), Rui NIU, MBBS MS FRACS (Orth) FA Orth A, Owen James MATTERN, MBBS FRACS (Orth) and Benjamin CASS, MBBS MS FRACS (Orth) FA Orth A

Screw entry point and trajectory (the alpha angle) are essential to ensure appropriate graft position in the Bristow Latarjet procedure. A high alpha angle may occur in patients with a large soft tiss... Read more

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Review Article | 10.36959/453/595 Volume 5 Issue 2

Congenital Talipes Equinovarus: A Review

Authors: Dim EM, Edagha IA, Peter AI, Umoh IU, Ituen AM, Oforjigha Dim CW and Dim UME

An Abnormal anatomical variation of any part of the body is a predictor of functional aberration of that part. Congenital talipes equinovarus imposes some functional compromise on the foot, resulting ... Read more

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Research Article | 10.36959/453/594 Volume 5 Issue 2

Study of Miniature Plate Internal Fixation in Treatment of Patella Fracture

Authors: Kai Sun, MD and Meng Fan, PhD

To investigate effect of miniature plate internal fixation in the treatment of patella fracture. From January 2019 to January 2020, 11 patients with patella fracture were treated with miniature plate ... Read more

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Mini Review | 10.36959/453/593 Volume 5 Issue 2

A Simple Intraoperative Technique to Help Prevent Malreduction of the Syndesmosis during Ankle Fracture Fixation

Authors: Rory Morrison, FRCS, Rajesh Kakwani, FRCS and Aradhyula Murty, FRCS

Malreduction of the syndesmosis during fixation of ankle fractures is often missed on radiographs, and is reported in over 50% of cases when confirmed with CT scans... Read more

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Case Reports | 10.36959/453/592 Volume 5 Issue 2

Hybrid Fixation of Failed Internally Fixed Distal Femoral Fracture with an Extramedullary Locking Plate and an Intramedullary Cortical Strut Allograft Construct- A Case Report

Authors: Vatsal Khetan and Narendra Garneti

Osteoporotic bone fractures present a surgical challenge for fixation and are associated with significant morbidity. We present a case of failed internal fixation of fracture shaft femur in a 74-year-... Read more

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Case Reports | 10.36959/453/591 Volume 5 Issue 2

Paradoxical Presentation of a Calcaneonavicular Tarsal Coalition

Authors: Sundeep Kahlon, Nathan A Chaclas and Mark A Seeley MD

Tarsal Coalition is a musculoskeletal deformity of the lower limb with a progression that is often asymptomatic until ossification of the calcaneoavicular coalition in the second decade. We report a n... Read more

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Case Series | 10.36959/453/590 Volume 5 Issue 1

Functional Results of the Management of Carpometacarpal Dislocations of the Long Fingers: A Series of 11 Cases

Authors: Zengui ZF, El Adaoui O, Adnane O, El Andaloussi Y, Bennouna D, Haddoun AR and Fadili M

Dislocations of the carpometacarpal joint of the fingers are infrequent, accounting for less than 1% of all injuries of the hand. We reported the functional results of 11 cases of CMC dislocations, pr... Read more

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Letter to the Editor | 10.36959/453/589 Volume 5 Issue 1

Upright Walking Increases Stimulation of the Nervous System

Authors: Jarl Flensmark

During walking optimal stimulation of the nervous system depends on how upright we walk. When we use heeled footwear it makes us lean somewhat more forward and then we lose an amount of stimulation. I... Read more

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Case Presentation | 10.36959/453/588 Volume 5 Issue 1

Percutaneous Femoral Derotation Osteotomy - Description of a Novel Technique Using Computer Navigation, Intramedullary Saw and Cephalomedullary Nail

Authors: Wyatt D Vander Voort, MD, Patrick M Wise, MD and Gavin Pereira, MBBS, FRCS (Eng)

Developmental Dysplasia of the Hip (DDH) is known to cause Excessive Proximal Femoral Torsion (EPFT). EPFT can be treated with a Proximal Femoral Derotation Osteotomy (PFDRO) with good success, which ... Read more

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Review Article | 10.36959/453/587 Volume 5 Issue 1

A Simple Technique to Facilitate Distal Locking Screws Placement in Intramedullary Nailing

Authors: Pratya Jaratjitwilai, MD, Yodsawee Pornmeechai, MD and Vajara Phiphobmongkol, MD

Distal locking screws placement in Intramedullary nail fixation for treatment of long bone fracture is important step and sometimes lead to increase operative time and radiologic exposure. We propose ... Read more

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Research Article | 10.36959/453/586 Volume 5 Issue 1

Arthroscopic Transtibial Pull-Out Suture Repair of Posterior Medial Meniscus Root Tears-Surgical Technique

Authors: Ahmad M Wagih MD, MRCS, FEOB

Understanding of the meniscal root importance to normal meniscus function has evolved in the last decade, resulting in a better ability to identify and manage this unique type of meniscal injury. Curr... Read more

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Research Article | 10.36959/453/585 Volume 5 Issue 1

Assessment of Clinical and Functional Outcomes of Treating Clinically Diagnosed Plica Syndrome in a Pediatric Population

Authors: J Alex Holbert, MD, Bradley Garcia, S Elliott Holbert, DO, Benjamin B Wheatley, PhD and Mark Seeley, MD

Knee pain is one of the most common complaints in pediatric clinics, accounting for nearly one third of visits. Plica syndrome is one cause of pediatric knee pain that typically results from a traumat... Read more

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Case Report | 10.36959/453/584 Volume 5 Issue 1

Decompression of Thoracic Ossified Ligamentum Flavum with Floating Technique, Intraoperative Neurophysiological Monitoring and 3D Fluoroscopic Navigation

Authors: Hoi Tung Lam and Kam Keung Lai

Ossification of ligamentum flavum (OLF) is a rare condition. A 62-year-old gentleman, with cord compression by thoracic OLF, was treated with laminectomy. In this paper, an unusual case of thoracic OL... Read more

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Review Article | 10.36959/453/583 Volume 5 Issue 1

Transfibular Approach to Hindfoot Arthrodesis Using an Acetabular Reamer: A Technique Tip

Authors: Sandeep Krishan Nayar, BSc (Hons) MBBS MRCS MSc (Dist) and Krishna Vemulapalli, FRCS (Tr&Orth)

The transfibular approach is commonly used for hindfoot arthrodesis. Fibula osteotomy with a saw blade and subsequent bone graft preparation can be time-consuming and prolong tourniquet time as well a... Read more

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Case Reports | 10.36959/453/582 Volume 4 Issue 2

Arthroscopically-Assisted Technique for Anatomic Reconstruction of Chronic Acromio-Clavicular Joint Dislocations Using an Autologous Graft with AC Joint Augmentation Using Acromial Tunnels - Short Term Results

Authors: André Miguel Carvalho, Nuno Reais, António Mendes and Manuel Mendonça

AC joint dislocation is a common lesion after a direct impact to the lateral shoulder or a fall over an outstretched arm. There are countless techniques available for the treatment of this type of les... Read more

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Case Reports | 10.36959/453/581 Volume 4 Issue 2

Acute Arterial Iliac-Femoral Thrombosis During Doble Lumbar Approach for Degenerative Spondylolisthesis

Authors: Martín M Estefan, Matias Pereira Duarte, Gaston Camino Willhuber, Gonzalo Kido, Matías G Petracchi, Marcelo Gruenberg and Carlos A Sola

Vascular complications during anterior lumbar approach are well known, however arterial thrombosis is extremely rare. We report a case of an acute left external iliac artery and common femoral artery ... Read more

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Original Article | 10.36959/453/580 Volume 4 Issue 2

Simultaneous Bilateral Versus Staged Bilateral Total Knee Arthroplasty: Risks and Benefits

Authors: Tarek A Saad, Mohamed Mostafa and Molham M Mohammad

Randomized single-blinded controlled clinical trial. Patients and methods: This study was carried out on 40 patients diagnosed with end-stage osteoarthritis and underwent TKA. Patients are randomly al... Read more

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Original Article | 10.36959/453/579 Volume 4 Issue 2

Different Methods of Treatment of Distal Radius Fracture Including External Fixator with Kirschner Wires Augmentation and Internal Fixation

Authors: Ahmed Samir Barakat, Ahmed Hamdi Ali, Abdulla M Ahmed and Tarek A Saad

Distal radius fractures represent approximately one-sixth of all fractures presenting in the emergency room. Different fixation options have been described. This study compared two methods for displac... Read more

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Review Article | 10.36959/453/578 Volume 4 Issue 2

Decompression at the Suprascapular Notch: Arthroscopic Landmarks and Surgical Technique

Authors: Kai Sun, MD and Yijin Li, MD

Three patients with SLAP injury and suprascapular nerve entrapment syndrome were treated from January 2017 to January 2018. There were 2 males and 1 female, aged from 28 to 33 years. All patients unde... Read more

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Case Report | 10.36959/453/577 Volume 4 Issue 2

A Failure Case of Double Button Plate Fixation for Treatment of Nonunion of Patella Fracture

Authors: Kai Sun, MD and Meng Fan, PhD

To investigate effect of double button plate fixation in the treatment of nonunion of patella fracture. One patient with nonunion of patella fracture was treated with double button plate fixation. The... Read more

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Case Report | 10.36959/453/576 Volume 4 Issue 2

What Should Be the Surgical Position Choice in A Patient Having Proximal Humeral Fracture with Developed Hypotension?

Authors: Harun Altinayak, PhD, MD and Selin Erel, PhD, MD

Proximal humerus fractures with increasing prevalence in the geriatric age group are treated in a wide range from nonoperative treatment to arthroplasty and the treatment issue is still controversial.... Read more

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Review Article | 10.36959/453/575 Volume 4 Issue 2

Possible Technical Advantages of Single-Portal Knee Arthroscopy

Authors: Pallavi Juneja, MD and John Hubbard, MD

In knee arthroscopy, two portals were traditionally used to perform surgery. In the last decade, the novel technique of single-portal knee arthroscopy has been investigated with promising results. Thi... Read more

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Research Article | 10.36959/453/574 Volume 4 Issue 2

Analysis of the Advantages of Wiltse Approach Ligamentotaxis Method for Thoracolumbar Fractures

Authors: Baixing Wei, Taipu Liu, Hongfei Li, Xipeng Chen and Han Wu

The Wiltse approach ligamentotaxis (WALT) is a combination of paravertebral muscle natural gap access and posterior longitudinal ligament tension, which can achieve good fracture repositioning and ind... Read more

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Research Article | 10.36959/453/573 Volume 4 Issue 2

Short Term Outcome in Operative Management of Posterior Wall and or Posterior Column Fractures of Acetabulum

Authors: Dr Jawed Bhat A, Dr Arshad Shraf A and Dr Shabir Dhar

Displaced posterior wall fractures and or posterior column fractures are not infrequent injuries of acetabulum and stable fixation are the goals of operative management when indicated, outcome of surg... Read more

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Case Report | 10.36959/453/572 Volume 4 Issue 2

Sacral Chordoma: A Case Report

Authors: Solángel Rodríguez M, MD and Carlos S Montero S, MD

Sacral chordoma is a tumor that corresponds to 1 to 4% of all malignant bone tumors in the axial skeleton; It consists of a silent and slow-growing mass that requires radical treatment due to its high... Read more

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Case Series | 10.36959/453/570 Volume 4 Issue 2

JJ Maneuver: A Novel Single Operator Dependent Technique for Posterior Hip Reduction

Authors: Ocampo Alfonso, BS, Sheppard William L, MD, Hwang Richard, MD, Hamad Christopher D, BS, Johnson Eric E, MD and Jeffcoat Devon M, MD

Hip dislocations can occur through various mechanisms. Although native hip dislocations are uncommon, increasing rates of total hip arthroplasty has translated to prosthetic hip dislocations being enc... Read more

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Research Article | 10.36959/453/571 Volume 4 Issue 2

Analyzing the Progress and Prevalence of Schedule II Opioid Prescription to Orthopedic Patients

Authors: Ahmed Nahian, BS/DO(c), Julieanne Sees P, DO, FAAOS, FAOA, FAOAO and Rakesh Singh, PhD

In 2010, the Ambulatory Care Drug Database System (ACDD) reported that acetaminophen with hydrocodone topped the list of the three most prescribed medications across 49% of orthopedic facilities. Desp... Read more

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Case Report | 10.36959/453/569 Volume 4 Issue 1

A New Technique Combining Open-Wedge High Tibial Osteotomy and Medial Meniscus Reconstruction Using the Semitendinosus Tendon

Authors: Goki Kamei MD, PhD, Masakazu Ishikawa MD, PhD, Kyohei Nakata MD, Akinori Nekomoto MD, Atsuo Nakamae MD, PhD and Nobuo Adachi MD, PhD

Open-wedge high tibial osteotomy (OWHTO) is an established surgical treatment for medial osteoarthritis of the knee. There is a tendency in recent years that the optimal postoperative alignment is les... Read more

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Case Report | 10.36959/453/568 Volume 4 Issue 1

A Proposed Method to Quantify the Effect of Head and Shoulder Position on Kyphotic Deforming Forces before and after Spine Surgery

Authors: Daniel Bonthius, Richard Gross, Yongren Wu and Hai Yao

While sagittal balance of the spine is examined regularly before and after surgery for kyphotic spinal deformity, current radiographic measurement techniques limit assessment of sagittal balance to th... Read more

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Case Series | 10.36959/453/567 Volume 4 Issue 1

Posteromedial Approach to Fix Posterior Cruciate Ligament Tibial Avulsion: A Backup Fixation and Case Series

Authors: Elhadi Babikir, MBBS, CABMS, Mohd AlKhayarin, FRCSC, FRCSI, Waleed Asad, MD and Ahmed Khalil Attia, MD

Tibial avulsion fractures of PCL are common; however, the choice between open reduction internal fixation (ORIF) and arthroscopic repair of acute fractures remains controversial. We assessed the effic... Read more

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Research Article | 10.36959/453/566 Volume 4 Issue 1

A Simple Technique to Remove Well Fixed Porous Cementless Acetabular Component in Revision Total Hip Arthroplasty

Authors: Naren Garneti, MRCS, MSc (Tr), MCh (Orth), FRCS (Tr & Orth)

Removing well-fixed porous cementless acetabular components in revision Total Hip arthroplasty can be a surgical challenge for Orthopaedic surgeons. Forceful removal can result in loss of bone stock. ... Read more

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Case Report | 10.36959/453/565 Volume 4 Issue 1

Robotic Arm Assisted Total Knee Arthroplasty in Patients with Flexible versus Fixed Deformities

Authors: Tarek A Taha, MD, PhD

A total knee arthroplasty aims to achieve a stable, well aligned, and balanced knee through range of motion. Arthritic knees with rigid alignment can be challenging to balance reliably by both measure... Read more

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Case Report | 10.36959/453/564 Volume 4 Issue 1

Pediatric Olecranon Open Reduction and Internal Fixation Utilizing Arthrex Fibertape Cerclage Suture Technique: A Case Report

Authors: Wesley Miaw, James Kim, Chandler Noordhoff and Chris Miller, MD

The elbow is a hinge-type synovial joint made up of three major bones in the arm: The humerus, radius, and ulna. The olecranon process lives on the proximal end of the ulnar bone and articulates with ... Read more

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Research Article | 10.36959/453/563 Volume 4 Issue 1

Arthroplasty of the Distal Interphalangeal Joint: A Review of Currently Available Surgical Approaches, Implants and Complications

Authors: Evelyn Hui Yi Chan, Wing Yuk Ip, Yuk Fai Lui and Vernice Hui Yan Chan

Arthroplasty of the distal interphalangeal joint (DIPJ) of the hand is an uncommonly performed and insufficiently researched procedure used to treat painful DIPJ arthritis. This review article investi... Read more

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Commentary | 10.36959/453/560 Volume 4 Issue 1

A Technical Tip: Surgical Exposure of Proximal Tibia in Total Knee Replacement Arthroplasty Using a Pin to Retract Patellar Tendon

Authors: Kheradmand Behfar and Wilkinson, MCP

The tibial cut in knee arthroplasty requires adequate exposure of the proximal tibia while protecting the surrounding structures. The medial, lateral and posterior structures are usually protected wit... Read more

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Review Article | 10.36959/453/559 Volume 4 Issue 1

Intra-Medullary Screw Fixation Comprehensive Technique Guide for Metacarpal and Phalanx Fractures: Pearls, and Pitfalls

Authors: John Chao, MD, Anup Patel, MD, MBA and Ajul Shah, MD

Phalangeal and metacarpal fractures are the second and third most common upper extremity fractures after distal radius fractures with varying methods of fixation techniques. Intramedullary screw fixat... Read more

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Research Article | 10.36959/453/562 Volume 4 Issue 1

Outcomes of Extended Trochanteric Osteotomy in Revision Total Hip Arthroplasty for Periprosthetic Joint Infection: A Systematic Review

Authors: Madeleine Salesky, BA, David N Shau, MD and Jeffrey Barry, MD

Extended trochanteric osteotomy (ETO) is a technique to remove well-fixed femoral stems in revision total hip arthroplasty (THA). ETO is commonly utilized in the setting of chronic periprosthetic join... Read more

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Case Series | 10.36959/453/561 Volume 4 Issue 1

Safety of Intraoperative Neurophysiological Monitoring during Indirect Decompression in Lumbar Spinal Surgery - Descriptive Report

Authors: Diego Armando Devia Manosalva, Aura Lucía Guarnizo Tovar, Miguel Leonardo León Méndez, Maria Ximena Rojas Quiñones, Valentina Osejo Arcos, Miguel Enrique Berbeo Calderón and Roberto Carlos Díaz Orduz

Degenerative disease of the lumbar spine often compromises the life quality of patients. In recent decades, surgical procedures on the lumbar spine have been oriented to reduce risks, costs, and perio... Read more

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Case Report | 10.36959/453/558 Volume 4 Issue 1

Reconstruction of the Medical Collateral Ligament with Degradable, Elastic Internal Bracing

Authors: Daniel L Rodkey, MD, Boddy G Yow, MD and Brandon J Bryant, MD

The medical collateral ligament (MCL) is the most commonly injured knee ligament and has a large capacity for healing. The majority of isolated MCL injuries may be treated conservatively due to its ca... Read more

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Research Article | 10.36959/453/557 Volume 4 Issue 1

Functional Prosthetic Spacer Surgical Technique for Definitive Management of Hip Periprosthetic Joint Infection

Authors: Jordan R Bonier, DO, MS, Ahmed Siddiqi, DO, MBA, Ronald E Delanois, MD and James Nace, DO, FAOAO, MPT

Periprosthetic joint infection (PJI) of the hip has been treated with two-stage revision arthroplasty with success. Concerns with this treatment approach include significant morbidity, cost, and funct... Read more

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Detailed Surgical Tips and Tricks | 10.36959/453/556 Volume 4 Issue 1

The Eeklo Modified Subvastus Approach for Total Knee Arthroplasty: Detailed Surgical Tips and Tricks

Authors: Ignace Ghijselings, MD, Hans Van den Wyngaert, MD, Demurie Alex, MD, Stefaan Van Onsem, MD, PhD and Hendrik P. Delport, MD, PhD

This paper describes step by step a modified Far Medial Subvastus approach-the Eeklo Modified Subvastus approach (EMS)-for Total Knee Arthroplasty (TKA). The EMS approach is a modification of the clas... Read more

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Research Article | 10.36959/453/552 Volume 4 Issue 1

Growth Factors in the Blood Serum of Patients with Infection Complications of Polytrauma

Authors: Luneva SN, Klyushin NM, Dolganova TI, Matveeva EL and Leonchuk DS

Molecular aspects of organism functioning in ostemyelitis have not received an in-depth study. Therefore, the purpose of the work is to study the content of angiogenic factors in the blood serum in th... Read more

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Short Communication | 10.36959/453/555 Volume 4 Issue 1

The TAL Suction Retractor: A Simple Technique for Visualising the Transverse Acetabular Ligament (TAL) During Total Hip Replacement (THR) Surgery

Authors: Murphy Ben, MB BCh BAO, MCh, MRCSI, Pollock Roisin, MB BCh BAO, Ramchurn Sumant, MD and Hurson Conor, MB BCh BAO, AFRCSI, MCh, FRCSI

Having highlighted the importance of directly visualising the TAL to aid with orientation of the acetabular component in THR, we now describe a very simple technique for maintaining visualisation duri... Read more

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Case Report | 10.36959/453/554 Volume 4 Issue 1

Treatment of End-Stage Osteoarthritis and Concurrent Bony Metastasis to the Distal Femoral Metaphysis with a Modified Total Knee Arthroplasty: A Case Report & Review of the Literature

Authors: Griffin Rechter and Stephen Brotherton, MD

We present a patient with end-stage degenerative osteoarthritis and concurrent osseous metastasis to the distal femoral metaphysis successfully treated with a modified total knee arthroplasty. Improve... Read more

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Mini Review | 10.36959/453/553 Volume 4 Issue 1

A Novel Technique for Administering Hamstring Donor-Site Analgesia during Anterior Cruciate Ligament Reconstruction

Authors: Douglas J Matthews, FRCS and Gil Railton, FRCS

A sterile packed anaesthetic bougie (Cook Medical LLC, Bloomington, USA) (Figure 1) is opened and kept sterile. The proximal end is cut toaccomodate a 20 ml Luer slip-type syringe containing 0.25% Chi... Read more

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Case Report | 10.36959/453/551 Volume 3 Issue 2

Fastest Recovery Time in Pediatric Tibial Tubercle Avulsion Fracture Repair Using SpeedBridge Double-Row Technique: A Case Report

Authors: Noah Embry and Chris Miller, MD

A 13-year-old boy presented with right knee pain and severe swelling following an injury during a basketball game a week prior. The injury was described by the patient as "knee to knee" contact with a... Read more

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Research Article | 10.36959/453/550 Volume 3 Issue 2

Impact of COVID-19 on Pediatric and Adult Orthopaedics

Authors: Daniel S Hayes, BS, S Elliott Holbert, BS, J Alexander Holbert, MD, Mark A Seeley, MD and Michael Suk, MD, FACS

Social practices, hospital guidelines, and government regulations in response to COVID-19 have influenced orthopaedic practice volumes. The widespread cessation of non-essential surgeries has greatly ... Read more

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Case Presentation and Surgical Technique | 10.36959/453/548 Volume 3 Issue 2

Surgical Hip Dislocation for the Treatment of Slipped Upper Femoral Epiphysis Demonstration of Surgical Technique

Authors: Saeed Al-Naser, MD, Anas Jawad AR Altamimi, MD, Monther A Gharaibeh, MD and Mohammad Abu Rumman, MD

Surgical hip dislocation for treatment of hip intra-articular pathology has been popularized by the Bernese group over the last few years. This approach provides excellent and safe exposure of the hip... Read more

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Case Report | 10.36959/453/547 Volume 3 Issue 2

Pelvic Osteosarcoma: Resection and Reconstruction Using A Customised Plate

Authors: Mohamed Ali Khalifa, Zeineb Alaya, Lassaad Hassini, Mehdi Jedidi, Adnen Siala, Walid Osman, Karim Bouattour

Primitive bone tumours of the pelvis represent a considerable challenge for carcinologic surgeons. Resections made in the acetabular zone could disrupt the continuity of the pelvic ring. The morbidity... Read more

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Case Report | 10.36959/453/546 Volume 3 Issue 2

Sarcomas Associated with Metal Implants in Orthopedic Surgery and Traumatology. A Report of 3 Cases in 2 Patients

Authors: Israel Rubio-Saez, Luis Rodrigo Merino-Rueda, Javier Alonso-Sanz, Carmen Iglesias-Urraca, Manuel Peleteiro-Pensado, Jose Juan Pozo-Kreilinger and Eduardo Jose Ortiz-Cruz

We presented 3 cases of sarcomas associated with metal implants in 2 patients around metal implants with a previous history of chronic inflammation due to initial high energy trauma, several surgical ... Read more

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Research Article | 10.36959/453/545 Volume 3 Issue 2

Multiple Elastic Retrograde Intramedullary Nailing for Adult Humeral Diaphyseal Fractures

Authors: Yogesh S Salphale, D Ortho, MS, DSc, LLB and Wasudeo Gadegone, MS, MNAMS

The medial epicondyle is palpated and a small incision is then made over it for the passage of nail after abducting the limb. The incision is extended and care is taken to protect the ulnar nerve by p... Read more

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Retrospective Study | 10.36959/453/544 Volume 3 Issue 2

The Effect of Multilevel Surgery on the Gait Pattern of Children with Hereditary Spastic Paraplegia, are there Differences in Outcome Compared to Those with Bilateral Spastic Cerebral Palsy?

Authors: Sandra Prinsen, MD, Charlotte Buyck, PT, Nathalie de Beukelaer, PT, Lynn Bar On, PhD, Els Ortibus, MD, PhD, Kaat Desloovere, MD, PhD, and Anja Van Campenhout, MD, PhD

Hereditary spastic paraplegia (HSP) is a group of neurodegenerative genetic disorders with clinical similarity to spastic diplegic Cerebral Palsy (CP). Multilevel surgery (MLS) is frequently used to t... Read more

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Case Report | 10.36959/453/543 Volume 3 Issue 2

Possible Migration of an Antecubital Entry Sewing Needle to the Axillary Region: Case Report

Authors: Mehmet Burtac EREN

Many foreign body penetrations can occur in the limb. Common puncture injuries to the upper extremity involve items such as glass, metal, and wood splinters, plant thorns, and fish spines. We report o... Read more

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Research Article | 10.36959/453/542 Volume 3 Issue 2

Assessment of the Relationship between Hamstring Tightness and Pelvic Tilt in Cerebral Palsy: Are We Overdoing Hamstring Releases in Children with Spastic Bilateral CP, GMFCS Level I-III?

Authors: Mohamed Tageldeen Mohamed, MD, Salmeen Awad Salmeen Bahassan, MSc, Nader M. Diab, MD and Ahmed Samir Barakat, MD

The principle that all diplegic CP patients need hamstring release is controversial as this may further aggravate gait with apparent hamstring tightness. In 50 consecutive ambulating purely spastic di... Read more

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Case Report | 10.36959/453/541 Volume 3 Issue 2

Small Diameter Cement Injection: A New Cementation Technique

Authors: Youssef M Khalafallah, Leesa ktytor and Felasfa M Wodajo, MD

Cementation is a very common practice in orthopaedic surgery. It is one of the few steps in orthopaedic surgery that is very time sensitive. Standard cement guns can access and easily fill long segmen... Read more

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Research Article | 10.36959/453/540 Volume 3 Issue 2

Femoroacetabular Impingement and Abnormal Femoral Version-Treatment with Arthroscopy and Derotational Osteotomy

Authors: David J Kirby, MD, Daniel B Buchalte, MD, Craig M Capeci, MD and Thomas Youm, MD

Femoroacetabular impingement (FAI) leads to chondral defects and labral degeneration of the hip joint which present initially with pain and functional limitation, eventually progressing to osteoarthri... Read more

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Research Article | 10.36959/453/539 Volume 3 Issue 2

Tibial Sesamoid Graft as a Treatment for Chronic Unstable Proximal Interphalangeal Joint Fracture Dislocation, a New Surgical Technique

Authors: Oussama MANSOUR, Ali HELLANI, Mohamad K MOUSSA, Houssein ZREIK, Yousif ZAAROUR and Hassan NAJDI

This article reports a new surgical technique applied to treat a patient with chronic comminuted intra-articular volar middle phalanx base fracture of the 3rd finger. This technique uses the tibial se... Read more

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Research Article | 10.36959/453/538 Volume 3 Issue 2

Cement Debonding: Is it a Problem with Antibiotic Cement Coated Nails?

Authors: Somasekhara Reddy Nallamilli, MS, MCh, Rajyalakshmi N Reddy, MS and Mohan Krishna Althuri

It is a common practice to use antibiotic impregnated cement coated intramedullary nails, Rush pins and other metal rods to treat infection in the medullary canal which may be secondary to open injuri... Read more

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Case Report | 10.36959/453/537 Volume 3 Issue 2

Preparation of Eight Strands Hamstring Tendon Graft for Anterior Cruciate Ligament Reconstruction Regardless Fixation Methods: Technical Note

Authors: Emad Mureed Shohdy

Anterior cruciate ligament reconstruction is one of the most commonly performed procedures in orthopedics. There are several reconstruction graft choices that can be used to reconstruct the anterior c... Read more

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Review Article | 10.36959/453/534 Volume 3 Issue 1

Graft Tunnel Mismatch in Anterior Cruciate Ligament Reconstruction with Bone-Patellar Tendon-Bone Grafts

Authors: Joshua R Eskew, MD, Daniel Miles, MD, Franky Davis, MD and Jeremy Bruce, MD

Anterior cruciate ligament (ACL) reconstruction with bone-patellar tendon-bone (BTB) autograft is a very common surgical procedure for patients with ACL deficient knees; however, itcan be a technicall... Read more

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Case Report | 10.36959/453/536 Volume 3 Issue 2

Management of Chondroblastoma of the Femoral Head by Controlled Hip Dislocation Technique and Use of Allograft: Case Report

Authors: Carlos A Sanchez, Pablo J Coronel, Francisco B Linares, Juan C Taborda and O Messa Botero

Epiphyseal Chondroblastoma (EC) is known to be a very rare tumor with highly aggressive local capacity despite its benign nature. We report a case of a female patient treated for long lasting right hi... Read more

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Case Report | 10.36959/453/535 Volume 3 Issue 1

Cure a Head-Ache: Cement Gun Technique

Authors: G Green, I Afzal and S Radha

Assembly of dual mobility heads in revision hip replacement surgery can be fraught with anxiety. Conventional manufacturer jigs are fiddly to use, and often only one is present in the hospital at any ... Read more

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Case Report | 10.36959/453/533 Volume 3 Issue 1

Salvage Procedure Salvaged by External Fixation: A Case Report

Authors: Ingrid Tuzi, Nader Chahidi and Konstantinos Drossos

The one-bone forearm is a salvage procedure that can be used in chronic distal radio-ulnar joint instability, therefore sacrificing pronation-supination in order to reduce pain. Failed consolidation i... Read more

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Research Article | 10.36959/453/532 Volume 3 Issue 1

Intraoperative Fluoroscopy Improves Recreation of Femoral Offset but not Leg Lengths during Direct Anterior Total Hip Arthroplasty

Authors: Evan J Smith, MD, George Ibrahim, MD, Ryan D Scully, MD, Gautam Siram, MD, Anthony S Unger, MD and J Stuart Melvin, MD

Postoperative leg length discrepancy (LLD) and increased femoral offset (FO) after total hip arthroplasty (THA) are frequently cited reasons for decreased patient satisfaction and litigation. Minimizi... Read more

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Original Article | 10.36959/453/531 Volume 3 Issue 1

Pyrocarbon Arthroplasty: An Innovative Alternative for Advanced Post-Traumatic Hamatometacarpal Arthritis

Authors: Quentin Baumann, Céline Klein, Emmanuel David, Nicolas Lebeau and Mirdad Moughabghab

Post-traumatic arthritis of the hamatometacarpal complex (HMC) is a very rare disease and it occurs as an early secondary effect to undiagnosed or non-well treated fractures or fracture/dislocations o... Read more

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Research Article | 10.36959/453/530 Volume 3 Issue 1

What is the Ideal Neurosurgical or Orthopedic Specialty Hospital?

Authors: Sukhbir Singh, MD and John M Abrahams, MD

Specialty Hospitals provide a new element to any community they are centered in. A literature review was conducted to purpose what the most ideal speciality hospital would be. The goal of this literat... Read more

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Case Report | 10.36959/453/528 Volume 3 Issue 1

Bilateral Ischiofemoral Impingement - Case Report and Surgical Technique of Endoscopic Treatment with Lesser Trochanter Partial Resection

Authors: Nuno Reais, Francisco Alpoim, Manuel Padin, Ricardo Frada, Jorge Cruz de Melo and Fernando Leal

Ischiofemoral impingement (IFI) is a rare cause of hip pain. In this pathology there is a space conflict between ischial tuberosity and lesser trochanter, with damage to quadratus femoris muscle, caus... Read more

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Research Article | 10.36959/453/526 Volume 3 Issue 1

Increased Spinal Lumbar Fusion with Combined Magnetic Field (CMF) Bone Growth Stimulation

Authors: Rami Elsabeh, Rae Stegall and John Abrahams

The aim of this study was to assess the efficacy of bone growth stimulation (BGS), specifically Combined Magnetic Field (CMF) stimulation, in the recovery of lumbar spinal fusion patients. Electrical ... Read more

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Case Report | 10.36959/453/525 Volume 2.2 Issue 2

Peroneus Herniation with Superficial Peroneal Nerve Compression in an Adolescent Female: Case Report with Overview and Management

Authors: Daniel Sylvestre, MS, Brittney Ehrlich, Max Cornell and Mark Seeley, MD

A 13-year-old female presents with years of left lateral leg pain and a palpable protrusion, numbness on the dorsum of the foot, and paresthesia elicited by dorsiflexion of the left ankle. A diagnosis... Read more

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Case Report | 10.36959/453/524 Volume 3 Issue 1

Surgical Treatment of Neurofibromatosis-1 with Anterior-Posterior Fusion and Concave Strut Graft for Dystrophic Kyphoscoliosis with Dislocation: A Case Report with 10-Year Follow Up

Authors: Jane Lee, BCom, LLB, Noriaki Kawakami, MD, DMSc, Ryoji Tauchi, MD, DMSc, Kazuki Kawakami, BKin and Tetsuya Ohara, MD

Although dystrophic Neurofibromatosis type-1 (NF-1) is associated with severe deformity, NF-1 with vertebral dislocation only is extremely rare. We present outcomes of a 10-year follow-up of a combine... Read more

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Original Article | 10.36959/453/523 Volume 2 Issue 1

Patellar Tendon Reconstruction Utilizing Autograft Hamstring: A Docking Technique for the Sports Medicine Surgeon

Authors: Brian M Leo, MD and Michael K Krill, MD, ATC

Patellar tendon ruptures are a relatively uncommon injury and account for roughly 3% of all injuries to the tendon ligament complex of the knee. Numerous techniques, grafts, augmentations and sutures ... Read more

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Case Report | 10.36959/453/522 Volume 2 Issue 1

Medial-Inguinal Approach: A Novelty in Hip Joint Replacement

Authors: Luca Lucente, Andrea Palmesi and Damiano Longo

We have developed a surgical process that allows for safe, easy and fast replacement of the hip that spares the hip stabilizer muscles completely. Throughout the operation, the surgeon can view the ac... Read more

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Case Report | 10.36959/453/521 Volume 2 Issue 1

Esophageal Erosion Caused by Screw Displacement 22 Years after Anterior Cervical Spine Surgery

Authors: Nicolas Barut, MD, Nathalie Chereau, MD and Hugues Pascal-Moussellard, MD, PhD

Esophageal injuries can occur many years after anterior cervical surgery. This case reports an esophageal perforation caused by screw migration 22 years after anterior cervical fusion for a C5-C6 tear... Read more

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Research Article | 10.36959/453/520 Volume 2 Issue 1

Negative Pressure Wound Therapy: An Asset When Treating Pediatric Osteoarticular Infection

Authors: Barbara Minkowitz, Jennifer R Ristic, Eileen Poletick, Robyn C Murphy and Elizabeth Baorto

Pediatric osteoarticular infection can lead to serious sequelae and permanent disability. The purpose of this study was to describe use of Negative Pressure Wound Therapy (NPWT) as an advantageous tre... Read more

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Research Article | 10.36959/453/519 Volume 1 Issue 2

Return to Sport after ACL Reconstruction Using Hamstring Tendon: Analyzing 51 Cases from Malta's Hospital in Dakar

Authors: Kinkpe CVA, Niane MM, Fonkoue L, Ouedraogo PF, Daffe M, Gueye AB, Traore MM and Ndoye GF

The anterior cruciate ligament (ACL) rupture is a frequent lesion in athletes. It is incompatible with the practice of high-level sport, especially pivot and contact-pivot ones. The purpose of the ACL... Read more

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Research Article | 10.36959/453/518 Volume 1 Issue 2

Minimally Invasive Plate Osteosynthesis (MIPO) for Treatment of Comminuted Mid-Distal Third Humeral Shaft Fractures through the Anterior Approach

Authors: Hatem SA Elgohary and Tamer A Mawla

This study was conducted to evaluate the results of management of comminuted fractures of the mid-distal third shaft of the humerus with indirect reduction and internal fixation with plate and screws ... Read more

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CASE REPORT | 10.36959/453/517 Volume 1 Issue 2

De Quervain Tenosynovitis in a 12-Year-Old Child: A Generation's Disease?

Authors: Aurélien Michel Traverso, Pauline Douek, Debora Schivo, Clémence Bruyère, Camillo Théo Müller and Swenn Maxence Krühenbühl

We reported a case of 12-years-old girl with isolated pain in of the left wrist. The problem had lasted for 5 weeks after a trauma, and was getting worse. Wrist X-ray was obtained, and no abnormalitie... Read more

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RESEARCH ARTICLE | 10.36959/453/516 Volume 1 Issue 2

Arthroscopic Anterior Cruciate Ligament (ACL) Reconstruction Using Hamstring Tendon at the Order of Malta's Hospital Center in Dakar

Authors: Kinkpe CVA, Niane MM, Ouedraogo NPF, Daffe M, Gueye AB, Traore MM and Ndoye GF

The Anterior Cruciate Ligament (ACL) rupture constitutes the main injury in modern sport. We have been interested in anarthroscopic reconstruction of the ACL using hamstring tendons. This is a prospec... Read more

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Case Report | 10.36959/453/515 Volume 1 Issue 1

Massive Patellar Tendon Ossification: Excision and Simultaneous Total Knee Replacement

Authors: Haroon Majeed and Donald J McBride

Tendon ossification has a multifactorial aetiology. We present a case of a massive ossification within the substance of patellar tendon. A 79-years-old male who had a previous history of patellar tend... Read more

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Research Article | 10.36959/453/514 Volume 1 Issue 1

Hip Arthroscopy Learning Curve and its Association with Early Postoperative Pain Scores

Authors: Jesus Doblas Gonzalez De Aledo, Roberto Seijas, Andrea Sallent, Oscar Ares, Pedro Alvarez, Carles Escalona Marfil and Wenceslao Espinosa

To describe the learning curve of hip arthroscopy based on postoperative pain scores. Hip arthroscopy is technically demanding and entails a learning curve. Postoperative pain as immediate postoperati... Read more

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ORIGINAL ARTICLE | 10.36959/453/513 Volume 1 Issue 1

Efficacy of Adjunctive Antibiotic-Loaded Acrylic Bone Cement for Deep Surgical Site Infection Prophylaxis after Primary Cemented Hip and Knee Arthroplasties

Authors: Fumio Sasazawa, Fumihiro Oha, Masahiro Kanayama, Daisuke Takahashi and Norimasa Iwasaki

The efficacy of antibiotic-loaded acrylic bone cements (ALBC) for prophylaxis of deep surgical site infections (deep SSIs) after primary cemented joint replacement surgery remains controversial. There... Read more

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Research Article | 10.36959/453/512 Volume 1 Issue 1

Is a Minimal Invasive Autologous Chondrocyte Implantation (ACI) in the Hip Possible? A Feasibility and Safety Study of Arthroscopic Treatment of Full Thickness Acetabular Cartilage Defects with an Injectable ACI

Authors: David R Krueger, Daniel Karczewski, Maximilian Ballhausen, Markus Geßlein, Michael Schuetz, Carsten Perka and Joerg H Schroeder

Injectable autologous chondrocyte implantation (ACI) offers a new method for the minimal invasive treatment of acetabular cartilage defects. The feasibility of the procedure has not been objectified y... Read more

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