Journal of Orthopedic Surgery and Techniques

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Table of Content: Volume 7, Issue 1

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Review Article Pages 579-584

Predictive Factors for Length of Hospital Stay after Primary Total Hip Replacement in an Asian Joint Replacement Center

Authors: TM Chan, MBBS (HK), MRCS (Ed) and KK Lai, MBBS (HK), FHKCOS, FHKAM

Abstract: The continuously expanding aging population in Hong Kong is expected to have a tremendous increase in demand for joint replacement service in the coming 20 years. There are various existing overseas studies on prediction of length of stay (LOS) after total hip replacement (THR) on western demographics.

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Research Article Pages 572-578

Fluoroscopically Guided Aspiration of Bone Marrow from the Posterior Superior Iliac Spine: A Novel Technique

Authors: Anand Saluja, BA, Akshay Saluja, BA and Rajit Saluja, MD

Abstract: Concentrated bone marrow aspirate (cBMA) is widely used to enhance tissue and healing. Traditional aspiration techniques from the Posterior Superior Iliac Spine (PSIS) carry risks of penetration into the sciatic notch or perforation through the ilium, and they are typically performed with the patient in the prone position. This limits marrow flow and complicates patient repositioning to the supine position if the patient is under anesthesia and has to undergo a concurrent surgical repair procedure.

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Case Report Pages 570-571

A Case Report of Reverse Flow of SPBRA Free Flap

Authors: Li Fang and Joyce Tie Lin

Abstract: A 41-year-old, right handed male construction worker sustained a crush injury by a heavy metal structure to his left middle finger during his work, resulting in left middle finger crush injury. The pulp was not viable and was severely crushed. Bone was exposed, but the flexor and extensor tendon insertion were still intact, and 6 mm of nailbed was preserved. The estimated defect involved the entire pulp.

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Review Article Pages 564-569

Treating Geriatric Distal Femur Fracture with Nail Plate Combination - Early Clinical Outcomes

Authors: CHAN Tsz Kin, MBBS, LAU Janice Chi Kay, FHKAM, IP Ka Chun, FHKAM and SHEN Wan Yiu, FHKAM

Abstract: Distal femur fractures in geriatric patients present a complex clinical scenario due to osteoporosis and challenges with adherence to protected weight bearing protocols. The main objective of surgical intervention is to enable immediate full weight bearing to mitigate complications associated with immobilization. This study reports the early promising clinical outcomes in the treatment of five geriatric patients using a combination of retrograde femoral nail and lateral locking plate. All patients were allowed immediate full weight bearing after operation. At a mean follow up of 12.8 months, four out of the five patients maintained their ability to ambulate on level ground.

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