PURPOSE To determine whether a change in prophylactic antibiotic protocol for orthopaedic surgeries may reduce the frequency of Clostridium difficile-associated diarrhoeal infections. METHODS Records of 1331 patients who underwent trauma or elective surgeries involving implantation of metalwork were reviewed. 231 trauma and 394 elective patients who received intravenous cefuroxime-based antib...

Compartment syndrome is an urgent clinical entity characterised by an increase in the interstitial pressure within a closed osseofascial compartment. Although well recognised as a potential complication after orthopaedic trauma, it is very rarely presented after elective orthopaedic surgery and especially joint arthroplasty. In these rare cases a number of variables are associated with it (posi...

Authors A.H. Cardy1§, S. Barker2, D. Chesney3, L. Sharp4, N. Maffulli5, Z. Miedzybrodzka6 Author affiliations 1Department of Public Health, University of Aberdeen, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, Scotland; 2Department of Orthopaedic Surgery, Aberdeen University School of Medicine, Polwarth Building, Foresterhill, Aberdeen AB25 2ZD, Scotland; 3Freeman Hospital, Freeman Road, ...

Intra articular Coronal fracture of the femoral condyle (Hoffa) is rare-especially that of medial condyle. We report the case of a patient who had a bilateral Hoffa fracture of the medial condyles (type 33 - B3, Orthopaedic Trauma Association) occurred as a result of an accident at work (worker mover). Lesions were treated with the functional and orthopaedic approach. At follow- up of 8-month f...

Acute colonic pseudo-obstruction (Ogilvie's syndrome) is characterised by abdominal distension and massive colonic dilatation without any mechanical cause of obstruction. The pathogenesis remains unknown but likely involves imbalance between sympathetic and parasympathetic colon innervation. This syndrome is well known in orthopaedic surgery, as trauma and orthopaedic surgery have been reported...

Orthopaedic surgery must play a significant role in the development of sports medicine as a viable academic discipline. Potential areas in which orthopaedic surgery can specifically contribute to such an evolution are discussed. Particular areas include skeletal development, the role of athletics on skeletal growth and trauma response, the mechanics of specific sports and the predisposition of ...

Abstract Aim An increasing number of elderly patients require admission to Trauma & Orthopaedic units throughout Scotland with admissions often complex and lengthy. We aimed assess the current standard care within a west trauma unit against 2019 British Associations Standard Care (BOAST) - “The older or frail orthopaedic patient” devise multi-disciplinary quality improvement strategy. Metho...

Abstract Aim Non-injury related factors have been extensively studied in major trauma and shown to a significant impact on patient outcomes, with mental illness associated medication use proven negative effect bone health fracture healing. We report the epidemiological of COVID-19 pandemic Orthopaedic trauma, fractures, admissions our centre. Method collated data retrospectively from electronic...

Clostridial myonecrosis is most often seen in settings of trauma, surgery, malignancy, and other underlying immunocompromised conditions. Since 1953 cases of gas gangrene have been reported in orthopaedic patients including open fractures, closed fractures, and orthopaedic surgeries. We present a case of 55-year-old obese woman who developed rapidly progressive gas gangrene in her right leg acc...