Talus fractures often lead to late post-traumatic arthrosis. In such cases, the use of latest generation, cementless prostheses has been hindered by the presence of avascular necrosis. We report the case of a 65-year-old patient who presented four years after a talus neck fracture. He had painful ankle arthrosis (AOFAS ankle-hindfoot score 19) and avascular necrosis, with collapse of the entire...

OBJECTIVE To illustrate our experience and the difficulty faced in primary total hip replacement (THR) in Saudi patient population. METHODS We retrospectively reviewed our database between February 2002 to December 2007 for primary THR cases at King Abdul-Aziz University Hospital, Jeddah, Saudi Arabia and identified 58 hips (54 patients). Patients data were collected from patient's medical re...

OBJECTIVE To evaluate the efficacy and safety of medial open reduction using the Weinstein-Ponseti approach to treat developmental dysplasia of the hip (DDH). METHODS In this retrospective study, 35 hips were treated in 24 children (one boy and 23 girls, mean age 10.8+/-2.82 months, range 6-16 months) in the Department of Orthopedic Surgery, Medical Faculty, Harran University, Sanliurfa, Turk...

Controversy exists with regard to the effects of chevron osteotomy on blood supply and subsequent development of avascular necrosis (AVN) of the first metatarsal head. The aim of this study was to assess the incidence of avascular necrosis in our centre following chevron osteotomy for hallux valgus, using bone scintigraphy. Thirty nine patients who had a chevron osteotomy for treatment of hallu...

This study was conducted to identify the risk of avascular necrosis of the femoral head after arthroscopic femoroplasty extending to the posterolateral femoral neck, the source of the primary blood supply to the femoral head. Cam lesions of femoroacetabular impingement are typically anterior along the junction of the femoral head and neck. However, anatomic variations can involve the posterolat...

Introduction: Despite having a substantial impact on survivors' mobility and leading to morbidity, musculoskeletal involvement was the post-COVID-19 infection sequelae area that received least attention in literature. Reviewing COVID-19 histories of patients who visited tertiary health center, research is aimed at finding an association between avascular femoral head necrosis, condition brought...

We performed 96 Birmingham resurfacing arthroplasties of the hip in 71 consecutive patients with avascular necrosis of the femoral head. A modified neck-capsule-preserving approach was used which is described in detail. The University of California, Los Angeles outcome score, the radiological parameters and survival rates were assessed. The mean follow-up was for 5.4 years (4.0 to 8.1). All the...

Objective To analyze the effects of the acetabular fracture index (AFI) and other factors on the functional outcome of patients with acetabular fractures involving the posterior wall. Methods Forty-eight patients who underwent surgery in our department were reviewed. According to the AFI, which indicates the percentage of remaining intact posterior acetabular arc, the patients were divided into...

A broken guide wire while operating on hip is one of every surgeon's most dreaded nightmares. We report here a method which was used successfully to retrieve a broken guide wire from a patient who was being operated for core decompression and fibular grafting for avascular necrosis of the femoral head.

We have reviewed 54 hips in 46 patients from 2 to 14 years after a joint-preserving operation for idiopathic avascular necrosis of the femoral head. The choice between core decompression (17 hips), bone grafting (18), rotation osteotomy (15) or varus osteotomy (4) was determined by the stage and location of the area of necrosis. The overall success rate was unexpectedly low at 60%. Core decompr...