BACKGROUND Respiratory failure is a serious complication that can adversely affect the hospital course and survival of multiply injured patients. Some studies have suggested that delayed surgical stabilization of spine fractures may increase the incidence of respiratory complications. However, the authors of these studies analyzed small sets of patients and did not assess the independent effect...

Blunt chest wall trauma is a major cause of morbidity and mortality, especially in the presence of a flail chest where paradoxical inward movement of the flail segment in inspiration is found. Patients with a flail chest require aggressive pain control, pulmonary toilet, and often intubation and mechanical ventilation to establish an internal pneumatic stabilization of the flail segment. This m...

sepsis and septic shock are among mortality causes following major surgeries. the charlson co-morbidity index consists of 19 weighted categories related to chronic health which measures the burden of co-morbidity. the goal of this study was to determine the incidence of postoperative sepsis in patients underwent gynecological and gastrointestinal cancer surgeries and predictive role of charlson...

Abstract Background Intertrochanteric fractures are of elderly population and known for morbidity mortality. Early stabilization with minimal surgical trauma is important early mobilization to prevent recumbence-related complications. Methods This prospective study was conducted on 50 stable intertrochanteric that were managed by fixation a small two-hole dynamic hip screw –(DHS) side plate usi...

Despite numerous available treatment strategies, the management of complex proximal humeral fractures remains demanding. Impaired bone quality and considerable comorbidities pose special challenges in the growing aging population. Complications after operative treatment are frequent, in particular loss of reduction with varus malalignment and subsequent screw cutout. Locking plate fixation has ...

Penetrating scrotal trauma is an uncommon injury that is often secondary to civilian or combat violence. Much of the literature on the topic is from case reports, small retrospective series from civilian trauma centers, and reports from combat zones. In this manuscript, a case report involving self-inflicted penetrating scrotal trauma from our institution is presented. Following the case report...

Method 54 patients who underwent primary repair of Oesophageal perforation from June 2002 to May 2014 were retrospectively analyzed. Patients of all ages, both sexes and benign thoracic oesophageal perforation were included. Malignant oesophageal perforation, benign cervical and abdominal esophageal perforation cases were excluded from the study. Patients were admitted through emergency departm...

Despite advances in the treatment of many malignancies, a large number of cancer patients will require evaluation and possible surgical intervention for lesions that have metastasized or directly invaded the spinal column. The need for heightened awareness of and aggressive early intervention for spinal metastases is underscored by many studies that have reported a relationship between pretreat...

OBJECTIVE Atlantoaxial instability may result from various pathologic conditions and operative treatment may be required to correct the deformity, provide stability and prevent neurological deficits. We presented our clinic's experience using C1-C2 fusion with polyaxial screw and rod fixation for C1 and C2 instability for various reasons. METHODS AND MATERIAL Four patients with atlantoaxial i...

Glenohumeral joint instability is a common pathology encountered in the orthopaedic and sports medicine setting. A wide range of symptomatic shoulder instabilities exist ranging from subtle subluxations due to contributing congenital factors to dislocations as a result of a traumatic episode. Non-operative rehabilitation is utilized in patients diagnosed with shoulder instability to regain thei...