Background: Patients who undergo major orthopedic surgery are at risk of acute kidney injury (AKI) due to blood loss, electrolyte disorders, infection, and the presence of other co-morbidities. In this study, the frequency and risk factors of AKI were investigated. Objective & Methods: This study is a cross-sectional-analytical study with a sample size of 180 people. The studied population wer...

The appropriate evaluation of hand and upper extremity masses is an important aspect of the care of orthopedic patients. Although most of these masses are benign, the orthopedic surgeon must have a high index of suspicion when assessing them because early diagnosis and treatment of aggressive or malignant masses may have a great effect on patient outcomes. This article provides an overview of b...

BACKGROUND National and international evidence-based guidelines for hip and knee osteoarthritis recommend to start with (a combination of) conservative treatments, followed by surgical intervention if a patient does not respond sufficiently to conservative treatment options. Despite these recommendations, there are strong indications that conservative treatments are not optimally used in orthop...

background: increased costs and mortality associated with inappropriate blood transfusions have led to investigations about blood request and blood transfusion techniques. we investigated the transfusion status in patients who underwent orthopedic surgery in poursina hospital (rasht, iran) to optimizing blood usage and determine if a scheduled transfusion program for every orthopedic surgery co...

BACKGROUND Procedure time is a clinically important variable that is often analyzed when studying quality and efficiency. Norms for procedure length have not been reported from Medicare data sets, nor has the influence of patient and hospital characteristics on procedure time been estimated using Medicare data. METHODS The authors obtained Medicare claims on all patients aged 65-85 years who ...

Alkaptonuria (AKU) is a rare inborn metabolic disease characterized by accumulation of homogentisic acid (HGA). Excretion of HGA in urine causes darkening of urine and its deposition in connective tissues causes dark pigmentation (ochronosis), early degeneration of articular cartilage, weakening of the tendons, and subsequent rupture. In this case report, we present a rare case of a patient pre...

Abstract Background Orthopedic surgeries lead to moderate severe postoperative pain, treating which is a challenge the anesthesiologist. The present prospective, randomized study was carried out compare efficacy of pain relief between patient controlled epidural analgesia (PCEA) and conventional intermittent bolus (IBEA) \with very low concentration bupivacaine plus fentanyl in 60 ASA I II pati...

Adult orthopedic and orthodontic treatment requires a more circumspect sensibility in diagnosis, technology selection, reasons for treatment, and patient goals. Many adults present with asymmetries of the dental arches, the cranium, and the entire body. The use of the Advanced Lightwire Functional (ALF) appliance for adult orthopedic treatment will be shown. The appliance construction, applicat...

The management of polytrauma patients is clinically challenging and requires a multi-disciplinary team approach. The immediate and definitive operative care of fractures represents the optimal treatment for polytrauma patients with orthopedic injuries. Early orthopedic intervention in long bone fractures and pelvic ring injuries has been shown to decrease pulmonary complications, improve hemody...