An increasing number of orthopedic operations are being carried out in an older population in whom the prevalence of diabetes is dramatically increasing. People having surgery with diabetes and hyperglycemia are at increased risk of post-operative complications. The peri-operative risks have been well demonstrated for cardiac surgery and, more recently, for orthopedic surgery. This paper consid...

Purpose: To identify optimal orthopedic surgical intervention by comparing cases of bone metastasis in cancer of known and unknown primary origin at initial presentation. Methods: Twenty-two patients with bone metastasis who were referred to us between 2011 and 2014 were retrospectively assigned to two groups based on their initial presentation: the known primary origin (known) group and the un...

among the power drills ( electrical/ pneumatic/battery ) used in orthopedic surgery, battery drill has got several advantages. surgeons in low resource settings could not routinely use orthopedic battery drills (obd) due to the prohibitive cost of good drills or poor quality of other drills. “hardware” or engineering battery drill (hbd) is a viable alternative to obd. hbd is easy to procure, ru...

INTRODUCTION Foot deformities are frequent complications in Charcot-Marie-Tooth disease (CMT) patients, often requiring orthopedic surgery. However, there are no prospective, randomized studies on surgical management, and there is variation in the approaches among centers both within and between countries. METHODS In this study we assessed the frequency of foot deformities and surgery among p...

Keloid is a benign fibroproliferative tissue growth that exceeds the initial wound margins. It caused by disruption in healing phase with increased fibroblast activity and excess collagen deposition. usually develops after trauma. Orthopedic surgery inevitably causes trauma will lead to formation of keloids few patients. Keloids can cause cosmetic functional problems, thus interfere person's qu...

Perioperative bleeding may require blood transfusions, which are sometimes not without complications and risks, with the subsequent increase in health care costs. Among other prevention methods, treatment with tranexamic acid (ATX) has shown to be effective in reducing surgical blood loss, especially in the immediate postoperative period. In this regard, studies evaluating ATX in orthopedic sur...

With increasing recognition of the complications related to coagulopathies, it is of paramount importance for all orthopedic surgeons to possess a basic knowledge of common bleeding disorders. The evaluation of the coagulopathic patient requires a careful history, physical examination, and laboratory evaluation. Bleeding disorders commonly include quantitative and qualitative platelet and coagu...

With millions of surgical procedures being performed worldwide annually, clinicians, researchers, patients, and administrators increasingly pursue understanding factors, which affect and determine perioperative outcomes. The last decades have been associated with extensive research and subsequent increased number of publications in the field of perioperative outcomes in orthopaedic surgery. The...

A clinical trial may be defined as a ‘‘planned experiment’’ that involves patients, and it is designed to elucidate the most appropriate treatment of future patients with a given medical condition. The first step in designing a clinical trial is to select the best study type. The major types are the case report, the case series, case control studies, cohort study, and the most rigorous of all s...