Pain Management in Knee Arthroplasty: An Overview
Md Quamar Azam, Mir Sadat-Ali and Ahmed Bader
Article Type: Review Article | First Published: December 28, 2015
Perioperative pain management after knee arthroplasty has undergone a conceptual revolution in the last decade. Along with other exciting innovations, including minimally invasive techniques, computer-assisted procedures and a significant stride in tribology, understanding pain modulation and drug action at molecular level is recognized as the game changer in arthroplasty surgeries....
Anti-Rotational Plates with Intramedullary Nailing Stabilize Femoral Shaft Fracture Nonunion: A Biomechanical Study
Xianzhi Ma, Manyi Wang, Bosong Zhang, Zhendong Wang, Yunbang Lang and Xiaofeng Gong
Article Type: Research Article | First Published: December 28, 2015
Intramedullary nailing (IM) is the primary method for treating nonunion of femoral shaft fractures. However, with the advancement of IM technique and the increasing clinical indications, the incidence rate of femoral shaft fracture nonunion, according to the literature review, was 0.8-2%. Regarding its treatment, exchanging intramedullary nailing is considered as the golden standard treatment for femoral shaft fracture nonunion, with a cure rate of up to 70-100%....
Current Aspects of ABO-Incompatible Liver Transplantation
Naoki Kawagishi, Noriaki Ohuchi and Susumu Satomi
Article Type: Review Article | First Published: December 23, 2015
Liver transplantation is well recognized as treatment for patients with end-stage liver disease. Although the source of donors is limited, ABO blood type matched transplantation is commonly performed in deceased donor liver transplantation. On the other hand, where deceased donors are rarely available, a graft obtained from a family member of the recipient is mainly employed and thus ABO-incompatible (ABO-I) living donor liver transplantation (LDLT) becomes unavoidable. This review article descr...
Ranking and Rating Analyses of Barriers to Surgical Care for Children in Guatemala
Brian C Gulack, Shirin Heydari, Ligia Figueroa, Shannon Tew, Brad M Taicher, Sherry S Ross, David Boyd and Henry E Rice
Article Type: Original Article | First Published: November 20, 2015
Barriers to surgical care in low and middle-income countries (LMICs) remain poorly understood. This is particularly true of surgical care for children, where families are required to make complex decisions amidst multiple obstacles. Unmet surgical care contributes to at least 11% of the global burden of disease. For many disease processes in children, surgery is a cost-effective health intervention, as it results in a high degree of averted disability-adjusted life years (DALYs) with costs compa...
Vancomycin and Imipenem Release from Nails Covered with Antibiotic-Loaded Acrylic Cement
Jorge D Barla, Sancineto F Carlos, Luciano A Rossi, Gimenez I Maria, Visus M and Elizondo Cristina
Article Type: Research Article | First Published: November 17, 2015
There is a lack of information in the literature regarding pharmacokinetic properties of nails covered with antibiotic-loaded acrylic cement. The aim of this research work was to describe the release of vancomycin and imipenem from nails covered with ALAC over a period of 6 weeks. Furthermore, we analyzed if an increased nail diameter associated to a thicker ALAC coat could result in an increased antibiotic elution from the cement and if the combination of the two antibiotics in the same cement ...
Utilizing Patient Perspectives to Help Reduce Postoperative Readmission Rates
Vanessa Nomellini, Sarah E Tevis, Mary O'Leary, Maria Brenny-Fitzpatrick, Tamara LeCaire, Gregory D Kennedy, Emily R Winslow and Sharon M Weber
Article Type: Case Report | First Published: October 29, 2015
A total of 50 patients were enrolled in the study. There were no differences between the study patients and NSQIP patients in terms of age or gender, but there was a significant difference in ASA class (p < 0.01). The majority of patients had a scheduled follow up appointment, however 66% were readmitted before they were able to attend and 6% were readmitted from their postoperative clinic visit. When asked about suggestions to improve discharge planning, 50% were satisfied with the process. Amo...
The What, Where and Why of Orthopaedic Simulation
Article Type: Review Article | First Published: October 16, 2015
The collaboration between hospitals and industry has been underpinned for several years. The relationship between medical staff and health care providers is established especially in the pharmaceutical, medical products, surgical instruments and scanner. Today with the challenges in orthopaedics we need to create a bridge between orthopedist and professors in university to produce a new strategy of education using 3D simulation....
Time Required between Two Positioning Methods for Shoulder Arthroscopy. A Non-Randomized Controlled Study
Xavier Zwiebel, Anne-Marie Bedard, Alexandre Leclerc and Melissa Laflamme
Article Type: Research Article | First Published: August 27, 2015
Shoulder arthroscopy can be performed with the patient either in the lateral decubitus or the beach chair position. Since the advent of the beach chair position, orthopaedic surgeons have been debating which of those two positions is superior. Each one has its own advantages and disadvantages, whether for the ease of setup, the risks and complications, the intraoperative visualization or the joint accessibility....
The Management of GI bleeding after Gastric Bypass Surgery
Riley K Kitamura, Jane Lee and Lester Brian Katz
Article Type: Case Report | First Published: August 15, 2015
A 38 year-old female with a history of psoriatic arthritis on chronic NSAID use, and obesity underwent a RNYGB in 2010. In 2013, she presented to an outsidehospital with massive GI bleed, requiring multiple transfusions and ICU monitoring. Subsequently, she underwent both upper and lower endoscopy, angiography, capsule endoscopy, and exploratory laparotomy-however, the source of her bleed was ultimately never found and her symptoms resolved spontaneously....
A Surgical Procedure and Prognosis for Gallbladder Carcinoma According to the Extent of the Tumor Invasion-A Retrospective Case Series Study at a Japanese Hospital
Akitsugu Makino, Hiroshi Nakagomi, Atsushi Takano, Masahiro Maruyama, Kazunori Takahashi, Yuko Nakayama, Masayuki Inoue, Kazushige Furuya, Hidemitsu Sugai, Masao Hada, Yoshiaki Miyasaka and Toshio Oyama
Article Type: Case Series | First Published: August 14, 2015
Purpose: To analyze the prognostic effects of our selecting surgical procedures for gallbladder carcinoma based on the extent of tumor invasion. Methods: We reviewed 35 patients with gallbladder carcinoma who underwent the surgical treatment in our hospital. We divided the patients into three groups (8 with T1, 15 with T2, and 12 patients with T3) according to the pathological extent of the tumor invasion. Results: Although 8 patients with T1 group had been achieved curative operation (R0), 2 pa...
Left Renal Cell Carcinoma with a Tumor Thrombus in the Inferior Vena Cava: A Case Report
Changqin Jiang and Chaozhao Liang
Article Type: Case Report | First Published: July 30, 2015
A case of Left renal cell carcinoma with a tumor thrombus in the inferior vena cava in a 79-years-old woman is presented. Renal Cell Carcinoma (RCCs) is the most common malignancy of the kidney. Because of shorter right renal vein, the right renal cell carcinoma is more common, the cases of left renal cell carcinoma merging inferior vena cava cancer embolus were rare compared to those in the right. Here, we reported a case is with left renal cell carcinoma with a tumor thrombus in the inferior v...
Modified Vertico-Sagittal Osteotomy Technique
Renato de Toledo Breguez, Giovanni Gasperini and Jose Nazareno Gil
Article Type: Review Article | First Published: July 29, 2015
Among the techniques used to correct mandibular deformities, intraoral vertico-sagittal ramus osteotomy is indicated for small mandibular rotations and forward or backward movements. Although it is still little used by oral and maxillofacial surgeons, it presents advantages compared to intraoral vertical ramus osteotomy because of a greater contact between bone fragments, and in relation to sagittal split ramus osteotomy, it introduces a parallelism to the sagittal plane, thereby decreasing the ...