International Archives of Orthopaedic Surgery is an international, open access, peer review journal focusing on the keen areas of surgery concerned with injuries and conditions that affect the musculoskeletal system. The journal publishes selective publications after a stringent peer review process scrutinized by editorial and review experts. The journal covers with most of the common orthopedic procedures such as musculoskeletal trauma, spine diseases, infections, tumors, sports injuries, degenerative diseases, and congenital disorders.
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Open Access DOI:10.23937/2643-4016/1710025
Mohamed Shaalan, MD, MRCS, Ashraf Dawood, MD, FRCS and William Gaine, MD, FRCS
Article Type: Case Report | First Published: February 06, 2021
An 83-year-old female sustained a right femoral interprosthetic fracture following a fall, She had a high BMI with a background history of ischaemic heart disease and type II diabetes. She was placed in a Thomas splint and underwent surgical fixation with a plate on the following trauma list. She was non-weight bearing for six weeks before partial weight bearing was commenced when callus appeared on X-ray. At six months good callus was evidenced and she was fully weight bearing. Interprosthetic ...
Open Access DOI:10.23937/2643-4016/1710024
Mohamed Shaalan, MD, Mohamed Monawar, MRCS and Satish Kutty, MD, FRCS
Article Type: Case Report | First Published: December 31, 2020
A 57-years-old gentleman left hand dominant working as a manual labourer in a factory fell from ladder on 16/12/2017, on initial assessment (Full ATLS protocol) there was no injury besides his left upper limb/arm. BP: 139/80 - HR: 70/min - O2 saturation: 97% on R/A - RR: 18 - Temperature 36.1....
Open Access DOI:10.23937/2643-4016/1710023
Mohamed Shaalan, Ali Omer, Mohamed Elrih and Satish Kutty
Article Type: Case Report | First Published: December 21, 2020
On admission, there is subcutaneous diffuse, fluctuant swelling anterior to the left patella measuring 3 × 4 cm, which is erythematous, warm and tender, the range of movements painful beyond 90 degrees. Temperature is 36.8 degrees, pulse rate 97 per minute. Haematological investigations revealed; CRP is 322, WBC 20.15, Neutrophils 18.88, an incision and drainage was done in theatre under general anaesthesia, it was yellowish fluid 15 ml which sent for culture and sensitivity and wound packed wi...
Open Access DOI:10.23937/2643-4016/1710022
Article Type: Review Article | First Published: November 21, 2020
Arm wrestling is increasing in popularity and is practised mostly among young people as a recreational or professional sport. During this sport, it can cause various injuries in the muscles, ligaments, veins and radial nerves, especially the humerus. The follow-up period can extend up to 16 months, especially in patients with radial nerve injury. Although the treatment methods of patients with humeral fractures vary according to the patient and the doctor, it is chosen as surgical or conservativ...
Open Access DOI:10.23937/2643-4016/1710021
Muath Mamdouh Mahmod Al-Chalabi and Wan Azman Wan Sulaiman
Article Type: Case Report | First Published: September 25, 2020
Tuberculosis of the spine is a challenging illness to treat because of the prolonged time of conservative treatment and the technical difficulties of surgical intervention. The disease remains a significant public health issue in developing countries but is also returning in developed countries due to immigration and particularly in immune-compromised patients. The most common symptom reported is back pain, and the most common segment involved; is the thoracic spine. One of the essential options...
Open Access DOI:10.23937/2643-4016/1710020
Phong Truong, DO, Long Truong, BA, Tuan Le, BS, and Kristina Kuklova, MBA, MS
Article Type: Review Article | First Published: August 31, 2020
The video gaming industry is flourishing with billions of participants worldwide and has surpassed both the music and movie industry in revenue. An activity as ubiquitous as this brings with it the risk of injury, in particular orthopedic injury. Acute fractures and dislocations from video gaming have been reported, as well as overuse injuries such as wrist tendonitis. The repetitive motions seen in video gaming may develop over time into severe orthopedic manifestations which may require extens...
Open Access DOI:10.23937/2643-4016/1710019
Kieran Bochat, MBBS, Sheldon M Moniz, MBBS and Andrew C Mattin, MBBS, FRACS
Article Type: Original Article | First Published: June 29, 2020
Shoulder arthrodesis is an uncommon surgical procedure performed for a range of shoulder pathology including brachial plexus injury, instability or as a salvage procedure for failed arthroplasty and tumour cases. Cohorts report generally good outcomes despite high rates of complications. We aim to investigate the outcomes of all patients undergoing shoulder arthrodesis within the South Metropolitan Health Service (SMHS) from 2001-2019. There is a gap in the literature about the social demographi...
Open Access DOI:10.23937/2643-4016/1710018
Wongthawat Liawrungrueang and Sunton Wongsiri
Article Type: Research Article | First Published: April 15, 2020
Carpal tunnel syndrome is the most common hand disease. The standard open technique for carpal tunnel surgery has some wound problems and complications significantly more than minimally invasive surgery. The keyhole technique produces good results with the novel tool of MIS-CTS kits (Minimally invasive surgery for carpal tunnel syndrome kits) was developed to improve effectiveness for surgery....
Open Access DOI:10.23937/2643-4016/1710017
Naoufal Elghoul, Tariq Hamamouch, Laribi Adam, Georges Saad, Mohammed Zaaf and Abdeloihab Jaafar
Article Type: Case Report | First Published: February 24, 2020
Femoral stem fracture is an extremely rare cause, especially in cementless nonmodular stem femoral. Furthermore, revision surgery for isolated polyethylene wear represents a challenge and dilemma for the orthopedic surgeon. This study aimed to present the first case that described two successive challenging causes of total hip arthroplasty revision, and to detail how they were how they were best managed. A 65-year-old male patient with a body mass index of 31 who underwent a primary left cementl...
Open Access DOI:10.23937/2643-4016/1710016
Brian H Goldman, DO, Alejandro Carmona-Casillas, BS, Greg Galvin, DO, Jorge Benito, DO, Phong Truong, DO and Pedro J Tort-Saade, MD
Article Type: Narrative Review Article | First Published: January 23, 2020
The purpose of this review is to discuss the accuracy of orthopedic tests in detecting rotator cuff tears and retears, while developing new, more sensitive and specific clinical exam tools. With the ever-increasing population and consequent increased incidence of shoulder pathology, there is a vertical trend in medical cost as physical diagnosis is evermore substituted by imaging diagnosis. Unfortunately, clinical examination maneuvers have demonstrated variable specificity and sensitivity for p...
Open Access DOI:10.23937/2643-4016/1710015
Amy N Ford, MD, Elizabeth A Harkin, MD, Joseph Romano, MD, William D Lack, MD, Hobie D Summers, MD and Joseph B Cohen, MD
Article Type: Original Article | First Published: January 06, 2020
Surgical management of pediatric femur fractures is accomplished with intramedullary nailing or plate fixation. These fractures heal quickly with a low incidence of complications, although there is a paucity of evidence on how long postoperative weight bearing restrictions need to be in place or whether they are even necessary at all. The objectives of this study are to compare methods of fixation of pediatric femur fractures and postoperative weight bearing protocols and to correlate these with...
Open Access DOI:10.23937/2643-4016/1710014
Saagar Patel, MD, Areeb Masood, MD, Girija Rajakumar, MD, Pritish Bawa, MD, Haitham Awdeh, MD and Manickam Kumaravel, MD
Article Type: Research Article | First Published: October 07, 2019
Outline the biomechanics and pathophysiology of stress-induced injuries to the femur. Provide various imaging presentations of stress injuries of the femur including radiographs, computed tomography (CT), and Magnetic resonance imaging (MRI). Understand treatment modalities, recognize complications and become proficient in avoiding pitfalls. This paper will discuss detailed macro and microanatomical features of the femur and associated soft tissues such as muscles, tendons, and cartilage. A revi...
Open Access DOI:10.23937/2643-4016/1710012
Mohamed Ahmed AL Kersh, MD, Ahmed Said Ali, MD, Mahmoud A Mahran, MD, (MRCS UK) and Mostafa Ashoub, MD
Article Type: Research Article | First Published: August 31, 2019
The study cohort included fourteen male and seven female patients who presented to our hospital setting with an infected nonunion of the diaphysis of the radius or ulna. Every patient had a minimum of 2-year follow-up. The average patient age was 35.3 years (range 21-45). Thirteen patients had initially fractured both the radius and ulna. six patients had an isolated radius fractures, and two patients had fracture ulna alone. All patients underwent a protocol that combines aggressive surgical de...
Open Access DOI:10.23937/2643-4016/1710011
Jefferies JG, Brown CD and Shields D
Article Type: Original Article | First Published: June 24, 2019
Meticulous documentation in clinical records has been shown to improve patient care and clinician performance. Conversely, poor documentation is associated with an increased risk of adverse events. The Royal College of Surgeons (RCS) issues guidance on the contents of surgical admissions documentation. Audit highlighted frequent omission of key criteria set out by RCS with freehand documentation. We set out to design, implement, and evaluate an orthopaedic admission proforma for our trauma patie...
Open Access DOI:10.23937/2643-4016/1710010
Article Type: Original Article | First Published: June 24, 2019
Work done for the purpose of analysis of the dependence of the pace of age-related decline in speed of cerebral blood flow and functional status of the musculoskeletal system of different groups of patients. Investigated the blood flow velocity (FV) in middle cerebral arteries (MCA) during the function of the muscle samples from subjects of different age 12 groups (214 people): Healthy individuals, patients with fractures of the extremities and congenital shortening of the tibia in the treatment...
Open Access DOI:10.23937/2643-4016/1710009
Kedous MA, Miladi M, Msakni A, Rkhami M, Chebbi W, Zaraa M and Mbarek M
Article Type: Case Report | First Published: June 01, 2019
Pertrochanteric fractures count among the most frequent fractures in elderly persons but their vascular complications are rare. We present two cases of pseudoaneurysm following internal fixation for pertrochanteric fractures in relatively young patients aged 67 and 68-years-old. The post-operative follow up was marked by the onset of a pulsatile swelling in the inner thigh. The diagnosis of pseudoaneurysm of the deep femoral artery was made by arterio-venous Doppler-ultrasound and CT-angiography...
Open Access DOI:10.23937/2643-4016/1710008
Article Type: Case Report | First Published: May 31, 2019
Loeys-Dietz Syndrome (LDS) is a rare autosomal dominant connective tissue disorder. Patients with this disorder have mutations in several genes which encode for Transforming Growth Factor-Beta Receptor. This genetic mutation causes patients to have low bone mineral density, usually resulting in osteoporotic-like fractures. Stress fractures are rarely reported in patients with LDS. We report a case of stress fracture in a patient with LDS, discuss the management of this patient and provide a brie...
Open Access DOI:10.23937/iaos-2017/1710007
Ibeanusi SEB and Obalum DC
Article Type: An Observational Study | First Published: April 19, 2019
Open fractures present a significant challenge to the patient and his family and the managing surgeons. Open fracture often results from high energy injuries such as road traffic crashes, gunshot injuries, falls from heights and high-speed sports. Open fractures are associated with life-threatening and limb threatening injuries and are often associated with complications such as infection, malunion, and non-union. Controversies abound in the pattern of presentation, management, and outcome of op...
Open Access DOI:10.23937/iaos-2017/1710006
Ibeanusi SE and J Chioma
Article Type: AN OBSERVATIONAL STUDY | First Published: February 28, 2019
The size, structure, and role of the femur make it a major load bearing bone in the body. Fractures of the femur present with varied patterns in aetiology, treatment modality and outcome. Fracture of the femur usually follows significant trauma which often can be life-threatening particularly in young persons. Even in the elderly, the consequence of fractured femur can be life-threatening. This study aims to evaluate the pattern of presentation of fractures of the femur treated in a regional tra...
Open Access DOI:10.23937/IAOS-2017/1710005
Srinath Kamineni, Satya Alluri, Hamza Ashfaq and Yoshida Ruriko
Article Type: RESEARCH ARTICLE | First Published: February 21, 2019
The aim of our study was to examine both age and gender-related alterations in collagen expression of the transverse carpal ligament (TCL) in patients with idiopathic carpal tunnel syndrome (CTS). Resected TCLs were collected from 10 patients undergoing open carpal tunnel decompression. These were randomly divided equally into two groups of five patients, with equal numbers of men (average age 49.6) and women (average age 57.4). Histological staining [Hematoxylin & eosin and Picrosirius red (PSR...
Open Access DOI:10.23937/iaos-2017/1710004
J Diranzo Garcia, L Hernandez Ferrando, V Estrems Diaz, V Zarzuela Sanchez, L Castillo Ruiperez, A Vilatela Gomez and A Bru Pomer
Article Type: Technical | First Published: November 12, 2018
In spite of the large variety of different techniques available for their treatment, acetabular fractures still pose a formidable challenge to the orthopedic surgeon, with a close relationship having been observed between degree of reduction, radiological findings and clinical results. The purpose of this manuscript is to introduce a technical enhancement that can be resorted to following exposure of the acetabular dome when using a modified Stoppa approach to facilitate reduction of bone fragme...
Open Access DOI:10.23937/iaos-2017/1710003
Kosei Fukuoka and Mitsugu Todo
Article Type: Original Research | First Published: September 20, 2018
The research demonstrates a novel three-dimensional finite element analysis to analyze biomechanical changes in a femur with implant. The method uses principal stress projections to determine trabeculae trajectories in the femur. Visual comparisons of the projections of the femurs show areas of cortical and cancellous changes due to changes in tensile and compressive stresses, revealing areas of stress shielding. The method also includes a bone remodeling algorithm to simulate bone adaptation. I...
Open Access DOI:10.23937/iaos-2017/1710002
Mitsufumi Nakawaki, Kentaro Uchida, Kenji Onuma, Koji Sukegawa, Toshihide Matsumoto, Gen Inoue, Hiroyuki Sekiguchi and Masashi Takaso
Article Type: Original Article | First Published: September 19, 2018
Carpal tunnel syndrome (CTS) is a common neuropathy encountered in orthopedics. It results from compression of the distal median nerve (MN) within the carpal tunnel. Characteristic complaints of CTS are numbness, paresthesia, and pain in the hand and fingers, often exacerbated at night. This characteristic MN compression results in various degrees of disability. In recent years, elucidation of the pathological condition has progressed; however, the mechanism is still unknown....
Open Access DOI:10.23937/iaos-2017/1710001
Wei REN, Masumi MARUO HOLLEDGE, Yong Cheng HU and Jike LU
Article Type: Research Article | First Published: November 01, 2017
To evaluate the importance of ankle deltoid ligament and antero-medial capsule repair in Lauge-Hansen Supination-External Rotation Stage IV (SER IV) ankle fractures....
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