Minimally invasive spine surgery (MIS) was not applicable to the adult patients with spinal deformity having a worsened global balance on the sagittal plane. Recently, XLIF has enabled a frontal approach to dissociate intervertebral disc and minimally invasive insertion of cage w [....] » Read More
Every year, millions of bone grafts fail to reconstruct large bone deficiencies or otherwise due to insufficient blood supply, infections, or mechanical instabilities. In addition to allografts and bone substitutes, bone autografts are applied in nearly one-third of all limb bone [....] » Read More
Osteoarthritis (OA) is a leading cause of chronic pain and disability, affecting >500 million adults globally. Clinically accepted treatment strategies are often ineffective, and opioids have been traditionally recommended as options for OA pain, contributing to a social prob [....] » Read More
Malleoli fracture is the most common injury of lower extremity. Approximately 40% of these injuries are associated with comminuted or non-comminuted Volkmann fragment fracture. Outcomes of treatment of such fractures are worse in comparison with malleoli fracture without damage t [....] » Read More
Review the main technological innovation that will transform orthopaedic surgery over the next decade.
Background: Numerous surgical techniques of Medial Patellofemoral Ligament (MPFL) reconstruction have been described in the literature with no one technique found to be superior to the other. However, most techniques require drilling bone tunnels in either the patella or femur or [....] » Read More
There are some challenging situations for bone reconstruction in humans. Implants are very beneficial for reconstruction. They are created anatomically the same as the patient’s bone. Patellar luxation is one of them. Mostly seen complications are cartilage damage and pain. [....] » Read More
I will discuss during this presentation introduction about the definition and percentage of occurrence limb length inequality during total hip arthroplasty and how much the magnitude of disability resulted from this lengthening or shortening and also, I will discuss the role of p [....] » Read More
Background: Previous studies have revealed that melatonin could play a role in anti-osteoporosis and promoting osteogenesis. However, the effects of melatonin treatment on osteoporotic bone defect and the mechanism underlying the effects of melatonin on angiogenesis are still unc [....] » Read More
Half of all hip fractures in the elderly are around the trochanter and nearly 50% are unstable. The goal of treatment of any intertrochanteric fracture in the elderly is to restore mobility early, safely and efficiently, at the same time minimizing mechanical failure of fixation [....] » Read More
Triceps tendon rupture is a rare injury that accounts for fewer than 1% of all upper-extremity tendon injuries. Although ruptures at the musculotendinous junction have been observed, the osseo-tendinous insertion in the olecranon is the most prevalent site. Trauma is the most com [....] » Read More
Orthopaedic patients are at higher risk of venous thromboembolism (VTE) during their inpatient stay due to reduced mobility. The National Institute for Health and Care Excellence recommends the use of anti-embolism stockings (AES) in combination with pharmacological interventions [....] » Read More
Total hip and total knee replacements comprise the majority of elective orthopaedic procedures performed. Guidelines in the United Kingdom recommend that all patients should be reviewed by a consultant at least once every 24 hours. Following the death of an inpatient, a series of [....] » Read More
Introduction: Cobalt is a mitochondrial toxin, clinical cobaltism manifests with constitutional, neurologic, and cardiovascular symptomatology. Cobalt’s severe toxidrome is known through case reports from extreme wear or corrosion of joint implants. However, the s [....] » Read More
Osteoarthritis (OA) of the knee is a leading cause of chronic pain and disability, affecting >500 million adults globally. The prevalence and incidence of the disorder have been increasing continuously due to increases in lifespan and obesity. Clinically accepted treatment str [....] » Read More
Introduction: Peripheral nerve injuries occur during sports training or competition, these injuries are caused by pressure, stretching, or bone fracture, and are more frequent on upper limbs. Electrodiagnostic testing such as nerve conduction studies serves as an extension of the [....] » Read More
Post-laminectomy syndrome is reported to range from 20 to 60%. The etiology of post-laminectomy syndrome is stated to be variable but multiple treatment modalities focus on nerve blocks or nerve ablation. Patients requiring a laminectomy procedure commonly have secondary chronic [....] » Read More
Lateral Ulnar Collateral Ligament (LUCL) injury can result in posterolateral rotatory instability requiring surgical fixation. Ligament reconstruction is widely used but here we evaluate the surgical outcome direct repair of Lateral Ulnar Collateral Ligament. Methods: In this [....] » Read More
The idea of HLSSM is to have a minimally invasive procedure, whereby the arthroscopic surgery begins with an examination of the shoulder joint, the location, and size of the lesion are determined, and then the lesion is accessed in a minimally invasive open surgical manner for su [....] » Read More
Midface retrusion creates a size deficiency problem in the upper airway that has been improved in children using surgical midface advancement and orthopedic protraction of the maxilla. The results of these treatments have been mostly promising at enlarging the pharyngeal ai [....] » Read More
Background: Post-operative surgical site infection following orthopaedic implant surgery is a major complication and the incidence ranges from 1-2% to 22% (2). Surgical site infection is a devastating complication and may be difficult to treat. The surgical site infections impose [....] » Read More
Mycetoma is a chronic, granulomatous infection, mainly involving the foot, is endemic to tropical and subtropical regions and is caused either by bacteria (actinomycetoma) or fungi (Eumycetoma). The disease typically involves cutaneous and subcutaneous planes, or sometimes b [....] » Read More
Objective: To investigate Achilles tendon structure and functional tests in road and trail runners. Methods: The study included 26 road and17 trail runners. All running at least 3 times per week with a minimum of 20km per week and had participated in running competitions over [....] » Read More
Statement of the Problem: Implantation of the cup above or laterally to the level of the hip biomechanical center is considered to be a risk factor for the acetabular component's instability, so its implantation in the projection of the true acetabulum is desired but accompai [....] » Read More
Statement of the Problem: Implantation of the acetabular component into poor-quality bone during total hip replacement (THR) is considered to be a major risk factor for its instability. High incidence of developmental dysplasia of the hip (DDH) and occult endocrine-related bone t [....] » Read More
Atlantoaxial Rotatory Displacement (AARD) is a pediatric cervical spine rotatory instability caused by C1-C2 subluxation or facet dislocation. The most common presentation is a young child who presents with torticollis. Common causes include infection, trauma, recent head or neck [....] » Read More
Introduction: Clavicle is the bony link from thorax to shoulder girdle and contributes to movements at shoulder girdle. Clavicle fracture is a common traumatic injury around shoulder girdle due to their subcutaneous position. Recent studies have showed a higher rate of nonunion a [....] » Read More
Dysplasia of the hip is a congenital orthopedic condition characterized by abnormal development of the hip joint. It affects the acetabulum and femoral head, leading to joint instability, pain, and functional limitations. Total hip arthroplasty (THA) has emerged as a reliable and [....] » Read More
A living tissue needs nutrients to survive and bone physiology should be balanced in order to be healthy. Vitamin D plays a critical role for both bones and other body tissue homeostasis. Various conditions have been found to be associated with low vitamin D and low levels of vit [....] » Read More
Introduction: Osteoporosis is the most prevalent systemic skeletal disorder affecting the bone structure leading to increased risk of bone fractures and disability among the population. Osteoporosis is a characterized by low bone mineral density. Over 500,000 patients with fragil [....] » Read More
Introduction: It has been estimated that 6% of all fractures involve the spinal column, approximately 90% occurring within the thoracic or lumbar regions. Thoraco-lumbar injuries classically exhibit a bimodal distribution, with peaks among males under 30 years of age and in the g [....] » Read More
Extracellular vesicles(EVs) originating from plant have been exploited for treating many diseases. Rhizoma Drynariae(RD) is a natural plant herb with clear clinical efficacy against osteoporosis, but has some side effects. Here, we analyzed whether Rhizoma Drynariae-derived extra [....] » Read More
Transcatheter arterial embolization (TAE) has been reported to control hemorrhage and lower the mortality rate among patients with unstable pelvic fractures. However, there are limited literature examining the efficacy of TAE stopping hemorrhage in unstable pelvic fractures; the [....] » Read More
There are approximately 80,000 hip fractures treated in UK alone costing over 2 billion pounds. Studies have found that hip fracture patients with reduced cognition have a higher overall risk of complications, mortality and reduced long-term outcome. Data was collected retro [....] » Read More
Title : Outpatient total elbow arthroplasty – Outcomes and complications: A systematic review and meta-analysis
Vishwajeet Singh, Barts Health, United Kingdom
Background: Total elbow arthroplasty (TEA) is a surgical procedure used in the management of arthritis and fractures. Outpatient total elbow arthroplasty (OTEA) could be a valid option to reduce workforce burden and cost, provided it can be proven to be equally safe and effective [....] » Read More
Title : Fascia iliaca block administration– A new key performance indicator for neck of femur fracture care. QIP cycle 5
Dipak Karavadara, Kettering General Hospital, United Kingdom
Introduction: Fascia iliaca block (FIB) in patients with fragility neck of femur (NOF) fractures provides more effective pain control than conventional systemic analgesia. In fact, FIB administration is now a key performance indicator for NOF fracture care introduced by the Natio [....] » Read More
Title : Trauma system in England: An overview and future directions
Raheel Shakoor Siddiqui, University Hospitals Birmingham NHS Trust, United Kingdom
Major trauma is a dynamic public health epidemic that is continuously evolving. Major trauma care services rely on multi-disciplinary team input involving highly trained pre and in-hospital critical care teams. Pre-hospital critical care teams (PHCCTs), major trauma centres (MTCs [....] » Read More
Title : "Hip hip hooray”: Adequate bone protection for patients with hip fractures
Sari Al Hajaj, Kettering General Hospital, United Kingdom
Background: Managing acute hip fractures involves preventing their recurrence, which is crucial. This is because fragility fractures can elevate the likelihood of subsequent fractures, with as many as 11% of patients experiencing a second fracture within the first year. It has be [....] » Read More
Title : Prp therapy in OA knee- My experience (A series of 123 cases – 143 knees)
Arvinder Singh Bhatia, Dr Bhatia’s Bone & Joint Care Clinic, India
Introduction: Osteoarthritis (OA) is a major source of disability, pain, and economic burden worldwide. Genetic, biochemical, and mechanical factors are responsible for the complex multifactorial epidemiology of the disease. Abnormal joint biomechanics, age, gender, joint injury, [....] » Read More
Title : Imageless robotics-assisted total knee arthroplasty: A learning curve analysis of surgical time and alignment accuracy
Miten Sheth, The Knee Clinic, India
Introduction: The use of robotics-assisted techniques is increasing in total knee arthroplasty (TKA). The adoption of any new step in surgery is associated with a learning curve and potentially associated with extra complications. The aim of this study was to determine the learni [....] » Read More
Title : The effectiveness of the management of osteoporotic spinal compression fractures
Grace Scopes, University of Buckingham , United Kingdom
Background: In the UK, there is an increasing age in the population, having a direct correlation with increasing prevalence of osteoporotic fractures. Osteoporotic fragility fractures are a huge burden to the NHS with over 300,000 patients presenting with fragility fractures to h [....] » Read More
Title : Neurophysiological grading tool of ulnar nerve entrapment across wrist and across elbow
Salim Hirani, Ysbyty Gwynedd Hospital, United Kingdom
Ulnar nerve entrapment across the elbow (UNEAE) and across wrist (UNEAW) is the second most common entrapment of the hand after carpal tunnel syndrome. There are few gradings available for UNEAE and lesser in UNEAW. The aim of this research is; 1. To create a clinically app [....] » Read More
Title : Bilateral distraction osteogenesis with intramedullary nails for stature increase. Our early experience
Dimitrios Giotikas, Mediterraneo Hospital, United Kingdom
Distraction osteogenesis is a therapeutic principle which has been known for more than six decades. The introduction of elongating intramedullary nails in the last 20 years- initially in the form of mechanical nails (Albizzia® nail, g-nail®) and subsequently in the [....] » Read More
Title : Distal metatarsal osteotomy through minimally invasive approach for mild-tomoderate hallux valgus deformity
Ahmed Ibrahim Al Nabawy Enan, Mansoura Faculty of Medicine, Egypt
Background: Hallux valgus is a common condition that affects the forefoot. A large number of procedures are described for managing this condition. The minimally invasive corrective surgery of static disorders of the forefoot is an undisputable progress because of its decreased mo [....] » Read More
Title : Comparative analysis of functional outcomes following operative or non-operative management in displaced extra-articular distal radius fractures
Muhammed Ehsan Nazeer, Cumberland Infirmary, United Kingdom
Background: Fractures of the distal radius are highly prevalent and constitute a significant proportion of injuries encountered in routine clinical practice, accounting for approximately 4% of emergency department cases. However, despite their frequency and the potential conseque [....] » Read More
Title : Ipsilateral heterotopic ossification in the knee and shoulder post long COVID-19 requires prolonged rehabilitation
Raheel Shakoor Siddiqui, University Hospitals Birmingham NHS Trust, United Kingdom
A 58 year old gentleman presented to accident and emergency at district general hospital with worsening shortness of breath and a non-productive cough over a period of five days. He was initially admitted under the medical team for suspicion of SARS-CoV-2 (COVID-19) pneumonitis. [....] » Read More
Title : Providing antibiotic prophylaxis to patients with hip fractures in a district general hospital. Finding a solution to a problem.
Sari Al Hajaj, Kettering General Hospital, United Kingdom
Background: To prevent infections in orthopaedic surgeries, one dose of IV cefuroxime or flucloxacillin with gentamicin is recommended by NICE. Teicoplanin or vancomycin with gentamicin can be used if needed. Administering antibiotics within 24 hours of surgery reduces the r [....] » Read More
Title : To determine out come of the first sign Nail (Intramedullary nail) in Somalia and (North Somalia)
Said Osman Dahir, Hargeisa Group of Hospital, Somalia
I will talk about the first intrameddulary nail in somaliland. In somaliland we used to treat plating for adult both tibia and femure shaft fractures but since march 2019 up to now. Hargeisa group hospital was the first hospital in Somalia to done intrammedullary nailing (sign na [....] » Read More
Title : Additive manufacturing and its role in optimising mechanical and antimicrobial properties of orthopaedic implants
Mitchell Murray, Surgical and Orthopaedic Research Lab and University of Sydney, Australia
Background: The demand for improvement in orthopaedic implants is growing in line with an ageing population. An ideal prosthetic should have proficient biocompatibility, durable anti-infective efficiency, allow osseointegration and maintain desirable mechanical characteristics.&n [....] » Read More
Title : Gun massacres! Public health issue. No guns! No massacre!
Cavin Staff, University of Queensland, Australia
The massacre in Port Arthur, Tasmania, in 1996, where 35 civilians were killed and 23 others wounded, represents a dramatic and historic turning point relating to Gun Violence in Australia. Since then, 27 years later following drastic measures by John Howard’s Governmen [....] » Read More
Title : Predictors and cost-effectiveness of 1-year postoperative mortality and readmission of hip fracture in the elderly: A comparison of different treatments
Tzu Chieh Lin, Taichung Veterans General Hospital, Taiwan
Hip fractures, especially femoral neck fractures (FNF), are common and have high mortality rates within a year, causing significant financial and social costs. We conducted a retrospective cohort study using competing risk analysis on FNF patients aged 60 or above who underwent p [....] » Read More