To classify the spectrum and antibiotic susceptibility of bacteria isolated from infected hip knee arthroplasty specimens, to recommend appropriate empiric peri-operative antibiotics.From January 1999 August 2006, specimens revision arthroplasties (with or without suspected infection) were routinely collected for identifying possible organisms their patterns. During period, 147 patients had positive yielding 248 micro-organisms (from 195 tissue 43 fluid 10 swabs). 140 isolates hips 108...

Background: In Australia, the most frequently used hemiarthroplasty prosthesis for management of displaced intracapsular femoral neck fractures is Uncemented Austin Moore (UAM). Despite concerns regarding poor functional outcomes and increased early revision rates associated with UAM prosthesis, apprehension systemic side‐effects polymethylmethacrylate cement implantation in elderly patient continues to influence selection. This study examines incidence related complications after Cemented...

Background: Closed suction drainage after joint arthroplasty is common practice in many institutions. The purpose of this study was to determine the correlation between routine drain tip culture and diagnosis superficial or deep postoperative wound infection primary knee hip replacement. Methods: Over a 12‐month period, tips were retrieved cultured all patients who underwent unilateral total replacement with use closed drainage. A 393 cultures performed 387 (145 replacements, 242...

The objective of routine outpatient assessment well-functioning patients after primary total hip arthroplasty (THA) is to detect asymptomatic failure prostheses guide recommendations for early intervention. We have observed that the revision THAs in highly uncommon. therefore question need follow-up THA.A prospective analysis an orthopaedic database identified 158 who received 177 over a four-year period. A retrospective chart review was conducted. Patient demographics, and surgery...

Weinrauch, Patrick MBBS(Qld), MEng, FRACS(Orth); Krikler, Steve BSc, PhD, FRCS(Orth) Author Information

We describe the use of intraoperative ultrasound for safe development arthroscopic portals during hip arthroscopy without requirement fluoroscopy. find this technique consistently accurate, allowing introduction instruments into with a very low rate iatrogenic injury. have further developed application to both central- and peripheral-compartment procedures. now total experience more than 700 procedures date. With described guidance portal placement, fluoroscopy is required in fewer 2% at our...

Hip pathology is common amongst athletes and the general population. The mechanics of cycling have potential to exacerbate symptomatic hip progress articular in patients with morphologic risk factors such as femoroacetabular impingement. A professional fit bicycle individual which aims optimize joint function can allow exercise comfort when alternative high impact running may not be possible. Conversely improper lead symptoms otherwise healthy individuals who present for pain. Accordingly a...

To examine the frequency of technical errors during implantation Austin Moore prosthesis in a public hospital.Radiographs and charts 147 consecutive uncemented hemiarthoplasty patients were retrospectively reviewed with particular reference to intra-operative associated early failure prosthesis.48% had at least one error pertinent 14% sustained fractures. The rates between relatively junior doctors consultants not significantly different.The is technically demanding that difficult implant...

Purpose. To assess early postoperative rehabilitation outcome following computer-assisted total knee arthroplasty (TKA) or standard instrumentation TKA using a medial parapatellar subvastus approach. Methods. A prospective controlled trial of 70 consecutive patients undergoing with low contact stress rotating platform prosthesis was conducted. Patients were randomised to receive surgery either computer navigation instrumentation. approach used according the surgeons' preference. Outcome...

The objective of this study was to define the casualty rates and anatomical distribution injuries associated with military static line parachute (MSLP) descents conducted by an Australian Army Commando Battalion. This identify strategies reduce injury burden related MSLP activities.A retrospective audit resulting from 4th Battalion Royal Regiment (4 RAR) over a 13-month period.A total 554 time period were reviewed. overall rate 5.1%. For onto land drop zones, incidence requiring hospital...

Cricket fast bowlers have a high incidence of injury and are prone to back problems that can become debilitating foreshorten their careers. We present case superior cluneal nerve (SCN) entrapment neuropathy as previously unrecognized etiology lower pain in professional cricket bowler, often misdiagnosed lumbar spine disorder. believe the SCN may be susceptible compression related repetitive contraction musculature, particular Thoraco-lumbar erector spinae (TLES) Latissimus dorsi which...

We describe the use of proximal stacked wires for removal an intramedullary nail in context difficult extraction and failed attempts by conventional methods. This percutaneous technique is particularly useful narrow cannulated or solid nails after failure bolt devices.

It is standard practice in many institutions to routinely perform preoperative and postoperative haemoglobin level testing association with hip joint arthroplasty procedures. our observation, however, that blood transfusion after uncomplicated primary healthy patients uncommon the decision proceed typically made on clinical grounds. We therefore question necessity value of routine perioperative about time resurfacing arthroplasty. present analysis tests rates 107 undertaking unilateral...

Background: Hip pain is associated with reduced muscle strength, range of movement (ROM), and function. arthroscopy undertaken to address coexistent intra-articular pathologies the aim reducing improving Purpose: To evaluate changes in strength ROM a cohort chondrolabral pathology before surgery 3 6 months after hip arthroscopy. Study Design: Case series; Level evidence, 4. Methods: Sixty-seven individuals who were scheduled for matched 67 healthy controls. collected preoperatively at...

We describe arthroscopic iliotibial band release and trochanteric bursectomy assisted by intraoperative ultrasonography for accurate placement of portals to ensure adequate decompression the peritrochanteric space. have found endoscopic a useful tool assist with localizing site length decompression.

The mechanical properties of the short glass fibre reinforced (SGFR) epoxy resin used as cortical bone analogue in third-generation Sawbones femurs were investigated for use within orthopaedic benchtop tests. Tensile and four-point bending tests to assess material SGFR at both room (22° C) body temperatures (37° C). 20 standardized specimens materials testing machined from femurs. flexural determined using ASTM D6272-02 tensile obtained D638-02. mean (and standard deviation, or SD) values...

We present the diagnosis of bilateral granulomatous inflammation hip joints associated with Hylan G-F 20 viscosupplementation injections. Clinicians recommending therapeutic injections for management arthritis should maintain clinical awareness regarding this potential complication.

We present the use of a ureteric stone basket for arthroscopic removal loose bodies from hip joint. The technique is easy to perform and reduces time required body retrieval while minimizing risk iatrogenic damage cartilage surfaces