The effect of COVID-19 on pediatric trauma rates is still largely under investigation. With the potential need to reallocate human and financial resources at this challenging time, it will be useful have detailed descriptions understanding how pandemic affects these rates.We sought describe number acute admissions procedures performed in a level-I center Cork University Hospital, Ireland.We compared traumatic that occurred during first 4 weeks nationwide lockdown due with same 4-week period...

Abstract Background Prosthetic joint infections (PJI) are a potential devasting consequence of arthroplasty surgery. Knowledge the causative organism and antimicrobial sensitivity increases eradication success rates for PJI. Aims This study aimed to: 1) Observe PJI microbiome at tertiary referral unit; 2) Make comparison to similar published observations; and; 3) Establish empiric local antibiotic guidelines. Methods All patients with positive tissue cultures PJIs over 4 year period were...

BackgroundPaprosky type IIIa and IIIb acetabular defects remain technically challenging during revision hip arthroplasty. Numerous surgical options exist to counter extensive bone loss with high postoperative complication rates reported. Our aim was report comprehensive long-term outcomes of our experience Trabecular Metal (TM) augments for these difficult cases.Methods38 patients underwent total arthroplasty at institution from 2009 2014 where a TM augment used deficiency. Prospective...

Abstract Background On May 14, 2021, a criminal cyberattack was launched against the Irish public healthcare system, Health Service Executive, resulting in complete shutdown of all national computer systems, including National Orthopaedic Register (INOR). Cyberattacks this kind occur sporadically, and postevent analyses can inform future preparedness efforts, but few such have been published. Question/purpose What impact terms (1) registry downtime, (2) harms to patients, (3) costs INOR for...

Abstract Purpose For primary total knee arthroplasty (TKA), there is an increasing trend towards patient‐specific alignment strategies such as kinematic (KA) and inverse (iKA), which by restoring native joint mechanics may yield higher patient satisfaction rates. Second, the most recent Australian registry report describes favourable revision rates for conventionally instrumented TKA compared to technology‐assisted techniques those using navigation, robotics or custom‐cutting blocks. The aim...

The Irish National Orthopaedic Register (INOR) provides a national mechanism for managing data on THA and TKA in Ireland, including detailed implant record populated by intraoperative bar code scanning. It is critically important that details are recorded accurately longitudinal outcome studies, recalls, revision surgery planning. Before INOR's 2014 launch, hospitals maintained separate, local institutional arthroplasty databases. These individual databases typically took the form of...

A prosthetic joint infection is a devasting diagnosis and challenging condition to treat. The aim of this study outline the investigations, management outcomes in series patients who presented our institution with an iliopsoas abscess (IPA) setting infected, metal-on-metal (MoM), hip arthroplasty. Six IPA associated ipsilateral MoM over four years. Medical history, serum markers, trimodal imaging, aspirations surgical procedures performed were analysed algorithm employed outlined. Five...

Abstract Purpose Restricted inverse kinematic alignment (iKA) is a contemporary strategy for total knee arthroplasty (TKA), commonly performed with robotic assistance. While superior clinical results are reported kinematic‐type strategies, registry data indicate no survivorship benefit navigation or This study aimed to determine the efficacy of an instrumented, restricted iKA technique achieving patient‐specific alignment. Methods Seventy‐nine patients undergoing 84 TKAs (five bilateral...

Introduction: Revision hip arthroplasty in the presence of complex acetabular deficiencies is challenging. Cement, allograft, reconstruction rings and porous trabecular metal now provide versatile options for fixation restoration offset. We compare impaction bone grafting (AIBG) (TM) cups at long-term follow-up. Methods: 53 patients who underwent revision were retrospectively reviewed from local joint registry data. 36 revised using AIBG 17 with TM. Median clinical follow-up was 9.57...

Abstract Background Cohort studies represent an important research-tool, yet participant retention is difficult. SIREN followed a cohort of healthcare workers across 135 NHS sites in the UK during pandemic. We designed evolving programme, underpinned by our Participant Involvement Panel (PIP). aimed to evaluate over time and identify learnings. Methods Mixed method evaluation programme 12 24-month cohort. described demographics site, using odds ratios from logistic regression. Withdrawal...

Subcentimeter arteriovenous malformations (AVMs) located in deep or eloquent cortex can be difficult to localize intraoperatively and safely remove with surgery. Nevertheless, surgical resection may the optimal definitive treatment option available for select patients. In this communication, we describe our experience using a framed-based stereotactic approach resecting these AVMs. The operative records of all AVMs treated at institution over an 8-year period (1996-2004) were reviewed. 180...

You have accessJournal of UrologyTechnology & Instruments: Ureteroscopy1 Apr 20101279 LONG TERM DRAINAGE OF MALIGNANT EXTRINSIC URETERAL OBSTRUCTION SECONDARY TO INOPERABLE PELVIC OR ABDOMINAL MALIGNANCIES USING THE MEMOKATH 051 STENT Candace Granberg, Shane Russell, Sameer Siddiqui, Ajay Nehra, Kathryn Frie, Andrew LeRoy, and Lance Mynderse GranbergCandace Granberg Rochester, MN More articles by this author , RussellShane Russell Bellbrook, OH SiddiquiSameer Siddiqui Southfield, MI...

Instability or recurrent dislocations are a common reason for revision of total hip replacements (THRs). Dual-mobility constructs can help improve stability by increasing the femoral head jump distance. These used to decrease risk re-revision in setting dislocation. This case describes an unusual irreducible dislocation THR due intraprosthetic The patient required open reduction and this construct tripolar implant. is important appreciate from emergency medicine point view as repeated...

Background: Posterior malleolar fractures are a common subtype of ankle fractures. The management these remains controversial, though there has been move toward more operative in recent years. approach most commonly used to treat is posterolateral. This method several drawbacks including the amount retraction required on already traumatized skin, risk damaging posterior interosseous tibio-fibular ligament, and difficulty visualizing both distal fibular We describe novel for treating report...

The tibial tuberosity-trochlear groove (TTTG) distance is used to assess patellofemoral instability (PFI) and the likelihood of development disorders. current gold standard in assessment TTTG computed tomography (CT) or magnetic resonance imaging (MRI). image software for viewing these CT images does not allow easy TTTG.This study presents a simple method measure on any software, utilizing easily available affordable stationary.Four consecutive patients with no known knee pathologies were...

( Can J Anesth . 2018;65:728–729) Unintentional dural puncture (UDP) complicates epidural anesthesia from 0.5% to 4% of the time. The most common complication is development a postdural headache (PDPH). In Winnipeg, Canada, cross-sectional survey was conducted learn about practices for managing obstetrical UDP. included questions regarding clinical experience in anesthesia, insertion technique, UDP management, and PDPH management.

Background: Preoperative planning for Reverse Total Shoulder Arthroplasty (RTSA) using CT or MRI is well described. We aimed to compare pre-operative versus measurement accuracy predicting glenoid implant sizes.Methods: All patients with a preoperative undergoing RTSA at our tertiary referral centre from October 2017 February 2020 were included. Data was collected theatre and registers. Glenosphere Width (GW) Baseplate Central Screw Length (BCSL) independently predicted imaging by 2 blinded...