Background ChatGPT is a well-known large language model–based chatbot. It could be used in the medical field many aspects. However, some physicians are still unfamiliar with and concerned about its benefits risks. Objective We aim to evaluate perception of students toward using field. Methods A web-based questionnaire was sent students, interns, residents, attending staff questions regarding their clinical practice education. Participants were also asked rate ChatGPT’s generated response...

Objectives Nylon sutures and skin staples are used commonly in total knee arthroplasty (TKA) surgical wound closure. However, there is no study that compares the healing efficacy patient satisfaction scores of both techniques same knee. Methods We randomised 70 patients who underwent primary TKA into two groups. In one group 34 patients, at upper half was closed with lower simple interrupted nylon sutures. other 36 stitches staples. recorded closure time, pain score time stitch removal,...

In addition to topical non-steroidal anti-inflammatory drugs that are used in hand osteoarthritis, there other can reduce pain such as cetylated fatty acids. Previous studies have reported CFAs effective all knee OA patients, with slightly higher evidence for those advanced disease. The mechanism of and is similar. Furthermore, no previous on hand. Patients fulfilling the American College Rheumatology criteria participated this randomized, double-blind, placebo-controlled study. Eligible...

We investigated the accuracy and usefulness of teleconsultation using mobile phone multimedia messaging service (MMS) in emergency orthopaedic patients. Pictures radiographs were taken a built-in 1.3 megapixel camera from digital display screen room then transmitted to phones four assessors. The cases comprised 59 patients diagnosed with non- or minimally displaced fractures 34 age-matched normal visiting department. Both clinical radiographic follow up data used as gold standard. Inter-...

The efficacy of selective cox-2 inhibitors in postoperative pain reduction were usually compared with conventional non-selective NSAIDs or other types medicine. Previous studies also used as single dose, continued mode, combination modalities. purpose this study was to compare analgesic preoperative administration etoricoxib versus celecoxib for post-operative relief after arthroscopic anterior cruciate ligament reconstruction. One hundred and two patients diagnosed injury randomized into 3...

Poor postoperative pain control is frequently associated with complications and delayed discharge from a hospital. Preemptive analgesia one of the methods suggested for reducing pain. Opioids are effective control, but there known addictive properties make physicians cautious about using them. Parecoxib ketorolac potent non-opioid NSAIDs that attractive alternative drugs to opioids avoid opioid-related side effects. However, no good head-to-head comparisons between these two in aspect...

To evaluate the association between various risk factors, including sleeping position, and impingement syndrome. Impingement syndrome is most common cause of shoulder problems. The pathogenesis this problem still debated these days.This was a case control study conducted at outpatient clinic Songklanakarind hospital. Data regarding history, physical examination radiographic evaluations using supraspinatous outlet views were obtained from all patients with clinically suspected diagnoses...

This is the first population-based study in Thailand on prevalence of congenital limb defects (CLD). Data were obtained from recently established birth registries three southern provinces during 2009-2013. Entries included live births, stillbirths after 24 weeks gestational age, and terminations pregnancy following a prenatal diagnosis fetal anomaly. The total 186 393 births recorded 424 CLD cases, giving an average 2.27 per 1000 (95% CI, 2.05-2.49). most common was talipes equinovarus...

Vancomycin and fosfomycin are antibiotics commonly used to treat methicillin-resistant Staphylococcus aureus (MRSA) infection. This study compares the in vitro inhibitory effects against MRSA of articulating cement spacers impregnated with either vancomycin or fosfomycin.Vancomycin-impregnated fosfomycin-impregnated were immersed sterile phosphate-buffered saline (PBS) solutions then incubated. Samples collected for bioactivity evaluation. The aliquots tested inhibition disc diffusion...

Biomechanical study.To investigate the relative stiffness of a new posterior pelvic fixation for unstable vertical fractures sacrum.The reported operative techniques sacral include iliosacral screw, bar fixations, transiliac plating, and local plate osteosynthesis. Clinical as well biomechanical studies have demonstrated that these conventional are insufficient to stabilize vertically fractures.To simulate fractured sacrum, 12 synthetic models were prepared. In each model, 5-mm gap was...

This study evaluated physical ergonomic risk factors associated with carpal tunnel syndrome (CTS) among rubber tappers in Thailand. The Boston Carpal Tunnel Syndrome Questionnaire and Phalen's test Tinel's sign were used to identify 133 cases CTS 401 non-CTS controls. Video recordings Rapid Upper Limb Assessment evaluate the level of right left hand postures. Significant higher number trees tapped at or below knee collecting latex. Among right-handed tappers, tapping than chest involved...

Abstract Background Antibiotic-loaded bone cement, or antibiotic-impregnated polymethylmethacrylate (PMMA), were developed to prevent and treat joint infections. Gentamicin is an antibiotic that commonly used in combination with PMMA; however, gentamicin powder hard obtain many countries. This study aimed evaluate the elution characteristics of gentamicin-impregnated PMMA made lyophilized liquid gentamicin, compared which from commercial powder. Methods The experimental sample was divided...

A descriptive experimental study.The purpose of this study was to describe the reliability and accuracy palpable anterior neck landmarks (angle mandible, hyoid bone, thyroid cartilage, cricoid cartilage) for identification cervical spinal levels in a slight neck-extended position as approach surgery.Standard, anatomical were described by Hoppenfeld using midline structures mandible [C2 body], bone [C3 cartilage [C4-C5 disc], [C6 carotid tubercle body]) determine approximate level skin...

Abstract Background Fixation of clavicle shaft fractures with a plate and screws can endanger the neurovascular structures if proper care is not taken. Although prior studies have looked at risk clavicular plates (for example, length positions) to vulnerable (such as subclavian vein, artery, brachial plexus) in supine position, no our knowledge compared these distances beach chair position. Questions/purposes (1) In superior anteroinferior plating midclavicle fractures, which screw tips...

Knee osteoarthritis is a major worldwide public health problem. Mechanical factors generally are considered important in its pathogenesis. Whether floor activities increase the risk of knee unclear. We performed population-based survey to document association with pattern and severity osteoarthritis. identified 288 women men 40 years or older from Songkhla province southern Thailand. recorded their lifetime histories four common positions activities: squatting, lotus, side-knee bending,...

Various studies have examined the risk of peroneal nerve injury with use standard magnetic resonance imaging (MRI) knee. However, position knee during MRI is different from that an actual arthroscopic lateral meniscal repair. The purpose present study was to evaluate and compare simulated all-inside repairs on basis scans made in both positions.

Teleconsultation using digital camera images has not yet been proven useful in orthopaedic practice. We ascertained the validity and reliability of teleconsultation 100 patients with nondisplaced or minimally displaced fractures 50 healthy age-matched subjects. used three sets from each patient: a digitized radiograph, clinical photographs injured site, conventional analog radiographs. Assessments were made independently by groups assessors: four staff members, senior residents, junior...

Mini-open carpal tunnel release has become increasingly popular for the treatment of surgery. The main advantages are shortening recovery time and return-to-work time. However, risk neurovascular injury still remains worrisome.In this study, we developed a new retractor (herein called PSU retractor) modified from widely used Senn retractor, with aim decreasing problems normal procedure. 3-Dimensional computer design software (SolidWorks Office Premium 2007 SP3.1) was to construct 3-D...