Previous studies have shown that the outcomes of complex regional pain syndrome (CRPS) vary significantly between patients, but few identified prognostic indicators. The aim this study was to determine whether psychological factors are associated with recovery from recently onset CRPS amongst patients followed prospectively for 1 year. Sixty-six (type 1) were recruited within 12 weeks symptom and assessed immediately at 6 months, during which time they received treatment as usual. At each...

Routine prophylaxis for venous thromboembolic disease after total hip replacement (THR) is recommended. Pneumatic compression with foot pumps seems to provide an alternative chemical agents. However, the overall number of patients investigated in randomised clinical trials has been too small draw evidence-based conclusions. This trial was carried out compare effectiveness and safety mechanical versus DVT THR. Inclusion criteria were osteoarthritis age less than 80 years. Exclusion included a...

The literature concerning the outcomes of complex regional pain syndrome (CRPS) is contradictory, with some studies suggesting high rates symptom resolution, whilst others demonstrate that CRPS symptoms can persist and lead to significant disability. aim present study was carefully document extent recovery from each signs CRPS.A sample 59 patients recently onset (<12 weeks) CRPS-1 were followed prospectively for 1 year, during which time they received treatment-as-usual. At baseline, 6 12...

Factors influencing disability and work absence in complex regional pain syndrome type-1 (CRPS)-1 have not been thoroughly described the literature. We sought to determine whether demographic variables, work-related factors, CRPS clinical severity ratings, scores, or psychological variables were associated with sick leave early CRPS-1.A total of 66 CRPS-1 patients recruited within 12 weeks onset. Patients completed measures pain, depression, anxiety, stress, catastrophizing, pain-related...

We present our series of 21 cases in which proximal scaphoid nonunions with fragmentation were treated costo-osteochondral graft reconstruction (rib graft). The median follow-up was 29 months. Union achieved all patients. There significant improvements subjective and objective outcome measurements carpal alignment well maintained patients, as shown by normal postoperative capitolunate angle measurements. No donor site complications encountered. Rib offers a reliable straightforward option...

The study was a retrospective cohort analysis for 41 month period; from January 2013 to May 2016.It is suggested that patients following distal radius fracture (DRF) achieve comparable outcome at 3 and 6 months post surgery regardless of the time they begin mobilization. In previous studies there has been limited outcomes within initial months: functional return, taken work use therapy resources are key which have not formally investigated in studies.To analyze short term open reduction...

Purpose: Community acquired methicillin resistant Staphylococcus aureus (CA-MRSA) infections are reported to be increasing worldwide. In the United States when rates exceed 15% empiric treatment is suggested. The aim of our study was determine local and CA-MRSA within region. Methods: Nine hundred forty-two patients were admitted service during a six-year period with culture-positive hand identified from operative cultures at time surgery. Results: Sixty-six (7.0%) had positive identified....

Background: Community Acquired Methicillin Resistant Staphylococcus aureus (CA-MRSA) rates have been increasing worldwide and contribute to a growing "global health security threat" as reported by the WHO. Our group previously an overall rate of 7% in CA-MRSA upper extremity infections between 2004-2009 at Auckland Regional Hand Unit. This fell below Center for Disease Control (CDC) recommendation empiric antimicrobial cover once local exceed 10-15%. We examined prevalence characteristics...

Background: Locking plate fixation is widely used in large long bone and now available for small “long” bones the hand. Potential advantages of unicortical locked are reduced risk over-drilling therefore damage to surrounding structures irritation from proud screws. Furthermore, may be where bicortical technically impossible. Our aim was compare strength with non-locked a human cadaveric model, by assessing under cyclical loading conditions load failure (LTF). Methods: 16 matched pairs...

Abstract Background Irreparable proximal pole fractures of the scaphoid remain a real challenge for treating handsurgeon. Standard salvage options include 4-corner fusion or row carpectomy. These procedures limit range motion and have high rate conversion to total wrist fusion. The two current biological reconstructive are rib graft vascularized femoral trochlea osteocartilaginous free flap. In addition, there is prosthetic semi-replacement arthroplasty using pyrocarbon adaptive implant...