Abstract The concept of posterior cruciate ligament (PCL)-substituting total knee prostheses has been widely used for arthroplasty (TKA). This design provides better femoral rollback with flexion, as it permits more stability under flexion by preventing tibial subluxation. Here, we report a case an unusual presentation polyethylene post fracture in polio patient. Our patient had history staged bilateral TKA five years prior to the new presentation. Once diagnosis was confirmed, admitted...

Ankle fracture surgeries among diabetic are common and can have fatal consequences serious adverse outcomes. A target hemoglobin A1c (HbA1c) level <8% in all elective for patients with diabetes is suggested to minimize poor We investigated the postoperative outcomes complications who underwent ankle surgery using HbA1c as a predictor value.

Femoral shaft fracture is one of the most common injuries encountered. However, improper management can lead to significant long-term complications, which malunion. Patients with femoral malunion are at increased risk developing knee osteoarthritis, and if arthroplasty indicated, these extra-articular deformities pose a challenge as corrective osteotomy soft tissue release also required. In such circumstances, robotic arm-assisted total (RATKA) might be an appropriate option. this case, we...

Abstract Background Total joint arthroplasty (TJA) can be associated with the development of periprosthetic infection (PJI). It is necessary to determine modifiable and non-modifiable risk factors PJI provide optimum healthcare TJA candidates. Methods This single-center retrospective review investigated 1198 patients who underwent from 2012 2022. The data analysis comprised two stages. first stage was a descriptive analysis, while second bivariate analysis. sociodemographic data, medical...

Abstract Simultaneous ipsilateral fractures of the proximal and distal humerus, known as ‘floating arm’, are rarely seen in adolescents considered challenging to manage. Most published cases have involved humerus supracondylar fractures. This paper presents a special case floating arm injury 14-year-old boy following motor vehicle accident that was managed well-established trauma center. The consisted displaced open T-condylar intraarticular patient discharged good condition regained...

Total knee arthroplasty (TKA) is a commonly performed surgery for individuals experiencing advanced osteoarthritis. Patients undergoing TKA can present with variety of comorbidities, ranging from the absence chronic illnesses to presence multiple health conditions. The complexity these comorbidities pose challenges in carrying out desired procedure due elevated risk profile; this limits anesthesia modalities that physician utilize. Careful consideration patients' overall status and...

Introduction Hemorrhage following trauma is one of the leading causes death worldwide. Venous thromboembolism (VTE) a common complication an increased coagulable state, and risk VTE administration tranexamic acid (TXA), antifibrinolytic agent, still controversial. Our aim to understand whether there any association between TXA development. Methods A retrospective cohort study enrolled patients presenting level 1 center who received at King Abdulaziz Medical City (KAMC), tertiary hospital in...

Introduction: Total knee arthroplasty (TKA) is a common surgical procedure for end-stage arthritis; however, the precise timing of postoperative complications remains uncertain. This study aimed to estimate complication rates, timing, and risk factors associated with TKA. Methods: Data from 846 patients TKA treated at single tertiary center, were scrutinized. Complications categorized based on whereas assessed through logistic regression. Results: Most aged &gt;60 years (76.2%) obese...

Abstract Background An open fracture of the tibia is one most common and dangerous type fractures. In management these injuries, primary focus on reducing infection rate, as this crucial for achieving best clinical outcomes. This study aims to explore how provisional external fixation duration influences rates union in tibial shaft Methods A retrospective with a total 55 patients who received temporary fixation. Groups (less than 12 days), B (12–24), C (25–36), D (more 36) were four groups...

Abstract Atypical femoral fractures (AFF) are rare stress with specific diagnostic criteria, as outlined in a report published by the American Society for Bone and Mineral Research. These criteria categorized into major minor features, AFF can be classified either complete or incomplete. Bisphosphonates have been shown to increase risk of AFF, most cases associated bisphosphonate use. We present unique case young woman no history She was taking oral contraceptive pills inhaled...

The procedure of percutaneous nephrolithotomy (PCNL) is considered a minimally invasive method for removing stones from the kidneys or ureters. PCNL can cause wide range complications, such as urosepsis, rare but serious complication.A retrospective cohort study patients who underwent period 2016 to 2022 was conducted at King Abdulaziz Medical City. Data were collected by chart review using BestCARE system. SPSS version 23 (IBM Corporation, Armonk, NY, USA) used. Qualitative variables...

Background: Living-donor organ transplant has a higher long-term survival rate compared to deceased-donor transplant, with kidney transplantation being the optimal treatment for most failure patients. However, early hospital readmission within 30 days of discharge can occur due various factors and negatively affect outcomes. Effective communication patients pre-and post-transplant is crucial better quality life reducing readmissions. Chronic disease co-morbid conditions must also be...

Background: Kidney transplantation is most commonly performed for end-stage renal disease (ESRD) and provides the best chance a cure. The surgery shown to be beneficial patient’s quality of life after in multiple studies. But graft failure serious consequence that might happen. term refers transplanted kidney function properly. There are various reasons why this can happen, such as rejection, infection, or medication complications. Methods: A retrospective cohort study comorbid conditions...

A common form of forefoot deformity, hallux valgus (HV) is characterized by a prominent first metatarsal head, lateral deviation the hallux, and medial bone. In case HV, corrective osteotomies are performed with good results patient satisfaction.A retrospective cohort study patients who underwent osteotomy for from 2016 to 2022 was conducted at King Abdulaziz Medical City (KAMC), Riyadh, Saudi Arabia. Data were collected chart review using BestCARE system. IBM SPSS Statistics Windows,...

Background This study aims to investigate and report the outcomes of various management modalities used for hallux rigidus, a common form degenerative joint disease affecting foot ankle. The research focuses on understanding pathophysiology, classification systems, nonoperative approaches such as medical therapy, intra-articular injections, shoe modifications, physical therapy. Surgical techniques, including joint-sparing joint-sacrificing procedures, are explored, considering factors stage...

Background Asthma is a reactive airway disease that has high prevalence across the globe. exacerbations can occur due to various bacterial and viral infections irritate nerve endings in airways. With time, obstruction follows, patients with asthma have symptoms intermittently. primarily include breathlessness, wheezing, coughing, chest tightness. This research focused on association between Control Test (ACT) score number of per year. Methods A questionnaire-based, cross-sectional study was...

Bone defects are severe conditions caused by various etiologies, including trauma, tumor resection, or chronic osteomyelitis. Different surgical interventions can be utilized to manage such cases, autologous graft allograft implantation, distraction osteogenesis, acute shortening, amputation, the induced membrane technique. Herein, case of a 39-year-old woman with complex bilateral distal femoral fractures intra-articular extension is presented. The were accompanied significant metaphyseal...