Introduction: Effective and timely communication is important for any surgical specialty to function. The use of smartphones prevalent amongst doctors. Numerous smartphone applications offer the potential fast cost-effective communication. WhatsApp a commonly used application that free, easy use, capable text multimedia messaging. We report on over six month period in our unit. Materials Methods: between non-consultant members an orthopaedic team six-month was analysed. Both phones were...

Introduction . Hip fractures are common injuries in the older persons, with significant associated morbidity and mortality. The Irish Fracture Database (IHFD) was implemented to monitor standards of care against international standards. Methods IHFD is a clinically led web-based audit. We summarize data collected on hip from April 2012 March 2013 8 centres. Results There were 843 patients majority being (70%) female. 80–89-year age group accounted for (44%). Most (71%) sustained fall at...

The aim of this study was to ascertain the duration from time surgery resumption driving after total knee arthroplasty (TKA) and examine recommendations in literature.All patients who underwent primary unilateral TKA were within 6 months preceding included. patients' age, gender side noted. taken resume by each patient as well type vehicle noted.Ninety-eight included our survey. Fifty-five (56%) on their left 94 (96%) manual car drivers. Seventy-seven (79%) able weeks TKA; 18 (18%) do so at...

The positioning of the patient on fracture table is critical to successful reduction and operative fixation hip fractures which are fixed using dynamic screw system (DHS). There a standard setup commonly used with relative ease. Yet patients amputations either above or below knee affected side can pose significant challenge. We describe novel technique 51-year old right amputation who sustained an intertrochanteric extracapsular fracture.

Introduction. The Royal College of Surgeons in England published guidelines 2008 outlining the information that should be documented at each surgery. St. James's Hospital uses a standard operation sheet for all surgical procedures and these were examined to assess documentation standards. Objectives. To retrospectively audit hand written orthopaedic operative notes according established guidelines. Methods. A total 63 over seven months audited terms date time surgery, surgeon, procedure,...

Abstract Background Although of great value in the management lateral clavicle fractures, substantial variation their classification exists. We performed a retrospective study to address inter- and intraobserver reliability three different systems for fractures. Methods Radiographs 20 fractures that represented full spectrum adult fracture patterns were graded by five experienced radiologists trauma surgeons according Orthopaedic Trauma Association (OTA), Neer, Jäger/Breitner systems. This...

Management of scapholunate (SL) instability remains controversial. The modified Brunelli procedure is a soft tissue that recreates the stabilising forces SL ligament using split flexor carpi radialis tendon graft passed from volar to dorsal via tunnel in distal pole scaphoid. Thirteen consecutive patients with an average age 35 years underwent procedure. Pain improved mean visual analog score eight preoperatively 1.5. DASH preoperative 55.4 34.9 as did grip strength 40% 75% respectively. All...

A 40-year-old woman was referred with an 8-month history of fullness the right posterior thigh. This associated pain, primarily on sitting and occasional radicular pain down ipsilateral leg. On examination a mobile, firm lump identified that tender to palpate which also elicited shooting leg examination. MRI demonstrated …

quadriceps tendon (QT) ruptures are significant injuries that relatively uncommon. The diagnosis of QT is frequently missed or delayed. An association between the presence a patella spur and has been suggested in literature.the Hospital Inpatient Enquiry system was used to gather data on all patients who sustained rupture over six year period from 2008 2014. A retrospective review medical notes as well radiographs undertaken. We reviewed 200 knee without establish incidence spurs our normal...

A 75-year-old man underwent routine left total knee arthroplasty under a spinal anaesthetic. An adequately sized pneumatic tourniquet with wool padding was used and clear adhesive drape applied circumferentially around the thigh to isolate tourniquet. 10% w/w povidone-iodine solution had been prepare leg. The inflated just prior cementation of implants time 40 min. …

Simultaneous bilateral four-part proximal humeral fractures are rare. Four-part of the humerus difficult for patient and technically demanding surgeon. Our surgical tactic is to attempt open reduction internal fixation where possible. We report functional outcome in a 56-year-old female who sustained simultaneous after falling down flight stairs. Open using threaded pins tension band suture was performed on one side, shoulder replacement hemiarthroplasty required other. Functional assessment...

A previously healthy 64-year-old man developed an Escherichia coli spinal epidural abscess (SEA) isolated to the cervical vertebrae posturinary tract infection 9 days previously. He subsequently underwent emergent surgical decompression followed by a prolonged course of intravenous antibiotics. is symptom free at 1-year follow-up. SEA uncommon condition. Even with modern techniques and antimicrobial agents, mortality remains significant. Intravenous drug use, procedures medical conditions...

Quadriceps tendon (QT) ruptures are uncommon injuries that predominantly affect middle-aged men.1 Ruptures occur as a result of direct or indirect trauma to the knee with powerful eccentric contraction QT being most frequent cause rupture. Degenerative changes associated ageing have been shown be factor ruptures. Spontaneous predisposing conditions such diabetes, chronic renal failure, gout and quinolone antibiotic use among others. The …