Magnetic Resonance Imaging (MRI) is generally only indicated in patients with plantar heel pain who have atypical symptoms or do not improve appropriate management.This study retrospectively reviewed the MRI findings of 112 divided into two groups consisting 50 persistent despite treatment and 62 pain.Of pain, 38 (76%) MRIs confirmed diagnosis fasciitis. Of had presented signs, 21 night remaining 41 acute tenderness lateral medial aspect heel, significant swelling, neurological features...

The success of osseointegrated transcutaneous prostheses depends on a soft-tissue seal forming at the skin-implant interface in order to prevent infection. Current designs include flange with drilled holes or subdermal barrier porous coating an attempt promote attachment. However, is not reliably achieved despite these and infection remains significant problem. This study investigated integration into fully titanium alloy structures interconnected pores. aimed determine effect altering pore...

We reviewed the records of 107 consecutive patients who had undergone surgery for disruption knee extensor mechanism to test whether an association existed between rupture quadriceps tendon and presence a patellar spur. The available standard pre-operative lateral radiographs were examined see if spur was indicator in this group patients. Of patients, 12 underwent repair ruptured tendon, 59 open reduction internal fixation fracture 36 tendon. In 88 radiographs, spurs present significantly...

The success of intraosseous transcutaneous amputation prostheses (ITAP) relies on achieving a tight seal between the soft tissues and implant in order to avoid infection. Fibronectin (Fn) may be silanized onto titanium alloy (Ti–6Al–4V) promote soft-tissue attachment. silanization process includes passivation with sulphuric acid, which alters surface characteristics. This study aimed improve vitro fibroblast adhesion fibronectin (SiFn) by omitting stage. Additionally, assessed effects SiFn...

Pelvic fractures are complex injuries with a range of different presentations depending on the mechanism trauma. Due to morbidity and mortality pelvic fractures, patients require thorough investigation timely management multidisciplinary input. Various surgical non-surgical techniques can be used treat as well any associated visceral injuries. Following repair, it is important remain vigilant for postoperative complications such infection, sexual urinary dysfunction, chronic pain adverse...

End-to-end suture of nerves and autologous nerve grafts are the ‘gold standard’ for repair reconstruction peripheral nerves. However, techniques such as sutureless with tissue glues, end-to-side allografts exist alternatives. Biological synthetic conduits have had some success in early clinical studies on defects hand. The effectiveness regeneration could potentially be increased by using these scaffolds delivery Schwann cells, stem neurotrophic neurotropic factors or extracellular matrix...

Massive endoprostheses rely on extra-cortical bone bridging (ECBB) to enhance fixation. The aim of this study was investigate the role selective laser sintered (SLS) porous collars in augmenting osseointegration these prostheses.The two novel designs SLS collars, one with small pores (Ø700 μm, SP) and large (Ø1500 LP), were compared an ovine tibial diaphyseal model. Osseointegration that a clinically used solid, grooved design (G). At six months post-operatively, tibias retrieved underwent...

The Intraosseous Transcutaneous Amputation Prosthesis (ITAP) may improve quality of life for amputees by avoiding soft-tissue complications associated with socket prostheses and improving sensory feedback function. It relies on the formation a seal between soft tissues implant currently has flange drilled holes to promote dermal attachment. Despite this, infection remains significant risk. This study explored alternative strategies enhance integration.The effect ITAP pins fully porous...

The aims of this study were to compare clinically relevant measurements hip dysplasia on radiographs taken in the supine and standing position, Hip2Norm software Picture Archiving Communication System (PACS)-derived digital radiological measurements.Preoperative 36 consecutive patients (43 hips) who underwent periacetabular osteotomy surgery retrospectively analyzed from a single-centre, two-surgeon cohort. Anterior coverage (AC), posterior (PC), lateral centre-edge angle (LCEA), acetabular...

The success of transcutaneous implants depends on the achievement a soft tissue seal by enabling fibroblasts to win race for surface against bacteria. Fibronectin-functionalized hydroxyapatite coatings (HAFn) have been shown improve dermal ingrowth and attachment. However, during early postoperative period before has formed, bacterial colonization may occur. This study explored incorporation silver, broad spectrum antimicrobial agent, into HAFn with aim reducing colonization. Silver is known...

The management of distal femoral, tibial and patellar fractures after total knee arthroplasty can be complex. incidence these is increasing as the number arthroplasties being performed patient longevity increasing. There a wide range treatment options including revision for loose implants. This review article discusses epidemiology, risk factors, classification fractures.

Surgical management of periacetabular bone metastases is challenging. The Harrington Plus reconstruction a modification the original rod technique. An intrapelvic suprapectineal plate used, with aim reconstructing disrupted anterior column and reducing risk failure in cases where there extensive medial loss.A retrospective review 13 patients who have undergone procedure to date was performed. Mobility status, EQ5D Oxford Hip scores were assessed.There significant improvement mobility Scores...

The chest radiograph is used as a screening test to exclude significant thoracic injuries in cases of major trauma. A systematic approach reviewing radiographs necessary for accurate interpretation. Radiographic findings should be considered together with clinical assessment.