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,...

Abstract Background Osteoarthritis knee (OA) for patients whom had varus malalignment higher peak adductor moment. Hip abductor strength played an important role in the decreasement of adduction This study aimed to evaluate effect hip exercises who medial compartment knees OA. Methods Patients compartmental OA were randomized into two groups. The first group performed strengthening exercises, combined with quadriceps exercises; whereas, second standalone exercises. Self-reported Knee Injury...

Background . Local periarticular injection with bupivacaine alone in TKA has not been studied. Thus, we aimed to examine the effectiveness of local for post-operative pain control TKA. Method Sixty patients undergoing by a single surgeon were randomly assigned into two groups double-blind, placebo-controlled study. In group, received injections 0.25% before wound closure; 0.9% normal saline injection. Both same anesthetic procedure, control, and rehabilitation protocol. Results There was...

Prosthetic joint infection (PJI) is a major complication of total hip and knee arthroplasty (THA, TKA). Although mycobacteria are rarely the causative pathogens, it important to recognize treat them differently from non-mycobacterial infections. This study aimed compare clinical characteristics, associated factors long-term outcomes mycobacterial PJI. We conducted retrospective case-control patients aged ≥18 years who were diagnosed with PJI or at Siriraj Hospital January 2000 December 2012....

Total knee arthroplasty (TKA) is a routine orthopedic procedure often associated with significant postoperative pain. Efficient pain management paramount for patient recovery, nonsteroidal anti-inflammatory drugs (NSAIDs) being common choice. Nevertheless, the specific NSAID and its dosing regimen can have varying impacts on outcomes.

Background Kahoot! is a web-based technology quiz game in which teachers can design their own quizzes via provided templates. The advantages of these games are attractive interfaces, contain stimulating music, moving pictures, and colorful, animated shapes to maintain students’ attentiveness while they perform the quizzes. Objective aim this study was evaluate use compared with traditional teaching approach as tool summarize essential content medical school class aspects final examination...

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...

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...

Total knee arthroplasty faces challenges in the management of medial uncontained tibial defects, affecting prosthesis stability and implant survival. The use screws bone cement is a preferred approach; however, optimal screw insertion techniques lack consensus existing literature. present study aimed to address this gap by exploring placement strategies, focusing on their biomechanical implications. conducted finite element analysis using model with defined defect. Various parameters were...

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...

Integrating participatory ergonomic management in non-weight-bearing exercise and progressive resistance on self-care functional ability aged farmers with knee osteoarthritis: a clustered randomized controlled trial Sang-arun Isaramalai,1 Kanokwan Hounsri,1 Chanon Kongkamol,2 Pornnit Wattanapisitkul,3 Napaporn Tangadulrat,3 Tippawan Kaewmanee,3 Varah Yuenyongviwat4 1Research Center for Caring System of Thai Elderly, Faculty Nursing, 2Research Unit Holistic Health Safety Management Community,...

Hemi hip arthroplasty is one treatment option for femoral neck fractures; however, there has been limited evidence on factors associated with blood transfusions following hemi arthroplasty. Hence, the aim of this study was to identify predictors transfusion after arthroplasty, which could lead establishment proper guidelines management protocols.This a retrospective cohort study, conducted in single center 323 fracture patients having undergone Peri-operative and demographic data were...

There are various skin suture techniques for wound closure following carpal tunnel release, and well-performed suturing will result in low post-operative scar tenderness. The aim of this study was to compare the Donati technique running subcuticular terms surgical scar, pain functional outcome open release.One-hundred forty-two patients were randomized using a computer-generated random number table into two groups receiving either or after intervention. We evaluated postoperative scarring...

Femoral neck fracture is common in the elderly, especially era of aging populations. Septic arthritis hip after femoral a rare complication. There are limited reports on this complication patients without severe medical condition and there no consensus method treatment complication.A 75-year-old male had right pain for two weeks falling his hip. The patient was diagnosed as pathological with hematologic malignancy. He scheduled bipolar hemiarthroplasty. However, an intraoperative finding...

Dislocation after bipolar hemiarthroplasty is a common complication but dissociation of the prosthesis rare. There are some reports at inner head and outer shell. However, there limited on acute spontaneous neck taper interface in hemiarthroplasty.A 65-year-old female had cemented hemi hip replacement fixation failure dynamic screw. She left lower limb weakness for ten years previous spinal surgery. At sixth week postoperation, patient components femoral junction. The open reduction...

Internal fixation is one treatment for femoral neck fracture. Some devices and techniques reported improved accuracy decreased fluoroscopic time. However, these are not widely used nowadays due to the lack of available special instruments techniques. To improve surgical procedure, authors designed a new adjustable drill guide tested efficacy device. The developed cannulated screw wire insertion multiple fixation. Eight orthopaedic surgeons performed experimental study evaluate this Each...

Background Cemented long-stem hip arthroplasty is a treatment of choice for the pathological fractures femoral neck with metastatic lesions and prevention further fracture caused by metastasis progression. Objective The present study was an evaluation outcome after cemented standard-length hemiarthroplasty. Methods We retrospectively studied 23 patients in whom were diagnosed. All underwent hemiarthroplasty stems. demographic data clinical outcomes obtained from electronic medical database....

Background. Regular attendance of follow-up visits after total knee arthroplasty (TKA) is an important aspect post-TKA patient care. Hence, this study was conducted to evaluate adherence TKA and analyze the factors that are associated with following TKA. Material methods. This a retrospective study. The data 411 osteoarthritis patients who had primary were extracted from single tertiary care hospital’s electronic database. All pa­tients underwent same protocol. log-rank test used for...

Objective Aspirin (acetylsalicylic acid, ASA) and rivaroxaban are anticoagulants that have increased in popularity due to ease of use the prevention venous thromboembolism (VTE) after total knee arthroplasty (TKA). The present study aimed evaluate efficacy ASA compared with on VTE prophylaxis patients who underwent TKA. Method Forty had primary osteoarthritis would undergo TKA were randomized into two groups. In total, 20 group used oral aspirin, at a dose 300 mg/day, for TKA, while received...