Who should have a joint replacement? A plea for more 'phronesis'.

A Plea for Harm Reduction Policing Involving People Who Use Drugs

Sterile Parts of Operating Gown during Lower Limb Joint Replacement Surgery

Background: The prevention of surgical site infection is one of the most concerning issues in operating rooms. Surgicalgowns are worn as one of the intraoperative strategies for infection prevention. The present study investigated whetherthe gowns remained sterile during the surgical procedure. Furthermore, this study examined which parts of the surgicalgown were more prone to...

Fracture of the neck of the femur associated with posterior dislocation of the hip.

Two patients are described, each with a fracture-dislocation of the hip combined with a fracture of the neck of the same femur. Open reduction combined with internal fixation was performed in both cases. Eight years later one patient had developed avascular necrosis of the femoral head; no signs of avascular necrosis or associated arthritis have appeared in the other patient after four years. A...

Total Hip Replacement Revision in a Single Brand Small Cementless Stem – Our Experience after the Findings of the National Joint Registry

Background: Cementless total hip replacement is the common THR performed in England, Wales, Northern Irelandand the Isle of Man. The Corail stem is the most popular cementless implant and has a ODEP 10A rating. Review ofits performance in the registry identified an increase rate of revision amongst the smaller stem sizes. However, claritywas not provided on the explanation for this finding. We ...

Knee and Hip Joint Replacement Surgery in a Patient with Ochronotic Arthropathy: Surgical Tips

Ochronosis or black joints disorder is a rare autosomal recessive disorder caused by deficiency of homogentisic acidoxidase. Orthopaedic manifestations are common and mostly involve spine and large joints such as knee and hip.Arthropathy is progressive and will eventually leads to arthroplasty. Not being familiar with this disorder might lead todevastating complications. We present a 57 year-ol...