Total joint arthroplasty (TJA) is one of the most common orthopaedic procedures. Nevertheless, several complications can lead to implant failure.Peri-prosthetic joint infections (PJI) certainly represent a significant challenge in TJA, constituting a major cause of prosthetic revision. The surgeon may have an important role in reducing the PJI rate by limiting the impact of significant risk fac...

BACKGROUND Pharmacological thromboprophylaxis in the peri-operative period involves a trade-off between reduction in venous thromboembolism (VTE) and an increase in bleeding. Baseline risks, in the absence of prophylaxis, for VTE and bleeding are known to vary widely between urological procedures, but their magnitude is highly uncertain. Systematic reviews and meta-analyses addressing baseline ...

Objective: To find out preoperative informed consent practice in a tertiary care public sector teaching hospital. Settings: General Surgical Units of Civil Hospital Karachi Design: Prospective observational study. Duration: January 2005 to March 2005 Patients and Methods: Patients who had undergone elective surgery were interviewed randomly during the study period under routine practice conditi...

The management of occult cervical lymph node metastasis in well-differentiated thyroid cancer (WDTC) is controversial. Given the risks of hypocalcemia, recurrent laryngeal nerve injury, and increased operative time with a central compartment neck dissection (CCND), a routine adoption of prophylactic lymph node dissection has not been accepted by many as a standard management for occult metastas...

The rising incidence of obesity in pregnancy has a significant impact on the provision of health services around the world. Due to the pathophysiological processes associated with the condition, the obese pregnant woman is at increased risks of induction of labour, caesarean section, post-partum haemorrhage, infection, longer hospital stay, macrosomia and higher perinatal morbidity and mortalit...

background: intra-operative radiation therapy (iort) is the transfer of a single large radiation dose to the tumor bed during surgery with the final goal of improving regional tumor control. this study aimed to investigate the safety, effectiveness and economic evaluation of intra-operative radiation therapy.   methods : the scientific literature was searched in the main biomedical databases (c...

In addition to the benefit of open surgical treatment of the scaphoid, a reduced downtime and a rapid return to work, percutaneous screw technique also reduces operative risks, avoids the possibility of soft tissue collapsing, the devascularisation of the fracture site and therefore is associated with lower risks of nonunion. The authors report the case of a 27-year-old patient, receiving surgi...

Surgical treatment of valvular heart disease (VHD) has the potential to revolutionize the lives of affected patients. Unfortunately, surgery carries the peri-operative risks of stroke, myocardial infarction and occasionally death. Longer term risks include anticoagulation for mechanical valves and the need for re-operation particularly in patients receiving bio-prosthetic valves. In patients pr...

Dear Editor We read the article by Bagheri et al with great interest (1). We found the study interesting and comprehensive as four groups of patients, including operative and nonoperative in either pure dislocation or fracture dislocation, were compared in terms of Mayo wrist score, Grip strength, range of motion and radiographic parameters. It seems that the results were comparable to studies ...

Background:  Clavicle fractures are common and usually heal without complications. In this study, we evaluated the outcomes of non-operative versus operative management of displaced fractures.   Methods:  In a prospective clinical trial study, sixty-five patients with displaced clavicle mid-shaft fractures were nonrandomly divided in two treatment groups. The first group underwent non-operative...