The burden of orthopedic tumor surgery in Pakistan is not known. Similarly the number of procedures being performed for bone and soft tissue surgery are not known. This is even becoming more challenging where the existence of rules and regulations in health care are next to minimal. Furthermore data recording in our country and case registries hardly exist. Despite the lack of information and r...

The long head of the biceps (LHB) tendon is a potential generator of pain within the shoulder. Tenodesis of the LHB is a treatment option for several pathologic shoulder conditions. We conducted a study to determine trends in LHB tenodesis at a subspecialty-focused shoulder orthopedic practice. We hypothesized that the rate of LHB tenodesis would increase significantly over time and that there ...

There has been a dramatic increase in the emergence of antibiotic-resistant bacterial strains, which has made antibiotic choices for infection control increasingly limited and more expensive. In the U.S. alone, antibiotic-resistant bacteria cause at least 2 million infections and 23,000 deaths a year resulting in a $55-70 billion per year economic impact. Antibiotics are critical to the success...

Perioperative pain management should now be an integral part of all inpatient and outpatient orthopedic surgical procedures. In addition to planning the surgical approach, equipment, and implants needed for a successful surgical outcome, the orthopedic surgeon should also be involved with and help plan the perioperative pain management strategies. Patient outcome and satisfaction data, especial...

BACKGROUND Provincial governments require timely, economical methods to monitor surgical waiting periods. Although use of prospective procedure-specific registers would be the ideal method, a less elaborate system has been proposed that is based on physician billing data. This study assessed the validity of using the date of the last service billed prior to surgery as a proxy for the beginning ...

As an actively practicing orthopedic surgeon and one convinced of the value of hyperbaric oxygen (HBo2) for specific orthopedic-related conditions, I am frustrated that my orthopedic and trauma surgeon colleagues have not embraced this modality for crush injuries and compartment syndromes. I am not without experience in managing orthopedic trauma. I was the orthopedic surgeon coordinator of our...

BACKGROUND Various options are available for the provision of analgesia following major surgical procedures including systemic opioids and regional anesthetic techniques. Regional anesthetic techniques offer the advantage of providing analgesia while avoiding the deleterious adverse effects associated with opioids including nausea, vomiting, sedation and respiratory depression. Although used co...