BACKGROUND Fast-tracking after ambulatory anesthesia has been advocated as a pathway to improve efficiency and maximize resources without compromising patient safety and satisfaction. Studies reporting successful fast-tracking focus primarily on anesthesia techniques and not on specific patient factors, surgical procedure, or process variables associated with unsuccessful fast-tracking. We perf...

BACKGROUND The purpose of the Swedish public health-care system is to provide care on equal terms for all citizens. In this, as in most other systems where taxes and/or insurances pay for most of the care, normal market forces are set aside at least in part. At times, this has, for example, resulted in long waiting lists, particularly in terms of elective orthopaedic surgery, with several negat...

Hip arthroplasty or hip replacement is a surgical procedure by which damaged cartilage and bone are removed from the joint replaced implants. performed in order to achive painless normal movements. Obesity characterized excessive accumulation of fat inside an organism it affects occurance arthrosis. Obese people make up 30% population developed countries. A vast majority recent research publica...

BACKGROUND In addition to traditional physiotherapy, studies based on telerehabilitation programs have published the results of effectiveness, validity, noninferiority, and important advantages in some neurological, cognitive, and musculoskeletal disorders, providing an opportunity to define new social policies and interventions. OBJECTIVES The aim of this systematic review is to investigate ...

Periprosthetic fractures (PPF) constitute an issue of increasing importance for orthopedic surgeons. With the continuous advancement less invasive surgery techniques and progressively ageing population, prosthetic replacement procedures have become routine. PPF are complex conditions that can compromise outcome patient’s quality life. However, in some cases, revision is required. In this articl...

This article reviews cervical laminoplasty. The origin of cervical laminoplasty dates back to cervical laminectomy performed in Japan ~50 years ago. To overcome poor surgical outcomes of cervical laminectomy, many Japanese orthopedic spine surgeons devoted their lives to developing better posterior decompression procedures for the cervical spine. Thanks to the development of a high-speed surgic...

T he value of preoperative urine screening is unproven, except before urologic procedures, in which detection and treatment of asymptomatic bacteriuria is beneficial. Despite this, authors of multiple small case series advocate for screening before nonurologic procedures. However, patients with detected bacteriuria may undergo further testing and, if prescribed antimicrobial drugs, can develop ...

Blood loss during surgical procedures poses a grave risk to the patient, but transfusion is costly and associated with adverse outcomes. Antifibrinolytics, however, offer an economical and effective means of decreasing blood loss associated with surgical procedures. Tranexamic acid (TXA) is an antifibrinolytic that blocks lysine-binding sites of fibrinogen and fibrin, preventing the breakdown o...

  Background: The aim of this study was to determine the treatment outcome of humeral shaft fractures with a locked rigid intramedullary nail in patients indicated for surgical treatment. Methods: In this descriptive-cross sectional study, all patients were followed up for one, six, and 18 months post operatively. The Short Form Questionnaire (SF-36) and Constant Shoulder Score were applied. Re...