In 78 consecutive patients, we performed fine-needle aspiration of the hip before revision surgery. At the revision operation biopsies were taken from the capsule and joint tissues. The aspirate and the homogenised soft-tissue specimens were cultured using a radiomefric technique. Fifteen hips proved to be infected and 63 sterile on culture of the tissues taken during revision surgery; 94% of t...

OBJECTIVES/HYPOTHESIS To provide a description of the techniques and limitations of nasoseptal flap takedown and reuse during second-stage and revision endoscopic skull base surgery and review the institutional experience with the use of this reconstructive technique. STUDY DESIGN : Case series. METHODS A retrospective analysis of cerebrospinal fluid (CSF) leak outcomes was performed for a ...

BACKGROUND As the number of anterior cruciate ligament (ACL) injuries and primary ACL reconstruction surgeries increase, the absolute number of re-ruptures or failures has also subsequently increased. In our study, we look at the causes of failure in the primary surgery and also report the clinical and functional outcomes in our series of patients undergoing revision surgery. MATERIALS AND ME...

Total knee arthroplasty (TKA) is a cost effective and extremely successful operation. As longevity increases, the demand for primary TKA will continue to rise. The success and survivorship of TKAs are dependent on the demographics of the patient, surgical technique and implant-related factors. Currently the risk of failure of a TKA requiring revision surgery ten years post-operatively is 5%. Th...

Revision anterior cruciate ligament reconstruction can be performed in a 1- or 2-stage procedure. Restoration of bone stock using bone grafting is often required for good results. The authors performed 1-stage revision surgery with a more lateral and oblique femoral tunnel and an impacted bone graft to avoid the bone defect caused by the previous screw removal from a malpositioned tunnel. No ev...

Over one-million patients worldwide have received metal-onmetal (MoM) hip replacements (hip resurfacing (HR) and total hip replacement (THR)).1 Good to excellent ten-year outcomes have been reported with certain HR devices by both designing and independent centres.2-4 However high short-term failure rates have been observed with other HR devices and stemmed MoM THRs.5-7 Adverse reaction to meta...

Introduction: Revision surgery differs from original total hip replacement surgery, which is a lengthier and more difficult process. To get satisfactory result, substantial preparation required, as well the use of specialised implants instruments. Periprosthetic fractures are most commonly caused by fall frequently necessitate revision surgery. Most modifications will include customised intende...

Minimally invasive surgery with a transforaminal lumbar interbody fusion (MIS TLIF) is an important minimally invasive fusion technique for the lumbar spine. Lumbar spine reoperation is challenging and is thought to have greater complication risks. The purpose of this study was to compare MIS TLIF with unilateral screw fixation perioperative results between primary and revision surgeries. This ...

The value of revision surgery when carried out more than six weeks after initial amputation of the upper or lower limb was assessed. When performed for stump and/or phantom limb pain alone, only 33/95 (35%) obtained satisfactory results after one revision; 25/95 (26%) of the patients required four or more surgical procedures without relief of pain. However, when carried out for local specific p...