With the increase in the number of orthopaedic surgeons and the aggressive marketing by manufacturing companies, high technology orthopaedic surgery is being more frequently carried out in Malaysia. Post-operative sepsis complicating this type of surgery can have disastrous consequences. No data is available in this country on the incidence of post-operative infection in Orthopaedic Surgery. Th...

Figure 1. Dorsal hand wound after debridement of infection. DESCRIPTION A 58-year-old woman on immunosuppression therapy for a kidney transplant developed a paronychia refractory to antifungal or bedside debridement therapy. The infection rapidly progressed and required extensive operative debridement. Her resulting full-thickness dorsal hand defect measured 120 cm 2 with exposed extensor tendons.

BACKGROUND Abdominal and vaginal hysterectomies are the two predominant operative modalities for various uterine conditions; however the indications for selecting a particular procedure in any setting may not be optimally defined. This study was undertaken to evaluate the appropriate route of hysterectomy (abdominal or vaginal) in a hospital population for women with benign disease by comparing...

We report a case of pyoderma gangrenosum as a complication of an anterior cruciate ligament reconstruction in a patient with inflammatory bowel disease, which was misdiagnosed initially as a post-operative wound infection. An early dermatology opinion and skin biopsy should be considered in cases of suspected infection where thorough surgical debridement and antimicrobial therapy has failed to...

Introduction. Case reports have emerged with identification of Gordonia bronchialis infections including sternal wound infections and foreign bodies such as central lines and shunts. Case presentation. We present a case that demonstrates the need to consider Gordonia infection as a cause of sternal wound infection and highlights the utility of novel diagnostics to aid in the identification of u...

Our understanding of the physiology of wound healing and wound infection and the most effective strategies to reduce the risk of wound infection have progressed over a very long time. Perhaps the earliest significant advance in this field was the recognition of the role of bacteria in wound infection and the subsequent development first of antisepsis and then of asepsis. Important milestones in...

OBJECTIVE To determine the factors causing complications in unilateral total hip replacement. STUDY DESIGN Analytical study. PLACE AND DURATION OF STUDY The Aga Khan University Hospital, Karachi, between 2000 and 2010. METHODOLOGY During the study period, 199 patients underwent elective unilateral total hip replacement at the Aga Khan University Hospital. Patients were divided into two gr...