Journal of orthopaedic surgery (Hong Kong)
-
J Orthop Surg (Hong Kong) · Apr 2015
Review Case ReportsInferior dislocation of the hip: a case report and literature review.
We report on a 17-year-old man who underwent open reduction and internal fixation for an inferior dislocation of the right hip and displaced fractures of the right femoral head and neck, and antegrade intramedullary nailing for a displaced fracture of the left femoral shaft. In addition, 13 men and 4 women aged 5 to 56 (mean, 23) years with 16 unilateral and one bilateral inferior dislocation of the hip were reviewed from the literature.
-
J Orthop Surg (Hong Kong) · Apr 2015
Randomized Controlled Trial Comparative StudyPlatelet-rich plasma versus corticosteroid injection for recalcitrant lateral epicondylitis: clinical and ultrasonographic evaluation.
To evaluate the clinical and ultrasonographic changes in the morphology and vascularity of the common extensor tendon after injecting platelet-rich plasma (PRP) or corticosteroid (CS) for recalcitrant lateral epicondylitis (LE). ⋯ PRP appeared to enable biological healing of the lesion, whereas CS appeared to provide short-term, symptomatic relief but resulted in tendon degeneration.
-
To evaluate our hospital protocol of low-dose vitamin K titration for preoperative warfarin reversal for early hip fracture surgery. ⋯ The low-dose intravenous vitamin K protocol is safe and effective in reversing warfarin within 18 hours. Hip fracture surgery within 36 to 48 hours of admission improves morbidity and mortality.
-
J Orthop Surg (Hong Kong) · Apr 2015
Rate of venous thromboembolism after complex lower-limb fracture surgery without pharmacological prophylaxis.
To evaluate the rate of venous thromboembolism (VTE) after complex lower-limb fracture surgery without pharmacological prophylaxis. ⋯ The rate of VTE was high in patients undergoing complex lower-limb fracture surgery without pharmacological prophylaxis.
-
J Orthop Surg (Hong Kong) · Apr 2015
Preoperative antibiotics for septic arthritis in children: delay in diagnosis.
To review the records of 50 children who underwent open joint washout for septic arthritis with (n=25) or without (n=25) preoperative antibiotics. ⋯ Preoperative antibiotics should be avoided in the management of septic arthritis in children. Their prescription delays diagnosis and definitive surgery, and leads to additional washouts and complications. A high index of suspicion and expedite referral to a specialist paediatric orthopaedic unit is needed if septic arthritis is suspected.