Journal of orthopaedics
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Journal of orthopaedics · Jul 2020
ReviewFlexible intramedullary nailing in the treatment of forearm fractures in children and adolescents, a systematic review.
Forearm fractures are common injuries among children and adolescents. Traditionally, they were managed conservatively with closed reduction and cast immobilization. The last decade there is an increasing trend towards operative treatment. The treatment modalities available include plate and screws, flexible intramedullary nailing and external fixation devices - rarely used nowadays. The aim of this systematic review is to investigate the indications of flexible intramedullary nailing in the childhood population, to compare its results with plating and to provide detailed information considering technical pitfalls and complications that may be encountered. ⋯ Flexible nails are excellent implants combining stability and elasticity. The procedure of passing the nails across radius and ulna is relatively simple, requiring a small learning curve. Flexible intramedullary nailing is an excellent treatment modality for the treatment of forearm fractures in children and adolescents.
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Journal of orthopaedics · Jul 2020
ReviewTriaging Spine Surgery and Treatment during the COVID-19 Pandemic.
To utilize evidence-based medicine to help determine guidelines for spinal surgery during the Covid-19 era. ⋯ Spinal surgery during the COVID-19 pandemic is an intricate challenging decision-making process, involving clinical, sociologic and economic factors.
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Journal of orthopaedics · Jul 2020
ReviewIt is time for a more cautious approach to surgical diathermy, especially in COVID-19 outbreak: A schematic review.
Many surgeons are unaware of the risks posed by the surgical diathermy. Apart from the numerous chemicals, surgical smoke had been shown to harbour intact bacterial and virus particles especially COVID-19 in the current time. ⋯ Many chemical and biological particles have been found in surgical smoke. It is highly recommended to follow the standardised guidelines for surgical smoke safety. Surgical smoke carries full virus particle(such as COVID-19 virus), it is strongly recommended to minimise or avoid electrocautery during the COVID-19 outbreak.
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Journal of orthopaedics · Jul 2020
The influence of post-operative knee coronal alignment parameters on long-term patient-reported outcomes after closed-wedge high tibial osteotomy.
Both intra-articular and extra-articular knee alignment pathologies can affect clinical outcomes after high tibial osteotomy. The purpose of this study was to investigate post-operative knee coronal alignment parameters that affect long-term patient-reported outcomes after closed-wedge high tibial osteotomy (CW-HTO). ⋯ Level Ⅳ, Retrospective cohort study.
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Journal of orthopaedics · Jul 2020
Emergency and Urgent Orthopaedic Surgeries in non-covid patients during the COVID 19 pandemic: Perspective from India.
To Evaluate the results and the protocols of our Institution for 18 Emergency and Urgent Non Covid Surgeries during the Covid 19 Pandemic. ⋯ Strict Surgical protocols need to be followed for surgery during the Covid19 pandemic.