A difficult conversion of heterotopic ossification to total hip replacement.

Heterotopic ossification (HO) is abnormal bone formation in soft tissues, commonly between muscle and joint capsule, often following stroke, traumatic brain injury or spinal cord injury. The hip is the most frequently affected site, with management ranging from analgesics to surgical excision and, rarely, total hip replacement (THR).We report a case of a man in his early 30s with Brooker grade 4 HO of the left hip, presenting with severe restriction of motion.

Broken bioabsorbable tibial interference screw post-arthroscopic anterior cruciate ligament reconstruction: A case report.

Background: Bioabsorbable interference screws are a widely used option for graft fixation in anterior cruciate ligament (ACL) reconstruction. Their ability to degrade over time and avoid secondary hardware removal makes them advantageous. However, complications such as breakage and intra-articular migration of screws can cause significant clinical issues, including joint pain, swelling, and cartilage damage.

Systematic Review and Meta-Analysis: Efficacy of Biologic Therapies in the Treatment of Degenerative Disc Disease.

Introduction: Degenerative disc disease (DDD) is a chronic condition associated with substantial pain and disability, often inadequately addressed by traditional treatments. Biologic therapies such as stem cell therapy and platelet-rich plasma (PRP) injections offer potential alternatives by aiming to promote disc regeneration and alleviate symptoms.

Materials And Methods: A systematic review and meta-analysis were conducted to evaluate the efficacy of biologic therapies compared to conventional treatments for DDD.

Evaluating Effectiveness, Safety, and Patient Outcomes of 3D Printing in Orthopedic Implant Design and Customization: A PRISMA-Complaint Systematic Review.

Introduction: The advent of 3D printing technology has revolutionized the field of orthopedics, particularly in the design and customization of implants. This study aims to evaluate the effectiveness, safety, and patient outcomes associated with the use of 3D-printed custom implants for various orthopedic conditions.

Materials And Methods: The systematic review was registered in PROSPERO (CRD42025648097).

Arthroscopically Assisted Reduction and Internal Fixation for Tibial Plateau Fractures.

Tibial plateau fractures are complex intra-articular injuries resulting from high-energy trauma in young patients or low-energy mechanisms in osteoporotic individuals. Proper management is crucial to restore joint congruity, stability, and function, ultimately preventing long-term complications such as post-traumatic osteoarthritis. Open reduction and internal fixation have been the traditional approach but are associated with significant morbidity, including extensive soft-tissue damage and infection risk.

Advancements in orthopaedic medical Education: Exploring novel teaching strategies - A qualitative systematic review.

Background: The evolution of orthopaedic medical education has been significantly influenced by the integration of innovative teaching methods aimed at addressing the challenges of traditional learning models. Emerging pedagogical strategies such as simulation-based learning, flipped classrooms, problem-based learning (PBL), and peer teaching have demonstrated improved student engagement, knowledge retention, and clinical competency. However, the global adoption of these innovations faces barriers, particularly in resource-limited settings.

Unravelling the challenges in diagnosing Caffey disease.

Caffey disease, also known as Infantile Cortical Hyperostosis, is a rare yet significant self-limiting disorder that primarily affects infants. The condition is characterised by acute inflammation of the periosteum, cortical hyperostosis, and soft tissue swelling, often accompanied by systemic manifestations such as fever and irritability. The case describes a male infant with progressive left thigh swelling appearing 10 days post-immunisation, with no systemic symptoms.

The economical and reliable image free navigation system for acetabular cup implantation in total hip arthroplasty.

Background: Achieving precise acetabular cup positioning is vital for the success of total hip arthroplasty (THA). Factors such as cup inclination and anteversion angles play a pivotal role in determining postoperative stability, limb length equality, and overall functional outcomes. Modern navigation systems and robotics have enhanced surgical precision but remain underutilized due to their high costs and complex training requirements.

Simulation-based learning in orthopaedics: q s r.

Introduction: Simulation-based learning has emerged as a transformative tool in orthopaedic education, significantly improving surgical training and patient safety. This systematic review examines the role of simulation in enhancing technical skills, decision-making, and clinical competence among orthopaedic trainees.

Methods: A systematic review was conducted to assess the effectiveness of simulation-based training in orthopaedics.

Effectiveness of Platelet-Rich Plasma in Treating Rotator Cuff Tendinopathy: A Systematic Review and Meta-Analysis.

Introduction: Rotator cuff tendinopathy often causes significant shoulder pain and limits function. Traditional treatments, such as physical therapy and corticosteroid injections, provide inconsistent relief. Platelet-rich plasma (PRP) has emerged as a promising regenerative therapy for pain relief and tendon healing.

Multifocal brown tumors: A case report and literature review.

Brown tumors, though rare, are significant manifestations of hyperparathyroidism, often presenting with multifocal osteolytic lesions and occasionally leading to pathological fractures. This case report details the presentation and management of a 38-year-old male with multifocal brown tumors, including a right tibial fracture, and provides a comprehensive literature review. The patient exhibited multiple osteolytic lesions in the legs, thighs, and forearms, alongside elevated serum calcium and parathyroid hormone (PTH) levels.

A prospective randomized placebo-controlled study evaluating the safety and benefits of tranexamic acid injections for primary unilateral total knee replacement.

Background: One of the primary issues following total knee arthroplasty (TKA) is blood loss. According to the research, tourniquet time which works by inducing fibrinolysis activity is one of the primary factors contributing to blood loss. This element gives the surgeon the chance to reduce blood loss, which subsequently avoids allogenic blood transfusion and any associated risks.

The Use of Platelet-Rich Plasma in the Treatment of Open Foot Injuries: A Case Series and Literature Review.

Introduction: Open injuries of the foot pose considerable treatment challenges due to the intricate anatomy of the area and the elevated risk of complications, including infection, delayed wound healing, and chronic pain. Traditional management typically involves irrigation, debridement, and surgical techniques such as skin grafts or flaps. Despite these interventions, achieving optimal healing remains difficult, with many cases suffering from prolonged recovery and complications.

Association of vitamin D and antioxidant enzyme levels in patients with delirium tremens: A case control study.

Background: Global alcohol consumption poses a serious threat to humankind. It is estimated that between 5% and 7% of Indian adults struggle with alcohol abuse. Alcoholism is associated with a number of disorders, impacting different organ systems and nutritional status, including symptoms of withdrawal that can vary in severity from moderate symptoms to delirium tremens (DT).

Rare Coexistence: Giant Cell Tumor Recurrence and Infection in the Proximal Tibia - A Case Report.

Introduction: Giant cell tumor of bone (GCTB) ranks among the most prevalent locally aggressive tumor lesions, displaying a diverse range of biological behaviors. Recurrence of GCTB is well-documented, often attributed to microscopic tumour remnants remaining after intralesional curettage, with increased concern when infection occurs postoperatively. Studies suggest the limited effectiveness of adjuvants in preventing giant cell tumour recurrence, emphasizing the necessity of complete removal of malignant cells.

Enhancing preoperative patient education through virtual reality: A leap forward in nursing practice.

Integration of virtual reality (VR) technology into preoperative patient education has shown potential to improve nursing practice. The study by Kim examines the impact of VR on nurse satisfaction, usability, and burnout. A prospective study involving 20 nurses and 80 patients was conducted, comparing traditional paper-based education with VR-based education in the plastic surgery ward at Chungnam National University Hospital.

Knowledge, attitude, and perception of orthodontic students, and orthodontists regarding role of artificial intelligence in field of orthodontics-An online cross-sectional survey.

Background: Artificial intelligence (AI) is an emerging technology in orthodontics. The objective of this survey was to evaluate the knowledge, attitude, and perception (KAP) of orthodontists and postgraduate students regarding the plausible employment of AI within the realm of orthodontics.

Methods: An observational, cross-sectional, online questionnaire survey was conducted with 440 participants (264 postgraduates and 176 faculty members).

Management of Congenital Radioulnar Synostosis Fracture Following Road Traffic Accident: A Rare Case Report.

Introduction: Congenital radioulnar synostosis (CRUS) is a rare condition characterized by the fusion of the radius and ulna bones in the forearm, resulting in limited forearm rotational movement.

Case Report: We present a unique case of a 26-year-old male who suffered a forearm injury following a road traffic accident. Initial evaluation revealed a malformed proximal radius and distal radioulnar joint, and the presence of radioulnar synostosis, along with a fracture at the junction of the radius and ulna.

Sacral Osteoblastoma in a Young Male Presenting as Radicular Pain: A Rare Case Report.

Introduction: Osteoblastoma is an uncommon benign bone tumor characterized by the formation of osteoid tissue, occurring more frequently in men than in women. It is often associated with osteoid osteoma and can be found at various locations in the skeleton, although it is rare in the sacrum. Typically, these lesions involve the posterior elements of the spine, including the pedicle and the lamina.

Huge Distal Ulna Giant Cell Tumor Treated with Wide Local Excision and Extensor Carpi Ulnaris Tenodesis - A Rare Case Report.

Introduction: Giant cell tumors (GCT) are a relatively uncommon type of non-cancerous bone growth, representing around 4-10% of all bone tumors. These tumors tend to exhibit local aggressiveness and are typically prevalent in individuals between 20 and 40 years old. Commonly observed locations for GCT include the distal femur, proximal tibia, and the distal end of the radius.

Neglected Anterior Shoulder Dislocation With Greater Tuberosity Fracture Managed With Open Reduction and Latarjet Procedure: A Case Report.

Neglected shoulder dislocation is a relatively rare occurrence characterized by structural changes in bone and soft tissue. Surgical intervention is often necessary, yet no universally accepted treatment approach exists, presenting a challenging clinical scenario. A 45-year-old female presented with an eight-month-old neglected anterior shoulder dislocation, compounded by a Hill-Sachs lesion from a previous fall.

Functional Outcome of Single-Bundle Arthroscopic Anterior Cruciate Ligament Reconstruction using Peroneus Longus Graft and Hamstring Graft: An Open-Label, Randomized, Comparative Study.

Background This study investigates the functional outcomes of single-bundle arthroscopic anterior cruciate ligament (ACL) reconstruction, comparing the use of two distinct graft sources: peroneus longus (PL) graft and hamstring graft. The choice of graft material in ACL reconstruction is crucial for optimal postoperative results, and this study aims to contribute valuable insights into the comparative efficacy of these two graft types. Method This open-label randomized comparative study involved a carefully selected cohort of patients undergoing single-bundle arthroscopic ACL reconstruction.

Surgical Triumph Over Huge Nontraumatic Myositis Ossificans of the Gluteal Region in an Epileptic Patient With History of Stroke: A Case Report.

Myositis ossificans (MO) is a benign condition where bone forms within muscles due to increased activity of the periarticular tissues. Trauma is the most common cause. Nontraumatic MO is exceedingly rare.

Management of Synovial Chondromatosis of the Elbow With Ulnar Nerve Palsy by Open Approach: A Case Report.

Synovial chondromatosis is a rare condition characterized by benign metaplasia of the synovial membrane, leading to nodular growths within the joint space. We present the case of a 58-year-old woman with persistent pain and stiffness in her right elbow, ultimately diagnosed with synovial chondromatosis. Examination revealed joint effusion, tenderness, and restricted range of motion, with palpable loose bodies and ulnar nerve symptomatology.

Fixation with multiple K-wires and PRP injection as an effective way to manage heel pad avulsion.

The treatment of acute heel pad avulsion differs significantly from managing other soft tissue injuries due to its unique soft tissue structure. This case report outlines a scenario involving a male in his 20s who suffered heel pad avulsion without a calcaneal fracture but with an ipsilateral medial malleolus fracture after a twisting injury to the ankle caused by a road traffic accident. Immediate action was taken within 24 hours of the injury, involving thorough debridement of the wound, fixation to the calcaneum using multiple K-wires, primary suturing and internal fixation of the medial malleolus with two cannulated cancellous screws.