orthopedic surgeon
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2021 ◽  
Vol 9 (3) ◽  
pp. 388-389
Author(s):  
Vladimir M. Kenis ◽  
Alyona N. Melchenko ◽  
Anna V. Zaletina

Lynn Taylor Staheli is Professor Emeritus at the University of Washington, a distinguished pediatric orthopedic surgeon, author of numerous studies and books, and a major contributor to the development of pediatric orthopedics. Professor Staheli was a founding editor of the Journal of Pediatric Orthopaedics and founder of Global HELP. In recent years he has been active in the promotion of modern approaches in pediatric orthopedics. Lynn Taylor Staheli passed away on August 9, 2021. He was 87 years old.


2021 ◽  
Author(s):  
Camille Choufani ◽  
Olivier Barbier ◽  
Laurent Mathieu ◽  
Nicolas de L’Escalopier

ABSTRACT Introduction Each French military orthopedic surgeon is both an orthopedic surgeon and a trauma surgeon. Their mission is to support the armed forces in France and on deployment. The aim of this study was to describe the type of orthopedic surgery performed for the armed forces in France. Our hypothesis was that scheduled surgery was more common than trauma surgery. Methods We conducted a retrospective descriptive analysis of the surgical activity for military patients in the orthopedic surgery departments of the four French military platform hospitals. All surgical procedures performed during 2020 were collected. We divided the procedures into the following categories: heavy and light trauma, posttraumatic reconstruction surgery, sports surgery, degenerative surgery, and specialized surgery. Our primary endpoint was the number of procedures performed per category. Results A total of 827 individuals underwent surgery, 91 of whom (11%) were medical returnees from deployment. The surgeries performed for the remaining 736 soldiers present in metropolitan France (89%) consisted of 181 (24.6%) trauma procedures (of which 86.7% were light trauma) and 555 (75.4%) scheduled surgery procedures (of which 60.8% were sports surgery). Among the medical returnees, there were 71 traumatology procedures (78%, of which 87.3% were light traumatology) and 20 procedures corresponding to surgery usually carried out on a scheduled basis (22%, of which 95% were sports surgery). Conclusion Military orthopedic surgeons are not just traumatologists; their activity for the armed forces is varied and mainly consists of so-called programmed interventions.


2021 ◽  
pp. 46-47
Author(s):  
Phani Teja Villa ◽  
P Sadhana ◽  
K Thulasi Ram

Background: Fracture diaphysis of a femur is one of the most common fractures that an orthopedic surgeon comes across. Since femur is one of the principal load bearing bones in the lower extremity, femur diaphyseal fractures resulting from high energy trauma, and are often associated with concomitant injury of internal organs. Thus these fractures are associated with considerable mortality and morbidity. Results: In the present study, we used WINQUEST AND HANSENS CLASSIFICATION to classify the fractures , 14 (46.66%) cases were type 0 fractures; type1 fractures were 6 (21.33%). The age of the patients ranges from 18-70 years, with a mean age of 37.6 yrs. Male predominance was seen; about 76.66% (23 cases) were males and the rest females, i.e., 23.33% (7 cases). Eighteen cases (18) were right-sided, and twelve cases (12) were left-sided fracture diaphysis of the femur


Medicina ◽  
2021 ◽  
Vol 57 (9) ◽  
pp. 951
Author(s):  
Kevin F. Purcell ◽  
George V. Russell ◽  
Matthew L. Graves

Diaphyseal malunion poses a great challenge for the orthopedic surgeon, and an inundation of morbidity for the patient. Diaphyseal malunion can cause altered gait, adjacent joint osteoarthritis and body dissatisfaction. This problem is fraught with complications without surgical intervention. There is a myriad of options for the management of a diaphyseal malunion. The clamshell osteotomy was engendered to ameliorate the difficulty in managing this issue. This technique is a viable option to correct diaphyseal malunion about the femur and tibia. Recently, the indications of a clamshell osteotomy have been expanded to function as a derotational or shortening osteotomy.


2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Daniel Pérez-Prieto ◽  
Pedro Hinarejos ◽  
Albert Alier ◽  
Lluïsa Sorlí ◽  
Santos Martínez ◽  
...  

Abstract Background The aim of the present study was to evaluate the incidence of unsuspected PJI when prosthetic revisions are thoroughly evaluated by PJI dedicated orthopedic surgeon before surgery. The hypothesis is that the incidence of unsuspected PJI is reduced by applying this protocol. Methods This is a historical cohort study carried out in one university hospital. The prosthetic revision assessment was carried out in January 2019. From that date on, all patients that were programmed for hip or knee revision (either by an orthopedic surgeon specialized or not in septic revisions) were scheduled for a preoperative visit with the same orthopedic surgeon specialized in septic revisions. The diagnostic algorithm applied was based on the Pro-Implant Foundation diagnostic criteria. Prior to the revision assessment, the indication for joint aspiration was done at the surgeons’ discretion (non-specialized in septic revisions) and the preoperative identification of PJI was also done by a hip or knee surgeon (not specialized in septic surgery). Results Based on the PIF criteria, there were 15 infections among the revisions in group 1 and 18 PJI in group 2 (p > 0.05). The most interesting finding was that there were 7 patients with unsuspected positive cultures in group 1. That represents 11% of all revisions. No patient in group 2 was found with unsuspected positive cultures (p < 0.001). Conclusion A thorough PJI diagnostic algorithm should be implemented before prosthetic revision to avoid unsuspected positive cultures.


2021 ◽  
Vol 10 (1) ◽  
pp. 55-60
Author(s):  
Rajesh Bahadur Lakhey ◽  
Afzal Hussain

Background: Pakistan Society for Rehabilitation of the Disabled Orthopedic Hospital is renowned for the correction of orthopedic deformities including foot and ankle deformities. Dr. Afzal Hussain, a consultant orthopedic surgeon in the hospital, pioneers in treatment of foot and ankle deformities and he has developed a new operative procedure for congenital clubfoot. Working with the surgeon for 6 months during the fellowship, management of the neglected and the residual congenital clubfeet with the new operative procedure   and their follow-ups were assisted by the first author. Materials and Methods: Operative procedure of the neglected and the residual congenital clubfeet, which were performed with the new operative procedure by Dr. Hussain, were assisted by the first author and a minimum of 5 years follow up was done by the senior author (Afzal Hussain). Cumming’s modification of Laavag and Ponseti score was applied for the calculation of the results at the follow-ups. Results: During the follow-ups of 11 cases of neglected congenital clubfeet and 9 cases of residual clubfeet (operated earlier with posteromedial release) which had been operated by the new operative procedure, Cumming’s modification of Laavag and Ponseti scores of the operated clubfeet were calculated and the results were found to be excellent. Conclusion: Early results of the new operative procedure by Dr. Afzal Hussain for congenital clubfoot in the neglected and the residual congenital clubfeet were found to be excellent.


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