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1.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (2): 187-191
in English | IMEMR | ID: emr-190723

ABSTRACT

The primary indication for total knee replacement is relief of significant, disabling pain caused by severe arthritis. Total knee replacement surgery begins with correct planning of both the incision and the exposure of the joint. Definitely, these are factors that are just as important to an optimal outcome as choosing the right implant, positioning the components, and balancing the ligaments. While it is true that the standard incision and arthrotomy will, in most primary implant cases, provide adequate joint exposure, it is also true that cases characterized by certain conditions, such as previous cutaneous incisions, present specific skin and exposure problems that need to be recognized, planned for and overcome

2.
Egyptian Journal of Hospital Medicine [The]. 2018; 70 (11): 1992-1999
in English | IMEMR | ID: emr-192753

ABSTRACT

Background: Since the use of smart phones has increased recently, their impact on people individual's health is not well established. It is important and critical to examine and discover the presence, absence or the magnitude of this impact, especially among young people, because the pediatrics in certain communities constitutes >25%


Aim of the work: determination of the prevalence of neck pain among children/adolescents and its relationship with time spent using electronic devices [e-devices]. Material and methods: This cross-sectional study was conducted in Saudi Arabia using an online google survey form, which was distributed through social media to 2435 participants to find out the prevalence of neck pain among pediatric population and its relationship with e-devices use


Results: Our study showed that roughly a quarter of the participants in Saudi Arabia have pediatric population having neck pain, and mostpediatric sufferers are between 15-18 years. More time spent using e-devices was associated with increased complaints of neck pain, specifically, children at the age of 7-11 years spending 5-8 hours/day on e-devices. Around 70% had an aching pain that required them to ask for Doctor's


Conclusion: The research sample reported that children's use of electronic devices showed a close association with neck pain and the more the child spends time using an electronic device the greater is the complaint of neck pain. We found that there is a positive correlation between long time smart devices use and neck pain

3.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (2): 1832-1837
in English | IMEMR | ID: emr-190581

ABSTRACT

Glenohumeral bone defects are a typical finding in shoulder dislocation and they are intensely connected with the reappearance of dislocation and failure following arthroscopic Bankart repair. Advanced imaging assessment should subsequently be performed in order to recognize, quantify and portray the bone defects. Despite the fact that magnetic resonance has significant value in the appraisal of the glenoid labrum and rotator cuff, computed tomography scan is the examination of choice for studying bone defects. The imaging methodology selected for shoulder dislocation relies upon its accessibility and the treatment plan for a specific patient. Radiography is economical and is promptly accessible. It ought to be executed as the underlying imaging examination in patients giving a clinical issue identified with the shoulder. It complements the other advanced methods and gives an outline of the bony components of the shoulder joint. In few patients, radiography obviates additional imaging

4.
Egyptian Journal of Hospital Medicine [The]. 2017; 69 (4): 2361-2365
in English | IMEMR | ID: emr-190631

ABSTRACT

In spite of being rare, fat embolism syndrome is considered a fatal complication after bone fracture and orthopedic procedures. It was suggested that early immobilization might reduce the incidence of fat embolism syndrome. However, no enough data are available to justify this finding


Objectives: The aim of this review is to determine the incidence of fat embolism among patients who had long fracture fixation


Methods: A systematic review of Medline and Cochrane library was conducted on their database. This search yielded 34 papers, 13 of which were related


Results: The incidence of fat embolism syndrome after long fracture fixation ranged from 2.7% and 11%. More specifically, the incidence among long bone fracture patients who were operated early [within the first 24 hours after injury] ranged from zero% in some studies [16,19] to 1.8% in others. As regards late operation, after 24 hour of bone fracture, the incidence of fat embolism syndrome [FES] ranged from 3.5% to 10.4


Conclusions: The incidence of fat embolism in post long fracture fixation is very low. Several research works indicate that early fixation significantly reduce the incidence of FES compared to late fixation

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