A new score assessing the surgical wound of a TKA and its relation with pain, infection and functional outcome.

Intra-osseous pin sites used in Computer Navigated knee Arthroplasty are known to cause complications including infection, neurovascular The aim of this study was to describe a new score to evaluate the clinical aspect of the TKA surgical wound and to correlate it with postoperative pain, infection and functional outcome at 1 year of follow-up. This score, ranging from 0 to 10, assessed 5 parameters; swelling, haematoma, erythema, blood drainage and blisters. One hundred fifty-nine consecutive TKA were prospectively evaluated. Intra and inter-rate reliability was superior to 0.9. No differences were obtained comparing the aspect of the surgical wound with postoperative pain or functional outcomes. Incidence of deep infection is directly related with an increased score (p = 0.0025).

Bilateral stress fracture of the carpal scaphoid: report in a child and review of the literature.

We describe a case of a bilateral stress fracture of the carpal scaphoid in a 13-year-old boy. The patient played as a goalkeeper from the age of 5 years and presented with a 2-year history of intermittent pain in both wrists. Our patient underwent open reduction and bone grafting from the iliac crest in both wrists (6 months apart). He subsequently became asymptomatic and resumed sport activities. This patient presented with what was considered a rare case of a stress fracture of both scaphoid bones secondary to repetitive dorsiflexed movements. The patient denied the presence of acute symptoms after a fall and did not perceive the onset of pain as being related to any trauma to the wrist, particularly while playing soccer. A review of other similar cases previously published is also presented.