Bilateral total knee arthroplasty with modified primary components in the management of neuropathic arthropathy related to chronic pancreatitis: a case with 5-year follow-up

WOS: 000310590000040PubMed ID: 23136562Although neuropathic arthropathy of the foot and ankle joints in diabetes is well known, the involvement of the knee joint is rare. Then, the management, particularly the use of arthroplasty, is a matter of debate. We report a 51-year-old man with neuroarthropathic involvement of both knees related to the chronic pancreatitis treated by modified primary total knee arthroplasty components using augments and extension stems only on the tibial side. Our 5-year observations revealed that although the replacement surgery in neuroarthropathy is associated with high rate of complications, it is highly effective in avoiding progressive functional disability and durable

Characterization of curcumin incorporated guar gum/orange oil antimicrobial emulsion films.

Edible films are manufactured from natural, renewable, nontoxic, and biodegradable polymers and are safe alternatives to plastic food packaging. Despite ongoing research, biopolymer-based edible films still are not at a quality to ensure total commercial replacement of synthetic packaging materials. The study aims to compare the effectiveness of some novel methods employed to improve edible film properties. These include dispersion of orange oil (1% & 2% v/v) and/or curcumin into guar gum (GG), glycerol and lecithin-based edible films that are further reinforced with Sodium trimetaphosphate (STMP) crosslinking with the aim enhancing films physical properties. The films were characterized by measurement of film thickness, density, moisture content, water dissolvability, FTIR Spectroscopy, opacity, water vapor permeability, tensile properties, and antimicrobial activity. Orange oil and curcumin preserved their antimicrobial activity inside the films, which bestowed the films with an active packaging function. Control GG films had acceptable tensile and barrier properties that were further improved. All other film properties, such as opacity, dissolvability, and moisture content, that should be designed for specific application, were successfully modified with the methods used. Our results confirm successful application of STMP crosslinking, emulsion film formation, and active agent addition to edible films in manufacturing GG films for packaging

Management of an Unusual Post-arthroscopic Complication: Subquadricipital Hematoma in the Presence of Complete Suprapatellar Plica

Complete suprapatellar plica is a rare congenital anomaly that separates the suprapatellar bursa from the knee joint cavity. Although the pathological incidence of this condition is not known, it can cause patellofemoral symptoms, anterior knee pain, and rarely hemarthrosis. We report a patient with a hematoma in an unusual location just three weeks after an arthroscopic procedure, associated with a complete suprapatellar plica undetected during primary surgery. The hematoma was not in the synovial cavity, rather between the quadriceps tendon and the synovial membrane and presenting with pain and catching. This unusual location has not been reported before. Repeat arthroscopic surgery with drainage of hematoma and plica resection relieved the symptoms

The Effect of 2 Adhesive Products on Skin Integrity Used for Fixation of Hip and Knee Surgical Dressings A Randomized Controlled Trial

WOS: 000350814400005PubMed ID: 25734456PURPOSE: The aim of this study was to compare effects of 2 adhesive products, a nonwoven porous adhesive bandage (NPAB) and transparent film adhesive bandage (TFAB), on skin integrity for fixation of hip and knee surgical dressings. MATERIALS AND METHODS: A prospective, randomized study was conducted on 300 patients who underwent hip and knee surgery (arthroplasty, fixation of fractures, tumor operations, etc). Participants were randomized into 2 equal groups according to the applied surgical dressing fixation product (NPAB or TFAB). Skin changes (edema, erythema, blister, peeling of blister, mechanical peeling, and maceration), drying of incision, serous discharge, and early infection symptoms were evaluated. RESULTS: The skin integrity was found to be impaired in 4.0% (n = 6) of the 150 NPAB patients and in 10.7% (n = 16) of the 150 TFAB patients (P = .02). Logistic regression analysis showed that the risk of impaired skin integrity increased 2.5-fold when TFAB was applied (P = .03). CONCLUSION: The NPAB was associated with a reduced likelihood of impaired skin integrity following hip and knee surgery.Ege University scientific research project evaluation committeeEge University [2010 TIP 011]This research was funded by Ege University scientific research project evaluation committee (Project Number: 2010 TIP 011)

How Long Do Octogenarians Benefit From Knee Arthroplasty?

Introduction Elderly patients are more prone to surgical risk regardless of the procedure. The overall mortality rate is expected to be high in this population. The aim of this study was to evaluate the survival rates of octogenarians who underwent knee arthroplasty procedures. Methods Sixty-two knee arthroplasties were performed on 52 patients who were >80 years of age al the time of the operation between November 1996 and May 2014. The preoperative American Society of Anesthesiologists (ASA) classes were available for 45 procedures. The database of the Civil Registry Service was used to assess whether the patients were alive at the time of the study. If they were deceased, their dates of death were recorded. The five-, 10-, and 15-year survival rates of patients were determined. Results Thirty patients (57.69%) were alive and 22 (42.31%) were deceased at the time of analysis. Based on the 62 procedures, the mean age of the patients at the time of the operation was 82.56 +/- 2.18 years. The mean time span between the operation and death of patients who passed away was 6.4 +/- 4.66 years. The mean age of the patients who were alive at the time of the study was 86.63 +/- 3.60 years. The mean time that had passed since the operation was 4.41 +/- 2.9 years for living patients. Only one patient died during the first 90 days postoperatively. The one-year mortality rate was 4.84% (three patients). A Kaplan-Meier survival analysis revealed that the mean survival time of the patients was 6.4 years, and the median survival time was 5.6 years. The five-year survival rate was 59%, the 10-year rate was 19%, and the 15-year rate was 7%. Conclusion Octogenarians benelitted from knee replacement longer than expected. Early mortality risks can be avoided with proper patient selection

Does Digital Templating of total knee arthroplasties reliable in hemophilic arthropathies?

[No Abstract Available