Open Access DOI:10.23937/2643-4016/1710026
10-Year Outcomes of the Charnley and Exeter Total Hip Replacements: A Clinical Cohort Study Conducted in Cappagh National Orthopaedic Hospital (CNOH) Dublin/Ireland
Mohamed Monawar, MBBS, MRCS, MCh, Orth, Paddy Kenny, MB, BCH, BAO, MFSEM, FRCSI, FRCS (Tr & Orth), Natasha Rafter, RCSI, Fionnuala Walsh and Samir Talha, MBBS, MRCS
Article Type: Research Article | First Published: September 30, 2021
Cappagh National Orthopaedic Hospital (CNOH) joint register is of huge value in assessing current outcomes of Charnley and Exeter Total Hip Replacements (THR) in Ireland. It is the chief orthopaedic elective hospital and as the Republic of Ireland has no published results from the National Joint Register yet; focusing on this register will help the Irish orthopaedic community by demonstrating which of the two devices has superior survivorship and patient reported outcomes. Joint register data fo...
Open Access DOI:10.23937/2572-407X.1510027
A Large Papillary Carcinoma of Thyroid Gland
Alhad Mulkalwar, Sujay Jaju and Samir Deolekar
Article Type: Clinical Image | First Published: September 30, 2021
A 55-year-old female patient presented with a swelling in the front and sides of the neck (Figure 1) for last 1 year which was initially increasing slowly in size but for the last 5 months, the patient noticed that the swelling was rapidly increasing in size. She was complaining of dull aching pain over the swelling for last 3 months. She also complained of slight hoarseness of voice for last 2 months. She had slight difficulty in swallowing and breathing. There were no symptoms suggestive of hy...
Open Access DOI:10.23937/2378-3656/1410361
Systemic Quinolones and Risk of Acute Liver Failure II: Systematic Review of Clinical Trials
Mohamed Kadry Taher, Mohamed Habsah, Lise Bjerre, Franco Momoli, Donald Mattison and Daniel Krewski
Article Type: Review Article | First Published: August 30, 2021
Quinolones are a class with four generations of synthetic antibiotics characterized by a unique mechanism of action, broad spectrum, potent pharmacologic properties and reasonable safety profile. Their global and growing popularity has been accompanied by an increase in the emergence of antimicrobial resistance and occurrence of unexpected adverse reactions. Nevertheless, physicians continue to prescribe these drugs on an increasing scale, irrespective of the availability of other treatment alte...
Open Access DOI:10.23937/2474-3682/1510186
Guide for Identification of Different Types of Hernias
Benatta Mahmoud
Article Type: Image Article | First Published: September 29, 2021
A 40-year-old man with left lumbar penetrating trauma 30 days ago. On the day of trauma, the urgency surgeon repaired multiple ileal injuries, and the patient returned home (Figure 1). We readmitted the patient because of left lumbar pain and sped up transit. Ultrasonography showed a retroperitoneal collection. Urography showed ureteral enteric communication We performed a left double J. Transit return to normality and lumbar pain disappeared. Three months later, we removed Double J removed. Go...
Open Access DOI:10.23937/2474-3682/1510185
A Guide for Identification of Different Types of Hernias
Alhad Mulkalwar, Apoorva Doshi, Tanmay Jadhav and Samir Deolekar
Article Type: Image Article | First Published: September 29, 2021
A hernia is defined as an abnormal protrusion of a viscus or part of a viscus through a normal or abnormal opening in the cavity in which it is contained. It is an area of weakness or disruption of the fibromuscular tissues of the body wall. Inguinal hernia is the most common type of hernia (73%), followed by incisional (15%) and femoral hernia (7%). This article describes these common types of hernias with an example each, along with their major characteristics and identification points. This c...
Open Access DOI:10.23937/2643-4474/1710080
Cerebral Infarction from Compression of the Internal Carotid Artery - A Rare Presentation of Pituitary Apoplexy
Kali Uppalapati, Narindra Ramnarine, FRCS and Panduranga Seetahal-Maraj
Article Type: Case Report | First Published: September 20, 2021
Cerebral infarction caused by Pituitary Apoplexy is a rare phenomenon with less than 30 reported cases in literature. We report this rare phenomenon in a 42-year-old female, who was diagnosed and underwent urgent trans-sphenoidal decompression of the sella. A 42-year-old female presented with sudden onset of headaches, left hemiplegia and bitemporal hemianopia. Radiological investigations revealed right anterior circulation infarction from mechanical obstruction of the right internal carotid art...
Open Access DOI:10.23937/2643-4474/1710078
Bilateral Dumbbell Cervical Spinal Ganglioneuromas Associated with Neurofibromatosis Type 1
Panduranga Seetahal-Maraj, MRCS, Nadeem Hosein, FRCP, Patrick Knight, FRCS and Narindra Ramnarine, FRCS
Article Type: Case Report | First Published: September 15, 2021
Ganglioneuromas of the cervical spine are rare lesions. There are only 6 documented cases in the existing literature that are associated with neurofibromatosis type 1, in which all patients presented with tetraparesis. We present a case of a young female with NF1, who developed bilateral upper limb paresthesia after a minor fall. Her neurological examination was consistent with cervical myelopathy, with long tract signs evident but no loss of power. MRI of the cervical spine showed bilateral dum...
Open Access DOI:10.23937/2643-4474/1710076
Pedicle Screws Fixation of Thoraco-Lumbar Fractures Experience in Qatar
Abdulnasser Alyafei, Ghanem Al Sulaiti, Nissar Shaikh, Sirajelddin Belkhair, Ahmed Quateen, Surya Batas, Aisha AL Kubaisi, Ghaya AL Rumahi, Alaalden, Husham Abdul Rahman, Ahmed Own, Ali Raza and Hassan AL Thani
Article Type: Orginal Research | First Published: September 03, 2021
Thoracolumbar injury is one of the most common spine injuries. The injury manifesting as neurologic deficit usually requires surgery because of the underlying spinal instability and/or neural compression. The objectives of surgical treatment are to restore the biomechanical stability of the spine and/or to achieve neural decompression. The aim of the study was to evaluate short-term outcomes in patients with symptomatic vertebral injury, underwent posterior instrumentation surgery in the acute s...