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Introduction: Total knee replacement (TKR) is commonly carried out in patients with advanced osteoarthritis to reduce pain and increase. The study aimed to investigate functional outcomes after Total Knee Replacement (TKR) among orthopedic patients at Babcock University Teaching Hospital, Ogun, South West, Nigeria. Methods: Registry data of patients who underwent TKR between January 1st, 2021 to December 30th, 2021 were collected and retrospectively reviewed. Sociodemographic and anthropometric data together with the Oxford Knee Score (OKS) were collated both preoperatively and postoperatively (12 weeks after surgery). Results: There was significant increase in the OKS postoperatively, which was statistically significant. There was significant difference between pre-operative OKS and post-operative OKS (p=0.0049). Conclusion: Overall, there was clinically significant change in the OKS after surgery. This implies greater reduction in pain and increase functional outcomes.

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Objectives: To study the Intertrochanteric fractures patterns, distributions, and fixations modalities. In addition to assessing orthopedic surgeons’ tendencies toward implant choices according to the fracture morphology. Methods: This descriptive study reviewed the clinical and radiological records of 574 admitted with intertrochanteric femoral fractures in two hospitals of Jordanian Royal Medical Services from January - 2017 to December – 2020. Utilizing Picture Archiving and Communication System (PACS), patients’ radiographs were evaluated regarding the fracture patterns, surgical fixation technique, and indications. Results: Females accounted for 59.1% of patients. The mean age was equal to 76.40 ± 11.65 years, with an age range of 82 years (20 – 102 years). Comorbidities were found in 65.3% of patients. The majority of the fractures (54.5%) were of a simple fracture pattern, and the Dynamic Hip Screw (DHS) was the most commonly used surgical implant (51.9%). Preoperative mortality accounted for 2.3%. Conclusions: Understanding intertrochanteric femoral fracture patterns and proper implant choice improves outcomes and avoids complications. We found that DHS use was the first choice in stable fracture patterns. However, there is an increasing tendency to use PFN over other modalities in both stable and unstable intertrochanteric fractures. The use of other modalities to treat unstable fracture may be explained by the occasional non-availability of the superior PFN.

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Treatment of infected gap non-union of tibia occurring mostly after trauma and often complicated by infection is difficult to treat. Daily clinical practice in fixation, soft tissue management, and antibiotic therapy, treating infected gap nonunion of the tibia remains a problem for Orthopaedic surgeons. Management includes thorough debridement, stabilization of the fracture, and reconstruction of the bone defect. The study's goal was to evaluate the Ilizarov fixator frame's effectiveness in treating tibial gap nonunion.

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Background: Posterior lumbar spine fusions (PLSF) surgery is widely used in the field of spinal surgery for the treatment of lumbar spinal stenosis and spondylolisthesis, because of its surgical effectiveness and simple approach. But in such surgery, surgical site infection (SSI) is a matter of concern. In Bangladesh, we have very few research-oriented information regarding SSI and related complications after posterior lumbar spine fusions (PLSF) among patients. Aim of the study: The aim of to this study was to determine the incidences of postoperative surgical site infection after lumbar spinal surgery and its several characteristics. Methods: This study was a prospective observational study which was conducted in the department of Orthopedics, Holy Family Red Crescent Hospital Dhaka, Bangladesh during the period from March 2019 to December 2019. In total 47 patients of surgical site infections (SSI) following posterior lumbar spine fusions (PLSF) from several age groups were selected as the study people. Data regarding causes of surgery, frequencies of SSIs, associated causative organisms and other clinical status were recorded and analyzed. All data were processed, analyzed and disseminated by MS Office and SPSS programs as per need. Results: In analyzing types of SSI after posterior lumbar surgery among participants we observed 38.30%, 34.04% and 21.28% patients were with lumbar spinal stenosis and lumbar spondylolisthesis and lumbar disc herniation respectively. Among all the participants, among the highest number of patients S. aureus was associated as (19%) were found among noticeable number of patients. a single micro-organism. Besides these, MSSA (19%), S. epidermidis (26%) and MRSE. Conclusion: The pre-assessment of microbiological characteristics should be done in all cases of surgical site infections (SSIs) in patients after posterior lumbar spine fusions. Prompt application of antibiotics may reduce the complications in patients after posterior ........

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We report a rare case of myositis ossificans of the foot. Myositis ossificans is a benign, tumor-like lesion characterized by heterotopic ossification of the soft tissues that usually affects the elbow and thigh. The presence of myositis ossificans in the foot is rare and only a few cases have been reported in the literature. At different stages of maturity, it has similar histological features with sarcomatous lesions. Misdiagnosis can lead to unnecessary radical treatment. The important clinical teaching of our case is that myositis ossificans can take various aspects. The knowledge of unusual sites of myositis ossificans is necessary to differentiate this lesion from malignant soft tissue tumors. This will avoid diagnostic pitfalls and unnecessary investigations, which can have complications for patients.

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Background: To evaluate bone metabolism in patients with ankylosing spondylitis (AS) and test the hypothesis that nitrite, fetuin A with vitamin D and TNF-α serum concentrations are correlated with the severity of bone loss as assessed by bone mineral density (BMD) and biochemical markers of bone turnover. Osteoporosis occurs frequently in patients with AS and OPG represents a soluble decoy receptor that neutralizes receptor activator of nuclear factor-κB ligand (RANKL), an essential cytokine for osteoclast function. Materials and Methods: In our study, patients with ankylosing spondylitis (AS) who were visiting or admitted in the OPD and Emergency departments of Mahavir Institute of Medical Sciences, Vikarabad were formally enrolled for this study. Clinical data, radiographs of the spine, BMD of lumbar spine and the femur, biochemical markers of bone turnover, and serum levels of feutin A, nitrite were evaluated in 60 patients with AS (72% men) and 60 age-matched healthy controls (76% men). The estimation and comparison in serum biomarkers' levels have been analysed in concern with their ability to predict impaired healing at an early stage. All this consolidated data was analysed using SPSS software. Results: The result showed significant variations in measuring haemoglobin (Hb), Serum nitrite but significant increase of white blood cells (WBCs), platelets count and erythrocyte sedimentation rate (ESR) with increasing of TNF-α (P value<0.01) among different group. Conclusions: From the result can be accomplish that fetuin A with vitamin D and TNF-α play essential role in prognosis and aetiology of AS. Thus, measurements of these biomarkershold promise in differentiating between inflammatory and mechanical low back pain.

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Acute dislocation of the patella occurs commonly to the lateral side. Intra-articular dislocation with rotation of the patella around its horizontal or vertical axis, althought rare can occur. In this type of injury, the displaced patella becomes locked within the joint and rarely can be reduced by manipulation. The following report describes an additional case of this lesion, which was associated to an avulsion of the quadriceps tendon.