Background: As total hip replacement cases increase year after year, registry-wide data becomes increasingly important in order to assess pathology distribution, reimbursement efficiency as well as physician performance. In order to assess all these factors patient evolution needs to be documented after surgery as well, but the main impediment to doing this is losing patients to follow-up. For this reason, the present study aims to perform a descriptive analysis of the hospital’s internal registry data as well as to determine what percentage of patients can be expected to return to follow-up after total hip replacement. Methods: A query of the hospital’s internal registry data in the last years was performed. Patient demographics, county distribution as well as ICD-10 code usage were documented. Data standardization was performed to determine the probability and cumulative distribution of the patient’s age. The chi2 test of independence was used to assess whether there is a correlation between the patient’s gender and ICD-10 codes. Pot hoc power analysis was performed to assess the accuracy of correlation analysis. Results: Only 29.6% of the patients undergoing total hip replacement are from the county within which the hospital is located. 25% of the patients were under 60 years old. Conclusions: Current registry data reveals that most patients undergoing total hip replacement are around 67.5 ± 11 years old, suffer from unilateral or bilateral primary or secondary hip osteoarthritis and only 29.6% of them are likely to return to follow-up.
We evaluated the available English literature for cases of acromion non-union and rotator cuff tear, looking at surgical methods of treatment as well as at functional results. As expected, the literature regarding rotator cuff pathology was found to be abundant, and a good number of articles were found regarding acromion non-union, but articles concerning the association of the two were scarce. Treatment recommendations varied, and were made on a case-to-case fashion. The accepted treatment methods for acromion non-union consist of non-surgical management, open or arthroscopic fragment removal, open or arthroscopic reduction and fixation (bone grafting may be used), while the rotator cuff witll be reinserted with anchors. In this rare occurence, a large rotator cuff tear with retracted tendons combined with an acromion non-union are usually repaired by an open technique in an one-stage surgery, with good results. In order to chose the right treatment option scapular kinematics must be taken into consideration especially when acromial fractures are associated with rotator cuff tears.
The current paper describes the protocol used in our clinic for 3D imaging, reconstruction and printing of complex acetabular defects that are used for surgical planning of complex acetabular defects. Surgical guides have also been developed to aid optimal acetabular reamer placement in order to recreate the optimal hip rotation centre for each patient undergoing revision hip arthroplasty that has impaired acetabular bone stock.
The purpose of this paper was to evaluate the existence of the anterolateral ligament of the knee in the Romanian population. Multiple studies have investigated the anterolateral structures of the knee, but there is some inconsistency regarding the existence of the anterolateral ligament. Materials and methods: A cadaver dissection study was performed on 10 knees (5 left and 5 right), 3 males and 2 females Results: The anterolateral ligament was observed in all 10 knees. The mean length was 32±6mm, the width was 5.1±2 mm, and the thickness at the articular line was 1.1±5 mm. Conclusions: A 100% presence was found, with a slight difference from the length, width, and thickness in other countries, race not being a decisional factor in differences.
