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  1. Low TH, Loke YH, Chiu CK
    Eur J Orthop Surg Traumatol, 2012 Nov;22 Suppl 1:113-5.
    PMID: 26662760 DOI: 10.1007/s00590-012-0995-y
    Reaming is an integral step of long bone nailing and is associated with low complication rate. We report a case of a flexible reamer that was broken and incarcerated in the femoral canal during a femoral canal reaming. The reamer was used without a ball-tipped guide wire, and thus, the routine extraction using the guide wire was not possible. The incarcerated reamer was successfully extracted after medullary decompression with small drilling corticotomies adjacent to the reamer head. This case report serves as a reminder of the importance of using the ball-tipped guide wire with a flexible reamer. It also describes a simple and minimally invasive technique of removing an incarcerated flexible reamer.
  2. Zandi R, Manafi-Rasi A, Talebi S, Ehsani A, Salarzadeh-Jenatabadi H
    Eur J Orthop Surg Traumatol, 2023 Dec;33(8):3603-3609.
    PMID: 37248436 DOI: 10.1007/s00590-023-03600-3
    PURPOSE: We aimed to investigate the relationship between spinopelvic imbalances and functional disabilities after total hip arthroplasty in an at least two years of follow-up.

    METHODS: Patients with normal sagittal alignment and normal motion (PI-LL  10°) were defined as control, and patients with any of sagittal alignment or motion abnormalities were defined as case groups. Visual Analog Scale, SF-36, Harris hip score, HOOS-JR, and complications were recorded.

    RESULTS: The differences of the means of Harris hip score, HOOS-JR, SF-36, and VAS score in the control and case groups were statistically significant. The mean of these parameters in patients with sagittal balanced (PI-LL  10°). Same results were noted in patients with decreased (∆SS  10°).

    CONCLUSION: Our observations indicate that spinopelvic imbalances are associated with worse postoperative functional outcomes in patients undergoing total hip arthroplasty.

  3. Muhammad AS, Jamil K, Abdul-Rashid AH, Abd-Rasid AF, Aizuddin NA
    PMID: 38619601 DOI: 10.1007/s00590-024-03943-5
    PURPOSE: This study aims to compare the functional and radiological outcomes following both guided growth surgery (GGS) and acute corrective osteotomy (ACO) correction of angular deformities in children with rickets.

    METHODS: A total of 8 and 7 children who had gradual GGS and ACO correction, respectively, for angular deformities due to rickets from 2002 to 2022 were recalled for follow-up. Demographic data, types of rickets, data on pharmacological treatment, biochemical parameters, recurrence of angular deformity and postoperative complications were obtained from the medical records. A radiographic evaluation of the leg was performed to determine the tibiofemoral angle. For functional evaluation, the Active Scale for Kids (ASK) and Lower Extremity Functional Scale (LEFS) instruments were used for children below and above 15 years old, respectively.

    RESULTS: In terms of the tibiofemoral angle, the GGS group documented greater angle changes compared to the ACO group, but the difference was not significant. In terms of functional outcomes, the overall score percentage of both groups was comparable with the GGS group showing a trend of higher score percentage compared to the ACO group. The GGS group presented no complication while 2 neurovascular injuries and 1 implant failure were recorded in the ACO group.

    CONCLUSION: Both GGS and ACO procedures resulted in similar radiographic and functional outcomes for the treatment of rickets in children. GGS may be advantageous in terms of reducing complications of surgery. Nevertheless, the choice of surgical intervention should be made based on the patient's circumstances and the surgeon's preference.

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