Background: YouTube is now becoming important for people as a source of health related information. The aim of the present study was to assess the educational quality of YouTube videos related to Total hip replacement. Methods: A search on YouTube for the term "Total hip replacement" was performed. Data from 47 most relevant videos were collected. Quality assessment checklists with a scale of 0e10 points were developed to evaluate the video content. Videos were grouped into poor quality (grade 0e3), acceptable quality (grade 4e7), and excellent quality (grade 8e10). Results: 91% of videos were of poor educational quality (43/47), 9% were of acceptable quality (4/47) and none of the videos were of excellent quality. Common missing information was regarding non-operative treatment options and types of bearing surfaces. Conclusions: Videos regarding total hip replacement are frequently viewed on YouTube which is an unreliable educational source for patients, so it is important that surgeons should have knowledge about the available content so as to direct our patients to a suitable source. Also, surgeons should upload more informative videos that can be understood by patients which will be beneficial in providing information and education regarding Total Hip Replacement.
Most of the options available to treat distal clavicle fractures involve hardware-related complications and high failure rates. This study aims to determine the outcome of distal clavicle fractures treated by a technique that combines biological reconstruction of the coracoclavicular ligament with semitendinosus autograft with reinforced fibrous tissue tapes. In this retrospective study, 8 patients with displaced distal third clavicle fracture cho’s IIB or II C were operated on with the described surgical technique between 2018 and 2021. The results were assessed by comparing the preoperative Constant Murley score and the postoperative DASH score. In addition to these variables, several other variables were also assessed, such as the coracoclavicular distance, the time until union, and all intraoperative and postoperative complications. The study included eight patients with an average age of 36.5 years, and the average time from surgery to recovery was five days. According to Cho’s classification, all eight patients achieved radiographic union within 89 days. Of the eight cases, six were classified as II C and two as II B. The follow-up period was an average of 13 months. During the postoperative period, the Constant Murley score score increased from 22.2 preoperatively to 92.2 postoperatively. The mean DASH score was 89.6, and the mean postoperative DASH score was 7.75. In terms of the coracoclavicular distance, the mean preoperative was 20.2 mm, and the mean postoperative was 10.3 mm. One patient experienced a minor wound complication after surgery, treated with secondary suturing after the operation. No intraoperative complications occurred. There was no donor site morbidity observed in the patients. It has been demonstrated that the use of this technique in displaced unstable distal clavicle fractures using a fiber tape and a semitendinosus autograft results in a satisfactory union and excellent clinical outcomes with very few complications.
Introduction: Combined fracture of greater and lesser tuberosity is an extremely rare injury. Such fracture pattern has not been described in the Neer’s, AO Muller, and Jakob’s classification system. Case Presentation:We report a unique fracture pattern consisting of combined greater and lesser tuberosity of the proximal humerus (PH) with intact humeral head and shaft in a 32-year-old female. Routine radiographs and computed tomography scan with three-dimensional reconstruction were advised for better understanding of the fracture pattern, later managed by open reduction and fixation with PH locking plate. The patient has excellent clinical, radiological, and functional outcome at the end of 2 years follow-up. Conclusion: This is one among the few case reports highlighting this unique variant of PH fracture, not much has been described in the literature about this injury. Anatomic reconstruction of the fractured tuberosities combined with stable construct by PH locking plate facilitates optimum bone healing and aggressive shoulder rehabilitation. Keywords: Greater tuberosity, humeral head, lesser tuberosity, proximal humerus fracture.`
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