Controversy exists regarding the clinical and radiological differences in outcomes between fixed- and mobile-bearing total knee replacements (TKR). The aim of this study was to compare these two TKR designs using a meta-analysis of the electronic databases MEDLINE, EMBASE, CINAHL and AMED in addition to a review of unpublished material. All included papers were critically appraised using a modified PEDro critical appraisal tool. Thirty-three studies were eligible, assessing the outcomes of 3532 TKRs. Analysis suggested that there was no significant difference in clinical or radiological outcomes and complication rates between fixed- and mobile-bearing TKRs.
Patients with chronic stomal inflammation, bleeding or persistent induration and/or mass formation should be followed up closely and investigated for recurrence or development of a new malignancy. There should be a low threshold to obtain an early definitive tissue diagnosis by taking biopsies to prevent local or systemic invasion.
Sonographic probes may act as a medium for bacterial contamination and transmission. Cleaning of the probe with a dry, nonsterile paper towel is an easy, effective, low-cost, and device-friendly method that can reduce this risk.
HighlightsCase of 83 year old gentleman with chronic anaemia and ominous GI symptoms but unremarkable initial examination and investigations.Leiomyosarcomas of the small bowel is extremely rare and can be differentiated from gastrointestinal stromal tumours by immunohistochemical methods.Imaging in the form of MRE, CT colonography or WCE are crucial when faced with a differential diagnosis of small bowel malignancy.
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