There is always an ardent desire to obtain the best outcome in any surgery. To improve the quality of life of their patient is amongst the top priorities of most orthopaedic surgeons. It is a big challenge to accurately match a perfect pre-operative planning and obtain that intra operatively. Robotic technology is fast evolving in many surgical branches with orthopaedics as well, but limited with the price tag it comes with. Nevertheless, robotics is gaining momentum with some encouraging short-term results. Robotic surgery can offer significant improvement in surgical planning, accurate implant or prosthetic placement, which provide good outcomes that ultimately enhance patient safety. We review the various robotic advancements in the field of trauma and orthopaedic surgery.
Psoas abscess was first described by Mynter in 1881. Though rare, its prevalence is increasing with advances in radiology and an increasing ability to accurately diagnose the condition. The symptoms of a psoas abscess can be insidious and nonspecific, and patients often present with a limp, fever, weight loss, and flank or abdominal pain.A psoas abscess can be classified as either primary or secondary depending on the presence or absence of an underlying disease. Primary psoas abscess has become more prevalent in the developed world, especially in immuno-compromised patients.We present the case of a 48 year old man who presented with fever, left hip pain and difficulty weight-bearing. He had a past medical history of chronic renal failure secondary to hypertension. Following laboratory, radiological and microbiological analyses the patient was diagnosed as having a Staphylococcus Aureus hip sepsis secondary to a psoas abscess.Psoas abscess should be included as a differential diagnosis in all patients presenting with hip pain and constitutional symptoms. The case is discussed with reference to the literature.
Total hip arthroplasty is a life changing procedure providing a significant improvement in the quality of life for those receiving treatment. An 81-year-old male with severe right sided hip osteoarthritis underwent uncemented total hiparthroplasty. Intraoperatively the 32mm trial head dislodged from the trial stem over the anterior rim of the acetabulum relocating to within the pelvic cavity. Time efficient retrieval was performed during primary surgery through a mini-incision at the iliac crest.
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