Orthopaedic implant removal: Epidemiology and outcome analysis

Nwosu, Chikwendu; Adeyemi, Taofeek Olanrewaju; Salawu, Oni Nasiru; Mejabi, Joseph Olorunsogo; Fadimu, Abidemi Abiola

doi:10.4103/njot.njot_3_18

Cited by 7 publications

(9 citation statements)

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“…According to a study in German by Onche et al, femoral fractures were the most common findings with 42,6%. 5 The differences between this study and previous studies might be attributable to different injury pattern in different community, such as traffic regulations and people habit regarding daily transportation, housing, or sports activities.…”

Section: Discussioncontrasting

confidence: 59%

“…It was revealed that the complications and indications were varied Indications of metal implant removal have not been clearly validated and secondly because complications of metal implant removal were found. 5,6 In Indonesia, many patients wanted the hardware to be removed for some religious reasons, e.g. they did not want the foreign material still inside their body when they were deceased.…”

Section: Discussionmentioning

confidence: 99%

“…There is a little difference between this findings and findings from previous research that mostly had pain as an indication for metal implant removal. 1,4,5 This difference was caused by the variety of indications or reasons which depended on complaints or reactions from implant fixation in patients. A research that was conducted by R Shrestha et al in Nepal showed that 45% of metal implant removal indications were pain.…”

Section: Fig 3 Extracted Hardware Consisted Of One Plate and Seven Sc...mentioning

confidence: 99%

“…

However, hardware removal procedures are still controversial among orthopedic surgeons because indications of metal implant removal have not been clearly documented. 5,6 In addition, findings of complication from metal implant removal, such as neurovascular injury, refracture, infection, or problems in wound healing have caused indications of metal implant removal still controversial. 7,8,9 Hardware removal is usually done in lower or upper extremities, such as ankle and wrist, radius, and femur.

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mentioning

confidence: 99%

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Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Azzahra

Primadhi²,

Nurhayati

et al. 2022

ijihs

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Objective: To acquire clinical data regarding indications of implant removal and complications in orthopedic metal implant removal. Methods: This was a cross-sectional observational descriptive study using patient medical records. The inclusion criterion was all patients who underwent orthopedic metal implant removal during 2018-2020 while the exclusion criterion was unintentional implant removal due to subsequent injury or loosening. Data regarding anatomic regions, indications, and complications were collected and presented in tables. Results: In 112 patients participated in this study consisting of 75 (67%) men and 37 (33%) women, the implants were mainly located in thigh, lower leg, and ankle (53% combined). The most common indication for metal implant removal was conversion (31%), followed by infection (25%) and patient's request (20%). The only complication observed in orthopedic metal implant removal in this study was disturbed wound healing in a small percentage of the patients (16%). Most patients (84%) did not experience any complication due to metal implant removal. Conclusions: Indications for metal implant removal may vary, with or without symptoms. Disturbed wound healing is a complication observed in metal implant removal. Despite the advantages of removal, further analysis and guidelines are needed to avoid unnecessary hardware removal considering the risk of complications.

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Section: Discussioncontrasting

confidence: 59%

Section: Discussionmentioning

confidence: 99%

Section: Fig 3 Extracted Hardware Consisted Of One Plate and Seven Sc...mentioning

confidence: 99%

“…

…”

mentioning

confidence: 99%

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Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Azzahra

Primadhi²,

Nurhayati

et al. 2022

ijihs

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“…Desoxyn is a brand name for methamphetamine. 30 Methamphetamine is a central nervous system stimulant that is highly addictive. It has been shown that methamphetamine increases the amount of the naturally occurring chemical dopamine in the brain, where dopamine is implicated in physical movement, motivation, and rewarding behaviours.…”

Section: Introductionmentioning

confidence: 99%

The evaluation of Two Zwitterionic Hydrophilic Interaction Liquid Chromatography Materials for the Rapid Separation of Methamphetamine and Muscimol Pharmaceuticals

Abdulrahman¹,

Qassim²,

Rasheed³

2022

IJDDT

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The investigation aimed to use two Zwitterionic Hydrophilic Interaction Liquid Chromatography (ZIC-HILIC) columns to examine the retention behavior of methamphetamine and muscimol. The various spacer lengths between zwitterionic molecules in the stationary phases have been utilized to investigate methamphetamine and muscimol retention behavior. In hydrophilic interaction liquid chromatography (HILIC), the retention characteristic of these two drugs was examined using a mixture of sodium acetate buffer/acetonitrile as an eluent equipped with a UV detector. It has been established that hydrophilic and hydrophobic mechanisms primarily govern the separation of methamphetamine and muscimol medicines on two ZIC-HILIC columns. As previously stated, the ZIC-HILIC-1 column demonstrated a difference when compared to the ZIC-HILIC-5 columns. The combination of positively and negatively charged locations in a single molecule bonded to the surface of an adsorbent allows for distinct variations in methamphetamine and muscimol selectivity separation.

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The high cost of healing and teaching: a cross-sectional survey of burnout among academic physicians in Nigeria

Oluwadiya,

Olasinde,

Adeoti

et al. 2023

BMC Health Serv Res

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Background Globally, the medical and teaching professions are two major professions with the highest prevalence of burnout, and academic physicians bestride the two professions. This study investigated the prevalence and associated factors of burnout among academic physicians working in tertiary hospitals in Nigeria. Methodology This was a self-administered online survey. Burnout was measured using the Maslach Burnout Inventory for Educators (MBI-ES) on Google Form and sent to 256 academic physicians in tertiary hospitals across Nigeria using the WhatsApp broadcast feature. MBI-ES was categorized into two categories (Burnout and No Burnout), and binary logistic regression was used to test the influence of 13 predictors on the three dimensions of MBI-ES as well as MBI in its entirety. Findings A total of 155 academic physicians responded, resulting in a response rate of 60.5%. There were 121 (80.7%) males and 29 (19.3%) females (five cases respondents omitted this detail). Eighty-seven respondents exhibited moderate to high burnout in at least one of the dimensions of the MBI, translating to a prevalence rate of 57.7% in our study. Five variables, number of peer reviewed articles published, hours of weekly teaching, enjoyment of academic writing, apathy to teaching and religion were all significantly associated with burnout. Moderate to high emotional exhaustion was reported by 30.8% (45 respondents), moderate to high depersonalization by 5.5% (8 respondents),, and low to moderate personal accomplishment by 43.5% (67 respondents).Eight variables: religion, geopolitical zone of practice, enjoyment of academic writing, apathy toward teaching, university ownership, number of published peer-reviewed articles, salary, and supplementary income were significantly associated with emotional exhaustion, while the number of weeks spent teaching in a year and teaching hours/week were significantly associated with depersonalization and personal accomplishment, respectively. Age (OR 1.302, CI 1.080–1.570), Teaching hours/week (OR 0.924, CI 0.854–0.999), Salary (OR 0.996, CI 0.993-1.0), and supplementary salary (OR 0.996, CI 0.993–0.999) were found to significantly predict emotional exhaustion. Conclusion The study reveals a high prevalence of burnout (57.7%) among academic physicians in Nigeria, highlighting an urgent need for targeted interventions and policy changes. Given the significant role these professionals play in healthcare and medical education, immediate action is essential to address this issue. Future research should focus on evaluating the effectiveness of preventive measures and exploring the long-term impacts of burnout.

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Orthopaedic implant removal: Epidemiology and outcome analysis

Cited by 7 publications

References 0 publications

Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

Indications and Complications of Orthopedic Hardware Removal in an Indonesian Tertiary Hospital: A Descriptive Study

The evaluation of Two Zwitterionic Hydrophilic Interaction Liquid Chromatography Materials for the Rapid Separation of Methamphetamine and Muscimol Pharmaceuticals

The high cost of healing and teaching: a cross-sectional survey of burnout among academic physicians in Nigeria

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