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Risk Factor for Complex Regional Pain Syndrome - Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery Abstract A narrative literature review of risk factor or predictor for Complex Regional Pain Syndrome (CRPS) or Reflex Sympathetic Dystrophy (RSD) was performed in the English language. Female sex, elderly people between the age of 45 and 65, pregnancy, intra-articular fracture, comminuted and displaced fracture, high energy trauma, severe fracture, strong pain after fracture, decreased sympathetic vasoconstrictor response after fracture, nerve and spinal cord injury, ankle dislocation, ankle fracture, injury in the extremities, treatment to the upper limb, motor nerve injury, decreased function before operation, poor physical functioning, higher median household income, economic compensation via work disability, social or psychological stress, good to excellent school performers, osteoporosis, hypertriglyceridemia, rheumatoid arthritis, musculoskeletal comorbidities, history of allergies, skin hypers...
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Using Large Femoral Head as A Bearing Surface in Total Hip Arthroplasty - Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery Background Owing to recent improvements in the quality, shape and surface area of the implants for total hip arthroplasty, wear problems, which is one of the chronic complications of total hip arthroplasty, have been solved up to a certain level. However, instability and dislocation of the implants, which is the second most common complication after component loosening, remain unsolved, negatively affecting quality of life and furtherly causing failure of implants. Using femoral head implants smaller than the patient’s natural femoral head is a major cause of dislocation. We would like to discuss several issues of using large head implants as a bearing surface. Wear Contact surface and sliding distance are major factors in the occurrence of wear particles. As the diameter of the femoral head increases, contact area and the sliding distance of the articular su...
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Quantitative Analysis of Bone Allograft Utilization in Laminectomies and Discectomies: A Study from a Tertiary Care Hospital in South East Michigan: Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery- Juniper Publishers     Abstract Bone grafts have been used in orthopedic reconstructive procedures for over a hundred years. Use of autografts is considered to be the ideal choice, but limited availability and associated complications makes their use unfeasible in all orthopedic reconstructive procedures. Alternatives such as allografts and bone graft substitutes were introduced in 1980’s. Although the use of bone allografts in U.S.A has increased over the last few years, compilation of data to quantify their utilization is still lacking. We performed a retrospective chart review study to quantify the bone allograft utilization in laminectomies and discectomies performed at Beaumont Hospital Royal Oak between October 1, 2017 and December 31, 2017. We determined the type and quantity of bone allografts that were issued for each of the included 79 laminectomies and 55 discectomies. This was follo...
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Dental Crowding: Criteria for the Decision for Extraction- Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery- Juniper Publishers Introduction Orthodontics treatments can be planned with extraction or not, decision for removing healthy teeth to correct the orthodontic malocclusions must be based on specific diagnostic criteria before indication. Our practice within the hospital Service of DFO of the MUHC of Algiers consolidated by the results of a study on the theme of extractions shows us important rates linked to the type of malocclusions prevail within our orthodontic populations as well as the moment of treatment. Among our objectives we decided to evaluate the level of dental crowding we consider when taking the decision to extract or not permanent teeth. Go to Materials and Methods The total population was composed of 664 individuals. Mean age was twelve. Subjects were excluded if they had primary dentition, lost permanent teeth or were more than 16 years old. Go to Results The most frequent reason for consultation amo...
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Fracture Neck of Femur in the Super Elderly - Understanding Them Better- Juniper Publishers

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 Juniper Online Journal of Orthopedics & Orthoplastic Surgery Journal     Introduction In a developed country like the United Kingdom (UK), there is a substantial change in the age structure of the population due to the increasing life expectancy. The section of the population that has shown to be the most affected increase is the super elderly (>85 years). As per UK’s 2016 mid-year population estimates, super elderly forms 2.1% of the whole population and it is expected that, by mid-2039, more than 1 in 12 of the population is projected to be aged 80 or over [1]. Magnitude of the problem Fracture neck of femur continues to be the second most leading cause for hospital admission in the older population [2]. It is the commonest serious injury for the older people [3]. Additionally, it is associated with a total cost to health and social services of over £1 billion per year, which is equivalent to approximately 1% of the whole NHS budget[3...
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