Juniper Publishers Journal of Orthopedic and Orthoplastic Surgery

 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...

 Juniper Online Journal of Orthopedics & Orthoplastic Surgery Journal Abstract This article describes the method of preoperative testing of orthopedic implants material for compatibility with recipient’s body by using Atomic Force Microscopy (AFM) and research the influence of tissue reactions on the implant’s surface. Keywords: Implants; Biocompatibility; Testing of material; Atomic force microscopy Introduction Every year orthopedic surgeons perform about 2,500,000 operation arthroplasty on various joints. In Europe in the past 5 years, the number of surgical operations in the endoprosthesis has increased by 80%. Orthopedic doctors used the big spectra of implants which consist of (endoprotes of the thigh, knee, shoulder, elbow joint, joints on the ankles and even small joints of the feet and fingers). Unfortunately, each of these implants is foreign body for our organism. R...

 Juniper Online Journal of Orthopedic & Orthoplastic Surgery Abstract Breast cancer (BC) is the most frequent tumor worldwide. Triple-negative BCs are characterized by the negative estrogen and progesterone receptors and negative HER2, and represent 12-18% of all BCs. Breast cancer (breast cancer) is the most common oncological disease in women in the Uzbekistan. Data from epidemiological studies show that TNBC is more common in young women (up to 50 years) before menopause. In addition, the likelihood of TNBC is higher in women with early menarche, the first pregnancy at an earlier age, a short period of breastfeeding, and an increased body mass index. It should be not that the prognosis for TNBC does not depend on the degree of differentiation of the tumor, the presence of lymph node metastases, the size of the tumor or the treatment performed. The aggressiveness of TNBC was also confirm by the maximum risk of recurrence during the first three years after...

 Juniper Online Journal of Orthopedic & Orthoplastic Surgery-Juniper Publishers Abstract Introduction:   Limb amputation is a major life changing surgery used in many disciplines as a planned primary procedure or as a salvage procedure in tumours, trauma, and peripheral vascular disease. However, amputation carries a high rate of wound complications such as infection, dehiscence, and impaired healing. These complications may result in further surgical intervention, prolonged hospitalisation, and decreased quality of life for patients. Whilst the use of negative pressure wound therapy (NPWT) in the treatment of chronic wounds has demonstrated improved wound outcomes by increased wound healing, wound shrinkage, and decreasing wound oedema; literature for the use of NPWT in amputations is scarce. Aim:   To evaluate the wound healing outcomes of patients after lower limb amputation treated with and without the use of NPWT. Patients for the intervention group were chosen f...

 Juniper Online Journal of Orthopedics & Orthoplastic Surgery- Juniper Publishers Editorial Low back ache is one of the most common complain of patients reporting to any Orthopaedic outpatient department. After exclusion of post traumatic, osteopenic and inflammatory arthropathy for chronic back ache, the bulk of the etiology is either tuberculosis or anaplastics (metastasis being the most common anaplastic condition).In my country, due to the increased prevalence of Tuberculosis and the practical acceptance of trial first line Anti Tubercular Therapy, it is the first diagnosis that comes to our mind while anaplastic conditions are our last bet. More often than not, on getting the traid of constitutional symptoms, spondylodiscitis and raised ESR, we start trial first line ATT, forgetting that the features of TB and anaplastics may mimic each other. Only after failure to respond to trial first line ATT, we go for Gene Xpert test (for Drug resistance tuberculosis), biopsy (for tu...