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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...

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...

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...

Testing the Compatibility of the Orthopedic Implants Material with the Recipient’s Body in Arthroplastic Using Atomic Force Microscopy (AFM)- Juniper Publishers

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 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...

The Role of Chemotherapy in Triple Negativ Breast Cancer- Juniper Publishers

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 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...

Negative Pressure Wound Therapy for Lower Limb Amputation Patients - A Case Control Trial- Juniper Publishers

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 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...