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Knowledge and attitudes of orthopedic surgeons regarding prosthesis joint infection

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World Journal of Orthopedics 2023年第4期14卷 240-247页

作者： mahmut nedim Aytekin Imran Hasanoglu Recep Öztürk Nihat Tosun Department of Orthopedics and Traumatology Ankara Yıldırım Beyazıt UniversityFaculty of MedicineAnkara 06500Turkey Department of Infectious Diseases and Clinical Microbiology Ankara Yıldırım Beyazıt UniversityFaculty of MedicineAnkara City HospitalAnkara 06500Turkey Department of Orthopedics and Traumatology Dr.Abdurrahman Yurtaslan Ankara Oncology Training and Research HospitalAnkara 06200Turkey

BACKGROUND Periprosthetic joint infection(PJI)is a critical complication after joint arthroplasty and is accompanied by increasing rates of morbidity and *** studies have aimed at preventing *** To research the knowledge level and attitudes of orthopedic surgeons,who play a key role in both preventing and managing *** We conducted a web-based survey to evaluate orthopedic surgeons'knowledge level and attitudes regarding *** Likert scale survey utilized consisted of 30 questions which were prepared based on the"Proceedings of the International Consensus on Periprosthetic Joint Infection".RESULTS A total of 264 surgeons participated in the *** average age was 44.8,and 173 participants(65.5%)had more than 10 years of *** statistically significant relationship was found between the PJI knowledge of the surgeons and their years of ***,participants who worked in training and research hospitals demonstrated higher levels of knowledge than the ones in the state *** was also noticed that surgeons'knowledge concerning the duration of antibiotic therapy and urinary infections was not consistent with their *** Even though orthopedic surgeons have adequate knowledge about preventing and managing PJI,their attitudes might contradict their *** studies are required to examine the causes and solutions of the contradictions between orthopedic surgeons'knowledge and attitudes.

关键词： Antibiotic prophylaxis Periprosthetic joint infection Prevention Total joint replacement Turkey

Prosthetic design of reverse shoulder arthroplasty contributes to scapular notching and instability

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World Journal of Orthopedics 2016年第11期7卷 738-745页

作者： Gazi Huri Filippo Familiari Nima Salari Steve A Petersen mahmut nedim Doral Edward G Mc Farland Department of Orthopaedic and Traumatology Surgery Hacettepe University Medical School Division of Shoulder Surgery Department of Orthopaedic Surgerythe Johns Hopkins University

AIM To evaluate whether implant design, glenoid positioning, and other factors influenced instability and scapular notching in reverse total shoulder *** We retrospectively reviewed records of patients who had undergone reverse total shoulder arthroplasty by the senior author from July 2004 through October 2011 and who had at least 24 mo of follow-up. The 58 patients who met the criteria had 65 arthroplasties: 18 with a Grammont-type prosthesis(Grammont group) and 47 with a lateral-based prosthesis(lateral-design group). We compared the groups by rates of scapular notching and instability and by radiographic markers of glenoid position and tilt. We also compared glenoid sphere sizes and the number of subscapularis tendon repairs between the groups. Rates were compared using the Fisher exact test. Notching severity distribution was compared using the χ2 test of association. Significance was set at P < *** The Grammont group had a higher incidence of scapular notching(13 of 18; 72%) than the lateral-design group(11 of 47; 23%)(P < 0.001) and a higher incidence of instability(3 of 18; 17%) than the lateral-design group(0 of 47; 0%)(P = 0.019). Glenoid position, glenoid sphere size, and subscapularis tendon repair were not predictive of scapular notching or instability, independent of implantdesign. With the lateral-based prosthesis, each degree of inferior tilt of the baseplate was associated with a 7.3% reduction in the odds of developing notching(odds ratio 0.937, 95%CI: 0.894-0.983). CONCLUSION The lateral-based prosthesis was associated with less instability and notching compared with the Grammonttype prosthesis. Prosthesis design appears to be more important than glenoid positioning.

关键词： Arthroplasty Reverse Instability Scapular notching Shoulder

Acceleration of coxarthrosis by an exostosis causing femoroacetabular impingement

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Health 2010年第4期2卷 318-320页

作者： mahmut nedim Aytekin Hakan Atalar Burcu Yanik Murat Arikan 不详

Here we describe a 28-year-old man with a history of right hip pain for the past 11 years and ankylosing spondylitis for the past 6 months. Imaging studies showed an exostosis in the femoral neck causing femoroacetabular imping- ement. The patient was diagnosed with coxar- throsis. This case report suggests that femoro- acetabular impingement may accelerate the degenerative process in the hip joint.

关键词： Femoroacetabular Impingement Exostosis

Acceleration of coxarthrosis by an exostosis causing femoroacetabular impingement

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