COMPLICATIONS AND REVISION SURGERY IN ORTHOPEDICS FOCUSING ON TRAUMATOLOGY
Main Article Content
Keywords
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Abstract
Introduction: Orthopedic surgery, with a specific focus on traumatology, plays a pivotal role in
restoring musculoskeletal function and improving the quality of life for patients who have
experienced traumatic injuries.
Objectives: The basic aim of the study is to find the complications and revision surgery in
orthopedics focusing on traumatology.
Material and methods: This retrospective cohort study was conducted in DHQ Hospital Timergara
Lower Dir KPK during January 2022 to June 2022. Data collection for this retrospective cohort
study, which focused on complications and revision surgery in orthopedics, particularly in the field
of traumatology, followed a systematic approach and was completed over a defined period. The
primary data source utilized was the electronic health records (EHRs) which provided
comprehensive patient records for the study.
Results: In this study of 480 participants undergoing orthopedic traumatology procedures, we
observed a diverse range of demographic characteristics and injury profiles. The mean age of
participants was 42.5 years, with a slightly higher representation of males (65%). The predominant
traumatic injury type was fractures, accounting for 60% of cases, followed by dislocations (25%)
and soft tissue injuries (15%). The anatomical distribution revealed a higher prevalence of injuries
in the upper extremities (40%), followed by lower extremities (30%), spine (20%), and pelvis/hip
(10%). These findings align with the clinical reality of orthopedic traumatology, reflecting the
varied nature of musculoskeletal injuries encountered across age groups.
Conclusion: It is concluded that complications and revision surgeries play a crucial role in patient
management, with age being a significant factor in postoperative complications. These findings
have clinical implications, emphasizing the need for tailored approaches to address complications
and optimize patient outcomes in traumatology-focused orthopedics.
References
103540.
7. Xará-Leite, F., Pereira, A. D., Andrade, R., Sarmento, A., Sousa, R., Ayeni, O. R., ... & Soares,
D. (2021). The cement-in-cement technique is a reliable option in hip arthroplasty revision
surgery: a systematic review. European Journal of Orthopaedic Surgery & Traumatology, 31,
7-22.
8. Boble, M., Le Nail, L. R., &Brilhault, J. (2022). Impact of preoperative varus on ankle
replacement survival. Orthopaedics & Traumatology: Surgery & Research, 108(7), 103390.
9. Mainard, N., &Canavese, F. (2022). News in paediatric orthopaedic surgery: an overview of the
latest advances in paediatric orthopaedics and traumatology (2020–2022). International
Orthopaedics, 1-11.
10. Favreau, H., Ehlinger, M., Adam, P., &Bonnomet, F. (2020). Total hip arthroplasty with
exclusive use of dual-mobility cup after failure of internal fixation in trochanteric
fracture. Orthopaedics & Traumatology: Surgery & Research, 106(4), 645-649.
11. Emet, A., Yilmaz, E. T., Danisman, M., Aksoy, C., & Yilmaz, G. (2022). Fixation techniques in
lower extremity correction osteotomies and fractures in mild-to-severe osteogenesis imperfecta
patients: evaluation of the results and complications. Journal of Orthopaedic Surgery and
Research, 18(1), 1-6.
12. Dahm, F., Aichmair, A., Dominkus, M., &Hofstaetter, J. G. (2021). Incidence of lateral femoral
cutaneous nerve lesions after direct anterior approach primary total hip arthroplasty–a literature
review. Orthopaedics & Traumatology: Surgery & Research, 107(8), 102956.
13. Pressato, D., Battista, A., Govoni, M., Vivarelli, L., Dallari, D., & Pellegrini, A. (2022). The
Intraoperative Use of Defensive Antibacterial Coating (DAC®) in the Form of a Gel to Prevent
Peri-Implant Infections in Orthopaedic Surgery: A Clinical Narrative Review. Materials,
16(15), 5304.
14. Lind, M., Seil, R., Dejour, D., Becker, R., Menetrey, J., & Ross, M. (2020). Creation of a
specialist core curriculum for the European Society for Sports traumatology, Knee surgery and
Arthroscopy (ESSKA). Knee surgery, sports traumatology, arthroscopy, 28, 3066-3079.
15. Lind, M., Seil, R., Dejour, D., Becker, R., Menetrey, J., & Ross, M. (2020). Creation of a
specialist core curriculum for the European Society for Sports traumatology, Knee surgery and
Arthroscopy (ESSKA). Knee surgery, sports traumatology, arthroscopy, 28, 3066-3079.
16. Mazaleyrat, M., Le Nail, L. R., Auberger, G., Biau, D., Rosset, P., Waast, D., ... &Vaz, G.
(2020). Survival and complications in hinged knee reconstruction prostheses after distal femoral
or proximal tibial tumor resection: a retrospective study of 161 cases. Orthopaedics &
Traumatology: Surgery & Research, 106(3), 403-407.
17. Fiore, M., Sambri, A., Zucchini, R., Giannini, C., Donati, D. M., & De Paolis, M. (2021).
Silver-coated megaprosthesis in prevention and treatment of peri-prosthetic infections: a
systematic review and meta-analysis about efficacy and toxicity in primary and revision
surgery. European Journal of Orthopaedic Surgery & Traumatology, 31, 201-220.
18. Dyrna, F., Berthold, D. P., Feucht, M. J., Muench, L. N., Martetschläger, F., Imhoff, A. B., ...
&Beitzel, K. (2019). The importance of biomechanical properties in revision acromioclavicular
joint stabilization: a scoping review. Knee Surgery, Sports Traumatology, Arthroscopy, 27,
3844-3855.
19. Patel, A. V., White, C. A., Cirino, C. M., Duey, A. H., Ranson, W. A., Gross, B. D., ... & Cagle,
P. J. (2022). Mid-term outcomes following reverse total shoulder arthroplasty. European
Journal of Orthopaedic Surgery & Traumatology, 1-9.
20. Miltenberg, B., Puzzitiello, R. N., Ruelos, V. C., Masood, R., Pagani, N. R., Moverman, M. A.,
... & Drager, J. (2022). Incidence of Complications and Revision Surgery After High Tibial
Osteotomy: A Systematic Review. The American Journal of Sports Medicine,
03635465221142868.