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Category: Case Studies

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MPFL reconstruction

Patella instability is rarely straightforward! A presentation with a first time dislocation may look for a quick solution, but one needs to be wary when

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Hip arthritis & incontinence symptoms

A number of seperate research papers have described a change in bladder control in women following hip replacement. It seems that bladder function can improve or deteriorate following hip replacement, and it might depend partly on the surgical approach used (Baba et al).

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Case Studies

Update on bilateral joint replacements

Patients having two joint replacements at the same time is a controversial question. In general, most patients are best to have a short hospitalisation, get out and get recovered from the first side, before embarking on the other.

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Inpatient Rehabilitation Doesn’t Help Most Joint Replacement Patients

Research from Mater Hospital Sydney. Of 748 patients having hip or knee replacement, only 44 patients chose to go directly home. They matched these patients to 44 most similar remaining in rehabilitation. Satisfaction with the surgery was HIGHER in the patients discharged directly home, and the health outcomes were not changed. They concluded that rehabilitation doesn’t help.

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Patello-femoral Replacement.

Where the knee-cap rubs against the front of the femur, a small category of patients develop arthritis, and require a knee replacement. Some of these are suitable for partial replacement of the patello-femoral joint (PFJ).

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Biceps Rupture

The biceps muscle in the upper arm has a tendon at either end. In the shoulder, proximal biceps rupture is very common, and might be only a minor part of other shoulder pathology.

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