Miranda Lott (barbermenu71)

With expanding indications for operative fracture treatment, removal of orthopaedic implants has become a frequent elective orthopaedic procedure in developing countries. The clinical indications for implant removal are not well established and there are no specific indications despite the morbidity associated with implant removal operations. To determine the frequency, indications and complications of removal of orthopaedic implants with a view to guiding implant removal protocol among surgeons. Retrospective data was obtained over a 5-year-period in NKST Rehabilitation Hospital, Mkar, Nigeria. One hundred and twenty-eight patients aged 4-88 years met the criteria for inclusion. Patients were followed up for at least 1 year and all complications recorded. Data was analysed using SPSS version 21. A total of 128 patients were studied. There were 84(55%) males and 44(45%) were females. The mean age was 40.0±15.5 years. BAY117082 The commonest indication for implant removal was infected implant in 29(22.6%) patienst that implant removal operation may be associated with substantial morbidity. Therefore, not all orthopaedic implants require removal. Strict implant removal policy is advocated to guide the surgeon. Clubfoot is a common foot deformity worldwide. The gold standard of treatment is the Ponseti regimen, a nonoperative method comprised of manipulation, casting, percutaneous Achilles tenotomy and bracing. There has been no report on the presentation of clubfoot and Ponseti regimen from our centre. This study reports the pattern of the presentation of patients with idiopathic clubfoot, the factors that affected presentation to the hospital for care and the outcomes of their treatment at the Federal Medical Center, Umuahia during a 21-month period. This is a prospective, descriptive analytical study, recruiting patients presenting consecutively with idiopathic Clubfoot at the Federal Medical Center, Umuahia during a 21-month period and treated with the standard Ponseti method. Pirani score was used for assessment and monitoring. The data were recorded and analyzed using the IBM SPSS version 20. There were 114 patients presenting with 189 feet were seen during this period. 69 of the patients were males while 45 were females. The age range at presentation was 0-16 years, with a mean of 2.3 years. 75 patients had bilateral clubfeet and 39 were unilateral, affecting 23 right and 16 left. 47 patients had previous care including the traditional bonesetting before they came to FMC, Umuahia. 55 cases have had tenotomies and 87 patients are currently on braces. There have been 9 early relapses. Ponseti treatment has a good outcome in the treatment of clubfoot in children. Ignorance and poverty were major factors that hindered parents from presenting their children for Clubfoot care early. Education and free care would change this tide. Ponseti treatment has a good outcome in the treatment of clubfoot in children. Ignorance and poverty were major factors that hindered parents from presenting their children for Clubfoot care early. Education and free care would change this tide. COVID-19 infection can present with a range of clinical manifestations including asymptomatic, mild, moderate, severe and critical illnesses. However, it is uncommon for a single patient to pass through all the 4-phases of the infection. To present my experience with COVID-19 as first responder having , passed through all the phases of the COVID-19 infections while on admission at the Isolation/Treatment centre. Experience RESULTS I was managed with Remdesivir, Meropenem, Dexamethasone and Clexane. In the course of the illness, I developed some severe complications including COVID-19 pneumonia and suspected adrenal gland failure. The absence of known predisposing and underlining factors in this case made it unconventional COVID-19 pres