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Juniper Publishers - Osteoporosis and Osteopenia in Patients with Osteoarthritis

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  Orthopedics and Rheumatology Open Access Journal    Abstract Both osteoporosis and osteoarthritis are recognized as age related skeletal disorders, but it is commonly held that these diagnoses do not often occur together in the same patient. Recent studies of bone mineral density scores in subjects with osteoarthritis indicate that osteoporosis occurs worldwide in 21-32% of patients with advanced osteoarthritis. Advanced age and low body-mass-index are major discriminating factors for osteoporosis in osteoarthritis. Because of clinical implications of osteoporosis in patients being managed for osteoarthritis, it is important to identify and refer for osteoporosis evaluation those patients at risk. Osteoarthritis Osteoarthritis (OA) most frequently involves the hands, knees, hips, and spine; it is diagnosed on the basis of joint pain and radiographic evidence of non-uniform narrowing of a joint space, osteophytes, and sub...
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Hip Replacement Surgery: "Part of the Problem or Part of the Solution" Authored by M E Hecht Suppose you’ve just been told you need hip surgery, have a cardiac condition, or you’ve developed diabetes. At this moment you are most likely to be in a doctor’s office, in point of fact the diagnosing doctor’s office, possibly in some state of undress, or having just come from an x-ray, or EKG. There’s no doubt about it, as an experience, it’s up front and personal, not matter how succinct and professional the announcement- up front, personal, and threatening as hell. I mean the doctor may have run several miles this morning, had a carb loaded breakfast, or not a scrap of pain in any of his major or minor joints, he’s in good shape. But you’ve just been told your body has betrayed you. What’s more, if you’re a card player you could say at this point, that you’re the doctor holds cards, spades, and big Casino. In short, it can be a moment of inequality second to none. How...
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Juniper Publishers - Fractures of the Proximal Third Tibia Treated With Intramedullary Interlocking Nails and Blocking Screws

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  Orthopedics and Rheumatology Open Access Journal Abstract Background: Internal splint age of proximal metaphyseal tibial fractures has gained acceptance as a method of early stabilization of such injuries. Intramedullary nailing is a challenging procedure .This study tries to evaluate treatment outcomes of closed reduction and intramedullary nailing with the aid of blocking screws to maintain the reduction and stabilize theses injuries. Patients and Method: Thirty patients (23 males and 7 females) with proximal metaphyseal tibial fractures were treated and followed from June 2010 and February 2014 (44 months) with average 19 months. Age ranged between 23 to 55 years (average, 38 years). According to A.O. Classification 13 cases were Type A 2.1, 9 cases were Type A 2.1 (II), and 8 cases were Type A 3.2. Seven cases were open fractures and according to Gustilo Anderson classification 4 cases were Grade (I), 3cases were Grade (II). All cases were treated by in...
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