# bib

id: saoj-120
author: Lukhele, M
title: Acceptance Speech
date: 2017-09-01
pages: 2
extension: .pdf
mime: application/pdf
words: 885
sentence: 45
flesch: 58
cache: cache/saoj-120.pdf
txt: txt/saoj-120.txt
summary:
  Access to good quality orthopaedic service for all South Africans will be one of the major drives during my term of office. Prof M Lukhele MBChB, FCS(Orth)SA, MMed(Orth) President: South African Orthopaedic Association SAOJ Autumn 2015_Orthopaedics


id: saoj-613
author: Office, Editorial
title: Remembering Prof. Roelie Gräbe (7 February 1930–4 April 2022)
date: 2022-09-02
pages: 1
extension: .pdf
mime: application/pdf
words: 1054
sentence: 51
flesch: 59
cache: cache/saoj-613.pdf
txt: txt/saoj-613.txt
summary:
  South African Orthopaedic Journal OBITUARY Page 130 SA Orthop J 2022;21(3) Remembering Prof. Roelie Gräbe (7 February 1930–4 April 2022) Roland Peter Gräbe was born in Volksrus on 7 February 1930. In August 2002, Prof. Gräbe initiated the South African Orthopaedic Journal, and was the first Editor-in-Chief, a position he held for many years.


id: saoj-106
author: Greyling, P; Mabusha, SJ
title: Expert opinion on published articles
date: 2017-08-31
pages: 2
extension: .pdf
mime: application/pdf
words: 1043
sentence: 45
flesch: 40
cache: cache/saoj-106.pdf
txt: txt/saoj-106.txt
summary:
  The duration of perioperative traction is usually two to twelve weeks depending on the patient’s overall medical condition. Patients were analysed by age at date of examination, gender, major coronal curve magnitude, major compen- satory coronal curve magnitude, major sagittal curve magnitude, traction protocol and procedure type.


id: saoj-299
author: Office, Editorial
title: CPD Questionnaire (V18N1)
date: 2019-01-21
pages: 2
extension: .pdf
mime: application/pdf
words: 1332
sentence: 77
flesch: 53
cache: cache/saoj-299.pdf
txt: txt/saoj-299.txt
summary:
  Which of the following groups of chronic osteomyelitis has a lower HIV infection prevalence compared to the general population or any other causes in South Africa? a. Chronic post-open fracture osteomyelitis A b. Chronic post-open fracture osteomyelitis B c. Chronic contiguous osteomyelitis C d. Chronic haematogenous osteomyelitis D e.


id: saoj-30
author: Dunn, Robert
title: Changing world yet business as usual?
date: 2017-08-29
pages: 2
extension: .pdf
mime: application/pdf
words: 1335
sentence: 66
flesch: 56
cache: cache/saoj-30.pdf
txt: txt/saoj-30.txt
summary:
  Yes, we focus on the safe reasonable surgeon, but train on a public health based platform for independent practice in a largely clinically uncontrolled private environment where surgeons of any skill level can take on any surgery without peer review. These attributes are, however, where we seem to fail once in independent practice.


id: saoj-63
title: Expert opinion on published articles
date: 2017-08-30
pages: 2
extension: .pdf
mime: application/pdf
words: 1605
sentence: 84
flesch: 55
cache: cache/saoj-63.pdf
txt: txt/saoj-63.txt
author:
  Pedowitz, DI; Kane, JM; Smith, GM; Saffel, HL; Comer, C; Raikin, SM; Adams, Samuel B; Pereira, Bruno S; Robertson, AJF

summary:
  Inflammatory cytokines and matrix metalloproteinases in the synovial fluid after intra-articular ankle fracture Samuel B Adams et al. Foot & Ankle International, November 2015;36:1264 SAOJ Spring 2016_BU.qxp_Orthopaedics Vol3 No4 2016/08/02 14:05 Page 74 Page 76 SA Orthopaedic Journal Spring 2016 | Vol 15 • No 3 An increasing trend to treat clavicle fractures in adolescents by open reduction and internal fixation has recently been documented in the literature.1 Treatment trends in adolescent clavicle fractures.


id: saoj-627
author: Wade, WJ
title: The training of registrars from a consultant's perspective
date: 2022-09-02
pages: 2
extension: .pdf
mime: application/pdf
words: 1723
sentence: 76
flesch: 41
cache: cache/saoj-627.pdf
txt: txt/saoj-627.txt
summary:
  At Tygerberg Hospital approximately 8 hours per week is allo- cated to structured registrar teaching. The focus of registrar training should primarily be on quality edu- cation, patient care and to a certain extent, research and academic productivity which pertain to our cultural and demographic environ- ments.


id: saoj-10
author: Tladi, MJ; Saragas, NP; Ferrao, PNF; Strydom, A
title: Subungual amelanotic melanoma of the hallux: Review of the literature with a case report
date: 2017-08-25
pages: 4
extension: .pdf
mime: application/pdf
words: 2011
sentence: 108
flesch: 50
cache: cache/saoj-10.pdf
txt: txt/saoj-10.txt
summary:
  This usually occurs in black African and Asian populations contrary to the other types which are more common in fair-skinned populations.7,9 Delayed diagnosis of subungual melanoma is largely due to misdi- agnosing the lesion as being benign (Table I).4,8-12 Table II shows all case reports of subungual amelanotic melanoma affecting the hallux, all of which had a delay in the diagnosis. Upon comparing this case with the current literature, we propose that unlike most acral subungual melanomas, subungual amelanotic melanoma occurs mainly in elderly Caucasian females.


id: saoj-337
author: Tanwar, Y; Potgieter, M; Oosthuizen, M; Schubert, P; Ferreira, N
date: 2020-03-16
pages: 4
extension: .pdf
mime: application/pdf
words: 2503
sentence: 158
flesch: 36
cache: cache/saoj-337.pdf
txt: txt/saoj-337.txt
title:
  Bursal synovial chondromatosis overlying a solitary osteochondroma of the distal femur: a case report

summary:
  Level of evidence: Level 5 Keywords: synovial chondromatosis, secondary synovial chondromatosis, bursal synovial chondromatosis, osteochondroma Bursal synovial chondromatosis overlying a solitary osteochondroma of the distal femur: a case report Tanwar Y¹ , Potgieter M² , Oosthuizen M³ , Schubert P4 , Ferreira N5 1 MBBS, MS, DNB, MRCS; Stellenbosch University Limb Reconstruction Fellow, Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa 2 MBChB, FC Orth(SA), MMed(Orth); Consultant Orthopaedic Surgeon, Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa ³ MBChB; Registrar, Division of Anatomical Pathology, Tygerberg Hospital, National Health Laboratory Service, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa 4 MBChB, FCPath(Anat)(SA), MMed(Anat Path), MScMedSc(Cytopathology), MPhil(Paed Path), MIAC; Associate Professor and Consultant Anatomical Pathologist, Division of Anatomical Pathology, Tygerberg Hospital, National Health Laboratory Service, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa 5 BSc, MBChB, FC Orth(SA), MMed(Orth), PhD; Associate Professor, Consultant Orthopaedic Surgeon and Head of Tumour, Sepsis and Reconstruction Unit, Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa Corresponding author: Prof. Nando Ferreira, Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, 7505, South Africa; tel: +27 (21) 938 5456; email: nferreira@sun.ac.za https://orcid.org/0000-0003-4606-7801 https://orcid.org/0000-0002-9611-4859 https://orcid.org/0000-0001-6820-9482 https://orcid.org/0000-0003-4422-7349 https://orcid.org/0000-0002-0567-3373 Page 47Tanwar Y et al. A solitary pedunculated osteochondroma with bursal formation and secondary synovial chondromatosis was diagnosed (Figures 2 and 3).


id: saoj-117
author: Solomons, MW
title: Corticosteroid usage in hand and wrist surgery
date: 2017-08-31
pages: 4
extension: .pdf
mime: application/pdf
words: 2256
sentence: 167
flesch: 59
cache: cache/saoj-117.pdf
txt: txt/saoj-117.txt
summary:
  De Quervain’s injection from distal to proximal between two tendons SAOJ Winter 2015_PRESS_Orthopaedics Vol3 No4 2015/05/07 7:59 PM Page 49 Page 50 SA Orthopaedic Journal Winter 2015 | Vol 14 • No 2 Results of steroid injection? Effective in 75% to 85%! In a study by Day et al.,12 steroid injection with splinting for the treatment of basal joint arthritis of the thumb provided reliable long-term relief in thumbs with Eaton stage 1 disease but provided long-term relief in only seven of 17 thumbs with Eaton stage 2 and stage 3 basal joint arthritis.


id: saoj-113
author: Kruger, NA
title: Instructional course lecture: Spondylolysis
date: 2017-08-31
pages: 6
extension: .pdf
mime: application/pdf
words: 3272
sentence: 277
flesch: 59
cache: cache/saoj-113.pdf
txt: txt/saoj-113.txt
summary:
  Micheli and Wood18 found 47% of young athletes with lower back pain had lumbar spondylolysis. Sakai T, Sairyo K, Takao S, Nishitani H, Yasui N. Incidence of lumbar spondylolysis in the general population in Japan based on multi-detector CT scans from 2000 subjects.


id: saoj-260
author: Elhadi, Ahmed Siddig; Gashi, Y N
date: 2018-09-06
pages: 5
extension: .pdf
mime: application/pdf
words: 3305
sentence: 219
flesch: 53
cache: cache/saoj-260.pdf
txt: txt/saoj-260.txt
title:
  Unstable intertrochanteric fracture in elderly patients: outcome of primary cemented bipolar hemiarthroplasty versus internal fixation

summary:
  Other surgeons have recommended prosthetic replacement for the treatment of unstable intertrochanteric fractures because of the improved outcomes noted.9-12,18-23 The present study showed better results with hemiarthroplasty than with internal fixation for the treatment of unstable hip fracture in elderly patients, in terms of clinical and functional outcomes. Unstable intertrochanteric fracture in elderly patients: outcome of primary cemented bipolar hemiarthroplasty versus internal fixation.


id: saoj-446
author: Pretorius, Henry S; Ferreira, Nando; Burger, Marilize C
date: 2021-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3411
sentence: 206
flesch: 60
cache: cache/saoj-446.pdf
txt: txt/saoj-446.txt
title:
  A computer tomography-based anthropomorphic study of forearm osteology: implications for prosthetic design

summary:
  Although the sample size of 97 scans is limited, this sample is significantly larger than previously reported studies which included a cadaver study (n=12)13 and a similar CT study (n=22)2 with the Table I: Measurement results for radius and ulna Variable Mean±SD (95% CI) n=97 Radius length mm (centre of head to centre of distal radius) Intraosseous vascularity of the distal radius: Anatomy and clinical implications in distal radius fractures.


id: saoj-501
date: 2022-03-16
pages: 4
extension: .pdf
mime: application/pdf
words: 3407
sentence: 168
flesch: 48
cache: cache/saoj-501.pdf
txt: txt/saoj-501.txt
author:
  le Roux, Johan A; Bezuidenhout, Carel W; Kloppers, Juan; Hobbs, Hayden; Von Bornman, Richard; Held, Michael

title:
  Not strong enough? Movements generated during clinical examination of sagittal and rotational laxity in a cadaver knee

summary:
  1 Table I: Demographics of participants in terms of number of examiners involved in each part of the study as well as the corresponding level of orthopaedic training Level of participant Ligamentous intact knee ACL cut knee ACL and ALL cut knee Medical officer 3 2 1 Junior orthopaedic registrars in first two years of specialisation 4 4 4 Senior orthopaedic registrars in final two years of specialisation 10 9 9 Orthopaedic specialists not primarily involved in knee surgery 4 4 4 Fellowship-trained orthopaedic knee specialists 3 3 3 Total 24 22 21 ACL: anterior cruciate ligament; ALL: anterolateral ligament Figure 1. A side-to- side difference of 8.6 mm during the Lachman test in 30° flexion was reported, but only a 4.2 mm difference when comparing anterior tibial drawer tests in 90° of flexion.13 A study by Bull et al. also recorded only a 4.2 mm difference with an anterior drawer test at 30° and 90° knee flexion, when comparing knee laxity before and after an ACL reconstruction.14 Similarly, the motion differences in our study were below 3 mm in translation and 3° in internal rotation before and after sectioning of the ACL and the ALL.


id: saoj-102
author: Raubenheimer, EJ; Noffke, C
date: 2017-08-31
pages: 4
extension: .pdf
mime: application/pdf
words: 3283
sentence: 182
flesch: 47
cache: cache/saoj-102.pdf
txt: txt/saoj-102.txt
title:
  Cell signalling and bone remodelling Part II: Developments in the pathogenesis and principles of management of selected skeletal disease states.

summary:
  Wnt signalling in bone formation and its therapeutic potential for bone diseases. Mapping of these pathways exposed specific receptor binding sites on bone cells which can potentially be activated or blocked in order to either limit bone resorption or accelerate bone formation and mineralisation, impacting directly on the process of bone healing.


id: saoj-259
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2018-08-23
pages: 1
extension: .pdf
mime: application/pdf
words: 497
sentence: 12
flesch: 24
cache: cache/saoj-259.pdf
txt: txt/saoj-259.txt
summary:
  Annual Congress 31 August 2018 – 02 September 2018 CSIR, Pretoria 64th Congress of the South African Orthopaedic Association 03 September 2018 – 06 September 2018 CSIR, Pretoria INTERNATIONAL OCTOBER 2018 12th EFAS International Congress 2018 04 October 2018 – 06 October 2018 Geneva, Switzerland ISHA 2018 Annual Scientific Meeting 04 October 2018 – 06 October 2018 Melbourne, Australia 39th SICOT Orthopaedic World Congress Montreal 2018 10 October 2018 – 13 October 2018 Montreal , Canada Annual Meeting of the American Shoulder and Elbow Surgeons ASES 2018 11 October 2018 – 14 October 2018 Chicago, United States Annual Meeting of the Orthopaedic Trauma Association OTA 2018 17 October 2018 – 20 October 2018 Orlando, United States 26th European Pediatrics Congress 22 October 2018 – 23 October 2018 Amsterdam, Netherlands NOVEMBER 2018 International Consensus Meeting on Orthopaedic Infections 25 January 2018 - 26 January 2018 Philadelphia, United States Focus on Arthroplasty Symposium: Unicondylar Knee Replacement 26 January 2018 - 27 January 2018


id: saoj-251
author: Khan, Faraaz; Govender, S
title: Sacroiliac joint involvement in spinal tuberculosis
date: 2018-07-24
pages: 6
extension: .pdf
mime: application/pdf
words: 3871
sentence: 204
flesch: 43
cache: cache/saoj-251.pdf
txt: txt/saoj-251.txt
summary:
  Available clinical and radiological investigations including plain X-rays, CT and MRI scans, were scrutinised to actively exclude sacroiliac joint involvement. Conclusion: Concurrent radiographic evidence of sacroiliac joint involvement is not uncommon in patients with spinal tuberculosis, more so when abscess formation is associated, and should be actively looked for and excluded in such cases.


id: saoj-249
author: Saragas, Nick P
title: Teaching philosophy
date: 2018-07-24
pages: 1
extension: .pdf
mime: application/pdf
words: 826
sentence: 53
flesch: 70
cache: cache/saoj-249.pdf
txt: txt/saoj-249.txt
summary:
  When it comes to patients the young doctor needs to reiterate the Hippocrates dictum, ‘Practice two things in your dealings with disease: either help or do not harm the patient’. The subject should not be taught superficially but with depth so that core knowledge and all its subtleties is applied and long remembered.


id: saoj-269
author: Yende, Thabiso; Senoge, M E; Ferreira, N
date: 2018-09-25
pages: 6
extension: .pdf
mime: application/pdf
words: 4201
sentence: 228
flesch: 47
cache: cache/saoj-269.pdf
txt: txt/saoj-269.txt
title:
  Functional outcomes following surgical treatment of chronically unreduced simple elbow dislocations: a retrospective review

summary:
  Simple elbow dislocations were defined as dislocations with no associated fractures. Abstract Background: Chronic elbow dislocations are rare injuries that present late for orthopaedic management.


id: saoj-314
author: Botma, N; Graham, S; Held, M; Laubscher, M
title: Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series
date: 2020-03-16
pages: 6
extension: .pdf
mime: application/pdf
words: 4255
sentence: 256
flesch: 55
cache: cache/saoj-314.pdf
txt: txt/saoj-314.txt
summary:
  Level of evidence: Level 4 Keywords: tibia, non-union, suprapatellar, intramedullary, nail Intramedullary nailing of tibial non-unions using the suprapatellar approach: a case series Botma N1 , Graham S2 , Held M3 , Laubscher M4 1 MBChB(Stell); Orthopaedic registrar 2 MBChB, MRCS, MSc(Res), FRCS(Tr&Ortho); Orthopaedic surgeon 3 MD, PhD, FC Orth(SA); Orthopaedic surgeon 4 MBChB(UFS), Dip PEC, FC Orth(SA), MMed Ortho(UCT); Orthopaedic surgeon Orthopaedic Research Unit, Department of Orthopaedic Surgery, Groote Schuur Hospital, University of Cape Town, South Africa Corresponding author: Dr Nico Botma, Orthopaedic Research Unit, Department of Orthopaedic Surgery, H49 OMB, Groote Schuur Hospital, University of Cape Town, Cape Town, 7925, South Africa; tel: (021) 404 9111; email: nico.botma@gmail.com https://orcid.org/0000-0002-6053-814X https://orcid.org/0000-0002-4091-7548 https://orcid.org/0000-0002-0671-0439 https://orcid.org/0000-0002-5989-8383 Page 41Botma N et al. Patients and methods Patients with an aseptic tibial non-union, who were treated with a suprapatellar entry IMN from May 2016 to April 2018, were reviewed retrospectively.


id: saoj-282
author: Mehtar, M; Ramguthy, Y; Firth, G B
title: Profile of patients with Blount’s disease at an academic hospital
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 4259
sentence: 227
flesch: 57
cache: cache/saoj-282.pdf
txt: txt/saoj-282.txt
summary:
  7. Sabharwal S, Sabharwal S. Treatment of infantile Blount disease: an update. Scott AC, Kelly CH, Sullivan E. Body mass index as a prognostic factor in development of infantile Blount disease.


id: saoj-224
author: Office, Editorial; Makan, Pradeep
title: Professional burnout
date: 2018-05-02
pages: 1
extension: .pdf
mime: application/pdf
words: 709
sentence: 39
flesch: 69
cache: cache/saoj-224.pdf
txt: txt/saoj-224.txt
summary:
  I am certain that there are many times our partners think we are having an affair because we are so passionate about our work that we dedicate too much time and energy to our profession. Although we somehow managed to balance the demands of both work and home, times have changed.


id: saoj-264
author: Chivers, D; Lambrechts, A; Vrettos, B; Dachs, R; Roche, S
title: Unrepaired rotator cuff tears following acromioplasty
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 4945
sentence: 288
flesch: 59
cache: cache/saoj-264.pdf
txt: txt/saoj-264.txt
summary:
  The prevalence of asymptomatic full thickness tears in the population aged 40–60 years is 4% and patients over 60 years is 24%, according to an MRI study by Sher et al.31 From this data it can be noted that rotator cuff tears are relatively common and that not all patients with cuff tears present with a loss in function or pain, which might explain the good clinical outcomes we found in this age group of patients. Abstract Background: The natural history of rotator cuff tears suggests that not all tears progress and small isolated rotator cuff tears might heal.


id: saoj-642
author: Office, Editorial
title: Acknowledgement of reviewers
date: 2022-11-10
pages: 1
extension: .pdf
mime: application/pdf
words: 434
sentence: 5
flesch: -9
cache: cache/saoj-642.pdf
txt: txt/saoj-642.txt
summary:
  Paediatric orthopaedics Jacques du Toit Greg Firth Anthony Robertson Pieter Mare Mari Thiart Anria Horn Katherine Troisi Paul Rollinson Robert Fraser Ruan Goller Shekar Roopan Dina Simmons Denise Potgieter Ryno du Plessis Koshy Daniel Yammesh Ramguthy Arthroplasty, hip and knee Michael Held David North Chris Snyckers Jurek Pietrzak Ponky Firer Brad Gelbart Marc Nortje Thomas Hilton Rian Smit Koos Jordaan Bryan Riemer Johan van der Merwe Adriaan van Huysteen Muhammed Majra Johan Charilou Virsen Singh Allan van Zyl Sebastian Magobotha Jan de Vos Simon Sombili Jitesh Rajpaul Johan van der Merwe Hennie Bosch Allan Sekeitto Thane Munting Laughter Lisenda Foot and ankle Nick Saragas Graham McCollum Paulo Ferrao Jos van Niekerk Fred Louw Andrew Strydom Kevin McIntyre Ian Stead Adriaan van Zyl Meghan Dares Rob Snyders Mohammed Mehtar Mark Maritz Etienne Joubert Johan van der Merwe Craig Blake Ziyaad Mayet Jacques Jonck Matthew Workman Orthopaedic oncology and infections Thomas Hilton Theo le Roux Keith Hosking Bennie Lindeque Jaco Viljoen André Olivier Phakamani Mthethwa Len Marais Luan Nieuwoudt Nando Ferreira Henrik Bauer Paul Kgagudi Walid Mugla Richard Kyte Andrew Johnston Alan Molloy Doron Frantzen Trauma and general orthopaedics Nando Ferreira Sithombo Maqungo Franz Birkholtz Luan Nieuwoudt Maritz Laubscher Len Marais Craig Brown Brian Bernstein Norrie Gibson Gian du Preez Steven Matshidza Ryno du Plessis Jeannie McCaul Megan O'Connor Stefan Swanepoel Craig Blake Will Harrison Erik Formanek Jan Rofling Rudolph Venter Philani Ntombela Danie Hugo Phillip de Lange Etienne Joubert Thivani Naidoo Shekar Roopan Gadi Epstein Tinus Bassoin Elsabe Britz Rainer Rosin Kirsty Berry Vuyisa Mdingi Sebastian Magobotha Lerato Nhlapo Research methodology and statistics Marilize Burger Len Marais Theresa Mann Hand Ajmal Ikram Duncan McGuire Antoinne Rocher Megan O’Connor Charles Serfontein Hentas van Zyl Michael Grundill Pieter Jordaan Nico Fang Cynthia Sathekga Tatolo Sefeane Spine Robert Dunn Johan Davis Gert Vlok Mthunzi Ngcelwane Ravel Ramlakan Alberto Puddu Nicolas Kruger Sanesh Miseer Yusuf Desai Marcus van Heukelum Etienne Coetzee Fred Ukunda Vuyu Gezengana Shoulder and elbow Stephen Roche Cameron Anley Phillip Webster Basil Vrettos Stadler Kirsten Leon Rajah J-P du Plessis Jan Kirsten Sean Pretorius Michael Grundill Archie Rachuene Ben Grey Sachin Baba South African Orthopaedic Journal ACKNOWLEDGEMENT OF REVIEWERS Page 196 SA Orthop J 2022;21(4)


id: saoj-441
author: Strydom, Sven; Snyckers, Christian H
date: 2021-11-18
pages: 6
extension: .pdf
mime: application/pdf
words: 5408
sentence: 312
flesch: 43
cache: cache/saoj-441.pdf
txt: txt/saoj-441.txt
title:
  Minimally invasive subcutaneous anterior fixation of pelvic fractures in the elderly: case report and literature review

summary:
  Minimally invasive subcutaneous anterior fixation of pelvic fractures in the elderly: case report and literature review. Level of evidence: Level 5 Keywords: pelvic fracture, anterior pelvic fixation, elderly, minimally invasive Minimally invasive subcutaneous anterior fixation of pelvic fractures in the elderly: case report and literature review Sven Strydom,¹* Christian H Snyckers² ¹ Department of Orthopaedics, University of Pretoria, Kalafong Tertiary Hospital, Pretoria, South Africa ² Private practice, Eugene Marais Hospital, Pretoria, South Africa *Corresponding author: svenstrydom@gmail.com Introduction As our population ages, the incidence of traumatic and insufficiency pelvic fractures among the elderly is rising.1


id: saoj-330
author: van Heukelum, M; Blake, C A; Franken, T; Burger, M C; Ferreira, N; Gobetz, G
date: 2020-08-26
pages: 6
extension: .pdf
mime: application/pdf
words: 4912
sentence: 236
flesch: 46
cache: cache/saoj-330.pdf
txt: txt/saoj-330.txt
title:
  Peri-articular infiltration in the resource-restrained environment – still a worthwhile adjunct to multimodal analgesia post total knee replacement

summary:
  Infiltration volumes were calculated at 1 ml/kg and the infiltration technique followed a specific protocol. Infiltration volume was calculated on a volume per kilogram (1 ml/kg) basis for each individual patient to standardise volumes and adjust for the large variance in patient size and weight.


id: saoj-230
author: Office, Editorial; Manwana, M E; Mokone, G G; Kebaetse, M; Young, T
title: Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana
date: 2018-05-02
pages: 6
extension: .pdf
mime: application/pdf
words: 5052
sentence: 243
flesch: 58
cache: cache/saoj-230.pdf
txt: txt/saoj-230.txt
summary:
  http://journal.saoa.org.za DOI 10.17159/2309-8309/2018/v17n1a6 TRAUMA Epidemiology of traumatic orthopaedic injuries at Princess Marina Hospital, Botswana Manwana ME1, Mokone GG2, Kebaetse M3, Young T4 1 Division of Community Health, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa; Medical doctor, Princess Marina Hospital, Ministry of Health, Botswana 2 Senior Lecturer and Exercise Physiologist, Faculty of Medicine, University of Botswana 3 Senior Lecturer and Rehabilitation Scientist, Faculty of Medicine, University of Botswana 4 Director, Centre for Evidence-based Health Care, Stellenbosch University, Cape Town, South Africa Corresponding author: Dr Manwana M Esperance, Division of Community Health, Faculty of Medicine and Health Sciences, Stellenbosch University, PO Box 241, Cape Town 8000, South Africa; tel: (+27) 21 938 9498; fax: (+27) 21 938 9138; email: esperancemanwana@yahoo.com Authors’ contributions: Designed study: MME, TY, GGM, MK. The aim of the study, therefore, was to evaluate the age, sex, type, and determinants of traumatic orthopaedic injuries for inpatients at Princess Marina Hospital from August 2014 to January 2015.


id: saoj-234
author: Sluis Cremer, Timothy R; Hosking, Keith; Held, Michael; Hilton, Thomas
date: 2019-01-21
pages: 7
extension: .pdf
mime: application/pdf
words: 5415
sentence: 326
flesch: 52
cache: cache/saoj-234.pdf
txt: txt/saoj-234.txt
title:
  Minimally invasive CT-guided excision of osteoid osteoma and other small benign bone tumours: a single centre case series in South Africa

summary:
  Hip arthroscopy for removal of an acetabular rim–based osteoid osteoma and concomitant femoroacetabular impingement correction. Minimally invasive CT-guided excision of osteoid osteoma and other small benign bone tumours: a single centre case series in South Africa.


id: saoj-242
author: Raubenheimer, E J; Noffke, C E E; Lemmer, L B; Slavik, T; Van Heerden, W F P; Miniggio, H D
title: Pharmaceutical management of bone catabolism: the bisphosphonates
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 5102
sentence: 257
flesch: 40
cache: cache/saoj-242.pdf
txt: txt/saoj-242.txt
summary:
  In a consensus statement of the Mayo Clinic Myeloma Group, IV pamidronate is recommended as the drug of choice for the management of these morbidities as pamidronate effectively suspends bone resorption, alleviates bone pain and corrects hypercalcaemia. Most of the other precautions and complications of BP therapy, which are discussed later, also apply to the first generation BPs.


id: saoj-286
author: Dlamini, Nkanyiso; Ryan, Paul Vincent; Moodley, Yoshan
date: 2021-08-11
pages: 7
extension: .pdf
mime: application/pdf
words: 5184
sentence: 295
flesch: 51
cache: cache/saoj-286.pdf
txt: txt/saoj-286.txt
title:
  Incidence and risk factors for extended post-operative length of stay following primary hip arthroplasty in a South African setting

summary:
  Abstract Background: This study sought to determine the incidence of extended post-operative length of stay (EPLoS) and its associated risk factors in South African primary hip arthroplasty patients. Conclusion: We provide a report of EPLoS and several associated risk factors in South African primary hip arthroplasty patients.


id: saoj-615
author: Philip, Sujith; Kgagudi, Marule P
title: Cutaneous adenoid cystic carcinoma: clinical conundrum of a lower limb mass
date: 2023-05-18
pages: 5
extension: .pdf
mime: application/pdf
words: 2401
sentence: 134
flesch: 49
cache: cache/saoj-615.pdf
txt: txt/saoj-615.txt
summary:
  Metastatic skeletal disease of the foot: case reports and literature review. Metastatic adenoid cystic carcinoma of salivary glands: case reports and review of the literature.


id: saoj-622
author: Nkosi, Collen S; Sefeane, Tatolo I
title: A subungual glomus tumour of the finger with five reappearances: a rare case report
date: 2023-03-23
pages: 4
extension: .pdf
mime: application/pdf
words: 2567
sentence: 157
flesch: 53
cache: cache/saoj-622.pdf
txt: txt/saoj-622.txt
summary:
  They account for 1–6% of all soft tissue tumours in the upper limb, particularly the hand (50–75%).2 The aetiology of the tumour is unknown.2 Because of its rarity, there is usually a significant period between the beginning of symptoms and the diagnosis.1,3 Sefeane et al. reported up to 16 years delay in diagnosis in 2013.1 Clinically, subungual glomus tumours are characterised by a classic triad of cold intolerance, localised tenderness and paroxysmal pain.3,4 Recurrences are seen in 4–15% within one year of excision.5 We present an atypical case of a patient who experienced five recurrences of a subungual glomus tumour of the finger over a period of 26 years. Subungual leiomyoma, subungual exostosis and subungual neuroma can be differentiated as subungual glomus tumours based on their clinical presentation.


id: saoj-227
author: Office, Editorial; Seron, S; Rasool, M N
title: Outcomes of intramedullary nailing for open fractures of the tibial shaft
date: 2018-05-02
pages: 6
extension: .pdf
mime: application/pdf
words: 5713
sentence: 382
flesch: 62
cache: cache/saoj-227.pdf
txt: txt/saoj-227.txt
summary:
  The complication rate rises exponentially with high energy trauma, soft tissue disruption, wound contamination, altered vascularity and unstable fractures.3 Several strategies have been developed to minimise these complications and include the use of prophylactic antibiotics, tetanus toxoid, immediate soft tissue debridement and reconstruction, skeletal stabilisation, prophylactic bone grafting and adjuvant treatment like rhBMP-2.4-7 The ultimate goal is to achieve bony union, without infection, and a fully functional pain- free limb.8 The management of open fractures is regarded as an orthopaedic emergency.9 The traditional method of treating open tibial fractures was with an external fixator preferably within six hours of injury.10,11 Monolateral external fixation has been employed to treat open tibial fractures with great success; however, not with- out significant complications.12,13 Plate fixation has resulted in an unacceptable high infection rate, hence the pursuit of an alternate modality of fracture stabilisation.14 http://journal.saoa.org.za TRAUMA Outcomes of intramedullary nailing for open fractures of the tibial shaft Seron S1, Rasool MN2 1 MBChB, HDipOrth, FC Orth(SA); Consultant, Prince Mshiyeni Memorial hospital, Durban 2 MBChB, FCS Orth (SA), PhD; Professor, King Edward VIII Hospital, Department of Orthopaedic Surgery, University of KwaZulu-Natal, Durban Corresponding author: Dr S Seron, Department of Orthopaedic Surgery, Nelson R Mandela School of Medicine, University of KwaZulu-Natal; tel: +27 31 2604297; email: sashseron@webmail.co.za Abstract Aim: To establish superficial and deep infection rates and time to union of open tibial shaft fractures treated with primary debridement and locked intramedullary nails.


id: saoj-305
author: Bernstein, Brian; Du Plessis, J P; Laubscher, M; Maqungo, S
date: 2021-08-11
pages: 7
extension: .pdf
mime: application/pdf
words: 6903
sentence: 471
flesch: 53
cache: cache/saoj-305.pdf
txt: txt/saoj-305.txt
title:
  Management of complex proximal humerus fractures in the elderly: what is the role of open reduction and internal fixation?

summary:
  Level of evidence: 5 Key words: proximal humerus fracture, fragility fracture, osteoporosis, implant evolution, internal fixation Management of complex proximal humerus fractures in the elderly: what is the role of open reduction and internal fixation? The diagnosis of osteoporosis is largely based around hip and spine bone mineral density, and the diagnostic criteria in relation to proximal humerus fractures is less clear.11 A proximal humerus fracture may be the presenting complaint in a patient with osteoporosis, and allow its diagnosis.


id: saoj-107
author: Ali, N; Bhat, A; Bangroo, FA; Dhanda, MS; Sharma, SC
title: Simple bilateral anterior shoulder dislocation: A case report and review of the literature.
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3160
sentence: 251
flesch: 58
cache: cache/saoj-107.pdf
txt: txt/saoj-107.txt
summary:
  Bilateral anterior shoulder dislocations are very rare and usually result from significant trauma. Dinopoulos et al.(1999) in their review of literature had 28 cases of bilateral anterior shoulder dislocation reported since 1966 out of which only 11 were simple dislocations without any associated fracture.13 Siwach et al. (2008), in a similar type of literature review, reported only 14 cases of simple bilateral anterior dislocations.14 Dodds et al.


id: saoj-62
author: Troisi, Katherine; Ferreira, Nando
title: Radiation exposure to orthopaedic registrars in the Pietermaritzburg Metropolitan Complex
date: 2017-08-30
pages: 5
extension: .pdf
mime: application/pdf
words: 3126
sentence: 152
flesch: 47
cache: cache/saoj-62.pdf
txt: txt/saoj-62.txt
summary:
  Conclusion: Trauma rotations appeared to produce to highest radiation exposure readings, although these were still within international safety limits. This has led to increased exposure to ionising radiation and is a potential occupational hazard to the orthopaedic registrar and accompanying theatre staff who are often under-educated and unaware of its dangers.1 Radiation exposure is classified into public, medical and occupational.2 Environmental radiation from cosmic rays, external sources and ingested radioactive materials constitute approximately 3 millisieverts (mSv) per year.3 Medical exposure constitutes the greatest source of artificial radiation; a cervical spine X-ray for example, is equivalent to 1.6 weeks of environmental radiation.4 Occupational exposure constitutes radiation exposure at the workplace and for which workers should be registered.


id: saoj-301
author: Rutarama, A; Firth, G B
date: 2019-09-05
pages: 6
extension: .pdf
mime: application/pdf
words: 5199
sentence: 268
flesch: 57
cache: cache/saoj-301.pdf
txt: txt/saoj-301.txt
title:
  Assessment of elbow functional outcome after closed reduction and percutaneous pinning of displaced supracondylar humerus fractures in children

summary:
  More recent evidence for physiotherapy after CRPP for supracondylar fractures in children found no difference one year post treatment.6 Keppler et al. showed a small benefit of physiotherapy at six weeks and no benefit at one year but Schmale et al. showed no benefit at all.5,6 The outcome of grade III supracondylar fractures in South Africa has not been studied prospectively before. The objectives of this study were 1) to measure the elbow range of motion (ROM) at three, six, 12 and 24 weeks after CRPP for grade III supracondylar fractures; 2) to assess the functional outcome of the injured limb using the Paediatric Outcome Data Collection Instrument (PODCI) score; 3) to compare elbow functional outcome of children less than 7 years old versus children more than 7 years old; and 4) to assess other risk factors or complications associated with poor outcomes after CRPP (including age and associated soft tissue injury).


id: saoj-118
author: Venter, RG; Solomon, C; Baartman, M
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3103
sentence: 198
flesch: 54
cache: cache/saoj-118.pdf
txt: txt/saoj-118.txt
title:
  Mycobacterium fortuitum as infectious agent in a septic total knee replacement: Case study and literature review

summary:
  Cornelius L, Reddix R, Burchett C, Bond G, Fader R. Cluster of Mycobacterium fortuitum prosthetic joint infections. Yung Y, Li P, Lee Q, Wong Y, Wai Y. Treatment of Mycobacterium fortuitum infection of total knee arthroplasty: A case report.


id: saoj-103
author: Rasool, MN; Snyders, RF; Bydawell, G
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 2409
sentence: 172
flesch: 57
cache: cache/saoj-103.pdf
txt: txt/saoj-103.txt
title:
  Epithelioid haemangioendothelioma of the scapula in a child: A case report and review of the literature

summary:
  The principles of TAE of bone tumours are the precise targeting of the occlusive embolic material to the tumour-feeding vessels. In children, Ewing’s sarcoma, rhabdomyosarcoma, osteolytic osteosarcoma and skeletal angiomatosis must also be considered.3–5,12 In accessible regions, radical excision is the treatment of choice.4-7 Radiation treatment alone may be effective in some patients with multi-centric tumours.


id: saoj-643
author: Office, Editorial
title: CPD Questionnaire (V21N04)
date: 2022-11-10
pages: 2
extension: .pdf
mime: application/pdf
words: 1954
sentence: 93
flesch: 60
cache: cache/saoj-643.pdf
txt: txt/saoj-643.txt
summary:
  Injuries are equally observed in both motorised and manually operated gates B c. Gate falling onto the child is the most common mechanism of injury C d. The management of trauma patients does not influence the management of the non-trauma elective patients A b.


id: saoj-436
author: Phonela, S M H; Goller, R; Karsas, M
title: Osteogenesis imperfecta: an overview
date: 2020-11-17
pages: 6
extension: .pdf
mime: application/pdf
words: 5053
sentence: 238
flesch: 41
cache: cache/saoj-436.pdf
txt: txt/saoj-436.txt
summary:
  1,2 Milder forms generally present in later stages of life, often with long bone fractures after minor trauma while the more severe forms can present with marked skeletal dysplasias, delayed milestones and even perinatal or early childhood death.1,2 Type 1 collagen, a major extracellular protein constituent of bone, dentin, sclera, skin, vessels and heart valves, plays a central role in the pathogenesis of OI. Epidemiology The subtypes of OI diverge in both their incidence and prevalence rates, with OI types I and IV comprising more than half of all total cases worldwide.5


id: saoj-310
author: Brown, O; Goliath, V; Van Rooyen, R M; Aldous, C; Marais, L C
date: 2019-09-05
pages: 6
extension: .pdf
mime: application/pdf
words: 5592
sentence: 362
flesch: 48
cache: cache/saoj-310.pdf
txt: txt/saoj-310.txt
title:
  Communicating about prognosis with regard to osteosarcoma in a South African cross-cultural clinical setting: strategies and challenges

summary:
  The focus group interview schedule was piloted with a social work colleague who has experience with working with cancer patients in the study setting. The study is part of a larger project aimed at developing an evidence-based practice guideline for communicating with Zulu patients diagnosed with osteosarcoma.


id: saoj-270
author: Dunn, Robert N; Horn, Anria
date: 2021-08-11
pages: 5
extension: .pdf
mime: application/pdf
words: 3245
sentence: 173
flesch: 45
cache: cache/saoj-270.pdf
txt: txt/saoj-270.txt
title:
  Posterior based circumferential spinal cord decompression in paediatric patients with the vertebral column resection (VCR) technique spares the anterior approach in severe kyphosis

summary:
  Abdullah M, Enrico N, Dunn R. Posterior vertebral column resection for severe spinal deformities. Posterior vertebral column resection for severe spinal deformities.


id: saoj-306
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2021-08-11
pages: 1
extension: .pdf
mime: application/pdf
words: 616
sentence: 18
flesch: 36
cache: cache/saoj-306.pdf
txt: txt/saoj-306.txt
summary:
  SA Shoulder and Elbow Surgeons (SASES) 4. SA Foot Surgeons’ Association (SAFSA) 5. SA Orthopaedic Trauma Society (SAOTS) 6. Page 4 South African Orthopaedic Journal http://journal.saoa.org.za Page 4 South African Orthopaedic Journal http://journal.saoa.org.za CONFERENCES, COURSES & SYMPOSIA SASSH (SA Society for Surgery of the Hand) Refresher Course 23-25 February 2018 Pretoria 18th Congress SA Spine Society 24-26 May 2018 Elangeni Hotel, Durban 64th Congress of the South African Orthopaedic Association 3-6 September 2018 CSIR, Pretoria JANUARY 2018


id: saoj-262
author: Marais, Leonard C
title: The p-value: p for problem
date: 2018-09-07
pages: 2
extension: .pdf
mime: application/pdf
words: 1114
sentence: 62
flesch: 49
cache: cache/saoj-262.pdf
txt: txt/saoj-262.txt
summary:
  7. Gagnier JJ, Morgenstern H. Misconceptions, misuses, and misinterpretations of p values and significance testing. It is not, for example, the probability that the null hypothesis is true or that the result is due to chance.7 As pointed out by Gagnier and Morgenstern: ‘Overreliance on significance tests to interpret statistical findings ignores the magnitude of the association, estimation of precision, the consistency and pattern of results, possible bias arising from several sources, previous research findings, and foundational knowledge of relevant biological and clinical phenomena.’7


id: saoj-287
author: Kruger, Neil; de Villiers, A-L; McGuire, Duncan T; Solomons, Michael Wayne
title: Intraosseous terminal phalanx epidermoid inclusion cyst: a first case of late recurrence
date: 2019-04-17
pages: 4
extension: .pdf
mime: application/pdf
words: 1719
sentence: 98
flesch: 50
cache: cache/saoj-287.pdf
txt: txt/saoj-287.txt
summary:
  Intraosseous terminal phalanx epidermoid inclusion cyst: a first case of late recurrence. Kurosawa K, Kobayashi R, Takagishi K. Distal phalangeal reconstruction for recurrent intraosseous epidermoid cyst of the finger - a case report.


id: saoj-114
author: Uchendu, E; Ayoola, OO; Adetiloye, VA; Ikem, RT; Ikem, IC
title: Sonographic assessment of the shoulders in asymptomatic elderly diabetics in a Nigerian population
date: 2017-08-31
pages: 6
extension: .pdf
mime: application/pdf
words: 3926
sentence: 207
flesch: 58
cache: cache/saoj-114.pdf
txt: txt/saoj-114.txt
summary:
  The Chi-square test was used to evaluate associa- tions between shoulder disease and sex, hand dominance and grouped duration of diabetes. Several studies have shown an increase in prevalence of shoulder disease, with or without symptoms, in elderly12-15 subjects and in diabetics.2-4,16 The dominant shoulder showed near similar pattern of lesions for both study groups, with BT effusion (41.7% vs 20%) as the commonest sonographic feature of tendon degeneration Table III: Association between shoulder disease and gender Subject category


id: saoj-327
author: Dey, R; Patnaik, S; Nair, G; Steiner, S; Sivarasu, S
date: 2020-11-17
pages: 6
extension: .pdf
mime: application/pdf
words: 4041
sentence: 275
flesch: 58
cache: cache/saoj-327.pdf
txt: txt/saoj-327.txt
title:
  An intra-operative device for parallel drilling and femoral landmark estimation during medial patellofemoral ligament reconstructive surgery

summary:
  Level of evidence: Level 5 Keywords: knee surgery, patella, orthopaedic, MPFL reconstruction, 3D-printed, novel surgical device An intra-operative device for parallel drilling and femoral landmark estimation during medial patellofemoral ligament reconstructive surgery Dey R1 , Patnaik S2, Nair G3, Steiner S4, Sivarasu S5 1 PhD; Postdoctoral fellow, Faculty of Health Sciences, University of Cape Town, South Africa 2 MD; Senior consultant, Sunshine Hospital, Department of Arthroscopy and Sport Centre, Bhubaneswar, Odisha, India 3 MSc; Senior technical officer, Department of Human Biology, University of Cape Town, South Africa 4 MS; Lecturer, Department of Human Biology, University of Cape Town, South Africa 5 PhD; Associate professor, Department of Human Biology, University of Cape Town, South Africa Corresponding author: Dr Sudesh Sivarasu, Room 7.17, Anatomy Building, University of Cape Town Medical Campus, Anzio Road, Observatory, Cape Town, 7925, South Africa; tel: (021) 404 7613; email: Sudesh.Sivarasu@uct.ac.za https://orcid.org/0000-0002-3616-1995 https://orcid.org/0000-0002-0812-568X Page 213Dey (source: Sivarasu S, Patnaik S. Accessory for conducting patella surgery


id: saoj-332
author: Greeff, W; Greeff, R D V; Frey, C T; Singh, V
date: 2020-11-17
pages: 4
extension: .pdf
mime: application/pdf
words: 2890
sentence: 185
flesch: 56
cache: cache/saoj-332.pdf
txt: txt/saoj-332.txt
title:
  Fatigue failure of the femoral component of a total knee arthroplasty: a case report and review of the literature

summary:
  We also summarised all cases of femoral component fatigue failure in the English literature. Conclusion: Although femoral component fatigue failure in TKA is rare, the majority of cases have attributed the failure to poor surgical technique.


id: saoj-274
author: Noconjo, L; Nortje, M B
title: The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments
date: 2021-08-10
pages: 5
extension: .pdf
mime: application/pdf
words: 3793
sentence: 225
flesch: 53
cache: cache/saoj-274.pdf
txt: txt/saoj-274.txt
summary:
  Level of evidence: Level 4 Keywords: Trabecular Metal™, augments, total hip arthroplasty, revision hip arthroplasty The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments Noconjo L¹ , Nortje MB2 1 B Physio; MBChB(UKZN); Registrar, Department of Orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa 2 MBChB(UCT), FC Orth(SA); MMed(UCT), Consultant Orthopaedic and Arthroplasty Surgeon, Department of Orthopaedic Surgery, University of Cape Town, Vincent Pallotti and Kingsbury Hospitals, Cape Town, South Africa Corresponding author: Dr L Noconjo, Department of Orthopaedic Surgery, Groote Schuur, Observatory, Cape Town, 8000; tel: 021 404 5108; cell: 083 751 1356; email: lubabalonoconjo@gmail.com The short-term outcome of hip revision arthroplasty with Trabecular Metal™ components and augments.


id: saoj-252
author: Naidoo, Thivani; Govender, S
title: Fixation of extra-articular distal humerus fractures with a single posterolateral plate
date: 2018-07-24
pages: 6
extension: .pdf
mime: application/pdf
words: 4196
sentence: 249
flesch: 50
cache: cache/saoj-252.pdf
txt: txt/saoj-252.txt
summary:
  DOI 10.17159/2309-8309/2018/v17n3a4 South African Orthopaedic Journal http://journal.saoa.org.za TRAUMATRAUMA Citation: Naidoo T, Govender S. Fixation of extra-articular distal humerus fractures with a single posterolateral plate. Level 4 Key words: distal, humerus, fracture, extra-articular, posterolateral plate Fixation of extra-articular distal humerus fractures with a single posterolateral plate Naidoo T¹, Govender S² ¹ MBChB, FCOrtho, HDip(Ortho), BMed Sci(Hons); Orthopaedic surgeon, Department of Orthopaedics, Northdale Hospital, Nelson R Mandela School of Medicine, University of KwaZulu-Natal, South Africa ² MBBS, MD, FRCS, FC(Orth)PR; Professor and orthopaedic surgeon, Spinal Unit, King Dinuzulu Hospital, Durban, South Africa Corresponding author: Dr Thivani Naidoo, Private bag X9006, Pietermaritzburg, 3200; tel 033 387 9000; email: thivaninaidoo@gmail.com Page 36 Naidoo T et al.


id: saoj-108
author: Walters, Johan
title: The responsibility of clinical practice
date: 2017-08-31
pages: 2
extension: .pdf
mime: application/pdf
words: 1080
sentence: 51
flesch: 57
cache: cache/saoj-108.pdf
txt: txt/saoj-108.txt
summary:
  Our concern and involvement in our patients’ well-being is what makes us the professionals that patients expect us to be. The nature of clinical practice is such that patients more often than not transfer the decision-making role to the treating doctor.


id: saoj-442
author: le Roux, Johan; von Bormann, Richard; Braun, Sepp; Imhoff, Andreas B; Held, Michael
date: 2022-05-19
pages: 5
extension: .pdf
mime: application/pdf
words: 3110
sentence: 176
flesch: 54
cache: cache/saoj-442.pdf
txt: txt/saoj-442.txt
title:
  Mega-OATS of the knee without specialised instrumentation: a low-cost option for large cartilage defects in a resource-restrained environment

summary:
  Level of evidence: Level 5 Keywords: Mega-OATS, osteochondral lesion knee, osteochondral autograft, resource restraint Mega-OATS of the knee without specialised instrumentation: a low-cost option for large cartilage defects in a resource-restrained environment Johan le Roux,¹ Richard von Bormann,² Sepp Braun,³ Andreas B Imhoff,⁴ Michael Held¹* ¹ Department of Surgery, Division of Orthopaedic Surgery, University of Cape Town, Groote Schuur Hospital, Cape Town, South Africa ² Netcare Christiaan Barnard Hospital, Cape Town, South Africa ³ Gelenkpunkt UMIT, Research Unit for Orthopedic Sports Medicine and Injury Prevention, Innsbruck, Austria ⁴ Department of Orthopaedic Sports Medicine, Technical University of Munich, Munich, Germany *Corresponding author: email.held@gmail.com Introduction Osteochondral lesions present a challenge in young patients when arthroplasty is not considered a reasonable treatment option.1 Due to resource limitations, fresh allograft or a large osteochondral autograft transplantation system (Mega-OATS) workbench was unavailable.


id: saoj-225
author: Office, Editorial; Immelman, R J; De Vos, J N; Venter, J H
date: 2018-05-02
pages: 6
extension: .pdf
mime: application/pdf
words: 4583
sentence: 237
flesch: 51
cache: cache/saoj-225.pdf
txt: txt/saoj-225.txt
title:
  Comparing outcomes between enhanced recovery after surgery and traditional protocols in total hip arthroplasty: a retrospective cohort study

summary:
  Conclusion: ERAS protocols can decrease the length of stay in elective total hip replacement without compromising patient safety or functional outcome. This hospital draws many patients from rural Mpumalanga, as well as surrounding Pretoria.


id: saoj-638
author: Magobotha, Sebastian K
title: Where are they now?
date: 2022-11-10
pages: 2
extension: .pdf
mime: application/pdf
words: 1013
sentence: 63
flesch: 59
cache: cache/saoj-638.pdf
txt: txt/saoj-638.txt
summary:
  Career orthopaedic medical officer 4. We applied for more training post numbers early this year and were successful.


id: saoj-625
author: Kettelkamp, Donald B
title: Orthopaedic education - accreditation
date: 2022-09-02
pages: 4
extension: .pdf
mime: application/pdf
words: 3109
sentence: 154
flesch: 38
cache: cache/saoj-625.pdf
txt: txt/saoj-625.txt
summary:
  Orthopaedic surgery residency programmes must meet a set of spe- cial requirements which originate with the RRC but require ACGME approval. That lecture included some material on the accreditation of orthopaedic residency programmes in the United States.


id: saoj-265
author: Wiese, K R; Kock, F W; Blake, C A; Franken, T; Jordaan, J D
date: 2021-08-11
pages: 5
extension: .pdf
mime: application/pdf
words: 4601
sentence: 237
flesch: 48
cache: cache/saoj-265.pdf
txt: txt/saoj-265.txt
title:
  The accuracy of pre-operative digital templating in total hip arthroplasty performed in a low-volume, resource-constrained orthopaedic unit

summary:
  Pre-operative radiographs were done according to guidelines published by Scheerlinck followed by pre-operative templating using the Impax Orthopaedic tools® software and a stepwise technique described by Bono. Implanted prosthesis sizes, as recorded in operation notes, were retrospectively compared to pre-operative templating.


id: saoj-503
author: Dunn, Cara; Held, Michael; Laubscher, Maritz; Nortje, Marc; Roche, Stephen; Dunn, Robert
date: 2022-03-16
pages: 7
extension: .pdf
mime: application/pdf
words: 5509
sentence: 270
flesch: 56
cache: cache/saoj-503.pdf
txt: txt/saoj-503.txt
title:
  Orthopaedic surgical training exposure at a South African academic hospital – is the experience diverse and in depth?

summary:
  In total, 17.5% of cases were performed after hours, with 31.7% of trauma surgeries and only 2.9% of elective surgeries occurring after hours. Trauma surgeries were divided into the general four firms, the acute spinal cord injury (ASCI) unit and paediatric trauma.


id: saoj-284
author: Hilton, T L; Wiese, Karin Rae; Hosking, K V; Hoffman, E B
date: 2021-08-11
pages: 5
extension: .pdf
mime: application/pdf
words: 4376
sentence: 247
flesch: 53
cache: cache/saoj-284.pdf
txt: txt/saoj-284.txt
title:
  Proximal fibular resections for primary bone tumours: oncological and functional results of a case series

summary:
  The artery is sacrificed in type II resections, but may be preserved in type I resections. The median age for type II resections was 12 (6–83) years, with seven of the eight patients being under 20 years of age at presentation.


id: saoj-119
author: Ferreira, N; Sombili, S; Marais, LC
title: Expert Opinion on Published Articles
date: 2017-08-31
pages: 3
extension: .pdf
mime: application/pdf
words: 2030
sentence: 83
flesch: 44
cache: cache/saoj-119.pdf
txt: txt/saoj-119.txt
summary:
  The potential advantages of percutaneous techniques noted in the article, include: decreased cost and theatre usage, low risk of adjacent tissue contamination and lower risk of complications due to its minimal invasive nature (0 to 10% compared to up to 16% for incisional biopsy). Furthermore, the diagnostic accuracy of percutaneous techniques is a function of the expertise of histologists evaluating the case and we have found that as our unit’s experience has grown the diagnostic yield has improved.


id: saoj-243
author: Workman, Matthew I; Kruger, N
title: A survey of the use of traction for the reduction of cervical dislocations
date: 2019-04-09
pages: 6
extension: .pdf
mime: application/pdf
words: 5191
sentence: 287
flesch: 50
cache: cache/saoj-243.pdf
txt: txt/saoj-243.txt
summary:
  Fifty-one per cent of surgeons do not think cervical reduction is routinely possible in under 4 hours. Cervical reduction restores bony canal dimensions and indirectly decompresses the cord.


id: saoj-443
author: Webster, Phillip
title: SAOA 2020 Congress postponed to November
date: 2021-08-10
pages: 1
extension: .pdf
mime: application/pdf
words: 343
sentence: 18
flesch: 61
cache: cache/saoj-443.pdf
txt: txt/saoj-443.txt
summary:
  We are also including a session on new concepts or research that have not necessarily been scientifically validated, the aim of which is to stimulate debate. We have been forced into a new digital age of virtual meetings, webinars and even virtual consultations.


id: saoj-240
author: Miseer, Sanesh; Mann, Theresa; Davis, Johannes Hendrick
date: 2019-01-21
pages: 7
extension: .pdf
mime: application/pdf
words: 5629
sentence: 269
flesch: 52
cache: cache/saoj-240.pdf
txt: txt/saoj-240.txt
title:
  Burden and profile of spinal pathology at a major tertiary hospital in the Western Cape, South Africa

summary:
  The second aim of the study was to determine the resource use associated with spinal pathology admissions, including the length of hospital stay, use of advanced radiological modalities and theatre time. Imaging, treatment, hospital stay and discharge pathway for Tygerberg Hospital Spinal Unit patients Trauma (n=180) Deformity (n=23) Degenerative (n=36) Infection (n=83) Malignancy (n=24) Total (n=346) Advanced imaging, n (%)


id: saoj-619
author: Laney, Wezley; Naicker, Dharshen; Milner, Brenda; Omar, Shahed
date: 2023-05-18
pages: 6
extension: .pdf
mime: application/pdf
words: 5409
sentence: 301
flesch: 59
cache: cache/saoj-619.pdf
txt: txt/saoj-619.txt
title:
  Analysis of orthopaedic injuries in CT pan scans of polytrauma patients at a quaternary academic hospital

summary:
  Rather, as highlighted by Gunn et al., the decision to do a CT pan scan is based on one of three indications, these being: the mechanism of injury (MOI), the location of injury or the physical examination correlating to the injury severity score.4,6 Even with the widespread acceptance of the use of a CT pan scan in the assessment of polytrauma patients, there is a scarcity of literature evaluating the extent of orthopaedic injuries in polytrauma patients. The objectives of the study are: • To determine the prevalence of orthopaedic injuries in polytrauma patients • To identify the orthopaedic injuries sustained in polytrauma patients who underwent a CT pan scan • To evaluate the relationship between orthopaedic injuries, non- orthopaedic injuries sustained and other contributing factors (epidemiological data and mechanisms of injury)


id: saoj-131
author: Ferreira, Dr N
title: Expert Opinion on Published Articles
date: 2017-09-01
pages: 4
extension: .pdf
mime: application/pdf
words: 2252
sentence: 117
flesch: 47
cache: cache/saoj-131.pdf
txt: txt/saoj-131.txt
summary:
  Where limb salvage can be performed without jeopar- dising patient survival, it is imperative to discuss expected outcomes with patients and their families. Compromise of this interface through pin track infection can lead to catastrophic failure of the external fixator device.


id: saoj-104
author: Rasool, MN; Genzengane, V
title: Rosai-Dorfman disease of the distal radius in a child: A case report and review of the literature
date: 2017-08-31
pages: 4
extension: .pdf
mime: application/pdf
words: 2274
sentence: 161
flesch: 42
cache: cache/saoj-104.pdf
txt: txt/saoj-104.txt
summary:
  Primary osseous lesions are rare and the condition can mimic various solitary bone lesions radiologically. Primary osseous lesions are rarely reported in children.


id: saoj-652
author: Vrettos, Basil
title: Communicate, collaborate and document: the pillars to avoid and manage complaints
date: 2023-03-23
pages: 2
extension: .pdf
mime: application/pdf
words: 1903
sentence: 100
flesch: 57
cache: cache/saoj-652.pdf
txt: txt/saoj-652.txt
summary:
  Orthopaedic surgery is not exempt from this, and the SAOA has received a number of complaints from patients over the last year regarding surgeons. In other cases, patients have gone directly down the legal route and/or to the HPCSA.


id: saoj-288
title: The South African take on the America–British–Canadian Fellowship
date: 2019-04-17
pages: 3
extension: .pdf
mime: application/pdf
words: 1804
sentence: 63
flesch: 43
cache: cache/saoj-288.pdf
txt: txt/saoj-288.txt
author:
  Held, Michael; Walmsley, Phil; Baker, Paul; Ramasamy, Arul; Sandiford, Amir; Johnson, Luke; Rosenfeldt, Michael

summary:
  In their hospitals, orthopaedic surgeons are seen as income generators, are given resources, posts and space, as long as this generates more productivity and income. This type of leadership and culture is also practised by many orthopaedic surgeons in South Africa and might be the greatest positive effect on the future of our profession.


id: saoj-302
author: Mayet, Z; Ferrao, P N; Saragas, Nikiforos S
title: Cross-screw technique for the modified Lapidus procedure using headless compression screws
date: 2019-08-30
pages: 6
extension: .pdf
mime: application/pdf
words: 4376
sentence: 286
flesch: 58
cache: cache/saoj-302.pdf
txt: txt/saoj-302.txt
summary:
  Popelka S, Hromảdka R, Vavřik P, Bartảk V, Popelka S Jr., Sosna A. Hypermobility of the first metatarsal bone in patients with Rheumatoid arthritis treated by Lapidus procedure. Level of evidence: Level 4 Key words: modified Lapidus, cross-screw technique, headless compression screw, hallux valgus, first ray instability Cross-screw technique for the modified Lapidus procedure using headless compression screws Mayet Z1 , Ferrao PNF2 , Saragas NP3 1 BSc(Wits), MBChB(Medunsa), FC Orth (SA), MMed(Orth)(Wits); The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg; Consultant, Chris Hani Baragwanath Academic Hospital and University of the Witwatersrand, Johannesburg, South Africa ² MBChB(Pret), FCS(SA)Ortho; The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg; Consultant, University of the Witwatersrand, Johannesburg, South Africa ³ MBBCh(Wits), FCS(SA)Ortho, MMed(Ortho Surg)(Wits); The Orthopaedic Foot and Ankle Unit, Netcare Linksfield Hospital, Johannesburg; Professor, University of the Witwatersrand, Johannesburg, South Africa Corresponding author: Dr Ziyaad Mayet, PO Box 901177, Bertsham, 2013; tel: 011 4339522; fax: 0866013108; email: bonedoc.zm@gmail.com https://orcid.org/0000-0002-7340-3148 https://orcid.org/0000-0003-4639-0326 https://orcid.org/0000-0002-5566-7588 Page 42 Mayet Z et al.


id: saoj-626
author: Maritz, NGJ
title: Orthopaedic surgery fellowships
date: 2022-09-02
pages: 1
extension: .pdf
mime: application/pdf
words: 455
sentence: 18
flesch: 42
cache: cache/saoj-626.pdf
txt: txt/saoj-626.txt
summary:
  For the registrars these are the reasons to take a fellowship: • Extra training in an area of special interest • Another year's experience to gain confidence • To add to one's CV For the institutions, fellowships have the following benefits: • Teaching: Because they have fewer extraneous commitments, fellows are more available and better positioned to teach regis- trars and medical students • Patient care: Fellows are able to help with the high volume of patients • Research: They are ideally situated to do the necessary research • They boost the number of physicians in academic medicine at a time when academic institutions are under great stress The disadvantages of sub-speciality fellowships include: • They may interfere with the registrars' training who may then have less opportunity to gain clinical and surgical experience • Sub-specialisation may lead to fragmentation of the Orthopaedic Association. To answer this question we have to look at the pros and cons of orthopaedic fellowships.


id: saoj-438
author: Khan, Suhayl Ahmed; Wadee, Naweed; Burger, Marilize; Ferreira, Nando; Jordaan, Jacobus
date: 2021-03-27
pages: 5
extension: .pdf
mime: application/pdf
words: 3828
sentence: 260
flesch: 46
cache: cache/saoj-438.pdf
txt: txt/saoj-438.txt
title:
  Prevalence of pathological neck of femur fractures in patients undergoing arthroplasty at a tertiary referral hospital

summary:
  All femoral heads were sent for histological analysis regardless of suspicion of pathological fracture. No unexpected malignant histological results were observed, while nine of the suspected pathological fracture group had pathological fractures, confirmed with histology.


id: saoj-229
author: Office, Editorial; Marais, L C; Ferreira, N
date: 2018-05-02
pages: 6
extension: .pdf
mime: application/pdf
words: 5424
sentence: 253
flesch: 59
cache: cache/saoj-229.pdf
txt: txt/saoj-229.txt
title:
  Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years

summary:
  Level of evidence: Level 3 Key words: tibial plateau, fracture, circular fixator, external fixation, Ilizarov, osteoporosis, geriatric, elderly Citation: Marais LC, Ferreira N. Circular external fixation in the management of tibial plateau fractures in patients over the age of 55 years. As a result, this soft tissue envelope is often intolerant of extensive dissection and this has significant implications for the surgical management of the underlying bony injury.2 The management of tibial plateau fractures is difficult and may be associated with complications such as knee stiffness, deep infection, post-traumatic arthritis, malunion and non-union.3 Treatment options include circular or hybrid external fixation and internal fixation, with either a single lateral locking plate or dual medial and lateral plates.


id: saoj-136
author: Du Plessis, TA
title: The shelf life of sterile medical devices.
date: 2017-09-01
pages: 3
extension: .pdf
mime: application/pdf
words: 1935
sentence: 70
flesch: 40
cache: cache/saoj-136.pdf
txt: txt/saoj-136.txt
summary:
  Such a probabilistic approach also implies the existence of certain ‘sterility assurance levels’ (SALs) – a concept that plays an important role in this field and is being used to quantify the level or probability of sterility achieved through a certain sterilisation process.8 Abstract The issues of the shelf life of sterile medical devices and the concept of end-product sterility testing of a sample of devices to prove the sterility of a batch of sterile devices are discussed against the background of the probabilistic approach to sterility and sterilisation. Orthopaedics Vol3 No4 Page 32 SA Orthopaedic Journal Summer 2014 | Vol 13 • No 4 The shelf life of sterile medical devices TA du Plessis, MSc(Physics), DSc(Chem)


id: saoj-307
author: Koch, O; Alexander, A N; Olorunju, S; McLoughlin, H A; Le Roux, T L
date: 2019-09-05
pages: 5
extension: .pdf
mime: application/pdf
words: 3998
sentence: 251
flesch: 60
cache: cache/saoj-307.pdf
txt: txt/saoj-307.txt
title:
  Grip strength following total wrist arthrodesis using the same hand as reference: a prospective study: A Prospective Study

summary:
  The advances in implants have successfully decreased the complications reported in total wrist fusion surgery. Conclusion: Total wrist fusion remains a reliable procedure to restore a power grip at the expense of wrist movement.


id: saoj-506
author: Office, Editorial
title: CPD Questionnaire (V20N02)
date: 2021-05-22
pages: 2
extension: .pdf
mime: application/pdf
words: 1656
sentence: 94
flesch: 55
cache: cache/saoj-506.pdf
txt: txt/saoj-506.txt
summary:
  Early reduction using skeletal traction to realign the vertebrae C d. Both A and B D e. a. Malunion A b.


id: saoj-241
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2018-05-22
pages: 1
extension: .pdf
mime: application/pdf
words: 489
sentence: 11
flesch: 22
cache: cache/saoj-241.pdf
txt: txt/saoj-241.txt
summary:
  LOCAL 18th Congress SA Spine Society 24 May 2018 - 26 May 2018 Elangeni Hotel, Durban SASSH (SA Society for Surgery of the Hand) Annual Congress 31 August 2018 – 2 September 2018 CSIR, Pretoria 64th Congress of the South African Orthopaedic Association 3 September 2018 - 6 September 2018 CSIR, Pretoria INTERNATIONAL JULY 2018 8th World Congress of Biomechanics Dublin 2018 08 July 2018 - 12 July 2018 Leinster Dublin, Ireland 11th World Congress on Orthopaedics, Rheumatology & Sports Medicine 18 July 2018 - 19 July 2018 Annual Meeting 06 March 2018 - 10 March 2018 New Orleans, United States Kiel Arthroscopy Course 2018 09 March 2018 - 10 March 2018 Kiel, Germany Utrecht Spine Course: Complex Paediatric Spine 09 March 2018 - 10 March 2018 Utrecht, Netherlands Annual Meeting of the Orthopaedic Research Society – ORS 2018 10 March 2018 - 13 March 2018 New Orleans, United States 12th International Congress of Sports Medicine Society of Greece / 12th Hellenic-Cypriot Conference 16 March 2018 - 18 March 2018 Thessaloniki, Greece 12th International Meeting of the Austrian Foot Society 22 March 2018 - 24 March 2018 Going am Wilden Kaiser, Austria European Pelvic Course 2018


id: saoj-271
author: Kgoedi, Mohlakano Nelson; Rischbieter, Paul; Goller, Ruan
title: Body mass index and Blount’s disease: a single academic hospital experience
date: 2018-09-27
pages: 6
extension: .pdf
mime: application/pdf
words: 4898
sentence: 271
flesch: 59
cache: cache/saoj-271.pdf
txt: txt/saoj-271.txt
summary:
  Sabharwal et al. also found a higher BMI in males than females (38.2 vs 32.1 p=0.07) in his study of 45 patients with Blount’s disease.13 On the contrary, Pirpiris et al. found no statistical difference in BMI between males and females, with females having slightly higher BMI values than males (24.6 kg/m2 in males vs 26.1 kg/m2 in females, p=0.10).11 Laterality Our study found that patients with bilateral disease had significantly higher BMIs compared to patients with unilateral disease. The mean BMI for Blount’s disease patients was 26.5 kg/m2 (range: 12–44) with early-onset Blount’s patients having a mean of 24.2 kg/m2 (range: 12–44) and 27.7 kg/m2 (range: 12–43) for late- onset Blount’s patients (Table II).


id: saoj-147
author: Moseley, Collin
title: Perspectives on Legg-Calvé-Perthes disease
date: 2017-09-01
pages: 3
extension: .pdf
mime: application/pdf
words: 2088
sentence: 104
flesch: 57
cache: cache/saoj-147.pdf
txt: txt/saoj-147.txt
summary:
  He found that young patients did not all do well, and that patients over 8 years of age with moderate femoral head deformity might benefit from surgery. The goal of containment treatment is to ensure that this position corresponds to the standing weight-bearing position of the hip.


id: saoj-515
author: Sibindi, Cosmas; Mageza, Akimu; Socci, Adrienne
title: Orthopaedic research in Zimbabwe: a seminal bibliometric analysis
date: 2022-05-19
pages: 6
extension: .pdf
mime: application/pdf
words: 5182
sentence: 299
flesch: 47
cache: cache/saoj-515.pdf
txt: txt/saoj-515.txt
summary:
  We also found the countries that collaborated the most with Zimbabwean authors on orthopaedic research articles aligned directly with the last author origin for the articles, for example, if the last author was from South Africa, then the article country of collaboration would be South Africa. This ratio places pressure on surgeons and trainees to be more focused on clinical work.15 This, paired with the fact that Zimbabwe did not have an orthopaedic training programme until COSECSA inaugurated its training programme in 1999, is the likely explanation for the significantly limited quantity and quality of research articles and, more generally, academic research productivity.7,16,17 In terms of research foci, HIV-related pathology is appropriately the highest focus as a consequence of Zimbabwe and the southern African region having a high HIV/AIDS prevalence rate.


id: saoj-334
author: Noconjo, L; Horn, A
date: 2020-03-16
pages: 5
extension: .pdf
mime: application/pdf
words: 4069
sentence: 253
flesch: 58
cache: cache/saoj-334.pdf
txt: txt/saoj-334.txt
title:
  An epidemiology of paediatric cervical spine injuries at the Red Cross War Memorial Children’s Hospital over a ten-year period

summary:
  Road traffic accidents are one of the leading causes of child injury deaths in South Africa, and in Cape Town road traffic injuries are the leading cause of death in children aged 5–14 years, significantly above the HIV/AIDS mortality rate.5 Our institution’s trauma unit processes approximately 1 200 victims of road traffic injuries per year, yet little is known about the true incidence and severity of CSI in children. Level of evidence: Level 4 Keywords: cervical spine injury, motor vehicle accident, Frankel grade, head injury An epidemiology of paediatric cervical spine injuries at the Red Cross War Memorial Children’s Hospital over a ten-year period Noconjo L¹ , Horn A² 1 B Physio, MBChB(UKZN); Registrar, Orthopaedic Surgery (UCT


id: saoj-116
author: Kruger, N; Thompson, D
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 2225
sentence: 119
flesch: 47
cache: cache/saoj-116.pdf
txt: txt/saoj-116.txt
title:
  Dysplasia epiphysealis hemimelica: An interesting case report involving the talus and literature review

summary:
  Perl M, Brenner R, Lippacher S, Nelitz M. Case report: Dysplasia epiphysealis hemimelica: a case report with novel pathophysiologic aspects. Abstract Dysplasia epiphysealis hemimelica (DEH) is a rare osteochondromatous condition arising unilaterally from an epiphysis in the developing skeleton.


id: saoj-11
author: Sefeane, TI; Mwangi, PN
title: Incidence of Dupuytren's disease in Africans: A report of 48 new cases and a literature review
date: 2017-08-29
pages: 4
extension: .pdf
mime: application/pdf
words: 2542
sentence: 150
flesch: 65
cache: cache/saoj-11.pdf
txt: txt/saoj-11.txt
summary:
  We conducted an audit of our theatre records to identify black African patients with Dupuytren’s contracture who underwent surgery in a referral-based patient population. We also found that there has been an increasing number of African patients year on year since 1999 (Figure 1).


id: saoj-139
author: Bomela, L; Dunn, RN
title: Gunshot face as a cause of hyperextension central cord syndrome in a young patient
date: 2017-09-01
pages: 6
extension: .pdf
mime: application/pdf
words: 3594
sentence: 248
flesch: 57
cache: cache/saoj-139.pdf
txt: txt/saoj-139.txt
summary:
  2. Schneider RC, Thompson JM, Bebin J. The syndrome of acute central cervical spinal cord injury. The syndrome of acute central cervical spinal cord injury revisited.


id: saoj-311
author: Swan, A K; Dunn, R N
date: 2021-08-11
pages: 7
extension: .pdf
mime: application/pdf
words: 5615
sentence: 391
flesch: 51
cache: cache/saoj-311.pdf
txt: txt/saoj-311.txt
title:
  ‘Out with the old and in with the new’ – a retrospective review of paediatric craniocervical junction fixation: indications, techniques and outcomes

summary:
  Wang J, Vokshoor A, Kim S, Elton S, Kosnik E, Bartkowski H. Pediatric atlantoaxial instability: management with screw fixation. Lateral mass screw fixation of C-1.


id: saoj-285
author: Siyo, Zuko; Marais, Leonard C
title: Reactivation of chronic haematogenous osteomyelitis in HIV-infected patients
date: 2019-01-21
pages: 5
extension: .pdf
mime: application/pdf
words: 3171
sentence: 159
flesch: 43
cache: cache/saoj-285.pdf
txt: txt/saoj-285.txt
summary:
  The prevalence of HIV infection among patients with contiguous (post-operative or post-traumatic) infections was 32%, in comparison to 13% in the group with reactivation of chronic haematogenous infections (p=0.04; OR 3.2; 95% CI 1.0–9.8). Abstract Background: The aim of the study is to determine the prevalence of HIV infection among adult patients with reactivation of haematogenous chronic osteomyelitis.


id: saoj-329
author: Asmall, T; Gunston, G; Venter, R; Henry, B M; Keet, K
date: 2021-08-11
pages: 7
extension: .pdf
mime: application/pdf
words: 5529
sentence: 317
flesch: 61
cache: cache/saoj-329.pdf
txt: txt/saoj-329.txt
title:
  Surgical anatomy of the sciatic nerve and its relationship to the piriformis muscle with a description of a rare variant

summary:
  Table I: The prevalence of sciatic nerve variation types with respect to sex and side Total n (%) The prevalence of sciatic nerve variation types with respect to symmetry Total n (%) Males n (%) Females n (%)


id: saoj-254
author: Swanepoel, S; Dunn, R; Klopper, J; Held, M
title: The FC Orth(SA) final examination: how effective is the written component?
date: 2018-07-24
pages: 5
extension: .pdf
mime: application/pdf
words: 3392
sentence: 171
flesch: 41
cache: cache/saoj-254.pdf
txt: txt/saoj-254.txt
summary:
  Furthermore, the composite examination format is a labour- and resource-intensive undertaking and depends to a great degree on the feasibility regarding high cost, examiners’ time, facilities and funds, especially for LMICs.4,5 With resource limitations in sub-Saharan Africa a reality, the focus is to minimise the administrative burden for examination bodies and therefore constantly re-evaluate and choose appropriate examination components which can still deliver the desired quality in selecting our surgeons. Deterioration of clinical examination skills among medical practitioners has been attributed to improvements in technology and a lack of time to properly examine patients.8,9 However, especially in resource- restricted countries, a thorough clinical examination remains an important skill in the armamentarium of healthcare professionals.


id: saoj-25
author: Ferreira, N; Marais, LC
title: Calcific myonecrosis following snakebite
date: 2017-08-29
pages: 4
extension: .pdf
mime: application/pdf
words: 1828
sentence: 132
flesch: 52
cache: cache/saoj-25.pdf
txt: txt/saoj-25.txt
summary:
  Key words: calcific myonecrosis, compartment syndrome, soft tissue calcification, snakebite http://dx.doi.org/10.17159/2309-8309/2017/v16n1a3 table i: Differential diagnosis of calcified soft tissue lesions Malignant conditions Benign conditions Synovial sarcoma Heterotypic ossification/myositisossificans Epithelioid sarcoma Dystrophic soft tissue calcification Soft tissue osteosarcoma Dermatomyositis/polymyositis Soft tissue mesenchymal ondrosarcoma Tumoral calcinosis Diabetic myonecrosis Calcific tenosynovitis SAOJ Autumn 2017.qxp_Orthopaedics Vol3 No4 2017/02/27 7:42 PM Page 28 SAOJ Autumn 2017.qxp_Orthopaedics Vol3 No4 2017/02/27 7:42 PM Page 29 Page 30 SA Orthopaedic Journal Autumn 2017 | Vol 16 • The theory that calcific myonecrosis develops after compartment syndrome suggests that a treatable cause for this complication exists.


id: saoj-226
author: Office, Editorial; Kruger, N; Stander, L; Maqungo, S; Roche, S; Held, M
title: The Oxford Shoulder Score: Cross-cultural adaptation and translational validation into Afrikaans
date: 2018-05-02
pages: 7
extension: .pdf
mime: application/pdf
words: 5202
sentence: 274
flesch: 56
cache: cache/saoj-226.pdf
txt: txt/saoj-226.txt
summary:
  Level of evidence: Level 3 Key words: Patient Reported Outcome Measure (PROM); Oxford Shoulder Score (OSS); shoulder pain; Afrikaans; questionnaire; cross-cultural; quality of life; psychometrics; rotator cuff disease Citation: Kruger N, Stander L, Maqungo S, Roche S, Held M. The Oxford Shoulder Score: Cross-cultural adaptation and translational valida- tion into Afrikaans. It is an appropriate instrument for use in Afrikaans-speaking patients with shoulder pain from degenerative or inflammatory origin.


id: saoj-304
author: Hitge, C; Pietrzak, J R T; de Buys, B M; van der Jagt, D R; Ramokgopa, M; Mokete, L
date: 2019-07-29
pages: 5
extension: .pdf
mime: application/pdf
words: 4080
sentence: 189
flesch: 44
cache: cache/saoj-304.pdf
txt: txt/saoj-304.txt
title:
  The Publication rates of podium presentations at the annual South African Orthopaedic Association Congress from 2010 to 2015

summary:
  Level of evidence: Level 4 Key words: publication rate, South African Orthopaedic Association, South African Orthopaedic Congress Publication rates of podium presentations at the annual South African Orthopaedic Association Congress from 2010 to 2015 These findings correlate unfavourably with international experience where publication rates range from 26.6 to 59% (Figure 4).1,4


id: saoj-244
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 4252
sentence: 225
flesch: 57
cache: cache/saoj-244.pdf
txt: txt/saoj-244.txt
author:
  Engelmann, Esmee WM; Maqungo, Sithombo; Laubscher, Maritz; Hoppe, Sven; Roche, Stephen; Nicol, Andrew; Navsaria, Pradeep; Held, Michael

title:
  Epidemiology and injury severity of 294 extremity gunshot wounds in ten months: a report from the Cape Town trauma registry: Evaluation of 294 patients at a level I trauma centre, South Africa

summary:
  To describe the epidemiology and injury severity of patients with extremity gunshot injuries in an area with a high rate of interpersonal violence. Conclusion: There is a high trauma load on the emergency department and orthopaedic service due to extremity gunshot injuries.


id: saoj-15
author: HILTON, TL; CAMPBELL, N; HOSKING, K
title: Additive manufacturing in orthopaedics: Clinical implications
date: 2017-08-29
pages: 5
extension: .pdf
mime: application/pdf
words: 2878
sentence: 147
flesch: 49
cache: cache/saoj-15.pdf
txt: txt/saoj-15.txt
summary:
  Figures 1a, b and c. Clinical pictures of fixed flexion deformity, adduction and abduction range 1a 1b 1c Figures 2a and b. Pre-operative X-rays showing the patient’s prior knee fusion, and stump plasty with telescoping hip joint and a fitted external prosthesis 2a 2b Figure 3. Use of acetabular models in planning complex acetabular recon- structions.


id: saoj-499
author: Mokete, Lipalo
title: Here we go again: is this our new normal?
date: 2021-05-22
pages: 2
extension: .pdf
mime: application/pdf
words: 1149
sentence: 65
flesch: 57
cache: cache/saoj-499.pdf
txt: txt/saoj-499.txt
summary:
  Reinstating elective orthopaedic surgery in the age of Covid-19. Chang et al. showed that elective orthopaedic surgery could be done safely with a designated Covid-19-free pathway.5 As we emerged from the first wave, into an unfamiliar new normal, we recognised that there would likely be pent-up demand for elective joint arthroplasty and many of us armed with fresh Covid-19-safe treatment protocols started making plans accordingly.


id: saoj-137
author: Greyling, P; Le Roux, TLB; Botha, L
title: Hepatitis C virus and the risk to the healthcare worker.
date: 2017-09-01
pages: 4
extension: .pdf
mime: application/pdf
words: 2259
sentence: 117
flesch: 52
cache: cache/saoj-137.pdf
txt: txt/saoj-137.txt
summary:
  Any of the 60 blood-borne pathogens (BBP) may be transferred by SI, the three foremost being the human immunodeficiency virus (HIV), hepatitis B virus (HBV) and HCV.1 In South Africa (SA) there is little prevalence of HBV (5–7%) and the greatest risk is from HIV (17.9%) for which there are documented protocols and insurance cover.2,3 Little has been written of HCV risk to SA surgeons; there is no protocol in place for HCV exposure, little guidance for surgeons, and insurance companies do not cover HCV exposure claims. A Canadian surgeon recently acquired HCV from an SI and was banned from practice for 6 months – testimony of the importance of HCV as a disease risk to surgeons.4 This paper outlines the prevalence of HCV in SA, the incubation and outcomes of HCV infection, the tests and medications available, and the protective strategies available to minimise HCV exposure.


id: saoj-335
author: Maqungo, Sithombo
title: The use of racial classification in medical research
date: 2021-08-11
pages: 1
extension: .pdf
mime: application/pdf
words: 1087
sentence: 64
flesch: 60
cache: cache/saoj-335.pdf
txt: txt/saoj-335.txt
summary:
  Different categorisations of race are used in different contexts and when I encounter these references in articles I read or review, I am often struck by how the use of race, as a category, somehow escapes the normal scientific rigour we use to define any other category. Race is used in various ways in medical research: studies looking at the impact of socioeconomic factors on health; the effect of culture on medical compliance and understanding; the impact of language and, in some cases, a link is made between the race of participants and a perceived common or unusual clinical outcome or clinical pathway.


id: saoj-151
author: Mohammedali, S; Mutiso, SK; Okoro, P; Ombachi, B; Saidi, H
date: 2017-09-01
pages: 7
extension: .pdf
mime: application/pdf
words: 4919
sentence: 261
flesch: 60
cache: cache/saoj-151.pdf
txt: txt/saoj-151.txt
title:
  Effect of additional ultrasound therapy to analgesics in treatment of acute low back pain: A randomised control trial conducted at the Aga Khan University Hospital, Nairobi (AKUH, N)

summary:
  The economic burden of low back pain: a review of studies published between 1996 and 2001. The prevalence of low back pain in Africa.


id: saoj-409
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2020-05-29
pages: 1
extension: .pdf
mime: application/pdf
words: 646
sentence: 14
flesch: 16
cache: cache/saoj-409.pdf
txt: txt/saoj-409.txt
summary:
  Annual Meeting 09 July 2020 – 12 July 2020 Seattle, United States AUGUST 2020 2020 Annual Meeting of the Nordic Spinal Deformities Society 27 August 2020 – 29 August 2020 Santpoort, Netherlands 66th South African Orthopaedic Association Congress 2020 31 August 2020 – 04 September 2020 Johannesburg, South Africa SEPTEMBER 2020 American Orthopaedic Foot & Ankle Society (AOFAS) Annual Meeting 2020 09 September 2020 – 12 September 2020 San Antonio, United States BOA Annual Congress Birmingham 2020 15 September 2020 – 18 September 2020 Birmingham, United Kingdom 37th AGA Congress Davos 2020 17 September 2020 – 19 September 2020 Davos, Switzerland National Congress of the Italian Knee Society, Arthroscopy, Sport, Cartilage, Orthopedic Technologies (SIGASCOT) Annual Meeting 06 March 2018 - 10 March 2018 New Orleans, United States Kiel Arthroscopy Course 2018 09 March 2018 - 10 March 2018 Kiel, Germany Utrecht Spine Course: Complex Paediatric Spine 09 March 2018 - 10 March 2018 Utrecht, Netherlands Annual Meeting of the Orthopaedic Research Society – ORS 2018 10 March 2018 - 13 March 2018 New Orleans, United States 12th International Congress of Sports Medicine Society of Greece / 12th Hellenic-Cypriot Conference 16 March 2018 - 18 March 2018 Thessaloniki, Greece 12th International Meeting of the Austrian Foot Society 22 March 2018 - 24 March 2018 Going am Wilden Kaiser, Austria European Pelvic Course 2018


id: saoj-439
author: Saini, Aaron K; Ferreira, Nando
title: The surgical management of metastatic lesions of the femur
date: 2021-08-31
pages: 6
extension: .pdf
mime: application/pdf
words: 4146
sentence: 275
flesch: 50
cache: cache/saoj-439.pdf
txt: txt/saoj-439.txt
summary:
  Patients presenting with lesions without fracture were assessed clinically and radiologically, including a calculation of the Mirels’ score, and proceeded to surgical intervention if both patient and surgeon were in agreement. Patients presenting with fractures of the femoral neck were managed with cemented long-stem ExeterTM V40TM (Stryker, Michigan, USA) bipolar hemiarthroplasty (Figure 1) or total hip replacement (THR) if significant acetabular disease was identified.


id: saoj-140
author: Carrim, Yacoob Omar; Truter, Rene; Suleman, Farhana; Andronikou, Savvas
title: Imaging diagnosis of muscle herniation of the forearm.
date: 2017-09-01
pages: 4
extension: .pdf
mime: application/pdf
words: 1901
sentence: 81
flesch: 45
cache: cache/saoj-140.pdf
txt: txt/saoj-140.txt
summary:
  There have been 19 cases of symptomatic forearm muscle herniation reported in the literature. Kendi TK, Altinok D, Erdal HH, Kara S. Imaging in the diagnosis of symptomatic forearm muscle herniation.


id: saoj-272
author: Workman, M I; Wever, G S; McCollum, G A
title: A survey of the management of posterior malleolar ankle fractures in South Africa
date: 2019-08-30
pages: 5
extension: .pdf
mime: application/pdf
words: 3473
sentence: 211
flesch: 51
cache: cache/saoj-272.pdf
txt: txt/saoj-272.txt
summary:
  A survey of the management of posterior malleolar ankle fractures in South Africa. Although this study aimed primarily to assess current practice with regard to the management of posterior malleolar fractures, it also questioned the management of Weber A, B and C type fractures.


id: saoj-309
author: Pretorius, H S; Strauss, K; Ferreira, N; Lamberts, R P
title: Circular frames of the humerus: salvage surgery case series
date: 2019-09-10
pages: 6
extension: .pdf
mime: application/pdf
words: 3981
sentence: 197
flesch: 54
cache: cache/saoj-309.pdf
txt: txt/saoj-309.txt
summary:
  All the treatment failures occurred in non-union cases. When the fixation fails due to non-union or infection, the use of external fixation is often required and may even be required as the initial fracture management due to severe soft tissue defects.1-3 In 2007, Tomic used Ilizarov circular external fixation to treat 28 non-unions of the humerus and achieved 100% union in all 28 cases in an average period of 4.1 months (range: 3.5–5.7 months).4 In 2016, Ferreira et al. used circular external fixation to treat septic non-unions in eight cases and achieved 100% union rates with a mean fixator time of 29 weeks.5 A vital procedural step performed in this study was the radical debridement of devascularised bone ends and excision of the interposed fibrous tissue, which meant exposing the fracture site.


id: saoj-432
date: 2021-11-18
pages: 6
extension: .pdf
mime: application/pdf
words: 4917
sentence: 290
flesch: 48
cache: cache/saoj-432.pdf
txt: txt/saoj-432.txt
author:
  de Wet, Japie J; Dey, Roopam; Vrettos, Basil; du Plessis, Jean-Pierre; Anley, Cameron; Rachuene, Pududu A; Haworth, Leanne C; Yimam, Habtamu M; Sivarasu, Sudesh; Roche, Stephen JL

title:
  Do anatomical contoured plates address scapula body, neck and glenoid fractures? A multi-observer consensus study

summary:
  Level of evidence: Level 3 Keywords: scapula fracture, open reduction and internal fixation (ORIF), South Africa, scapula plate analysis, 3D printing, fracture classification Do anatomical contoured plates address scapula body, neck and glenoid fractures? SA Orthop J 2021;20(4) and intra-articular fractures types still pose a clinical dilemma due to a lack of comparative literature and well-defined surgical indications.2,3,5 Displaced and malunited intra-articular fractures lead to glenohumeral joint incongruency and increased degeneration, resulting in early onset (accelerated) arthrosis of the glenohumeral joint.1-3,6,7 Shoulder deformity with chronic pain, and stiffness, are frequently encountered in malunited scapula fractures.8,9 Rotator cuff weakness and dysfunction with impingement have also been described.3,4,9 The surgical management of scapula fractures can be difficult and challenging.


id: saoj-340
author: Office, Editorial
title: CPD Questionnaire (V18N3)
date: 2019-06-25
pages: 2
extension: .pdf
mime: application/pdf
words: 1514
sentence: 78
flesch: 54
cache: cache/saoj-340.pdf
txt: txt/saoj-340.txt
summary:
  Regarding the TTTG measurement: a. TTTG measurement decreases at terminal extension due to the ‘screw-home’ mechanism A b. TTTG measurement increases at terminal extension due to the ‘femoral roll-back’ mechanism B c. TTTG measurement decreases at terminal extension due to the ‘femoral roll-back’ mechanism C d. TTTG measurement increases at terminal extension due to the ‘screw-home’ mechanism D e. TTTG measurement is unaffected by range of motion of the knee E 20. Chromic sutures B c. Cannulated screws C d.


id: saoj-445
title: Chronic lateral ankle instability: a current concepts review
date: 2021-05-22
pages: 8
extension: .pdf
mime: application/pdf
words: 7094
sentence: 540
flesch: 52
cache: cache/saoj-445.pdf
txt: txt/saoj-445.txt
author:
  Mayet, Ziyaad; Ferrao, Paulo N F; Saragas, Nikiforos P; Patterson, Richard; Magobotha, Sebastian K M; Alexander, Alwich; Eshragi, Hooman; Ettehadi, Hossein; Khademi, Mohammed A; Mehtar, Mohammed; Tladi, Makgabo J; Strydom, Andrew; Workman, Matthew

summary:
  Camacho LD, Roward ZT, Deng Y, Daniel Latt L. Surgical management of lateral ankle instability in athletes. (Ankle instability arthroscopy Brostrom, Ankle sprain lateral ligament repair.)


id: saoj-209
author: Solomons, M; Isaacs, S
date: 2017-09-27
pages: 4
extension: .pdf
mime: application/pdf
words: 2690
sentence: 196
flesch: 65
cache: cache/saoj-209.pdf
txt: txt/saoj-209.txt
title:
  Intraosseous suture technique with K-wire stabilisation for fixation of mallet fracture with DIPJ volar subluxation

summary:
  Key words: mallet fractures, DIPJ volar subluxation, surgical technique, mallet injury, K-wire stabilisation Citation: Solomons M, Isaacs S. Intra-osseous suture technique with K-wire stabilisation for fixation of mallet fracture with DIPJ volar subluxation. The indication for surgery in mallet fractures aside, the management can be extremely frustrating.


id: saoj-312
author: Singh, V
title: The Smith & Nephew Orthopaedic Travelling Fellowship: A cross-pollination of knowledge
date: 2019-08-28
pages: 3
extension: .pdf
mime: application/pdf
words: 2217
sentence: 107
flesch: 53
cache: cache/saoj-312.pdf
txt: txt/saoj-312.txt
summary:
  The list, which he proudly pointed out, included four heads of orthopaedic departments in South Africa. The list of past Travelling Fellows includes four past South African Orthopaedic Association Presidents (Table I), three current heads of South African orthopaedic departments and numerous past heads of South African orthopaedic departments.


id: saoj-201
author: Bakkai, A; Ryan, P; Goga, IE
title: Tapered uncemented HA-coated femoral stems: a radiological study
date: 2017-09-27
pages: 4
extension: .pdf
mime: application/pdf
words: 3073
sentence: 166
flesch: 51
cache: cache/saoj-201.pdf
txt: txt/saoj-201.txt
summary:
  The longevity of uncemented stems relies on initial mechanical stability and thereafter on biological fixation or osteointegration.4,6 The radiographic appearance of stability and osteointegration seen in uncemented stems has been described by numerous authors.4,6,10 More specifically, the radiographic osteointegration of fully HA-coated stems has been extensively described by Chatelet,7 who separated the changes seen into three stages: the insertion stage, followed by the osteointegration stage, and then the period of peri- prosthetic bone remodelling.


id: saoj-32
author: Pillay, Y; Ferreira, N; Marais, LC
date: 2017-08-29
pages: 5
extension: .pdf
mime: application/pdf
words: 3018
sentence: 178
flesch: 52
cache: cache/saoj-32.pdf
txt: txt/saoj-32.txt
title:
  Primary malignant bone tumours: Epidemiological data from an Orthopaedic Oncology Unit in South Africa

summary:
  HIV infection had no significant association with primary bone tumour incidence. i: relative percentages of primary bone tumours, excluding haematopoietic tumours Grey’s Hospital USA China UK Nigeria Osteosarcoma 72.6% 39.5% 59.8% 34% 58.9% Chondrosarcoma 11.1% 28.6% 16.3% 27% 21.4% Ewing’s sarcoma 9.4% 11.9% 4.4% 19% 7.2% Fibrosarcoma 4.2% 5.5% 0.8% 8.9% Chordoma 0% 8.5% 4.2% Malignant GCT 1.7% 0.7% 1.4% Adamantinoma 0.9% 0.7% 0.5% Figure 3.


id: saoj-148
author: de Vos, Jan
title: Expert Opinion on Published Articles
date: 2017-09-01
pages: 6
extension: .pdf
mime: application/pdf
words: 4559
sentence: 227
flesch: 55
cache: cache/saoj-148.pdf
txt: txt/saoj-148.txt
summary:
  In contrast, high grade open fractures need to be given highest priority and pushed onto the emergency list above all other orthopaedic casualties. High grade fractures (>IIIA) had twice the rate of becoming infected than low grade (<IIIA) fractures.


id: saoj-291
author: Office, Editorial
title: 64th South African Orthopaedic Congress 2018 Proceedings
date: 2021-08-17
pages: 30
extension: .pdf
mime: application/pdf
words: 24831
sentence: 1207
flesch: 49
cache: cache/saoj-291.pdf
txt: txt/saoj-291.txt
summary:
  Conclusion: The results of this study show that total wrist arthrodesis, when performed in subjects with wrist degeneration other than inflammatory arthritis, is associated with improvement in grip strength and patient reported outcome.  The mean age of included patients were 28.9 years (range: 11 - 68 years).


id: saoj-426
author: Venter, Rudolph G; Tanwar, Yashwant S; Grey, Jan-Petrus; Ferreira, Nando
title: The management of chronic osteomyelitis in adults: outcomes of an integrated approach
date: 2021-03-27
pages: 6
extension: .pdf
mime: application/pdf
words: 4959
sentence: 276
flesch: 46
cache: cache/saoj-426.pdf
txt: txt/saoj-426.txt
summary:
  Level of evidence: Level 4 Keywords: chronic osteomyelitis, dead space management, bioactive glass, Lautenbach technique The management of chronic osteomyelitis in adults: outcomes of an integrated approach Rudolph G Venter , Yashwant S Tanwar , Jan-Petrus Grey , Nando Ferreira* Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa *Corresponding author: nferreira@sun.ac.za Introduction Chronic osteomyelitis is notoriously difficult to eradicate, and high failure rates have been reported in the literature.1,2 The fact that certain bacteria form biofilm with metabolically inactive colonies and can become dormant intracellularly in osteocytes, contributes to the difficulty in achieving cure in these cases.3-8 Although no evidence-based treatment guidelines exist for the management of chronic osteomyelitis, the ideal treatment strategy can be outlined as: resection of all necrotic tissue, dead space management, followed by soft tissue and bony reconstruction as required.3,9-12 Concurrent antibiotic therapy is initiated as an adjunct to surgical management.12 The most widely used classification system is that of Cierny and Mader, incorporating both the local extent of the disease, and the physiological status of the patient to guide management.3 However, a limiting factor is that host stratification is a subjective judgment made by the treating surgeon as to what the patient’s response to treatment will be.13 Judicious resection of necrotic tissue increases the chance of resolution of infection, but depending the anatomical type of chronic osteomyelitis, this surgical approach can potentially result in large defects or dead space.3,10 Several strategies have been employed to manage this dead space including gentamycin beads, physician- directed custom cement spacers, irrigation systems, antibiotic- loaded calcium sulphate pellets and, more recently, bioactive glass and gentamycin-impregnated collagen sponges.12,14 There is no treatment regimen that suits all patients, but current literature supports single-stage treatment strategies that incor- porate a form of active dead space management.15


id: saoj-133
author: Berg, S; Jansen, N
date: 2017-09-01
pages: 7
extension: .pdf
mime: application/pdf
words: 5347
sentence: 335
flesch: 60
cache: cache/saoj-133.pdf
txt: txt/saoj-133.txt
title:
  Retrospective analysis of adverse reactions to metal-on-metal lumbar disc arthroplasties in 378 consecutive patients.

summary:
  This is concerning as a large portion of TDRs performed today in Sweden are MoM. The proposed mechanism for the development of pseudo- tumors is that metal wear particles start a ‘foreign-body reaction’ in the host that encapsulates the wear particles. In recent reports there is a high frequency of foreign body reactions leading to the formation of pseudotumors after MoM total hip replacements.


id: saoj-410
author: Naude, Jaco J; Koch, Odette; Schmidt, Ludwig W; Le Roux, Theo LB
date: 2021-08-31
pages: 6
extension: .pdf
mime: application/pdf
words: 4985
sentence: 321
flesch: 57
cache: cache/saoj-410.pdf
txt: txt/saoj-410.txt
title:
  Positive patient experience of wide awake local anaesthesia no tourniquet (WALANT) hand surgery in the government setting: a prospective descriptive study

summary:
  A cost, profit and efficiency analysis of performing carpal tunnel surgery in the operating room versus the clinic setting in the United States. A detailed cost and efficiency analysis of performing carpal tunnel surgery in the main operating room versus the ambulatory setting in Canada.


id: saoj-373
author: Office, Editorial
title: CPD Questionnaire (V19N01)
date: 2021-08-11
pages: 2
extension: .pdf
mime: application/pdf
words: 1374
sentence: 78
flesch: 63
cache: cache/saoj-373.pdf
txt: txt/saoj-373.txt
summary:
  In which region of the lower limb does the sciatic nerve most commonly bifurcate into the common fibular and tibial nerves? a. Gluteal A b. In this study, the most common cause of injury was: a. Physical abuse A b.


id: saoj-520
title: Modular prosthetic reconstruction for primary bone tumours of the distal tibia in ten patients
date: 2022-05-19
pages: 5
extension: .pdf
mime: application/pdf
words: 3185
sentence: 186
flesch: 54
cache: cache/saoj-520.pdf
txt: txt/saoj-520.txt
author:
  Mugla, Walid; Bauer, Hendrik C F; Vogel, Jonathan; Hosking, Keith V; Campbell, Neil; Hilton, Thomas L

summary:
  Level of evidence: Level 4 Keywords: distal tibia, endoprosthetic replacement, osteosarcoma, giant cell tumour, limb salvage, amputation Modular prosthetic reconstruction for primary bone tumours of the distal tibia in ten patients Walid Mugla,¹ Henrik CF Bauer,² Jonathan Vogel,³ Keith V Hosking,⁴ Neil Campbell,⁵ Thomas L Hilton⁶* 1 Sarcoma Unit, Groote Schuur Hospital; Faculty of Medicine and Health Sciences, Department of Surgery, Division of Orthopaedics, University of Cape Town, Cape Town, South Africa ² Department of Molecular Medicine and Surgery, Karolinska Institute, Stockholm, Sweden; visiting professor in the Faculty of Medicine and Health Sciences, Department of Surgery, Division of Orthopaedics, University of Cape Town, Cape Town, South Africa ³ Faculty of Medicine and Health Sciences, Department of Surgery, Division of Orthopaedics, University of Cape Town, Cape Town, South Africa ⁴ Vincent Pallotti Life Orthopaedic Hospital, Cape Town; Faculty of Medicine and Health Sciences, Department of Surgery, Division of Orthopaedics, University of Cape Town, Cape Town, South Africa ⁵ LRS Implants, Cape Town, South Africa ⁶ Groote Schuur Hospital and Life Vincent Pallotti Orthopaedic Hospital, Cape Town; Faculty of Medicine and Health Sciences, Department of Surgery, Division of Orthopaedics, University of Cape Town, Cape Town, South Africa *Corresponding author: thomas@drthilton.com Introduction Limb-sparing surgery for primary bone tumours of the distal tibia is fraught with difficulties due to the paucity of soft tissue coverage and difficulties in creating a durable fixation of the prosthetic components.1 Wide surgical margins and acceptable function of the ankle joint can seldom be achieved.1,2 Therefore, below- knee amputation (BKA) is the surgical method of choice. Patients and methods A medical record and image review was performed of ten patients who underwent a DTR between 1 January 2005 and 31 January 2019 for Enneking benign aggressive or malignant primary bone tumour.5


id: saoj-577
author: Nansook, Adisha; Ryan, Paul
date: 2022-11-10
pages: 5
extension: .pdf
mime: application/pdf
words: 4217
sentence: 240
flesch: 54
cache: cache/saoj-577.pdf
txt: txt/saoj-577.txt
title:
  A retrospective comparative study of complications after total knee replacement in rheumatoid arthritis and osteoarthritis patients

summary:
  As in a US study, we also found that RA patients typically underwent TKA earlier than OA patients (a difference in mean age of seven years in our study), and both studies found this difference to be statistically significant. This mirrors conclusions drawn in an article by Boylan et al., who found that HIV did not increase their TKA patients’ overall risk of complications.16 There is limited data on the concomitant diagnosis of DM and RA as factors potentially increasing TKA complications rates; however, DM alone has been shown to increase the risk of complication post joint replacement.17 This study looked specifically at the complications following TKA.


id: saoj-391
author: Ferreira, N; Jordaan, K; Du Preez, G; Burger, M
date: 2021-08-10
pages: 6
extension: .pdf
mime: application/pdf
words: 4106
sentence: 263
flesch: 55
cache: cache/saoj-391.pdf
txt: txt/saoj-391.txt
title:
  Fixation of femoral neck fractures in patients younger than 65 years: a retrospective descriptive study at a high-volume trauma centre

summary:
  Level of evidence: Level 4 Keywords: femoral neck fracture, fixation, failure, non-union, avascular necrosis Fixation of femoral neck fractures in patients younger than 65 years: a retrospective descriptive study at a high-volume trauma centre Ferreira N,¹ Jordaan K,² Du Preez G,³ Burger M4 1 BSc, MBChB, FC Orth(SA), MMed(Orth), PhD; Associate professor, consultant orthopaedic surgeon and head of Tumour, Sepsis and Reconstruction Unit; Department of Surgical Sciences, Tygerberg Hospital, Stellenbosch University, Cape Town, South Africa ² MBChB, HDip Orth(SA), FC Orth(SA); Slobogean GP, Sprague SA, Scott T, McKee M, Bhandari M. Management of young femoral neck fractures: Is there a consensus?


id: saoj-358
author: du Toit, J; Salkinder, R; Burger, M C; du Preez, G; Lamberts, R P
date: 2020-08-26
pages: 5
extension: .pdf
mime: application/pdf
words: 4250
sentence: 259
flesch: 53
cache: cache/saoj-358.pdf
txt: txt/saoj-358.txt
title:
  Short-term outcomes of submuscular bridge plating of length-unstable paediatric femoral shaft fractures in children: Insights from a South African tertiary hospital setting

summary:
  In adult patients the locked intramedullary nail is the treatment of choice for femoral shaft fractures, but reports of avascular necrosis of the femoral head in children when using the piriformis entry point, make this technique a poor choice for use in paediatric populations.7 Studies investigating the result of the lateral trochanteric entry nails for children older than 8 years of age are reporting promising results, with no reports of avascular necrosis or significant alteration in the neck shaft angle.3,6 The time required in this study compares well to other methods of fixation, with a mean surgical time of 56 minutes for external fixation and 74 minutes for flexible intramedullary nail fixation for femoral shaft fractures being reported by Bar-On et al.


id: saoj-571
author: Horn, Anria
title: Modern orthopaedics and the forgotten child
date: 2022-03-16
pages: 1
extension: .pdf
mime: application/pdf
words: 1006
sentence: 52
flesch: 52
cache: cache/saoj-571.pdf
txt: txt/saoj-571.txt
summary:
  There is a great need for paediatric orthopaedic fellowships in South Africa. With the most recent estimate of our population being 59 million, this translates to a surgeon to patient ratio of approximately 1/500 000 for paediatric orthopaedics.


id: saoj-491
author: Office, Editorial
title: CPD Questionnaire (V20N01)
date: 2021-03-27
pages: 2
extension: .pdf
mime: application/pdf
words: 1497
sentence: 93
flesch: 60
cache: cache/saoj-491.pdf
txt: txt/saoj-491.txt
summary:
  Which of the following is the appropriate management? a. Open reduction A b. Which of the following is the appropriate management? a. Open reduction A b.


id: saoj-363
author: Blake, C; Van Staden, G F; Van der Merwe, J F; Matshidza, S
title: Management of femur neck fractures in young adults under the age of 60 years
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 5028
sentence: 297
flesch: 57
cache: cache/saoj-363.pdf
txt: txt/saoj-363.txt
summary:
  Rahman AFA, Gouda A, Ibrahim R. Methods of fixation in management of femoral neck fractures in adults: a systematic review. Good functional outcome but not regained health related quality of life in the majority of 20–69 years old patients with femoral neck fracture treated with internal fixation: a prospective 2-year follow-up study of 182 patients.


id: saoj-420
author: O'Connor, M; Nieuwoudt, L; Marais, L C
title: Orthopaedics and COVID-19: The surgery, the surgeon and the susceptible – a scoping review
date: 2020-08-26
pages: 9
extension: .pdf
mime: application/pdf
words: 7653
sentence: 421
flesch: 48
cache: cache/saoj-420.pdf
txt: txt/saoj-420.txt
summary:
  The aims of this scoping review were firstly to inform peri-operative decision-making for COVID-positive patients as well as the routine orthopaedic milieu during the pandemic; secondly to assess the outcomes of orthopaedic patients managed in endemic areas; and finally to determine the effect the pandemic has had on our orthopaedic peers. To assess the current evidence on orthopaedic patients and their outcomes.


id: saoj-673
author: Office, Editorial
title: CPD Questionnaire (V22N02)
date: 2023-05-18
pages: 2
extension: .pdf
mime: application/pdf
words: 1838
sentence: 151
flesch: 63
cache: cache/saoj-673.pdf
txt: txt/saoj-673.txt
summary:
  Vancomycin, clindamycin or teicoplanin B c. Amoxicillin-clavulanic acid or moxifloxacin C d. Options A and B D e. Options B and C E 14. SAP guidelines require the following replacement to be used in the presence of penicillin allergy: a. Cefazolin A b. Clindamycin B c. Moxifloxacin C d. Teicoplanin D e.


id: saoj-141
author: Marais, C de V; Mears, S; Dix-Peek, SI; Pillay, K; Dunn, RN
title: Pantoea agglomerans as a rare cause of cervical spondylodiscitis
date: 2017-09-01
pages: 4
extension: .pdf
mime: application/pdf
words: 1708
sentence: 99
flesch: 49
cache: cache/saoj-141.pdf
txt: txt/saoj-141.txt
summary:
  Abstract Objective: To present a case report of a rare cause for cervical spondylodiscitis caused by Pantoea agglomerans. Conclusion: Pantoea agglomerans is a rare pathogen in the aetiology of spondylodiscitis.


id: saoj-429
author: McAllister, J; Smit, R
title: Why is there an orthopod in my ICU? An orthopaedic perspective during the COVID-19 pandemic
date: 2020-08-26
pages: 2
extension: .pdf
mime: application/pdf
words: 992
sentence: 58
flesch: 65
cache: cache/saoj-429.pdf
txt: txt/saoj-429.txt
summary:
  During lockdown, the intensivists provided tutorials on basic ICU management, all well attended by GPs and specialists from all disciplines. The whole ICU and high care (16 beds) are now utilised for COVID-19 positive patients and theatre recovery has been repurposed as a COVID-19 negative (green) ICU and high care.


id: saoj-206
author: Mkize, S; Ferreira, N
title: Outcome of bilateral circular fixators in complex lower limb fractures
date: 2017-09-27
pages: 4
extension: .pdf
mime: application/pdf
words: 4234
sentence: 251
flesch: 53
cache: cache/saoj-206.pdf
txt: txt/saoj-206.txt
summary:
  Kataria et al. reported their results of 38 patients who were treated with fine wire external fixators and showed no cases of non-union or septic arthritis.24 In a series by Singh et al., 20 patients with tibial plateau fracture were treated with circular fixators. In their series, only one case (5%) developed non-union.25 In our study ten patients had tibial plateau fractures, three were compound fractures Gastillo-Anderson 3A and seven were closed fractures.


id: saoj-72
author: Street, M; Ramguthy, Y; Firth, GB
date: 2017-08-30
pages: 4
extension: .pdf
mime: application/pdf
words: 2814
sentence: 169
flesch: 62
cache: cache/saoj-72.pdf
txt: txt/saoj-72.txt
title:
  Do Ponseti plasters delay gross motor milestones of South African children treated for idiopathic clubfeet?

summary:
  Methods: A retrospective review of gross motor milestones was performed in patients treated at a South African clubfoot clinic. The WHO growth reference study5 used six parameters to assess achievement of gross motor milestones in children from five different countries.


id: saoj-152
author: Rangoako, ST; Raubenheimer, EJ; Mafeelane, K
title: Synovial chondromatosis: A review of the literature and report of two cases
date: 2017-09-01
pages: 4
extension: .pdf
mime: application/pdf
words: 2565
sentence: 147
flesch: 49
cache: cache/saoj-152.pdf
txt: txt/saoj-152.txt
summary:
  We present a review of the literature and report two cases of synovial chondromatosis of the knee joints diagnosed over a ten-year period in the orthopaedic unit of a tertiary hospital serving mainly an urban- and peri-urban population sample. Microscopic examination should therefore always be supplemented by clinical features indicative of sarcomatous change, which include a clinical history of multiple recurrences,5 sudden enlargement of a lesion6 and radiological findings of endosteal scalloping7 and bone marrow infiltration.12 No MRI features are reported which could be helpful in distinguishing cases with sarcomatous change from synovial chondromatosis alone.20


id: saoj-146
author: Learmonth, Ian D
title: The rise and fall of large bore metal-on-metal hip prostheses
date: 2017-09-01
pages: 7
extension: .pdf
mime: application/pdf
words: 5213
sentence: 301
flesch: 56
cache: cache/saoj-146.pdf
txt: txt/saoj-146.txt
summary:
  Key words: hip, large metal bearings, failure This paper attempts to scientifically place some issues in perspective against the backdrop of hysteria created by legal colleagues and the media. All companies therefore manufac- tured a range of modular large diameter metal heads that would articulate with the monolithic resurfacing cups and could be applied to stemmed femoral implants.


id: saoj-433
title: Malignant transformation in an 11-year-old child with multiple hereditary exostosis
date: 2021-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3182
sentence: 187
flesch: 43
cache: cache/saoj-433.pdf
txt: txt/saoj-433.txt
author:
  De Stadler, Janet L; Kruger, Neil; Singh, Shivani; Banderker, Ebrahim; Dix-Peek, Stewart; Pillay, Komala

summary:
  Malignant transformation is an uncommon complication of osteochondromas and is especially rare in the paediatric population. Making a diagnosis of malignant transformation is recognised as a challenge globally.


id: saoj-341
author: Gericke, E; De Beer, J; Deacon, M; Marais, L C
date: 2021-08-11
pages: 5
extension: .pdf
mime: application/pdf
words: 4324
sentence: 278
flesch: 59
cache: cache/saoj-341.pdf
txt: txt/saoj-341.txt
title:
  Percutaneous intra-articular tranexamic acid following total knee arthroplasty without drainage to reduce blood loss

summary:
  Formula: Total blood loss (ml) = 100 × Hbloss/Hbi Hbloss = BV × 10 × (Hbi − Hbe) Our findings suggest that intra-articular TXA may reduce total blood loss.


id: saoj-465
author: Office, Editorial
title: Acknowledgement of reviewers
date: 2020-11-17
pages: 1
extension: .pdf
mime: application/pdf
words: 356
sentence: 8
flesch: 43
cache: cache/saoj-465.pdf
txt: txt/saoj-465.txt
summary:
  Trauma and general orthopaedics F Birkholtz (SE) N Ferreira (SE) S Maqungo (SE) B Bernstein S Bruwer MTN Duma R du Plessis G du Preez C Frey N Gibson M Laubscher LC Marais S Matshidza L Nieuwoudt M O’Connor S Swanepoel Arthroplasty M Held (SE) C Snyckers (SE) D North (SE) J de Vos PG Erasmus P Firer D Frantzen B Gelbart IE Goga T Hilton JD Jordaan J McAllister M Nortje U Plenge C Reid B Riemer M Roussot R Smit S Sombili D van der Jagt J van der Merwe A van Huysteen A van Zyl J Walters Spinal surgery J Davis (SE) RN Dunn (SE) E Coetzee S Eisenstein SA Khan N Kruger M Lukhele S Miseer M Ngcelwane A Puddu Rl Ramlakan JA Shipley GJ Vlok Hand surgery A Ikram (SE) D McGuire (SE) M Carides A Rocher C Serfontein M Solomons Research methodology and statistics M Burger (SE) I Stead A Strydom J van Niekerk A van Zyl Shoulder and elbow S Roche (SE) C Anley (SE) A Barrow C Breckon JP du Plessis L Rajah B Vrettos P Webster Orthopaedic oncology and infections T Hilton (SE)


id: saoj-338
author: Erasmus, L J; Fourie, F F; Van der Merwe, J F
title: Low dislocation rates achieved when using dual mobility cup hip implants for femur neck fractures
date: 2021-08-11
pages: 4
extension: .pdf
mime: application/pdf
words: 3589
sentence: 235
flesch: 61
cache: cache/saoj-338.pdf
txt: txt/saoj-338.txt
summary:
  Abdel, who headed the study, concluded that hip dislocations post THA are multifactorial in cause, and a holistic approach needs to be taken to minimise the risk of dislocation.12 A modern solution to the problem of dislocation after THA has been suggested, namely the dual mobility cup (DMC). After determining the cumulative incidence of dislocations in our study group, we planned to compare our numbers to those of existing studies on hip dislocation in standard and DMC hip arthroplasty done for intracapsular NOF fractures.


id: saoj-6
author: ESAN, O; AKINSULORE, A; YUSUF, MB; ADEGBEHINGBE, OO
date: 2017-07-20
pages: 6
extension: .pdf
mime: application/pdf
words: 3765
sentence: 190
flesch: 54
cache: cache/saoj-6.pdf
txt: txt/saoj-6.txt
title:
  Assessment of emotional distress and parenting stress among parents of children with clubfoot in south-western Nigeria

summary:
  This study has shown that parents of patients with clubfoot experience emotional distress as well as parenting stress as a result of caring for their children. There was also signif- icant positive correlation between parenting stress score and HADS depression scores of parents (r=0.285, p<0.05) (Table V).


id: saoj-411
author: Vogel, Jonathan; De Villiers, Shaun; Mugla, Walid; McCaul, Jeannie; Hosking, Keith; Hilton, Thomas
date: 2021-03-27
pages: 4
extension: .pdf
mime: application/pdf
words: 3088
sentence: 172
flesch: 50
cache: cache/saoj-411.pdf
txt: txt/saoj-411.txt
title:
  Radiation-induced pathological fractures of the proximal femur: a case series considering an endoprosthetic solution

summary:
  Level of evidence: Level 4 Keywords: radiation-induced fracture, pathological fracture, endoprosthetic replacement Radiation-induced pathological fractures of the proximal femur: a case series considering an endoprosthetic solution Jonathan Vogel1* , Shaun de Villiers2 , Walid Mugla3 , Jeannie McCaul4 , Keith Hosking5 , Thomas Hilton6 ¹ Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, South Africa ² Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, and Frere Hospital, East London, and Faculty of Medicine and Health Sciences, Walter Sisulu University, Mthatha, South Africa ³ Cape Sarcoma Unit, Groote Schuur Hospital, Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, South Africa ⁴ Groote Schuur Hospital and Victoria Hospital, Cape Town; Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, South Africa ⁵ Vincent Pallotti Life Orthopaedic Hospital, Cape Town; Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, South Africa ⁶ Groote Schuur Hospital and Vincent Pallotti Life Orthopaedic Hospital, Cape Town; Faculty of Medicine and Health Sciences, University of Cape Town, Cape Town, South Africa *Corresponding author: jonnovogel@gmail.com http://dx.doi.org/10.17159/2309-8309/2021/v20n1a5 http://dx.doi.org/10.17159/2309-8309/2021/v20n1a5 http://dx.doi.org/10.17159/2309-8309/2021/v20n1a5 https://orcid.org/0000-0003-1156-6168 https://orcid.org/0000-0003-0023-5152 https://orcid.org/0000-0002-2961-7296 https://orcid.org/0000-0003-1011-5912 https://orcid.org/0000-0002-3557-0252 https://orcid.org/0000-0002-6178-5062 Page 40 Vogel J et al. Many cases of radiotherapy-induced pathological fracture are mislabelled as pathological fractures due to metastases.3


id: saoj-447
author: Abramson, Michael J; Maqungo, Sithombo; Dey, Roopam; Laubscher, Maritz
date: 2021-11-18
pages: 5
extension: .pdf
mime: application/pdf
words: 4384
sentence: 234
flesch: 51
cache: cache/saoj-447.pdf
txt: txt/saoj-447.txt
title:
  Incidence of radius shortening following intramedullary nail fixation for gunshot fractures: a retrospective radiological audit

summary:
  SA Orthop J 2021;20(4) pro- and supination, poor grip strength and early onset arthrosis of the distal radioulnar and radiocarpaljoints.8-11 Our study aimed to quantify the incidence of radiological radius shortening following radius nails for GSW fractures at our institution. Citation: Abramson M, Maqungo S, Dey R, Laubscher M. Incidence of radius shortening following intramedullary nail fixation for gunshot fractures: a retrospective radiological audit.


id: saoj-580
author: Marais, Leonard C
title: Data and decision making – from odd to artificial
date: 2022-05-19
pages: 3
extension: .pdf
mime: application/pdf
words: 3056
sentence: 186
flesch: 63
cache: cache/saoj-580.pdf
txt: txt/saoj-580.txt
summary:
  Using log odds creates symmetry in the scale by creating outputs that are normally distributed around zero.3 When logistic regression is performed by a statistical program it uses the logit function, where logit (p) = ln p . It has something to do with the fact that regression aims to maximise the likelihood (by finding + Outcome – Outcome + Exposure a b – Exposure c d Odds ratio OR = (a/b)/(c/d)


id: saoj-402
author: Hirschmann, A; Pillay, T; Fang, K W; Ramokgopa, M T; Frey, C
date: 2021-08-10
pages: 7
extension: .pdf
mime: application/pdf
words: 5085
sentence: 239
flesch: 47
cache: cache/saoj-402.pdf
txt: txt/saoj-402.txt
title:
  DEFCON 5: The Chris Hani Baragwanath Academic Hospital orthopaedic department’s COVID-19 proactive action plan

summary:
  The concept of splitting the workstreams was to both protect the high-risk staffing contingent from exposure to COVID-19 positive patients as well as to maintain service delivery to all orthopaedic emergency patients. As the number of COVID-19 positive patients increased, the plan to differentiate medical and surgical designated wards would be implemented.


id: saoj-472
author: Maharaj, Zia; Pillay, Tristan; Mokete, Lipalo; Pietrzak, Jurek RT
date: 2021-11-18
pages: 5
extension: .pdf
mime: application/pdf
words: 4942
sentence: 286
flesch: 48
cache: cache/saoj-472.pdf
txt: txt/saoj-472.txt
title:
  Preoperative asymptomatic bacteriuria in patients undergoing total joint arthroplasty in South Africa

summary:
  Studies indicate that the prevalence of ASB for TJA patients in Spain varies between 5.1 and 18.2%.9,18,19 Similarly the ASB prevalence rates for the UK range from 3.2% to 12.1%,6,8 while Finland and Portugal have reported ASB prevalence of 6.8% and 11.2% respectively for TJA patients.8,20 Patients with preoperative ASB have been reported to be at increased risk for PJI.6,8,9 The microorganisms cultured from urinalysis in patients with ASB (Figure 1) were different from the microorganisms cultured from postoperative infections in treated- ASB patients (Table IV).


id: saoj-294
author: Rankin, M; Mohideen, M A H
date: 2019-08-30
pages: 5
extension: .pdf
mime: application/pdf
words: 4025
sentence: 242
flesch: 56
cache: cache/saoj-294.pdf
txt: txt/saoj-294.txt
title:
  Anthropometric differences in the tibial tuberosity to trochlear groove measurement in an African population

summary:
  What differences in morphologic features of the knee exist among patients of http://orcid.org/0000-0002-3689-0346 http://orcid.org/0000-0001-5247-4062 http://orcid.org/0000-0002-3689-0346 http://orcid.org/0000-0003-1205-0702 Page 57Rankin M et al. Copyright: © 2019 Rankin M, et al.


id: saoj-572
author: Dunn, Robert N
title: Orthopaedic surgical career path – where’s the plan?
date: 2022-03-16
pages: 2
extension: .pdf
mime: application/pdf
words: 1774
sentence: 96
flesch: 63
cache: cache/saoj-572.pdf
txt: txt/saoj-572.txt
summary:
  Based on this, the number of orthopaedic surgeons required can be calculated, both nationally and regionally, accepting the realities of geographic concentrations. This is not the whole story as many surgeons continue to practise longer due to financial challenges.


id: saoj-138
author: Ryan, P; Dachs, RP; du Plessis, JP; Vrettos, B; Roche, S
date: 2017-09-01
pages: 9
extension: .pdf
mime: application/pdf
words: 6982
sentence: 299
flesch: 57
summary: Melton LJ, 3rd, et al. Edelson G, et al.
cache: cache/saoj-138.pdf
txt: txt/saoj-138.txt
title:
  Reverse total shoulder arthroplasty for complex proximal humeral fractures in the elderly: How to improve outcomes and avoid complications


id: saoj-364
author: Held, M; Workman, M I; Le Roux, J; Nortje, M; Dunn, R
title: Surgery of state patients in private hospitals – a free lunch?
date: 2020-03-16
pages: 2
extension: .pdf
mime: application/pdf
words: 1423
sentence: 76
flesch: 52
cache: cache/saoj-364.pdf
txt: txt/saoj-364.txt
summary:
  insight • Opportunity to increase social capital and transformation for private hospital • Decrease of time to surgery for patients and overall volume of state-based surgical waiting lists • Increasing spectrum and surgical volume for surgeons • Exposure to elective surgery is protected • Available state lists can be used for more complex cases • Decreased costs of theatre, consumables and staff by state hospital • Exposure of trainees to private hospitals and systems – + Figure 1. By processing straightforward cases of healthier patients on a project list, our state hospital lists were available for more complex Surgery of state patients in private hospitals – a free lunch?


id: saoj-376
author: Ayik, Goud D D; Mukabeta, Takura D M; Nyandoro, George; Osborne, Charles; Kruger, Nicholas A
date: 2021-05-22
pages: 7
extension: .pdf
mime: application/pdf
words: 4828
sentence: 245
flesch: 57
cache: cache/saoj-376.pdf
txt: txt/saoj-376.txt
title:
  Adherence to a standard operating procedure for patients with acute cervical spine dislocations: review of a tertiary, referral, academic hospital in South Africa

summary:
  In the qualitative assessment of staff, results showed only orthopaedic doctors were aware of the new SOP for cervical dislocation injuries and had knowledge of the four-hour constitutional rule for performing early reduction of cervical dislocation injuries. The SOP requirement for cervical reduction was set to be within one hour after patients arriving at the primary emergency ward (ER).


id: saoj-14
author: Riemer, B; MacIntyre, K; Nortje, M; Dower, B; Grobler, S; Springfield, M
title: Rapid mobilisation following total hip and knee arthroplasty
date: 2017-08-29
pages: 5
extension: .pdf
mime: application/pdf
words: 3322
sentence: 181
flesch: 48
cache: cache/saoj-14.pdf
txt: txt/saoj-14.txt
summary:
  In conclusion, a standardised enhanced discharge pathway with a rapid mobilisation protocol in a South African private hospital setting is a safe and effective way of managing total joint arthroplasty patients without compromising surgical care or rehabilitation. Individual patient’s demands and expectations are also increasing, with patients desiring a quicker return to normal functioning with minimal discomfort after their joint replacement surgery.


id: saoj-339
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2019-06-25
pages: 1
extension: .pdf
mime: application/pdf
words: 446
sentence: 10
flesch: 21
cache: cache/saoj-339.pdf
txt: txt/saoj-339.txt
summary:
  SA Shoulder and Elbow Surgeons (SASES) 4. SA Foot Surgeons’ Association (SAFSA) 5. SA Orthopaedic Trauma Society (SAOTS) 6. Mr Marinis Pirpiris – Melbourne, Australia – SAOTS Belgium Prof Peter Verdonk – Antwerp, Belgium – SAKS Brazil Prof Kodi Kojima – Sao Paulo, Brazil – SAOTS Canada Dr Mark Glazebrook – Halifax, Canada – SAFSA France Dr Mathieu Thaunat – Lyon, France – SAKS Scotland Prof Colin Howie – Edinburgh, Scotland – SAAS Singapore Dr Christopher Pearce – Jurong East, Singapore – SAFSA Switzerland Prof Andreas Imhoff – Basel, Switzerland – SASES & SAKS Dr Mario Morgenstern – Basel, Switzerland Infection – SAOTS UK Mr Phil Chapman-Sheath – Southampton, UK – SAAS Mr Andrew Porteous – Bristol, UK – SAAS Mr Nick Nicolaou – Sheffield, UK – SAPOS Prof Lee Jeys – Birmingham, UK – SOLS Prof Phil Turner – Manchester, UK – SAAS Mr Andy Williams – London, UK – SAKS Mr Anthony Perera – Cardiff, UK – SAFSA Mr Tony Andrade – Reading, UK – SASHA USA Prof Christopher Harner – Pittsburgh, USA – SAKS Dr Christopher DiGiovanni – Boston, USA – SAFSA Prof Marc Safran Stanford – USA – SASHA Germany Dr Ludwig Seebauer – Munich, Germany – SASES Italy Dr Alberto Constantini – Rome, Italy – SASHA Netherlands Dr Jaap Willems – Amsterdam, Netherlands – SASES New Zealand


id: saoj-47
author: Roussot, MA; Held, M; Laubscher, M; Nicol, AJ; Navsaria, PH; Roche, SJL; Maqungo, S
title: Amputation rate following tibia fractures with associated popliteal artery injuries.
date: 2017-08-30
pages: 5
extension: .pdf
mime: application/pdf
words: 3801
sentence: 171
flesch: 50
cache: cache/saoj-47.pdf
txt: txt/saoj-47.txt
summary:
  Methods: We conducted a retrospective case-control study of 30 patients with popliteal artery injuries with ipsilateral tibia fractures at a level 1 trauma centre. In this study only 31 patients with tibial fractures and popliteal artery injuries were seen at our level 1 trauma unit over an 11-year period.


id: saoj-396
author: Phillias, S C; Ngcelwane, M V; Marais, L C
date: 2020-11-17
pages: 6
extension: .pdf
mime: application/pdf
words: 4815
sentence: 285
flesch: 55
cache: cache/saoj-396.pdf
txt: txt/saoj-396.txt
title:
  Tumour volume as a predictor of metastases in patients presenting with high-grade conventional osteosarcoma of the extremities

summary:
  Level of evidence: Level 4 Keywords: osteosarcoma, metastases, tumour volume, prognosis, staging Tumour volume as a predictor of metastases in patients presenting with high-grade conventional osteosarcoma of the extremities Phillias SC¹ , Ngcelwane MV² , Marais LC3 1 MBChB(Medunsa); Registrar, Department of Orthopaedic Surgery, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa ² MBChB(UKZN), MSc(Orth)London, FCS(SA)(Orth); Head of Department of Orthopaedic Surgery, Steve Biko Academic Hospital, University of Pretoria, Pretoria, South Africa ³ MBChB, FC Orth(SA), MMed(Ortho), PhD; Head of Department of Orthopaedic Surgery, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa Corresponding author: Dr SC Phillias, PO Box 191, Siyathuthuka, 1102, South Africa; tel: 079 256 1701; email: scphillias@outlook.com https://orcid.org/0000-0001-7452-5721 https://orcid.org/0000-0001-7564-3308 https://orcid.org/0000-0002-1120-8419 Page 224 Phillias SC et al. Tumour volume as a predictor of metastases in patients presenting with high-grade conventional osteosarcoma of the extremities.


id: saoj-486
author: Mwelase, Sandile M; Maré, Pieter H; Thompson, David M; Marais, Leonard C
date: 2022-03-16
pages: 5
extension: .pdf
mime: application/pdf
words: 3949
sentence: 213
flesch: 55
cache: cache/saoj-486.pdf
txt: txt/saoj-486.txt
title:
  The Fassier technique for correction of proximal femoral deformity in children with osteogenesis imperfecta

summary:
  The Fassier technique for correction of proximal femoral deformity in children with osteogenesis imperfecta. Methods We retrospectively reviewed the records of a cohort of eight children (four females, 12 hips) with osteogenesis imperfecta (6/8 Sillence type III, 2/8 type IV) who had surgical treatment with the Fassier technique for proximal femoral deformity between 2014 and 2020.


id: saoj-42
author: Duma, MTN; Marais, LC
title: Early complications of human bites to the hand in HIV-positive patients
date: 2017-08-29
pages: 5
extension: .pdf
mime: application/pdf
words: 3044
sentence: 165
flesch: 56
cache: cache/saoj-42.pdf
txt: txt/saoj-42.txt
summary:
  Conclusion Patients with human bite injuries to the hand are at a high risk of developing complications. Management of human bite injuries of the hand.


id: saoj-449
author: Birkholtz, F
title: Lessons learnt from a pandemic: How to create resilience
date: 2020-11-17
pages: 2
extension: .pdf
mime: application/pdf
words: 1282
sentence: 57
flesch: 56
cache: cache/saoj-449.pdf
txt: txt/saoj-449.txt
summary:
  A good example during the pandemic was that trauma orthopaedics could continue somewhat despite the fact that arthroplasty ground to a halt in most practices. Group practices have the benefit of having multiple partners with slightly different skill sets.


id: saoj-495
author: Meier, Warren; Tsama, Mluleki; Aden, Abdirashid A
date: 2022-03-16
pages: 5
extension: .pdf
mime: application/pdf
words: 4101
sentence: 231
flesch: 50
cache: cache/saoj-495.pdf
txt: txt/saoj-495.txt
title:
  A rare occurrence of ganglion cysts on the posterolateral aspect of the elbow without neurological manifestations: a case series and review of the literature

summary:
  Most published cases of elbow ganglions have reported patients with symptoms relating to compression of the radial nerve, or branches thereof secondary to anteriorly located cysts. Discussion Patients with elbow ganglions usually have cysts located anterior to the radiocapitellar joint and almost invariably present with an associated motor, or less commonly, a sensory deficit of the radial nerve.


id: saoj-175
author: de Vos, Jan
title: Money makes the world go round
date: 2017-09-06
pages: 2
extension: .pdf
mime: application/pdf
words: 1380
sentence: 97
flesch: 69
cache: cache/saoj-175.pdf
txt: txt/saoj-175.txt
summary:
  Avoid performing routine post-operative deep venous thrombosis ultrasonography screening in patients who undergo elective hip or knee arthroplasty. 2. Do not use needle lavage to treat patients with symptomatic  osteoarthritis of the knee for long-term relief.


id: saoj-73
title: Traumatic simultaneous bilateral femoral neck fracture in a child: A case report
date: 2017-08-30
pages: 5
extension: .pdf
mime: application/pdf
words: 3103
sentence: 134
flesch: 69
cache: cache/saoj-73.pdf
txt: txt/saoj-73.txt
author:
  Dakouré, Patrick Wendpouiré Hamed; Diallo, Malick; Puente, Antonio Martinez; Ouédraogo, Souleymane; Soulama, Massadiami

summary:
  Key words: traumatic, child, femoral neck fracture, bilateral bone screws http://dx.doi.org/10.17159/2309-8309/2016/v15n2a10 Page 58 SA Orthopaedic Journal Winter 2016 | Vol 15 • No 2 On admission, the patient laid in supination with the two lower limbs externally rotated. 5. Gopinathan NR, Chouhan D, Akkina N and Behera P. Case report: Bilateral femoral neck fractures in a child and a rare complication of slipped capital epiphysis after internal fixation.


id: saoj-295
author: Shipley, John A
title: Imperfect regulation of implants
date: 2019-01-21
pages: 2
extension: .pdf
mime: application/pdf
words: 1182
sentence: 52
flesch: 46
cache: cache/saoj-295.pdf
txt: txt/saoj-295.txt
summary:
  Implant problems can be divided into design errors, which would apply to every implant used, and manufacturing problems where a certain batch of implants may be flawed for some reason. South African implant registers Imperfect regulation of implants Prof JA Shipley MMed


id: saoj-166
author: Louw, JA
title: The differential diagnosis of neurogenic and referred leg pain
date: 2017-09-05
pages: 14
extension: .pdf
mime: application/pdf
words: 8231
sentence: 721
flesch: 59
cache: cache/saoj-166.pdf
txt: txt/saoj-166.txt
summary:
  The denervation phases include a normal MRI in the acute phase, mixed oedema and paradoxical hypertrophy in the early subacute phase, mixed oedema and atrophy in the late subacute phase and atrophy in the chronic phase.109 Sport-related leg pain110 includes tibial and fibular stress fractures,111 medial tibial stress syndrome,112 chronic exertional compartment syndrome,113 tendinopathies,114,115 nerve entrapment syndromes,116 vascular syndromes117,118 and myopathies.119 Finally, leg pain may be associated with three poorly understood neurological conditions, namely complex regional pain syndrome,120,121 restless leg syndrome122 Sciatica in pregnancy can be caused by direct compression of the gravid uterus on the lumbosacral plexus and blood vessels.80,81 Incorrectly positioned leg stirrups on the obstetrical table can cause common peroneal nerve pain and weakness.80,82 Obstetric neuropathy of the sciatic nerve during vaginal labour can be caused by continuous pressure of the foetus on the lumbosacral plexus as it crosses the pelvic brim during prolonged labour.83 Piriformis syndrome can be caused during labour following a piriformis haematoma after prolonged labour, and a piriformis abscess after epidural anaesthesia and forceps delivery.84 Sciatica secondary to pathological conditions80 include leiomyomas with lumbosacral plexus compression,85 endometriosis with infiltration or compression of the sciatic nerve86 and a large retroverted uterus with compression on the lumbosacral plexus.80 Sciatica secondary to iatrogenic trauma includes vaginal proce- dures which might be complicated by ischiadic neuropathy,87 superior gluteal artery aneurysm with superior gluteal nerve compression and the superior gluteal nerve neuropathy due to stretching of the superior gluteal nerve.


id: saoj-324
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2021-08-11
pages: 1
extension: .pdf
mime: application/pdf
words: 607
sentence: 14
flesch: 22
cache: cache/saoj-324.pdf
txt: txt/saoj-324.txt
summary:
  Page 4 South African Orthopaedic Journal http://journal.saoa.org.za Page 4 South African Orthopaedic Journal http://journal.saoa.org.za CONFERENCES, COURSES & SYMPOSIA SASSH (SA Society for Surgery of the Hand) Refresher Course 23-25 February 2018 Pretoria 18th Congress SA Spine Society 24-26 May 2018 Elangeni Hotel, Durban 64th Congress of the South African Orthopaedic Association 3-6 September 2018 CSIR, Pretoria JANUARY 2018 SA Paediatric Orthopaedic Society (SAPOS) 7. SA Society for Hip Arthroscopy (SASHA) 8.


id: saoj-421
author: Ngwazi, Muzi; Ryan, Paul; Goga, Ismael; Marais, Leonard C
date: 2021-05-22
pages: 5
extension: .pdf
mime: application/pdf
words: 4884
sentence: 302
flesch: 55
cache: cache/saoj-421.pdf
txt: txt/saoj-421.txt
title:
  The association between HIV infection and periprosthetic joint infection following total hip replacement in young adults

summary:
  Total hip replacement in HIV positive patients. Infected joint replacements in HIV positive patients with haemophilia.


id: saoj-35
author: Hohmann, E; Glatt, V; Tetsworth, K
date: 2017-08-29
pages: 8
extension: .pdf
mime: application/pdf
words: 6673
sentence: 222
flesch: 51
cache: cache/saoj-35.pdf
txt: txt/saoj-35.txt
title:
  Orthopaedic research activity in South Africa measured by publication rates in the 15 highest impact journals related to population size and gross domestic product

summary:
  Impact of GDP, spending on R&D, number of universities and scientific journals on research publications among Asian countries. South Africa ranked 50st for both the number of publications impact.


id: saoj-168
author: Jastifer, James R; Coughlin, Michael J
title: Metatarsophalangeal joint instability of the lesser toes: review and surgical technique
date: 2017-09-05
pages: 7
extension: .pdf
mime: application/pdf
words: 4986
sentence: 280
flesch: 55
cache: cache/saoj-168.pdf
txt: txt/saoj-168.txt
summary:
  An improved understanding of plantar plate tears has recently led to the development of a clinical staging and anatomic grading system that helps guide treatment. The most common physical examination finding in patients presenting with plantar plate tears is focal tenderness on the plantar aspect of the forefoot at the base of the second toe.


id: saoj-466
author: Alexander, Alwich N; Saragas, Nikiforos P; Ferrao, Paulo NF
title: Patient-reported outcomes following plantar incisions in foot surgery
date: 2021-11-18
pages: 5
extension: .pdf
mime: application/pdf
words: 4076
sentence: 264
flesch: 54
cache: cache/saoj-466.pdf
txt: txt/saoj-466.txt
summary:
  Despite numerous studies reporting on procedures which use plantar incisions and thus inadvertently demonstrating good results with plantar incisions, most surgeons still avoid this approach due to the fear of developing a painful plantar scar. The aim of this study is to assess the clinical outcome of plantar incisions in various procedures.


id: saoj-576
author: Office, Editorial
title: CPD Questionnaire (V21N01)
date: 2022-03-16
pages: 2
extension: .pdf
mime: application/pdf
words: 1565
sentence: 83
flesch: 60
cache: cache/saoj-576.pdf
txt: txt/saoj-576.txt
summary:
  Clinical factors to consider when deciding to reconstruct the ALL ligament are: a. Age A b. What is the antibiotic of choice for transarticular gunshot injuries according to the included literature? a. Penicillin A b.


id: saoj-342
author: Joubert, J A; Matshidza, S; D’Alton, E J
title: The use of three-dimensional models in tibial plateau fractures
date: 2021-08-11
pages: 5
extension: .pdf
mime: application/pdf
words: 4080
sentence: 210
flesch: 43
cache: cache/saoj-342.pdf
txt: txt/saoj-342.txt
summary:
  In addition, the theoretical proposed procedure based on 3D model assessment differed from the proposed procedure based on 3D CT assessment in 19% of cases, implying that the use of 3D models should be seen as an adjunct to planning and should not be used alone. The effect of 3D models on patient outcome remains untested.


id: saoj-522
author: Ferreira, Nando; Anley, Cameron; Joubert, Etienne
title: Transarticular gunshot injuries: a systematic review of 150 years of management
date: 2022-03-16
pages: 8
extension: .pdf
mime: application/pdf
words: 6762
sentence: 543
flesch: 56
cache: cache/saoj-522.pdf
txt: txt/saoj-522.txt
summary:
  Antibiotic therapy in gunshot wound injuries. Pazarci O, Kilinc S, Camurcu Y, Bulut O. Total hip arthroplasty after hip joint gunshot injury.


id: saoj-33
author: Govender, RD; Dunn, RN
title: Early onset scoliosis: The use of growth rods
date: 2017-08-29
pages: 5
extension: .pdf
mime: application/pdf
words: 1432
sentence: 102
flesch: 58
cache: cache/saoj-33.pdf
txt: txt/saoj-33.txt
summary:
  : The use of growth rods RD Govender MBBCh(Wits), FC Orth(SA) AOSpine Fellow at the Spine Surgery Unit, Groote Schuur Hospital RN Dunn MBChB(UCT), MMed(UCT)Orth, FCS(SA)Orth Pieter Moll and Nuffield Chair of Orthopaedic Surgery and HOD University of Cape Town Corresponding author: Prof RN Dunn Department of Orthopaedic Surgery H49 OMB Groote Schuur Hospital 7925 Observatory Cape Town Tel: 021 404 5387 Fax: 021 447 2709 Email: info@spinesurgery.co.za Introduction The management of scoliosis in the growing child presents a unique challenge to the treating surgeon due to the patient’s small size, frequently associated comorbidities and pulmonary consequences with early fusion. Key words: spine, growth rods, scoliosis http://dx.doi.org/10.17159/2309-8309/2017/v16n1a7 SAOJ Autumn 2017.qxp_Orthopaedics Vol3 No4 2017/02/27 7:42 PM Page 49 SAOJ Autumn 2017.qxp_Orthopaedics Vol3 No4 2017/02/27 7:42 PM Page 50 SAOJ Autumn 2017.qxp_Orthopaedics Vol3 No4 2017/02/27 7:42 PM Page 51 SAOJ Autumn 2017.qxp_Orthopaedics Vol3 No4 2017/02/27 7:42 PM Page 52 SA Orthopaedic Journal Autumn 2017 | Vol 16 •


id: saoj-434
title: Treatment outcomes of civilian gunshot tibia fractures at a major trauma centre
date: 2021-05-22
pages: 5
extension: .pdf
mime: application/pdf
words: 4461
sentence: 241
flesch: 50
cache: cache/saoj-434.pdf
txt: txt/saoj-434.txt
author:
  Gerafa, Muaad; Jackoet, Shafique; Van Heukelum, Markus; Le Roux, Nicholas; Van Der Merwe, Simone; Makhubalo, Obakeng; Du preez, Gian; Burger, Marilize; Ferriera, Nando

summary:
  Results The records of 197 patients who sustained gunshot tibia fractures were reviewed. Information related to patient demographics, injury characteristics, treatment information and treatment outcomes with respect to rate of fracture union and occurrence of infection were obtained from patient records.


id: saoj-184
author: Thibedi, B; Raubenheimer, EJ; Noffke, CEE
title: Chronic kidney disease and the skeleton: Pathogenesis, complications and principles of management
date: 2017-09-06
pages: 5
extension: .pdf
mime: application/pdf
words: 3151
sentence: 176
flesch: 42
cache: cache/saoj-184.pdf
txt: txt/saoj-184.txt
summary:
  Zhang Q, Li M, You L, Li H, Ni l, Gu Y, Hao C, Chen J. Effects and safety of calcimimetics in end stage renal disease patients with secondary hyperparathyroidism: a meta-analysis. Metabolic bone disease: histomor- phometry as a diagnostic tool.


id: saoj-657
author: Bosch, Hennie
title: Is the same calendar day hip arthroplasty for everyone or a select few?
date: 2023-03-23
pages: 1
extension: .pdf
mime: application/pdf
words: 804
sentence: 38
flesch: 55
cache: cache/saoj-657.pdf
txt: txt/saoj-657.txt
summary:
  Same-day calendar day arthroplasty frees up more capacity and makes hip arthroplasty more economically viable for the wider population. In 2006, I started with hip arthroscopy, which was very controversial at that stage, and anterior hip arthroplasty in 2010 and fully incorporated it into my practice in 2013.


id: saoj-415
author: Shah, Manish R; Shah, Manisha M; Agrawal, Aditya K; Shah, Malkesh D; Desai, Sarvang M
date: 2021-03-27
pages: 6
extension: .pdf
mime: application/pdf
words: 4581
sentence: 250
flesch: 55
cache: cache/saoj-415.pdf
txt: txt/saoj-415.txt
title:
  Intra-operative extracorporeal radiation therapy for skeletally immature patients with malignant bone tumours

summary:
  Extracorporeally irradiated autografts for the treatment of bone tumours: tips and tricks. Abstract Background Management of malignant bone tumours has changed dramatically in recent years.


id: saoj-31
author: Mohammedali, S; Marais, LC
title: Sarcomas other than Kaposi's sarcoma in HIV
date: 2017-08-29
pages: 6
extension: .pdf
mime: application/pdf
words: 3022
sentence: 179
flesch: 54
cache: cache/saoj-31.pdf
txt: txt/saoj-31.txt
summary:
  There is a high prevalence of HIV infection in South Africa with an estimated 6.8 million cases in 2014.1 In the province of KwaZulu-Natal, where this research was performed, an estimated 21.5% of adults are living with HIV.2 Significant strides have been made in terms of the management of HIV, and near-normal life expectancy can be expected if anti-retroviral therapy is timeously instituted.3 Cancers can be categorised by their associations with HIV/Aids as being Aids-defining cancers (ADCs) such as Kaposi’s sarcoma, non-Hodgkin’s lymphoma and cervical cancer, which are all virus-related, and non-Aids-defining cancers (NADCs) (Figures 1 and 2).4 These factors suggest that HIV infection may be related to the development of sarcomas.


id: saoj-404
author: de Buys, Michael; Tsama, Mluleki; Aden, Abdirashid
title: Patient satisfaction following wide awake local anaesthetic no tourniquet hand surgery
date: 2022-03-16
pages: 5
extension: .pdf
mime: application/pdf
words: 4674
sentence: 239
flesch: 51
cache: cache/saoj-404.pdf
txt: txt/saoj-404.txt
summary:
  The literature states that WALANT hand surgery can be likened to a dental procedure, and this can be used as a method to inform patients on what to expect. This is in keeping with Rawal et al. who showed that 37% of hand patients suffered from moderate to severe pain following their procedure.16 This finding that the postoperative pain is more than the local anaesthetic injection contradicts the statement made by Lee and is an important finding.6 The postoperative pain, however, cannot be entirely attributed to the WALANT technique but rather it is related to the surgery itself.


id: saoj-489
author: Webster, Phillip
title: 2020, a year of challenges and achievements on our path together into the future
date: 2021-03-27
pages: 2
extension: .pdf
mime: application/pdf
words: 1865
sentence: 83
flesch: 55
cache: cache/saoj-489.pdf
txt: txt/saoj-489.txt
summary:
  The second way to ensure financial sustainability is through group practices. South African Orthopaedic Registry (SAOR)


id: saoj-298
author: Rajah, Leon
title: Big data and medicine
date: 2019-01-21
pages: 2
extension: .pdf
mime: application/pdf
words: 1148
sentence: 59
flesch: 51
cache: cache/saoj-298.pdf
txt: txt/saoj-298.txt
summary:
  Emerging data platforms: These will allow unprecedented computing power and advances in data management systems for analysis and insight generation referred to as big data. Big data refers to the analysis of massive amounts of data points to gain novel insight; and its key characteristics may be understood by considering data, method and purpose.3 Data Big data is a massive shift in the ability to collect and analyse data quickly and cheaply.


id: saoj-361
author: Office, Editorial
title: Acknowledgement of reviewers
date: 2019-11-27
pages: 1
extension: .pdf
mime: application/pdf
words: 276
sentence: 6
flesch: 37
cache: cache/saoj-361.pdf
txt: txt/saoj-361.txt
summary:
  A van Zyl D van der Jagt IE Goga J de Vos J Walters P Firer B Gelbart M Nortje T Hilton R Smit S Sombili J McAlister J van der Merwe PG Erasmus M Roussot Spinal surgery RN Dunn J Davis JA Shipley GJ Vlok M Ngcelwane M Lukhele S Eisenstein E Coetzee R Ramlakan A Puddu N Kruger Hand surgery A Ikram D McGuire M Solomons M Carides C Serfontein Research methodology and statistics M Burger Paediatric orthopaedics J du Toit G Firth S Dix-Peek AJF Robertson EB Hoffman P Mare D Thompson M Thiart A Horn K Troisi K Koch Foot and ankle Trauma and general orthopaedics LC Marais N Ferreira S Maqungo B Bernstein F Birkholtz C Frey M Laubscher S Bruwer N Gibson L Nieuwoudt G du Preez S Matshidza R du Plessis Arthroplasty, knees and hips M Held C Snyckers


id: saoj-176
author: Ngcelwane, Mthunzi
title: Expanding the teaching platform
date: 2017-09-06
pages: 3
extension: .pdf
mime: application/pdf
words: 2046
sentence: 112
flesch: 56
cache: cache/saoj-176.pdf
txt: txt/saoj-176.txt
summary:
  Tonetti3 evaluated a simulator for percutaneous iliac screw insertion and found it to be a valuable tool in training orthopaedic surgeons. Cadaver training is already being used in some centres in our country, and the trend should spread to those centres are not yet using it.


id: saoj-474
author: Oosthuizen, Christiaan R; Maposa, Innocent; Magobotha, Sebastian; Pandit, Hemant
date: 2021-11-18
pages: 6
extension: .pdf
mime: application/pdf
words: 4658
sentence: 260
flesch: 53
cache: cache/saoj-474.pdf
txt: txt/saoj-474.txt
title:
  Impact of correctable mediolateral tibiofemoral subluxation on unicompartmental knee arthroplasty implant survival in patients with anteromedial osteoarthritis

summary:
  Level of evidence: Level 4 Keywords: unicompartmental knee arthroplasty, partial, osteoarthritis, X-ray, implant Impact of correctable mediolateral tibiofemoral subluxation on unicompartmental knee arthroplasty implant survival in patients with anteromedial osteoarthritis Christiaan R Oosthuizen,¹* Radiological decision aid to determine suitability for medial unicompartmental knee arthroplasty: development and preliminary validation.


id: saoj-40
author: Snyders, RF; Jordaan, JD; Rasool, MN; Goga, IE
title: Vitamin D status in patients undergoing arthroplasty
date: 2017-08-29
pages: 4
extension: .pdf
mime: application/pdf
words: 2761
sentence: 155
flesch: 53
cache: cache/saoj-40.pdf
txt: txt/saoj-40.txt
summary:
  Post-operatively, this group was less likely to attain excellent Harris hip scores.4 Jansen and Haddad found similar results in total knee arthroplasty with significantly lower Knee Society Scores pre- and post-operatively in vitamin D deficient patients.3 Further negative effects of vitamin D deficiency include poor bone mineralisation and detrimental effects on fracture healing.7 Maier et al. have shown a statistically significant association with low vitamin D status and peri- prosthetic joint infection in hip, knee and shoulder arthro- plasty.14 It must be highlighted that in this study there was no data collected to determine whether deleterious outcomes were associated with the 10% found to have deficient vitamin D status. The purpose of this retrospective chart review was to determine the prevalence of vitamin D deficiency in the population presenting to Inkosi Albert Luthuli Central Hospital for arthroplasty surgical procedures from August 2012 to August 2013.


id: saoj-431
author: Office, Editorial
title: CPD Questionnaire (V19N03)
date: 2020-08-26
pages: 2
extension: .pdf
mime: application/pdf
words: 1773
sentence: 93
flesch: 58
cache: cache/saoj-431.pdf
txt: txt/saoj-431.txt
summary:
  The main type of wear in hip arthroplasty is: a. Adhesive A b. Indications for hip revision include all of the following except: a. Aseptic loosening A b.


id: saoj-367
author: Coetzee, K P; Gibson, N W
date: 2021-08-10
pages: 6
extension: .pdf
mime: application/pdf
words: 4957
sentence: 274
flesch: 53
cache: cache/saoj-367.pdf
txt: txt/saoj-367.txt
title:
  Freedman–Bernstein musculoskeletal competence testing of South African intern doctors: is there a difference between health science faculties?

summary:
  This 25 mark short-answer question paper was developed in the United States of America to test how well medical school graduates understood basic musculoskeletal problems and has a pass mark of 73% or 70%, validated by the chairs of both orthopaedic and internal medicine residency programmes respectively.7 Multiple global studies have subsequently shown failure rates of 74–94% with this test.8-11 Dachs et al. showed that deficiencies in undergraduate musculoskeletal training were evident when 72 of the 79 interns (91%) from South African health science faculties failed the Freedman–Bernstein test.12 This deficiency was perceived to be due to insufficient training time allocation at undergraduate level, with Dachs et al. showing only 2% of training time (four to six weeks) dedicated to musculoskeletal medicine in South African health science faculties,13 a sentiment shared globally in multiple studies.7,14,15 South African universities differ with regard to curricular approach (systems approach/problem-based learning/mixed), programme length, entrance criteria, resources, setting (rural/urban) and teaching methods.16-18 Half of the topics chosen by South African doctors were orthopaedic essential practical skills such as wrist and ankle fracture reduction techniques, and management of open fractures.3 Globally, deficiencies in musculoskeletal training and knowledge have also been highlighted.


id: saoj-377
author: Meijer, J G; Gräbe, J C; Greyling, P
title: The outcome of first metatarsophalangeal joint arthrodesis using a locking plate
date: 2021-08-10
pages: 5
extension: .pdf
mime: application/pdf
words: 4055
sentence: 251
flesch: 56
cache: cache/saoj-377.pdf
txt: txt/saoj-377.txt
summary:
  The data of all patients who underwent first MTPJ arthrodesis with a dorsal anatomical locking plate between January 2010 and December 2016 were retrospectively reviewed. Patients were included if they were above 18 years and underwent first MTPJ arthrodesis with a dorsal locking plate without additional compression cross screw fixation.


id: saoj-170
author: Msithini, T; Lukhele, M; Linda, Z
title: Telangiectatic osteosarcoma of the radius: A missed diagnosis case report.
date: 2017-09-05
pages: 3
extension: .pdf
mime: application/pdf
words: 1493
sentence: 82
flesch: 46
cache: cache/saoj-170.pdf
txt: txt/saoj-170.txt
summary:
  Pathological fractures are an occasional presen- tation, but have been reported in study as 29% at initial diagnosis or during the course of the disease, compared to 12% for conventional osteosarcoma.3 The risk factors for pathological fractures include large dimensions, diaphyseal location, and progressive loss of bony matrix, osteolytic radiographic pattern, telangiectatic type and prior biopsy. Pathological fracture of the radius (Note permeative lytic diaphyseal lesion of the radius with no periosteal reaction and endosteal scalloping.)


id: saoj-582
author: Sukati, Falethu M; Viljoen, Jaco; Alexander, Alwich
title: Intertrochanteric femur fractures: a current concepts review
date: 2023-03-23
pages: 7
extension: .pdf
mime: application/pdf
words: 7428
sentence: 523
flesch: 58
cache: cache/saoj-582.pdf
txt: txt/saoj-582.txt
summary:
  In light of the finding by Lopes-Coutinho et al., the femur head size is an important factor.21 Based on kinematic evaluation, the authors then inferred that the low-centre position may provide a more stable fixation than the centre-centre position.22 Lopes-Coutinho et al. did not explore the influence of implant choice, which may have influenced their findings.21 As the nail is driven deeper in the shaft to achieve a low-centre position for the cephalic screw, there is a risk of lateralising the proximal end of the nail.


id: saoj-39
author: Agaba, F; Pettifor, JM; Thandrayen, K
date: 2017-08-29
pages: 6
extension: .pdf
mime: application/pdf
words: 4477
sentence: 193
flesch: 46
cache: cache/saoj-39.pdf
txt: txt/saoj-39.txt
title:
  Comparative study of children with calciopaenic and phosphopaenic rickets seen at Chris Hani Baragwanath Hospital

summary:
  The study comprises 112 patients from 2 months to 18 years of age diagnosed with rickets (53% with calciopaenic rickets and 47% with phosphopaenic rickets). Conclusion: Calciopaenic rickets (mainly vitamin D deficiency) presented at a younger age and response to therapy was better compared to phosphopaenic rickets (mainly X-linked hypophosphataemic rickets).


id: saoj-662
author: Thiart, Mari; Nansook, Adisha
title: Acute haematogenous osteomyelitis in the paediatric population: a current concepts review
date: 2023-05-18
pages: 13
extension: .pdf
mime: application/pdf
words: 12005
sentence: 699
flesch: 45
cache: cache/saoj-662.pdf
txt: txt/saoj-662.txt
summary:
  SA Orthop J 2023;22(2) In some European studies, amoxicillin-clavulanate is widely used in low MRSA prevalent areas.68 Serrano et al. reported using amoxicillin-clavulanic acid in more than 60% of their cases as empirical oral therapy.17 South African Orthopaedic Journal CURRENT CONCEPTS REVIEW PAEDIATRIC ORTHOPAEDICS DOI 10.17159/2309-8309/2023/v22n2a5Thiart M et al.


id: saoj-659
author: Office, Editorial
title: CPD Questionnaire (V22N01)
date: 2023-03-23
pages: 2
extension: .pdf
mime: application/pdf
words: 1631
sentence: 93
flesch: 64
cache: cache/saoj-659.pdf
txt: txt/saoj-659.txt
summary:
  Recurrent glomus tumour B c. Fracture C d. Malinger D e. Osteoarthritis E Subscribers and other recipients of SAOJ visit our new CPD portal at www.mpconsulting.co.za • Register with your email address as username and MP number with seven digits as your password and then click on the icon “Journal CPD”. What is the most likely diagnosis? a. Infection A b.


id: saoj-452
author: Mniki, Thato A; Maré, Pieter H; Marais, Leonard C; Thompson, David M
title: The short-term outcomes of hip arthrodesis in children and adolescents with end-stage hip disease
date: 2021-11-18
pages: 7
extension: .pdf
mime: application/pdf
words: 6052
sentence: 391
flesch: 57
cache: cache/saoj-452.pdf
txt: txt/saoj-452.txt
summary:
  Results Nineteen patients (11 female) had hip fusions at a mean age of 12 years (range 5–18). Level of evidence: Level 4 Keywords: end-stage hip arthritis, TB hip, hip arthrodesis, hip fusion, subtrochanteric osteotomy The short-term outcomes of hip arthrodesis in children and adolescents with end-stage hip disease Thato A Mniki,¹* Pieter H Maré,² Leonard C Marais,³ David M Thompson¹ ¹ Department of Orthopaedic Surgery, Grey’s Hospital, School of Clinical Medicine, University of KwaZulu-Natal, South Africa ² Clinical Unit Paediatric Orthopaedics, Department of Orthopaedic Surgery, Grey’s Hospital, School of Clinical Medicine, University of KwaZulu-Natal, South Africa ³ Department of Orthopaedic Surgery, School of Clinical Medicine, University of KwaZulu-Natal, South Africa *Corresponding author: t.mniki@yahoo.com Introduction Management of paediatric and adolescent patients with end-stage hip arthritis remains challenging, and the trends in management have changed over time.1,2


id: saoj-422
author: Ben Salem, Khaled A; Maré, Pieter H; Goodier, Matthew; Marais, Leonard C; Thompson, David M
title: Polio-like deformity: a diagnostic dilemma
date: 2021-05-22
pages: 5
extension: .pdf
mime: application/pdf
words: 3746
sentence: 252
flesch: 54
cache: cache/saoj-422.pdf
txt: txt/saoj-422.txt
summary:
  Paralytic deformity in the lower limb. These deformities often manifest years after the initial paralysis and are recognised as the typical manifestations of paralytic polio.10 Our study describes a cohort of patients with the typical clinical features of paralytic polio.


id: saoj-357
author: Panchoo, P; Wiegerinck, J I; Boskovic, V; Laubscher, M; Maqungo, S; McCollum, G; Dey, R
title: Outcomes of primary fusion in high-energy Lisfranc injuries at a tertiary state hospital
date: 2021-08-10
pages: 6
extension: .pdf
mime: application/pdf
words: 3668
sentence: 219
flesch: 54
cache: cache/saoj-357.pdf
txt: txt/saoj-357.txt
summary:
  The treatment of these high-energy injuries has evolved over time with authors now agreeing that an anatomic reduction through open surgery is of critical importance.1-8 Recently, more research on Lisfranc injuries has focused on relatively low-energy mechanisms and Lisfranc injuries in athletes.7 Anatomic reduction and rigid stabilisation are known to be the standard of care.1-8 Both open reduction and internal fixation (ORIF) and primary fusion have been evaluated as treatment options. Methods After local institution review board approval, patients who under- went primary fusion for Lisfranc injuries at Groote Schuur Hospital (GSH) between January 2013 and December 2018 were identified.


id: saoj-325
author: Horn, A; Sipilä, M
title: Femoral lengthening in children
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 4084
sentence: 241
flesch: 53
cache: cache/saoj-325.pdf
txt: txt/saoj-325.txt
summary:
  Abstract Background: We evaluated the outcomes following femoral lengthening by distraction osteogenesis in children. Method: A retrospective review was performed of all patients who underwent femoral lengthening as an isolated procedure at our institution.


id: saoj-592
author: Office, Editorial
title: CPD Questionnaire (V21N02)
date: 2022-05-19
pages: 2
extension: .pdf
mime: application/pdf
words: 1519
sentence: 77
flesch: 61
cache: cache/saoj-592.pdf
txt: txt/saoj-592.txt
summary:
  Enhanced recovery after surgery (ERAS) protocols contain which of the following interventions: a. Preoperative A b. a. Durban A b.


id: saoj-490
author: Roche, Stephen
title: Advocacy for sporting injury prevention and care
date: 2021-03-27
pages: 2
extension: .pdf
mime: application/pdf
words: 1846
sentence: 86
flesch: 52
cache: cache/saoj-490.pdf
txt: txt/saoj-490.txt
summary:
  South African Orthopaedic Journal EDITORIAL DOI 10.17159/2309-8309/2021/v20n1a0SA Orthop J 2021;20(1) Advocacy for sporting injury prevention and care Stephen Roche* Professor of Orthopaedics, University of Cape Town Deputy Head, Division of Orthopaedics Head of Adult Reconstruction and of Shoulder and Elbow Surgery, Groote Schuur Hospital Co-director Orthopaedic Biomechanics Laboratory, University of Cape Town Co-director Orthopaedic Research Unit, University of Cape Town *Corresponding author: stephen.roche@uct.ac.za The duties and responsibilities of orthopaedic surgeons obliges us to be an advocate on multiple levels within our society. Sports injuries in South Africa do not receive the same attention in orthopaedic forums as the other burdens documented above.


id: saoj-190
author: Ryan, P; Goga, IE
date: 2017-09-07
pages: 7
extension: .pdf
mime: application/pdf
words: 4652
sentence: 263
flesch: 56
cache: cache/saoj-190.pdf
txt: txt/saoj-190.txt
title:
  Uncemented primary total hip arthroplasty in patients aged 55 years or younger: Results at a minimum of 5 years in a consecutive series

summary:
  Uncemented total hip arthroplasty for primary osteoarthritis in young patients: a mid-to long-term follow-up study from the Finnish Arthroplasty Register. Key words: total hip arthroplasty, uncemented hip, young patient, hip replacement SAOJ Autumn 2014_Orthopaedics Vol3 No4 2014/02/18 9:13 AM Page 54 SA Orthopaedic Journal Autumn 2014 | Vol 13 •


id: saoj-435
author: Maré, Pieter H; Thompson, David M; Marais, Leonard C
date: 2021-05-22
pages: 5
extension: .pdf
mime: application/pdf
words: 4358
sentence: 265
flesch: 58
cache: cache/saoj-435.pdf
txt: txt/saoj-435.txt
title:
  Growth modulation may decrease recurrence when used as an adjunct to osteotomy in infantile Blount’s disease

summary:
  The cause of disordered growth is likely to be multifactorial.3 Once the diagnosis is confirmed, surgery is indicated.4 The risk of recurrence following proximal tibial osteotomy is high and has been reported to be between 41% and 72%.5-8 It is crucial to attempt to prevent recurrence because repeat osteotomy has been linked to worse outcomes at skeletal maturity.6,9 Several authors have identified risk factors that predict re- currence. SA Orthop J 2021;20(2) disease have been encouraging, the use of a tension band plates as an adjunct to proximal tibial osteotomy as a strategy to decrease the risk of recurrence has not been investigated.22-25


id: saoj-41
author: van Zyl, R; van Schoor, AN; Du Toit, PJ; Louw, EM
title: Clinical anatomy of the anterior cruciate ligament and pre-operative prediction of ligament length
date: 2017-08-29
pages: 6
extension: .pdf
mime: application/pdf
words: 2778
sentence: 198
flesch: 59
cache: cache/saoj-41.pdf
txt: txt/saoj-41.txt
summary:
  + 11.18 (1) where ACL=anterior cruciate ligament; FECW=femoral epicondylar width Discussion The mismatch of grafts can be minimised by more accurate prediction of ACL intra-articular length and the required graft length for ACL reconstruction. Apart from examining the morphological properties of the ACL, this study aimed to determine whether the epicondylar width of an individual can be used to predict ACL length and thereby assist in restoring the normal anatomy of the ACL.


id: saoj-185
author: McCaul, JK; McCaul, MG
title: Pre-hospital antibiotics for open fractures: Is there time?
date: 2017-09-06
pages: 5
extension: .pdf
mime: application/pdf
words: 3617
sentence: 180
flesch: 49
cache: cache/saoj-185.pdf
txt: txt/saoj-185.txt
summary:
  Pre-hospital antibiotics have been used in the military setting, where rapid evacuation to hospital is not always possible in conflict scenarios. Hospital staff was informed about the study; this could have caused increased vigilance regarding administration of antibiotics, but this was not considered to add significant bias due to the study’s focus on pre-hospital time available for administration.


id: saoj-408
title: Intraprosthetic dislocation after a revision hip replacement: a case report
date: 2021-03-27
pages: 4
extension: .pdf
mime: application/pdf
words: 3090
sentence: 213
flesch: 52
cache: cache/saoj-408.pdf
txt: txt/saoj-408.txt
author:
  Sekeitto, Allan R; van der Jagt, Kaeriann; Sikhauli, Nkhodiseni; Mokete, Lipalo; van der Jagt, Dick R

summary:
  et al. Outcomes of total hip arthroplasty using dual mobility components in patients with a femoral neck fracture. Level of evidence: Level 4 Keywords: intraprosthetic dislocation, dual mobility cup, revision hip arthroplasty Intraprosthetic dislocation after a revision hip replacement: a case report Allan R Sekeitto* , Kaeriann van der Jagt , Nkhodiseni Sikhauli , Lipalo Mokete , Dick R van der Jagt Arthroplasty Unit, Division of Orthopaedic Surgery, Charlotte Maxeke Johannesburg Academic Hospital, University of the Witwatersrand, Johannesburg, South Africa *Corresponding author: sekeitto@yahoo.com


id: saoj-215
author: Maqungo, Sithombo; Swan, A; Naude, P; Held, M; Kruger, N; McCollum, G; Laubscher, M
title: The management of low velocity transarticular gunshot injuries: A pilot study
date: 2018-05-22
pages: 3
extension: .pdf
mime: application/pdf
words: 2400
sentence: 137
flesch: 46
cache: cache/saoj-215.pdf
txt: txt/saoj-215.txt
summary:
  in an analysis of transarticular gunshot injuries of the hip concluded that transarticular low velocity gunshot injuries to the hip without bowel penetration, minimal bone injury, and with the bullet no longer in contact with synovial fluid, could be managed conservatively.10 The management of low velocity transarticular gunshot injuries: A pilot study.


id: saoj-97
author: Horn, A; McCollum, GA
title: Achilles tendinopathy Part 2: Surgical management
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3332
sentence: 198
flesch: 54
cache: cache/saoj-97.pdf
txt: txt/saoj-97.txt
summary:
  Three patients in this series required re-operation.19 Maffulli, in an age-matched series comparing men and women, found that women had significantly worse outcomes following surgery and were far less likely to return to their previous level of activity, regardless of whether or not they were physically active prior to surgery.20 The complication rate for open Achilles tendon surgery is reported to be as high as 10%, with 25% of these being major complications.9 (Major and minor complications are listed in Table I.) Risk factors for developing complications are increased age, pre-operative steroid injections, poor attention to haemostasis intra- operatively, undermining of the skin edges and excessive stripping of the paratenon.9,17 Gastrocnemius recession The concept of gastrocnemius lengthening for the treatment of resistant Achilles tendinopathy was first suggested by Duthon et al.21 in 2003. A tendon turndown flap can be fashioned by dissecting out one or two strips of Achilles tendon proximally at the musculotendinous junction.


id: saoj-369
author: Ukunda, Fred U N
title: Mycobacterium xenopi osteomyelitis of the spine: a case report
date: 2021-05-22
pages: 3
extension: .pdf
mime: application/pdf
words: 2580
sentence: 176
flesch: 46
cache: cache/saoj-369.pdf
txt: txt/saoj-369.txt
summary:
  The lungs constitute the most common site for infection and particularly in HIV-reactive patients with CD4 counts below 100 cells/mm3.2,3 Extrapulmonary manifestations and disseminated forms of the disease are rare.4 The first case of M. xenopi infection in humans was published in 1965 and since then only a few cases of spontaneous spinal involvement have been reported.5-9 However, cases of nosocomial vertebral infections have been reported following discovertebral surgery due to contaminated surgical instruments by tap water at a mean time of 5.6 years for diagnosis.10 A positive culture for M. xenopi raises the concern as to whether it is a contaminant or true pathogen.11 The difficulties in isolating the organism and recommendations for improving culture techniques have been reported in the literature.12,13 Increasingly, rRNA nucleic acid probe testing for M. xenopi is performed to confirm the diagnosis.14 Mycobacterium xenopi infection in patients with human immunodeficiency virus infection.


id: saoj-222
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2018-05-02
pages: 1
extension: .pdf
mime: application/pdf
words: 233
sentence: 1
flesch: -159
cache: cache/saoj-222.pdf
txt: txt/saoj-222.txt
summary:
  Layout 1 Page 4 South African Orthopaedic Journal http://journal.saoa.org.za CONFERENCES, COURSES & SYMPOSIA 18th Congress SA Spine Society 24-26 May 2018 Elangeni Hotel, Durban SASSH (SA Society for Surgery of the Hand) Annual Congress 31 August–2 September 2018 CSIR, Pretoria 64th Congress of the South African Orthopaedic Association 3-6 September 2018 CSIR, Pretoria MARCH 2018 European Pelvic Course 2018 22 March 2018 - 24 March 2018 Hamburg, Germany Unfallmedizinische Tagung Murnau: “Das Beste aus 25 Jahren” 23 March 2018 - 24 March 2018 Murnau am Staffelsee, Germany APRIL 2018 14th World Congress ICRS 2018 09 April 2018 - 12 April 2018 Macau, Macao AAOS Orthopaedic Board Preparation and Review Course 10 April 2018 - 14 April 2018 Chicago, United States WCO-IOF-ESCEO Krakow 2018 19 April 2018 - 22 April 2018 Krakow, Poland World Arthroplasty Congress 2018 19 April 2018 - 21 April 2018 Rome, Italy MAy 2018 Evidence Based Medicine Sessions (EBM) Barcelona 2018 31 May 2018 - 01 June 2018 Barcelona, Spain Foot and ankle Arthroscopy and Sports Traumatology course 31 May 2018 - 01 June 2018 Amsterdam, Netherlands JUNE 2018 International Conference “Ilizarov readings” 14 June 2018 - 16 June 2018 Kurgan, Russia International Research Society on Spinal Deformities IRSSD 2018 14 June 2018 - 16 June 2018 Utrecht, Netherlands EUROSPINE Education Week 18 June 2018 - 22 June 2018 Strasbourg, France Paediatrics Course: Diagnosis and Functional Treatment in CP Gait Disorders 22 June 2018 Basel, Switzerland LOCAL INTERNATIONAL


id: saoj-66
author: Fraser, Dr Robert
title: Outcomes-based evaluations of our patients: A challenge for us all
date: 2017-08-30
pages: 1
extension: .pdf
mime: application/pdf
words: 769
sentence: 35
flesch: 55
cache: cache/saoj-66.pdf
txt: txt/saoj-66.txt
summary:
  The implementation of outcomes measurements into our practices obviously adds time and expense to our already busy schedules. The whole process should lead to better patient outcomes, which must be our primary goal.


id: saoj-8
author: Mthethwa, PG; MARAIS, LC
title: The microbiology of chronic osteomyelitis in a developing world setting
date: 2017-07-24
pages: 7
extension: .pdf
mime: application/pdf
words: 5385
sentence: 246
flesch: 46
cache: cache/saoj-8.pdf
txt: txt/saoj-8.txt
summary:
  Orthopaedics Vol3 No4 SA Orthopaedic Journal Winter 2017 | Vol 16 • No 2 Page 39 The microbiology of chronic osteomyelitis in a developing world setting PG Mthethwa MBBCh, H Diploma(Ortho)SA Registrar, Department of Orthopaedics, Grey’s Hospital, School of Clinical Medicine, University of KwaZulu-Natal LC Marais MBChB, FC(Ortho)SA, MMed(Ortho), CIME, PhD Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, Grey’s Hospital, School of Clinical Medicine, University of KwaZulu-Natal Corresponding author: Abstract Objectives: The primary aim of this study was to identify the microorganisms that cause chronic osteomyelitis in a developing world clinical setting and to characterise the antibiotic sensitivity profile of these pathogens.


id: saoj-362
author: Moonda, Z; Nortje, M B; Dey, R
date: 2021-08-10
pages: 6
extension: .pdf
mime: application/pdf
words: 4672
sentence: 282
flesch: 55
cache: cache/saoj-362.pdf
txt: txt/saoj-362.txt
title:
  Does the intra-operatively measured leg length correction compare to the post-operative radiograph in total hip replacement surgery?

summary:
  Pre-operative leg length discrepancy (LLD) measurements were obtained in 92 patients. Their measurement error, as calculated by intra-operative measurement versus post-operative CT LLD measurement, was 1.9±1.4 mm.27 Modern advancements in arthroplasty include the use of computer-assisted navigation to enhance the accuracy of implant placement.


id: saoj-200
author: Abughalya, MS; Ryan, P; Goga, IE
date: 2017-09-27
pages: 5
extension: .pdf
mime: application/pdf
words: 3197
sentence: 218
flesch: 58
cache: cache/saoj-200.pdf
txt: txt/saoj-200.txt
title:
  The radiological outcome of uncemented femoral stems in rheumatoid patients undergoing total hip arthroplasty: results at minimum eight years

summary:
  Severt R, Wood R, Cracchiolo III A, Amstutz HC: Long-term follow-up of cemented total hip arthroplasty in rheumatoid arthritis. Key words: rheumatoid arthritis, uncemented stem, femoral stem, hip, total hip arthroplasty, radiological assessment Citation: Abughalya MS, Ryan P, Goga IE.


id: saoj-320
author: Rosin, R C; Rasool, M N; Sibanda, W; Rollinson, P D
date: 2021-08-11
pages: 8
extension: .pdf
mime: application/pdf
words: 6094
sentence: 395
flesch: 61
cache: cache/saoj-320.pdf
txt: txt/saoj-320.txt
title:
  Antegrade flexible intramedullary nailing through the greater trochanter in paediatric femur shaft fractures

summary:
  Abstract Aims: To determine whether an antegrade approach, through the tip of the greater trochanter, in femoral shaft fractures in children, is safe, achieves adequate union and results in significant proximal femoral growth complications. SA Orthop J 2019;18(4) Introduction The incidence of femoral shaft fractures in South Africa is estimated to be 0.25 per 1 000 children per year.1 The management of paediatric femoral shaft fractures includes both non-operative and operative options.2 Flexible intramedullary nails (FIN) are becoming increasingly popular in the 5–11 year-old age group.


id: saoj-602
author: Mdingi, Vuyisa S; Maré, Pieter H; Marais, Leonard C
date: 2023-03-23
pages: 7
extension: .pdf
mime: application/pdf
words: 5705
sentence: 345
flesch: 50
cache: cache/saoj-602.pdf
txt: txt/saoj-602.txt
title:
  Factors associated with dissemination and complications of acute bone and joint infections in children

summary:
  Children with acute musculoskeletal infection present on a spectrum of severity.27 Several attempts have been made to devise scoring systems to predict more severe infection. This suggests a higher incidence of musculoskeletal infections in children in South Africa when compared to the international figures.


id: saoj-497
title: Distal radius fractures: current concepts
date: 2021-11-18
pages: 9
extension: .pdf
mime: application/pdf
words: 8978
sentence: 789
flesch: 53
summary: Distal radius fractures: current concepts. Evidence-based review of distal radius fractures.
cache: cache/saoj-497.pdf
txt: txt/saoj-497.txt
author:
  Rachuene, Pududu A; Du Toit, Frederick J; Tsolo, Gladwell K; Khanyile, Sivesonke M; Tladi, Makgabo J; Golele, Sikheto S


id: saoj-196
author: Marais, LC; Ferreira, N; Aldous, C; le Roux, TLB
date: 2017-09-12
pages: 8
extension: .pdf
mime: application/pdf
words: 5863
sentence: 310
flesch: 44
cache: cache/saoj-196.pdf
txt: txt/saoj-196.txt
title:
  The management of chronic osteomyelitis: Part II - Principles of post-infective reconstruction and antibiotic therapy

summary:
  Page 32 SA Orthopaedic Journal Spring 2014 | Vol 13 • No 3 The management of chronic osteomyelitis: Part II – Principles of post-infective reconstruction and antibiotic therapy Dr LC Marais MBChB, FCS Orth(SA), MMed(Ortho) Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, Grey’s Hospital, University of KwaZulu-Natal Dr N Ferreira BSc, MBChB, FC Orth(SA), MMed(Orth) Tumour, Sepsis and Reconstruction Unit, Department of Orthopaedics, Grey’s Hospital, University of KwaZulu-Natal Dr C Aldous BSc, BSc(Hons), MSc, PhD Medical Research Scientist, School of Clinical Medicine, College of Health Sciences, University of KwaZulu-Natal Prof TLB le Roux MBChB, FCS Orth(SA), MMed(Ortho) Professor and Head of Department, Department of Orthopaedics, I Military Hospital, University of Pretoria Correspondence: Dr LC Marais Department of Orthopaedic Surgery Grey’s Hospital School of Clinical Medicine University of KwaZulu-Natal Private Bag X9001 Pietermaritzburg 3201 Email: Leonard.Marais@kznhealth.gov.za Tel: +27 033 897 3299 Fax: +27 33 897 3409 Abstract Over the past few decades considerable progress has been made in terms of our ability to reconstruct post- infective soft tissue and bone defects. The management of bone defects is dependent on several factors including the host’s physiological status, the size of the defect, duration of the defect, quality of the surrounding soft tissue, the presence of deformity, joint contracture/instability or limb length discrepancy, as well as the experience of the surgeon.


id: saoj-94
author: Pretorius, JL; Rollinson, P; Rasool, MN
title: Outcome of displaced supracondylar fractures in children after manipulation and backslab
date: 2017-08-31
pages: 7
extension: .pdf
mime: application/pdf
words: 4721
sentence: 275
flesch: 58
cache: cache/saoj-94.pdf
txt: txt/saoj-94.txt
summary:
  Deformity and functional outcome after treatment for supracondylar humerus fractures in children: a 5- to 10- year follow-up of 139 supracondylar humerus fractures treated by plaster cast, skeletal traction or crossed wire fixation. Dormans JP, Squillante R, Sharf H. Acute neurovascular complications with supracondylar humerus fractures in children.


id: saoj-192
author: Mukansi, SS; D'Alton, EJ; Golele, RG
date: 2017-09-07
pages: 4
extension: .pdf
mime: application/pdf
words: 2212
sentence: 158
flesch: 68
cache: cache/saoj-192.pdf
txt: txt/saoj-192.txt
title:
  Stress fracture of the femoral neck (SFFN) as a consequence of an unusual occupation: A case report and review of the literature

summary:
  Review of the literature The incidence of femoral neck stress fracture is reported to be between 3.5% and 8% in the military population. The complications of femoral neck stress fractures are progression from undisplaced to displaced fractures, non- union, mal-union and osteonecrosis.


id: saoj-171
author: Ferreira, N; Marais, LC; Aldous, C
title: Challenges and controversies in defining and classifying tibial non-unions
date: 2017-09-05
pages: 5
extension: .pdf
mime: application/pdf
words: 4315
sentence: 339
flesch: 59
cache: cache/saoj-171.pdf
txt: txt/saoj-171.txt
summary:
  Megas defined non-union as a cessation of all reparative processes of healing without bone union, while Marsh more specifically emphasised the cessation of both the periosteal and endosteal healing responses without bridging.25,36 These definitions are empiricist explanations of non-unions rather than true definitions. To date, no consensus exists regarding the definition of non-unions and none of the current classifica- tions has proven universally useful.2,10,13,14,23-25 Most classifica- tions fail to take all aspects of tibial non-union development into account, and more importantly, do not aid in the decision making as to the most appropriate treatment


id: saoj-584
author: Shah, Manish R; Shah, Manisha M; Shah, Isha M
date: 2023-03-23
pages: 6
extension: .pdf
mime: application/pdf
words: 4042
sentence: 246
flesch: 55
cache: cache/saoj-584.pdf
txt: txt/saoj-584.txt
title:
  Functional outcome of free fibula grafting in benign non-reconstructable bone tumours involving the hand

summary:
  Objectives included the assessment of the functional outcome of free fibula grafting in benign non-reconstructable bone tumours involving the hand; to analyse the complications, if any, and assess the causes and solutions for them; to study the time of union of free fibula graft; to compare results with other centres; and to study different types of benign bone tumours involving the hand. Level of evidence: Level 3 Keywords: benign bone tumour, free fibula graft, QuickDASH-9 score, bone tumour, orthopaedic oncology Functional outcome of free fibula grafting in benign non-reconstructable bone tumours involving the hand Manish R Shah,¹*


id: saoj-123
author: Maine, MM; Zondagh, I
title: Stand-alone cage neck fusions: A long-term review.
date: 2017-09-01
pages: 5
extension: .pdf
mime: application/pdf
words: 3052
sentence: 199
flesch: 66
cache: cache/saoj-123.pdf
txt: txt/saoj-123.txt
summary:
  The impact of the study is aimed to show that stand- alone cage fusion is a safe and effective procedure which provides a good clinical and radiological outcome. The use of interbody cages for anterior cervical fusion was introduced to prevent problems such as graft resorption and expulsion and therefore loss of alignment as seen with tricortical iliac bone graft.6 Cho et al.7 used cages to replace plate function in multi- level cervical fusion.


id: saoj-378
author: Marais, L C
date: 2021-08-11
pages: 2
extension: .pdf
mime: application/pdf
words: 1421
sentence: 98
flesch: 58
cache: cache/saoj-378.pdf
txt: txt/saoj-378.txt
title:
  Physician wellness in South Africa: ‘Where are we going? And if we get there, will there be a place to park?’

summary:
  Shanafelt TD, Boone S, Tan L, et al. Burnout and satisfaction with work-life balance among US physicians relative to the general US population. Shanafelt TD, Sinsky C, Dyrbye LN, et al. Burnout among physicians compared with individuals with a professional degree in a field outside of medicine.


id: saoj-219
author: Maku, M M; Ngcelwane, Mthunzi V; Olorunju, S A S
date: 2018-05-22
pages: 5
extension: .pdf
mime: application/pdf
words: 4348
sentence: 228
flesch: 53
cache: cache/saoj-219.pdf
txt: txt/saoj-219.txt
title:
  Open tibial fractures: risk factors for infection in conversion of external fixator to intramedullary nail at a tertiary academic hospital

summary:
  Open tibial fractures: risk factors for infection in conversion of external fixator to intramedullary nail at a tertiary academic hospital. Abstract Aim: To determine the rate of infection in open tibial fractures treated by conversion of an external fixation into an intramedullary nail, and to identify the factors contributing to the infections.


id: saoj-476
author: Brown, Ottilia; Van Rooyen, Dalena RM; Aldous, Colleen; Marais, Leonard C
date: 2021-05-22
pages: 8
extension: .pdf
mime: application/pdf
words: 6893
sentence: 490
flesch: 38
cache: cache/saoj-476.pdf
txt: txt/saoj-476.txt
title:
  Culturally competent patient–provider communication with Zulu patients diagnosed with osteosarcoma: an evidence-based practice guideline

summary:
  Evidence-based practice can contribute to improving culturally competent communication with cancer patients receiving treatment at culturally discordant healthcare facilities. Introduction Communicating the diagnosis and prognosis of cancer is known to be challenging.1-10 Furthermore, ensuring that patients understand their treatment options is considered good practice.11 Performing these communication tasks in cross-cultural clinical settings complicates patient–provider communication.12 Culture plays a significant role in how patients’ health-related values, beliefs and behaviours are shaped, and affects how patients and communities approach the diagnosis and treatment of cancer as well as their trust in healthcare providers and institutions.13,14 Culture also affects providers’ and institutions’ approach to minority patients and contributes substantially to disparities in access to healthcare for minority and underprivileged patients.14,15 An evidence- based practice guideline (hereafter referred to as ‘guideline’) would contribute significantly to improving culturally competent communication with cancer patients receiving treatment at culturally discordant healthcare facilities.


id: saoj-457
date: 2021-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3797
sentence: 241
flesch: 61
cache: cache/saoj-457.pdf
txt: txt/saoj-457.txt
author:
  le Roux, Johan; Dey, Roopam; Deichl, Andrea S; Torney, Oscar; Laubscher, Maritz; Graham, Simon M; Held, Michael

title:
  Correlation of the squat-and-smile test against other patient-reported outcome scores in knee pathology

summary:
  Although it is not a knee-specific outcome score, it has comparable practicality and construct validity to other knee scores and is appropriate to assess interventions which are designed to alleviate knee pain.19 This test is, therefore, a modification of the original SST which was described previously,10,11 highlighting the influence of squatting activities of daily living.7,8 The same domains were used in this study; however, the ability to smile while squatting was replaced using the visual analog score of smiley faces.10 Scores Apart from the SST, the Knee injury and Osteoarthritis Outcome Score (KOOS), Lysholm score, and the EQ-5D score were recorded.


id: saoj-98
author: Reddy, P; McCollum, GA
title: The accessory soleus muscle causing tibial nerve compression neuropathy: A case report
date: 2017-08-31
pages: 4
extension: .pdf
mime: application/pdf
words: 2041
sentence: 97
flesch: 51
cache: cache/saoj-98.pdf
txt: txt/saoj-98.txt
summary:
  High association between accessory soleus muscle and Achilles tendonopathy. Accessory soleus muscle: a case report and review of the literature.


id: saoj-212
author: Bakkai, Ali; Hardcastle, Timothy C; Sibanda, W
date: 2018-05-22
pages: 7
extension: .pdf
mime: application/pdf
words: 4407
sentence: 248
flesch: 63
cache: cache/saoj-212.pdf
txt: txt/saoj-212.txt
title:
  Fracture patterns and complications related to pedestrian–vehicle collision victims in a public Level-1 Trauma Centre ICU population

summary:
  PVCs are responsible for a substantial portion of overall road traffic accidents, with the highest fatality percentage among all road users attributed to pedestrians.10 Many studies have looked at the demographics and prevention aspects of pedestrian injuries in both developed and developing countries.11-13 The present study describes in depth different fracture patterns seen in PVC victims, starting from the clavicle to the foot. Magnitude of pedestrian head injuries & fatalities in Bangalore, south India: a retrospective study from an apex neurotrauma center.


id: saoj-189
author: Biddulph, SL; Nayler, SJ; Sweet, MBE; Barrow, AD; Biddulph, LG
title: A possible role of synovial fluid in bone healing
date: 2017-09-07
pages: 4
extension: .pdf
mime: application/pdf
words: 1891
sentence: 112
flesch: 56
cache: cache/saoj-189.pdf
txt: txt/saoj-189.txt
summary:
  Page 50 SA Orthopaedic Journal Autumn 2014 | Vol 13 • No 1 A possible role of synovial fluid in bone healing SL Biddulph MBBCh(Rand), FCS(SA), FRCS(Eng), FRCS(Edin) Department of Orthopaedic Surgery, Johannesburg Hospital, University of the Witwatersrand SJ Nayler BSc(Rand), MBBCh(Rand), FCPath(SA), MMed(Rand) Division of Anatomical Pathology, School of Pathology, Faculty of Health Sciences, University of the Witwatersrand MBE Sweet MBChB(Cape Town), PhD(Rand) Department of Orthopaedic Surgery, Johannesburg Hospital, University of the Witwatersrand AD Barrow FCS(SA)Orth Department of Orthopaedic surgery, Johannesburg Hospital, University of the Witwatersrand LG Biddulph MBBCh(Rand), FCS(SA)Orth Hand Unit, Chris Hani Baragwanath Hospital, University of the Witwatersrand Correspondence: Prof SL Biddulph PO Box 1270 2041 Houghton South Africa Tel: +27 11 640 3005 Fax: +27 11 640 3007 E-mail: biddulph@webafrica.org.za Introduction It is widely believed that the presence of a layer of synovial fluid at the fracture line may inhibit the healing of intra-articular fractures. This is in contradiction to the theory that synovial fluid may hamper bone healing, specifically in the scaphoid model in humans.


id: saoj-181
author: Marais, LC; Ferreira, N; Aldous, C; Le Roux, TLB
title: The classification of chronic osteomyelitis
date: 2017-09-06
pages: 7
extension: .pdf
mime: application/pdf
words: 4960
sentence: 208
flesch: 35
cache: cache/saoj-181.pdf
txt: txt/saoj-181.txt
summary:
  Shortcomings of existing classification systems The first major shortcoming of existing classification systems relates to host stratification. This point is further illustrated by the fact that Cierny abandoned the original guidelines in a more recent publication, opting for a more generic approach to management.21 The final limitation of existing classification systems lies in the structure of the decision-making process.


id: saoj-187
author: Mayet, Z; Noble, T; Magobotha, SKM
title: Giant cell tumour of the tendon sheath (GCT-TS) in the foot: A case report
date: 2017-09-07
pages: 5
extension: .pdf
mime: application/pdf
words: 2965
sentence: 195
flesch: 67
cache: cache/saoj-187.pdf
txt: txt/saoj-187.txt
summary:
  Key words: giant cell tumour of the tendon sheath, GCT-TS, benign tumours, foot tumours SAOJ Autumn 2014_Orthopaedics Vol3 Our differential diagnosis at this point was giant cell tumour of the tendon sheath, synovial sarcoma and Morton’s neuroma.


id: saoj-128
author: Maqungo, S; Nkomo, W
title: A unique case of a radius shaft fracture with proximal radio-ulnar joint dislocation.
date: 2017-09-01
pages: 5
extension: .pdf
mime: application/pdf
words: 2668
sentence: 111
flesch: 45
cache: cache/saoj-128.pdf
txt: txt/saoj-128.txt
summary:
  Such a probabilistic approach also implies the existence of certain ‘sterility assurance levels’ (SALs) – a concept that plays an important role in this field and is being used to quantify the level or probability of sterility achieved through a certain sterilisation process.8 Abstract The issues of the shelf life of sterile medical devices and the concept of end-product sterility testing of a sample of devices to prove the sterility of a batch of sterile devices are discussed against the background of the probabilistic approach to sterility and sterilisation. No4 2014/11/04 7:56 PM Page 31 Page 32 SA Orthopaedic Journal Summer 2014 | Vol 13 • No 4 The shelf life of sterile medical devices TA du Plessis, MSc(Physics), DSc(Chem)


id: saoj-216
author: Niemoller, Heinrich G; Greyling, P; Birkholtz, F; Goller, R; Suleman, F; Postma, T C
date: 2018-05-22
pages: 4
extension: .pdf
mime: application/pdf
words: 3153
sentence: 156
flesch: 49
cache: cache/saoj-216.pdf
txt: txt/saoj-216.txt
title:
  Ability of the Schatzker classification to predict posteromedial fragmentation in tibial plateau fractures

summary:
  Level of evidence: Level 4 Key words: tibial plateau fracture, Schatzker classification, CT scan, posteromedial fragmentation Ability of the Schatzker classification to predict posteromedial fragmentation in tibial plateau fractures Niemoller HG1, Greyling P², Birkholtz F³, Goller R2, Suleman F4, Postma TC5 ¹ BSc(UV), MBBCh(Wits); Orthopaedic surgeon in training, Kalafong Hospital, Pretoria ² MBChB(Pret), MMed(Orth)(Pret), FCS(Orth)(SA); Orthopaedic Surgeon, Steve Biko Academic Hospital, Pretoria ³ MBChB(Pret), MMed(Orth)(Pret), FCS(Orth)(SA); Orthopaedic Surgeon, Unitas Hospital, Walk-a-mile Centre of Excellence 4 MBChB(Pret), MMed(Radiology)(Pret), FCS(Rad)(SA); Radiologist, Professor, Steve Biko Academic Hospital, Pretoria Postma TC6 5 MChD, DHSM, PhD; Associate Professor and Head of Clinical Unit and Statistician. Immerman I. A biomechanical study of posteromedial tibial plateau fracture stability: Do they all require fixation?


id: saoj-322
author: Marais, Leonard C
title: Tuning stem cells
date: 2019-05-02
pages: 2
extension: .pdf
mime: application/pdf
words: 1379
sentence: 91
flesch: 49
cache: cache/saoj-322.pdf
txt: txt/saoj-322.txt
summary:
  Basically, stem cells detect and respond to the stiffness of their environment. These external mechanical forces thus tune stem cell fate, driving differentiation towards a certain phenotype.7 The major problem with stem cells is however the maintenance of this differentiation.


id: saoj-424
author: de Jager, Louis J; Maré, Pieter H; Thompson, David M; Marais, Leonard C
date: 2021-03-27
pages: 6
extension: .pdf
mime: application/pdf
words: 4511
sentence: 253
flesch: 57
cache: cache/saoj-424.pdf
txt: txt/saoj-424.txt
title:
  Short-term comparison of the use of static and expandable intramedullary rods in the lower limbs of children with osteogenesis imperfecta

summary:
  Other variables that were associated with a decreased need for reoperation included larger implant diameter (p=0.007) and the type of rod (RR 58% vs FD rod 0%, p<0.001). Transcortical migration due to proximal femur deformity, normally described in RRs with progressive deformity, occurred with one FD rod after initial central placement subsequent to proximal femur stress fracture.2 Intra-articular penetration of the obturator segment of FD rods has previously been reported.8,11


id: saoj-498
author: Bernstein, Brian
title: ‘The Art of War’
date: 2021-05-22
pages: 1
extension: .pdf
mime: application/pdf
words: 775
sentence: 27
flesch: 50
cache: cache/saoj-498.pdf
txt: txt/saoj-498.txt
summary:
  South African Orthopaedic Journal MESSAGE FROM THE PRESIDENT SA Orthop J 2021;20(2) ‘The Art of War’ Brian Bernstein President: South African Orthopaedic Association Corresponding author: brian.bernstein@vincentpallotti.com The period 2020/2021 has been an extremely interesting time. – Dante Alighieri Many of the decisions made by some eminent scientists over the last year have been flawed, and we have to acknowledge that nobody really knew, or knows, what to expect.


id: saoj-483
author: Garrett, Benjamin R; Grundill, Michael L
title: Patella dislocations and patellofemoral instability: a current concepts review
date: 2021-08-31
pages: 11
extension: .pdf
mime: application/pdf
words: 10910
sentence: 961
flesch: 51
cache: cache/saoj-483.pdf
txt: txt/saoj-483.txt
summary:
  Since the landmark work in 1994 by Dejour et al.,8 which identified four anatomical risk factors (trochlear dysplasia, patella alta [Caton-Deschamps index ≥1.2], patellar tilt ≥20° and tibial tuberosity–trochlear groove [TT-TG] distance ≥20 mm), two schools of thought have emerged in the management of these patients. J Orthop Surg Res. 2020;15(1):1-9. 71. Palmu S, Kallio PE, Donell ST, et al. Acute patellar dislocation in children and adolescents: A randomized clinical trial.


id: saoj-352
author: Strydom, S; Hattingh, C; Ngcelwane, M; Ngcoya, N
title: Epidemiology of paediatric and adolescent fractures admitted to a South African provincial hospital
date: 2021-08-11
pages: 5
extension: .pdf
mime: application/pdf
words: 3891
sentence: 217
flesch: 55
cache: cache/saoj-352.pdf
txt: txt/saoj-352.txt
summary:
  Hitosugi M, Kawato H, Gomei S, Mizuno K, Tokudome S. Severity of child pedestrian injuries due to bonnet-type-vehicle collision. Clinicians should always maintain a high index of suspicion for non-accidental injuries.


id: saoj-390
author: Wadee, Reubina; Linda, Zwelithini; Ismail, Abdullah
date: 2021-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3306
sentence: 211
flesch: 44
cache: cache/saoj-390.pdf
txt: txt/saoj-390.txt
title:
  Phosphaturic mesenchymal tumour, ‘non-phosphaturic’ variant: a case report and review of the literature

summary:
  Level of evidence: Level 5 Keywords: phosphaturic mesenchymal tumours, non-phosphaturic variant Phosphaturic mesenchymal tumour, ‘non-phosphaturic’ variant: a case report and review of the literature Reubina Wadee,¹* Zwelithini Linda,² Abdullah Ismail¹ ¹ Department of Anatomical Pathology, University of the Witwatersrand/National Health Laboratory Service (NHLS), Johannesburg, South Africa ² Department of Orthopaedic Surgery, University of the Witwatersrand, Johannesburg, South Africa *Corresponding author: reubinawadee@gmail.com Introduction Phosphaturic mesenchymal tumours (PMTs) are rare neoplasms that are usually associated with renal phosphate loss and tumour- induced osteomalacia (TIO).1 Clinically, patients may have symp- toms of hypophosphataemia and on thorough examination, small soft tissue or intraosseous masses in the extremities or the jaw may be identified.2,3 TIO occurs secondary to excessive production of tumour-associated fibroblast growth factor-23 Phosphaturic mesenchymal tumour.


id: saoj-197
author: Ryan, P; ter Haar, M; Rocher, A; Goga, I
title: Intraneural lipoma of the common peroneal nerve: A case report and review of the literature
date: 2017-09-12
pages: 5
extension: .pdf
mime: application/pdf
words: 2378
sentence: 144
flesch: 55
cache: cache/saoj-197.pdf
txt: txt/saoj-197.txt
summary:
  Common peroneal nerve identified proximally Figure 8. Page 40 SA Orthopaedic Journal Spring 2014 | Vol 13 • No 3 Intraneural lipoma of the common peroneal nerve: A case report and review of the literature Dr P Ryan MBChB(UCT), HDip(Orth), MMed(Orth), FCOrth(SA) Orthopaedic Surgeon Dr M ter Haar MBChB, FCOrth(SA) Orthopaedic Surgeon Dr A Rocher MBChB, FCOrth(SA) Orthopaedic Surgeon Prof I Goga MD, RFCS(Edinburgh), FCS(Orth)(SA) Professor and Head of Arthroplasty and Reconstruction Unit Department of Orthopaedic Surgery, Inkosi Albert Luthuli Central Hospital, Durban, KwaZulu-Natal Correspondence: Dr P Ryan Arthroplasty Unit Department of Orthopaedic Surgery Inkosi Albert Luthuli Central Hospital Private Bag X03 Mayville, KZN, 4058 Tel: +27 (31) 240 2160 Email: paullisa.ryan@gmail.com Introduction Benign fatty lesions of peripheral nerves are uncommon, and when they occur, typically affect the nerves of the upper limb.


id: saoj-672
author: Dippenaar, JM
title: The management of postoperative pain after musculoskeletal surgery – a narrative review
date: 2023-03-23
pages: 5
extension: .pdf
mime: application/pdf
words: 4704
sentence: 389
flesch: 46
cache: cache/saoj-672.pdf
txt: txt/saoj-672.txt
summary:
  Besides the normal pain pathways, muscle pain is commonly associated with both abnormal muscle tension and trigger points.5 Understanding myofascial pain relates to these two concepts of trigger points and muscle tension (the product of viscoelastic tone and contractile activity). Other physiological mechanisms contributing to muscle pain may include (but is not limited to) increased metabolism and/or decreased perfusion in the muscle fibres contributing to ischaemia, peripheral and central sensitisation, autonomic hyperactivity as well as psychological influences.


id: saoj-383
author: Vajapey, Sravya; Horn, Anria
title: Tuberculosis of the extra-axial skeleton in paediatric patients
date: 2021-03-27
pages: 6
extension: .pdf
mime: application/pdf
words: 4355
sentence: 248
flesch: 53
cache: cache/saoj-383.pdf
txt: txt/saoj-383.txt
summary:
  A recent study looking at factors influencing adherence to TB treatment by Gebreweld et al. showed that short distances to health facilities, good communication with and health education of families, and strengthening of social structures can enable better adherence to TB treatment.24 These factors should be considered by physicians lacking the facilities or resources to admit patients to the inpatient ward for the duration of TB treatment, to improve compliance. Radiographs at presentation are non-specific in more than 50% of patients.


id: saoj-95
author: Fleming, MA; Westgarth-Taylor, T; Candy, S; Dunn, R
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 2843
sentence: 176
flesch: 53
cache: cache/saoj-95.pdf
txt: txt/saoj-95.txt
title:
  How does pre-reduction MRI affect surgeons' behaviour when reducing distraction-flexion (dislocation) injuries of the cervical spine?

summary:
  Although we have little influence over the primary injury, we can improve outcome by limiting the secondary effects of ongoing compression and physiological circum- stances which lead to ischemia and cellular changes of the cord.1,2 Animal models confirm that persistent cord compression has time-related adverse effects on the ability to recover.2,3 Clinical benefit has been demonstrated with cervical reduction performed earlier than 24 hours following injury.4 The safety of closed reduction has been questioned with sporadic case reports of secondary cord injury occurring with unrecognised cervical disc prolapse.5-9 Eismont and Green concluded that pre-reduction MRI will identify cervical disc prolapse thus allowing the surgeon to avoid secondary cord injury during reduction. These factors may result in delay to cervical reduction with possible reduced neurological outcome.


id: saoj-594
author: Blair, Neill R; van der Merwe, Johan F; Matshidza, Steven
title: Truth or DAIR? A review of debridement, antibiotics and implant retention
date: 2022-11-10
pages: 8
extension: .pdf
mime: application/pdf
words: 6865
sentence: 308
flesch: 43
cache: cache/saoj-594.pdf
txt: txt/saoj-594.txt
summary:
  Table I: Reported success rates for DAIR published in the literature Publication Reported success rate Bolduc et al., 20214 72.2% Barros et al., 20196 89.5% Boyle et al., 20208 37–88% (average of 50%) Chalmers et al., 202123 21–36% failure rate Chaussade et al., 201724 69.0% Chung et al., 201925 86.7% Deijkers et al., 202026 82.0% Deng et al., 202121 67.3% Gerritsen et al., 202127 67.0% Grammatopoulos et al., 201728 84.0% Horriat et al., 201813 34.1% failure rate Kunutsor et al., 20181 61.4% Lesens et al., 201816 76.0% Lora-Tamayo et al., 201729 57.0% Ottesen et al., 201930 84.0% Qu et al., 201931 57.11% Rodríguez-Pardo et al., 201432 68.0% Tarity et al., 202112 47.6% failure rate Tsang et al., 201733 64.7% Van der Ende et al., 202134 20.0% failure rate Wouthuyzen-Bakker et al., 201935 45% failure rate Zhu et al., 202118 53.9% Page 231Blair NR et al. DAIR can still be of benefit in patients with a longer duration Lora-Tamayo et al., 201729 < 3 months Osmon et al., 20137 < 1 month < 3 weeks Ottesen et al., 201930 < 42 days Qu et al., 201931 < 3 weeks Tsang et al., 201733 < 4 weeks < 7 days Duration from index surgery is less significant Van der Ende et al., 202134 < 3 months Xu et al., 202015 < 4 weeks Zhu et al., 202118 < 1 year Duration of symptoms unreliable, especially in haematogenous infections Horriat et al.,


id: saoj-87
author: Ngcelwane, Mthunzi
title: Expanding the orthopaedic training programme to improve the management of lower extremity trauma
date: 2017-08-31
pages: 2
extension: .pdf
mime: application/pdf
words: 1457
sentence: 83
flesch: 65
cache: cache/saoj-87.pdf
txt: txt/saoj-87.txt
summary:
  What makes plastic surgeons even more important is that the soft tissue cover often requires continued supervision. Recognising the value of plastic surgeons in managing these injuries has resulted in some countries forming orthoplastic centres.2


id: saoj-588
author: Pretorius, Henry S; Burger, Marilize C; Ferreira, Nando
title: The mechanical testing of a novel interlocking forearm nail
date: 2022-11-10
pages: 5
extension: .pdf
mime: application/pdf
words: 3296
sentence: 203
flesch: 58
cache: cache/saoj-588.pdf
txt: txt/saoj-588.txt
summary:
  Level of evidence: Level 4 Keywords: mechanical testing, ASTM, load, yield, stiffness, fatigue strength The mechanical testing of a novel interlocking forearm nail Henry S Pretorius,* Marilize C Burger, Nando Ferreira Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa *Corresponding author: hsp359@sun.ac.za Introduction The mechanical properties of implants are one of many factors that contribute to the mechanobiological environment for fracture healing. Mechanical testing of newly designed implants provides valuable insight into their mechanical properties.


id: saoj-379
author: Burger, M C
title: Caught between a ghost and a gift: Navigating authorship issues
date: 2020-08-26
pages: 2
extension: .pdf
mime: application/pdf
words: 1394
sentence: 81
flesch: 42
cache: cache/saoj-379.pdf
txt: txt/saoj-379.txt
summary:
  At the same time authorship conflicts are also on the increase and have become one of the main areas within academia requiring mediation or arbitration.3 Two of the main culprits in authorship misconduct include ghost and guest/gift authorship.4 The prevalence of ghost authorships has been reported to range between 2 and 75%, with the higher prevalence predominantly being in industry-initiated clinical trial protocols, with statisticians in particular being omitted from the author list.1,5 Gift, guest or honorary authorship is the exact opposite, where individuals are added to publications regardless of their not meeting authorship criteria.


id: saoj-604
title: A survey on the educational value of an mHealth referral app for orthopaedics in South Africa
date: 2023-03-23
pages: 4
extension: .pdf
mime: application/pdf
words: 3458
sentence: 209
flesch: 50
cache: cache/saoj-604.pdf
txt: txt/saoj-604.txt
author:
  Kauta, Ntambue J; Owolabi, Eyitayo O; Salence, Bijou; Swanepoel, Stefan; Roche, Stephen; Chu, Kathryn M

summary:
  Methods An online, cross-sectional survey was conducted among ORG users from May to June 2021. Methods Study design, population and setting This was a cross-sectional survey conducted with ORG users from May to June 2021.


id: saoj-83
title: High rate of popliteal artery injuries and limb loss in 96 knee dislocations.
date: 2017-08-31
pages: 5
extension: .pdf
mime: application/pdf
words: 3526
sentence: 206
flesch: 56
cache: cache/saoj-83.pdf
txt: txt/saoj-83.txt
author:
  Held, M; Laubscher, M; von Bormann, R; Walters, J; Roche, S; Banderker, A; Navsaria, P; Nicol, A; Maqungo, S

summary:
  Yet, it has been argued that the disruption of only two ligaments is sufficient for a knee dislocation to occur such as in dislocations with an intact posterior cruciate ligament.2 This lack of a commonly accepted definition makes a comparison of incidences of associated injuries challenging and reports of popliteal artery injuries in knee dislocations vary widely between 7% and 64%.3-8 Abstract Background: Knee dislocations are reported to have an incidence of popliteal artery injuries between 7% and 64%. Vascular lesions associated with bicruciate and knee dislocation ligamentous injury.


id: saoj-213
author: Ngcelwane, Mthunzi
date: 2018-05-22
pages: 2
extension: .pdf
mime: application/pdf
words: 1608
sentence: 92
flesch: 63
cache: cache/saoj-213.pdf
txt: txt/saoj-213.txt
title:
  New frontiers in the battle against the burden of musculoskeletal trauma from motor vehicle accidents

summary:
  Figures from the trauma unit in Cape Town show road traffic accidents accounting for 18.8% of the patients they treat, second to assault by sharp objects at 20.9%.5 Parkinson et al. in Pietermaritzburg calculated the cost of treating motor vehicle accident victims admitted over a ten-week period to be 698 850 USD.6 There is no publication that talks to the burden of orthopaedic trauma in our country that I could find. 6. Parkinson F, Kent SJW, Aldous C, Oosthuizen G, Clarke D. The hospital cost of road traffic accidents at a South African regional trauma centre: A micro-costing study.


id: saoj-90
author: Grey, B; Oosthuizen, G; Rodseth, R
date: 2017-08-31
pages: 9
extension: .pdf
mime: application/pdf
words: 5657
sentence: 320
flesch: 53
cache: cache/saoj-90.pdf
txt: txt/saoj-90.txt
title:
  Subclinical hypoperfusion in trauma patients and its influence on surgical fracture fixation: Systematic review and meta-analysis

summary:
  When surgical fracture fixation was performed, we compared the incidence of post- operative ventilation, respiratory complications and infective complications in SCH patients to patients without SCH. Third, to determine the impact of SCH on patients who sub- sequently underwent surgical fracture fixation, we compared the incidence of ventilatory requirement, respiratory complications, and infective complications in SCH patients who underwent surgery to those patients without SCH who underwent surgery.


id: saoj-125
author: Shipley, JA
title: Private practice (RWOPS) and overtime for state-employed specialists
date: 2017-09-01
pages: 2
extension: .pdf
mime: application/pdf
words: 1667
sentence: 83
flesch: 55
cache: cache/saoj-125.pdf
txt: txt/saoj-125.txt
summary:
  Government considers that the Occupational Specific Dispensation (OSD) has removed the need for additional income for specialists; in fact OSD has not brought state salaries anywhere near the income of private specialists. The result is that private specialists will lose their independence, being forced into managed health care systems and the potential compromise of professional standards.


id: saoj-323
author: Office, Editorial
title: CPD Questionnaire (V18N02)
date: 2021-08-11
pages: 2
extension: .pdf
mime: application/pdf
words: 1628
sentence: 87
flesch: 53
cache: cache/saoj-323.pdf
txt: txt/saoj-323.txt
summary:
  Within 4 hours of injury D e. a. Patients with upper extremity injury had higher injury severity A b.


id: saoj-343
author: Anley, C; Vrettos, B C; Rachuene, P; Roche, S J L
title: Proximal humerus fractures - Part 1: Conservative management
date: 2019-07-15
pages: 9
extension: .pdf
mime: application/pdf
words: 7101
sentence: 453
flesch: 54
cache: cache/saoj-343.pdf
txt: txt/saoj-343.txt
summary:
  Proximal humeral fracture treatment in adults. Trends in the surgical treatment of proximal humeral fractures–a nationwide 23-year study in Finland.


id: saoj-77
author: Rasool, MN; Robertson, ICM; Ramokgopa, MT
title: Expert opinion on published articles
date: 2017-08-30
pages: 4
extension: .pdf
mime: application/pdf
words: 2557
sentence: 146
flesch: 49
cache: cache/saoj-77.pdf
txt: txt/saoj-77.txt
summary:
  The authors also note that non- union of the clavicle at this age is very rare and therefore cannot be used as an argument to justify operative treatment. Whether other selected cases will benefit from operative treatment still needs to be defined.


id: saoj-523
author: Marais, Leonard C
title: Antibiotic resistance: Netflix, HAL 9000 and the $100 billion question
date: 2021-08-31
pages: 3
extension: .pdf
mime: application/pdf
words: 2641
sentence: 174
flesch: 46
cache: cache/saoj-523.pdf
txt: txt/saoj-523.txt
summary:
  Potential burden of antibiotic resistance on surgery and cancer chemotherapy antibiotic prophylaxis in the USA: a literature review and modelling study. It is expected to invest US$1 billion in antibiotic development and hopes to bring two to four new antibiotics to the clinical platform by 2030.


id: saoj-479
date: 2022-03-16
pages: 5
extension: .pdf
mime: application/pdf
words: 4467
sentence: 309
flesch: 45
cache: cache/saoj-479.pdf
txt: txt/saoj-479.txt
author:
  van Marle, Anne-Cecilia; Acho, Petra-Marie; Chepape, Christine O; Mahlaba, Reitumetse M; Dlamini, Precious; Magugu, Samkelisiwe; Mohlahlo, Kamogelo K; Teis, Nicole; Kachelhoffer, Anna M; Joubert, Gina; Coetzee, Marius J

title:
  A retrospective file audit of preoperative anaemia in patients referred to an anaesthesiology clinic before elective orthopaedic surgery

summary:
  Conclusion The prevalence of preoperative anaemia before elective orthopaedic surgery (25%) was the same as that reported before patient blood management was introduced internationally. Level of evidence: Level 3 Keywords: preoperative anaemia, elective orthopaedic procedures, patient blood management, preoperative care, blood transfusion A retrospective file audit of preoperative anaemia in patients referred to an anaesthesiology clinic before elective orthopaedic surgery Anne-Cecilia van Marle,¹ Petra-Marie Acho,²


id: saoj-12
author: Paterson, AJ; Navsa, N
title: The radial nerve danger zone: A cadaver study
date: 2017-08-29
pages: 4
extension: .pdf
mime: application/pdf
words: 2854
sentence: 137
flesch: 59
cache: cache/saoj-12.pdf
txt: txt/saoj-12.txt
summary:
  We record the incidence of radial nerve damage following external pin fixation and note the relation of the radial nerve to each pin. We dissected the upper limbs and recorded the incidence of radial nerve damage and the position of the nerve in relation to the two pins.


id: saoj-167
author: Dunn, RN; Stander, H
title: Atlanto-axial fusion: Magerl transarticular versus Harms instrumentation techniques
date: 2017-09-05
pages: 4
extension: .pdf
mime: application/pdf
words: 3000
sentence: 163
flesch: 55
cache: cache/saoj-167.pdf
txt: txt/saoj-167.txt
summary:
  Magerl F, Seeman P. Stable posterior fusion of the atlas and axis by transarticular screw fixation. 8. Low H, Redfern R. C1-C2 transarticular screw fixation for atlantoaxial instability: a 6-year experience, and C1-C2 transarticular screw fixation-technical aspects.


id: saoj-354
author: Du Toit, Jacques
title: Cerebral palsy care in South Africa: a paradigm shift
date: 2019-10-11
pages: 3
extension: .pdf
mime: application/pdf
words: 2262
sentence: 161
flesch: 53
cache: cache/saoj-354.pdf
txt: txt/saoj-354.txt
summary:
  We need to seriously contemplate the question: How large is this cohort of patients? • identify the unique challenges which will be experienced by the adult population of CP patients in the South African developed/ developing country context • avail ourselves with the current structures which care for this group within South Africa • reinvent and implement a multidisciplinary team which can address the unique challenges of this cohort • utilise and implement the ICF • set up research avenues that will assess, address and audit our past, present and future initiatives with regard to adults with CP • become champions for the cause of this vulnerable group of patients. Currently, there is a paucity of literature regarding the prevalence of adult CP.


id: saoj-555
author: Office, Editorial
title: CPD Questionnaire (V20N04)
date: 2021-11-18
pages: 2
extension: .pdf
mime: application/pdf
words: 1610
sentence: 92
flesch: 58
cache: cache/saoj-555.pdf
txt: txt/saoj-555.txt
summary:
  a. Medial sesamoiditis A b. Which knee is most suitable for medial unicompartmental knee arthroplasty? a. Isolated medial osteoarthritis without mediolateral subluxation A b.


id: saoj-563
date: 2022-11-10
pages: 5
extension: .pdf
mime: application/pdf
words: 3612
sentence: 223
flesch: 51
cache: cache/saoj-563.pdf
txt: txt/saoj-563.txt
author:
  Rachuene, Pududu A; Dey, Roopam; de Villiers, Shaun; Berry, Kirsty; Mulder, Mike; du Plessis, Jean-Pierre; Roche, Stephen

title:
  Retrospective audit of serum vitamin D levels in patients who underwent Latarjet procedure for anterior shoulder instability

summary:
  Insufficient vitamin D levels were found in 12 patients (54.5%) and three patients (13.6%) had deficient vitamin D levels. Abstract Background The aim of this study was to review vitamin D levels in patients who underwent Latarjet procedures at a tertiary teaching hospital and a private clinic.


id: saoj-527
author: Pretorius, Henry S; Burger, Marilise C; Ferreira, Nando
title: Evaluating the design modifications of an intramedullary forearm nail system: a cadaver study
date: 2022-03-16
pages: 4
extension: .pdf
mime: application/pdf
words: 3944
sentence: 219
flesch: 55
cache: cache/saoj-527.pdf
txt: txt/saoj-527.txt
summary:
  Level of evidence: Level 5 Keywords: radius and ulna intramedullary nail, locked forearm nail, forearm fractures Evaluating the design modifications of an intramedullary forearm nail system: a cadaver study Henry S Pretorius,* Marilize C Burger, Nando Ferreira Division of Orthopaedic Surgery, Department of Surgical Sciences, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa *Corresponding author: hsp359@sun.ac.za Introduction Current orthopaedic practice requires a forearm nail that is length and rotationally stable and which can restore functional anatomy. Contemporary forearm nail design has no reliable way to control rotation or length, and the restoration of the native anatomy can be challenging.


id: saoj-315
author: Davis, J H; Burger, M C; Pienaar, G; Lamberts, R P
date: 2020-03-16
pages: 5
extension: .pdf
mime: application/pdf
words: 4785
sentence: 249
flesch: 55
cache: cache/saoj-315.pdf
txt: txt/saoj-315.txt
title:
  18F-FDG PET/CT as a modality for the evaluation of persisting raised infective markers in patients with spinal tuberculosis

summary:
  A difference in the neurological function between the two groups at the time of spinal TB diagnosis was observed: all PET/CT positive patients were ambulatory, with four of five (80%) having no neurological fallout (Frankel grade E) compared to four out of 12 (31%) of PET/CT negative patients who presented ambulatory (Frankel grade D/E), with the rest (69%) presenting with neurological fallout that prevented mobilisation. The aim of the study was to investigate the differences in participant characteristics between positive and negative, positron emission tomography with 2-deoxy-2-[fluorine-18]fluoro-D-glucose integrated with computed tomography (18F-FDG PET/CT) activity at the spinal tuberculosis (TB) site following 12 months of the appropriate chemotherapy therapy for spinal TB.


id: saoj-612
author: Office, Editorial
title: CPD Questionnaire (V21N03)
date: 2022-09-02
pages: 2
extension: .pdf
mime: application/pdf
words: 1510
sentence: 80
flesch: 63
cache: cache/saoj-612.pdf
txt: txt/saoj-612.txt
summary:
  There is more convincing evidence supporting the use of NSAIDs following hip surgery compared to elbow surgery D e. To maintain deformity correction after surgery D e.


id: saoj-535
author: Thikhathali, Ndivhoniswani D; Ngcelwane, Mthunzi V
date: 2022-11-10
pages: 6
extension: .pdf
mime: application/pdf
words: 4773
sentence: 284
flesch: 57
cache: cache/saoj-535.pdf
txt: txt/saoj-535.txt
title:
  The burden of road traffic accident-related trauma to orthopaedic healthcare and resource utilisation at a South African tertiary hospital: a cost analysis study

summary:
  The proportion of this study population was compared to the total number of trauma patients seen at the orthopaedic department during the same study period. This tertiary hospital is one of the three public tertiary hospitals which receive trauma patients in Pretoria.


id: saoj-88
author: Raubenheimer, EJ; Hendrik, HD
title: Cell signalling and bone remodelling: The skeleton as an endocrine relay organ - Part 1
date: 2017-08-31
pages: 6
extension: .pdf
mime: application/pdf
words: 3436
sentence: 189
flesch: 43
cache: cache/saoj-88.pdf
txt: txt/saoj-88.txt
summary:
  Carboxylated osteocalcin released by osteoblasts increases the affinity of the protein matrix for minerals.22 Bone sialoprotein production by osteo- clasts is facilitated by mechanical stress and stimulates osteoblast-induced growth of the hydroxyapatite crystal.22 Osteopontin, a non-collagenous protein deposited in the matrix of bone by osteoblasts, provides a direct mechanical link (through the cell surface receptor integrin) with the cytoskeleton of bone cells. Fibroblast growth factor 23 (FGF23) released by bone cells and elaborated during bone resorption binds to Klotho-FGF23R1 receptors in the renal tubules, induces phosphaturia and decreases vit D3 synthesis,36 thus regulating Ca2+ and P homeostasis.


id: saoj-548
author: Koyejo, Temitayo T; Olusunmade, Opeyemi I; Olufemi, Olukemi T
title: Epidemiology of primary bone tumours in Nigeria: a systematic review
date: 2022-09-02
pages: 5
extension: .pdf
mime: application/pdf
words: 4678
sentence: 249
flesch: 52
cache: cache/saoj-548.pdf
txt: txt/saoj-548.txt
summary:
  Existing data on primary bone tumours in Nigeria have been based on studies performed at various regional levels. Methods A search of the following databases: University of Edinburgh Library, PubMed, CINAHL and SCOPUS from 2000 till January 2021 following PRISMA guidelines was conducted to identify studies conducted in Nigeria with relevant epidemiological data on primary bone tumours in Nigeria.


id: saoj-355
author: Office, Editorial
title: Conferences, Courses and Symposia
date: 2019-10-25
pages: 1
extension: .pdf
mime: application/pdf
words: 523
sentence: 12
flesch: 22
cache: cache/saoj-355.pdf
txt: txt/saoj-355.txt
summary:
  Annual Meeting 06 March 2018 - 10 March 2018 New Orleans, United States Kiel Arthroscopy Course 2018 09 March 2018 - 10 March 2018 Kiel, Germany Utrecht Spine Course: Complex Paediatric Spine 09 March 2018 - 10 March 2018 Utrecht, Netherlands Annual Meeting of the Orthopaedic Research Society – ORS 2018 10 March 2018 - 13 March 2018 New Orleans, United States 12th International Congress of Sports Medicine Society of Greece / 12th Hellenic-Cypriot Conference 16 March 2018 - 18 March 2018 Thessaloniki, Greece 12th International Meeting of the Austrian Foot Society 22 March 2018 - 24 March 2018 Going am Wilden Kaiser, Austria European Pelvic Course 2018 Annual Meeting 08 February 2020 – 11 February 2020 Phoenix, United States Paris Shoulder Symposium 2020 13 February 2020 – 15 February 2020 Paris, France 34th German-Austrian-Swiss Congress for Sports Traumatology & Sports Medicine Orthopedic aspects in sports 14 February 2020 – 22 February 2020 Seefeld in Tyrol, Austria The Edinburgh Hand Course 2020 19 February 2020 Edinburgh, United Kingdom Sports orthopedics on the knee 20 February 2020 – 22 February 2020 Munich, Germany 13th


id: saoj-218
author: Geurt, J; Vranken, T; Gabriels, F; Arts, J J; Moh, P
title: Contemporary treatment of chronic osteomyelitis: implementation in low- and middle-income countries
date: 2018-05-22
pages: 4
extension: .pdf
mime: application/pdf
words: 3754
sentence: 246
flesch: 51
cache: cache/saoj-218.pdf
txt: txt/saoj-218.txt
summary:
  Level of evidence: Level 4 Key words: osteomyelitis, bio-active glass, biomaterial, low and middle-income countries Contemporary treatment of chronic osteomyelitis: implementation in low- and middle-income countries Geurts J1, Vranken T2, Gabriels F3, Arts JJ4, Moh P5 1 MD; Attending Orthopaedic Surgeon, Department of Orthopaedic Surgery, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands 2 MSc; Medical Student, Department of Orthopaedic Surgery, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands 3 MSc; Department of Orthopaedic Surgery, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands; Orthopaedic Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology (TU/e), The Netherlands 4 PhD; Department of Orthopaedic Surgery, CAPHRI School of Public Health and Primary Care, Maastricht University, Maastricht, The Netherlands; Associate Professor, Orthopaedic Biomechanics Group, Department of Biomedical Engineering, Eindhoven University of Technology (TU/e), The Netherlands 5 MD; Attending Orthopaedic Surgeon, St John of God Hospital, Duayaw Nkwanta, Ghana Corresponding author: Dr J Geurts, Department of Orthopaedics, Maastricht University Medical Centre, PO Box 5800, 6202 AZ Maastricht, The Netherlands; tel +31-43-3875038; email: j.geurts@mumc.nl Page 41Geurts Citation: Geurts J, Vranken T, Gabriels F, Arts JJ, Moh P. Contemporary treatment of chronic osteomyelitis: implementation in low- and middle-income countries.


id: saoj-589
author: Phala, Mashupse P; Rachuene, Pududu A; Socutshana, Bongani; Bila, Solly K
date: 2022-11-10
pages: 4
extension: .pdf
mime: application/pdf
words: 3889
sentence: 219
flesch: 54
cache: cache/saoj-589.pdf
txt: txt/saoj-589.txt
title:
  Access gate-related lower limb fractures in children and adolescents: a review of injury patterns and evaluation of associated injuries

summary:
  The aim of this study was to evaluate the patterns of lower limb fractures, management options offered and concomitant injuries in children as well as adolescents presenting with access gate-related lower limb traumas. Mild head injuries associated with lower limb fractures were observed in 12.5% of the cases.


id: saoj-84
author: Adams, S; Godlwana, L; Maleka, D
date: 2017-08-31
pages: 6
extension: .pdf
mime: application/pdf
words: 3905
sentence: 185
flesch: 52
cache: cache/saoj-84.pdf
txt: txt/saoj-84.txt
title:
  Changes in short-term cognitive function following a hip fracture in the elderly and the effect of cognitive function on early post-operative function.

summary:
  Cognitive function is a strong predictor of early post-operative functional outcome, when adjusted for pre-fracture functional mobility and pre-existing co-morbidities. Key words: hip fracture, elderly, cognitive function, early post-operative functional outcome, Six-Item Cognitive Impairment Test http://dx.doi.org/10.17159/2309-8309/2016/v15n1a9 Page 78 SA Orthopaedic Journal Autumn 2016 | Vol 15 • No 1 Introduction Hip fracture is a common, serious injury that occurs predominantly in the elderly.1 Hip fractures are a major cause of morbidity and mortality and occur in 20% to 30% of older people who fall.2 Cognitive function has been reported to be an important prognostic factor associated with rehabilitation success of older patients with a hip fracture.


id: saoj-37
author: Rodseth, R; Marais, LC
title: Meta-analysis: Everything you wanted to know but were afraid to ask
date: 2017-08-29
pages: 6
extension: .pdf
mime: application/pdf
words: 4527
sentence: 222
flesch: 55
cache: cache/saoj-37.pdf
txt: txt/saoj-37.txt
summary:
  In this example (Figure 1) both tests show that there is high heterogeneity (individual trial results are very different) with the chi2 test showing a probability of p<0.000001 that these result are due to chance only. In the aftermath the trainees, patients and even the consultants themselves remain unsure about which implant they should use and even more confused about how to make clinical decisions when faced with disparate trial results.


id: saoj-349
author: Manjra, M A; Basson, T; Du Preez, G; Du Toit, J; Ferreira, N
title: Current concepts in the management of open tibia fractures
date: 2019-11-27
pages: 11
extension: .pdf
mime: application/pdf
words: 11704
sentence: 731
flesch: 55
cache: cache/saoj-349.pdf
txt: txt/saoj-349.txt
summary:
  Level of evidence: Level 5 Keywords: open fracture, tibia, debridement, antibiotics, external fixation, internal fixation Current concepts in the management of open tibia fractures Manjra MA¹ , Basson T² , Du Preez G³ , Du Toit J4 , Ferreira N5 1 MBBCh, FC Orth (SA), MMed(Orth); Tygerberg Arthroplasty Fellow* ² MBChB, FC Orth (SA); The superficial location of the tibia leaves it particularly susceptible to open fractures and potential loss of soft tissue and bone.4,5 Compared to closed injuries, open fractures have a significantly higher risk of infection, non-union, and wound healing complications, and often require multiple surgeries for definitive care.6 A multidisciplinary approach that includes orthopaedic, trauma and plastic surgeons is frequently required in the management of open fractures.


id: saoj-5
author: ODUAH, GO; FIRTH, GB; PETTIFOR, JM; THANDRAYEN, K
title: Management of osteogenesis imperfecta at the Chris Hani Baragwanath Hospital
date: 2017-07-20
pages: 7
extension: .pdf
mime: application/pdf
words: 4988
sentence: 233
flesch: 56
cache: cache/saoj-5.pdf
txt: txt/saoj-5.txt
summary:
  Ruck et al. showed that the use of the Fassier-Duval rod combined with bisphosphonates in a group of 60 children with OI improved ambulation, gross motor function, self- care and mobility at one year follow-up.16 Hoyer-Khun et al. showed that a specialised rehabilitation approach, which included whole body vibration training, physio- therapy, resistance and treadmill training, improved mobility in these children.17 Montpetit et al. used the Pediatric Evaluation of Disability Inventory to highlight the importance of improving the functional status of patients with type III OI who were often dependent for all areas at final follow-up in comparison to patients with type IV who were more often independent.18 This study was unable to show significant differences in independent walking between the different types of OI patients whom were operated on or not as the majority of these patients were type III and IV OI patients presenting with more severe disease. As shown in Table II, type III OI patients had the highest average number of fractures compared to the other types of OI, and this was significantly greater compared to type IV and Bruck syndrome (p<0.05 and p<0.01 respectively).


id: saoj-214
author: Wood, L; Firth, Greg; Potterton, J
date: 2018-05-22
pages: 5
extension: .pdf
mime: application/pdf
words: 4421
sentence: 221
flesch: 60
cache: cache/saoj-214.pdf
txt: txt/saoj-214.txt
title:
  Short-term outcomes of single event multilevel surgery for children with diplegia in a South African setting

summary:
  DOI 10.17159/2309-8309/2018/v17n2a8 South African Orthopaedic Journal http://journal.saoa.org.za PAEDIATRIC ORTHOPAEDICS Citation: Wood L, Firth GB, Potterton J. Short-term outcomes of single event multilevel surgery for children with diplegia in a South African setting. Abstract Background: Although single event multilevel surgery (SEMLS) is well supported in the literature for walking children with cerebral palsy (CP) there is little evidence to show the outcomes in developing countries with limited resources.


id: saoj-130
author: Ryan, P; Jordaan, P; du Plessis, JP; Vrettos, B; Roche, S
title: Glenoid hypoplasia: A case series of ten shoulders.
date: 2017-09-01
pages: 6
extension: .pdf
mime: application/pdf
words: 3134
sentence: 180
flesch: 49
cache: cache/saoj-130.pdf
txt: txt/saoj-130.txt
summary:
  The exact incidence is unknown, but is estimated in cadaveric and MRI studies to be in the region of 14.3% to 35% depending on the ethnic population studied.1,2 Current orthopaedic literature consists of case reports and small case series, with some of the more recent papers focusing on the arthroplasty management and implications.3-5 Key words: glenoid hypoplasia, glenoid dysplasia, dentate glenoid Although rare, glenoid hyperplasia may be more common than previously recognised SAOJ Summer 2014_Orthopaedics Vol3 No4 2014/11/04 7:56 PM Page 43 Page 44 SA Orthopaedic Journal Summer 2014 | Vol 13 • No 4 Discussion Glenoid hypoplasia, first described by Valentine in 1931,6 is a rare developmental abnormality, which affects the osseous development of the inferior glenoid. In an MRI study of 103 consecutive MR arthrograms, Harper et al.1 report an incidence of 14.3% for moderate to severe glenoid dysplasia.


id: saoj-544
author: Office, Editorial
title: CPD Questionnaire (V20N03)
date: 2021-08-31
pages: 2
extension: .pdf
mime: application/pdf
words: 1639
sentence: 88
flesch: 61
cache: cache/saoj-544.pdf
txt: txt/saoj-544.txt
summary:
  Which primary malignancy is associated with the worst five-year prognosis once bone metastasis has been diagnosed? a. Lung A b. Breast B c. Thyroid C d. Renal D e. Prostate E Correlation of the squat-and-smile test against other patient-reported outcome scores in knee pathology (Le Roux J, Dey R, Deichl AS, Torney O, Laubscher M, Graham SM, Held M) 10. a. Chondrosarcoma A b.


id: saoj-344
author: Verhoef, H; Marais, L C; Ryan, P V; Rollinson, P D
title: The risk of early complications in patients with hand infections
date: 2021-08-11
pages: 6
extension: .pdf
mime: application/pdf
words: 4899
sentence: 278
flesch: 46
cache: cache/saoj-344.pdf
txt: txt/saoj-344.txt
summary:
  Level of evidence: Level 4 Keywords: HIV, diabetes mellitus, hand infection, complication, risk factor The risk of early complications in patients with hand infections Verhoef H1 , Marais LC2 , Ryan PV3 , Rollinson PD4 1 MBChB(UP); Orthopaedic Registrar, Department of Orthopaedic Surgery, Nelson R Mandela School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa 2 MBChB, FC Orth SA, MMed(Orth), PhD; Head of Department, Department of Orthopaedic Surgery, School of Clinical Medicine, University of KwaZulu-Natal, Durban, South Africa 3 MBChB(UCT), H Dip Orth(SA); FCS Orth(SA); MMed(SA); HOD Orthopaedic Surgery, Inkosi Albert Luthuli Central Hospital; University of KwaZulu-Natal, Durban, South Africa 4 MBChB(Sheff), FRCS (Ed & Eng); Chief Orthopaedic Specialist, Ngwelezana Hospital Corresponding author: Dr Hein Verhoef, Unit 19 El Torero, 86 Lewis Drive, Amanzimtoti, Durban, 4126; tel: 082 929 544; email: The risk of early complications in patients with hand infections.


id: saoj-549
author: Anley, Cameron M
title: Mentorship: a two-way street
date: 2021-11-18
pages: 2
extension: .pdf
mime: application/pdf
words: 1399
sentence: 89
flesch: 53
cache: cache/saoj-549.pdf
txt: txt/saoj-549.txt
summary:
  Although various mentorship models have been developed, the most productive and commonly encouraged method is one-to-one mentorship (dyadic method).3 The success of dyadic mentoring relies on willing mentees and qualified mentors. The value of senior mentorship among orthopaedic surgeons.


id: saoj-356
author: Office, Editorial
title: CPD Questionnaire (V18N4)
date: 2019-10-25
pages: 2
extension: .pdf
mime: application/pdf
words: 1583
sentence: 81
flesch: 57
cache: cache/saoj-356.pdf
txt: txt/saoj-356.txt
summary:
  Aetiology contribution to a decrease in grip strength is: a. SNAC A b. Anatomical outcomes do not necessarily equate to clinical outcomes B c. Anatomical outcomes equate to clinical outcomes C d.


id: saoj-387
author: Maré, P H; Thompson, D M
title: Infantile Blount’s disease
date: 2020-08-26
pages: 10
extension: .pdf
mime: application/pdf
words: 8307
sentence: 564
flesch: 54
cache: cache/saoj-387.pdf
txt: txt/saoj-387.txt
summary:
  Concomitant femoral deformity correction Significant distal femoral frontal plane malalignment will result in joint line obliquity if the mechanical axis is restored through proximal tibial deformity correction alone. Langenskiöld originally suggested 9 years when medial growth arrest and articular de- pression is confirmed.9 Currently, medial elevation is indicated for children older than 6 years with IBD, Langenskiöld stage 5 or 6 and significant medial articular depression.10,74 Controversy hinges on concern for loss of growth potential if the procedure is performed before medial proximal tibial growth arrest is confirmed.


id: saoj-380
author: Office, Editorial
title: Congresses, courses and symposia
date: 2020-03-16
pages: 1
extension: .pdf
mime: application/pdf
words: 645
sentence: 21
flesch: 38
cache: cache/saoj-380.pdf
txt: txt/saoj-380.txt
summary:
  Annual Meeting 06 March 2018 - 10 March 2018 New Orleans, United States Kiel Arthroscopy Course 2018 09 March 2018 - 10 March 2018 Kiel, Germany Utrecht Spine Course: Complex Paediatric Spine 09 March 2018 - 10 March 2018 Utrecht, Netherlands Annual Meeting of the Orthopaedic Research Society – ORS 2018 10 March 2018 - 13 March 2018 New Orleans, United States 12th International Congress of Sports Medicine Society of Greece / 12th Hellenic-Cypriot Conference 16 March 2018 - 18 March 2018 Thessaloniki, Greece 12th International Meeting of the Austrian Foot Society 22 March 2018 - 24 March 2018 Going am Wilden Kaiser, Austria European Pelvic Course 2018 Refresher Course 23-25 February 2018 Pretoria 18th Congress SA Spine Society 24-26 May 2018 Elangeni Hotel, Durban 64th Congress of the South African Orthopaedic Association 3-6 September 2018 CSIR, Pretoria JANUARY 2018


id: saoj-558
author: Mia, Sayed M; Rajpaul, Jitesh; Goga, Ismail E
title: Short-term outcomes of one-stage bilateral total hip arthroplasty in a South African setting
date: 2022-09-02
pages: 6
extension: .pdf
mime: application/pdf
words: 4577
sentence: 262
flesch: 51
cache: cache/saoj-558.pdf
txt: txt/saoj-558.txt
summary:
  This subgroup of patients is usually between the ages of 30 and 50 years (young) and they require bilateral total hip replacements (BTHA) to allow them to return to their previous level of function and employment. The study aimed to assess the short-term outcomes and complications in patients with bilateral hip pathology managed surgically with a one-stage BTHA.


id: saoj-559
author: Fourie, Pieter J; Erasmus, Raoul D; Botha, Tanita; Jacobs, Hans W
title: Low dislocation rate one year after total hip arthroplasty at a tertiary hospital in South Africa
date: 2023-03-23
pages: 8
extension: .pdf
mime: application/pdf
words: 6515
sentence: 334
flesch: 58
cache: cache/saoj-559.pdf
txt: txt/saoj-559.txt
summary:
  The endpoint of the review was hip dislocation after primary THA. Hermansen LL, Viberg B, Hansen L, Overgaard S. ‘True’ cumulative incidence of and risk factors for hip dislocation within 2 years after primary total hip arthroplasty due to osteoarthritis: a nationwide population-based study from the Danish Hip Arthroplasty Register.


id: saoj-601
author: Burger, Evalina
title: Artificial intelligence and spine surgery outcomes: the beginning of a new era
date: 2022-09-02
pages: 3
extension: .pdf
mime: application/pdf
words: 1606
sentence: 90
flesch: 60
cache: cache/saoj-601.pdf
txt: txt/saoj-601.txt
summary:
  Classifications  have been developed for many decades in order to group together cohorts of patients that have similar disease traits. Studying multiple genetic samples at the CU-Anschutz School of Medicine (SOM), we were able to determine which patients lack the enzyme to metabolise non-steroidal anti- inflammatory drugs (NSAIDs) due to a genetic defect, hence the  unpredictability of post-surgical kidney failure with administration of NSAIDs.


id: saoj-524
author: Keller, Monique M; Barnes, Roline; Brandt, Corlia; Hepworth, Lauren M
date: 2022-05-19
pages: 7
extension: .pdf
mime: application/pdf
words: 7542
sentence: 385
flesch: 51
cache: cache/saoj-524.pdf
txt: txt/saoj-524.txt
title:
  Splints and immobilisation approaches used for second to fifth metacarpal fractures: a systematic review

summary:
  Reviewing existing literature on splints and immobilisation approaches used for second to fifth metacarpal fractures would provide an appraisal of evidence on the various splints and immobilisation approaches currently used to provide guidance to clinicians in clinical practice. Therefore, the research question guiding the scoping type sys- tematic review was: What evidence is available for conservative and post-surgical splints and immobilisation approaches utilised (including, but not limited to, POP and/or splints) as part of initial management for adults older than 20 years and younger than 59 years of age, reporting on outcomes which included, but were not limited to, hand function, HRQoL, disability, digital ROM, grip strength and fine motor dexterity after sustaining single or multiple second to fifth metacarpal fractures?


id: saoj-538
date: 2022-05-19
pages: 6
extension: .pdf
mime: application/pdf
words: 4837
sentence: 303
flesch: 54
cache: cache/saoj-538.pdf
txt: txt/saoj-538.txt
author:
  Beukes, Janus E; Immelman, Reynard J; Venter, Joachim H; Janse van Rensburg, Charl; Ngcelwane, Mthunzi V; De Vos, Johannes N

title:
  Comparing outcomes between enhanced recovery after surgery and traditional protocols in total knee arthroplasty: a retrospective cohort study

summary:
  They compared the evolution from traditional to ERAS protocols and found favourable LOS without an increase in readmission rates. Bernstein DN, Liu TC, Winegar AL, et al. Evaluation of a preoperative optimization protocol for primary hip and knee arthroplasty patients.


id: saoj-85
author: O'Farrell, P; Ferreira, N
title: Digital photography in orthopaedics: Ethical considerations
date: 2017-08-31
pages: 4
extension: .pdf
mime: application/pdf
words: 2693
sentence: 139
flesch: 50
cache: cache/saoj-85.pdf
txt: txt/saoj-85.txt
summary:
  Images saved for these purposes must be accompanied by duly documented informed consent that includes their use in research or publication in peer-reviewed journals.10 Taking consent for clinical images was identified as the area that needs the most education and behaviour modification. No respondents reported uploading clinical images to Facebook, Twitter, Instagram or Pinterest.


id: saoj-74
author: Saragas, NP; Ferrao, PNF
date: 2017-08-30
pages: 10
extension: .pdf
mime: application/pdf
words: 5442
sentence: 364
flesch: 57
cache: cache/saoj-74.pdf
txt: txt/saoj-74.txt
title:
  Adult acquired flat foot deformity: The joint-preserving procedures in stage II tibialis posterior tendon dysfunction.

summary:
  Pes planus in patients with posterior tibial tendon insufficiency: asympto- matic versus symptomatic foot. Discussion Multiple procedures have been described for the management of stage II PTT dysfunction.


id: saoj-565
author: Rocher, Antoine GL; O'Connor, Megan; Koch, Odette
title: Wide awake local anaesthesia no tourniquet: a review of current concepts
date: 2022-09-02
pages: 8
extension: .pdf
mime: application/pdf
words: 7177
sentence: 470
flesch: 50
cache: cache/saoj-565.pdf
txt: txt/saoj-565.txt
summary:
  The authors refer the reader to an instructional course lec- ture prepared by Lalonde et al. for a more detailed description, beyond the scope of this article.16 Significant bleeding during surgery has not been reported; however, it should be noted, according to a study by McKee et al., that after injecting adrenaline the surgical site takes on average 26 minutes (± 5 minutes) to reach the targeted maximum bloodless surgical field.17 In a meta-analysis conducted in 2011, Hogan et al. concluded that warming local anaesthesia before injection reduces the discomfort of the injection.21


id: saoj-34
author: Zanati, A; Ferreira, N; Marais, LC
title: Giant cell tumour of bone: A demographic study from a tumour unit in South Africa
date: 2017-08-29
pages: 6
extension: .pdf
mime: application/pdf
words: 3888
sentence: 224
flesch: 56
cache: cache/saoj-34.pdf
txt: txt/saoj-34.txt
summary:
  Giant cell tumour of bone (GCT) is a rare primary bone tumour. Conclusion: Giant cell tumours of bone are uncommon.


id: saoj-388
author: Van der Watt, Nicolaas P; Koch, Odette; Le Roux, Theo L B; Meijer, Jannes G; McLoughlin, Heather
date: 2021-08-31
pages: 4
extension: .pdf
mime: application/pdf
words: 3478
sentence: 224
flesch: 49
cache: cache/saoj-388.pdf
txt: txt/saoj-388.txt
title:
  The prevalence of vascular injury utilising the lateral parapatellar approach for malignant distal femoral tumour resections: a case series

summary:
  Level of evidence: Level 4 Keywords: malignant distal femoral tumours, lateral parapatellar approach, vascular complications, tumour resection, endoprosthesis The prevalence of vascular injury utilising the lateral parapatellar approach for malignant distal femoral tumour resections: a case series Nicolaas P van der Watt,¹* Odette Koch,² Theo LB le Roux,² Jannes G Meijer,³ Heather McLoughlin⁴ ¹ Department of Orthopaedics, University of Pretoria, Pretoria, South Africa ² Department of Orthopaedics, 1 Military Hospital, University of Pretoria, Pretoria, South Africa ³ Department of Orthopaedics, Kalafong Hospital, University of Pretoria, Pretoria, South Africa ⁴ Clinical Psychologist, Pretoria East Hospital, Pretoria, South Africa *Corresponding author: nvanderwatt@gmail.com Introduction Malignant bone tumours of the distal femur often abut and at times even encase surrounding neurovascular structures. All patients who underwent malignant distal femoral tumour resections through a lateral parapatellar approach between 2001 and 2019 were included in the study.


id: saoj-54
author: Maqungo, S
date: 2017-08-30
pages: 4
extension: .pdf
mime: application/pdf
words: 2788
sentence: 156
flesch: 52
cache: cache/saoj-54.pdf
txt: txt/saoj-54.txt
title:
  Early clinical outcomes of isolated low velocity gunshot radius fractures treated with closed reduction and locked intramedullary nailing

summary:
  The aim of our study was to assess early clinical outcomes of closed reduction and locked intramedullary fixation of low velocity gunshot radius fractures. Conclusion: Closed reduction and intramedullary nail fixation of gunshot radius fractures shows promising results without significant complications.


id: saoj-79
author: Ferreira, N; Marais, LC; Aldous, C
title: The pathogenesis of tibial non-union.
date: 2017-08-31
pages: 9
extension: .pdf
mime: application/pdf
words: 7759
sentence: 701
flesch: 61
cache: cache/saoj-79.pdf
txt: txt/saoj-79.txt
summary:
  Secondary bone healing represents the most common type of fracture healing and occurs when there is some motion at the fracture site, which induces callus formation. The amount of mobility allowed depends less on the displacement of the fragments alone than on the relation of the width of the fracture gap (L) and displacement (δL); δL/L.15 Mechanical stimulation also has a direct effect on the physiology of fracture healing.


id: saoj-345
author: du Plessis, J; Greeff, R; Singh, V; Fang, N; Frey, C T
title: Short-term results following two-stage revision for periprosthetic joint infection
date: 2020-05-29
pages: 6
extension: .pdf
mime: application/pdf
words: 4376
sentence: 244
flesch: 51
cache: cache/saoj-345.pdf
txt: txt/saoj-345.txt
summary:
  Akgün D, Müller M, Perka C, Winkler T. High cure rate of periprosthetic hip joint infection with multidisciplinary team approach using standardized two-stage exchange. Two-stage treatment of hip periprosthetic joint infection is associated with a high rate of infection control but high mortality.


id: saoj-55
author: Rangongo, RS; Ngcelwane, MV; Suleman, FE
date: 2017-08-30
pages: 5
extension: .pdf
mime: application/pdf
words: 3463
sentence: 173
flesch: 61
cache: cache/saoj-55.pdf
txt: txt/saoj-55.txt
title:
  The relationship of the size of the footprint of the fibular graft to the surface area of the vertebral endplate in the reconstruction of the anterior column of the spine.

summary:
  Comparison of Multisegment anterior cervical fixation using bone strut graft vs a titanium rod and buttress prosthesis. Our attraction to these angiographic studies is that they show CT scans of the thoracic spine, lumbar spine and fibular graft, all from the same patient at the same time.


id: saoj-75
author: Mehtar, M; Hartford, L; Firth, GB
title: Osteomyelitis in an infant with proximal focal femoral deficiency.
date: 2017-08-30
pages: 4
extension: .pdf
mime: application/pdf
words: 2262
sentence: 114
flesch: 52
cache: cache/saoj-75.pdf
txt: txt/saoj-75.txt
summary:
  Abstract We present the case of a 6-week-old neonate with proximal focal femoral deficiency (PFFD) complicated by osteomyelitis of the right femur with no preceding trauma or surgical intervention. He presented to the Orthopaedic Outpatient Department with a limb length discrepancy and was assessed as having proximal focal femoral deficiency classified as Group B according to the Gillespie and Torode classification and type A according to the Aitken classification.


id: saoj-546
date: 2022-05-19
pages: 6
extension: .pdf
mime: application/pdf
words: 5637
sentence: 315
flesch: 58
cache: cache/saoj-546.pdf
txt: txt/saoj-546.txt
author:
  Foster, Matthew; Du Plessis, Jason ; Jansen van Vuuren, Marike ; Jingo, Maxwell; Pietrzak, Jurek R T

title:
  The impact of the Covid-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg

summary:
  The impact of the Covid-19 lockdown restrictions on orthopaedic trauma admissions in a central academic hospital in Johannesburg. There was a decrease of 25% of orthopaedic trauma admissions during the five-month lockdown period in 2020 compared to 2019 (p-value = 0.020) and 30% from 2020 compared to 2018 (p-value = 0.010).


id: saoj-56
author: Birkholtz, FF; Greyling, P
title: Independent segmental bone transport of the radius and ulna: A case report
date: 2017-08-30
pages: 3
extension: .pdf
mime: application/pdf
words: 1724
sentence: 88
flesch: 50
cache: cache/saoj-56.pdf
txt: txt/saoj-56.txt
summary:
  Key words: bone transport, distraction osteogenesis, forearm bone loss, radius ulna transport, cement spacer http://dx.doi.org/10.17159/2309-8309/2016/v15n2a4 Figure 1. Infection is not healed by the simple compression of the fracture site alone.2-4 When dealing with forearm non-unions and bone loss, soft tissue adhesions and scar tissue need to be addressed.4 As was the case in this instance, meticulous attention to rehabil- itation is needed to optimise the functional outcome.


id: saoj-525
author: Cetinkaya, Mehmet; Gezangana, Vuyo; Mann, Theresa N; Du Toit, Jacques; Davis, Johan H
date: 2022-09-02
pages: 6
extension: .pdf
mime: application/pdf
words: 4876
sentence: 253
flesch: 46
cache: cache/saoj-525.pdf
txt: txt/saoj-525.txt
title:
  Halo-external fixator frame-assisted correction to treat severe kyphotic deformity in children younger than 4 years old

summary:
  The aim of this case series was to provide novel insights into the surgical technique associated with halo-external fixator frame (HEFF) treatment for severe spinal deformity in patients younger than 4 years old, along with the associated radiologic outcomes and complications. Qi L, Xu B, Li C, Wang Y. Clinical efficacy of short-term pre-operative halo-pelvic traction in the treatment of severe spinal deformities complicated with respiratory dysfunction.


id: saoj-7
author: Horn, A; Workman, MI; Dix-peek, S; Dunn, Robert
date: 2017-07-20
pages: 7
extension: .pdf
mime: application/pdf
words: 4069
sentence: 176
flesch: 48
cache: cache/saoj-7.pdf
txt: txt/saoj-7.txt
title:
  Ligamentous integrity in Spinal Cord Injury without Radiographic Abnormality (SCIWORA): a case series

summary:
  No 2 Page 33 Introduction The clinical entity of spinal cord injury without radiographic evidence of spinal column disruption has been recognised since the 1920s.1 Materials and methods The Picture Archiving and Communication System (PACS) of our institution’s radiology service was searched for patients with features of spinal cord injury (SCI) on MRI but no features of instability or injury on plain films or CT scan.


id: saoj-541
author: Erasmus, Raoul D; Fourie, Pieter J; Janse van Rensburg, Charl; Jacobs, Hans W
date: 2022-11-10
pages: 5
extension: .pdf
mime: application/pdf
words: 4120
sentence: 208
flesch: 48
cache: cache/saoj-541.pdf
txt: txt/saoj-541.txt
title:
  An audit on the accuracy of freehand acetabular cup positioning in total hip arthroplasty with the direct lateral approach at a tertiary institution over seven years

summary:
  Scatterplot showing cases according to anteversion and inclination (in degrees) and indicating cases of dislocation A nt ev er si on (a vg ) Inclination (avg) Not dislocated Dislocated 40 30 20 10 0 20 30 40 50 60 70 Table II: Relationship between accuracy and dislocation Range of acetabular anteversion Range of acetabular inclination Not dislocated Dislocated Total n (%) n (%) n (%) < 5°; > 25° < 30°; > 50° 14 (6) 1 (10) 15 (6) 5–25° < 30°; > 50° 39 (16) 2 (20) 41 (16) < 5°; > 25° 30–50° 49 (20) 4 (40) 53 (21) 5–25° 30–50° 141 (58) 3 (30) 144 (57) Total 243 (100) 10 (100) 253 (100) Table III: Mean cup anteversion and inclination by surgical group Surgical group n (%) Anteversion Inclination Anteversion and inclination Mean (95% CI) Conclusion The freehand technique using the direct lateral approach for acetabular cup placement produces a poor overall accuracy of only 57%.


id: saoj-552
author: Kauta, Ntambue J; Du Plessis, Jean P; De Wet, Johannes J; Vrettos, Basil; Roche, Stephen J L
title: Current concepts on the assessment of a patient with a traumatic anterior shoulder dislocation
date: 2022-05-19
pages: 6
extension: .pdf
mime: application/pdf
words: 5965
sentence: 451
flesch: 54
cache: cache/saoj-552.pdf
txt: txt/saoj-552.txt
summary:
  Level of evidence: Level 5 Keywords: anterior shoulder dislocation, anterior shoulder instability, recurrent shoulder dislocation, anterior shoulder instability assessment Current concepts on the assessment of a patient with a traumatic anterior shoulder dislocation Ntambue J Kauta,* Jean P du Plessis, Johannes J de Wet, Basil Vrettos, Stephen JL Roche Adult Reconstruction, Shoulder and Elbow Unit, Groote Schuur Hospital Orthopaedic Research Unit, University of Cape Town, Cape Town, South Africa *Corresponding author: jimmy.kauta@uct.ac.za Introduction Anterior shoulder dislocation is the most common joint dislocation.1 Following nonoperative management of the initial episode, the recurrence rate varies from 70% to more than 90% in the adolescent population group.1-3 Recurrent instability has been reported in up to 30% of surgically treated adolescent traumatic anterior shoulder dislocation.4,5 Two-thirds of patients with recurrent dislocation will develop instability arthropathy within 25 years of the initial dislocation episode.6 There is, therefore, a need to identify patients who are likely to recur and who may need surgical stabilisation. The ‘3-pack’ examination, which includes the O’Brien sign, throwing test and bicipital tunnel palpation, has an excellent sensitivity, negative predictive value, and inter-rater reliability for comprehensive evaluation of the biceps/labral complex pathology, making it an ideal screening tool for this purpose.42 Imaging for anterior shoulder instability It is recognised that common soft tissue injuries such as an- teroinferior capsulolabral injuries (Bankart lesion) are an integral part of the pathology of anterior shoulder dislocation.


id: saoj-526
author: Hilton, Thomas; Bauer, Henrik CF
title: Proposal for a South African sarcoma registry
date: 2021-08-31
pages: 2
extension: .pdf
mime: application/pdf
words: 1410
sentence: 68
flesch: 47
cache: cache/saoj-526.pdf
txt: txt/saoj-526.txt
summary:
  However, the development of the South African Oncology and Limb Salvage Society, along with efforts in the major centres, is helping to improve access to sarcoma treatment for South Africans. With local data from a South African registry, better decisions can be made around sarcoma treatment.


id: saoj-347
author: McCaul, J K; Horn, A; McCaul, M; Dix-Peek, S
title: Correlation of Soft tissue Projection in Injured NEcks (CSPINE)
date: 2020-05-29
pages: 8
extension: .pdf
mime: application/pdf
words: 5997
sentence: 355
flesch: 60
cache: cache/saoj-347.pdf
txt: txt/saoj-347.txt
summary:
  However, soft tissue measurement itself does not seem to be very sensitive in predicting injury. Patel MS, Grannum S, Tariq A, et al. Are soft tissue measurements on lateral cervical spine X-rays reliable in the assessment of traumatic injuries?


id: saoj-547
title: High burnout among the South African orthopaedic community: a cross-sectional study
date: 2022-09-02
pages: 11
extension: .pdf
mime: application/pdf
words: 8459
sentence: 545
flesch: 58
cache: cache/saoj-547.pdf
txt: txt/saoj-547.txt
author:
  O'Connor, Megan; Ferreira, Nando; Smith, Michele; Webster, Phillip; Venter, Rudolph G; Marais, Leonard C

summary:
  I: Descriptive statistics for respondent demographic characteristics Counts (n) % of total Median IQR Age (years) 156 46.5 37–58 Sex Female 16 (155) 10% Male 139 (155) 90% Qualification Specialist 128 (155) 83% Registrar 27 (155) 17% Years in practice 156 17 9–28 Year of registrar time 27 3 2–4 1st 6 (27) 22% 2nd 4 (27) 15% 3rd 8 (27) 30% 4th 3 Stanford Professional Fulfilment Index (PFI) questions and scores broken down into each of the three sub-categories and summarised overall burnout results Average score Category Counts (n) % of total Professional fulfilment* 3.82 I feel happy at work 3.54 I feel worthwhile at work 3.85


id: saoj-350
author: Office, Editorial
title: SAOA 2019 Abstracts
date: 2019-09-19
pages: 42
extension: .pdf
mime: application/pdf
words: 34372
sentence: 1778
flesch: 49
cache: cache/saoj-350.pdf
txt: txt/saoj-350.txt
summary:
  Patient reported outcome measure suggests favourable results in the majority of patients. Patients included were above the age of 18 years, patients that had surgical intervention combined with chemotherapy and those that only had chemotherapy.


id: saoj-351
author: Venter, R G
title: Antifragile orthopaedic surgeons: a reflection on the training experience
date: 2021-08-11
pages: 2
extension: .pdf
mime: application/pdf
words: 2250
sentence: 137
flesch: 67
cache: cache/saoj-351.pdf
txt: txt/saoj-351.txt
summary:
  As orthopaedic surgeons we are well aware of Wolff’s law3,4 that describes how function dictates the structure of bone, and Taleb had noticed that this principle – that some systems gain from disorder and stress – is found all around us, but no one has come up with a word for it. Young’s modulus, or the modulus of elasticity, is a way to describe how different materials respond to load, specifically, the relationship between stress over strain: E = ε σ Stress (σ) is equal to force applied to an amount of surface area but it does not describe how the material in question responds to the stress, just how much stress. Strain (ε), on the other hand, describes how an object is deformed when stress is applied.


