20+ hour, 9+ min ago  (271+ words) Background Total knee arthroplasty (TKA) is the definitive treatment for end-stage knee osteoarthritis; however, prosthesis-bone mismatch remains common and may compromise functional outcomes. Variations in distal femoral morphology related to sex and ethnicity contribute significantly to implant mismatch, particularly in…...

22+ hour, 8+ min ago  (489+ words) Zone II flexor tendon injuries remain among the most challenging conditions in hand surgery due to the region's complex anatomy and high rates of postoperative complications, particularly adhesion formation and the resulting loss of range of motion. Although platelet-rich plasma…...

22+ hour, 8+ min ago  (380+ words) Knee osteoarthritis is a progressive joint disorder that causes chronic pain, disability, significant impairment in quality of life, and a substantial burden on the health care system. Although conservative approaches, like physical therapy and pharmacological interventions, provide the initial treatment…...

1+ day, 11+ hour ago  (281+ words) Background: Postoperative respiratory depression (PORD) is a common but underreported postoperative pulmonary complication with potentially serious short- and long-term consequences. Despite its prevalence, no universally accepted expert definition exists, making identification, diagnosis, and epidemiologic study challenging. Methods: An e'Delphi study…...

1+ day, 22+ hour ago  (308+ words) Background:Postoperative cognitive dysfunction (POCD) is a significant complication among elderly patients undergoing major abdominal surgery.Dexmedetomidine is commonly used as an adjunct to general anaesthesia, but the effect of different intraoperative dosing regimens on early postoperative cognitive outcomes remains…...

1+ day, 22+ hour ago  (302+ words) We present the case of a 36-year-old female with recurrent metastatic melanoma, complicated by radiation necrosis of the left distal thigh musculature, who presented with intractable, debilitating pain approximately seven months following completion of local radiation therapy. Palliative Medicine was…...

2+ day, 22+ hour ago  (217+ words) Cervical lymphatic malformations (CLMs) can cause critical airway compromise due to post-sclerotherapy swelling, requiring precise sedation management in the pediatric intensive care unit (PICU). Precise airway management is especially challenging during the postoperative edema peak, where accidental extubation must be…...

2+ day, 22+ hour ago  (110+ words) Acute abdominal pain during pregnancy has a broad differential diagnosis, and the diagnostic workup in the emergency department can be challenging, often requiring coordination across multiple specialties. Multidisciplinary collaboration involving surgery, gynecology/obstetrics, and maternal-fetal medicine is essential in selected…...

6+ day, 11+ hour ago  (409+ words) Introduction Acute chest syndrome (ACS) remains one of the most severe complications of pediatric sickle cell anemia (SCA) and a leading cause of Pediatric Intensive Care Unit (PICU) admission. Despite its clinical significance, regional data describing PICU-level characteristics, interventions, and…...

6+ day, 22+ hour ago  (208+ words) Introduction:This pilot study evaluated the relationship between intra-articular joint pressure changes and fluid volume during shoulder arthroscopy, relating these to postoperative pain and opioid consumption. Methods:Fifty-two patients who underwent shoulder arthroscopic procedures were included. Measurements of joint pressure,…...