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December 2015

Volume 1 Issue 3

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Research Article

The Use of Computer Assisted Technology to Illustrate Common Errors in Total Knee Arthroplasty

Mr Sanjay Gupta MBBS, MRCS (Glasg), MSc (Orth), MPhil, FRCS(T&O)*, Mr Duncan Macdonald BSc Hons, MBChB, FRCS(T&O), Mr Jon Clarke PhD FRCSGlasg(Tr&Orth), Mr Simon Spencer FRCS (T&O), Mr Andrew Kinninmonth FRCS(Ed) Orth

An experienced consultant arthroplasty surgeon within our department highlighted three common intra-operative technical errors that he observed during TKA performed by trainees: (1) altered tibial resection height by translation of tibial cutting block, (2) digression from planned bone resection by applying leverage on the saw and (3) component malposition by eccentric impaction of a cemented tibial tray. Using a combination of image free navigation, lower limb sawbone models, routine TKA jigs and implants, we aimed to see if computer assisted technology could be used to demonstrate and quantify these errors.

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Case Report

Tibiotalocalcaneal Arthrodesis of A Wheelchair-Dependent Seventeen-Year Old Adolescent with Hyperimmunoglobulin E Syndrome Developed  Juvenile Idiopathic Arthritis

Aydın ARSLAN*, Ali UTKAN, Reşit SEVİMLİ

Juvenile idiopathic arthritis (JIA) is the most common rheumatologic disease seen in children. The etiology of the disease still remains unclear, but it is believe viral and bacterial infections, epigenetic and perinatal factors, malnutrition and various other genetic and environmental causes are primarily responsible. A prolonged active phase of the JIA increases the risk of permanent damage in the joints, exacerbates functional problems and decreases quality of life. Hyper immunoglobulin E syndrome is a rare immune deficiency disease seen in children.

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