Epsom, United Kingdom
Epsom, United Kingdom

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Bozic D.,University of Split | Josipovic M.,University of Zagreb | Bohacek I.,University of Zagreb | Smoljanovic T.,University of Zagreb | And 2 more authors.
Acta Clinica Croatica | Year: 2016

Osteoid osteoma (OO) is the most common benign osteogenic bone tumor that predominantly aff ects young adults. OO is commonly localized in long bones, and therefore, it is rarely considered in diff erential diagnosis of chronic shoulder pain. We report a case of a 22-year-old male athlete, without history of previous trauma, who presented to our Department with chronic shoulder pain, which escalated during the night and responded to nonsteroidal anti-infl ammatory drug treatment. Considering these typical symptoms, diagnostic pathway was immediately directed towards OO, with magnetic resonance and computed tomography confi rming the diagnosis of OO of the coracoid process (CP). Since neurovascular structures are in the proximity of CP, and this very delicate area does not support radiofrequency ablation, we decided to perform an open procedure with drilling of the lesion and excochleation. Th e pain withdrew immediately after the procedure, and on six-month follow up the patient remained pain free. In the treatment of OO of the CP, we recommend open surgical procedure with tumor ablation by drilling instead of CP resection, presenting a safe, simple and low-cost method that simultaneously completely destroys the lesion and preserves the anatomical and functional role of CP.


Craik J.D.,Epsom and St Helier University Hospitals Trust | El Shafie S.A.,The Elective Orthopaedic Center | Singh V.K.,Epsom and St Helier University Hospitals Trust | Twyman R.S.,Epsom and St Helier University Hospitals Trust
Journal of Arthroplasty | Year: 2015

The risk of revision following unicompartmental arthroplasty (UKA) is greater compared with primary total knee arthroplasty (TKA). Some surgeons report that UKA revision is straightforward with outcomes comparable to TKA. We reviewed all Oxford medial UKAs and TKAs performed at our institution over a five year period. Patient reported outcomes were compared between revised UKAs, successful UKAs and primary TKAs. Out of 546 Oxford medial UKAs, twenty-nine (5.3%) were revised at a mean of 25. months. The commonest indications for revision were aseptic loosening and progression of osteoarthritis. Ten patients (34%) required augments, stemmed implants or bone grafts. Outcomes following revision were poorer than those following successful UKA and primary TKA, and were a consequence of poor pre-operative function rather than the complexity of surgery. © 2014 Elsevier Inc.


Rajakulendran K.,The Royal National Orthopaedic Hospital | Rajakulendran K.,The Elective Orthopaedic Center | Strambi F.,The Elective Orthopaedic Center | Ruggeri R.,Humanitas Clinical and Research Center | And 2 more authors.
Journal of Arthroplasty | Year: 2015

We report the ten-year clinical and radiological outcomes of a novel cannulated, tri-tapered femoral stem, used in primary total hip arthroplasty (110 stems in 98 patients). At ten years, two Tri-taper stems had been revised for infection and dislocation. The mean Oxford Hip Score improved from 13.46 pre-operatively, to 37.04 Radiological analysis revealed radiolucent lines in 57 cases, but none exceeded 2 mm thickness. Stem subsidence was identified in 63 cases, with mean distal tip migration of 3.8 mm. Survivorship with revision for aseptic loosening as the end point was 100% at 10 years. Stem survival with revision for any cause was 98.2% (95% CI, 92.9% to 99.5%). The ten-year results of the Tri-taper stem are comparable to other polished, tapered femoral stems. © 2015 Elsevier Inc.

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