Today in the OR, I observed a retrograde percutaneous screw fixation of a left posterior column acetabular fracture in a 63-year-old male. While I wasn’t scrubbed in, it offered a fantastic opportunity to understand the precision and fluoroscopic guidance required for this minimally invasive approach. It is often said that, “Percutaneous fixation is a surgery performed…
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Top Signs Your Foot Injury Needs Medical Attention
Our feet take a beating every single day. They absorb the full force of our body weight, adjust to uneven terrain, and push us forward through thousands of steps. Given that kind of constant demand, foot injuries are almost inevitable at some point in life. A misstep off a curb,…
Fellowship Blog
Drill Bit Breakage During Proximal Interlocking Screw Insertion in IMIL Nailing – A Practical Lesson from the OR
In orthopedic trauma surgery, complications often come unexpectedly which must be dealt critically. even routine procedures can throw a surprise. We came across one such unexpected complication while operating on a case of 23-year-old male with bilateral closed shaft of femur fracture with antegrade intramedullary interlocking (IMIL) nail on left…
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Healthcare Fulfillment in Hospitals: Streamlining Supply Chains for Better Patient Care
A modern hospital runs a lot like a small city. Every second counts, and while doctors and nurses are the visible faces of patient care, an intricate web of logistics hums behind the scenes. This unseen engine is healthcare fulfillment, and its efficiency directly shapes the quality of care patients…
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Why Medical Waste Management Is Critical for Public Health
Medical waste represents a distinct, unavoidable reality of modern healthcare. Every day, from bustling metropolitan hospitals to quiet rural clinics, healthcare organizations generate a significant volume of materials that require careful handling. When managed correctly, this waste poses little threat. Improper disposal creates severe consequences for public health, environmental safety,…
Fellowship Blog
Revision Surgery After Failed Open Reduction in Developmental Dysplasia of the Hip
Re-dislocation rate after primary open reduction: 0-14% [1] Causes and timing of failure of primary surgery: Postoperative period Causes Immediate Approach related, Technical errors Delayed (After 4-6 weeks) Inadequate capsulorrhaphy, Inadequate immobilization Late Abnormal remodeling of acetabulum and femur Across multiple studies, inadequate soft tissue release – specifically the psoas…
PGMEE, MRCS, USMLE, MBBS, MD/MS
Bone Cement : Basic Science
COMPOSITION Powder Liquid Polymer: PMMA Monomer: MMA Initiator: BPO Accelerator: NN-DMPT (Dimethyl paratoluidine; encourage polymer and monomer to polymerize at room temperature) Radiopacifier: BaSO4/ZrO2 Stabilizer: Hydroquinone (prevent premature polymerization) Antibiotics: Gentamicin +/- Cross-linking agent (improves mechanical strength): e.g., ethylene glycol dimethacrylate (EGDMA) POLYMERIZATION MECHANISM Free radical polymerization: Initiator in powder…
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AI-Assisted Clinical Documentation: Practical Applications in Medical Practice
Explore how AI-assisted clinical documentation tools help reduce administrative burden, improve note quality, and support clinical workflows without replacing physician judgment