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Case Report 

Fishing in the Dark: Retrieving Broken Instruments during a Spinal Lumbar Discectomy

Matthew Lee, Andrew Moriarity and Mr Gerald McCoy

Abstract

The equipment utilized in surgical operations must be durable and safe. Regular checks to ensure no signs of wear or fatigue (that may result in failure) should be incorporated into the sterilising and repackaging process. We present a case of equipment failure resulting in a lost foreign body during a lumbar spine discectomy and subsequent difficult retrieval. The potential consequences of such events may be profound for both the patient and the operating team.

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Systematic Review 

Ultrasound Guided Standalone Percutaneous Needle Tenotomy for Chronic Lateral Epicondylitis: A Systematic Review

Enrico Casu and Marina Obradov-Rajic

Abstract

Lateral epicondylitis is the most frequent cause of pain in the elbow. It is 7-10 times more frequent than medial epicondylitis, and one of the most common musculoskeletal disorders, affecting 1-3% of the adults each year. It is most prevalent in the working age population and usually affects the dominant arm.

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CASE REPORT 

Seqex Therapy in Osteonecrosis of the Femoral Head: A Case Report

Manuel Bondi, Matteo Benedini, Antonio Zanini and Andrea Pizzoli

Abstract

The cause of non-traumatic Avascular Necrosis of the femoral head (AVN) is unknown in a large proportion of cases. Unless diagnosed early and treated appropriately, it can progress to collapse of the femoral head leading to early degenerative arthrosis.

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CASE REPORT 

Perforation of the Adjacent Vertebral Body by Interbody Cage during Posterior Lumbar Interbody Fusion: A Case Report

Seung-Ju Kim, Joonghyun Ahn and Gun Woo Nam

Abstract

While Posterior Lumbar Interbody Fusion (PLIF) is routine within the spinal surgeon's repertoire, it is surgery with the potential to cause significant associated complications. In particular, cage migration and cage subsidence are often reported.

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Case Report 

Does Long-Term Alendronate Therapy May Lead to Atypical Femoral Fracture near the Hip Prosthesis?

De Li, Hui Wang, Chenglong Wang, Zhuokai Li, Lei Fang, Xiaodong Chen and Feng Yin

Abstract

Osteoporotic fractures are a major public health problem, affecting millions of people worldwide, with oral bisphosphonates favored for their prevention and treatment. Bisphosphonate is a potent inhibitor of osteoclast-mediated bone resorption and is widely used as first-line therapy for the prevention of osteoporotic fractures.

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