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        Understanding Painful Hip in Young Adults: A Review Article

        ( Jatinder Singh Luthra ),( Salim Al-habsi ),( Suwailim Al-ghanami ),( Soubhik Ghosh ),( Khamis Al-muzahemi ) 대한고관절학회 2019 Hip and Pelvis Vol.31 No.3

        A wide number of disorders, including pathologies outside the hip, can cause and refer pain to hip. However, determining the cause of a painful hip can be a major challenge to orthopedic surgeons. Failure to diagnose and appropriately investigate pathologies of the hip in adults may result in delayed management and prolonged patient morbidity. A systematic approach to investigating the etiology of hip pain in adults (e.g., history, careful clinical and radiographic examination), will help identify the majority of clinically important pathologies which can cause hip pain. Conservative treatment and selective use of injection therapies has proven quite successful for the treatment of most causes of hip pain.

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        Management of the Leaky Wound After Arthroplasty: A Review

        Luthra Jatinder Singh,Habsi Salim AL 대한창상학회 2023 Journal of Wound Management and Research Vol.19 No.3

        Total knee and hip arthroplasty are widely performed surgeries for end stage osteoarthritis with highly successful outcomes. However, prolonged postsurgical wound drainage leads to slower healing and predisposes to periprosthetic joint infection. Persistent wound discharge after joint arthroplasty affects patient satisfaction and outcome measures, can cause unexplained re-admissions, and increases the cost burden on the health system. Preventive measures are crucial and include preoperative nutritional assessment, achieving adequate hemostasis, minimizing dead spaces and watertight wound closure. Monitoring these patients with serial C-reactive protein levels is strongly recommended. Many management strategies have been described for such complications, including cessation of deep venous thrombosis prophylaxis, dressings and wound care, antimicrobial therapy, surgical washout and polyethylene insert replacement. However, these conditions are not addressed thoroughly in the literature and optimal management protocol for such complications is still lacking. This article aimed to review the best available literature to date and summarize the findings to help physicians treating these wounds develop objective guidelines in identifying and managing such conditions.

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