WebLog Journal of Orthopaedics

A six‑year‑old girl presented with a left‑sided abdominal mass and a non‑functioning left kidney, initially diagnosed radiologically as Wilms’ tumor. Intraoperatively, the kidney was found to be compressed—not invaded—by a massive, benign‑appearing retroperitoneal tumor. The mass was excised with preservation of the kidney. Unrecognised extension of the tumor through the lumbar intervertebral foramen resulted in a postoperative spinal epidural hematoma, causing acute paraparesis. Emergency…

Lateral epicondylitis or tennis elbow is a painful and functionally limiting entity affecting the upperextremity and is frequently treated by hand surgeons. Corticosteroid injection is one of the most common interventions for lateral epicondylitis or tennis elbow. Here, a review of the medical literature on this treatment is presented.

Keywords: Tennis Elbow; Steroid

Regenerative medicine encompasses emerging biologic interventions including platelet-rich plasma (PRP), mesenchymal stem cell (MSC) therapies, and tissue engineering approaches that harness growth factors and cellular biology for musculoskeletal repair. While individually effective, recent evidence demonstrates that combining regenerative therapies with evidence-based physiotherapy protocols produces superior functional outcomes, sustained pain relief, and structural tissue regeneration…

Background: Meniscus degeneration is the gradual breakdown of cartilage in the knee that could lead to osteoarthritis. Female athletes in high-impact sports are at an increased risk, but the underlying reason for this is unknown. The deficiency of sex hormones (i.e, Estrogen) is known to influence connective tissue and joint health. Still, the impact of elevated hormones, such as those from oral contraceptives and hormone replacement therapy, is unknown. The study aims to…

Background: While femur fractures typically affect the elderly, HIV-positive patients with end stage renal disease (ESRD) are at an accelerated risk due to prolonged antiretroviral therapy (ART) use and bone loss. The combined impact of these factors on fracture trends remains under-explored.

Objective: To evaluate the association between femur fractures and the coexistence of HIV and ESRD, and to analyze trends in fracture incidence and…

Background: Ketamine is widely used as an anesthetic adjunct in total knee arthroplasty (TKA), yet its association with surgical revision and postoperative analgesic exposure remains unclear.

Objectives: To evaluate the association between intraoperative ketamine and one-year revision surgery as well as early postoperative analgesic exposure following primary TKA.

Methods: We conducted a retrospective,…

Background: Polycystic ovarian syndrome (PCOS) is a common endocrine disorder in reproductive age women and has been associated with alterations in bone metabolism. However, the clinical impact of PCOS on fracture risk remains unclear, particularly in patients with coexisting uterinefibroids.

Methods: We conducted a retrospective cohort study using the Global Collaborative Network database. Women aged 15–45 with both PCOS and uterine fibroids…

Background: Tranexamic acid (TXA) is widely used in orthopedic surgeries to reduce blood loss, but concerns persist regarding its association with thromboembolic complications. This study aimed to compare the incidence of thromboembolic events in patients undergoing spine, knee, or hip surgeries with and without perioperative TXA administration.

Methods: Using TriNetX, a federated electronic health record network, we identified 406,609 matched…

Background: Coxa vara in children is a rare but functionally disabling complication following femoral neck fractures, often arising from malunion or growth disturbances. Correction requires addressing both mechanical alignment and physeal orientation to prevent recurrence. This report highlights a successful intertrochanteric valgus osteotomy using a proximal femoral locking plate in a young child with post-traumatic coxa vara.

Case Presentation: A…

Background: The human leukocyte antigen (HLA) system is central to immune recognition, orchestrating the distinction between self and non-self-antigens. Its significance in orthopaedics has gained increasing attention due to its involvement in autoimmune disorders, tissue transplantation, and implant-related complications.

Methods: This review synthesises evidence from published literature on the structure, function, and polymorphism of HLA genes…