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EPCAT III tadqiqoti (12 Iyun 2026) 81 mg Aspirin vs 5 kun 10 mg Rivaroxaban so’ng Aspirin (chanoq son - 35/tizza 14 kun davomida) guruhi taqqoslanganda (Multicentre, double-blind, randomized controlled trial) aytarli farq topilmadi. Ja’mi 5429 ta bemor ishtirok etgan, o’rta yosh kichik emas - 66. A randomized trial strengthens the case for aspirin for venous thromboembolism prophylaxis after hip or knee replacement. ©️NEJM

Хотиржам руҳиятга эга беморлар чаноқ-сон амалиётидан кейин тезроқ тикланади. - Cody C. Wyles, MD. ©️JBJS

Чаноқ сон атрофидаги периацетабуляр остеотомиялар. Бу остеотомиялар амалиётда “ўзлаштириш эгри чизиғи” энг узоқ муддатлиси бўлса керак.

Латерал релиз бўйича амалдаги тавсиялар геникуляр артерияларнинг мавжудлигини тан олади, аммо уларни қаердан излашни айтмайди - хирург одатда томирларни кўрмай релиз қилади. Мақолада ушбу академик бўшлиқни камхарж усул ёрдамида, усталик билан тўлдирилган. - оригинал ғоя. Юқори импакт факторга эга жураналларда мақола чоп этиш учун доим ҳам катта маблағ керак эмас, ғоя ва метод кўп нарсани ҳал қилади. Ресурс камлигини маълумот сифати ва методологик интизом билан қоплаш керак бўлади. Рецензент кичик намунани кечириши мумкин, аммо ноаниқ методни — йўқ! Ватанимизда шундай сифатли ишлар кўпаяверсин! Мақолага ҳавола қолдираман. Ўқинг ва завқланинг. (с) https://link.springer.com/content/pdf/10.1007/s00264-023-05977-6.pdf

МРТ карпал тунел синдроми учун яхши яроғ бўлиб чиқмади. - Robert R. et.al. ©️JBJS

Кейинги авлод кейджлар (expandable) эндоскопик “fusion” имкониятларини кенгайтириши, радиация миқдорини камайтириши, бора-бора эндоскопияни “қўли баланд” келишига хизмат қилиши мумкин. Фақат энди буни исботлаш керак. Next-generation expandable cages could expand the capabilities of endoscopic fusion, reduce radiation exposure, and ultimately give endoscopy the upper hand over time. Now, this just needs to be proven. ©️CAYOTSS

📰JOURNAL CLUB N27🎉 Topic: Effects of an Exercise-Assisting Mobile App (Osteoarthritis- Rehabilitation Assistant [O-RA]) on Rehabilitation Outcomes in Older Adults: Randomized Controlled Parallel Clinical Trial Presenter: Fazliddin Mutalibjonov / MD 📆Date & Time: 7 August, 07:30 AM (UZT, UTC+5) Location: Akfa Medline University Hospital, 4th Floor, Orthopedics and Traumatology Department Online Participation: https://calendar.app.google/HAahGLQSpgkq5qTt5 Mavzu: Keksa yoshdagi bemorlarda reabilitatsiya natijalariga jismoniy mashqlarni qo‘llab-quvvatlovchi mobil ilova (Osteoarthritis-Rehabilitation Assistant [O-RA])ning ta’siri: randomizatsiyalangan, nazoratli, parallel klinik tadqiqot. Taqdimotchi: Fazliddin Mutalibjonov / MD 📆Sana va vaqt: 07-avgust, soat 07:30 (UZT, UTC+5) Manzil: Akfa Medline University Hospital, 4-qavat, Ortopediya va Travmatologiya bo‘limi Onlayn ishtirok etish: https://calendar.app.google/HAahGLQSpgkq5qTt5

Бўғим-сақловчи бойлам жарроҳлигида ўз вақтида “тормоз”ни босиш санъати: чегараларни тан олиш ҳамда “яҳшининг душмани - яҳшироқ” тамойили ҳақида. - мақола. ©️CAYOTSS

Flexion contracture in knee OA Two components, and they behave differently. Structural Posterior femoral and tibial osteophytes tenting the capsule; posterior capsular fibrosis; posterior condylar bone loss with reduced condylar offset; meniscal extrusion or root insufficiency; adaptive hamstring/gastrocnemius shortening. Often a compensatory hip flexion contracture or equinus above and below. Pain-mediated Capsular volume is maximal and intra-articular pressure minimal near 30°. Add synovitis with reflex hamstring spasm and arthrogenic quadriceps inhibition — an extensor lag that consolidates into fixed deformity. Whatever persists under anaesthesia is capsule and bone. Preoperative contracture >15° is the strongest predictor of residual contracture at one year. Correct it on the table, not in physiotherapy.

Tibial slope — bu katta boldir suyagi platosining sagittal tekislikda proksimal-distal yo’nalishda og’ish burchagi bo’lib, lateral rentgenogrammada o’lchanadi. Norma 7°–10° oralig’ida (ba’zi manbalarda 0°–14°) bo’lib, ushbu ko’rsatkich tizza bo’g’imi biomexanikasi va oldingi kesishgan boylam (ACL) ustidagi yukni belgilovchi faktor hisoblanadi. Posterior tibial slope 12°dan yuqori bo’lganda anterior tibial translation kuchayadi va ACL uzilishi hamda menisk jarohati riski ortadi, shu bilan birga past yoki manfiy slope osteoarthritni rivojlanishiga sharoit yaratadi. ©️ https://pmc.ncbi.nlm.nih.gov/articles/PMC10441937/pdf/43465_2023_Article_947.pdf

Менискни тиклаш амалиётидан сўнг қайта операция эҳтимоли уни қисман резекциясига нисбатан каррасига кўп деб топилмоқда. - KSSTA ©️CAYOTSS

Lateral Femoral Notch Sign (“Deep Sulcus Sign”) On MRI What it is: An abnormally deep osteochondral impaction defect on the lateral femoral condyle, at the terminal sulcus (junction of the patellofemoral and tibiofemoral articular surfaces). Mechanism: During the pivot-shift injury that tears the ACL, the lateral femoral condyle impacts against the posterior rim of the lateral tibial plateau as the tibia subluxates anteriorly. This creates a bone bruise or frank notch/depression on the condyle. Imaging: Best seen on lateral knee X-ray or sagittal MRI Normal sulcus depth: <1 mm 1.5–2 mm depth is highly specific for ACL tear Often paired with “kissing” bone bruises: lateral femoral condyle + posterolateral tibial plateau Clinical relevance: Specificity approaches ~90%+ when depth criteria met, though sensitivity is limited (present in a minority of ACL tears)

Кичик болдир нерви жароҳатининг эҳтимолий жароҳатлари ҳақида. ©️CAYOTSS

Олдинги крестсимон бойлам реконструкциясидан кейин букулиб-ёзилувчи брейс тавсия қилишнинг натижаларга таъсири йўқ деб топилди. - Napatpong ва б., мета таҳлил, AANA. ©️CAYOTSS

Excellent educational video on shoulder anatomy and deltopectoral approch used for most shoulder surgeries by Dr. Lawrence V. Gulotta from Hospital for Special Surgery (HSS) demonstrated on a cadaver specimen https://youtu.be/3WZLQ9BIBXY?si=yt0pod16qv5IzJKr Important concepts * What is "Tiger country" - what areas are dangerous * Is the long head tendon of the biceps a vertigial tendon * "Three sister" veins * How to access the GH joint for shoulder arthroplasty, capsular tightening, open bankart repair * How to avoid damaging axilary nerve * Bankart retractor to access the glenoid * After shoulder surgery if joint is accessed, the surgeon should let the subscapularis tendon heal (с) CAYOTSS

Синтетик ва аутологик олд-ён бойлам реконструкцияси натижалари кинематик нуқтаи назардан фарқ қилмаган. - Ying et. al., KSSTA. ©️ CAYOTSS

26th JC presentations