1.Knee subchondroplasty for management of subchondral bone cysts: a novel treatment method.
Gerald Joseph ZENG ; Wei Sheng FOONG ; Tjiauw Tjoen Denny LIE
Singapore medical journal 2021;62(9):492-496
Knee subchondroplasty (SCP) is one of the most novel minimally invasive methods for treating bone marrow lesions. The literature suggests that it is safe, with few complications and good outcomes. However, no studies have documented its usage for managing large subchondral bone cysts. This article outlines a case report and details the pearls and pitfalls of SCP in treating large subchondral bone cysts. Our patient underwent arthroscopic debridement with medial femoral condyle SCP. Mild posterior extravasation of synthetic bone substitute was observed on Postoperative Day 1, which was immediately rectified on revision arthroscopy. Gradual escalation of weight bearing and good pain relief were subsequently achieved, and the patient has remained complication-free after two years. No further extravasation were observed on repeat radiography. SCP is a feasible temporising measure that may help to delay the need for bone allograft or immediate knee arthroplasty in younger patients while retaining function and delaying loss of productivity.
2.Demographics of healthcare professionals’ knowledge and attitude toward deceased organ donation: Survey of critical care areas in a tertiary hospital
James William Foong ; Ong Jea Sheng ; Oo Wei Loon ; Mohammad Moshaddeque Hossain ; Nirmala Devi Baskaran ; Hasdy Haron ; Manoj Valappil ; Raghu Varadarajan
The Medical Journal of Malaysia 2019;74(2):109-115
Introduction: Organ donation rate in Malaysia is amongst
the lowest in the World. Healthcare professionals (HCPs)
working in critical care areas play an important role in the
deceased organ donation (DOD) process. This study seeks
to identify the demographics of HCPs working in the critical
care areas and their knowledge and attitudes toward the
DOD process.
Method: A cross-sectional survey on the demographics,
knowledge and attitudes of the doctors and nurses working
in critical care areas was undertaken by the random
sampling method, using a validated, structured
questionnaire. HCP’s knowledge and attitudes towards brain
death (BD), DOD, organ transplantation (OT), and
possession of organ donor card were compared against
their demographics.
Results: Four hundred and twelve (72.9%) out of the total
565 HCPs in critical care areas responded of whom 163
(39.6%) were doctors and 249 (60.4%) were nurses. After
adjusting for other factors, department of work and
profession were highly correlated with the overall
knowledge score (p<0.001 and p=0.003 respectively) and
knowledge about BD (p<0.001 and p=0.013 respectively).
HCPs from the neurosurgical intensive care unit (p<0.001)
and doctors (p<0.001) had higher mean knowledge scores
compared to their counterparts. Profession was most
significantly correlated with having a positive attitude
towards BD (p<0.001) and OT (p<0.001).
Conclusion: Department, profession and ethnicity were the
demographic characteristics that correlated with knowledge
and attitudes of HCPs on organ donation. Efforts to improve
DOD rates in Malaysia should include targeted interventions
to address the knowledge and attitudes of HCPs working in
critical care areas.