Contributory factors highlighted in the Inquiry report included styles of management based on bullying and harassment, the priority given by the board to meeting externally imposed waiting times targets, low staff morale, ongoing financial difficulties, reduction in staffing, a lack of openness about the hospital's business, and the acceptance of poor professional standards and practice [ 3, 4].
Difficult exposure of the tibia due to soft tissue scaring, patellar mechanism eversion difficulties, reduction of the amount of tibia bone stock, tibia plateau tilting, retained osteosynthesis and subacute infection are technical points to be dealt with when performing a total knee arthroplasty (TKA) after proximal tibia osteotomy [ 2].
A totally displaced fracture is one of the most difficult fractures to manage because of marked swelling, difficulty in reduction and maintaining the reduction until healing takes place.
(1) The external fixator should be assembled preoperatively under the image intensifier control in order to decrease the difficulty of reduction.
Knowledge KAP: given 1 point for each of the following symptoms identified with bird flu by poultry farmer: Sudden or unexpected death of healthy birds Ruffled feathers Minimal food intake Swollen or bluish comb Bloody diarrhea Difficulty breathing Reduction of ceasing of egg production.
Acetabular dysplasia and flattened femoral head that is aggravated with increasing age, lead to difficulty of reduction.
TAC was added because of difficulty in reduction of PSL in 12 patients and recurrence with corticosteroid-induced complications in the remaining 3.
The reason for adding TAC was difficulty in reduction of oral PSL in 12 patients and recurrence of either muscle symptoms or CK elevation in 3.
Concerns of the technique include the difficulty of reduction and potential for malunion because apposition may not be colinear with respect to the osteotomy cut [ 1, 3].
These lesions could be related to the initial traumatic dislocation and recurrent episodes, to the difficulty in reduction, and to the healing process within the injured muscle.
