Background: Total knee arthroplasty is a common procedure for treatment of various non-infective arthritis. This study reviewed total knee arthroplasty cases up to 10 years of follow-up for the survival rate, reasons of revision and associated perioperative risk factors for revision. Methods: All cases to total knee arthroplasty performed in a single centre in the years 2007 and 2008 were reviewed. A total of 227 cases of total knee arthroplasty were performed during the 2-year period, with 156 cases followed up to 10 years. Perioperative information, follow-up information and information of possible complications were obtained. Results: The survival rate of total knee arthroplasty in this study is 98.2% at 5 years and 94.2% at 10 years of follow-up. The early post-operative complication rate was low, and majority of cases had improvement of function at 1 year after the operation. Early post-operative infection rate was low at 0.4%, and overall infection up to 10 years of follow-up was also low at 4.4%. Ten cases had undergone revision of arthroplasty by 10 years after operation. Conclusion: The survival rate of total knee replacement was high. The revision rate and infection rates were low up to 10 years of follow-up. The most common reasons of revision arthroplasty were infection and aseptic loosening. Cases which required revision arthroplasty had significantly longer operative duration compared with cases without revision at 10 years of follow-up ( p = 0.01).

a b s t r a c tBackground: Preoperative templating is essential for the planning of total hip replacement. Digital templating has gained popularity due to the availability of digital images. Scaling is the critical step that calibrates magnified digital images to the actual dimension, for subsequent digital templating. We compared the accuracy of two scaling methods: (1) radiological marker; and (2) fixed magnification factor. Methods: Forty-five postoperative radiographs in 21 patients who had undergone either total hip replacement or hip hemiarthroplasty were evaluated. The sizes of femoral head components in the digital radiographs were estimated using the two scaling methods. The estimated values were then compared to the true values stated in operation records. The absolute error (AE) and relative error (RE) of both scaling methods were calculated and compared. Results: Both the mean AE and RE were smaller in Method 2 (fixed magnification factor), and were statistically significant (p < 0.05). Conclusion: We recommend fixed magnification factor as the scaling method for digital templating.

We report a rare case of thumb boutonniere deformity secondary to closed rupture of thumb flexor pulley. The postulation of the development of boutonniere deformity, anatomical and biomechanical basis, and current treatment options are discussed.