Islam Nassar - Ballarat Health Services - Orthopaedic Surgeon

Islam Nassar

Ballarat Health Services

Orthopaedic Surgeon

Ballarat, Victoria | Australia

Main Specialties: Adult Reconstructive Orthopaedics, Foot & Ankle Orthopaedics, Orthopaedic Sports Medicine, Orthopaedic Trauma, Orthopaedics

Additional Specialties: Arthroplasty and Sports Medicine

Islam Nassar - Ballarat Health Services - Orthopaedic Surgeon

Islam Nassar

Introduction

Primary Affiliation: Ballarat Health Services - Ballarat, Victoria , Australia

Specialties:

Additional Specialties:

Research Interests:

Publications

4Publications

144Reads

5Profile Views

Rapid recovery following hip and knee arthroplasty using local infiltration analgesia: length of stay, rehabilitation protocol and cost savings.

ANZ J Surg 2020 03 20;90(3):355-359. Epub 2020 Jan 20.

Ballarat Health Services (Ballarat Base Hospital), St John of God Hospital, Ballarat, Victoria, Australia.

Background: We implemented local infiltration analgesia (LIA) as a technique of providing post-operative pain management and early mobilization after arthroplasty surgery and have progressively found patients able to go home earlier. This study compares the national data on hip and knee arthroplasty provided by the Royal Australasian College of Surgeons and Medibank Private with our outcomes using LIA and rapid recovery.

Methods: Prospective study of one surgeon including 200 knees, and 165 hips in the two years till June 2016. Variables included in comparison to the two groups were: length of stay, percentage of patients transferred to rehabilitation or intensive care unit (ICU), readmitted within 30?days and average separation cost.

Results: Hip replacement median length of stay in our series was two nights versus five nights, inpatient rehabilitation 7% versus 36%, ICU admission zero versus 4%, and readmissions 3.9% versus 6.0%, the average hospital separation cost in our series was $17?813 versus $26?734. Knee replacement median length of stay in our study was one night versus five nights, ICU 0.5% versus 3%, rehabilitation 4.5% versus 43%, and readmission 6% versus 7%, the average hospital separation cost in our group was $16?437 versus $27?505.

Conclusion: The comprehensive approach of LIA and rapid recovery enables patients to have shorter hospitalization, lower rehabilitation incidence and a resultant reduction in health expenditure.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1111/ans.15663DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC7079075PMC
March 2020
1.118 Impact Factor

The Use of Impaction Bone Grafting in Total Hip Arthroplasty Following Acetabular Fractures

Elsayed Morsi, et al. (2019). The Use of Impaction Bone Grafting in Total Hip Arthroplasty Following Acetabular Fractures. CPQ Orthopaedics, 3(2), 01-08.

CpQ

PurposePatients suffering from osteoarthritis of the acetabulum after acetabular fractures often require a total hip arthroplasty. Reconstruction of acetabular bone loss in these cases is challenging. The aim of this work was to evaluate the results of mid-term follow-up using impaction bone grafting (IBG) and a cemented cup.Patients and MethodsThis work included 43 patients with post-traumatic osteoarthritis of the acetabulum and bone loss after acetabular fractures. Two patients were lost to follow-up. The remaining 41 patients consisted of 15 males and 26 females. Mean age was 69 years. The right hip was affected in 21 patients, while the left hip in 20. All patients were treated by total hip arthroplasty using IBG technique, Kerboul ring, and a cemented cup. Patients were evaluated clinically using Harris hip score and radiologically. Mean follow up was 4.1 years (range 3-7).ResultsAt an average 4.1 years follow up, there was 100% implant survivorship and no evident risk for revision.The mean postoperative Harris hip score was 92.1 (range 61-95).Bone graft was completely incorporated in the acetabulum in all cases.Two patients had Brooker type I heterotropic ossification.ConclusionAcetabular reconstruction with impaction bone grafting using kerboul ring and a cemented cup after acetabular fracture is a reliable technique with acceptable mid-term results.

View Article
June 2019
8 Reads

Why Do Patellofemoral Stabilization Procedures Fail? Keys to Success.

Sports Med Arthrosc Rev 2017 Mar;25(1):e1-e7

*Faculty of Health and Life Sciences, Northumbria University, Newcastle upon Tyne ‡Croydon University Hospital, London Road, Croydon §South West London Elective Orthopaedic Centre, Epsom & St Helier University Hospitals NHS Trusts, Surrey, UK †El-Hadara Hospital, Alexandria University, Alexandria, Egypt.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JSA.0000000000000135DOI Listing
March 2017
5 Reads
1.977 Impact Factor

Failure of Bone Marrow Stimulation Techniques.

Sports Med Arthrosc Rev 2017 Mar;25(1):2-9

*Department of Orthopaedic Surgery, Rush University Medical Center, Chicago, IL †El-Hadara University Hospital, Alexandria University, Alexandria, Egypt.

View Article

Download full-text PDF

Source
http://dx.doi.org/10.1097/JSA.0000000000000134DOI Listing
March 2017
139 Reads
1.977 Impact Factor

Top co-authors

Rachel M Frank
Rachel M Frank

Rush University Medical Center

1
Brian Cole
Brian Cole

Rush University Medical Center

1
Deiary F Kader
Deiary F Kader

Queen Elizabeth Hospital

1
Bobby Anand
Bobby Anand

Institute of Orthopaedics & Royal National Orthopaedic Hospital

1
David Mitchell
David Mitchell

Technische Universität München

1
Nick Caplan
Nick Caplan

Northumbria University

1
Julie Fahey
Julie Fahey

Ballarat OSM

1