British Journal of Medical and Health Research

Abstract Introduction Protrusio acetabuli secondary to rheumatoid arthritis (RA) presents a complex reconstructive challenge during total hip arthroplasty (THA), particularly in the presence of medial wall deficiency and osteoporotic bone. Restoration of hip biomechanics and medial support is essential to prevent cup migration and recurrence of protrusion. Case Report A 75-year-old female with long-standing RA presented with bilateral end-stage hip arthritis and advanced protrusio acetabuli. Radiographs demonstrated Tönnis grade 3 osteoarthritis and Sotelo-Garza grade 3 (left) and grade 2 (right) protrusio. Intraoperatively, Paprosky Type 2C medial wall defects were identified. Staged bilateral cemented THA was performed using titanium mesh and impacted morselized autologous femoral head graft prior to cementation of the acetabular component. Results At five-year follow-up, radiographs demonstrated graft incorporation and restoration of the hip center without evidence of cup migration or loosening. Harris Hip Score improved from 36 preoperatively to 86 at final follow-up. Conclusion Titanium mesh combined with impacted autologous cancellous graft provides a biologically favorable and cost-effective option for medial wall reconstruction in rheumatoid protrusio acetabuli undergoing cemented THA.

Inferior alveolar nerve (IAN) injury is a recognized complication of mandibular third molar surgery, with significant implications for patient quality of life and medicolegal considerations. The purpose of this systematic review was to evaluate the reported incidence of IAN injury following mandibular third molar extraction and to summarize associated clinical and radiographic risk factors. Materials and Methods A systematic search of PubMed/MEDLINE, Scopus, and the Cochrane Library was conducted in accordance with PRISMA 2020 guidelines. Studies reporting the incidence of IAN injury following surgical removal of mandibular third molars were included. Data regarding study design, sample size, follow-up duration, and reported incidence of temporary and permanent IAN injury were extracted and analysed qualitatively.

Background: Paediatric dermatoses contribute substantially to childhood morbidity and impaired quality of life, yet data from resource-poor settings remain limited. This study describes the age‑specific and geographic distribution of dermatoses in children attending dermatology clinics in suburban and semi‑urban centres in Southwestern Nigeria Results: Among 589 children (mean age 7.9±4.8 years; 53.7% male), non-infectious dermatoses (71.1%), particularly eczematous (29.2%) and hereditary disorders (10.2%) predominated. Infectious dermatoses (36.8%) were significantly more common among children aged 0–11 years (p=0.012). Fungal infections peaked among school-aged children (p=0.013), while viral dermatoses were most frequent in preschool-aged children (p<0.001). Children in the suburban cohort had significantly higher odds of infectious (OR=1.72; 95% CI 1.18–2.50; p=0.004) and eczematous dermatoses (OR=1.72; 95% CI 1.15–2.56; p=0.008). Whereas hereditary skin conditions (OR = 0.60; 95% CI 0.34–1.03; p = 0.061) and papulosquamous dermatoses (OR = 0.60; 95% CI 0.33–1.06; p = 0.098) were more frequently observed in the semi‑urban setting Conclusion: Eczematous dermatoses dominate paediatric-dermatology consultations in Southwestern Nigeria, with distinct age and geographic patterns. Early‑childhood programmes should prioritise recognition and management of infectious and eczematous conditions, while school health services should strengthen fungal screening and treatment.