The most common thing that prevents many to publish these are their own inherent sense of skepticism, both for their observation and also on acceptance of their observations by peers. In my interactions with manifold of orthopaedic surgeons, I have realized that such observations and ideas are in abundance and can constitute a great body of literature in itself. ![]() Although an essential prerequisite of such a concept to get published will be its ability to fit into a logical framework of arguments based on currently available experimental data. These ideas can sometimes be purely an idea or a concept without an actual experiment, like a hypothesis. Although a great deal of clinical trial could not detect this particular effect and the implants were allowed to be used on patients, scattered episodes of metallosis lead to more research in the field and development of a causal relationship with hip implants. The best example will be case reports on metallosis following metal on metal hip replacements. These can be in form of a single observation which makes the observer think and when published allows many more to think about it. This definition needs to be expanded to include observations and deliberations that can potentially have a widespread ramification. Such observations and deliberations (or anomalies) are, what we can define as the ‘Epitome of Case Reports’.Ĭase reports in medicine are conventionally assumed to be something of rare occurrence of disease or medical observations. As argued by Thomas S Khun in his book “The Structure of Scientific Revolution” the ‘development-by-accumulation’ model of science is interrupted by episodic accelerations which are sparked by individual observations or thought process. Such happenings occur and define a turning point, which further ramify into organized studies and data accumulation. Be it the famous ‘Apple fall’ leading to proposal of gravity or unexpected growth of mould leading to discovery of Penicillin. ![]() They begin with an a concept (or a case) which forces us to think and deliberate on it. Medical and other scientific literature follow a peculiar repetitive pattern in their (r)evolution.
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