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Orthopedic Reviews

Xinning Li, Natalie M Nielsen, Hanbing Zhou, Beth Ellen Shubin Stein, Yvonne A Shelton, Brian D Busconi
No abstract text is available yet for this article.
December 6, 2018: Orthopedic Reviews
Sheyan J Armaghani, Zachary J Grabel, Catphuong Vu, S Tim Yoon
The purpose of this investigation was to evaluate the variations in the treatment of C1 fractures over time, by age group, and by geographic region using a nationwide database. The Nationwide Emergency Department Sample (NEDS) database was queried to identify patients ≥18 years who sustained C1 fracture from 2006-2012. Patients were filtered based on the intervention they received: collar, halo, or surgery. Regions of hospital used in analysis were defined as Northeast, Midwest, South, and West. Surgical intervention for C1 fracture increased from 27...
December 6, 2018: Orthopedic Reviews
Peter Savov, Henning Windhagen, Carl Haasper, Max Ettinger
Preoperative digital templating in total knee arthroplastiy (TKA) is useful in predicting implant size, the level of bone resections and the need for special implants. This study should evaluate the templating of a rotating hinge prosthesis and the realization of the preoperative plan. Two observers with different experience levels templated 40 cases which received TKA and R-TKA using digital planning on standard preoperative x-rays. The examiners templated all cases independently and were blinded to the component sizes used intraoperatively...
December 6, 2018: Orthopedic Reviews
Cordelia Schott, Sonja Zirke, Jillian Marie Schmelzle, Christel Kaiser, Lluis Aguilar I Fernández
Back pain and diseases of the spine are today a health disorder of outstanding epidemiological, medical, and health economic importance. The cost of care for patients with lumbosciatic complaints are steadily increasing. Accordingly, the guidelines and treatments are constantly renewed. One concept is the orthotic care. In the following we want to give an overview of the literature and the effectiveness of lumbar orthoses in low back pain supplemented by our own data. A prospective randomized study with 230 patients, divided into three groups, each with two subgroups...
December 6, 2018: Orthopedic Reviews
Juergen Steinmeyer, Fritjof Bock, Johannes Stöve, Jörg Jerosch, Johannes Flechtenmacher
The pharmacological treatment of knee osteoarthritis (OA) is a purely symptomatic therapy, which often ensures that the mobility of the patient is successfully retained. This article refers to the recommendations and opinions regarding the pharmacotherapy of knee OA contained in the new guideline of the Association of the Scientific Medical Societies in Germany (AWMF), highlighting several important aspects and describing the considerations underlying the decision-making process. With this article it is hoped that therapeutic effectiveness can be realistically estimated, that any risks of medication errors and avoidable side effects can be reduced, and that further helpful measures can be taken into consideration...
December 6, 2018: Orthopedic Reviews
Benjamin Clippinger, Mark Ayzenberg, Michael Narvaez, Dillon Arango, Corrado Minimo, Joshua Pahys, John Handal
Placement of vancomycin powder into the surgical wound prior to closure has been shown to reduce postoperative infections in spine surgery. This study examines the effect of vancomycin powder on formation of epidural fibrosis (EF). Twenty-two rats underwent a two-level lumbar laminectomy. A control group, a low-dose and a high dose vancomycin powder (applied prior to closure) group was formed. Rats were sacrificed at 30 days and a blinded fellowshiptrained pathologist evaluated the laminectomy segments for EF...
December 6, 2018: Orthopedic Reviews
Nicola Piolanti, Andrea Poggetti, Anna Maria Nucci, Agnese Nesti, Stefano Marchetti, Paolo Domenico Parchi, Michelangelo Scaglione
The purpose was to establish a ranking of the 50 most cited articles about wrist surgery and analyse their features. Science Citation Index Expanded was used to identify the 50 most frequently cited orthopaedic journal articles written in English, searching for the topic "wrist surgery" in the subject category ''Orthopaedics''. Then, we analysed the number of citations, citation density, authorship, article institution, the year of publication, the country of origin of the article, name and impact factor of the journal, and publication type of the article...
December 6, 2018: Orthopedic Reviews
Vilhjalmur Finsen, Sigrun Hillesund, Ida Fromreide
In clinical audits where pre-operative patient-rated wrist and hand evaluation (PRWHE) scores were not recorded, it would be useful if such scores could be recreated at the time of review. We recorded a PRWHE score during the last week before surgery for 143 patients. They were contacted after 21 months and asked to furnish a new PRWHE of the state they were in during the last week before surgery. 80 (56%) of the patients responded. The mean difference was 10 (SD: 20; SEM: 2) higher remembered pre-operative score...
December 6, 2018: Orthopedic Reviews
Anders Sideris, Ali Hamze, Nicky Bertollo, David Broe, William Walsh
An alternative to the gold standard fourstrand hamstring tendon autograft for anterior cruciate ligament (ACL) reconstruction is the five-strand graft. The rationale for its use is to increase graft width to better restore the anatomical footprint and biomechanical properties of the native ACL when unable to create a four-strand graft of 8 mm in diameter. To date, there are no trials assessing the use of this wider graft and its effect on the kinematics of the knee. The aim of this study was to determine whether the use of a wider five-strand hamstring tendon autograft in ACL reconstructive surgery better replicated the kinematics of a normal non-injured knee than the gold standard four-strand graft...
September 5, 2018: Orthopedic Reviews
David G Deckey, Adam E M Eltorai, Joseph A Gil, Alan H Daniels
Rotator cuff surgery is a commonly performed and may lead to malpractice litigation. Despite this, there is a paucity of data evaluating outcomes of malpractice litigation following rotator cuff surgery. A retrospective investigation of the VerdictSearch legal claims database following rotator cuff surgery was performed. Plaintiff demographics, reason for litigation, and the effect of surgical complications were assessed as were the proportion of plaintiff rulings and size of payments. In total, 40 cases were analyzed...
September 5, 2018: Orthopedic Reviews
Govind Shantharam, J Mason DePasse, Adam E M Eltorai, Wesley M Durand, Mark A Palumbo, Alan H Daniels
Spinal epidural abscesses (SEA) can be challenging to diagnose and may result in serious adverse outcomes sometimes leading to neurologic compromise, sepsis, and even death. While SEA may lead to litigation for healthcare providers, little is known about the medicolegal factors predicting case outcome of SEA related litigation cases. Three large medicolegal databases (VerdictSearch, Westlaw, and LexisNexis) were queried for SEA-related malpractice cases. Plaintiff (patient) age, sex, previous infection history and clinical outcomes such as residual paraplegia/quadriplegia, and delay in diagnosis or treatment were examined...
September 5, 2018: Orthopedic Reviews
Ugochukwu N Udogwu, Coleen S Sabatini
Vertical patellar dislocations (VPDs) are a rare event, and even more so among pediatric female patients. There have been less than 30 vertical patellar dislocations reported in the literature since the first in 1844. In this type of dislocation, the patella rotates about its vertical axis with the articular surface facing either medially or laterally. The mechanism of injury for a VPD can be broadly divided into two themes: a twisting injury or direct impact to the medial or lateral edge of the patella. We present a 10-year-old girl with a VPD after experiencing a twisting injury when descending a playground slide...
September 5, 2018: Orthopedic Reviews
Michael-Alexander Malahias, Kulapat Chulsomlee, Fritz Thorey
Several studies have reported that minimally- invasive total hip arthroplasty (MISTHA) may significantly reduce postoperative pain and results in faster postoperative rehabilitation when compared with the traditional lateral or posterior approach. Regarding bilateral hip osteoarthritis, there is still no consensus whether simultaneous bilateral MIS-THA can be established as the treatment of choice. Therefore, we searched the international databases of Pubmed, Medline, and Cochrane Database of Systematic Reviews using the key words minimally invasive bilateral total hip arthroplasty ...
September 5, 2018: Orthopedic Reviews
Benjamin Valley, Christopher Camp, Brian Grawe
Admissions to orthopedic surgery is a highly competitive process. Traditionally measures such as United States Medical Licensing Examination (USMLE) Step 1, class rank, AOA status have been major determinants in the ranking process. However, these traditional objective measures show mixed correlation to clinical success in orthopedic surgery residency. There have been several studies on the cognitive factors and their correlation with success in residency. However, it is clear that residency requires more than objective cognition, emphasizing complex social interactions that are influenced by non-cognitive variables including personality, work ethic, etc...
September 5, 2018: Orthopedic Reviews
Shahryar Noordin, Salim Allana, Kiran Hilal, Naila Nadeem, Riaz Lakdawala, Anum Sadruddin, Nasir Uddin
Osteoid osteoma is a benign bone-forming tumor with hallmark of tumor cells directly forming mature bone. Osteoid osteoma accounts for around 5% of all bone tumors and 11% of benign bone tumors with a male predilection. It occurs predominantly in long bones of the appendicular skeleton. According to Musculoskeletal Tumor Society staging system for benign tumors, osteoid osteoma is a stage-2 lesion. It is classified based on location as cortical, cancellous, or subperiosteal. Nocturnal pain is the most common symptom that usually responds to salicyclates and non-steroidal anti-inflammatory medications...
September 5, 2018: Orthopedic Reviews
Maximilian Lenz, Carolin Meyer, Christoph Kolja Boese, Jan Siewe, Peer Eysel, Max Joseph Scheyerer
Previous studies have shown coherence between obesity and higher rates of complications following spinal surgery. However, there is a lack of information about the influence of obesity and the mass of outer abdominal fat (OAF) on adjacent segment instability after spinal fusion surgery. Radiographs of 194 patients with spinal fusion surgery were assessed retrospectively. Radiographs were performed after surgery during two years' follow-up and signs of adjacent segment instability were documented. Patients were classified regarding their BMI and extent of OAF was assessed using CT at the umbilical level...
June 14, 2018: Orthopedic Reviews
Yehia H Bedeir, Andrew E Jimenez, Brian M Grawe
Retears of the rotator cuff, following operative repair, is not an uncommon event. Various factors have been shown to influence recurrence including the technique of repair. Multiple techniques have been performed with varying results and complications. The repair technique significantly affects the rate and pattern of retears. Although risk of retears with double row and suture bridge techniques is relatively low, medial cuff failure is a potential complication which poses significant challenges when revision repair is undertaken...
June 14, 2018: Orthopedic Reviews
Gordon Mao, Nouman Aldahak, Dorian Kusyk, Matthew Yeager, Daniel Cook, Jeffrey Cameron, Boyle Cheng, Michael Oh
Sacroiliac joint (SIJ) dysfunction and its surgical treatment remain a controversial topic in spine surgery. Determining success after SIJ fusion may be difficult due to preexisting back pain, lumbar fusion (LF), and functional disability. We examine the utility of Oswestry Disability Index (ODI) as a measure of clinical outcomes after minimally invasive SIJ fusion. A retrospective review of 24 patients with at least 12- months follow-up. Patients were divided into two groups based on presence of previous LF...
June 14, 2018: Orthopedic Reviews
Afshin Taheriazam, Amin Saeidinia
Total hip arthroplasty is one of the best treatments for restoring function and activity in young patients with advanced joint diseases. One-Stage Bilateral Total Hip Arthroplasty (BTHA) offers many advantages, which are important to younger patients and diminished costs and time in comparison with sequential THA. There is currently much concern about the safety of this procedure. The current study was designed to provide more information regarding THA in patients aged 30 years old or younger. Between April 2010 and September 2015, arthroplasty procedures were performed on 180 patients at the surgical centers of Erfan and Milad, Tehran, Iran...
June 14, 2018: Orthopedic Reviews
Michael-Alexander Malahias, Dimitrios Chytas, Fritz Thorey
The focal metallic cartilage resurfacing is a surgical method that offers an appropriate step between the biological techniques and arthroplasty in middle-aged patients with full-thickness cartilage defects. The advantages of this technique are that it addresses the defect, respects healthy tissues and provides stability and contoured surface similar to a full arthroplasty. A systematic review was conducted according to Preferred Reporting Items for Systematic reviews and Meta-Analyses (PRISMA) guidelines. Two reviewers (MM and DC) independently conducted the search using the MEDLINE/PubMed database and the Cochrane Database of Systematic Reviews (CDSR)...
June 14, 2018: Orthopedic Reviews
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