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Journal of Orthopaedics

John Attenello, Sean Chan, Kelvin Naito, Michele Saruwatari, Sean Saito, Samantha Andrews, Cass Nakasone
This study examined early perioperative complications and subsidence following total hip arthroplasty (THA) with a short femoral stem. A retrospective review of 207 consecutive patients (247 hips) having undergone THA via the direct anterior approach produced only six perioperative complications: two intraoperative fractures, three perioperative femur fractures and one dislocation. Subsidence greater than 5 mm was observed in four hips but subsidence did not progress greater than 3 mm at the latest follow-up...
March 2019: Journal of Orthopaedics
Sebastian Lippross
Plating of distal radius fractures is a common procedure. Especially in busy practices the procedure is mostly performed by a single surgeon. By the use of a distance holder screw in the most proximal hole of the shaft of an angular stable distale radius plate a Lever arm can be created that allows indirect reduction of a dorsal ly displaced distal radius fracture. The method described here may facilitate the Operation in that the articular block can be securely fixed while the plate is stable centered on the shaft of the radius...
March 2019: Journal of Orthopaedics
Jonathan H Garfinkel, Brian P Gladnick, Cole S Pachter, Niall H Cochrane, David W Romness
Objective: To investigate patient factors influencing length-of-stay (LOS) after revision metal-on-metal (MoM) total hip arthroplasty (THA). Methods: We reviewed 23 hips undergoing revision of a MoM THA with minimum 2-year follow-up. A multiple linear regression was calculated to predict LOS using multiple variables. Results: Average length of stay (LOS) was 2.1 days. Multiple linear regression analysis identified a significant correlation between presence of an abductor injury (beta = 0...
March 2019: Journal of Orthopaedics
Rahul Mohan, P N Unnikrishnan, Harvey George, Alfie Bass, Satish Vinayaka Rao Dhotare, Jayanth S Sampath
No abstract text is available yet for this article.
March 2019: Journal of Orthopaedics
Takenori Tomite, Hidetomo Saito, Hiroaki Kijima, Kimio Saito, Hiroshi Tazawa, Noriyuki Ishikawa, Naohisa Miyakoshi, Yoichi Shimada
Objective: Sagittal alignment of the tibia following total knee arthroplasty (TKA) can affect various factors, such as durability, range of motion, stability, and even kinematics. The aim of the present study was to investigate whether taking plain preoperative lateral leg X-ray images to plan the posterior tibial slope can give an insert placement with more accurate sagittal alignment. Methods: A total of 100 patients who underwent total TKA with posterior-stabilized prostheses...
January 2019: Journal of Orthopaedics
Scott Gleason, David Mehl, William Payne, Steve Parry, Amy Buros Stein
Absorbable hemostats such as microporous polysaccharide hemospheres (MPH) are used to manage hemostasis and prevent complications in total knee arthroplasty (TKA). We aimed to determine safety and effectiveness of MPH use in TKA. Records were reviewed for blood loss, hematomas, and infections. No differences existed regarding demographics, superficial infections (P = 0.933) or hematomas (P = 0.393). Positive correlation existed between hematoma and superficial infection (P = 0.009). Blood loss was greater in the treatment group (P = 0...
January 2019: Journal of Orthopaedics
Benjamin Wheatley, Kyle Nappo, Jesse Fisch, Laura Rego, Molly Shay, Christopher Cannova
Patient-specific implants have been linked to stiffness. The purpose of this study was to evaluate outcomes in patient-specific implants. We performed a retrospective review with a primary outcome of manipulation under anesthesia (MUA); secondary outcomes included Knee Society Scores (KSS), Knee Society Functional Scores (KSFS), range of motion (ROM), and Forgotten Joint Scores (FJS). Pre-operative measurements were similar in both groups. There was one MUA in the CPS and two in the OTS groups. There was no difference in postoperative scores...
January 2019: Journal of Orthopaedics
K Aaron Shaw, Colleen M Moreland, Dana Olszewski, Tim Schrader
The Pavlik method is the most common method used for treatment of developmental dysplasia of the hip (DDH). Late acetabular dysplasia despite successful treatment, however, has had varied reporting. A systematic review was performed, investigating the long-term outcomes of DDH treated with the Pavlik method. Seventeen studies met inclusionary criteria, including 6029 hips treated with an average of 5.29 years follow-up. Radiographic evidence of late dysplasia was present in 280 hips, with 109 hips requiring additional surgery...
January 2019: Journal of Orthopaedics
Alexander Soneru, John F Sarwark
Purpose: The overall benefits of ACL reconstructive surgery in young athletes has been previously established. Graft selection for ACL reconstruction, specifically in this population however, remains controversial. The literature is limited and long-term survival rate of allograft ACL reconstruction in the adolescent population remains poorly defined. Current evidence, none level I, appears to demonstrate increased failure and subsequent revision rates in allograft reconstruction of complete ACL tears compared to autograft; 7-35% compared to 3-13% respectively...
January 2019: Journal of Orthopaedics
Shankar Thiagarajah, Graeme E Hancock, Edward J Mills, Jonathan C McGregor-Riley, Simon L Royston, Michael G Dennison
Objectives: We aimed to report outcomes of Bicondylar Tibial Plateau (BTP) fractures treated using Ilizarov fixation, and identify risk factors for developing post-traumatic radiographic osteoarthritis (ROA). Methods: Retrospective study of 80 BTP fractures managed with Ilizarov fixation. Results: All fractures united, with only 3 cases of deep infection. ROA was evident in 12.5% at average 13 months post-injury. Increased tibial articular-widening associated with risk of developing ROA (p = 0...
January 2019: Journal of Orthopaedics
Bilal Sleiman, Zain Sayeed, Muhammad T Padela, Abdurrahman F Padela, Vamsy Bobba, Walid Yassir, Todd Frush, Khaled J Saleh
Despite the adaptation of checklists for specific surgeries being developed, there remains a lack of an available standard for an orthopaedic-specific checklist. Benefits of implementing checklists include cost-effectiveness as well as the ability to significantly reduce both mortality and complication rates in a variety of healthcare settings. The aim of this review is to analyze the evidence surrounding the effectiveness of checklists as well as recommend for the development of a standard checklist for specific orthopaedic surgeries such as total joint arthroplasty (TJA)...
January 2019: Journal of Orthopaedics
Anne Guro Vreim Holm, Terje Terjesen, Olav Reikerås
Introduction: The aim was to evaluate short- and long-term outcomes in patients with high hip dislocation operated with subtrochanteric shortening osteotomy and uncemented total hip arthroplasty. Methods: Sixty-five hips operated in 1986-2001, at mean age 48 years (15-79), were followed for mean 19 years (13-30). Results: At last follow up, there were two femoral and 35 acetabular revisions. Harris hip score was mean 86 (81-90) in unrevised, and 87 (82-90) in revised hips...
January 2019: Journal of Orthopaedics
Qi Qi Choo, Chee Kidd Chiu, Kulathunga Arachchige Lisitha, Chris Yin Wei Chan, Mun Keong Kwan
Objective: This study analyses the quantity of local bone graft obtained from different anatomical parts of the posterior elements during corrective surgery for Adolescent Idiopathic Scoliosis patients. Summary of background data: Locally harvested autogenous bone graft eliminates possible donor site morbidity and has all the important basic bone graft properties such as osteoinductivity, osteogenicity and osteoconductivity. Its usage was reported to be adequate to achieve fusion but none had quantifies the amount of local bone graft harvested...
January 2019: Journal of Orthopaedics
Yohei Yanagisawa, Atsuo Ito, Yuki Hara, Hirotaka Mutsuzaki, Shinji Murai, Kengo Fujii, Yu Sogo, Motohiro Hirose, Ayako Oyane, Fumiko Kobayashi, Masashi Yamazaki
Background: Pin tract infection and loosening are major complications and challenges in the treatment of fractures by external fixation. To address this issue, we developed titanium pins coated with a fibroblast growth factor 2 (FGF-2)-apatite composite layer. The purpose of this initial clinical trial is to clarify the safety and feasibility of using these pins for the external fixation of distal radius fractures. Methods: Unstable, displaced fractures of the distal radius that were medically suitable for external fixation were treated using external fixation pins coated and uncoated with an FGF-2-apatite composite layer...
January 2019: Journal of Orthopaedics
Fuat Unat, Suzan Sirinturk, Pınar Cagimni, Yelda Pinar, Figen Govsa, Gkionoul Nteli Chatzioglou
Compression of the femoral nerve (FN) to the iliac fossa has been reported as a consequence of several pathologies as well as due to the aberrant muscles. The purpose of this research was to investigate the patterns of the accessory muscles of iliopsoas muscles and the relationship of the FN in fifty semi pelvis. Accessory muscular slips from iliacus and psoas, piercing or covering the FN, were found in 19 specimens (7.9%). Based on the macroscopic structure, the muscle was categorized into two types. Pattern 1 as the more frequent variation, was sheet muscular type covering the FN (17 specimens, 89...
January 2019: Journal of Orthopaedics
Jacob B Stirton, Alexander D Savage, Elliot M Pally, Hans J Kreder, Megan Mooney
Intraoperative fluoroscopy has facilitated improvements in surgical procedures across various subspecialties but has resulted in increased radiation exposure to the patient and surgeon. The results of a survey administered to 447 orthopedic surgeons and radiological technologists show that there is no standard universal c-arm language, that significant confusion and miscommunication exists between surgeons and technologists because of this, that unnecessary radiation exposure occurs as a direct consequence of this miscommunication, and that the vast majority of respondents would accept a standardized language similar to the one proposed in this study...
January 2019: Journal of Orthopaedics
Emily S Mills, Louis Iorio, Richard S Feinn, Kevin M Duignan, Carolyn M Macica
X-linked hypophosphatemia (XLH) is associated with a pervasive, severe degenerative osteoarthritis. We conducted a retrospective chart review/patient survey using the Knee or Hip Osteoarthritis Outcome Score Physical Function Short Form. Fourteen total knee arthroplasties and 7 total hip arthroplasties among 11 patients were included. The mean KOOS-PS score was 31.4 ± 9.7 with a mean follow up of 6.9 years. Mean HOOS-PS score was 14.8 ± 12.9 at a mean follow up of 7.6 years. One knee failed due to aseptic loosening and one hip was revised due to polyethylene wear...
January 2019: Journal of Orthopaedics
Joseph A Ippolito, Maximilian Martinez, Jennifer E Thomson, Alexander R Willis, Kathleen S Beebe, Francis R Patterson, Joseph Benevenia
Introduction: The aim of this study was to investigate complication rates and types following allograft reconstruction and discuss unique considerations for management. Methods: Seventy-four consecutive patients underwent large segment allograft reconstruction following resection of primary musculoskeletal tumors from 1991 to 2016. Mean patient age was 32 ± 20 years (range, 5-71 years). Minimum follow-up was 2 years unless patients were lost to disease prior...
January 2019: Journal of Orthopaedics
Nipun Sodhi, Sarah E Dalton, Peter A Gold, Luke J Garbarino, Hiba K Anis, Jared M Newman, Bilal Mahmood, Anton Khlopas, Assem A Sultan, Nicolas S Piuzzi, Michael A Mont
The purpose of this study was to compare the: 1) RVUs; 2) lengths-of-surgery; 3) RVU per minute between revision hip (THA) and knee (TKA) arthroplasties; and 4) perform an annualized surgeon cost analysis. Using the ACS-NSQIP from 2008 to 2015, 8081 revision TKAs, 7233 THAs were compared. Revision THA had greater mean RVUs (30.27 vs. 27.10 RVUs, p < 0.001), operative times (152 vs. 149 min, p < 0.001), and RVU/minute (0.3 vs. 0.2 RVUs per minute, p < 0.001). Cost analysis yielded and annual $89,922...
January 2019: Journal of Orthopaedics
Yu Matsushita, Satoshi Hamai, Ken Okazaki, Koji Murakami, Yuan Ma, Masato Kiyohara, Hideki Mizu-Uchi, Yukio Akasaki, Yasuharu Nakashima
This study aimed to evaluate sports activities after total knee arthroplasty in an Asian cohort using 2011 Knee Society scoring system. The average scores for satisfaction and expectation about sports-related activities were 4.9 (61%) and 3.5 (70%), respectively. Most patients mainly opted for low-impact sports. Multivariate analysis showed that higher score of 'standard activities' and 'walking & standing', better range of motion, and older age were associated with higher scores of satisfaction and expectation about sports-related activities...
January 2019: Journal of Orthopaedics
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