journal
https://read.qxmd.com/read/38384727/capsule-elongation-occurs-after-first-time-shoulder-dislocation-a-biomechanical-in-vitro-investigation-on-human-cadaveric-specimen
#1
JOURNAL ARTICLE
Anna-Katharina Nolte, Sebastian Jäger, Maxime Marie Seifert, Matthias Bülhoff, Marcus Schiltenwolf, Mareike Schonhoff, Patric Raiss, Tobias Renkawitz, J Philippe Kretzer, Benjamin Panzram
PURPOSE: As capsule elongation is assumed to weaken the static stability of the shoulder joint, the purpose of this biomechanical study was to demonstrate that capsule elongation occurs immediately after a first-time shoulder dislocation and not just after recurrent dislocation events. We hypothesize an increment in joint clearance due to joint capsule elongation after a first-time dislocation. METHODS: An experimental in-vitro study was conducted on 6 paired fresh frozen human shoulders (4 females; 2 males; 12 specimen) with a mean age of 80 (Range 67-89) years...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38384726/can-status-of-superficial-medial-collateral-ligament-proximal-tibial-attachment-predict-progression-of-oa-knee
#2
JOURNAL ARTICLE
Woon-Hwa Jung, Sanchit Roy, Ryohei Takeuchi
OBJECTIVE: This study aims to identify, whether knee OA progression is affected by the sMCL proximal tibial attachment status and probably is the first one trying to identify such association. METHODS: 90 OA knees and 80 normal knees were evaluated using radiographs and MRI for severity of OA knee (K-L grade), sMCL length (L), distance of distal tibial attachment of sMCL from tibial articular surface (I), MCL ratio (L/I) and proximal tibial attachment of sMCL, attached or detached...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38371352/outpatient-total-hip-and-knee-arthroplasty-patient-expectations-versus-experience
#3
JOURNAL ARTICLE
Justin D Bric, Emilie N Miley, Hari K Parvataneni, Luis Pulido, Hernan A Prieto, Chancellor F Gray, Justin T Deen
AIMS & OBJECTIVES: With modern advancements in surgical techniques and rapid recovery protocols, incidence of outpatient total joint arthroplasty (TJA) is increasing. Previous literature has historically focused on cost, safety, and clinical outcomes, with few studies investigating patient expectations and experiences. The aim of this study was to survey preoperative patient expectations related to outpatient TJA surgery compared with perioperative perceptions and experience. MATERIALS & METHODS: Prospective study of patients undergoing outpatient total hip or knee arthroplasty at a single Tertiary Academic center...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38371351/hip-knee-and-shoulder-arthroplasty-in-patients-with-a-history-of-solid-organ-transplant-a-review
#4
REVIEW
Akshar V Patel, Andrew J Stevens, Ryan White, Shreyaas Aravindan, Louis W Barry, Ryan C Rauck
Solid organ transplants (SOT) have evolved into life-saving interventions for end-stage diseases affecting vital organs. Advances in transplantation techniques, donor selection, and immunosuppressive therapies have enhanced outcomes, leading to a growing demand for SOT. Patients with a solid organ transplant are living long enough to develop the same pathologies which are indicated for joint replacement surgery in the general population. SOT patients who undergo a total hip, knee, or shoulder arthroplasty do similarly in the context of clinical outcomes and implant survival when compared to the general population...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38371350/a-systematic-review-of-the-biomechanical-properties-of-suture-materials-used-in-orthopaedics
#5
REVIEW
Andres R Perez, Carlo Coladonato, Rahul Muchintala, Nicholas Christopher, John Matthews, Fotios P Tjoumakaris, Kevin B Freedman
BACKGROUND: Soft tissue injuries are frequently repaired using various suture material. The ideal suture should have the biomechanical properties of low displacement, high maximum load to failure, and high stiffness to avoid deformation. Since tendon healing occurs over a period of months, it is important for the surgeon to select the proper suture with certain biomechanical properties. Therefore, the purpose of this study is to qualitative summarize the published literature on biomechanical properties of different suture materials used in orthopaedic procedures...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38361983/dual-plating-in-the-metastatic-distal-humerus-benefits-may-outweigh-the-risks
#6
JOURNAL ARTICLE
William West, Andrew Moore, Caroline Gerhardt, Paul Webb, Odion Binitie, Alexander Lazarides, Douglas Letson, David Joyce
BACKGROUND: Impending and complete pathologic fractures of the distal humerus are rare complications of metastatic cancer. Surgical treatment aims to quickly restore function and minimize pain. Plate and screw fixation (PSF) is a common method for addressing these lesions, but unlike in orthopaedic trauma, there are no clear guidelines for best management. While dual PSF theoretically provides better support and reduces the chance of reoperation due to tumor progression, single PSF is currently the more common choice...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38357441/fracture-related-infection-in-open-tibial-fractures
#7
JOURNAL ARTICLE
Simon Craxford, Alexandros Vris, Raju Ahluwalia, Aaron Saini, William D Harrison, Simon Graham, Hemant Sharma
Open tibia fractures frequently occur following high-energy trauma. Contamination of the fracture site combined with limited soft tissue coverage and blood supply means that these open fractures are associated with a high rate of complications, including fracture related infection (FRI). FRI is associated with lowered patient outcomes and requires early recognition and appropriate surgical and medical management. The current evidence on FRI after open tibial fractures largely is limited to case series, small retrospective cohort studies and expert opinion...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38357440/managing-severe-bipolar-bone-loss-in-athletes-a-comprehensive-approach-with-open-latarjet-and-arthroscopic-remplissage
#8
JOURNAL ARTICLE
Manit Arora, Tapish Shukla, Pratik Vala
BACKGROUND: Severe bipolar bone loss (BBL) represents one of the toughest challenges when managing the instability of glenohumeral joints among athletes and more specifically the ones involved in overhead sports. It refers to the significant loss of the humeral head and the glenoid bone, with an increased risk of failure. The present study aimed to evaluate the functional outcomes of a combined open Latarjet and arthroscopic remplissage in such high-risk individuals. METHODS: A retrospective evaluation was carried out among athletes with antero-inferior loss of glenoid bone of more than 15 % and large off-track Hill-Sachs defect who underwent the Latarjet technique with iliac crest bone graft (ICBG) harvest used in combination with arthroscopic remplissage between 2021 and 2023...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38357439/effect-of-patient-reported-allergies-on-reverse-total-shoulder-arthroplasty-outcomes-at-over-two-years-follow-up
#9
JOURNAL ARTICLE
Andrew A Palosaari, Christopher A White, Benjamin D Gross, Akshar Patel, Troy Li, Evan L Flatow, Paul J Cagle
BACKGROUND/AIMS: Understanding the factors that lead to poor outcomes after reverse total shoulder arthroplasty (rTSA) is important to appropriate patient counseling. While patient-reported allergies (PRAs) have been shown to be associated with poorer outcomes after both TKA and THA, their effect on rTSA outcomes remains unclear. This study investigated the effect of zero, one, and two or more preoperative PRAs on clinical outcomes after rTSA at over two years follow-up in a cohort of fifty-two patients from our institution...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38333048/arthroscopic-management-of-scapholunate-complex-injuries-associated-with-distal-radius-fractures
#10
JOURNAL ARTICLE
Ahlam Arnaout, Christophe Mathoulin
Scapholunate complex injuries are the most frequent lesions associated with distal radius fractures and the treatment algorithm according to the stage of the instability remains controversial. However, there is an admitted consensus around the necessary treatment of the associated high-grade instabilities. They occur frequently in young patients after high energy trauma, and not treated, they can lead to chronic wrist pain and eventually to scapholunate advanced collapse. The routine use of the arthroscopy provides an accurate intraoperative staging of the lesions and allows a tailored treatment depending on the severity of the scapholunate instability...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38333047/what-does-routine-depression-screening-in-the-ambulatory-orthopedic-clinic-teach-us-results-from-nearly-60-000-patient-encounters
#11
JOURNAL ARTICLE
Mary E Hennekes, Stanley Li, Justin Bennie, Eric C Makhni
BACKGROUND: It remains unclear what role depression screening plays in routine ambulatory orthopedic care. The purpose of this study was to determine (1) the floor and ceiling effects of the Patient-Reported Outcomes Measurement Information System Depression (PROMIS-D) form, (2) the prevalence of positive PROMIS-D screening forms across an orthopedic service line, and (3) the prevalence of previously diagnosed depression and interventions among a representative sample of patients. METHODS: This retrospective study analyzed 58,227 patients who presented to ambulatory orthopedic clinics across an orthopedic service line between January 1, 2019 to December 31, 2021...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38313428/risk-factors-for-in-patient-myocardial-infarction-following-total-hip-arthroplasty
#12
JOURNAL ARTICLE
Enzo C Mesarick, Terrul L Ratcliff, Jonathan Jose, Senthil Sambandam
PURPOSE: The aim of this study was to identify potential risk factors for myocardial infarction immediately following total hip arthroplasty. METHODS: The 2016-2019 Nationwide Inpatient Sample database was used to identify patients who underwent primary total hip arthroplasty (THA) and suffered a myocardial infarction (MI). Patient data including demographics, admission, and comorbidities were recorded. Univariate analysis and subsequent multivariate logistic regression were performed to determine which circumstances affected the odds of MI...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38313427/outcomes-of-surgically-managed-adult-traumatic-brachial-plexus-injuries-in-an-upper-middle-income-country
#13
JOURNAL ARTICLE
Henry Lunga, Megan O'Connor, Antoine Gl Rocher, Leonard C Marais
BACKGROUND: Traumatic brachial plexus injuries (TBPIs) are debilitating and complex to treat. The last five decades have seen advances in surgical management, and consequently improved functional outcomes in patients with these injuries. There is limited data available describing the outcomes of surgically managed TBPIs within the South African context. This study aimed to identify the common causes of injury, injury characteristics, and functional outcomes of surgically managed patients with TBPIs...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38304145/posterior-tibial-slope-considered-as-an-important-addition-to-the-cpak-classification-system
#14
JOURNAL ARTICLE
Zachary Morrisey, Jordan Cruse, Matthew Barra, Thomas Carroll, Christopher Drinkwater
INTRODUCTION: Coronal Plane Alignment of the Knee (CPAK), is an informative way to classify native knee alignment types, but does not consider posterior tibial slope, an important variable in knee kinematics. We hypothesized that tibial slope would have a significant effect on knee kinematics and warrant consideration in addition to the CPAK system. METHODS: We examined 335 adult patients with osteoarthritis receiving total knee arthroplasty. We measured the lateral distal femoral angle (LDFA), medial proximal tibial angle (MPTA), and posterior tibial slope angle (PTS)...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38299068/outcomes-of-a-single-dose-of-injection-polidocanol-application-in-aneurysmal-bone-cyst
#15
JOURNAL ARTICLE
Cury Sharma, Saptarshi Barman, Shivam Bansal, Debadatta Panda, J Pranav, Vikas Maheshwari, Mohit Dhingra
BACKGROUND: Aneurysmal bone cysts are common osteolytic tumours that have ability to expand and produce pathological fractures. Recurrence is a major issue in such tumours posing a treatment dilemma to clinicians. Injection polidocanol has shown promising results, but the number of injections still remains a topic of debate. METHODOLOGY: A prospective interventional study done on 13 patients of biopsy-proven aneurysmal bone cysts. Patient related outcome measures(PROM's) seen using VAS score, SF-12 score and ROM of the involved extremity...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38299067/intra-and-interobserver-reliability-of-two-classification-systems-for-posterolateral-tibial-plateau-fractures-in-the-setting-of-an-acl-rupture
#16
JOURNAL ARTICLE
Robin Moreels, Alexander J Vervaecke, Annemieke Van Haver, Steven Heylen
BACKGROUND: Posterolateral tibial plateau impaction fractures occur frequently associated with anterior cruciate ligament (ACL) tears. Some authors advocate operative treatment of high-grade impaction fractures, which has led to the development of classification systems. Our study aims (1) to describe and compare the intra- and interobserver reliability of the two most used classifications and (2) to assess correlations between the grade of bony posterolateral tibial injury, patient characteristics and short-to mid-term revision rate after ACL reconstruction...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38299066/chronic-knee-pain-following-infrapatellar-suprapatellar-magnetic-intramedullary-lengthening-nails-versus-external-fixators-in-limb-length-discrepancy-a-retrospective-review
#17
JOURNAL ARTICLE
Larysa P Hlukha, Oliver C Sax, Kyle A Kowalewski, Sandeep S Bains, Jeremy Dubin, John E Herzenberg, Michael J Assayag, Philip K McClure
AIMS & OBJECTIVES: Prior to the popularization of magnetic intramedullary nails (MILNs), gradual deformity correction using external fixation was the norm in limb lengthening. Trauma literature has shown MILN via a suprapatellar approach (SP) to be associated with less knee pain than either an infrapatellar entry (IP) or external fixation. Yet, no research has investigated chronic knee pain and MILNs. We assessed differences in chronic knee pain following lengthening via an IP or SP approach with an MILN versus external fixation...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38299065/non-cannulated-versus-cannulated-cancellous-screws-for-the-internal-fixation-of-femoral-neck-fractures-in-osteoporotic-patients-a-single-blind-randomized-clinical-trial
#18
JOURNAL ARTICLE
Alireza Sadeghpour, Shahab Mahdipour, Jafar Ghanjpour Sales, Hossein Aslani, Mohammad Reza Moharrami, Hadi Alizadeh
BACKGROUND: The incidence of femoral neck fractures in osteoporotic patients is rising worldwide and is associated with significant increases in healthcare and social costs, as well as dependency. Improving minimally invasive treatment strategies, including internal fixation with screws, can result in favorable clinical outcomes and lesser incidence of complications, while preserving the hip. This study compared the outcomes of using non-cannulated cancellous screws (NCS) and cannulated cancellous screws (CS) in the internal fixation of undisplaced intracapsular femoral neck fractures (UIFNF) of osteoporotic patients of Iranian descent...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38299064/management-of-isolated-volar-lunate-facet-fractures-of-the-distal-radius
#19
JOURNAL ARTICLE
Krystle R Tuaño, Chaitanya S Mudgal
Distal radius fractures are among the most common fractures treated globally. Consideration of the mechanism of injury and careful radiographic assessment contributes to appropriate management of these injuries in isolation or jointly with other fractures or injuries affecting the wrist joint. Treatment options can range from non-operative management to a variety of fixation techniques. Interest in the distal radius fractures was renewed as open reduction and monoblock volar locking plate fixation became the preferred contemporary treatment in the last few decades...
May 2024: Journal of Orthopaedics
https://read.qxmd.com/read/38299063/ortho-plastic-approaches-to-fracture-related-infection-fri
#20
JOURNAL ARTICLE
Christie Brennan, Umraz Khan
When a plastic surgery opinion is sought to support orthopaedic colleagues, invaluable contributions to decision-making in fracture-related infection (FRI) can be made. We summarise the plastic surgeon's perspective on the most pertinent questions which are relevant when assessing infections as a sequelae of fractures: 1.) How to define the soft tissues involved. 2.) Local & free tissue cover: options & outcomes. 3.) What to do when flaps fail. 4.) When simple dressings are an option.
May 2024: Journal of Orthopaedics
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