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MINS Orthopaedic Surgery

Min Wei, Yu Wei, Yang Liu
When subchondral bone defects are present in osteochondral lesions of the talus (OCLT), it is inconclusive whether to allow early weightbearing after microfracture treatment because of the lack of effective support of the newly-formed fibrocartilage. After performing arthroscopic debridement and microfracture treatment on OCLT patients with subchondral bone defects, we allowed patients to have an early postoperative weightbearing exercise to observe their clinical outcome. Forty-two OCLT patients with subchondral bone defects were analyzed...
February 2019: Current Medical Science
D Sarotti, R Rabozzi, P Franci
The aim of this randomised, prospective clinical trial was to determine how the administration of a low dose of dexmedetomidine (DEX) by IV constant rate infusion, modified the duration of the nerve block in dogs undergoing spinal anaesthesia (SA) in a clinical setting. Forty-four dogs undergoing hind limb orthopaedic surgery in a day-surgery regime, maintained under anaesthesia with isoflurane plus SA, were randomly assigned to receive 1 μg/kg/h (IV) of DEX (group D) or not (group C). Spinal anaesthesia was performed with a hyperbaric solution of bupivacaine and morphine at the L5-6 interspace...
March 2, 2019: Research in Veterinary Science
Darryl C Whitney, Stephen J Ives, Garrett R Leonard, Douglas J VanderBrook, James P Lawrence
INTRODUCTION: Orthopaedic surgery can be a physically demanding occupation with high rates of fatigue and burnout. Fatigue has been shown to affect surgeon performance with higher rates of errors in fatigued surgeons. The metabolic cost of performing surgery has yet to be quantified. A better understanding of these costs may provide insights into surgeon fatigue and its effect on patient safety. METHODS: Eight subjects performed a one-level lumbar laminectomy and fusion on cadavers...
February 22, 2019: Journal of the American Academy of Orthopaedic Surgeons
Hwan Seong Cho, Min Suk Park, Sanjay Gupta, Ilkyu Han, Han-Soo Kim, Hyunseok Choi, Jaesung Hong
BACKGROUND: Application of surgical navigation for pelvic bone cancer surgery may prove useful, but in addition to the fact that research supporting its adoption remains relatively preliminary, the actual navigation devices are physically large, occupying considerable space in already crowded operating rooms. To address this issue, we developed and tested a navigation system for pelvic bone cancer surgery assimilating augmented reality (AR) technology to simplify the system by embedding the navigation software into a tablet personal computer (PC)...
September 2018: Clinical Orthopaedics and related Research
Narihito Nagoshi, Akio Iwanami, Norihiro Isogai, Masayuki Ishikawa, Kenya Nojiri, Takashi Tsuji, Kenshi Daimon, Ayano Takeuchi, Osahiko Tsuji, Eijiro Okada, Nobuyuki Fujita, Mitsuru Yagi, Kota Watanabe, Masaya Nakamura, Morio Matsumoto, Ken Ishii, Junichi Yamane
Study Design: Retrospective multicenter study. Objectives: To evaluate the outcomes of posterior cervical decompression for cervical spondylotic myelopathy (CSM) when performed by board-certified spine (BCS) or non-BCS (NBCS) surgeons. Methods: We reviewed outcomes for 675 patients who underwent surgery for CSM, were followed at least 1 year after surgery, and were assessed preoperatively and at final follow-up by Japanese Orthopaedic Association (JOA) scores and by the visual analog scale (VAS) for the neck...
February 2019: Global Spine Journal
A Ziranu, M Lillo, M Fantoni, N Maffulli, G Maccauro
Surgical site infections (SSI) are a common potentially preventable complication after surgical procedures. A standardized antibiotic prophylaxis in elective orthopaedic surgery plays a major role in lowering SSI. At present, there is little published evidence regarding standardized antibiotic prophylaxis in orthopaedic oncological surgery. We introduced a prophylactic antibiotic protocol for orthopaedic oncological surgery in our hospital. The proposed protocol consists in "one-shot" intravenous administration of Cefazolin 2g, 30 min before surgery...
November 2018: Journal of Biological Regulators and Homeostatic Agents
Jian Loong Ling, Seow Hui Teo, Mohamed Zubair Mohamed Al-Fayyadh, Mohamed Razif Mohamed Ali, Wuey Min Ng
PURPOSE: To assess the effectiveness of a low-cost self-made arthroscopic camera (LAC) in basic arthroscopic skills training compared with a commercial arthroscopic camera (CAC). METHODS: One hundred fifty-three orthopaedic residents were recruited and randomly assigned to either the LAC or CAC. They were allocated 2 practice sessions, with 20 minutes each, to practice 4 given arthroscopic tasks: task 1, transferring objects; task 2, stacking objects; task 3, probing numbers; and task 4, stretching rubber bands...
February 2019: Arthroscopy: the Journal of Arthroscopic & related Surgery
Dhong Won Lee, In Keun Park, Min Jeong Kim, Woo Jong Kim, Min Soo Kwon, Sung Jin Kang, Jin Goo Kim, Young Yi
INTRODUCTION: Although clinical results of anatomic reconstruction using allograft are reportedly good, studies on how accurately the tunnel has been made after surgery are very rare. The purpose of this study was to analyze the postoperative locations of the tunnels through 3-dimensional computed tomography (3D-CT) after anatomic ligament reconstruction and to evaluate its clinical results. HYPOTHESIS: We hypothesized that anatomic lateral ligament reconstruction could lead to excellent results in clinical outcomes by repositioning anterior talofibular ligament (ATFL) and calcaneofibular ligament (CFL) accurately...
November 27, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
Katy Kim, Mark Zhu, Jacob T Munro, Simon W Young
BACKGROUND: Microbiological contamination of surgical gloves occurs during surgery, which may warrant glove change during orthopaedic surgeries. However, no systematic review of this topic has previously been published. Therefore, this review evaluated whether changing gloves during arthroplasty surgeries reduces the risk of surgical site infection/prosthetic joint infection (SSI/PJI) and the optimal frequency of glove change. METHODS: Search terms such as surgical gloves, surgical site infections, prosthesis-related infections, arthroplasty were used, including Medical Subject Headings terms...
November 29, 2018: ANZ Journal of Surgery
Yan-Yan Bian, Long-Chao Wang, Wen-Wei Qian, Jin Lin, Jin Jin, Hui-Ming Peng, Xi-Sheng Weng
OBJECTIVE: Total knee arthroplasty (TKA) is an established surgical technique and is the standard treatment for degenerative knee joint diseases. However, severe pain after TKA makes it difficult for many patients to perform early postoperative rehabilitation and functional exercise, which might result in subsequent unsatisfactory recovery of knee joint function and great reduction in patients' satisfaction and quality of life. Orthopaedic surgeons have tried a large variety of analgesics and analgesic modes to relieve patients' pain after TKA...
November 2018: Orthopaedic Surgery
David Brenner, Gabriella Iohom, Padraig Mahon, George Shorten
BACKGROUND: Axillary and infraclavicular brachial plexus blocks are commonly used for upper limb surgery. Clinicians require information on the relative benefits of each to make a rational selection for specific patients and procedures. OBJECTIVES: The main objective of the study was to compare axillary and infraclavicular brachial plexus block in terms of the incidence and severity of tourniquet pain. DESIGN: Single blinded, randomised trial...
November 19, 2018: European Journal of Anaesthesiology
Michelle Kümin, Christopher Mark Harper, Mike Reed, Stephen Bremner, Nicky Perry, Matthew Scarborough
BACKGROUND: Approximately 70,000 to 75,000 proximal femoral fracture repairs take place in the UK each year. Hemiarthroplasty is the preferred treatment for adults aged over 60 years. Postoperative infection affects up to 3% of patients and is the single most common reason for early return to theatre. Ultraclean ventilation was introduced to help mitigate the risk of infection, but it may also contribute to inadvertent perioperative hypothermia, which itself is a risk for postoperative infection...
November 19, 2018: Trials
Vickram Singh, Mesbah Rahman, Alan G Fraser
A 29-year-old man crashed at high speed into another vehicle at traffic lights. He was able to get out of his van but then collapsed after running a few metres. On arrival in the emergency department he was conscious, with a pulse of 140 beats/min and blood pressure of 110/32 mm Hg. He had collapsing arterial pulses and an early diastolic murmur. He had a chest radiograph (figure 1A) and a skeletal survey which demonstrated multiple fractures, involving his left hand, right femur, right calcaneus, and left first and second ribs...
November 15, 2018: Heart: Official Journal of the British Cardiac Society
Fei Ma, Min Kang, Ye Hui Liao, Guang Zhou Lee, Qiang Tang, Chao Tang, Qing Wang, De Jun Zhong
OBJECTIVE: To investigate the usefulness of intraoperative traction in the selection of the surgical procedure for irreducible atlantoaxial dislocation (IAAD) caused by different craniovertebral junction (CVJ) pathologies. PATIENTS AND METHODS: Forty-three patients who were diagnosed with IAAD and who underwent surgery between January 2008 and May 2017 in our hospital were included in the study. All of the patients received skull traction under general anesthesia...
December 2018: Clinical Neurology and Neurosurgery
Nischal Nadig, Kenneth Aaron Shaw, Edward Mottern, John Bojescul, Terry Mueller
Background: Fluoroscopic guidance is routinely utilized during hip arthroscopic surgery. Previous studies have shown that the C-arm orientation can significantly affect radiation exposure for both the surgeon and the patient during orthopaedic procedures. However, this has not been previously assessed for hip arthroscopic surgery. Hypothesis: Using an inverted C-arm during hip arthroscopic surgery will reduce radiation exposure to the patient and surgeon. Study Design: Descriptive laboratory study...
October 2018: Orthopaedic Journal of Sports Medicine
Vivek Ajit Singh, Lim Han Sim, Amber Haseeb, Cindy Teh Shuan Ju
PURPOSE: Allograft infection remains the greatest challenge in orthopaedic reconstructive surgery especially methicillin-resistant Staphylococcus aureus (MRSA). This risk can be minimized with the use of antibiotic laden allograft (ALA) via iontophoresis. Ceftaroline fosamil (CF) is an advanced-generation cephalosporin, an alternative treatment for MRSA infections. Its antibacterial activity and safety profile are better than vancomycin. CF iontophoresed bone has not been used before...
May 2018: Journal of Orthopaedic Surgery
Boohwi Hong, Choonho Jung, Yumin Jo, Hyemin Kang, Woosuk Chung, Yoon-Hee Kim, ChaeSeong Lim, YoungKwon Ko
PURPOSE: Dexmedetomidine, an alpha 2 receptor agonist, prolongs nerve block duration when administered in conjunction with peripheral nerve blocks. We hypothesised that sedation with dexmedetomidine could also significantly prolong the analgesic duration of brachial plexus block (BPB) during orthopaedic surgery on the upper extremities. MATERIALS AND METHODS: One hundred and two patients received upper extremity surgery under BPB. The patients were randomly sedated with dexmedetomidine (D group) or midazolam (M group) following BPB using 25 mL of local anaesthetics (1:1 mixture of 1% lidocaine and 0...
October 16, 2018: Anaesthesia, Critical Care & Pain Medicine
C Kaiser, F P Tillmann, J Löchter, S Landgraeber, M Jäger
PURPOSE: Elective hip or knee replacement is an optimal, standardised orthopaedic surgical procedure. The influence of chronic kidney disease, defined as an estimated glomerular filtration rate (eGFR) of 15-45 ml/min/1.73 m2 body surface area (BSA) (KDIGO stage G3a-G4), on the duration of hospitalisation, perioperative decrease in haemoglobin (Hb) levels, and transfusion rates after orthopaedic procedures has not been fully clarified. Our study, therefore, aimed to evaluate the impact of chronic kidney disease on the previously mentioned variables...
October 15, 2018: International Urology and Nephrology
Frank A Segreto, Virginie Lafage, Renaud Lafage, Justin S Smith, Breton G Line, Robert K Eastlack, Justin K Scheer, Dean Chou, Nicholas J Frangella, Samantha R Horn, Cole A Bortz, Bassel G Diebo, Brian J Neuman, Themistocles S Protopsaltis, Han Jo Kim, Eric O Klineberg, Douglas C Burton, Robert A Hart, Frank J Schwab, Shay Bess, Christopher I Shaffrey, Christopher P Ames, Peter G Passias
BACKGROUND: Limited data are available to objectively define what constitutes a "good" versus a "bad" recovery for operative cervical deformity (CD) patients. Furthermore, the recovery patterns of primary versus revision procedures for CD is poorly understood. OBJECTIVE: To define and compare the recovery profiles of CD patients undergoing primary or revision procedures, utilizing a novel area-under-the-curve normalization methodology. METHODS: CD patients undergoing primary or revision surgery with baseline to 1-yr health-related quality of life (HRQL) scores were included...
September 28, 2018: Neurosurgery
M Lacko, D Schreierová, R Čellár, G Vaško
PURPOSE OF THE STUDY The study aims to evaluate the long-term results of computer-navigated total knee arthroplasties performed by less experienced surgeon performing a small number of procedures per year. MATERIAL AND METHODS In the prospective randomised study functional and radiological results, rate of revision and probability of clinical and radiological survival were compared in 30 computer-navigated (in 28 patients: 19 women, 9 men, with the mean age of 66.9 years) and 31 conventionally implanted (in 30 patients: 27 women, 3 men, with the mean age of 66...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
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