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    1 OF 352

    Comparison of three surgical treatment options for unicameral bone cysts in humerus.
    J Pediatr Orthop B 2018 Apr 23. Epub 2018 Apr 23.
    Department of Orthopaedic Surgery, Medical University of Graz, Graz, Austria.
    Treatment of unicameral bone cysts (UBC) in the humerus with drainage screws is scarcely reported in the literature. The aim of this retrospective study was to compare drainage screws and alternative treatment methods with respect to the number of required surgical procedures to achieve sufficient UBC healing, postoperative fractures/recurrences/complications, and radiological outcome. Medical archives of two tertiary orthopedic referral centers were screened for all patients who were treated surgically for humeral UBC in the period 1991-2015 with a histologically/cytologically confirmed diagnosis. Read More

    Occurrences of Indigestible Foreign Bodies in Cattle Slaughtered at Morogoro Municipal Slaughterhouse, Tanzania.
    J Vet Med 2018 22;2018:4818203. Epub 2018 Feb 22.
    Department of Veterinary Medicine and Public Health, College of Veterinary Medicine and Biomedical Sciences, Sokoine University of Agriculture, P.O. Box 3021, Morogoro, Tanzania.
    A cross-sectional study was conducted to determine the occurrence of indigestible foreign bodies (IFB) in cattle slaughtered at Morogoro Municipal Slaughterhouse, Tanzania. A total of 387 slaughter cattle were examined for presence of IFB. Out of 387 examined cattle, 93 (24. Read More

    TEN versus external fixator in the management of pediatric diaphyseal femoral fractures: evaluation of the outcomes.
    Eur J Orthop Surg Traumatol 2018 Apr 20. Epub 2018 Apr 20.
    Department of Orthopedics and Traumatology, Vito Fazzi Hospital, Lecce, Italy.
    Introduction: Over the last 20 years, the incidence of pediatric diaphyseal femoral fractures was increased, due to changes in the children's daily activities. The healing times are different according to the chosen treatment and to other factors such as age, type of fracture, involvement of the soft tissues, and concomitance with other injuries.

    Materials And Methods: From 2000 to 2015, 38 pediatric patients with diaphyseal femoral fractures were surgically treated and enrolled in the study. Read More

    Biomechanical Testing of a 3-Hole versus a 4-Hole Sliding Hip Screw in the presence of a Retrograde Intramedullary Nail for Ipsilateral Intertrochanteric and Femur Shaft Fractures.
    J Orthop Trauma 2018 Apr 3. Epub 2018 Apr 3.
    Orthopaedic Biomechanics Lab Victoria Hospital, London, Canada.
    Objective: The goal of this study was to compare a 3-hole vs. a 4-hole sliding hip screw (SHS) in the presence of a retrograde intramedullary (RIM) nail for fixing intertrochanteric and comminuted midshaft femur fractures.

    Methods: Mechanical tests were performed on 10 matched pairs of human cadaveric femurs that were osteotomized and then fixed using a 3-hole SHS vs. Read More

    Juvenile Osteochondritis Dissecans of the Trochlea: A Cohort Study of 34 Trochlear Lesions Associated With Sporting Activities that Load the Patellofemoral Joint.
    J Pediatr Orthop 2018 Apr 16. Epub 2018 Apr 16.
    Hospital for Special Surgery.
    Background: Juvenile osteochondritis dissecans (JOCD) lesions are rarely located in the trochlea and few studies have focused on the causes and outcomes of JOCD lesions in this part of the knee. The purpose of this study is to (1) evaluate the clinical characteristics and outcomes of patients who undergo surgery for JOCD in this unusual location as well as (2) assess the association between trochlear JOCD and participation in sporting activities that load the patellofemoral joint.

    Methods: We conducted a retrospective cohort study of 34 trochlear JOCD lesions in 30 patients. Read More

    The Use of Pediatric Flexible Intramedullary Nails for Minimally Invasive Fibular Fracture Fixation.
    J Foot Ankle Surg 2018 Apr 13. Epub 2018 Apr 13.
    Attending, Private Practice, Orange County Foot and Ankle Surgeon, Irvine, CA.
    Fibular fractures in the setting of an unstable ankle joint require surgical fixation; however, several factors contradict open surgical correction. Severe soft tissue compromise can delay adequate fracture reduction and preclude the standard incisional approach. The soft tissue envelope in the setting of obesity, diabetes, and/or peripheral vascular disease further complicates definitive treatment. Read More

    Dermoscopic features of onychotillomania: A study of 36 cases.
    J Am Acad Dermatol 2018 Apr 13. Epub 2018 Apr 13.
    Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida, USA.
    Background: Onychotillomania is a nail-picking disorder characterized by nail dystrophy and abnormal morphology of the nail plate, nail bed, and periungual skin.

    Objective: The purpose of this study was to describe the dermoscopic features of onychotillomania.

    Methods: A retrospective study of the dermoscopy images of 36 patients affected by onychotillomania. Read More

    Magnetic growth modulation in orthopaedic and spine surgery.
    J Orthop 2018 Mar 30;15(1):59-66. Epub 2018 Jan 30.
    Warren Alpert Medical School of Brown University, United States.
    Purpose: To examine distraction-based methods for treatment of early onset scoliosis (EOS), focusing on the magnetically controlled growing rod system (MCGR) relative to traditional growing rod system (TGR). To briefly discuss internal magnetically controlled nails for bone lengthening as another application of magnetic growth modulation.

    Results: Relative to TGR, MCGR involves fewer complications related to infection and general anesthesia because of fewer successive surgeries required. Read More

    No difference in flexion power despite iliopsoas fatty degeneration in healed hip fractures with large lesser trochanter displacement.
    Eur J Orthop Surg Traumatol 2018 Apr 13. Epub 2018 Apr 13.
    Department of Orthopedic Surgery, Baden State (Cantonal) Hospital, Im Ergel 4, 5404, Baden, Switzerland.
    Objective: To evaluate iliopsoas atrophy and loss of function after displaced lesser trochanter fracture of the hip.

    Design: Cohort study.

    Setting: District hospital. Read More

    How accurate is the data provided to the Irish hip fracture database?
    Ir J Med Sci 2018 Apr 11. Epub 2018 Apr 11.
    Department of Trauma and Orthopaedic Surgery, Galway University Hospitals, Galway, Ireland.
    National databases, such as the Irish Hip Fracture Database (IHFD), are known to contain inaccuracies. The coordination of services, national funding and future research rely on the integrity of the IHFD so as to avoid policy and budget planning being based on misrepresentative data. An audit was performed to assess the accuracy of the 2016 IHFD data collected in our trauma unit. Read More

    Posterior dislocation of a native hip joint associated with ipsilateral per-trochanteric fracture: A rare case report.
    Trauma Case Rep 2018 Feb 7;13:1-13. Epub 2017 Oct 7.
    Department of Trauma and Orthopaedics Surgery, University Hospital Southampton NHS Foundation Trust, Tremona Rd, Southampton SO16 6YD, United Kingdom.
    We describe a case of traumatic posterior dislocation of a native hip joint associated with ipsilateral comminuted inter-trochanteric femoral fracture. In our case, closed reduction was attempted but proved unsuccessful. Taking into account the planned subsequent intra-medullary femoral nail, open reduction through a lateral incision was undertaken. Read More

    Atypical cardioversion in unstable arrhythmia caused by clavicle surgery.
    Trauma Case Rep 2017 Dec 31;12:28-30. Epub 2017 Oct 31.
    Department of Orthopedics, Traumatology and Hand Surgery, Hegau Bodensee Hospital Singen, Virchowstrasse 10, 78224 Singen, Germany.
    We report on a 54-year old male with traumatic brain injury, flail chest and floating shoulder undergoing intramedullary stabilization of a midshaft clavicle fracture in beach chair position. Intraoperatively the patient developed instable atrial fibrillation triggered by implantation of intramedullary nail. Secondary this case shows feasibility of cardioversion in latero-lateral electrode-position due to inaccessible standard positions and patient fixation between the operation table and the X-ray apparatus. Read More

    Fixation of unstable distal radius fractures by using expandable Intramedullary nailing system in adult patients.
    Pak J Med Sci 2018 Jan-Feb;34(1):198-203
    Murat Calbiyik, Department of Orthopedics and Traumatology, Hitit University, Faculty of Medicine, Corum, Turkey.
    Objective: To present our experience on intramedullary nailing device Sonoma Wrx (Sonoma Orthopedic Products Inc., Santa Rosa, CA, USA) used for internal fixation of extra-articular or simple intra-articular distal radius fractures in adult population.

    Methods: This study was conducted from February 2011 to October 2016. Read More

    Predicting endotracheal tube size from length: Evaluation of the Broselow tape in Indian children.
    J Anaesthesiol Clin Pharmacol 2018 Jan-Mar;34(1):73-77
    Department of Paediatric Anaesthesia, Indira Gandhi Institute of Child Health, Bengaluru, Karnataka, India.
    Background And Aims: Several formulae are available to estimate endotracheal tube (ETT) size in children. This study was designed to compare the ETT estimated by the Broselow tape (BT) with age-based estimation of ETT size and to identify the most accurate formula for the prediction of uncuffed ETT size in Indian children.

    Material And Methods: Pediatric patients aged 1 month-6. Read More

    Nonoperative Treatment of Lymphedema.
    Semin Plast Surg 2018 Feb 9;32(1):17-21. Epub 2018 Apr 9.
    Department of Rehabilitation Services, University of Texas MD Anderson Cancer Center, Houston, Texas.
    Complex decongestive therapy is the mainstay of lymphedema (LE) therapy. It consists of two phases: an intensive volume reduction phase, principally involving low-stretch bandages and manual lymph drainage (MLD), followed by compression garment use to maintain the reduction achieved. Adjunctive treatments include the use of a sequential gradient pump, LE-specific exercises, skin and nail care, as well as risk-reduction precautions. Read More

    Anterolateral Bowing of Congenital Pseudoarthrosis of Tibia Treated by Percutaneous Osteotomy and Gradual Correction Using Taylor Spatial Frame, then Late Insertion of a Fussier-Duval Nail: A Case Report.
    Am J Case Rep 2018 Apr 11;19:426-430. Epub 2018 Apr 11.
    Department of Pathology, Faculty of Medicine, Jordan University of Science and Technology, Irbid, Jordan.
    BACKGROUND Congenital pseudoarthrosis of the tibia is one of the most difficult orthopedic diseases to treat. Many authors consider osteotomy of the bowed non-broken tibia a contraindication. However, leaving the patient with a deformed, bowed leg is intolerable and is associated with deformity progression and increased risk of fracture. Read More

    Delay in weight bearing in surgically treated tibial shaft fractures is associated with impaired healing: a cohort analysis of 166 tibial fractures.
    Eur J Orthop Surg Traumatol 2018 Apr 9. Epub 2018 Apr 9.
    Department of Surgery, Maastricht University Medical Centre, P. Debyelaan 25, 6229 HX, Maastricht, The Netherlands.
    Background: The relation between timing of weight bearing after a fracture and the healing outcome is yet to be established, thereby limiting the implementation of a possibly beneficial effect for our patients. The current study was undertaken to determine the effect of timing of weight bearing after a surgically treated tibial shaft fracture.

    Materials And Methods: Surgically treated diaphyseal tibial fractures were retrospectively studied between 2007 and 2015. Read More

    Deformity correction with total knee arthroplasty for severe knee osteoarthritis accompanying extra-articular femoral deformity: the results are promising.
    Knee Surg Sports Traumatol Arthrosc 2018 Apr 9. Epub 2018 Apr 9.
    Department of Orthopaedic Surgery and Traumatology, Metin Sabanci Baltalimani Kemik Hastaliklari Egitim ve Arastirma Hastanesi Ortopedi ve Travmatoloji Klinigi, Rumeli Hisari Cad. No: 62, Baltalimani, Sariyer, 34470, Istanbul, Turkey.
    Purpose: This study aimed to evaluate patients with severe degenerative osteoarthritis of the knee and extra-articular femoral deformities treated with total knee arthroplasty (TKA) and acute deformity correction.

    Methods: Ten patients with severe degenerative osteoarthritis of the knee and extra-articular femoral deformities were included, and the median age was 63 years (range 38-67). The etiology was post-traumatic malunion in four patients, rickets sequelae in four patients, and surgical sequelae due to multiple epiphyseal dysplasia in two patients. Read More

    A Modified Bilhaut-Cloquet Procedure for Zigzag Thumb Polydactyly Types III and IV.
    Plast Reconstr Surg Glob Open 2017 Dec 28;5(12):e1589. Epub 2017 Dec 28.
    Division of Plastic and Hand Surgery, King Saud University, Riyadh, Saudi Arabia.
    Background: A review of the English literature over the least 43 years revealed only a total of 53 cases of Wassel types III, IV, and VII treated by the Bilhaut-Cloquet (B-C) procedure. Furthermore, the detailed results and range of motion were only given in 2 series (a total of 9 cases).

    Methods: Four cases of Wassel types III and IV thumb duplications with zigzag deformity were treated with a modified B-C procedure. Read More

    Revision of failed total ankle arthroplasty to a hindfoot fusion.
    Bone Joint J 2018 Apr;100-B(4):475-479
    Spire Hospital and Leeds Beckett University, Jackson Avenue, Roundhay, Leeds LS8 1NT, UK.
    Aims The aim of this study was to present a series of patients with aseptic failure of a total ankle arthroplasty (TAA) who were treated with fusion of the hindfoot using a nail. Patients and Methods A total of 23 TAAs, in 22 patients, were revised for aseptic loosening and balloon osteolysis to a hindfoot fusion by a single surgeon (NH) between January 2012 and August 2014. The procedure was carried out without bone graft using the Phoenix, Biomet Hindfoot Arthrodesis Nail. Read More

    Management of displaced midshaft clavicle fractures in adolescent patients using intramedullary flexible nails: A case series.
    J Clin Orthop Trauma 2018 Mar 1;9(Suppl 1):S97-S102. Epub 2017 Jul 1.
    Department of Orthopaedic Surgery, Paul L. Foster School of Medicine, Texas Tech University Health Sciences Center, El Paso, TX 79905, United States.
    Introduction: Clavicle fractures are common injuries in adolescent patients. In this study we present our technique and results for treating non-comminuted displaced midshaft clavicle fractures using flexible intra medullary nails.

    Methods: A retrospective review of prospectively collected data using the electronic medical record was performed. Read More

    Are Cephalomedullary Nail Guides Accurate? A Case Report of an Unexpected Complication After Nailing an Intertrochanteric Femoral Fracture.
    Geriatr Orthop Surg Rehabil 2018 22;9:2151458518757797. Epub 2018 Mar 22.
    Division of Orthopedic Surgery, St. Mary's Hospital, McGill University, Montreal, QC, Canada.
    Intramedullary nailing is the mainstay of treatment for unstable intertrochanteric hip fractures. Various complications have been described with the use of these nails. We report an unusual complication whereby the lag screw completely missed the nail. Read More

    Surgical Treatment for Kirner's Deformity-Single Osteotomy through a Palmar Approach.
    Plast Reconstr Surg Glob Open 2018 Feb 26;6(2):e1683. Epub 2018 Feb 26.
    Department of Orthopedic Surgery, Japanese Red Cross Nagoya Daiichi Hospital, Nagoya, Japan; and Department of Orthopedic Surgery, Saitama Hand Institute, Saitama, Japan.
    Background: Patients with Kirner's deformity often seek medical attention for aesthetic improvement when they reach the age of approximately 10 years, when the deformity becomes evident. The operative technique described in textbooks is the palmar opening-wedge with multiple osteotomies through a mid-lateral incision, which is technically demanding. The purpose of this article was to introduce our surgical technique of a single transverse osteotomy through a palmar approach and to present the short-term outcomes of this technique. Read More

    Technical aspects and complications in the surgical treatment of poliomyelitis-affected lower limb fractures.
    Rev Esp Cir Ortop Traumatol 2018 Mar 28. Epub 2018 Mar 28.
    Servicio de Cirugía Ortopédica y Traumatología, Hospital Clínico Universitario de Valladolid, Valladolid, España.
    Objective: Post-polio patients present problems such as small and deformed bones, with narrow intramedullary canal and osteoporosis, affecting surgical treatment. The aim of this article is to describe the main preoperative and intraoperative complications of the surgical treatment of fractures in this population.

    Material And Methods: A retrospective analysis was conducted between 1995 and 2014. Read More

    Accuracy analysis of computer-assisted surgery for femoral trochanteric fracture using a fluoroscopic navigation system: Stryker ADAPT system.
    Injury 2018 Mar 19. Epub 2018 Mar 19.
    Department of Orthopaedic Surgery, Kumamoto Kinoh Hospital, Kumamoto, Japan.
    Purpose: ADAPT is a fluoroscopic computer-assisted surgery system which intraoperatively shows the distance from the tip of the screw to the surface of the femoral head, tip-to-head-surface distance (TSD), and the tip-apex distance (TAD) advocated by Baumgaertner et al. The study evaluated the accuracy of ADAPT.

    Patients And Methods: A total of 55 patients operated with ADAPT between August 2016 and March 2017 were included as subjects. Read More

    Subungual Atypical Lentiginous Melanocytic Proliferations in Children and Adolescents: A Clinicopathologic Study.
    J Am Acad Dermatol 2018 Mar 27. Epub 2018 Mar 27.
    Department of Pathology, University of Michigan, Ann Arbor, MI; Department of Dermatology, University of Michigan, Ann Arbor, MI. Electronic address:
    Background: Most subungual melanocytic lesions in children are benign, but some are difficult to classify due to prominent lentiginous growth and high-grade cytologic atypia.

    Objective: To characterize the clinicopathologic features of these rare lesions.

    Methods: Subungual atypical lentiginous melanocytic proliferations from patients under 20 years of age were collected for clinical and histopathologic review. Read More

    Chronic Osteomyelitis Caused by Haemophilus parainfluenzae: A Case Report.
    JBJS Case Connect 2018 Jan-Mar;8(1):e20
    Division of Orthopedic Surgery, Texas Children's Hospital, Houston, Texas.
    Case: A 14-year-old boy presented with a pathologic fracture of the distal aspect of the tibia and a remote history of a dog bite near the injury site. Imaging studies, biopsy, and presentation corroborated the diagnosis of chronic osteomyelitis. Multiple diagnostic methods were negative until an open biopsy identified Haemophilus parainfluenzae, a fastidious oropharyngeal bacterium, with polymerase chain reaction analysis. Read More

    Total Knee Arthroplasty Using Patient-specific Blocks after Prior Femoral Fracture without Hardware Removal.
    Indian J Orthop 2018 Mar-Apr;52(2):154-160
    Department of Orthopaedics, Joint Replacement and Arthroscopy, Indraprastha Apollo Hospitals, New Delhi, India.
    Background: The options to perform total knee arthroplasty (TKA) with retained hardware in femur are mainly - removal of hardware, use of extramedullary guide, or computer-assisted surgery. Patient-specific blocks (PSBs) have been introduced with many potential advantages, but their use in retained hardware has not been adequately explored. The purpose of the present study was to outline and assess the usefulness of the PSBs in performing TKA in patients with retained femoral hardware. Read More

    A patient specific finite element simulation of intramedullary nailing to predict the displacement of the distal locking hole.
    Med Eng Phys 2018 May 22;55:34-42. Epub 2018 Mar 22.
    Iranian Tissue Bank and Research Center, Tehran University of Medical Sciences, Tehran, Iran.
    Distal locking is a challenging subtask of intramedullary nailing fracture fixation due to the nail deformation that makes the proximally mounted targeting systems ineffective. A patient specific finite element model was developed, based on the QCT data of a cadaveric femur, to predict the position of the distal hole of the nail postoperatively. The mechanical interactions of femur and nail (of two sizes) during nail insertion was simulated using ABAQUS in two steps of dynamic pushing and static equilibrium, for the intact and distally fractured bone. Read More

    Three novel GJB2 (connexin 26) variants associated with autosomal dominant syndromic and nonsyndromic hearing loss.
    Am J Med Genet A 2018 Apr;176(4):945-950
    Department of Pediatrics, Division of Medical Genetics, University of Utah, Salt Lake City, Utah.
    Connexin 26 (Cx26), encoded by the GJB2 gene, is a key protein involved in the formation of gap junctions in epithelial organs including the inner ear and palmoplantar epidermis. Pathogenic variants in GJB2 are responsible for approximately 50% of inherited sensorineural deafness. The majority of these variants are associated with autosomal recessive inheritance; however, rare reports of dominantly co-segregating variants have been published. Read More

    Three-dimensional augmented reality surgical navigation with hybrid optical and electromagnetic tracking for distal intramedullary nail interlocking.
    Int J Med Robot 2018 Mar 25:e1909. Epub 2018 Mar 25.
    Department of Biomedical Engineering, School of Medicine, Tsinghua University, Beijing, China.
    Background: Intramedullary nail (IMN) fixation improves functional outcomes for the diaphyseal fractures of long bones. However, locking the distal holes of the IMN is challenging. Although several navigation methods have been proposed, an intuitive, radiation-free and accurate navigation method that does not suffer from problems of hand-eye coordination has not yet been described. Read More

    Minimally invasive plate osteosynthesis in humerus nonunion after intramedullary nailing.
    Int Orthop 2018 Mar 24. Epub 2018 Mar 24.
    Instituto Allende de Cirugía Reconstructiva, Sanatorio Allende, Hipolito Yrigoyen 384, 5000, Córdoba, Argentina.
    Introduction: The purpose of this study was to evaluate the results achieved after the use of lateral minimally invasive plate osteosynthesis (MIPO) in oligotrophic humerus nonunions resulting from failed intramedullary nailing (IM).

    Method: We evaluated nine patients with humerus nonunion after failed locked intramedullary nailing, all treated using 3.5-mm locked compression plates (LCP) placed through lateral minimally invasive approaches, between 2010 and 2016. Read More

    Fixation of the nail plate by tension band suture versus 2-octyl-cyanoacrylate gluing for traumatic nail bed injuries reduced without suture: A retrospective study of 27 cases.
    Hand Surg Rehabil 2018 Mar 19. Epub 2018 Mar 19.
    Department of hand surgery, SOS main, CCOM, university hospital of Strasbourg, FMTS, university of Strasbourg, Icube CNRS 7357, 10, avenue Baumann, 67403 Illkirch cedex, France. Electronic address:
    Repair of the nail bed and plate after distal phalanx trauma remains controversial. The aim of this study was to determine whether simple approximation of the nail bed flaps maintained by tension band suture of the nail plate is sufficient to prevent nail dystrophies. Our series gathered 27 fingers in 25 patients with a mean age of 36 years. Read More

    Hair and nail diseases in the mature patient.
    Clin Dermatol 2018 Mar - Apr;36(2):159-166. Epub 2017 Oct 3.
    Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Miami, Florida.
    The elderly population is growing, lifespans are increasing, and a greater emphasis on geriatric care is being implemented in hospital systems. With a higher percentage of the population living longer, hair and nail diseases associated with the advanced stages of life are becoming more prevalent. Common hair diseases in the elderly include androgenetic alopecia, senile alopecia, frontal fibrosing alopecia, and erosive pustular dermatosis of the scalp. Read More

    Treatment of Proximal Femur Osteomyelitis Occurred after Proximal Femoral Nail Antirotation Fixation, with Antibiotic Cement-coated Tibia Intramedullary Nail: A Case Report.
    Hip Pelvis 2018 Mar 5;30(1):45-52. Epub 2018 Mar 5.
    Department of Orthopedic Surgery, The Catholic University of Korea, Bucheon St. Mary's Hospital, Bucheon, Korea.
    Antibiotic cement-coated intramedullary nails maintain a locally high antibiotic concentration while contributing to bone stability. We present a case of femoral subtrochanteric fracture in a patient with an infected nonunion who was successfully treated for an infection and nonunion using an antibiotic cement-coated tibial intramedullary nail. A 79-year-old woman with a right femoral subtrochanteric fracture underwent internal fixation using proximal femoral nail antirotation (PFNA). Read More

    Quality of life after antegrade intramedullary nail fixation of humeral fractures: a survey in a selected cohort of Brazilian patients.
    Patient Saf Surg 2018 12;12. Epub 2018 Mar 12.
    Department of Orthopedics and Traumatology, (DOT/UNIFESP)-Escola Paulista de Medicina, Universidade Federal de São Paulo, Rua Borges Lagoa, 778, São Paulo, SP CEP 04024-002 Brazil.
    Background: The treatment of humeral fractures remains controversial. Systematic reviews demonstrate similar results between dynamic compression plating and locked intramedullary nailing in the surgical treatment of these fractures. However, it appears that antegrade intramedullary nailing causes higher residual pain in the shoulder. Read More

    Biarticular total femur spacer for massive femoral bone loss: the mobile solution for a big problem.
    Arthroplast Today 2018 Mar 31;4(1):58-64. Epub 2017 Mar 31.
    Department of Traumatology and Orthopaedic Surgery, General University Hospital Gregorio Marañón, Madrid, Spain.
    Bone cement spacers loaded with antibiotic are the gold standard in septic revision. However, the management of massive bone defects constitutes a surgical challenge, requiring the use of different nails, expensive long stems, or cement-coated tumor prostheses for preparing the spacer. In most cases, the knee joint must be sacrificed. Read More

    Microbial counts in hands with and without nail varnish after surgical skin preparation: a randomized control trial.
    J Hand Surg Eur Vol 2018 Jan 1:1753193418764287. Epub 2018 Jan 1.
    1 Departments of Orthopaedic Surgery, Gosford Hospital, NSW, Australia.
    Nail varnish is commonly removed from fingernails prior to surgical procedures. We report the results of a randomized controlled trial comparing the microbial counts in hands with and without nail varnish applied, following surgical skin preparation. Forty-three patients were randomized; three patients were lost to follow-up. Read More

    Nail-patella syndrome: clinical clues for making the diagnosis.
    Cutis 2018 Feb;101(2):126-129
    Department of Dermatology and Cutaneous Surgery, University of Miami Miller School of Medicine, Florida, USA.
    Nail-patella syndrome (NPS) is a rare autosomal-dominant disorder characterized by the classic triad of fingernail dysplasia, patellar absence/hypoplasia, and presence of iliac horns. We describe the various features of NPS, focusing on dermatologic and musculoskeletal findings. A 69-year-old man presented to the dermatology clinic for a routine skin cancer screening. Read More

    Cardiovascular Risk Markers and Major Adverse Cardiovascular Events in Psoriatic Arthritis Patients.
    Rev Recent Clin Trials 2018 03 13. Epub 2018 Mar 13.
    Department of Clinical Medicine and Surgery - Rheumatology Research Unit - Federico II University, Naples. Italy.
    Background: Psoriatic arthritis is a chronic inflammatory arthropathy that affects 14%-30% of patients with skin and/or nail psoriasis and leading to severe physical limitations and disability. It has been included in the group of spondyloarthropathy with which it shares clinical, radiologic, and serologic features in addition to familial and genetic relationship. Beyond skin and joint involvement, psoriatic arthritis is characterized by a high prevalence of extra-articular manifestation and comorbidities, such as autoimmune, infectious and neoplastic diseases. Read More

    [Role of centro-medullary nailing in fractures of the distal quarter of the leg: about 30 cases].
    Pan Afr Med J 2017 25;28:176. Epub 2017 Oct 25.
    Service de Chirurgie Traumatologique et Orthopédique de l'Hôpital Militaire Avicenne, Marrakech, Maroc.
    The fractures of the distal quarter of the leg are characterized by fracture line located at the level of the lower quarter of the tibia, according to Gerard and Evrard definition [1]. They are serious and pose problems for consolidation, immobilization and stability. We here describe our experience in the Department of Orthopaedics and Traumatology at the Avicenne Military Hospital, Marrakech. Read More

    [Rupture of the extensor pollicis longus secondary to distal radius fracture repaired with partial tendineous graft from the extensor carpi radialis longus with good functional result].
    Pan Afr Med J 2017 18;28:152. Epub 2017 Oct 18.
    Service de Chirurgie Orthopédique et de Traumatologie, Centre Hospitalier de Beauvais, France.
    We report the case of a 36-year old female patient injured in a fall from a horse. Radiological assessment showed closed comminuted fracture of the lower extremity of the left radius with extensive displacement (A & B). Initial management was based on open osteosynthesis with screwed anterior plate and nails (C) followed by functional rehabilitation. Read More

    [Treatment of Pauwels type III femoral neck fractures with modified percutaneous compression plate].
    Zhongguo Gu Shang 2018 Feb;31(2):120-123
    Department of Orthopaedics, Shangyu Hospital of Traditional Chinese Medicine, Shangyu 312300, Zhejiang, China.
    Objective: To investigate the preliminary effects of modified percutaneous compression plate in treating femoral neck fractures of Pauwels type III.

    Methods: From March 2012 to March 2016, 35 patients with femoral neck fracture were treated by closed reduction and internal fixation with a modified percutaneous compression plate, including 21 males and 14 females with an average age of 45 years old ranging from 23 to 62 years old. The anatomical position of fracture was divided into 8 cases of lower head type, 27 cases of head and neck. Read More

    [Analysis of curative effect of traditional Chinese bone setting manipulation for the treatment of femoral neck fracture].
    Zhongguo Gu Shang 2018 Feb;31(2):115-119
    Fuzhou Second Hospital Affiliated to Xiamen University, Fuzhou 350007, Fujian, China.
    Objective: To analysis the outcome of modified closure bone setting manipulation for the treatment of femoral neck fracture.

    Methods: From January 2012 to December 2012, 47 cases of femoral neck fracture were treated and included 25 males and 22 females with an average age of (44.58±10. Read More

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