9,080 results match your criteria Orthopedics[Journal]


Top 100 Most-Cited Clinical Studies of Hip and Knee Arthroplasty: The Foundation of Practice.

Orthopedics 2019 Feb 14:1-11. Epub 2019 Feb 14.

Total number of citations has been considered a proxy for a published study's importance within a given field. However, there are multiple pitfalls to correlating the total number of citations alone with the quality of a study. In this review, the authors aimed to identify the top 100 most-cited studies of hip and knee arthroplasty and then assess study design and quality of reporting. Read More

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http://dx.doi.org/10.3928/01477447-20190211-05DOI Listing
February 2019

Trends and Risk Factors in Orthopedic Lawsuits: Analysis of a National Legal Database.

Orthopedics 2019 Feb 14:1-8. Epub 2019 Feb 14.

Orthopedic surgeons frequently encounter medical malpractice claims. The purpose of this study was to assess trends and risk factors in lawsuits brought against orthopedic surgeons using a national legal database. A legal research service was used to search publicly available settlement and verdict reports between 1988 and 2013 by terms "orthopaedic or orthopedic" and "malpractice. Read More

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February 2019
3 Reads

Additional Dorsal Fibrocartilage Repair in a Combined Radial Collateral Ligament and Dorsal Fibrocartilage Injury of the Thumb Metacarpophalangeal Joint.

Orthopedics 2019 Feb 14:1-5. Epub 2019 Feb 14.

The purpose of this study was to evaluate the necessity of an additional dorsal fibrocartilage (DFC) repair in combined radial collateral ligament (RCL) and DFC injuries of the thumb metacarpophalangeal joint (MPJ). Eight cadaveric thumbs were used. Ulnar/radial deviation, prosupination, and volar/dorsal laxity were measured. Read More

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February 2019
1 Read

A 65-Year Follow-up of a Judet Prosthesis.

Orthopedics 2019 Feb 14:1-3. Epub 2019 Feb 14.

The Judet polymethylmethacrylate hip hemiarthroplasty can be considered a major step in the development of the current total hip replacement. It was designed by the Judet brothers and first implanted in 1946. Although initial results were encouraging, the procedure was abandoned years later because of breakages and wear of the acrylic material. Read More

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http://dx.doi.org/10.3928/01477447-20190211-06DOI Listing
February 2019
2 Reads

Navigation-Assisted Total Knee Arthroplasty for a Valgus Knee Improves Limb and Femoral Component Alignment.

Orthopedics 2019 Feb 14:1-7. Epub 2019 Feb 14.

The purpose of this study was to evaluate the influence of navigation-assisted surgery on radiographic and clinical outcomes after total knee arthroplasty (TKA) for a valgus knee. The authors identified all patients who underwent TKA for a valgus knee between January 2005 and December 2015. Among 83 conventional TKA cases and 55 navigation-assisted TKA cases, propensity score matching was performed for age, sex, body mass index, and preoperative lower limb mechanical axis. Read More

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February 2019
2 Reads

Comparison of Modified Transtibial and Anteromedial Portal Techniques in Anatomic Single-Bundle ACL Reconstruction.

Orthopedics 2019 Feb 14:1-7. Epub 2019 Feb 14.

The purpose of this study was to compare the clinical, 3-dimensional computed tomography, magnetic resonance imaging, and second-look arthroscopic findings of the modified transtibial technique with those of the anteromedial portal technique in single-bundle anterior cruciate ligament reconstruction (SB-ACLR). Among patients who underwent SB-ACLR from February 2012 to May 2014, 95 patients with a minimum of 36 months of follow-up were included in this retrospective study. Forty-five patients underwent a reconstruction using the modified transtibial technique. Read More

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http://dx.doi.org/10.3928/01477447-20190211-04DOI Listing
February 2019

Pain After Anatomic Total Shoulder Arthroplasty Versus Reverse Total Shoulder Arthroplasty.

Orthopedics 2019 Jan 30:1-6. Epub 2019 Jan 30.

As anatomic total shoulder arthroplasty (aTSA) and reverse total shoulder arthroplasty (rTSA) become increasingly common, differences between the 2 procedures are of importance. The purpose of this study was to determine differences in acute pain levels between patients undergoing aTSA and rTSA. Sixty patients undergoing aTSA or rTSA were assessed for participation. Read More

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January 2019
2 Reads

Comparison of Curved and Straight Anchor Insertion for Bankart Repair.

Orthopedics 2019 Jan 30:1-5. Epub 2019 Jan 30.

The quality of Bankart repair may be compromised by the presence of glenoid perforation during suture anchor placement. The purpose of this study was to compare the rate of glenoid perforation and biomechanical strength of antero-inferior suture anchors placed with a curved vs a traditional straight technique through an anteroinferior portal. Ten bilateral pairs of fresh human cadaveric shoulders were randomized to either a curved or a straight suture anchor insertion technique. Read More

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January 2019
1 Read

Excision of Incomplete Hook of the Hamate Fractures.

Orthopedics 2019 Jan 30:1-4. Epub 2019 Jan 30.

Incomplete hook of the hamate fractures are difficult to diagnose and should be promptly removed to expedite return to sport. From January 2000 to November 2016, 143 excisions of the hook of the hamate were performed following fracture of the hamulus. Of these 143 excisions, 17 were performed because of a preoperative diagnosis of incomplete fracture. Read More

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http://dx.doi.org/10.3928/01477447-20190125-05DOI Listing
January 2019
2 Reads

Nonunion and Reoperation After Internal Fixation of Proximal Femur Fractures: A Systematic Review.

Orthopedics 2019 Jan 30:1-10. Epub 2019 Jan 30.

Nonunion after fixation of a proximal femur fracture is associated with increased disability, pain, and cost to both patient and health care system. Understanding the effect of fixation method and fracture pattern on healing is important to optimize healing. The authors evaluated surgical healing, nonunion rate, and reoperation rate after internal fixation of proximal femur fracture, especially since the year 2000. Read More

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http://dx.doi.org/10.3928/01477447-20190125-06DOI Listing
January 2019

Continued Inpatient Care After Primary Total Shoulder Arthroplasty Is Associated With Increased Short-term Postdischarge Morbidity: A Propensity Score-Adjusted Analysis.

Orthopedics 2019 Jan 30:1-7. Epub 2019 Jan 30.

Advances in surgical technique and implant design during the past several decades have resulted in annual increases in shoulder arthroplasty procedures performed in the United States. The purpose of this investigation was to use the National Surgical Quality Improvement Program database to analyze the rates of morbidity following shoulder arthroplasty. The authors hypothesized that, independent of predischarge patient factors, discharge to inpatient facilities is associated with increased short-term morbidity. Read More

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http://dx.doi.org/10.3928/01477447-20190125-02DOI Listing
January 2019

Total Calcaneus Resection and Reconstruction Using a 3-dimensional Printed Implant.

Orthopedics 2019 Jan 30:1-6. Epub 2019 Jan 30.

Considering the specific anatomic features of the foot, below-knee amputation is the treatment of choice for foot malignancies. However, advances in imaging modalities, adjuvant therapies, and improved surgical techniques have made foot salvage surgery increasingly possible. The calcaneus is an unusual location for malignant tumors, and there is limited information about foot salvage. Read More

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http://dx.doi.org/10.3928/01477447-20190125-07DOI Listing
January 2019
0.977 Impact Factor

Outcomes of Uncemented Versus Cemented Reverse Shoulder Arthroplasty for Proximal Humerus Fractures.

Orthopedics 2019 Jan 30:1-6. Epub 2019 Jan 30.

Reverse shoulder arthroplasty (RSA) for proximal humerus fractures (PHFs) is traditionally performed with cemented humeral fixation. The purpose of this study was to compare the clinical and radiographic outcomes of cemented and cementless RSA for PHF. Between 2010 and 2014, 38 acute PHFs were treated with RSA and followed for a minimum of 2 years (mean, 37 months; range, 24-66 months). Read More

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January 2019

Evaluating the Blood Supply of the Femoral Head During Different Stages of Necrosis Using Digital Subtraction Angiography.

Orthopedics 2019 Jan 22:1-6. Epub 2019 Jan 22.

The authors investigated changes in the blood supply of necrotic femoral heads using digital subtraction angiography (DSA). Digital subtraction angiography was used to evaluate the blood perfusion of osteonecrosis of the femoral head of 81 patients (81 hips). Necrotic hips were grouped according to the Association Research Circulation Osseous staging classification. Read More

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http://dx.doi.org/10.3928/01477447-20190118-01DOI Listing
January 2019
2 Reads

Hip Disability and Osteoarthritis Outcome Score and Western Ontario and McMaster Universities Osteoarthritis Index Values in Asymptomatic and Arthritic Cohorts.

Orthopedics 2019 Jan 22:1-9. Epub 2019 Jan 22.

The primary aim of this study was to determine whether an electronic, multicenter data collection system could be used to establish normal population reference values for the Hip Disability and Osteoarthritis Outcome Score (HOOS) and the Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC). The secondary aim was to investigate differences in asymptomatic HOOS and WOMAC values reported in 2 geographically distinct English-speaking countries and compare these with a symptomatic arthritic patient cohort. A total of 552 participants were recruited. Read More

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http://dx.doi.org/10.3928/01477447-20190118-02DOI Listing
January 2019
1 Read
0.977 Impact Factor

Short Versus Long Cephalomedullary Nails for Fixation of Stable Versus Unstable Intertrochanteric Femur Fractures at a Level 1 Trauma Center.

Orthopedics 2019 Jan 22:1-8. Epub 2019 Jan 22.

The purpose of this study was to compare failure and complication rates associated with short cephalomedullary nail vs long cephalomedullary nail fixation for stable vs unstable intertrochanteric femur fractures. This study included 201 adult patients with nonpathologic intertrochanteric femur fractures without subtrochanteric extension (OTA 31-A1.1-3, 31-A2. Read More

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January 2019
7 Reads

Patellofemoral Joint Contact Pressures: Current Concepts and Use in Patellar Instability Studies.

Orthopedics 2019 Jan 22:1-8. Epub 2019 Jan 22.

The patellofemoral joint is thought to be a common source for knee pain. Improper alignment and function of the patellofemoral joint can lead to abnormal contact pressures, which may explain patients' symptoms. In this review, the authors examine techniques for measuring patellofemoral joint contact pressures and summarize the relevant patellofemoral joint anatomy and contact pressures in normal knee kinematics. Read More

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January 2019
5 Reads

Accelerated Growth of Cellular Therapy Trials in Musculoskeletal Disorders: An Analysis of the NIH Clinical Trials Data Bank.

Orthopedics 2019 Jan 22:1-7. Epub 2019 Jan 22.

The purpose of this study was to (1) determine the growth rate and the trends of musculoskeletal cellular therapy trials in the National Institutes of Health Clinical Trials Data Bank; (2) analyze the study design and characteristics; and (3) assess which cellular therapies and disease conditions are studied. A systematic review of musculoskeletal clinical trials from 2005 to 2016 using cell-based therapies as the primary intervention was performed through ClinicalTrials.gov. Read More

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http://dx.doi.org/10.3928/01477447-20190118-04DOI Listing
January 2019

A Prospective, Randomized Study of Surgical Positioning Software Shows Improved Cup Placement in Total Hip Arthroplasty.

Orthopedics 2019 Jan;42(1):42-47

Several technologies are available to assist surgeons with acetabular component positioning in total hip arthroplasty. The purpose of this study was to determine whether surgical positioning software would improve cup position compared with fluoroscopy. This prospective, randomized study compared 200 primary total hip arthroplasty cups placed with and without surgical positioning software. Read More

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http://dx.doi.org/10.3928/01477447-20190103-02DOI Listing
January 2019
4 Reads

Classic Markers for Infection Perform Poorly in Predicting Residual Infection Prior to Reimplantation.

Orthopedics 2019 Jan;42(1):34-40

Two-stage exchange arthroplasty remains the treatment of choice for chronic periprosthetic joint infections. This retrospective study conducted between 2009 and 2015 examined the diagnostic value of biomarkers for residual infection between stages. The biomarkers evaluated included C-reactive protein prior to reimplantation, preimplantation synovial fluid white blood cell count and percent neutrophils, and the intraoperative histologic synovial white blood cell count per high-power field (×400) on permanent sections. Read More

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January 2019
3 Reads

Concussions in Sports.

Orthopedics 2019 Jan;42(1):12-21

Although concussions are common, they are complex, variable, and not entirely understood in terms of pathophysiology and treatment. The incidence of concussion is expected to continue to rise with the increased participation of youth in sports and improved awareness. The role of orthopedic surgeons in concussion management is murky. Read More

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http://dx.doi.org/10.3928/01477447-20181231-02DOI Listing
January 2019
4 Reads

2018 Reviewers.

Authors:

Orthopedics 2019 Jan;42(1):6-7

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January 2019

Clinical Characteristics and Long-term Outcomes After Septic Arthritis of the Native Glenohumeral Joint: A 20-Year Retrospective Review.

Orthopedics 2019 Jan 3;42(1):e118-e123. Epub 2019 Jan 3.

Septic arthritis of the native glenohumeral joint is rare, and there is little information available regarding the natural progression and long-term joint outcomes of this pathology. The authors performed a retrospective analysis of 97 patients with culture-positive glenohumeral septic arthritis between 1995 and 2015 at their institution with a mean clinical follow-up of 83.1 months. Read More

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http://dx.doi.org/10.3928/01477447-20181227-01DOI Listing
January 2019
4 Reads

The Effectiveness of Aspirin for Venous Thromboembolism Prophylaxis for Patients Undergoing Arthroscopic Rotator Cuff Repair.

Orthopedics 2018 Dec 31:1-6. Epub 2018 Dec 31.

Venous thromboembolic disease (VTED) is a rare complication following arthroscopic rotator cuff repair (RCR). The American Academy of Orthopaedic Surgeons and the American College of Chest Physicians have no prophylaxis guidelines specific to shoulder arthroscopy, yet many surgeons prescribe aspirin following RCR. The purpose of this study was to evaluate the effectiveness of aspirin and mechanical prophylaxis compared with mechanical prophylaxis alone in preventing VTED following RCR. Read More

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December 2018
1 Read

Osseous Metastatic Disease to the Hands and Feet.

Orthopedics 2018 Dec 31:1-5. Epub 2018 Dec 31.

Osseous metastases to the hands and feet (acrometastases) are exceedingly rare. Historically, the most common primary cancer observed has been lung carcinoma, treated either nonoperatively or with amputation. The aim of this study was to describe the clinical characteristics associated with acrometastases. Read More

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http://dx.doi.org/10.3928/01477447-20181227-04DOI Listing
December 2018
1 Read

Fixation of Displaced Acetabular Fractures With an Anatomic Quadrilateral Surface Plate Through the Stoppa Approach.

Orthopedics 2018 Dec 31:1-7. Epub 2018 Dec 31.

Satisfactory fixation for displaced acetabular fractures involving the quadrilateral surface remains difficult to obtain with conventional reconstruction plates. To achieve minimally invasive management of fractures of the quadrilateral surface, the authors designed a type of anatomic quadrilateral surface plate (AQSP). A retrospective study to assess the therapeutic results of the AQSP was performed at their institution. Read More

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http://dx.doi.org/10.3928/01477447-20181227-03DOI Listing
December 2018
2 Reads

Aspirin Alone Is Not Enough to Prevent Deep Venous Thrombosis After Total Joint Arthroplasty.

Orthopedics 2019 Jan 3;42(1):48-55. Epub 2019 Jan 3.

Thromboembolic events after total joint arthroplasty are potentially devastating complications. This study evaluated the efficacy of 4 different anticoagulants in preventing deep venous thrombosis and pulmonary embolism after total joint arthroplasty. The demographics and anticoagulant use (warfarin, enoxaparin, and aspirin with and without outpatient mechanical pumps) for patients who underwent primary unilateral total joint arthroplasties performed by a single surgeon from January 2013 to October 2014 were retrospectively reviewed. Read More

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http://dx.doi.org/10.3928/01477447-20181227-02DOI Listing
January 2019

Medicaid Reimbursement for Common Orthopedic Procedures Is Not Consistent.

Orthopedics 2018 Dec 31:1-4. Epub 2018 Dec 31.

Two major forms of physician reimbursement include Medicare (MCR; federally funded) and Medicaid (MCD; state funded). The only oversight provided to individual states for setting MCD reimbursement is that it must provide a standard payment that does not negatively affect patient care. The goals of this study were to determine the variability of MCD reimbursement for patients who require orthopedic procedures and to assess how this compares with regional MCR reimbursement. Read More

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http://dx.doi.org/10.3928/01477447-20181227-06DOI Listing
December 2018
1 Read

Comparison of Wide-Awake Local Anesthesia No Tourniquet With General Anesthesia With Tourniquet for Volar Plating of Distal Radius Fracture.

Orthopedics 2019 Jan 13;42(1):e93-e98. Epub 2018 Dec 13.

Wide-awake local anesthesia no tourniquet (WALANT) is used for various hand surgeries, but there are no reports of its use for distal radius fractures. The authors compared perioperative variables and clinical outcomes for volar plating for distal radius fractures with WALANT vs general anesthesia with tourniquet. This retrospective study included 47 patients who presented with distal radius fractures between January 2015 and February 2017. Read More

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http://dx.doi.org/10.3928/01477447-20181206-01DOI Listing
January 2019
3 Reads

Mechanical Augmentation With Absorbable Alginate Sheet Enhances Healing of the Rotator Cuff.

Orthopedics 2019 Jan 13;42(1):e104-e110. Epub 2018 Dec 13.

For anatomical restoration of a repaired rotator cuff, mechanical augmentation of the repaired structure is essential. Using histological and biomechanical evaluation in a rat model, the authors sought to determine the efficacy of an absorbable alginate sheet at the supraspinatus tendon-to-bone repair site for healing of the rotator cuff tear. Forty adult (12 weeks old) male Sprague- Dawley wild-type rats were used in this study. Read More

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January 2019
1 Read
0.977 Impact Factor

Isolated Tear of the Teres Major Muscle.

Authors:
Katsumi Takase

Orthopedics 2018 Dec 11:1-3. Epub 2018 Dec 11.

Rotator cuff tears are frequently treated in daily clinical practice. However, there have been few reports of tears around the shoulder involving the latissimus dorsi and teres major muscles. The author reports the rare case of an isolated tear of the teres major muscle with symptom onset during ordinary sports activities without a clear traumatic mechanism. Read More

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http://dx.doi.org/10.3928/01477447-20181206-08DOI Listing
December 2018

Occlusion Outside the Norm: A Unique Case of the Pulseless, Well-Perfused Hand Following Closed Humeral Shaft Fracture.

Orthopedics 2018 Dec 11:1-3. Epub 2018 Dec 11.

Transient arterial injury is a common complication encountered in the management of pediatric supracondylar humerus fractures, often presenting as a pulseless hand that appears well perfused, also known as the "pink, pulseless hand." Arterial injuries in pediatric humeral shaft fractures, on the other hand, are exceedingly rare, especially in closed fractures. The authors report a rare case of a humeral shaft fracture presenting as a pink, pulseless hand. Read More

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http://dx.doi.org/10.3928/01477447-20181206-09DOI Listing
December 2018
3 Reads

There Is No Significant Difference in Fretting and Corrosion at the Trunnion of Metal and Ceramic Heads.

Orthopedics 2019 Jan 13;42(1):e99-e103. Epub 2018 Dec 13.

No study has compared the prevalence of fretting and corrosion at the trunnion of cobalt-chrome (Co-Cr) and zirconia ceramic heads in the same patients. The authors sought to compare the prevalence of fretting and corrosion at the trunnion after total hip arthroplasty with a 32-mm Co-Cr or a 32-mm zirconia ceramic head-on-polyethylene bearing. Isolated revision of the ace-tabular components was performed in 78 patients (156 hips) for polyethylene wear and osteolysis of the acetabulum. Read More

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http://dx.doi.org/10.3928/01477447-20181206-03DOI Listing
January 2019

Total Elbow Arthroplasty Versus Open Reduction and Internal Fixation for the Management of Distal Humerus Fractures in the Elderly.

Orthopedics 2019 Jan 13;42(1):22-27. Epub 2018 Dec 13.

Distal humerus fractures, which are challenging injuries seen in geriatric patients, are often repaired using open reduction and internal fixation or total elbow arthroplasty. This updated meta-analysis, which includes more recent open reduction and internal fixation techniques, examined outcomes following distal humerus fractures repaired using open reduction and internal fixation vs total elbow arthroplasty. Although distal humerus fractures treated with total elbow arthroplasty achieved statistically higher functional scores relative to those treated with open reduction and internal fixation, this difference was not clinically significant. Read More

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January 2019
1 Read

Femoral Nerve Palsy With Concomitant Patellar Dislocation in a Ballet Dancer.

Orthopedics 2018 Dec 11:1-3. Epub 2018 Dec 11.

Femoral nerve palsy with concomitant patellar dislocation is a rare clinical entity that has not previously been well documented. The authors present the case of a 16-year-old female ballet dancer who sustained a patellar dislocation with concomitant femoral nerve palsy. She experienced muscle weakness after the initial injury and developed neuropathic symptoms through the anterior left thigh. Read More

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http://dx.doi.org/10.3928/01477447-20181206-07DOI Listing
December 2018

Revision of Failed Resurfacing Hemiarthroplasty: Midterm Results, Survival, and Group Comparison.

Orthopedics 2019 Jan 13;42(1):e111-e117. Epub 2018 Dec 13.

Shoulder arthroplasty is a valuable option for treating glenohumeral osteoarthritis. Revision surgery for a failed shoulder arthroplasty is associated with difficult procedures, complications, and worse outcomes. Compared with a total joint arthroplasty, a resurfacing prosthesis has the supposed advantages of limited perioperative complications and little bone loss during revision. Read More

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January 2019
15 Reads

Overview of Metatarsalgia.

Orthopedics 2019 Jan 13;42(1):e138-e143. Epub 2018 Dec 13.

Metatarsalgia can be viewed as more of a symptom rather than a distinct diagnosis. Timing of forefoot pain during the gait cycle and evaluation of whether the pain is from anatomic abnormalities, indirect overloading, or iatrogenic causes can suggest a specific metatarsalgia etiology. A thorough physical examination of the lower extremity, especially evaluation of the plantar foot, and weight-bearing radiographs are critical for diagnosis and treatment. Read More

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January 2019
9 Reads

Bone Scintigraphy: A Review of Technical Aspects and Applications in Orthopedic Surgery.

Orthopedics 2019 Jan 28;42(1):e14-e24. Epub 2018 Nov 28.

Due to its high sensitivity, low cost, accessibility, and ease of use, bone scintigraphy is used in orthopedic surgery for the diagnosis and management of varied pathology. It is commonly used for insufficiency fractures, metastatic neoplasia, staging and surveillance of sarcoma, and nonaccidental trauma. It augments diagnoses, including stress or occult fractures, musculoskeletal neoplasia or infection, and chronic regional pain syndrome, in patients presenting with normal results on radiographs. Read More

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http://dx.doi.org/10.3928/01477447-20181120-05DOI Listing
January 2019

Chronic Morbidity of a Pilot Hole Burr Technique for Anterior Iliac Crest Autograft in Cervical Fusion.

Orthopedics 2019 Jan 28;42(1):e68-e73. Epub 2018 Nov 28.

Anterior cervical decompression and fusion is a commonly performed procedure for cervical pathology. Graft choices include autograft, allograft, xenograft, synthetic, or a combination. Autograft has been shown to increase fusion rate compared with allograft, yet high morbidity at the harvest site has been reported. Read More

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January 2019
1 Read

Use of an Additional Nonlocking Screw in Olecranon Fracture Osteosynthesis Changes Failure Mechanism.

Orthopedics 2019 Jan 28;42(1):e74-e80. Epub 2018 Nov 28.

Hardware-related complications can occur when plate fixation is used to stabilize osteoporotic fractures involving the olecranon. The use of an additional nonlocking screw, placed retrograde into the proximal fracture segment, may improve stability under load. The purpose of this study was to conduct a biomechanical comparison of olecranon repair constructs with and without this additional retrograde screw. Read More

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http://dx.doi.org/10.3928/01477447-20181120-01DOI Listing
January 2019
2 Reads

Projected Medicare Savings Associated With Lowering the Risk of Total Hip Arthroplasty Revision: An Administrative Claims Data Analysis.

Orthopedics 2019 Jan 28;42(1):e86-e92. Epub 2018 Nov 28.

In the United States, demand for total hip arthroplasty (THA) and THA revision procedures are increasing due to an aging population, a longer life expectancy, and an increasing prevalence of osteoarthritis. This retrospective cohort study identified patients 65 years and older in the Medicare 5% Standard Analytic Files who underwent THA for osteoarthritis between January 1, 2009, and September 30, 2010. The authors estimated the 5-year cumulative revision risk (CRR) using the Kaplan-Meier method, revision-related complications, and Medicare expenditures. Read More

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http://dx.doi.org/10.3928/01477447-20181120-03DOI Listing
January 2019

Use of Continuous Passive Motion Reduces Rates of Arthrofibrosis After Anterior Cruciate Ligament Reconstruction in a Pediatric Population.

Orthopedics 2019 Jan 28;42(1):e81-e85. Epub 2018 Nov 28.

Joint immobilization after anterior cruciate ligament (ACL) reconstruction may lead to intra-articular adhesions and range of motion deficits. Some practitioners thus advocate for the use of postoperative continuous passive motion (CPM) machine protocols. However, previous studies have failed to show CPM to be effective in increasing postoperative range of motion. Read More

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http://dx.doi.org/10.3928/01477447-20181120-04DOI Listing
January 2019
1 Read

Overcoming Anterior Breaches in the Distal Femur During Long Gamma Nailing.

Orthopedics 2019 Jan 28;42(1):e135-e137. Epub 2018 Nov 28.

Anterior cortical penetration of distal femora when using long gamma nails is well established. To avoid this complication, using the appropriate entry point, a nail with a smaller radius of curvature, and intraoperative imaging is suggested. Despite this, there are times when the guidewire or the nail can abut or even perforate the anterior cortex. Read More

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http://dx.doi.org/10.3928/01477447-20181120-06DOI Listing
January 2019

A Review of Novel Antibiotic Regimens for the Treatment of Orthopedic Infections.

Orthopedics 2018 Nov;41(6):323-328

As a result of the increasing numbers of joint replacement surgeries and other implant-associated procedures performed, the incidences of periprosthetic joint infections and osteomyelitis are on the rise. Antibiotic resistance to gram-positive species, which are mostly isolated from such infections, is a significant obstacle in clinical practice. Promising clinical outcomes have been reported with the use of novel antibiotics for patients with periprosthetic joint infections and osteomyelitis. Read More

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http://dx.doi.org/10.3928/01477447-20181024-02DOI Listing
November 2018
1 Read

Congratulations to the 2018 Blue Ribbon Article Award Winners.

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Orthopedics 2018 Nov;41(6):321-322

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http://dx.doi.org/10.3928/01477447-20181102-01DOI Listing
November 2018

Age Alone Does Not Predict Complications, Length of Stay, and Cost for Patients Older Than 90 Years With Hip Fractures.

Orthopedics 2019 Jan 14;42(1):e51-e55. Epub 2018 Nov 14.

The purpose of this study was to analyze the perioperative complication rate and inpatient hospitalization costs associated with hip fractures in patients older than 90 years compared with patients younger than 90 years. Patients 60 years and older with hip fractures treated operatively at 1 academic medical center between October 2014 and September 2016 were analyzed. Patient demographics, comorbidities, length of stay, procedure performed, and inpatient complications were analyzed. Read More

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https://www.healio.com/doiresolver?doi=10.3928/01477447-2018
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http://dx.doi.org/10.3928/01477447-20181109-05DOI Listing
January 2019
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Early Subspecialization in Orthopedic Surgery Training.

Orthopedics 2019 Jan 14;42(1):e39-e43. Epub 2018 Nov 14.

Recent studies have shown that applicants to the American Board of Orthopaedic Surgery Part II examination are performing fewer procedures outside of their chosen subspecialty. In this study, the authors assessed whether trainees are beginning their subspecialization during residency. The authors reviewed the chosen fellowships and case logs of 231 residents graduating from 5 academic orthopedic residency training programs from 2002 to 2017. Read More

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http://dx.doi.org/10.3928/01477447-20181109-01DOI Listing
January 2019

Subscapularis-Sparing Total Shoulder Arthroplasty: A Prospective, Double-Blinded, Randomized Clinical Trial.

Orthopedics 2019 Jan 14;42(1):e61-e67. Epub 2018 Nov 14.

Although total shoulder arthroplasty (TSA) is generally associated with good to excellent outcomes in most patients, the integrity and function of the subscapularis tendon (SSC) is of paramount importance because SSC rupture after TSA can lead to inferior outcomes. Therefore, the efficacy of a SSC-sparing TSA procedure was evaluated through a prospective, double-blinded, randomized study. Patients with end-stage osteoarthritis of the shoulder were randomized into 2 groups. Read More

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http://dx.doi.org/10.3928/01477447-20181109-02DOI Listing
January 2019
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