9,103 results match your criteria Orthopedics[Journal]


Anterior Cervical Corpectomy and Fusion Versus Posterior Laminoplasty for Cervical Oppressive Myelopathy Secondary to Ossification of the Posterior Longitudinal Ligament: A Meta-analysis.

Orthopedics 2019 Apr 9:1-8. Epub 2019 Apr 9.

The purpose of this study was to compare the clinical effect of anterior cervical corpectomy with fusion vs laminoplasty for cervical ossification of the posterior longitudinal ligament. The outcome measures included the Japanese Orthopaedic Association score, neurological recovery rate, and complication rate. Subgroup A represented studies with the mean preoperative canal occupying ratio being less than 50%, whereas subgroup B represented studies with the mean canal occupying ratio being 50% or greater. Read More

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http://dx.doi.org/10.3928/01477447-20190403-04DOI Listing
April 2019
0.977 Impact Factor

Single-Use Custom Instrumentation in Total Knee Arthroplasty: Effect on In-Hospital Complications, Length of Stay, and Discharge Disposition.

Orthopedics 2019 Apr 9:1-5. Epub 2019 Apr 9.

Total knee arthroplasty (TKA) is a quality surgical intervention with rapidly increasing use. This growth has brought with it a host of new technologies, including custom instrumentation (CI). With the current emphasis on value-based health care, the clinical benefit of CI TKA must be evaluated. Read More

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http://dx.doi.org/10.3928/01477447-20190403-03DOI Listing
April 2019
2 Reads

Performance and Return to Sport After Femoroacetabular Impingement Surgery in National Football League Players.

Orthopedics 2019 Apr 9:1-7. Epub 2019 Apr 9.

The purpose of this study was to determine the (1) return-to-sport rate for National Football League (NFL) players following femoroacetabular impingement surgery, (2) postoperative career length and games per season, (3) pre- and postoperative performance, and (4) postoperative performance compared with control players matched by position, age, years of experience, and performance. National Football League athletes who underwent hip arthroscopy for femoroacetabular impingement and matched controls were identified. A Bonferroni correction was used to control for multiple comparisons, with statistical significance set at P≤. Read More

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Prevalence and Trends of Patient-Reported Outcome Measures Used in Hip Arthroscopy.

Orthopedics 2019 Apr 9:1-4. Epub 2019 Apr 9.

The aim of this review was to determine the prevalence of patient-reported outcome measures concerning outcomes of arthroscopic hip surgery. The PubMed database was comprehensively reviewed in March 2016 using the key terms "hip" and "arthroscopy." A total of 192 eligible studies were identified. Read More

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http://dx.doi.org/10.3928/01477447-20190403-06DOI Listing

A Systematic Review of the Laboratory Risk Indicator for Necrotizing Fasciitis Score and Its Utility in Orthopedics for Diagnosing Necrotizing Fasciitis in Adults.

Orthopedics 2019 Apr 9:1-7. Epub 2019 Apr 9.

Given its association with trauma and surgery, necrotizing fasciitis is a disease orthopedists are likely to encounter. The laboratory risk indicator for necrotizing fasciitis score is an adjunct diagnostic test designed to help diagnose early necrotizing fasciitis infections, but studies evaluating the scoring system have reported conflicting results. The purpose of this systematic review was to provide clarity on the laboratory risk indicator for necrotizing fasciitis score's capabilities and when it is best used. Read More

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http://dx.doi.org/10.3928/01477447-20190403-07DOI Listing

Anterior Cruciate Ligament Reconstruction in Young Females: A Systematic Review of Patellar Tendon Versus Hamstring Tendon Autografts.

Orthopedics 2019 Apr 9:1-10. Epub 2019 Apr 9.

A systematic review was performed to compare patellar tendon-bone (BTB) and hamstring tendon (HS) autografts following anterior cruciate ligament reconstruction in young females, young patients, or females. One study compared BTB and HS in young females and found a lower rate of graft failure with BTB (P<.02). Read More

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April 2019
1 Read

Synthetic Mesh Allograft Reconstruction for Extensor Mechanism Insufficiency After Knee Arthroplasty.

Orthopedics 2019 Apr 9:1-6. Epub 2019 Apr 9.

Extensor mechanism (EM) insufficiency after knee arthroplasty is a rare but devastating complication resulting in severe disability. To date, primary repair and allograft reconstructive options have produced suboptimal results. A synthetic mesh allograft reconstruction technique has recently been introduced with promising outcomes. Read More

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April 2019
5 Reads

Failure Patterns of Femoral Neck Fracture Fixation in Young Patients.

Orthopedics 2019 Mar 26:1-5. Epub 2019 Mar 26.

The primary purpose of this study was to describe the failure patterns of femoral neck fracture fixation in young patients. The secondary purpose was to determine if pattern of failure varies by type of implant. Adult patients (age range, 18-55 years) who experienced a "fixation failure" following internal fixation of a femoral neck fracture were identified from 5 level 1 trauma centers. Read More

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http://dx.doi.org/10.3928/01477447-20190321-03DOI Listing
March 2019
4 Reads

Radiographic Calibration With a Prosthetic Femoral Head Allows Accurate Preoperative Templating for Total Hip Arthroplasty.

Orthopedics 2019 Mar 26:1-4. Epub 2019 Mar 26.

Templating for total hip arthroplasty requires proper radiographic calibration. One option for radiograph calibration is using a cobalt-chrome femoral head ball. The authors reviewed radiographs and clinical data for patients undergoing primary total hip arthroplasty. Read More

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Surgical Outcomes in Endoscopic Versus Open Bursectomy of the Septic Prepatellar or Olecranon Bursa.

Orthopedics 2019 Mar 26:1-4. Epub 2019 Mar 26.

In this study, the authors investigated the viability of endoscopic bursectomy as a treatment for septic prepatellar and olecranon bursitis. Conventional treatment of septic bursitis consists of aspiration, antibiotics, and rest. When conservative treatment fails, however, surgical intervention is sometimes required to resolve the infection. Read More

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http://dx.doi.org/10.3928/01477447-20190321-04DOI Listing
March 2019
6 Reads

Surgical Delay Is Not Warranted for Patients With Hip Fractures Receiving Non-Warfarin Anticoagulants.

Orthopedics 2019 Mar 26:1-5. Epub 2019 Mar 26.

The purpose of this study was to evaluate whether patients with hip fractures receiving antiplatelet and direct oral anticoagulants treated within 48 hours of admission had worse surgical and clinical outcomes than those whose surgery was delayed more than 48 hours. Consecutive patients 55 years and older with an operatively treated hip fracture were analyzed. Patients receiving the following anticoagulants were included: antiplatelet drugs, factor Xa inhibitors, and direct thrombin inhibitors. Read More

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March 2019
6 Reads

Efficacy and Cost-effectiveness of Topical Vancomycin Powder in Primary Cementless Total Hip Arthroplasty.

Orthopedics 2019 Mar 26:1-7. Epub 2019 Mar 26.

Topical vancomycin has been shown to effectively reduce infections after spinal surgery while remaining safe and cost-effective; however, there are few studies evaluating topical vancomycin in total hip arthroplasty. The authors hypothesized that the incidence of periprosthetic joint infection would decrease with the use of topical vancomycin in total hip arthroplasty and that topical vancomycin would be cost-effective. A retrospective patient chart review was performed to evaluate consecutive primary cementless total hip arthroplasties performed in the authors' hospital system between April 2015 and December 2016. Read More

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http://dx.doi.org/10.3928/01477447-20190321-05DOI Listing
March 2019
2 Reads

Preoperative Patient Functional Status Is an Independent Predictor of Outcomes After Primary Total Hip Arthroplasty.

Orthopedics 2019 Mar 26:1-5. Epub 2019 Mar 26.

This study was designed to determine whether preoperative functional status of patients with osteoarthritis predicts outcomes after primary total hip arthroplasty. The American College of Surgeons National Surgical Quality Improvement Program database was queried for records of patients who underwent primary total hip arthroplasty for a principal diagnosis of osteoarthritis from 2009 to 2013 (N=43,179). Patients were categorized as dependent or independent according to their preoperative functional status. Read More

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Preoperative Hemoglobin Predicts Postoperative Transfusion Despite Antifibrinolytics During Total Knee Arthroplasty.

Orthopedics 2019 Mar;42(2):103-109

Current antifibrinolytics have decreased perioperative blood loss; however, some patients still require transfusions postoperatively. The authors sought to determine the risk factors associated with postoperative transfusions and to establish a "cutoff" preoperative hemoglobin threshold value specific to total knee arthroplasty (TKA) that would identify patients who would benefit from blood conservation programs. The institutional database was queried for primary TKA patients. Read More

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http://dx.doi.org/10.3928/01477447-20190225-05DOI Listing
March 2019
6 Reads

Incidence of Patella Baja Before and After Primary Total Knee Arthroplasty Based on Body Mass Index.

Orthopedics 2019 Mar;42(2):90-94

In the setting of total knee arthroplasty, patella baja has been associated with decreased range of motion and increased risk of certain extensor mechanism complications. The goal of this study was to determine whether obese patients had an increased prevalence of patella baja before and/or after primary total knee arthroplasty. A multicenter retrospective review of 5089 unilateral total knee arthroplasties performed between 1998 and 2012 for osteoarthritis was conducted. Read More

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http://dx.doi.org/10.3928/01477447-20190225-04DOI Listing
March 2019
1 Read

The Role of Orthobiologics in the Management of Osteoarthritis and Focal Cartilage Defects.

Orthopedics 2019 Mar;42(2):66-73

Individuals with osteoarthritis have a diminished quality of life, and the condition is a major cause of disability. Newer biologic treatments have been developed that are believed to modify disease progression. These predominantly include hyaluronic acid, platelet-rich plasma, bone marrow aspirate concentrate, and adipose-derived mesenchymal stem cells. Read More

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http://dx.doi.org/10.3928/01477447-20190225-02DOI Listing
March 2019
2 Reads

Operative Time and Cost Vary by Surgeon: An Analysis of Supracondylar Humerus Fractures in Children.

Orthopedics 2019 Mar 12:1-5. Epub 2019 Mar 12.

Operative time is a critical driver of cost in orthopedics and an important target for improving value in health care. This study used an archetypal pediatric orthopedic procedure to identify surgeon-dependent variability in operative time. The authors reviewed patients 12 years or younger treated with closed reduction and percutaneous pinning for extension-type supracondylar humerus fractures. Read More

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http://dx.doi.org/10.3928/01477447-20190307-02DOI Listing

Total Hip Arthroplasty Templating: A Simple Method to Correct for Radiograph Magnification.

Orthopedics 2019 Mar 12:1-4. Epub 2019 Mar 12.

Several factors can cause magnification errors when templating. Parallax, distance from the plate, and printing or monitoring the radiographs can lead to errors. Steel balls, 25. Read More

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http://dx.doi.org/10.3928/01477447-20190307-01DOI Listing
March 2019
4 Reads

Transformation of Ischial Osteoblastoma Into High-Grade Osteoblastoma-Like Osteosarcoma.

Orthopedics 2019 Feb 26:1-3. Epub 2019 Feb 26.

The authors report an osteoblastoma-like variant of osteosarcoma of the right ischial tuberosity in a 14-year-old boy. Radiographs initially showed a bone-forming lesion of the right ischial tuberosity. The patient underwent biopsy with curettage and bone grafting, with final pathology revealing osteoblastoma. Read More

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http://dx.doi.org/10.3928/01477447-20190221-05DOI Listing
February 2019
2 Reads

The Effect of Race on Early Perioperative Outcomes After Shoulder Arthroplasty: A Propensity Score Matched Analysis.

Orthopedics 2019 Mar 27;42(2):95-102. Epub 2019 Feb 27.

There is a paucity of data on how racial disparities may affect early outcomes following shoulder arthroplasty. The purpose of this study was to evaluate differences in 30-day complications and readmission rates after shoulder arthroplasty based on race. White and black patients who underwent hemiarthroplasty, anatomic or reverse total shoulder arthroplasty (Current Procedural Terminology codes 23470 and 23472) between 2006 and 2015 were identified in the American College of Surgeons National Surgical Quality Improvement Program database. Read More

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http://dx.doi.org/10.3928/01477447-20190221-01DOI Listing
March 2019
1 Read

Brachialis Muscle Tendon Rupture of the Distal Ulnar Attachment in a Competitive Weight Lifter.

Orthopedics 2019 Feb 26:1-4. Epub 2019 Feb 26.

Isolated tears of the brachialis muscle are rare and often take on the clinical appearance of other pathology, such as a distal biceps brachii tendon tear or an intramuscular tumor, thus making diagnosis especially difficult. The authors describe the case of a 31-year-old competitive male weight lifter who was found to have a full-thickness tear of the brachialis tendon at its distal ulnar attachment after performing a 40.8-kg biceps curl. Read More

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http://dx.doi.org/10.3928/01477447-20190221-04DOI Listing
February 2019
4 Reads

Surgical Management for Olecranon Fractures in Adults: A Systematic Review and Meta-analysis.

Orthopedics 2019 Mar 27;42(2):75-82. Epub 2019 Feb 27.

Olecranon fractures are common upper-extremity fractures amenable to various surgical techniques. The authors conducted a systematic review and meta-analysis to evaluate surgical management strategies for olecranon fractures in adult patients. Two investigators independently screened articles from records obtained from MEDLINE, Embase, SPORTDiscus, CINAHL, and the Cochrane Library databases. Read More

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http://dx.doi.org/10.3928/01477447-20190221-03DOI Listing
March 2019
1 Read

A Prospective, Randomized, Double-Blinded Trial Comparing Acetaminophen, Ibuprofen, and Oxycodone for Pain Management After Hand Surgery.

Orthopedics 2019 Mar 27;42(2):110-115. Epub 2019 Feb 27.

The goal of this study was to evaluate 3 common oral analgesics-oxycodone (OXY), ibuprofen (IBU), and acetaminophen (ACE)-for pain management following carpal tunnel release (CTR) and trigger finger release (TFR) surgery. Outcome measures were pain scores, capsule consumption patterns, and satisfaction. Carpal tunnel or trigger finger patients indicated to undergo primary, unilateral release received 10 capsules of either OXY (5 mg), IBU (600 mg), or ACE (500 mg) postoperatively. Read More

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http://dx.doi.org/10.3928/01477447-20190221-02DOI Listing
March 2019
1 Read

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

Orthopedics 2019 Mar 14;42(2):e151-e161. 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
March 2019
2 Reads

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

Orthopedics 2019 Mar 14;42(2):e260-e267. 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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http://dx.doi.org/10.3928/01477447-20190211-01DOI Listing
March 2019
14 Reads
0.977 Impact Factor

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

Orthopedics 2019 Mar 14;42(2):e268-e272. 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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http://dx.doi.org/10.3928/01477447-20190211-03DOI Listing
March 2019
5 Reads

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
12 Reads

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

Orthopedics 2019 Mar 14;42(2):e253-e259. 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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http://dx.doi.org/10.3928/01477447-20190211-02DOI Listing
March 2019
7 Reads

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

Orthopedics 2019 Mar 14;42(2):83-89. 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
March 2019
1 Read

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

Orthopedics 2019 Mar 1;42(2):e247-e252. Epub 2019 Feb 1.

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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http://dx.doi.org/10.3928/01477447-20190125-01DOI Listing
March 2019
9 Reads
0.977 Impact Factor

Comparison of Curved and Straight Anchor Insertion for Bankart Repair.

Orthopedics 2019 Mar 1;42(2):e242-e246. Epub 2019 Feb 1.

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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http://dx.doi.org/10.3928/01477447-20190125-04DOI Listing
March 2019
3 Reads

Excision of Incomplete Hook of the Hamate Fractures.

Orthopedics 2019 Mar 1;42(2):e232-e235. Epub 2019 Feb 1.

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
March 2019
3 Reads

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

Orthopedics 2019 Mar 1;42(2):e162-e171. Epub 2019 Feb 1.

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
March 2019
1 Read

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

Orthopedics 2019 Mar 1;42(2):e225-e231. Epub 2019 Feb 1.

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
March 2019
2 Reads

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

Orthopedics 2019 Mar 1;42(2):e282-e287. Epub 2019 Feb 1.

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
March 2019
1 Read
0.977 Impact Factor

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

Orthopedics 2019 Mar 1;42(2):e236-e241. Epub 2019 Feb 1.

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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http://dx.doi.org/10.3928/01477447-20190125-03DOI Listing
March 2019
1 Read

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

Orthopedics 2019 Mar 31;42(2):e210-e215. Epub 2019 Jan 31.

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
March 2019
3 Reads

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

Orthopedics 2019 Mar 31;42(2):e216-e224. Epub 2019 Jan 31.

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
March 2019
3 Reads
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 Mar 31;42(2):e202-e209. Epub 2019 Jan 31.

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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http://dx.doi.org/10.3928/01477447-20190118-03DOI Listing
March 2019
13 Reads

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

Orthopedics 2019 Mar 31;42(2):e172-e179. Epub 2019 Jan 31.

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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http://dx.doi.org/10.3928/01477447-20190118-05DOI Listing
March 2019
12 Reads

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

Orthopedics 2019 Mar 31;42(2):e144-e150. Epub 2019 Jan 31.

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
March 2019
6 Reads

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
8 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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http://dx.doi.org/10.3928/01477447-20190103-03DOI Listing
January 2019
9 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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https://www.healio.com/doiresolver?doi=10.3928/01477447-2018
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http://dx.doi.org/10.3928/01477447-20181231-02DOI Listing
January 2019
10 Reads

Setting Patient Expectations Regarding Postoperative Pain.

Authors:
Dana I LaVanture

Orthopedics 2019 Jan;42(1):9-10

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http://dx.doi.org/10.3928/01477447-20181231-01DOI Listing
January 2019
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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
7 Reads

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

Orthopedics 2019 Mar 3;42(2):e187-e192. Epub 2019 Jan 3.

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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http://dx.doi.org/10.3928/01477447-20181227-05DOI Listing
March 2019
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Osseous Metastatic Disease to the Hands and Feet.

Orthopedics 2019 Mar 3;42(2):e197-e201. Epub 2019 Jan 3.

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
March 2019
2 Reads