4,256 results match your criteria complications revisions

Fifteen-minute consultation: Recognition of sickle cell crises in the paediatric emergency department.

Arch Dis Child Educ Pract Ed 2021 Apr 8. Epub 2021 Apr 8.

Paediatric Emergency Department, Cardiff and Vale University Health Board, Cardiff, UK.

Children with sickle cell disease can develop life-threatening and painful crises that require prompt assessment and efficient management by healthcare professionals in the emergency or acute care setting. Due to migration patterns and improved survival rates in high-prevalence countries, there is an increased tendency to encounter these patients across the UK. These factors warrant regular revisions in sickle cell crisis management, along with education for medical personnel and patients to improve clinical care and patient management. Read More

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Complications and Revision Rates in Minimally Invasive Robotic-Guided Versus Fluoroscopic-Guided Spinal Fusions: The MIS ReFRESH Prospective Comparative Study.

Spine (Phila Pa 1976) 2021 Apr 5. Epub 2021 Apr 5.

Virginia Spine Institute, Reston, VA National Spine Health Foundation, Reston, VA Tabor Orthopedics, Memphis, TN Lyerly Neurosurgery, Jacksonville, FL Atlantic Brain and Spine, Reston, VA Rothman Institute, Abington, PA Department of Orthopedic Surgery, Florida Hospital, Celebration, FL Central Florida Neurosurgery Institute, Osceola, FL Southeastern Spine Center & Research Institute, Sarasota, FL Department of Neurological Surgery, University of Miami Hospital, Miami, FL.

Study Design: Prospective, multi-center, partially randomized.

Objective: Assess rates of complications, revision surgery, and radiation between Mazor robotic-guidance (RG) and fluoro-guidance (FG).

Summary Of Background Data: MIS ReFRESH is the first study designed to compare RG and FG techniques in adult MIS lumbar fusions. Read More

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Is Conversion TKA a Primary or Revision? Clinical Course and Complication Risks Approximating Revision TKA Rather Than Primary TKA.

J Arthroplasty 2021 Mar 17. Epub 2021 Mar 17.

Department of Orthopaedic Surgery, University of Pennsylvania, Philadelphia, PA.

Background: Conversion total knee arthroplasty (convTKA) is associated with increased resource utilization and costs compared with primary TKA. The purpose of this study is to compare 1) surgical time, 2) hospitalization length (LOS), 3) complications, 4) infection, and 5) readmissions in patients undergoing convTKA to both primary TKA and revision TKA patients.

Methods: The American College of Surgeons National Surgical Quality Improvement Project database was queried from 2008 to 2018. Read More

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Thromboprophylaxis in primary shoulder arthroplasty does not seem to prevent death: a report from the Norwegian Arthroplasty Register 2005-2018.

Acta Orthop 2021 Apr 6:1-7. Epub 2021 Apr 6.

Norwegian Arthroplasty Register, Department of Orthopedic Surgery, Haukeland University Hospital, Bergen.

Background and purpose - There is still no consensus on whether to use thromboprophylaxis as a standard treatment in shoulder replacement surgery. We investigated the use of thromboprophylaxis reported to the Norwegian Arthroplasty Register (NAR). The primary endpoint was early mortality after primary shoulder arthroplasty with and without thromboprophylaxis. Read More

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Mid- to Long-Term Outcomes of Cementless Modular, Fluted, Tapered Stem for Massive Femoral Bone Loss in Revision Total Hip Arthroplasty.

Orthop Surg 2021 Apr 5. Epub 2021 Apr 5.

Department of Orthopaedics, The First Affiliated Hospital of Soochow University, Suzhou, China.

Objective: To evaluate mid- to long-term results of revision total hip arthroplasty for massive femoral bone loss using a cementless modular, fluted, tapered stem.

Methods: This is a retrospective study performed at a single hospital. During the period of January 2007 to January 2015, 33 patients (34 hips) underwent primary revision surgery with cementless modular, fluted, tapered stems due to femoral bone loss. Read More

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Metallic hemiarthroplasty or arthrodesis of the first metatarsophalangeal joint as treatment for hallux rigidus: A systematic review and meta-analysis.

Foot Ankle Surg 2021 Mar 11. Epub 2021 Mar 11.

Department of Orthopaedic Surgery, Maastricht University Medical Center, P. Debyelaan 25, NL-6202 AZ Maastricht, The Netherlands.

Background: Arthrodesis and metallic hemiarthroplasty are two surgical interventions for the treatment of end-stage osteoarthritis of the first metatarsophalangeal (MTP1) joint. This systematic review and meta-analysis aims to compare the two operations with regards to patient-reported outcomes, pain reduction, complications and revision rates.

Methods: A systematic literature search identified all relevant studies. Read More

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Anatomic all-epiphyseal ACL reconstruction with "inside-out" femoral tunnel placement in immature patients yields high return to sport rates and functional outcome scores a minimum of 24 months after reconstruction.

Knee Surg Sports Traumatol Arthrosc 2021 Apr 3. Epub 2021 Apr 3.

Department of Orthopaedic Surgery, Children's Hospital of Pittsburgh, University of Pittsburgh, 4401 Penn Avenue, Pittsburgh, PA, 15224, USA.

Purpose: To understand if anatomic physeal-sparing ACL reconstruction in the immature host preserves range of motion, permits a return to sports, and avoids limb length discrepancy and accelerated intra-articular degeneration with a cross-sectional radiographic, physical examination and patient-reported outcomes analysis.

Methods: A cross-sectional recall study included 38 patients aged 7-15 who underwent all-epiphyseal ACL reconstruction with hamstring allograft performed by a single surgeon at a large academic medical center. All-epiphyseal reconstructions were performed using a modified Anderson physeal-sparing technique, with the femoral tunnel placed using an "inside-out" technique. Read More

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Ceramic-on-Ceramic Bearing in Total Hip Arthroplasty Reduces the Risk for Revision for Periprosthetic Joint Infection Compared to Ceramic-on-Polyethylene: A Matched Analysis of 118,753 Cementless THA Based on the German Arthroplasty Registry.

J Clin Med 2021 Mar 12;10(6). Epub 2021 Mar 12.

German Arthroplasty Registry (EPRD Deutsche Endoprothesenregister gGmbH), Straße des 17. Juni 106-108, 10623 Berlin, Germany.

Periprosthetic joint infection (PJI) is one of the most common complications in total hip arthroplasty (THA). The influence of bearing material on the risk of PJI remains unclear to date. This registry-based matched study investigates the role of bearing partners in primary cementless THA. Read More

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More Adverse Events after Osteosyntheses Compared to Arthroplasty in Geriatric Proximal Humeral Fractures Involving Anatomical Neck.

J Clin Med 2021 Mar 2;10(5). Epub 2021 Mar 2.

BG Trauma Center Ludwigshafen at Heidelberg University Hospital, Ludwig-Guttmann-Straße 13, 67071 Ludwigshafen, Germany.

The purpose of this study was to compare adverse events and clinical outcomes of geriatric proximal humerus fractures (PHF) involving the anatomical neck (type C according to AO classification) treated with open reduction and internal fixation (ORIF) using locking plate vs. arthroplasty. In this retrospective cohort study, geriatric patients (>64 years) who underwent operative treatment using ORIF or arthroplasty for type C PHFs were included. Read More

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Onlay Patellofemoral Arthroplasty in Patients With Isolated Patellofemoral Arthritis: A Systematic Review.

J Arthroplasty 2021 Mar 1. Epub 2021 Mar 1.

Orthopaedic Surgery Department, Washington DC Veterans Affairs Medical Center, Washington, DC.

Background: Patellofemoral arthroplasty (PFA) for isolated patellofemoral osteoarthritis (OA) remains controversial due to variable postoperative outcomes and high failure rates. Second-generation (2G) onlay prostheses have been associated with improved postoperative outcomes. This systematic review was performed to assess the current overall survivorship and functional outcomes of 2G PFA. Read More

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Impact of mechanical circulatory support on donor heart allocation: past, present, and future.

Rev Cardiovasc Med 2021 Mar;22(1):25-32

Division of Cardiac Surgery, Department of Surgery, Thomas Jefferson University, 19107 Philadelphia, USA.

The United Network for Organ Sharing (UNOS) recently revised its heart allocation policy to address numerous shortcomings of the previous system. Implemented in 2018, the changes sought to reduce waiting list mortality, clearly define urgency status based on objective physiologic variables, decrease exemption requests, and introduce geographic modifications to ensure organ distribution favors the highest urgency candidates. In large part, UNOS policy revisions were driven by the growing use of continuous flow left ventricular assist devices (CF-LVADs) and the relevant device complications that led to an unacceptably high number of status exemptions. Read More

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Length of Stay and 90-Day Readmission/Complication Rates in Unicompartmental Versus Total Knee Arthroplasty: A Propensity-Score-Matched Study of 10,494 Procedures Performed in a Fast-Track Setup.

J Bone Joint Surg Am 2021 Mar 30. Epub 2021 Mar 30.

Department of Orthopaedic Surgery, Clinical Orthopaedic Research Hvidovre (CORH), Copenhagen University Hospital Hvidovre, Hvidovre, Denmark.

Background: Whether to use unicompartmental knee arthroplasty (UKA) or total knee arthroplasty (TKA) for appropriate osteoarthritis cases is a subject of debate. UKA potentially offers faster recovery and fewer short-term complications. However, reported differences in preoperative comorbidity between TKA and UKA-treated patients could affect outcomes. Read More

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Risk Analysis of Perioperative Injections in Arthroscopic Reconstruction of the Rotator Cuff of the Shoulder - A Systematic Review.

Z Orthop Unfall 2021 Mar 29. Epub 2021 Mar 29.

Department of Trauma Surgery, Orthopaedics and Plastic Surgery, Georg-August-University Göttingen Medical Centre, Göttingen, Germany.

Background: The present study used a systematic review to analyse the risk of perioperative injections during arthroscopic reconstruction of the rotator cuff of the shoulder. The questions of interest were whether perioperative local injection increases the infection risk and whether the number of postoperative revisions is increased.

Material And Methods: A systematic review of the U. Read More

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Patient-Specific Finite Element Models of Posterior Pedicle Screw Fixation: Effect of Screw's Size and Geometry.

Front Bioeng Biotechnol 2021 10;9:643154. Epub 2021 Mar 10.

Department of Oncology and Metabolism, Mellanby Centre for Musculoskeletal Research, University of Sheffield, Sheffield, United Kingdom.

Pedicle screw fixation is extensively performed to treat spine injuries or diseases and it is common for thoracolumbar fractures. Post-operative complications may arise from this surgery leading to back pain or revisions. Finite element (FE) models could be used to predict the outcomes of surgeries but should be verified when both simplified and realistic designs of screws are used. Read More

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ERAS 2.0: Continued Refinement of an Established Enhanced Recovery Protocol for Esophagectomy.

Ann Surg Oncol 2021 Mar 27. Epub 2021 Mar 27.

Division of Thoracic Surgery, McGill University Health Centre, Montreal, QC, Canada.

Background: We have previously demonstrated that implementing an enhanced recovery protocol (ERP) improved outcomes after esophagectomy. We sought to examine if, after a decade of an established ERP, further improvements in postoperative outcomes could be made after continually optimizing and revising the pathway.

Methods: Patients undergoing esophagectomy for cancer from January 2019 to January 2020 were compared with our early-experience group within the initial ERP (June 2010-May 2011) and pre-ERP traditional care (June 2009-May 2010). Read More

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Surgical treatment outcome after serial debridement of infected nonunion-A retrospective cohort study.

Eur J Orthop Surg Traumatol 2021 Mar 27. Epub 2021 Mar 27.

Department of Trauma Surgery, University Medical Center Regensburg, Franz-Josef-Strauss-Allee 11, 93053, Regensburg, Germany.

Purpose: Reported outcome after multiple staged surgical treatment of infected nonunion is scarce. We, therefore, asked: (1) What is the clinical outcome in infected nonunion patients after multiple staged revision surgery? (2) Are different pathogens evidenced after surgical treatment in patients who have undergone more or less surgeries?

Methods: All enrolled patients were surgically treated for long bone-infected nonunion between January 2010 and March 2018. Besides patients´ demographics outcome in terms of bony consolidation and major complications defined as death during inward treatment, amputation and recurrence of infection during follow-up of at least 12 months were assessed. Read More

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Mechanical complications of cerebrospinal fluid shunt. Differences between adult and pediatric populations: myths or reality?

Childs Nerv Syst 2021 Mar 26. Epub 2021 Mar 26.

Service de Neurochirurgie B, Hôpital Gabriel Montpied, CHU Clermont-Ferrand, 58 rue Montalembert, F-63000, Clermont-Ferrand, France.

Objective: Shunt malfunctions seem more frequent in children (44 to 81%) than in adults (18 to 29%). Because of discrepancies between studies, it is not possible to affirm this disparity. The objective was to verify whether the incidence of cerebrospinal fluid (CSF) shunt malfunctions is higher in children than adults. Read More

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Shunt exposure as a ventriculoperitoneal shunt complication: A case series.

Int J Surg Case Rep 2021 Feb 27;79:484-491. Epub 2021 Jan 27.

Department of Neurosurgery, Faculty of Medicine, Universitas Airlangga, Dr Soetomo Academic Medical Center Hospital, Indonesia. Electronic address:

Introduction: Shunting is a technique in neurosurgery for treating hydrocephalus. Shunting is an effective choice for both cases of obstructive or communicative hydrocephalus. However, in some rare cases, complications, such as exposed shunt, can occur. Read More

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February 2021

Preoperative Risk Prediction Models for Short-Term Revision and Death After Total Hip Arthroplasty: Data from the Finnish Arthroplasty Register.

JB JS Open Access 2021 Jan-Mar;6(1). Epub 2021 Jan 25.

Turku Bioscience Centre, University of Turku and Åbo Akademi University, Turku, Finland.

Because of the increasing number of total hip arthroplasties (THAs), even a small proportion of complications after the operation can lead to substantial individual difficulties and health-care costs. The aim of this study was to develop simple-to-use risk prediction models to assess the risk of the most common reasons for implant failure to facilitate clinical decision-making and to ensure long-term survival of primary THAs.

Methods: We analyzed patient and surgical data reported to the Finnish Arthroplasty Register (FAR) on 25,919 primary THAs performed in Finland between May 2014 and January 2018. Read More

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January 2021

Assessing the Clinical Safety Profile of Computer-Assisted Navigation for Posterior Cervical Fusion: A Propensity-Matched Analysis of 30-Day Outcomes.

World Neurosurg 2021 Mar 19. Epub 2021 Mar 19.

Department of Neurosurgery, University of Illinois, Chicago, Illinois, USA. Electronic address:

Background: Computer-assisted navigation (CAN) has been shown to improve accuracy of screw placement in procedures involving the posterior cervical spine, but whether the addition of CAN affects complication rates, neurologic or otherwise, is presently unknown. The objective of this study is to determine the effect of spinal CAN on short-term clinical outcomes following posterior cervical fusion.

Methods: The American College of Surgeons National Surgical Quality Improvement Program database was queried from 2011 to 2018. Read More

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Revisional Bariatric Surgery.

Surg Clin North Am 2021 Apr;101(2):213-222

Minimally Invasive and Bariatric Surgery, Penn State Hershey Medical Center. Electronic address:

Revisional bariatric surgery is a growing subset of all bariatric procedures. Although revisions can be associated with higher morbidity rates and less optimal outcomes than those seen with primary procedures, they can be safely performed, with excellent outcomes and improved quality of life for patients. Facility and familiarity with revisional principles and techniques are necessary components of bariatric surgical practice. Read More

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Total Hip Arthroplasty for Femoral Neck Fracture: What Are the Contemporary Reasons for Failure?

J Arthroplasty 2021 Feb 6. Epub 2021 Feb 6.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN.

Background: Total hip arthroplasty (THA) for femoral neck fracture (FNF) appears to provide superior functional outcomes compared to hemiarthroplasty in selected active, elderly patients; however, the historical tradeoff has been higher risk of complications including dislocation. We aimed to describe implant survivorship and reasons for failure after THA for FNFs.

Methods: We identified 217 FNFs treated with THA from 2000 to 2017 from our institutional total joint registry (during the same time period 2039 FNFs were treated with hemiarthroplasty). Read More

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February 2021

Clinical and radiological outcomes of total hip arthroplasty in patients affected by Paget's disease: a combined registry and single-institution retrospective observational study.

J Orthop Traumatol 2021 Mar 17;22(1):13. Epub 2021 Mar 17.

1st Orthopaedic and Traumatologic Clinic, IRCCS Istituto Ortopedico Rizzoli, Via Pupilli, 1, 40136, Bologna, Italy.

Background: Total hip arthroplasty (THA) in patients with Paget's disease can be associated with technical difficulties related to deformities and altered mechanical bone properties, and hypervascularity leads to significative intra-operative bleeding. The purpose of this registry and single-institution study was to investigate overall survival and causes of failure of THA in pagetic patients, together with an analysis of the clinical and radiological complications.

Material And Methods: Registry-based survival and complication analysis, type of fixation, intra- and post-operative complications, clinical (pharmacological history, blood transfusions, Harris hip score [HHS]) and radiographic (cup orientation, stem axial alignment, osteolysis around the cup and the stem and heterotopic ossification [HO]) data were reviewed. Read More

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Increased range of motion but otherwise similar clinical outcome of arthroscopy over open osteoplasty for femoroacetabular impingement at midterm follow-up: A systematic review.

Surgeon 2021 Mar 14. Epub 2021 Mar 14.

Department of Medicine, Surgery and Dentistry, University of Salerno, Via S. Allende, 84081, Baronissi, SA, Italy; School of Pharmacy and Bioengineering, Keele University Faculty of Medicine, Thornburrow Drive, Stoke on Trent, England; Queen Mary University of London, Barts and the London School of Medicine and Dentistry, Centre for Sports and Exercise Medicine, Mile End Hospital, 275 Bancroft Road, London, E1 4DG, England. Electronic address:

Background: A systematic review was conducted comparing patient reported outcomes measures (PROMs), functional scores, and the rate of complications between arthroscopic and open treatment for femoroacetabular impingement (FAI) at mid-term follow-up.

Material And Methods: This systematic review was performed according to the PRISMA guidelines. The literature search was performed in October 2020. Read More

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Minimally invasive fixation with modified palm tree technique for proximal humerus fractures: Outcomes in a series of 132 patients.

J Clin Orthop Trauma 2021 Jun 29;17:11-17. Epub 2021 Jan 29.

Reading Shoulder Unit, Reading, UK.

Introduction: Various surgical techniques and implants are available for surgical treatment of significantly displaced proximal humerus fractures. We describe a minimally invasive technique using 3 curved wires, inserted in a retrograde fashion into the humeral head. These are aimed to diverge within the humeral head to provide three separate 3-point fixations to achieve good stability. Read More

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Short to long term outcomes of 154 cemented total hip arthroplasties in ankylosing spondylitis.

J Clin Orthop Trauma 2021 Mar 24;14:34-39. Epub 2020 Sep 24.

Rama Medical College and Hospital, Kanpur, India.

Background: Long-term outcome of Total Hip arthroplasty (THA) in Ankylosing Spondylitis (AS) remains unreported. Literature suggests a higher overall failure rate in ankylosing spondylitis as compared to osteoarthritis. Concern has been expressed regarding joint survival, given that recipients are generally young. Read More

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Cost-effectiveness of the reverse total shoulder arthroplasty. Does indication affect outcome?

Shoulder Elbow 2021 Feb 23;13(1):90-97. Epub 2020 Jan 23.

Royal Infirmary of Edinburgh, Edinburgh, UK.

Background: The primary aim of this study was to determine the cost-effectiveness of the reverse total shoulder arthroplasty in a prospective cohort of patients over a two-year post-operative period.

Methods: Patients who underwent reverse total shoulder arthroplasty were prospectively monitored for 24 months post-operatively using the Oxford Shoulder Score, Disabilities of the Arm, Shoulder and Hand questionnaire and EuroQol 5-dimensional questionnaire. Any complications or use of health care resources were recorded. Read More

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February 2021

Is Menière's Disease a Contraindication to Stapedectomy?

Otol Neurotol 2021 Apr;42(4):e393-e398

Department of Neurotology, Michigan Ear Institute, St. John Providence Hospital and Medical Centers, Farmington Hills, Michigan.

Objective: Review surgical outcomes of stapedectomy for otosclerosis in patients with Menierè's disease.

Study Design: Retrospective case review.

Setting: Tertiary referral center. Read More

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Perioperative Complications of Surgery for Degenerative Cervical Myelopathy: A Comparison Between 3 Procedures.

Global Spine J 2021 Mar 12:2192568221998306. Epub 2021 Mar 12.

Department of Orthopaedic Surgery, 12223Keck School of Medicine, University of Southern California, Los Angeles, CA, USA.

Study Design: Retrospective comparative study.

Objectives: To compare the perioperative complications of propensity score-matched cohorts of patients with degenerative cervical myelopathy (DCM), who were treated with anterior cervical discectomy and fusion (ACDF), posterior laminectomy with fusion, or laminoplasty.

Methods: The Humana PearlDiver Patient Record Database was queried using the International Classification of Diseases (ICD-9 and ICD-10) and the Current Procedural Terminology (CPT) codes. Read More

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Endoscopic Third Ventriculostomy in Failed Ventriculoperitoneal Shunt in Pediatric Population.

Asian J Neurosurg 2020 Oct-Dec;15(4):937-940. Epub 2020 Oct 19.

Department of Neurosurgery, AIIMS, Jodhpur, Rajasthan, India.

Introduction: Ventriculoperitoneal (VP) shunt malfunction is common in pediatric age group patients. There is a high complication rate and revision rate of VP shunt. Endoscopic third ventriculostomy (ETV) can alleviate these complications and can act as an effective alternative for the treatment of hydrocephalus in this age group of patients. Read More

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October 2020