23,484 results match your criteria orthopaedic surgeons


Identifying high-risk surgical patients: A study of older adults whose code status changed to Do-Not-Resuscitate.

J Am Geriatr Soc 2021 Jul 31. Epub 2021 Jul 31.

Department of Surgery, Durham VA Health Care System, Durham, North Carolina, USA.

Background: There is a paucity of data on older adults (age ≥65 years) undergoing surgery who had an inpatient do-not-resuscitate (DNR) order, and the association between timing of DNR order and outcomes.

Methods: This was a retrospective analysis of 1976 older adults in the American College of Surgeons National Surgical Quality Improvement Program geriatric-specific database (2014-2018). Patients were stratified by institution of a DNR order during their surgical admission ("new-DNR" vs. Read More

View Article and Full-Text PDF

The aiming device for cervical distractor pin insertion: a proof-of-concept, feasibility study.

BMC Musculoskelet Disord 2021 Jul 30;22(1):648. Epub 2021 Jul 30.

Department of Neurological Surgery, Weill Cornell Medicine, New York, NY, USA.

Background: Restoration of cervical lordosis after anterior discectomy and fusion is a desirable goal. Proper insertion of the vertebral distraction or Caspar pin can assist lordotic restoration by either putting the tips divergently or parallel to the index vertebral endplates. With inexperienced surgeons, the traditional free-hand technique for Caspar pin insertion may require multiple insertion attempts that may compromise the vertebral body and increase radiation exposure during pin localization. Read More

View Article and Full-Text PDF

Does psychological distress influence postoperative satisfaction and outcomes in patients undergoing total knee arthroplasty? A prospective cohort study.

BMC Musculoskelet Disord 2021 Jul 30;22(1):647. Epub 2021 Jul 30.

Department of Orthopedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, No. 31 Xinjiekou East Street, Xicheng District, Beijing, 100035, China.

Background: Preoperative psychological distress may be related to dissatisfaction and poorer outcomes after total knee arthroplasty (TKA). However, the kind of psychological distress that could influence postoperative satisfaction and outcomes remains controversial. Few studies have examined these issues in Chinese cohorts. Read More

View Article and Full-Text PDF

Total Versus Unicondylar Knee Arthroplasty: Does Race Play a Role in the Treatment Selection?

J Racial Ethn Health Disparities 2021 Jul 29. Epub 2021 Jul 29.

Department of Orthopaedic Surgery, Baylor College of Medicine, Houston, TX, USA.

Introduction: Racial disparities have been well reported in the utilization and outcomes of knee arthroplasty, but it is unclear whether disparities also extend to the choice of surgical treatment. The primary objective of this study is to identify if race plays a role in the selection of unicondylar versus total knee arthroplasty (UKA, TKA) for isolated tibiofemoral osteoarthritis (OA). A secondary objective is to identify the differences in the complication rates for each procedure by racial identity. Read More

View Article and Full-Text PDF

Radiographic clues to the unstable knee: are findings of trochlear dysplasia on lateral knee radiographs reliable and predictive of patellar dislocation?

Emerg Radiol 2021 Jul 30. Epub 2021 Jul 30.

Department of Radiology, Brooke Army Medical Center, JBSA-Ft. Sam Houston, San Antonio, TX, 78234, USA.

Background: Trochlear dysplasia (TD) is a key predisposing risk factor for patellar instability (PI) and lateral patellar dislocation (LPD) injuries. It is useful to understand the reliability of radiographic findings of TD and the accuracy of knee radiographs in diagnosing patients with recent LPD.

Purpose: The purposes of our study are to evaluate the inter-rater reliability of specific radiographic signs of PI and staging of TD between radiologists and orthopedic surgeons, and to identify which findings are associated with recent LPD. Read More

View Article and Full-Text PDF

A Case Report of Proximal Migration of Fibular Head with Intact Peroneal Nerve in a Post-Operative Infected Tibia Gap Non-union Managed by Ilizarov Technique.

J Orthop Case Rep 2021 Apr;11(4):104-107

Department of Orthopaedics, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, Maharashtra, India.

Introduction: We hereby present a rare case of proximal fibular head migration associated with Ilizarov technique for infected tibia gap non-union due to follow-up failure in post-operative management during the coronavirus disease (COVID) pandemic.

Case Report: A 45-year-old male patient had undergone primary external fixation with wound debridement for a compound tibia shaft fracture Grade 3 A Gustilo class which later on with a healed external wound with a discharging sinus at the fracture site was confirmed to be infected non-union and subsequently managed by Ilizarov ring fixation over an antibiotic coated intramedullary nail and local gentamycin beads after a necrotic bone fragment of around 6 cm was excised. Post-operative protocol of compression and distraction was initiated and the patient educated regarding the same before discharge. Read More

View Article and Full-Text PDF

Posterior Ankle Arthroscopy for Flexor Hallucis Longus Entrapment: A Case Report.

J Orthop Case Rep 2021 Apr;11(4):70-74

Department of Orthopaedic Surgery, Kobe University Graduate School of Medicine, Kobe, 650-0017, Japan.

Introduction: Stenosing tenosynovitis is a chronic disorder frequently observed in finger triggering of a digit. Regarding the toes, although entrapment of the flexor hallucis longus (FHL) has already been reported in a few cases among sports players, the clinical condition is uncommon. Besides, the case without any specific causes is particularly rare. Read More

View Article and Full-Text PDF

Long-term Results of the Thrust Plate Prosthesis, 21-year Follow-up: A Case Report and Literature Review.

J Orthop Case Rep 2021 Apr;11(4):10-13

Department of Trauma and Orthopaedic, Cork University Hospital, Wilton, Cork, Ireland.

Introduction: The thrust plate prosthesis (TPP) is a type of cementless hip replacement. Aimed to preserve femoral diaphyseal bone, it was favored by some orthopedic surgeons in younger patients as they could potentially undergo multiple revision arthroplasties during their lifetime. Of particular note, the preserved diaphyseal bone allows for the implantation of a subsequent primary total hip arthroplasty (THA). Read More

View Article and Full-Text PDF

Necrotizing fasciitis of the extremities in high and low Charlson Comorbidity Index: A multi-center retrospective cohort study.

J Orthop Sci 2021 Jul 26. Epub 2021 Jul 26.

Department of Orthopaedic Surgery and Spinal Surgery, The University of Tokyo Hospital, Japan.

Background: Necrotizing fasciitis (NF) is a life-threatening and acute progressive soft tissue infection and needs early surgical intervention, that is, debridement or amputation. Surgical strategy or prognosis is influenced by the speed of progression and patients' general condition, which can be calculated by the Charlson Comorbidity Index (CCI). The purpose of this study was to investigate the association between the CCI scores and prognosis of patients with NF of the upper/lower extremities. Read More

View Article and Full-Text PDF

Predictive value of sagittal craniocervical roentgenographic parameters for HRQOL after craniocervical fusion.

Eur J Orthop Surg Traumatol 2021 Jul 29. Epub 2021 Jul 29.

Orthopedic Department, General Hospital "Agios Andreas", Patras, Greece.

Purpose: Loss of "physiological" sagittal alignment following craniocervical fusion (CCF) for degenerative disease may be associated with loss of horizontal gaze, dysphagia and poor HRQOL. This study reports on sagittal craniocervical roentgenographic predictors of HRQOL (SF-36) in patients following uncomplicated CCF for fresh upper cervical traumatic (UCT) injuries.

Methods: Twenty-two consecutive adult patients (group P) aged 50 ± 16 years, who had undergone CCF for fresh unstable C and CAO/type UCT injuries, were evaluated 39 ± 12 months postoperatively with upright lateral cervical roentgenograms and SF-36as HRQOL measure. Read More

View Article and Full-Text PDF

Moving toward better health: exercise practice is associated with improved outcomes after spine surgery in people with degenerative lumbar conditions.

Can J Surg 2021 Jul 29;64(4):E419-E427. Epub 2021 Jul 29.

From the DeltaQuest Foundation, Inc., Concord, Mass., (Schwartz, Stark); the Departments of Medicine and Orthopaedic Surgery, Tufts University School of Medicine, Boston, Mass. (Schwartz); and the Division of Orthopedic Surgery, Sunnybrook Health Sciences Centre, Toronto, Ont. (Balasuberamaniam, Shrikumar, Wasim, Finkelstein).

Background: Recovery and rehabilitation following surgery can take many months. Understanding what patients can do to facilitate recovery would be beneficial for spinal surgeons. This study sought to evaluate the impact of exercise practice, before and after surgery, on long-term outcomes of spine surgery in a robust clinical sample. Read More

View Article and Full-Text PDF

Ergonomics in Spine Surgery.

Clin Spine Surg 2021 Jul 28. Epub 2021 Jul 28.

Department of Orthopedic Surgery, Mayo Clinic, Rochester, MN Walter Reed National Military Medical Center, Bethesda, MD Rothman Orthopaedic Institute, Philadelphia, PA.

As physician burnout and wellness become increasingly recognized as vital themes for the medical community to address, the topic of chronic work-related conditions in surgeons must be further evaluated. While improving ergonomics and occupational health have been long emphasized in the executive and business worlds, particularly in relation to company morale and productivity, information within the surgical community remains relatively scarce. Chronic peripheral nerve compression syndromes, hand osteoarthritis, cervicalgia and back pain, as well as other repetitive musculoskeletal ailments affect many spinal surgeons. Read More

View Article and Full-Text PDF

Successful Outcomes and Return to Sport After Arthroscopic Bankart Repair in National Collegiate Athletic Association and National Football League Football Players.

Clin J Sport Med 2021 Jul 27. Epub 2021 Jul 27.

Department of Orthopaedics and Sports Medicine, University of Washington, Seattle, Washington; Department of Orthopedics and Sports Medicine, Seattle Children's, Seattle, Washington; Medical College of Georgia, Augusta, Georgia; Orlin & Cohen Orthopedic Group, Woodbury, New York; and The Andrews Research and Education Foundation, Gulf Breeze, Florida.

Objective: To characterize recurrent instability, return to sport (RTS), and patient-reported outcomes (PROs) after arthroscopic Bankart repair for acute traumatic anterior shoulder instability in National Collegiate Athletic Association (NCAA) and National Football League (NFL) football players.

Design: Case series.

Setting: Orthopaedic and sports medicine clinic. Read More

View Article and Full-Text PDF

Are orthopaedic providers willing to work overtime to address COVID-19-related patient backlogs and financial deficits?

Bone Jt Open 2021 Jul;2(7):562-568

Department of Orthopedic Surgery, Henry Ford Health Systems, Detroit, Michigan, USA.

Aims: COVID-19-related patient care delays have resulted in an unprecedented patient care backlog in the field of orthopaedics. The objective of this study is to examine orthopaedic provider preferences regarding the patient care backlog and financial recovery initiatives in response to the COVID-19 pandemic.

Methods: An orthopaedic research consortium at a multi-hospital tertiary care academic medical system developed a three-part survey examining provider perspectives on strategies to expand orthopaedic patient care and financial recovery. Read More

View Article and Full-Text PDF

Augmented Reality-Assisted Femoral Bone Resection in Total Knee Arthroplasty.

JB JS Open Access 2021 Jul-Sep;6(3). Epub 2021 Jul 23.

Department of Orthopaedic Surgery, Hokusuikai Kinen Hospital, Mito, Japan.

An augmented reality (AR)-based navigation system allows visualization of the center of the femoral head and femoral mechanical axis superimposed on the surgical field during total knee arthroplasty (TKA) and may help surgeons to improve the accuracy of distal femoral resection.

Methods: First, we resected 10 femoral Sawbones specimens using the AR-based navigation system and performed computed tomography (CT) to measure the resection angle of the distal part of the femur. We calculated the absolute values of the differences between angles measured using CT images and angles displayed on the smartphone screen of the navigation system. Read More

View Article and Full-Text PDF

Adolescent Idiopathic Scoliosis Treated by Posterior Spinal Segmental Instrumented Fusion : When Is Fusion to L3 Stable?

J Korean Neurosurg Soc 2021 Jul 28. Epub 2021 Jul 28.

Department of Orthopaedic Surgery, Washington University School of Medicine, St. Louis, MO, USA.

Objective: The purpose of this study was to identify risk factors for distal adding on (AO) or distal junctional kyphosis (DJK) in adolescent idiopathic scoliosis (AIS) treated by posterior spinal fusion (PSF) to L3 with a minimum 2-year follow-up.

Methods: AIS patients undergoing PSF to L3 by two senior surgeons from 2000-2010 were analyzed. Distal AO and DJK were deemed poor radiographic results and defined as >3 cm of deviation from L3 to the center sacral vertical line (CSVL), or >10° angle at L3-4 on the posterior anterior- or lateral X-ray at ultimate follow-up. Read More

View Article and Full-Text PDF

Comparing Primary Total Hip Arthroplasty in Renal Transplant Recipients to Patients on Dialysis for End-Stage Renal Disease: A Nationally Matched Analysis.

J Bone Joint Surg Am 2021 Jul 27. Epub 2021 Jul 27.

Department of Orthopaedics, University of Maryland Medical System, Baltimore, Maryland.

Background: Renal transplants are the most commonly performed solid-organ transplants worldwide. It is unclear whether a kidney transplant is associated with reduced postoperative complications in comparison with patients on dialysis for end-stage renal disease (ESRD). The purpose of this study was to utilize a national database to compare readmissions, complications, and costs associated with primary total hip arthroplasty (THA) between matched renal transplant recipients (RTRs) and patients on dialysis for ESRD. Read More

View Article and Full-Text PDF

Treatment options for massive rotator cuff tears: a narrative review.

Acta Biomed 2021 Jul 26;92(S3):e2021026. Epub 2021 Jul 26.

Clinica Ortopedica - ASUFC - Udine, Italy DAME - University of Udine, Italy.

The treatment of massive rotator cuff tears poses a challenge to orthopedic surgeons. The prevalence of massive rotator cuff tears is 40% of all rotator cuff tears. Compared with smaller tears, massive rotator cuff tears are often complicated by structural failure and poor outcomes and present a higher rate of recurrent tearing after surgical repair. Read More

View Article and Full-Text PDF

Operation notes in orthopaedics: Beliefs and practices in a developing country.

Trop Doct 2021 Jul 27:494755211033091. Epub 2021 Jul 27.

Department of Surgery, Eric Williams Medical Sciences Complex, Mt. Hope, Trinidad and Tobago.

Maintaining accurate and complete operation notes is an essential metric of the quality of surgical care. While developed countries have implemented electronic health records to improve documentation, financial constraints prevent this realisation in the Caribbean. Somewhat paradoxically, previous studies in this area have focussed on 'process' while neglecting the key role of the surgeon. Read More

View Article and Full-Text PDF

Total Knee Arthroplasty in the Valgus Knee: Can New Operative Technologies Affect Surgical Technique and Outcomes?

Surg Technol Int 2021 Jul 26;39. Epub 2021 Jul 26.

Northwell Health, Department of Orthopaedic Surgery, Lenox Hill Hospital, New York, New York.

Introduction: Valgus knee deformities can sometimes be challenging to address during total knee arthroplasties (TKAs). While appropriate surgical technique is often debated, the role of new operative technologies in addressing these complex cases has not been clearly established. The purpose of this study was to analyze the usefulness of computed tomography scan (CT)-based three-dimensional (3D) modeling operative technology in assisting with TKA planning, execution of bone cuts, and alignment. Read More

View Article and Full-Text PDF

Medial Tibial Plateau Stress Fracture Following Navigated Total Knee Arthroplasty: Two Case Reports.

Am J Case Rep 2021 Jul 27;22:e933005. Epub 2021 Jul 27.

Department of Surgery, Sarah Bush Lincoln Health Center, Mattoon, IL, USA.

BACKGROUND Computer navigation in total knee arthroplasty has been gaining worldwide interest among orthopedic surgeons. While there is controversial data regarding its potential better clinical outcomes compared to conventional total knee arthroplasty, it has been shown to improve component and limb alignment reliability at a potential cost of increased complications. We present 2 case reports of medial tibial stress fracture through navigated tibial cutting block pinhole sites. Read More

View Article and Full-Text PDF

Hip hemiarthroplasty for the treatment of femoral neck fractures in dialysis patients.

Hip Int 2021 Jul 26:11207000211028151. Epub 2021 Jul 26.

Department of Orthopaedic Surgery, The George Washington University, Washington, DC, USA.

Objectives: This study sought to delineate the postoperative outcomes in dialysis patients undergoing hip hemiarthroplasty (HHA) for the treatment of femoral neck fractures (FNF) in order to better optimise pre- and postoperative management and minimise short-term morbidity and mortality rates.

Methods: 16,955 patients who had undergone HHA for femoral neck fractures from 2005 to 2018 were isolated from a multi-institutional surgical registry, of which 343 (2.0%) were on dialysis and 16,612 (98. Read More

View Article and Full-Text PDF

Identification of novel biomarkers for arthrofibrosis after total knee arthroplasty in animal models and clinical patients.

EBioMedicine 2021 Jul 23;70:103486. Epub 2021 Jul 23.

Department of Immunology, School of Basic Medical Sciences, Peking University. NHC Key Laboratory of Medical Immunology (Peking University). Beijing, China. Electronic address:

Background: Arthrofibrosis is a debilitating complication after total knee arthroplasty (TKA) which becomes a considerable burden for both patients and clinical practitioners. Our study aimed to identify novel biomarkers and therapeutic targets for drug discovery.

Methods: Potential biomarker genes were identified based on bioinformatic analysis. Read More

View Article and Full-Text PDF

Arthroplasty implants and materials: Cost awareness and value perception.

PLoS One 2021 26;16(7):e0255061. Epub 2021 Jul 26.

Department of Orthopaedics and Rehabilitation, New Haven, CT, United States of America.

Arthroplasty procedures are commonly performed and contribute to healthcare expenditures seen in the United States. Surgical team members may make selections among implants and materials without always knowing their relative cost. The current study reports on a survey aimed to investigate the perceptions of an academic group about the relative cost and value of commonly used operating room implants and materials related to joint arthroplasty cases using 10 matched pairs of items. Read More

View Article and Full-Text PDF

Unplanned Office Visits Following Outpatient Hand Surgery.

Hand (N Y) 2021 Jul 26:15589447211028932. Epub 2021 Jul 26.

Rothman Orthopaedic Institute at Thomas Jefferson University, Philadelphia, PA, USA.

Background: Returning to the office for an unplanned visit postoperatively can be burdensome to both the patient and provider. The purpose of this study was to quantify the rate of unplanned office visits after common soft tissue hand surgeries and assess the reasons for these unplanned visits.

Methods: Patients who underwent common soft tissue hand surgeries over a 6-month time period were queried from an electronic medical record database. Read More

View Article and Full-Text PDF

Does robotic assisted technology improve the accuracy of acetabular component positioning in patients with DDH?

J Orthop Surg (Hong Kong) 2021 May-Aug;29(2):23094990211025325

Department of Orthopaedic Surgery, Beijing Jishuitan Hospital, Fourth Clinical College of Peking University, Beijing, China.

Background: Accurate positioning of the acetabular component is key in performing total hip arthroplasty (THA). However, reconstruction of the acetabulum in the setting of developmental dysplasia of the hip (DDH) is a challenge. Robotic assisted THA has the potential to improve the accuracy of implantation of the acetabular cup in cases with DDH. Read More

View Article and Full-Text PDF

The Perioperative Deep Vein Thrombosis in Lower Extremities in Patients With Pelvic Fracture: A Case-Control Study.

Clin Appl Thromb Hemost 2021 Jan-Dec;27:10760296211033024

Department of Orthopedic Trauma, Honghui Hospital, 12480Xi'an Jiaotong University, Xi'an, Shaanxi Province, People's Republic of China.

This study was to investigate the incidences of DVT in lower extremities after pelvic fracture before and after operation, and explore the risk factors. The records of patients with pelvic fractures receiving operation were collected. The patients were examined by preoperative and postoperative ultrasonography, and divided into thrombosis group and non-thrombosis group according to the preoperative and postoperative ultrasonographic results. Read More

View Article and Full-Text PDF

Does Preoperative Opioid Consumption Increase the Risk of Chronic Postoperative Opioid Use After Total Joint Arthroplasty?

Arthroplast Today 2021 Aug 9;10:46-50. Epub 2021 Jul 9.

Department of Orthopaedics, Dartmouth-Hitchcock Medical Center, Lebanon, NH, USA.

Background: Risk-factor identification related to chronic opioid use after surgery may facilitate interventions mitigating postoperative opioid consumption. We evaluated the relationship between opioid use preceding total hip arthroplasty (THA) and total knee arthroplasty (TKA), and chronic use postoperatively, and the risk of chronic opioid use after total joint arthroplasty.

Methods: All primary THAs and TKAs performed during a 6-month period were identified. Read More

View Article and Full-Text PDF

Orthopaedic operating room considerations in covid-19 pandemic: A systematic review.

J Arthrosc Jt Surg 2021 Apr-Jun;8(2):91-95. Epub 2021 Feb 23.

Department of Orthopaedics, Maulana Azad Medical College, New Delhi, India.

Purpose: Worldwide COVID 19 has affected the medical practices and Orthopaedics is not any different. Despite risk, the surgeons cannot deny the surgical procedure on patients with suspected or confirmed COVID 19 infection. The purpose of this manuscript is to review various operating room measures which are recommended and being followed to carry out orthopaedic surgeries in the current scenario of COVID 19 pandemic. Read More

View Article and Full-Text PDF
February 2021

The role of specialist nurses in delivering effective care in a tertiary sarcoma referral service.

J Clin Orthop Trauma 2021 Sep 9;20:101501. Epub 2021 Jul 9.

King's College London, London, United Kingdom.

Musculoskeletal sarcomas are rare cancers with an incidence of less than 1% of all cancers. Management of these tumors requires multidisciplinary care comprising of numerous specialists. Critical decisions following collaborative discussion among treating specialists followed by timely communication and starting prompt treatment are vital in delivering care in such rare sarcomas. Read More

View Article and Full-Text PDF
September 2021