Journals and Research
Research and education are foundational to the mission of Orlando Health and our Orlando Health Jewett Orthopedic Institute. As contributors to leading publications on orthopedics, our physicians share their research and clinical knowledge with a national and international community of colleagues.
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| Author(s) | Title | Description | Publish Date |
|---|---|---|---|
| An evaluation of reliability in measurement of native femoral torsion on CT imaging | CONCLUSION: These findings highlight the reliability of CT scanograms to assess femoral length and torsion when done by the same physician. Although moderate to poor agreement in femoral neck axis and posterior femoral condyle axis, overall femoral torsion was found to be highly reliable. Reliable m... | 12/24/2025 | |
| Enhanced Fixation Strategies for Complex Upper and Lower Extremity Fractures | Technologic advances in orthopaedic hardware have allowed for creative solutions for complex fractures in both the upper and lower extremities. Taking advantage of known anatomic approaches, achieving biologically favorable exposure, and combining it with biomechanically balanced fixation in these c... | 11/25/2025 | |
| Effect of Socioeconomic Status on Outcomes After Hip Arthroscopy Minimum 5-Year Follow-up | CONCLUSION: Regardless of SES, patients were able to achieve improvements in all PROs measured after hip arthroscopy for femoroacetabular impingement and labral tear. However, patients with a lower SES had higher rates of secondary surgeries, including revision hip arthroscopies and conversions to T... | 11/22/2025 | |
| Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction 6-Year Follow-up Results From the MARS Cohort | CONCLUSION: Meniscal repair in the revision ACLR setting has a 16% failure rate at 6 years. Failure rates for medial tears (20.6%) were found to be higher than that for lateral tears (5.7%), which aligns with previous studies in both the revision and primary ACLR setting. | 11/12/2025 | |
| Anterior Cruciate Ligament Reconstruction With Bone-Patellar Tendon-Bone Autograft Top 10 Pearls | Anterior cruciate ligament reconstruction (ACLR) using bone-patellar tendon-bone autograft remains one of the most common autografts used, and there is significant evidence to support its title as the "gold standard." There are nuances and technical challenges associated with every step of an ACLR, ... | 10/24/2025 | |
| Clinical Outcomes and Safety Profile of Open and Arthroscopic Subtalar Joint Arthrodesis A Systematic Review | CONCLUSION: The current systematic review found a high rate of union among both group of patients. Although trends suggested higher union rates and fewer complications in the arthroscopic cohort, no notable differences were found. Although limited, we hope that this systematic review may help to gui... | 10/23/2025 | |
| Knee-Spanning External Fixation in the Management of Knee Dislocations and Multiligamentous Knee Injuries A Narrative Review | Knee dislocations (KD) and multiligamentous knee injuries (MLKI) are challenging injuries to manage due to the high incidence of associated neurovascular compromise, extensive peri-articular soft-tissue trauma, and long-term functional deficits. Knee-spanning external fixation (KSEF) is occasionally... | 10/23/2025 | |
| Return to Sport After Primary Hip Arthroscopic Surgery and Labral Repair in Female Athletes With Femoroacetabular Impingement A Minimum 5-Year Follow-up | CONCLUSION: Female athletes who underwent primary hip arthroscopic surgery for FAI had significant improvements in PROM scores and moderate return-to-sport rates at a minimum 5-year follow-up. Most athletes discontinued sports because of non-hip-related factors, although hip-related issues were also... | 10/22/2025 | |
| An integrated optical hardware for realization of quantum error correction operators | The efficient error correction subsystem is essential for quantum computing and communication systems due to challenges like no-cloning and destructive measurements. Error-correction codes and fault-tolerant technologies are vital for mitigating errors. Our focus is on implementing fault-tolerant en... | 10/15/2025 | |
| First-in-US Pilot Study of Aquablation in Ambulatory Surgery Centers Clinical Outcomes and Economic Feasibility | CONCLUSION: Aquablation can be safely and effectively performed in an ASC setting with clinical outcomes that mirror the pivotal trials and a favorable economic profile. These findings support the feasibility of outpatient Aquablation as a cost-conscious, high-value treatment option for BPH. | 9/27/2025 | |
| Arthroscopic Versus Open Iliopsoas Release After Total Hip Arthroplasty | CONCLUSIONS: Patients have improved pain at rest following arthroscopic IPFL when compared to open tenotomy for IP tendinitis following THA. Overall complication and reoperation rates were low for both techniques. | 9/22/2025 | |
| A spatial modeling approach for evaluating impacts of climate-driven species movement on biomass estimation methods | Fishery stock assessments typically rely on biomass estimates derived from stratified random sampling, where a key assumption is a consistent spatial biomass distribution over time. However, climate-driven movements of marine species may be violating this assumption, potentially introducing biases i... | 9/3/2025 | |
| Editorial Commentary Lets Finally Agree That Anterior Cruciate Ligament Reconstruction Lowers the Risk of Total Knee Arthroplasty When Compared With Nonoperative Treatment | The debate rages on whether anterior cruciate ligament (ACL) reconstruction can reduce the risk of the development of symptomatic osteoarthritis (OA)-and subsequent total knee arthroplasty-in ACL-injured knees. The decision to perform ACL reconstruction depends on many factors. Typically, we conside... | 8/25/2025 | |
| A Stepwise Approach to Arthroscopic Management of Recalcitrant Knee Arthrofibrosis Including Arthroscopic Posterior Capsular Release | Arthrofibrosis of the knee is a difficult-to-manage complication after meniscoligamentous knee injuries, traumatic injuries with articular extension, and surgeries to treat these conditions. Treatment protocols for the management of postoperative arthrofibrosis exhaust nonoperative therapies before ... | 8/18/2025 | |
| Patellar Tendon Repair With Bioinductive Implant Augmentation | Patellar tendon ruptures are relatively uncommon injuries that often occur in the setting of chronic patellar tendinopathy, particularly in those participating in high-level pivoting sports and jumping athletics secondary to overuse. Tear patterns vary, with the most common being avulsions from the ... | 8/18/2025 | |
| Implementation of the quantum full-adder algorithm using integrated optics | One of the main challenges in quantum computing is implementing algorithms within quantum optical free-space and integrated circuits. This research focuses on the quantum addition algorithm, derived from the Deutsch-Jozsa algorithm, to advance quantum computing using optical technologies. The develo... | 8/13/2025 | |
| Obese Patients Demonstrate Higher Failure Rates, Infection Rates, and Inferior Patient-Reported Outcomes Compared With Nonobese Patients Following Multiligamentous Knee Surgery | CONCLUSIONS: Obese patients had significantly higher rates of ligament failure and infection rates, higher pain scores, and worse patient-reported outcomes than nonobese patients following surgically treated MLKIs. | 7/22/2025 | |
| Distal Medial Collateral Ligament Avulsion Repair | The ability of the knee to resist valgus stress is largely a result of the integrity of the superficial medial collateral ligament (MCL) and neighboring supporting structures (i.e., deep MCL, semimembranosus, and posterior oblique ligament). The MCL is known to have a robust healing capacity; conseq... | 7/14/2025 | |
| Toxicity reduction in continuous, high productivity ethanol fermentation by Parageobacillus thermoglucosidasius using in situ microbubble gas stripping | Ethanol concentrations above 4% (v/v) are required for economic bioethanol production due to the cost of recovery from dilute solutions. Although thermophilic bacteria have many potential advantages over Saccharomyces cerevisiae as process organisms for second generation bioethanol production, they ... | 6/18/2025 | |
| Retrograde nailplate combination for interprosthetic femoral fractures technical note and case series | Interprosthetic femoral fractures between a total hip arthroplasty and a total knee arthroplasty pose a unique problem as they most commonly occur in the fragile metaphyseal supracondylar region. There remains ongoing debate over the ideal fixation strategy for this injury pattern. The goal of this ... | 6/17/2025 | |
| Cartilage Lesions of the Hip | Cartilage lesions of the hip are frequently encountered in the setting of multiple concomitant hip pathologies. For patients with symptoms refractory to comprehensive nonoperative management, numerous surgical treatments are available. To date, the ideal management strategy for hip chondral defects ... | 6/13/2025 | |
| Conversion to total hip arthroplasty after acetabular fracture fixation Comparing the direct anterior approach to conventional approaches | CONCLUSION: Conversion THA after acetabular fracture remains a high-risk procedure with significant complication rates. The DAA offers a safe and effective approach, with lower complication rates and superior functional outcomes compared to traditional approaches. This approach may reduce infection ... | 6/5/2025 | |
| Excellent Results with Low Reoperation Rates After Fixation of Patella Fractures with a New Anatomically Contoured Plating System | CONCLUSIONS: The PPS may be utilized to stabilize challenging patellar fractures, leading to reliable union and minimal implant-related complications when associated with a post-operative protocol of full extension maintained for six weeks. | 6/4/2025 | |
| Arthroscopic Resection of a Displaced Lesser Trochanteric Fragment Efficient Access and Instrumentation After Prior Hip Arthroplasty or Intertrochanteric Fracture | Periprosthetic fractures of the lesser trochanter may migrate proximally and result in anterior mechanical irritation and impingement with hip flexion refractory to comprehensive conservative management. In such cases, patients may benefit from arthroscopic resection of the displaced lesser trochant... | 6/2/2025 | |
| Does CT improve the accuracy of predicting implant fixation status for periprosthetic fractures around uncemented femoral components | CONCLUSION: The ability to predict fixation status for PPFFs around uncemented femoral components remains challenging. The addition of preoperative CT did not significantly improve accuracy. Intraoperative testing of femoral component fixation status is essential to determine if revision or fixation... | 5/31/2025 | |
| Bridging Reconstruction Versus Reverse Total Shoulder Arthroplasty for the Management of Massive, Irreparable Rotator Cuff Tears A Systematic Review and Meta-analysis | Bridging allograft reconstruction (BAR) and reverse shoulder arthroplasty (RSA) are 2 approaches for managing massive, irreparable rotator cuff tears, both yielding satisfactory functional results. A systematic review of 28 studies encompassing 1125 cases treated with either technique revealed signi... | 5/27/2025 | |
| A Contemporary International Expert Consensus Statement on the Evaluation, Diagnosis, Treatment, and Rehabilitation of Injuries to the Posterolateral Corner of the Knee | CONCLUSIONS: Statements that achieved unanimous consensus (all experts stating they "strongly agree") concerned routine use of physical and radiographic evaluations to confirm varus laxity due to PLC injuries and bilateral hip-to-ankle radiographs in the setting of chronic PLC injuries. Individualiz... | 5/25/2025 | |
| Editorial Commentary Various High Tibial Osteotomy Techniques Show High Survivorship, Medial Opening-Wedge Technique Has Risks, and Patient-Specific Instrumentation Shows Promise | Valgus-producing high tibial osteotomy (HTO) is a treatment for medial compartment knee osteoarthritis. There has been much debate about which type of osteotomy is the "best." Many techniques, including medial opening-wedge, lateral closing-wedge, dome, and chevron-type osteotomies, have proven trac... | 5/11/2025 | |
| Arthroscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty Utilization of the Iliopsoas Air Bursogram Technique for Safe and Efficient Access | CONCLUSIONS: Arthroscopic fractional iliopsoas lengthening is a minimally invasive and successful treatment option for patients with persistent groin pain after total hip arthroplasty, especially without substantial acetabular component malpositioning. This technique includes using an air bursogram ... | 5/1/2025 | |
| Posterolateral Corner Reconstruction Using Double Femoral Fixation With Adjustable Loop Cortical Suspension and Interference Screw | BACKGROUND: The posterolateral corner (PLC) of the knee is a complex anatomic region of the knee comprising the popliteus tendon, the popliteofibular ligament (PFL), and the fibular collateral ligament (FCL). Treatment of PLC injuries is based on the degree of varus and rotational instability on pre... | 5/1/2025 | |
| External Fixator Application, 2-Stage Procedures, and Postoperative Infection Risk Are Higher in Multiligamentous Knee Injuries After Frank Knee Dislocations | CONCLUSIONS: Patients who experienced frank KDs showed an increased odds of receiving external fixation, showed an increased odds of undergoing a staged procedure, had higher grades of injury, and had a higher risk of postoperative infection compared with those without KDs. At final follow-up, no di... | 4/29/2025 | |
| Management of posterior cruciate ligament injuries an expert consensus from 17 countries | CONCLUSION: Consensus was reached on 11 statements regarding three aspects of PCL injury management. These findings provide a foundation for developing evidence-based guidelines that can enhance clinical decision-making, improve treatment strategies, and optimize postoperative care for patients with... | 4/25/2025 | |
| The Impact of Time to Surgical Debridement on Infection Rates in Open Tibial Shaft Fractures Treated with Immediate Medullary Nailing | CONCLUSIONS: Smoking and type IIIB fractures were identified as significant predictors of infection following immediate medullary nailing of open tibial shaft fractures, whereas time to debridement, within the categorized time points, was not found to be a significant factor. | 4/23/2025 | |
| Combined Anterior Cruciate Ligament Reconstruction, Posterolateral Corner Reconstruction, and Lateral Extra-Articular Tenodesis | Over the past decade, renewed interest in the anterolateral ligament complex (ALC) has led to a significant increase in use of the lateral extra-articular tenodesis (LET) procedure. An emerging body of literature suggests that LET augmentation may be beneficial for patients undergoing primary and re... | 4/10/2025 | |
| Constrained Liners During Acetabular Revision Clinical Results of an Impingement Avoidance Strategy | CONCLUSIONS: This study demonstrated significantly lower rates of recurrent instability when CLs can be positioned to minimize impingement, either by revising the cup or cementing the liner independent of the existing cup: a so-called "FC." Cup revision demonstrated the lowest rate of recurrent inst... | 3/26/2025 | |
| The Role of Alignment in Treating Meniscus Pathology | PURPOSE OF REVIEW: Limb alignment correction about the knee joint is crucial for the protection of the meniscus, particularly in the setting of meniscal root repairs and meniscal allograft transplantation. Distal femoral osteotomies and high tibial osteotomies have been described to restore the anat... | 2/21/2025 | |
| The Burden of Revision Arthroplasty An Ergonomic Analysis of Surgeon Posture in the Operating Room | CONCLUSIONS: Surgeons performing revision total joint arthroplasty spend markedly more case time in a slouched posture compared with primary arthroplasty, particularly in patients with a higher body mass index. Awareness of the surgical and patient factors that can affect posture in TKAs and THAs ca... | 2/17/2025 | |
| Noise-Related Injury During Robotic versus Manual Total Knee Arthroplasty | CONCLUSIONS: With a mean TWA of 88.3 dB, robotic TKA system A procedure is above the limit of 85 dB set by NIOSH occupational noise exposure guidelines and is in the range of noise levels that are known to cause noise-induced hearing loss. | 2/16/2025 | |
| A Workflow-Efficient Approach to Pre- and Post-Operative Assessment of Weight-Bearing Three-Dimensional Knee Kinematics | CONCLUSIONS: Weight-bearing kinematics affects knee function pre- and post-TKA. It has long been exclusively the domain of researchers to make such measurements. We present an approach that leverages common, but digitally upgraded, imaging hardware and software to implement an efficient examination ... | 2/8/2025 | |
| ChatGPT is an Unreliable Source of Peer-Reviewed Information for Common Total Knee and Hip Arthroplasty Patient Questions | Background: Advances in artificial intelligence (AI), machine learning, and publicly accessible language model tools such as ChatGPT-3.5 continue to shape the landscape of modern medicine and patient education. ChatGPT's open access (OA), instant, human-sounding interface capable of carrying discuss... | 1/16/2025 | |
| Preoperative Predictors of Soft Tissue Releases Required for Femoral Exposure in Direct Anterior Total Hip Arthroplasty | CONCLUSIONS: Patients with increased ilium to ischial ratio, right laterality, and larger BMI were associated with greater number of soft tissue releases for adequate femoral exposure. Surgeons may consider these factors to anticipate femoral releases or challenging femoral exposure in direct anteri... | 1/13/2025 | |
| Increased Lag-Screw Slide and All-Cause Revision in a New-Generation Cephalomedullary Nail After Treatment of Geriatric Intertrochanteric Femoral Fractures | CONCLUSIONS: The 130 degrees G4 demonstrated increased lag screw slide and all-cause revision surgery when compared with the 130 degrees G3 when used in the treatment of geriatric intertrochanteric femoral fractures. Given the high incidence of increased slide and the significantly higher revision s... | 1/10/2025 | |
| Controversies in Timing of Surgery and Rehabilitation for Multiligamentous Knee Injuries | With an estimated incidence of 0.02% to 0.2%, multiligamentous knee injuries are rare, often devastating injuries that can occur with concomitant vascular or neurologic involvement. Generally, outcomes of surgical treatment have been superior to those of nonsurgical treatment for active individuals ... | 1/2/2025 | |
| Long-term Comparative Outcomes of All-Inside Versus Inside-Out Repair of Bucket-Handle Meniscal Tears A Cohort Study | CONCLUSION: Long-term follow-up of BHMT repair demonstrated satisfactory clinical outcomes and failure rates. In appropriately selected patients, the all-inside technique did not compromise outcome as compared with the inside-out repair techniques. For both methods, older age was associated with low... | 12/23/2024 | |
| Flexor Tendon Rupture After a Cat Bite - A Case Report of An Uncommon Sequela | CONCLUSION: The purpose of this case report is to describe the clinical course of a patient with the rare complication of a flexor tendon rupture after being bitten by a cat, as well as to review the current literature and treatment for feline bite-related hand injuries. We recommend patients who ha... | 12/13/2024 | |
| Climate refugia in the Great Barrier Reef may endure into the future | Although global warming is leading to more frequent mass coral bleaching events worldwide, parts of the Great Barrier Reef (GBR) have consistently escaped severe coral bleaching. Modeling and satellite observations show that climate refugia are created by the upwelling of cooler water to the surface... | 11/29/2024 | |
| A Novel Machine Learning Model to Predict Revision ACL Reconstruction Failure in the MARS Cohort | CONCLUSION: The present study demonstrated the ability of the novel AutoPrognosis machine learning model to best predict the risk of graft failure in patients undergoing rACLR at 6 years postoperatively with moderate predictive ability. Femoral and tibial tunnel size and position in prior ACLR and a... | 11/18/2024 | |
| Building a Strong Local Reputation | Establishing a strong local reputation is essential for growing your practice. Primary care physicians, pediatricians, physical therapists, athletic trainers, and fellow orthopedic surgeons are key sources of referrals for new and old practices alike. Additionally, there is nothing better than a ref... | 11/7/2024 | |
| Surgical Predictors of Clinical Outcome 6 Years After Revision ACL Reconstruction | CONCLUSION: There are surgical variables at the time of ACL revision that can modify clinical outcomes at 6 years. Opting for a transtibial surgical approach and choosing an interference screw for femoral and tibial fixation improved patients' odds of having a significantly better 6-year clinical ou... | 11/6/2024 | |
| Does Body Mass Index Affect the Success of Two-Stage Management of Periprosthetic Joint Infection | CONCLUSIONS: The success of PJI management with two-stage arthroplasty is significantly impacted by patient BMI, with morbidly obese subjects having the worst outcomes. Attempts to modify BMI before completion of two-stage PJI treatment should be considered in the morbidly obese given high rates of ... | 11/4/2024 | |
| Editorial Commentary Stress Views Should Be Standard of Care for All Anterior Cruciate Ligament-Deficient Knees With Asymmetric Varus Laxity on Examination | A small degree of increased varus laxity in acute anterior cruciate ligament (ACL)-disrupted knees often can be discovered on initial examination. Why this occurs is not always clear and is usually thought to be related to some degree of fibular collateral ligament injury. However, there may be anot... | 11/4/2024 | |
| A Multicenter Analysis of 3 Decades of Hip Arthroscopy Evolving Techniques and Growing Patient Volumes From 1988 to 2022 | CONCLUSION: There has been a significant growth of hip arthroscopy volumes as well as a significant transition from use as a tool for diagnosis and labral debridement to procedures restoring native anatomy including labral repair, cam resection, capsular repair, periacetabular osteotomy, and gluteal... | 10/14/2024 | |
| Identifying Racial Disparities in Utilization and Clinical Outcomes of Ambulatory Hip Arthroscopy Analysis of Temporal Trends and Causal Inference via Machine Learning | CONCLUSION: Irrespective of insurance status, racial and ethnic minority patients undergo hip arthroscopy at a lower incidence and incur higher costs per surgical encounter. | 9/24/2024 | |
| Long-term Outcomes of Partial Meniscectomy for Degenerative Medial Meniscus Posterior Root Tears | CONCLUSION: PMM for medial meniscus posterior horn root tears demonstrated 72% progression to TKA and 96% failure according to subjective clinical outcomes at a minimum 10-year follow-up. | 9/9/2024 | |
| Multiligament knee injury MLKI an expert consensus statement on nomenclature, diagnosis, treatment and rehabilitation | Multiligament knee injuries (MLKIs) represent a broad spectrum of pathology with potentially devastating consequences. Currently, disagreement in the terminology, diagnosis and treatment of these injuries limits clinical care and research. This study aimed to develop consensus on the nomenclature, d... | 9/5/2024 | |
| Utility of the United Kingdom National Health Services Breast Screening Program Diagnostic Protocol in Fine-needle Aspiration Cytology with Cell Block Preparation in Cases of Palpable Breast Lumps A Reliable, Fast, and Accurate Diagnostic Method for the Assessment of Breast Lumps with Histopathologic Correlation | CONCLUSIONS: Fine-needle aspiration cytology is a patient-friendly, easy, reliable, repeatable, and simple diagnostic test. Whenever it is combined with cell block preparation, improves the accuracy of FNAC diagnosis which is more accurate and comparable to golden-standard biopsy with histopathology... | 8/15/2024 | |
| Clinical and Radiographic Results of a Retrograde Nail-Washer Combination Versus Lateral Locked Plating for Distal Femur Fractures | CONCLUSIONS: The Retrograde Nail Advanced-Lateral Attachment Washer combination demonstrated a high union rate when treating complex fractures of the distal femur. When compared with lateral locked plating, this implant combination demonstrated significantly lower rates of nonunion and reoperation. | 8/13/2024 | |
| Effect of Glenoid Bone Loss and Shoulder Position on Axillary Nerve Anatomy During the Latarjet Procedure | CONCLUSION: Abduction of the shoulder induced a superior, lateral, and posterior shift of the AN, and ER caused anterior translation. Interestingly, the Latarjet procedure, when performed on shoulders with extensive glenoid bone loss, significantly reduced the minimum AN-glenoid distance during shou... | 8/5/2024 | |
| Editorial Commentary Combined Anterior Cruciate LigamentMedial Collateral Ligament Injuries Surgeons Should Have a Low Threshold to Operate on the Medial Collateral Ligament | Combined anterior cruciate ligament/medial collateral ligament (ACL/MCL) injuries are relatively common, and multiple factors are involved in surgical decision-making, particularly when it comes to the MCL. Historically, most surgeons treated the MCL conservatively and performed staged MCL reconstru... | 7/21/2024 | |
| Clinical and Radiographic Results After Treatment of Traumatic Syndesmotic Instability Using a Novel Screw-Suture Syndesmotic Fixation Device | CONCLUSIONS: A novel screw-suture syndesmotic implant provides the fixation of a screw, and the flexibility of a suture had similar radiographic outcomes compared with suture button fixation devices in treating ankle syndesmotic instability. | 7/15/2024 | |
| Arthroscopic Fractional Lengthening After Total Hip Arthroplasty Results in Improved Patient-Reported Outcomes and Low Rates of Revision Total Hip Arthroplasty | CONCLUSIONS: Satisfactory outcomes and low revision arthroplasty rates were observed in patients undergoing arthroscopic iliopsoas lengthening after THA. There was no statistically significant relation between anterior acetabular component overhang and final PROs. | 7/15/2024 | |
| Using the Equatorial Talar Line as a Radiographic Predictor of Sanders Type 3 and 4 Calcaneus Fractures and Lateral Wall Blowout | CONCLUSION: The ETL is a reproducible radiographic parameter that can be reliably used to crudely predict between Sanders type I or II (ETL is "above") and Sanders type III or IV (ETL is "below") calcaneus fractures as well as the presence of lateral wall blowout. | 6/14/2024 | |
| Predictors of Clinical Outcomes After Hip Arthroscopy 10-Year Follow-up Analysis of 1038 Patients | CONCLUSION: Multiple predictive factors including age, BMI, revision status, and preoperative outcome scores were identified for long-term survivorship and functional outcomes. These may prove useful to clinicians in refining indications and guiding patients on expected outcomes of hip arthroscopy. | 6/13/2024 | |
| Hand Surgeon Posture An Evaluation and Factors That Affect It | CONCLUSION: The three orthopaedic hand surgeons in our study spent a significant portion of their operative time slouched. The main variable associated with a significant risk of poor surgical posture was wearing loupes. Slight increases in slouching were seen with operating while seated and as the ... | 6/10/2024 | |
| Association of Posterior Tibial Slope With Outcomes After Multiligamentous Knee Reconstruction for Knee Dislocation Grades 2 to 4 | CONCLUSION: In this series of bicruciate multiligamentous knee reconstructions at midterm follow-up, no differences in graft failures, complications, reoperations, revisions, or PRO scores based on PTS were identified. Patients with a positive Lachman test were found to have a slightly higher PTS, a... | 5/17/2024 | |
| Mechanism of Knee Injuries in the National Basketball Association A Video-Based Analysis | CONCLUSION: Understanding mechanisms of knee injury may guide preventative strategies and injury management programs in NBA players. Video-based analysis reveals the situational characteristics and mechanisms of knee injuries, but further studies are needed to develop injury prevention programs, eff... | 4/29/2024 | |
| Whats New in Periprosthetic Femur Fractures | CONCLUSION: As the incidence of PPF continues to increase, arthroplasty and trauma surgeons must be prepared to address this challenging complication with a contemporary understanding of the treatment options and their outcomes. | 4/20/2024 | |
| Capsular Management in Hip Arthroscopy Interportal and T-Capsulotomy, Suspension, and Closure | Capsular management in hip arthroscopy has recently become a popular topic in the literature. Various approaches have been developed around the critical balance between safe and satisfactory exposure while maintaining hip joint stability and the restoration of capsular integrity at the conclusion of... | 4/8/2024 | |
| Effect of Posterior Tibial Slope on Outcomes After Posterior Cruciate Ligament Reconstruction | CONCLUSION: No significant differences were found in PROs or graft failure rates based on PTS at a mean of 5.8 years after PCLR. Increased tibial slope trended toward being protective against a positive posterior drawer, although this did not reach statistical significance. | 3/28/2024 | |
| Influence of Concomitant Meniscal Allograft Transplantation on Midterm Outcomes After Osteochondral Allograft Transplantation A Comparative Matched-Pair Analysis | CONCLUSION: Midterm results after isolated OCAT and OCAT+MAT show high rates of healing and sustainable subjective improvement of knee function and quality of life. However, it should be noted that the difference in reoperation rate and time to reoperation between the groups is arguably clinically i... | 3/25/2024 | |
| Long-term Outcomes of Primary Hip Arthroscopy Multicenter Analysis at Minimum 10-Year Follow-up With Attention to Labral and Capsular Management | CONCLUSION: At a minimum 10-year follow-up, patients undergoing primary hip arthroscopy demonstrated high satisfaction and acceptable outcome scores. In total, 33% of patients underwent reoperation-including 22% who underwent THA. Conversion to THA was associated with patient factors including older... | 3/22/2024 | |
| Editorial Commentary Surgical Videos on YouTube Are Not Peer Reviewed and Have Low Educational Value | The rise of online platforms like YouTube for health information has prompted scrutiny over the quality of medical/surgical-related video content. Recent research on YouTube videos regarding anterior cruciate ligament reconstruction (ACLR) with quadriceps tendon autograft shows low educational quali... | 3/11/2024 | |
| Editorial Commentary Clinical and Basic Science Evidence Supports the Use of Suture Tape Augmentation of Posterior Cruciate Ligament Reconstruction | Although isolated posterior cruciate ligament (PCL) injuries often can be treated successfully without surgical intervention, in the setting of persistent instability or multiligamentous knee injury, PCL reconstruction is indicated. PCL reconstructions often have resulted in persistent postoperative... | 3/1/2024 | |
| Multivariate Analysis of Risk Factors for Injury and Surgical Interventions in Ankle and Knee Injuries in NBA Athletes | CONCLUSION: Knee surgery was significantly more frequent than ankle surgery despite similar injury rates per 1000 exposures. The center position had the greatest risk for lower extremity injury followed by minutes played while a higher player efficiency rating was protective against surgical interve... | 2/13/2024 | |
| Examining the Relationship Between Value and Patient Satisfaction With Treatment in Total Joint Arthroplasty | CONCLUSIONS: This study showed a positive relationship between treatment outcome but not cost with subsequent value and patient satisfaction. This method provides a promising approach to comprehensively evaluate outcomes, cost, and value of total joint arthroplasty procedures. This approach can help... | 2/6/2024 | |
| Medial Collateral Ligament Reconstruction of the Knee The Modified Marx Technique With Adjustable-Loop Femoral Fixation and Posteromedial Corner Plication | The medial collateral ligament serves as the primary stabilizer to valgus stress on the medial side of the knee and is the most commonly injured ligament in the knee. Medial collateral ligament reconstruction can provide improved stability and clinical outcomes for patients. Advancements in techniqu... | 2/5/2024 | |
| Total Ankle Arthroplasty in Young Patients | With continuing advancements in total ankle arthroplasty (TAA), it is quickly becoming the procedure of choice for older patients with end-stage ankle arthritis. Multiple studies have been conducted on younger patients who have undergone TAA with promising results, but is it the procedure of choice?... | 2/3/2024 | |
| Changes in injury type among NBA athletes in response to the COVID-19 pandemic | CONCLUSIONS: The COVID-19 pandemic led to an increased number of games missed, but no increase in injury rates when accounting for health and safety protocols. Additionally, bubble participation had no impact on injury rates. However, despite no changes in injury rates, the types of injuries changed... | 1/26/2024 | |
| Long-term Outcomes After Surgical Reconstruction of Multiligamentous Knee Injuries Results at Minimum 10-Year Follow-up | CONCLUSION: The majority of the cohort reported modest subjective improvement and were satisfied with their surgery. Gradual but expected age-related decreases in Tegner scores were observed, and some patients demonstrated continued symptomatic and functional limitations, but mean PRO scores remaine... | 1/15/2024 | |
| Editorial Commentary Gracilis-Sparing Anterior Cruciate Ligament Hamstring Graft Reconstruction Is Less Invasive Than Semitendinosus-Gracilis Graft Harvest, and Shows No Clinical Difference in Outcomes With Grafts Greater Than 8 mm in Diameter | Although patellar tendon grafts are most commonly used for anterior cruciate ligament reconstruction in the United States, hamstring autograft is most commonly used worldwide. Hamstring advantages include easy, quick harvest; low morbidity; ease of rehabilitation (compared with patellar tendon graft... | 1/14/2024 | |
| Arthroscopic Iliopsoas Fractional Lengthening After Total Hip Arthroplasty Using the Iliopsoas Air Bursogram Technique to Hit the Target | Iliopsoas tendinitis following total hip arthroplasty has been linked to retroverted acetabular cup position with associated anterior overhang. For severely malpositioned components, preferred treatment is in the form of revision arthroplasty. However, for a substantial number of cases, iliopsoas te... | 1/10/2024 | |
| Survivorship of 157 Arthroscopic Meniscal Allograft Transplants Using Bone Fixation at a Mean of 7 Years and Prognostic Factors Analysis | CONCLUSION: MAT showed good to excellent clinical results at a mean follow-up of 7 years. Low ICRS lesion grade was associated with a higher clinical and anatomic survival rate. Patients with concurrent OCA transplantation are at a higher risk of clinical and anatomic failure, but still report signi... | 1/2/2024 | |
| Obstetricians are likely to elect for cesarean section in women with retained pelvic implants a radiographic survey study | PURPOSE: Women with a history of pelvic fracture undergo cesarean section (CS) at a higher rate than the general population. The purpose of our study is to query obstetricians on their preferences. | 12/22/2023 | |
| Outcomes of Lateral Meniscal Oblique Radial Tear Repair Compared With Intact Meniscus After ACL Reconstruction A Cohort Study | CONCLUSION: The study findings demonstrated that reoperations, graft failure rates, patient-reported outcomes, and patient activity levels at ≥2 years after type 3 and 4 LMORT repairs at the time of ACLR compared favorably with those of a matched cohort of patients who underwent iACLR with intact me... | 12/18/2023 | |
| Chiropractic Manipulation Causing Anterior-Posterior Compression Type Pelvic Ring Injury A Case Report | CONCLUSION: APC type pelvic ring injuries usually occur to high-energy mechanisms. We describe a case of a patient with quadriplegia and osteopenia that suffered a pelvic ring injury because of a unique mechanism. Practitioners performing pelvic manipulation should be aware of this type of injury in... | 12/8/2023 | |
| Non-metallic cerclage fixation methods for proximal femoral osteotomy and periprosthetic hip fractures offer promising outcomes A systematic review | CONCLUSION: The findings of this systematic review suggest that available non-metallic cerclage fixation methods demonstrate similar clinical success as conventional metallic fixation methods when utilized in hip arthroplasty. The current use of novel materials appears to be safe and reliable for th... | 12/4/2023 | |
| Effectiveness of Flat-Panel Fluoroscopy in Direct Anterior Total Hip Arthroplasty A Comparison to Image Intensifier Fluoroscopy With Radiopaque Grid | CONCLUSIONS: We demonstrated no significant difference in component positioning in DA THAs utilizing flat-panel fluoroscopy as compared to using traditional fluoroscopy with a grid. | 11/29/2023 | |
| Endoscopic Tendon Compression Bridge Technique for Repair of Partial-Thickness Gluteus Medius Tears With Concomitant Arthroscopy for Labral Tears Minimum 2-Year Outcomes With Benchmark Control Group | CONCLUSION: At minimum 2-year follow-up, the endoscopic tendon compression bridge technique for partial-thickness gluteus medius tears, when performed with concomitant hip arthroscopy, was associated with significant improvement in functional outcomes. These postoperative results were comparable wit... | 11/14/2023 | |
| Differences in Trampoline-Related Knee Injuries Between Children and Adults A Cross-Sectional Study | CONCLUSION: Adults had a significantly increased risk of ligamentous and meniscal tears and required operative intervention more often than skeletally immature individuals. Elevated BMI, age, and instability events in terms of trauma mechanism conveyed an increased risk of structural damage to the k... | 11/13/2023 | |
| Characterizing the Native Microbiome Using Next-Generation Sequencing of Bilateral Aseptic Knees | CONCLUSIONS: Some native knee joints with osteoarthritis have positive microorganisms identified with NGS. The presence of microorganisms in the native knee has important implications for better understanding the native joint microbiome as well as utilization of NGS in cases of suspected prosthetic ... | 11/12/2023 | |
| Causal relationships between pain, medical treatments, and knee osteoarthritis A graphical causal model to guide analyses | CONCLUSION: We present a process for combining literature reviews with expert input to synthesize existing knowledge and improve covariate selection. We apply this process to the long-term follow-up of a randomized trial and show that expert input provides additional information not obtainable from ... | 11/8/2023 | |
| A supramolecular polymer-collagen microparticle slurry for bone regeneration with minimal growth factor | Recombinant bone morphogenetic protein-2 (BMP-2) is a potent osteoinductive growth factor that can promote bone regeneration for challenging skeletal repair and even for ectopic bone formation in spinal fusion procedures. However, serious clinical side effects related to supraphysiological dosing hi... | 10/25/2023 | |
| Cephalomedullary Nailing has a Higher Reoperation Rate Compared to Sliding Hip Screw Fixation in the Treatment of Intertrochanteric Femur Fractures A Systematic Literature Review and Meta-analysis | CONCLUSION: This meta-analysis shows that the only notable difference in outcomes is patients treated with CMN have a higher rate of refracture and reoperation. With new advances in the development of both CMNs and SHS, further studies will be required to see if these differences persist in the comi... | 10/24/2023 | |
| Isolated Arthroscopic Debridement of Acetabular Labral Tears High Rates of Failure and Conversion to Total Hip Arthroplasty at 13-Year Minimum Follow-up | CONCLUSION: Isolated labral debridement was found to result in high rates of failure and reoperation, with a third of patients being converted to arthroplasty and half of patients meeting criteria for reoperation or clinical failure. Of note, for patients remaining reoperation-free, satisfactory out... | 10/13/2023 | |
| Long-Term Outcomes of Primary Hip Arthroscopy With Labral Repair for Femoroacetabular Impingement Results at Minimum 9-Year Follow-up | CONCLUSION: Patients demonstrated significant postoperative improvements in pain, mHHS, iHOT-12, HOS-ADL, and HOS-SSS scores at 9 years postoperatively. The all-cause reoperation rate was 34.4%, and 12.5% of patients progressed to THA. | 10/12/2023 | |
| Gluteal Tendinopathy Critical Analysis Review of Current Nonoperative Treatments | » Gluteal tendinopathy/greater trochanteric pain syndrome (GTPS) is the most prevalent of all lower limb tendinopathies, affecting 1 in 4 women older than 50 years and commonly individuals within their fifth and sixth decades of life regardless of activity level.» The condition is believed to origin... | 10/9/2023 | |
| Surgical Repair of Hypermobile Lateral Meniscus Secondary to Popliteomeniscal Fascicle Tears Improves Pain and Mechanical Symptoms | CONCLUSION: Hypermobile lateral meniscus patients commonly see multiple providers, fail to have their HLM diagnosed on MRI, and undergo various treatments prior to a successful diagnosis. Localized lateral joint line pain, mechanical symptoms, and absence of distinct meniscus tear on MRI are the mos... | 9/28/2023 | |
| Utility of 3D Planning Software in Understanding Residual Proximal Femoral Deformity for Planning of Revision Hip Arthroscopy | CONCLUSION: CT scans with 3D planning software may be more sensitive than traditional radiographic views at detecting aberrant proximal femoral anatomy in the setting of failed FAI surgery. The use of 3D planning software may be considered as an adjunctive tool to better understand complex deformity... | 9/23/2023 | |
| Performance of Orthopaedic Shoulder and Elbow Surgeons on a Biostatistical Knowledge Examination | CONCLUSIONS: It is concerning that fellowship-trained shoulder and elbow surgeons, many of whom frequently publish or are reviewing scientific literature for publication, are scoring 55.2% correctly on average on this biostatistical knowledge examination. Surgeons that are further from formal statis... | 9/20/2023 | |
| Arthroscopic Lysis of Adhesions for Arthrofibrosis After Anterior Cruciate Ligament Reconstruction | CONCLUSION: An arthroscopic intervention for AF after ACLR successfully improved knee ROM and pain. Patients who underwent either early or late surgery obtained satisfactory motion and function, although improved PROs were observed when the intervention occurred within 3 months of the primary proced... | 9/19/2023 | |
| Satisfactory Clinical Outcomes and Continuance of Sports After Hip Arthroscopic Labral Repair in Young Competitive Athletes at Minimum 85-Year Follow-Up | CONCLUSIONS: Durable mid-term outcomes and satisfactory PASS achievement rates are observed in young amateur athletes undergoing primary hip arthroscopy. At minimum 8.5-year follow up, approximately 1 in 4 patients discontinue their sports due to hip related reasons. | 9/16/2023 | |
| Satisfactory Outcomes and Improved Range of Motion With Arthroscopic Lysis of Adhesions and Manipulation for Arthrofibrosis After Multiligamentous Knee Reconstruction | CONCLUSIONS: At mid-term follow-up, LOA and/or MUA for symptomatic AF after multiligamentous knee surgery results in high rates of patient satisfaction and improved knee ROM and pain scores, as well as durable and satisfactory functional outcomes in patients not undergoing TKA. | 9/11/2023 | |
| The direct anterior approach for conversion to total hip arthroplasty after acetabular fixation is safe and effective | CONCLUSION: This is the largest known cohort analyzing the DA approach for conversion to hip arthroplasty after previous acetabular fixation. Overall, we demonstrate that the DAA is safe for conversion THA after acetabular fixation. | 8/20/2023 | |
| Efficacy of antimicrobial washes before shoulder surgery against emCutibacteriumem a systematic review and meta-analysis | CONCLUSION: This review demonstrated that preoperative CHG and BPO can reduce C. acnes at the shoulder. However, BPO exhibits greater efficacy than CHG, potentially because of the compound's ability to penetrate the dermis. BPO is a simple and economical agent that may reduce joint exposure to C. ac... | 8/17/2023 | |
| Progression of Osteoarthritis at Long-term Follow-up in Patients Treated for Symptomatic Femoroacetabular Impingement With Hip Arthroscopy Compared With Nonsurgically Treated Patients | CONCLUSION: At a mean follow-up of nearly 13 years, 7% of patients of the surgical group experienced progression to THA, compared with 11% of the nonoperative control group. While most of the operative group showed little to no OA at final follow-up, moderate OA (Tönnis grade 2) was present in 12% o... | 8/8/2023 | |
| Fixation of the Proximal Hamstring Tendon Using an All-Suture Tensionable Knotless Technique | Proximal hamstring injuries are a common sports and recreational injury among the active patient population. Surgical fixation of the tendons of the hamstring muscle complex, as opposed to conservative treatment alone, has shown improved patient outcomes, prompting the evolution of the suture anchor... | 8/3/2023 | |
| Positive Correlation Between Social Media Utilization by Orthopaedic Journals and Impact Factor | INTRODUCTION: Social media use has exploded in popularity over the past decade with over 1.5 billion users on Facebook and 320 million users on Twitter. The aim of this study was to analyze the use of social media by orthopaedic journals and determine whether a relationship exists between social med... | 7/26/2023 | |
| Opportunistic Use of Computed Tomography to Determine Muscle-Adipose Ratio Reliably Predicts Wound Complications After Kocher-Langenbeck Surgical Exposure of the Acetabulum | CONCLUSIONS: MAR is a significant predictor of postoperative wound complication in patients undergoing treatment of posterior wall acetabular fractures. The higher rate of wound complications in patients with a low MAR should be considered in the treatment of these patients and may be used to guide ... | 7/24/2023 | |
| Radiographic Changes Five Years After Treatment of Meniscal Tear and Osteoarthritic Changes | CONCLUSION: Subjects treated with APM had greater progression in the OARSI score because of osteophyte progression but not in the KL grade. The clinical implications of these findings require investigation. | 7/20/2023 | |
| Nonoperative Management of Degenerative Medial Meniscus Posterior Root Tears Poor Outcomes at a Minimum 10-Year Follow-up | CONCLUSION: Poor clinical and radiographic outcomes were associated with the nonoperative treatment of degenerative MMPRTs at long-term follow-up. This study provides a valuable update on the natural history and long-term prognosis of nonoperatively treated MMPRTs. | 7/12/2023 | |
| Machine learning can accurately predict risk factors for all-cause reoperation after ACLR creating a clinical tool to improve patient counseling and outcomes | CONCLUSIONS: All-cause reoperation after anterior cruciate ligament reconstruction occurred at a rate of 16%. Machine learning models outperformed traditional statistics and identified diagnosis of systemic inflammatory disease, distal tear location, concomitant medial collateral ligament repair, hi... | 7/6/2023 | |
| Fellowship-Trained Orthopaedic Trauma Surgeons Achieve Better Postoperative Radiographic Parameters After Intramedullary Nailing of Intertrochanteric Femur Fractures when Compared With Non-trauma-Trained Surgeons | INTRODUCTION: Intertrochanteric femoral fractures are common orthopaedic injuries accounting for nearly 30% of all fracture-related hospitalizations. Because many factors predictive of failure are related to technical aspects of the surgery, the purpose of this study was to compare radiographic para... | 6/6/2023 | |
| Systematic Review and Meta-Analysis of Locked Posterior Dislocation of the Shoulder Treated with Shoulder Arthroplasty Improved Outcomes for Total Shoulder Arthroplasty are Associated with Increased Age | Locked shoulder dislocations account for up to 5% of shoulder dislocations. These relatively rare injuries are characterized by dislocation of the humeral head from the scapular glenoid cavity with the humeral head incarcerated on the glenoid in a "locked" fashion. Diagnosis is often delayed because... | 6/1/2023 | |
| Risk Factors for Revision Surgery Following Revision Total Knee Arthroplasty Using a Hinged Knee Prosthesis for Septic and Aseptic Indications | INTRODUCTION: The use of hinged knee replacements (HKRs) for limb salvage is a popular option for revision total knee arthroplasty (RTKA). Although recent literature focuses on the outcomes of HKR for septic and aseptic RTKAs, little is reported on the risk factors of returning to the operating room... | 5/26/2023 | |
| Trends in Female Authorship in Orthopaedic Literature from 2002 to 2021 An Analysis of 168,451 Authors | CONCLUSIONS: Female representation in orthopaedics has been growing over the past decade. Increasing publication rates of female authors reveal steps toward positive gender equity in the field and present an opportunity for female leadership visibility, illustrating the capabilities of women in orth... | 5/8/2023 | |
| The Evolution of the Musculoskeletal Trauma Section of the Orthopaedic In-Training Examination | INTRODUCTION: In 1963, the American Academy of Orthopaedic Surgeons administered the Orthopaedic In-Training Examination (OITE), the first and longest running yearly medical specialty examination. There have been no recent studies to evaluate the content of the musculoskeletal trauma section of the ... | 4/13/2023 | |
| Sinus Tarsi Versus Extended Lateral Approach for Displaced Intra-Articular Calcaneal Fractures A Single Surgeons Experience | BackgroundThe aim of the study is to investigate the differences between the extensile lateral (EL) and sinus tarsi (ST) approaches for the treatment of displaced intra-articular calcaneus fractures as treated by a single surgeon.MethodsA retrospective cohort study performed at a Level 1 trauma cent... | 4/4/2023 | |
| Validity of Video-Based Analysis for Analyzing Shoulder Injuries in the National Basketball Association | CONCLUSION: Despite its low yield of 7.3%, video-based analysis may be a useful tool to determine the mechanism of shoulder injuries in the NBA, given the similarities of injury characteristics as compared with the control group. | 3/10/2023 | |
| Presentation and Surgical Management of Multiple Ligament Knee Injuries A Multicenter Study from the Surgical Timing and Rehabilitation STaR Trial for MLKIs Network | CONCLUSIONS: A better understanding of the clinical characteristics and management of the various MLKI patterns can be used to support clinical decision-making and individualized treatment of these complex injuries, and may ultimately lead to enhanced outcomes and reduced associated risks. | 2/24/2023 | |
| Meniscal and Articular Cartilage Predictors of Outcome After Revision ACL Reconstruction A 6-Year Follow-up Cohort Study | CONCLUSION: Meniscal and chondral pathology at the time of revision ACL reconstruction has continued significant detrimental effects on patient-reported outcomes at 6 years after revision surgery. | 2/3/2023 | |
| Hypoalbuminemia Predicts Failure of Two-Stage Exchange for Chronic Periprosthetic Joint Infection of the Hip and Knee | CONCLUSION: Low preoperative SAB and Musculoskeletal Infection Societyhost type-C are independent risk factors for failure following first-stage resection in planned two-stage exchange for PJI. Efforts to nutritionally optimize PJI patients, when possible, may improve the outcome of two-stage exchan... | 1/24/2023 | |
| Postless Tape Augmentation for Anterior Cruciate Ligament ACL Reconstruction | Suture or tape augmentation for anterior cruciate ligament (ACL) reconstruction has been described as a technique to increase biomechanical strength and potentially improve clinical outcomes. However, the suture or tape used for augmentation usually requires independent tibial fixation from the ACL ... | 1/12/2023 | |
| Primary Hip Arthroscopy for Femoroacetabular Impingement Syndrome in Adolescents Improves Outcomes and Clinical Benefit Achievement Rates at Short-Term Follow-Up A Multicenter Analysis | CONCLUSION: The results of this multi-center study demonstrated that adolescents who underwent primary hip arthroscopy for FAIS reported significant improvement in all PROs, with satisfactory achievement rates for the MCID, PASS, MOI, and high patient satisfaction at a minimum 2-year follow-up. | 12/26/2022 | |
| Extensor Mechanism Reconstruction After Total Knee Arthroplasty with Allograft Versus Synthetic Mesh A Multicenter Retrospective Cohort | INTRODUCTION: Patellar and quadriceps tendon ruptures after total knee arthroplasty (TKA) have historically poor outcomes. To date, there is no consensus for optimal treatment. The purpose of this study is to directly compare clinical outcomes and survivorship between allograft versus synthetic mesh... | 12/22/2022 | |
| Painful Fibrous Nonunion of a Posterior Oblique Ligament Bony Avulsion Fracture Associated With Anterior Cruciate Ligament Tear A Case Report | CONCLUSION: Bony avulsion fractures of the POL are rare and challenging to diagnose. Awareness of this injury and the subtle imaging findings will help clinicians appropriately diagnose and treat these lesions. | 12/15/2022 | |
| Comparison of Posterior Cruciate Ligament Reconstruction Using an All-Inside Technique With and Without Independent Suture Tape Reinforcement | CONCLUSION: All-inside single-bundle PCLR with and without independent suture tape reinforcement demonstrated low rates of graft failure, complications, and reoperations, with satisfactory PROs at a minimum 2-year follow-up. Radiographic posterior tibial translation was comparable between the 2 grou... | 12/8/2022 | |
| Lateral T-Capsulotomy with Hip Arthroscopy for Access and Excision of Posterior Intra-Articular Mass | There is a lack of literature regarding arthroscopic access to the posterior peripheral compartment of the hip. Compared with open surgery, arthroscopy offers less-invasive treatment for intra-articular mass excision. Arthroscopic hip mass excision has focused on selective resection of lesions in th... | 12/2/2022 | |
| Ambulatory Surgery Centers Significantly Decrease Total Health Care Expenditures in Primary Anterior Cruciate Ligament Reconstruction | CONCLUSION: Performing procedures in more cost-efficient ambulatory surgery centers had the largest effect on decreasing health care expenditures for ACLR. Health maintenance organizations aided in cost-optimization efforts as well, but had a minor effect on surgeon reimbursement. Overall, this stud... | 12/1/2022 | |
| Periprosthetic distal femur fractures treated by retrograde intramedullary nails with a 10-degree distal bend achieve significantly better post-operative radiographic alignment when compared to conventional retrograde nails | CONCLUSION: Retrograde intramedullary nailing of PPDFF with a 10° distal bend results in significantly better alignment in the sagittal plane when compared to a conventional 5° nail. The use of a 5° nail resulted in an extension deformity significantly more frequently. We therefore recommend the uti... | 11/25/2022 | |
| Treatment of Diaphyseal Tibial Fractures Distal to a Total Knee Arthroplasty by Intramedullary Nailing Is Safe and Effective | CONCLUSION: Overall, we report on the largest cohort in the literature undergoing IMN of a tibial shaft fracture distal to a TKA. We demonstrate that IMN of diaphyseal tibial fractures distal to a TKA can be performed safely. We additionally demonstrate that this treatment is highly effective in ach... | 11/18/2022 | |
| Hip Capsular Repair Results in Improved Patient-Reported Outcomes and Survivorship A Systematic Review of the Literature | CONCLUSIONS: Patients without dysplasia who undergo capsular repair have greater improvements in PROs and greater survivorship rates at early- and mid-term follow-up than patients who do not undergo capsular repair. | 11/17/2022 | |
| Patient-Reported Outcomes Improve at 2-Year Minimum Follow-Up After Hip Arthroscopy for Femoroacetabular Impingement Syndrome A Systematic Review | CONCLUSIONS: All included studies found improvements in PROs after hip arthroscopy for FAIS at a minimum of 2-year follow-up. Conversion to total hip arthroplasty is most common in older patients at minimum 10-year follow-up. | 11/7/2022 | |
| Is Video-Based Analysis a Valid Method for Determining Mechanisms of Ankle Injuries During Gameplay in the National Basketball Association | CONCLUSION: Despite its low yield of 11.3%, video analysis proved to be a useful tool to determine ankle injury mechanisms as well as the distribution of injuries based on player position. However, this methodology was subject to selection bias, as evidenced by a $50,000 increase in player salary am... | 11/4/2022 | |
| The efficacy of patient specific instrumentation PSI in total hip arthroplasty THA A systematic review and meta-analysis | CONCLUSION: The use of PSI in THA is effective in improving acetabular component positioning and postoperative functional outcomes, without increasing intraoperative time or blood loss, compared to SI. | 11/3/2022 | |
| Characteristics and Trends of the Most Cited Clinical Orthopaedics and Related Research Articles | CONCLUSIONS: Our study recognizes Clinical Orthopaedics and Related research as having a strong predilection for older articles and a continued strength for modern publications. | 9/28/2022 | |
| Correlating Biomechanical Gait Analysis With Patient-Reported Outcomes After Hip Arthroscopy for Femoroacetabular Impingement Syndrome | CONCLUSION: Gait analysis of FAIS patients after hip arthroscopy demonstrated small, albeit significant, changes in postoperative hip kinetics and kinematics; however, these changes did not correlate with the large, clinically significant improvements in PROs at 1 year after surgery. | 9/12/2022 | |
| Arthroscopic Posterior Capsular Release Effectively Reduces Pain and Restores Terminal Knee Extension in Cases of Recalcitrant Flexion Contracture | CONCLUSION: Arthroscopic posterior capsular release for recalcitrant flexion contracture provides an effective means for reducing pain and restoring terminal extension. The improvement in extension postoperatively was maintained for most (94%) patients at final follow-up with a 14% reoperation rate. | 8/29/2022 | |
| Direct Plantar Approach to Plantar Plate Repair and Associated Wound Complications | CONCLUSION: To our knowledge, this is the largest study evaluating the direct plantar approach to PPR as well as the evaluation of associated complications with the plantar incision. With low complication and minimal reoperation rates, the results of this study have demonstrated the clinical viabili... | 8/25/2022 | |
| Trends in Health Care Expenditures and Patient Out-of-Pocket Expenses in Primary Anterior Cruciate Ligament Reconstruction | CONCLUSION: Out-of-pocket expenses for patients are increasing as they are forced to cover a larger percentage of their health care costs despite overall payer reimbursement decreasing. High-deductible health plans reimbursed the least out of all insurance types while having the highest patient out-... | 7/14/2022 | |
| Descriptive Characteristics and Outcomes of Patients Undergoing Revision Anterior Cruciate Ligament Reconstruction With and Without Tunnel Bone Grafting | CONCLUSION: Tunnel bone grafting was performed in 13% of our rACLR cohort, with 8% undergoing 2-stage surgery. Patients treated with 2-stage grafting had inferior baseline and 2-year patient-reported outcomes and activity levels compared with patients not undergoing bone grafting. Patients treated w... | 7/14/2022 | |
| Capsule Closure of Periportal Capsulotomy for Hip Arthroscopy | Multiple approaches for management of the hip capsule during hip arthroscopy for femoroacetabular impingement syndrome have been reported. Capsular closure is advocated in the setting of larger capsulotomies, including interportal and T-capsulotomies, to reduce the risk of iatrogenic instability or ... | 7/5/2022 | |
| All-Arthroscopic Treatment of Combined Posterior Cruciate Ligament and Posterolateral Corner Instability | Injuries to the posterolateral corner (PLC) of the knee are uncommon, and usually associated with other ligamentous injuries. A combined posterior cruciate ligament (PCL) and PLC tear is the most frequent combination. Several studies describe anatomic reconstructive techniques using an open approach... | 7/5/2022 | |
| Tendon progenitor cells as biological augmentation improve functional gait and reduce scar formation after rotator cuff repair | CONCLUSION: We found that neonatal TPCs improved and restored functional gait by reducing overall scar formation, improving enthesis collagen alignment, and altering bony composition response after supraspinatus tendon repair. TPCs did not appear to integrate into the healing tissue, suggesting impr... | 6/7/2022 | |
| Risk factors for long-term hip osteoarthritis in patients with hip dysplasia without surgical intervention | Hip dysplasia is a common cause of hip pain and a known risk factor for hip osteoarthritis (OA) and early total hip arthroplasty (THA). Unfortunately, little is known about the specific factors associated with an increased risk of OA. The purpose was (i) to report the overall rate of symptomatic hip... | 6/2/2022 | |
| Returning to Activity After Anterior Cruciate Ligament Revision Surgery An Analysis of the Multicenter Anterior Cruciate Ligament Revision Study MARS Cohort at 2 Years Postoperative | CONCLUSION: Recreational-level participants were twice as likely to not RTA compared with those participating at higher levels. Within a previously active cohort, no RTA was a significant predictor of lower PROs after rACLR. However, among patients who did RTA after rACLR, approximately 20% reported... | 6/1/2022 | |
| Low interobserver and intraobserver reliability using the Matta radiographic system for intraoperative assessment of reduction following acetabular ORIF | INTRODUCTION: The system described by Matta for rating acetabular fracture quality of reduction following ORIF has been used extensively throughout the literature. However, the reliability of this system remains to be validated. We sought to determine the interobserver and intraobserver reliability ... | 5/31/2022 | |
| Anterior Cruciate Ligament Reconstruction in 107 Competitive Wrestlers Outcomes, Reoperations, and Return to Play at 6-Year Follow-up | CONCLUSION: Return to competitive wrestling was observed in 80% of athletes after ACLR, with 14% of wrestlers experiencing graft failure. BTB autograft was associated with better survival than HT autograft. | 5/13/2022 | |
| Sex differences in the prevalence of radiographic findings of structural hip deformities in patients with symptomatic femoroacetabular impingement | The purpose of this study was to determine the sex differences in the overall prevalence of radiographic femoroacetabular impingement (FAI) deformity patients presenting with hip pain and to identify the most common radiographic findings in male and female patients. A geographic database was used to... | 4/13/2022 | |
| Ankle Mortise Instability in Multiple Hereditary Exostoses | Ankle valgus is commonly reported in patients with multiple hereditary exostoses (MHE). We report the characteristics of mortise widening in MHE, its progression over time, and the resultant ankle pain and function at skeletal maturity. Mortise medial space (M), talocrural angle (TC), and tibiotalar... | 4/4/2022 | |
| Reverse shoulder arthroplasty for rotator cuff tears with and without prior failed rotator cuff repair A large-scale comparative analysis | CONCLUSION: Rotator cuff repair in elderly patients, when utilizing currently employed indication criteria, results in low conversion rates to RSA within 2 years postoperatively. Furthermore, large dataset outcomes after RSA for RCT such as cost, post-acute care discharge, physical rehabilitation, a... | 3/18/2022 | |
| Total Knee Arthroplasty Function at 25 Years Following Proximal Tibial Osteotomy Paired Outcomes of Bilateral TKAs Following Unilateral Osteotomy | CONCLUSIONS: Long-term clinical function of TKA following PTO was excellent, with patients demonstrating comparable subjective outcomes and equivalent knee preference compared with the contralateral TKA-only knees. Further, well-matched studies are needed to evaluate long-term revision and reoperati... | 3/16/2022 | |
| Arthroscopic Single-Portal Suprapectoral Biceps Tenodesis With All-Suture Anchor | Tenodesis of the long head of the biceps tendon can be performed through arthroscopic and open techniques with various fixation methods and at different locations on the humerus. Many techniques have been described, with controversy surrounding the advantages and disadvantages of each. In this Techn... | 3/8/2022 | |
| Five-Year Structural Changes in the Knee Among Patients With Meniscal Tear and Osteoarthritis Data From a Randomized Controlled Trial of Arthroscopic Partial Meniscectomy Versus Physical Therapy | CONCLUSION: These findings suggest that the association between APM and MRI-based structural changes in knee OA is most apparent during the initial 18 months after surgery. The reason for attenuation of this association over longer follow-up merits further investigation. | 3/4/2022 | |
| Prospective Consecutive Clinical Outcomes After Transtibial Root Repair for Posterior Meniscal Root Tears A Multicenter Study | CONCLUSION: Transtibial root repair for medial and lateral posterior meniscal root tears demonstrated significantly improved clinical outcomes at 2 years postoperatively. Increased age, increased BMI, cartilage status, and meniscal extrusion did not have a negative impact on short-term functional ou... | 3/3/2022 | |
| Arthrofibrosis Nightmares Prevention and Management Strategies | Arthrofibrosis (AF) is an exaggerated immune response to a proinflammatory insult leading to pathologic periarticular fibrosis and symptomatic joint stiffness. The knee, elbow, and shoulder are particularly susceptible to AF, often in the setting of trauma, surgery, or adhesive capsulitis. Preventio... | 2/3/2022 | |
| Neurological Complications Following Arthroscopic and Related Sports Surgery Prevention, Work-up, and Treatment | Arthroscopy of the shoulder, elbow, hip, and knee has become increasingly utilized due to continued advancements in technique, training, and instrumentation. In addition, arthroscopy is generally safe and effective in the utilization of joint preservation surgical techniques. The arthroscopist must ... | 2/3/2022 | |
| Encouraging Firework Safety Through Public Service Announcements | A dramatic increase in firework-related blast injuries to the hand and upper extremity resulted in record-setting numbers at our institution over the July 4, 2018, holiday. This led our hand and upper extremity department to create a public service announcement (PSA) campaign regarding firework safe... | 1/26/2022 | |
| The effect of local steroid application on bony fusion in a rat posterolateral spinal arthrodesis model | CONCLUSIONS: Local steroid application does not seem to inhibit rhBMP-2-mediated spine fusion in rats, though our study may not be adequately powered to detect differences in fusion as measured by manual palpation or bone volume as measured by micro-CT. These findings suggest that local triamcinolon... | 1/10/2022 | |
| The Proximal Tibia Loses Bone Mineral Density After Anterior Cruciate Ligament Injury Measurement Technique and Validation of a Quantitative Computed Tomography Method | CONCLUSIONS: A standardized method to quantitatively measure the volumetric BMD within the region of a standard tibial tunnel for ACL reconstruction was successfully developed and validated. Significant osteopenia of the injured knee occurs following ACL injury when compared with the contralateral u... | 1/3/2022 | |
| Minimally Invasive Treatments for Benign Prostatic Hyperplasia Systematic Review and Network Meta-Analysis | CONCLUSION: Although significant differences in outcomes were limited, Aquablation and PAE were the most durable at 12 months. PAE has been well studied on multiple randomized control trials with minimal adverse events while Aquablation has limited high quality data and has been associated with blee... | 12/30/2021 | |
| Duration of Care and Operative Time Are the Primary Drivers of Total Charges After Ambulatory Hip Arthroscopy A Machine Learning Analysis | CONCLUSIONS: The gradient-boosted ensemble model effectively predicted total charges after hip arthroscopy. Few modifiable variables were identified other than anesthesia type; nonmodifiable drivers of total charges included duration of care less than 12 hours or more than 15 hours, operating room t... | 12/18/2021 | |
| Membrane-Inducing Masquelet Technique for Massive Traumatic Diaphyseal Femur Bone Loss in a Pediatric Patient A Case Report | CONCLUSION: Although the Masquelet technique is thoroughly described in adult orthopaedic trauma and oncology literature, there are minimal reports to support its use in pediatric patients. Five-year follow-up data on this patient concluded that utilization of this technique for significant bone def... | 11/22/2021 | |
| N95 respirator and surgical mask effectiveness against respiratory viral illnesses in the healthcare setting A systematic review and meta-analysis | CONCLUSIONS: N95 respirator use was associated with fewer viral infectious episodes for healthcare workers compared with surgical masks. The N95 respirator was most effective in reducing the risk of a viral infection in the hospital setting from the SARS-CoV 1 and 2 viruses compared to the other vir... | 11/8/2021 | |
| Lateral Meniscal Tears in Young Patients A Comparison of Meniscectomy and Surgical Repair | CONCLUSION: An increase was seen in the rate of isolated lateral meniscal tear repair in young patients. IKDC score improvement was greater after repair than meniscectomy, although postoperative IKDC scores were similar. Symptomatic arthritis, reoperation, and failure rates were similar between grou... | 10/18/2021 | |
| Pelvic Shadowing as a Diagnostic Predictor of Orthopedic Pathology in Orthopedic Trauma Patients | Introduction The Throckmorton sign, or John Thomas sign, is a well-established orthopedic eponym, anecdotally used in orthopedic surgery to correlate the direction of male genitalia, observed on a pelvic radiograph, with the laterality of an associated orthopedic pathology. In earlier studies, the d... | 10/18/2021 | |
| Clamp Assisted Reduction of the Transverse Acetabular Fracture With Anterior Column Screw Fixation and Posterior Plating A Technical Trick and Case Series | Displaced transverse acetabular fractures are unstable injuries that frequently require repair. Although multiple approaches, techniques, and fixation constructs have been described to treat this pattern, achieving an anatomical reduction and applying fixation to maintain this until union remains th... | 10/11/2021 | |
| Retrograde intramedullary nailing of comminuted intra-articular distal femur fractures results in high union rate | CONCLUSIONS: Comminuted intra-articular distal femur fractures that can be successfully treated with retrograde IMN fixation will reliably go on to union with a complication rate that is favorable to that reported for plate fixation. | 10/8/2021 | |
| Association Between Structural Change Over Eighteen Months and Subsequent Symptom Change in Middle-Aged Patients Treated for Meniscal Tear | CONCLUSION: We did not observe clinically important associations between early changes in cartilage damage and other structural measures and worsening in pain over the subsequent 3.5 years. Further follow-up is required to assess this association over a longer follow-up period. | 10/4/2021 | |
| Varus Collapse in Total Knee Arthroplasty Does Fixation or Bone Fail First | CONCLUSION: The most frequent mechanism of failure identified was failure of the implant-cement interface followed by subsequent medial tibial varus collapse. Improving implant fixation may decrease the incidence of this unique failure mechanism. We advocate the use of supplemental stem fixation in ... | 9/30/2021 | |
| A New Algorithm for Classifying Acetabular Fracture Patterns on Three-dimensional Computed Tomography Reconstructions Markedly Improves Residents Ability to Correctly Classify Fractures | INTRODUCTION: CT and three-dimensional (3D) CT reconstructions have been shown to improve the understanding of acetabular fractures. With the increased availability of 3D pelvic CT reconstructions, our goal for this study was to develop an algorithm to aid residents in the classification of acetabul... | 9/17/2021 | |
| Consensus-based classification system for intra-operative management of labral tears during hip arthroscopy-aggregate recommendations from high-volume hip preservation surgeons | The purpose of this study was to survey high-volume hip preservation surgeons regarding their perspectives on intra-operative management of labral tears to improve decision-making and produce an effective classification system. A cross-sectional survey of high-volume hip preservation surgeons was co... | 8/11/2021 | |
| Posterior Cruciate Ligament Reconstruction With Internal Brace Augmentation Reduces Posterior Tibial Translation Under Cyclic Loading | The goal of this study was to evaluate the stiffness and resistance to elongation of an internal bracing (IB) construct in posterior cruciate ligament reconstruction (PCLR). The authors hypothesized that augmentation with an internal brace would increase construct stiffness and decrease posterior ti... | 7/22/2021 | |
| Association Between Graft Choice and 6-Year Outcomes of Revision Anterior Cruciate Ligament Reconstruction in the MARS Cohort | CONCLUSION: BTB and soft tissue autografts had a decreased risk in graft rerupture compared with BTB allografts. BTB autografts were associated with higher activity level than were BTB allografts at 6 years after revision reconstruction. Surgeons and patients should consider this information when ch... | 7/14/2021 | |
| Theme Park Water Slides A New Mechanism of Causing 61B23 Pelvic Ring Injuries A Case Series | CONCLUSION: Pelvic ring injuries usually occur because of high-energy mechanisms, but unique mechanisms of injuries are possible. We aim to draw attention to this unique mechanism of injury because serious injury may occur to riders. Water parks should use the information presented in this study to ... | 7/8/2021 | |
| Discharge Disposition and Clinical Outcomes After Spine Surgery | CONCLUSION: Subacute rehabilitation disposition and CCI are independent predictors of wound complications after spinal decompression surgery. Patients undergoing spine surgery have similar readmission and revision rates and experience similar clinical improvement across all postacute discharge dispo... | 6/12/2021 | |
| Total Hip Arthroplasty for Acute Femoral Neck Fractures Who Should Perform the Operation-Adult Reconstructive or Trauma Surgeons | CONCLUSIONS: THA for acute FN fracture performed by AR surgeons demonstrated higher rates of accurate radiographic component positioning, significantly lower major complication rates at 90 days and 1 year, and greater implant survival at 1 year. | 5/29/2021 | |
| Outcomes of periprosthetic distal femur fractures following total knee arthroplasty Intramedullary nailing versus plating | CONCLUSION: Intramedullary nailing was associated with an increased risk of malalignment, most commonly an extension deformity, in this series. However, malalignment was not associated with worse outcomes. | 5/25/2021 | |
| Long-Term Patient-Reported Knee Outcomes After Suprapatellar Intramedullary Tibial Nailing | CONCLUSION: At long-term follow-up a majority of patients undergoing suprapatellar nailing had good/excellent knee outcomes. Poor/fair knee outcomes were associated with the development of complications. | 5/17/2021 | |
| Modified Use of a Fibular Strut in the Reduction and Stabilization of 2-Part Osteoporotic Proximal Humerus Fractures | PURPOSE: This study introduces a modified use of a fibular strut allograft as an adjunct to lateral locked plating in the treatment of osteoporotic two-part fractures of the proximal humerus. | 5/14/2021 | |
| The Competitive Orthopaedic Trauma Fellowship Applicant A Program Directors Perspective | INTRODUCTION: In 2018, orthopaedic trauma had the lowest match rate among orthopaedic subspecialties. The purpose of this study was to determine the importance of factors evaluated by orthopaedic trauma fellowship directors when ranking applicants after the interview. | 5/7/2021 | |
| Surgical Treatment of Isolated Meniscal Tears in Competitive Male Wrestlers Reoperations, Outcomes, and Return to Sport | CONCLUSION: The reoperation rate after meniscal surgery in wrestlers was quite low, but only 65% returned to competitive wrestling. Meniscal repair and partial meniscectomy improved patient-reported outcomes and activity levels at short-term follow-up. However, 21% of wrestlers treated with initial ... | 3/31/2021 | |
| Incidence of Hip Dysplasia Diagnosis in Young Patients With Hip Pain A Geographic Population Cohort Analysis | CONCLUSION: The incidence of hip dysplasia diagnosis in patients presenting with hip pain was 12.7 per 100,000 person-years. Female patients had twice the age-adjusted incidence of male patients, and the highest age-adjusted incidence occurred in the age range of 14 to 18 years in both sexes. The us... | 3/22/2021 | |
| Clinical outcomes in prone positioning for percutaneous fixation of posterior column acetabular fractures | CONCLUSION: Prone positioning is a versatile and effective approach for retrograde percutaneous fixation of posterior column acetabular fractures. This study is the first to report clinical outcomes utilizing this technique and contributes to a growing body of the literature supporting the value and... | 3/19/2021 | |
| Comparison of standard versus reconstruction proximal interlocking screw configurations for antegrade intramedullary nail fixation of femoral shaft fractures | CONCLUSIONS: In this matched cohort of patients with femoral shaft fractures undergoing antegrade IMN fixation, RS and SS configurations were associated with a similar number of complications and no femoral neck complications. The SS configuration remains the standard for antegrade IMN femoral shaft... | 3/19/2021 | |
| Editorial Commentary Autograft Beats Allograft for Most Knee Ligament Surgery | Knee ligament reconstruction can be performed with autograft or allograft. The use of an autograft has been shown to improve outcomes in primary anterior cruciate ligament reconstruction for young, active patients, and also in revision anterior cruciate ligament reconstruction surgery. A systematic ... | 3/6/2021 | |
| Association Between Baseline Meniscal Symptoms and Outcomes of Operative and Nonoperative Treatment of Meniscal Tear in Patients With Osteoarthritis | CONCLUSION: Meniscal symptoms were not associated with improved pain relief. Although symptoms of clicking and intermittent locking had a greater reduction in the APM group, the presence of meniscal symptoms in isolation should not inform clinical decisions surrounding APM versus PT in patients with... | 3/2/2021 | |
| Posterior Cruciate Ligament Reconstruction With Independent Suture Tape Reinforcement An In Vitro Biomechanical Full Construct Study | CONCLUSION: Adding an independent ST to PCL reconstruction led to improvement in the studied metrics by reducing the total elongation and increasing the ultimate strength, independent of the technique used. | 3/1/2021 | |
| Risk of Conversion to Arthroplasty After Hip Arthroscopy Validation of a Published Risk Score Using an Independent, Prospectively Collected Database | CONCLUSION: This external validation study supported our hypothesis in that the THA risk score described by Redmond et al was found to accurately predict which patients undergoing hip arthroscopy were at risk for converting to subsequent arthroplasty, with satisfactory discriminatory, ROC curve, and... | 2/26/2021 | |
| All-Inside PCL Reconstruction | Many different techniques with multiple graft types have been described for the reconstruction of the injured posterior cruciate ligament (PCL); autograft versus allograft, single- versus double-bundle, open inlay versus arthroscopic inlay versus arthroscopic transtibial, and recently described the ... | 2/5/2021 | |
| Transverse and transverse-variant acetabular fractures with ipsilateral sacroiliac joint injuries A technical note for reduction and stabilization | Transverse and T-type acetabular fractures are high energy fractures that may be associated with a disruption of the pelvic ring. While several studies report upon clinical findings and outcomes associated with combination injuries of the pelvic ring and acetabulum, there are limited reports discuss... | 1/26/2021 | |
| Arthroscopic Identification of the Knee Posterolateral Corner Structures and Anatomic Arthroscopic Posterolateral Corner Reconstruction Technical Note - Part 2 | Posterolateral corner injuries are complex injuries, and their therapeutic management varies from one individual to another. Biomechanical studies demonstrate that anatomic posterolateral corner reconstruction restores knee kinematics better than nonanatomic reconstruction. The purpose of this repor... | 12/31/2020 | |
| Arthroscopic Identification of the Knee Posterolateral Corner Structures and Anatomic Arthroscopic Posterolateral Corner Reconstruction Technical Note - Part 1 | Arthroscopic assessment of posterior compartments of the knee and the posterior aspect of the proximal tibial and fibula is challenging because of the relative proximity of the neurovascular bundle. This Technical Note describes a reproducible arthroscopic surgical approach in a cadaveric model that... | 12/31/2020 | |
| Predictors of Performance on the Arthrobox Arthroscopy Simulator for Medical Students | CONCLUSIONS: This study provides evidence of a statistically significant correlation between increased experience in athletics and single-use test performance on an arthroscopic surgical simulator. Subjects who reported higher levels of experience in athletics were significantly more likely to achie... | 12/30/2020 | |
| High Tibial Osteotomy with a Modern Polyetheretherketone PEEK System Mid-Term Results at a Mean of 6 Years Follow-Up | The purpose of this study was to determine patient-reported outcomes, hardware removal rates, as well as conversion to arthroplasty at mid-term follow-up following high tibial osteotomy (HTO) with a modern polyetheretherketone (PEEK) system. All PEEK system-based HTOs performed at a single instituti... | 11/24/2020 | |
| Incidence of Femoroacetabular Impingement and Surgical Management Trends Over Time | CONCLUSION: The overall incidence of FAI diagnosis was 54.4 per 100,000 person-years, and it consistently increased between 2000 and 2016. Female patients had a higher incidence than male patients. The utilization of joint preservation operations, including hip arthroscopy, surgical hip dislocation,... | 11/23/2020 | |
| Hamstring Autograft Anterior Cruciate Ligament Reconstruction Using an All-Inside Technique With and Without Independent Suture Tape Reinforcement | CONCLUSIONS: ACLR with hamstring autograft and independent suture tape reinforcement was performed safely with low rates of complications, graft failure, and reoperations with similar PROs, function, and return-to-sport rates when compared with hamstring autograft ACLR without suture tape reinforcem... | 11/4/2020 | |
| A Nomogram for Predicting 30-day Mortality in Elderly Patients Undergoing Hemiarthroplasty for Femoral Neck Fractures | CONCLUSION: A tool based on easily identifiable risk factors, demographics, and comorbidities was developed that can help predict elderly patients who will experience mortality within 30 days of following hemiarthroplasty. In addition to identifying high risk patients, the nomogram can serve as a co... | 10/29/2020 | |
| Rate of infection following revision anterior cruciate ligament reconstruction and associated patient- and surgeon-dependent risk factors Retrospective results from MOON and MARS data collected from 2002 to 2011 | Infection is a rare occurrence after revision anterior cruciate ligament reconstruction (rACLR). Because of the low rates of infection, it has been difficult to identify risk factors for infection in this patient population. The purpose of this study was to report the rate of infection following rAC... | 10/1/2020 | |
| Artificial Intelligence in Spine Care | Artificial intelligence is an exciting and growing field in medicine to assist in the proper diagnosis of patients. Although the use of artificial intelligence in orthopedics is currently limited, its utility in other fields has been extremely valuable and could be useful in orthopedics, especially ... | 9/29/2020 | |
| Arthroscopic Treatment of Labral Tears in Patients 65 Years and Older | The purpose of this multicenter study was to investigate the clinical outcomes after hip arthroscopy in a series of patients 65 years and older with labral tears with a minimum 2-year follow-up. Outcome data were prospectively collected and retrospectively reviewed for patients 65 years and older wh... | 9/4/2020 | |
| The Effect of Obesity on Fluoroscopy-Assisted Direct Anterior Approach Total Hip Arthroplasty | CONCLUSIONS: There were no clinically relevant differences in component positioning or perioperative parameters between obese and non-obese patients. We do not consider a BMI ≥ 30 kg/m2 to be a contraindication for fluoroscopyassisted DAA-THA when performed by a surgeon experienced in the technique. | 8/29/2020 | |
| Morbid obesity and short-term complications following acetabular fracture surgery A comparative cohort study | CONCLUSIONS: In the treatment of the obese and morbidly obese with acetabular fractures, we find that these cohorts are not at a greater risk of wound complications or infection. The higher rate of pulmonary embolism seen in the morbidly obese should be considered when evaluating these patients for ... | 8/23/2020 | |
| Meniscal Repair in the Setting of Revision Anterior Cruciate Ligament Reconstruction Results From the MARS Cohort | CONCLUSION: Meniscal repair in the revision ACL reconstruction setting does not have a high failure rate at 2-year follow-up. Failure rates for medial and lateral repairs were both <10% and consistent with success rates of primary ACL reconstruction meniscal repair. Medial tears underwent reoperatio... | 8/22/2020 | |
| Risk Factors for Long-term Hip Osteoarthritis in Patients With Femoroacetabular Impingement Without Surgical Intervention | CONCLUSION: At mean follow-up of 24.7 years, 14% of hips had symptomatic OA and 4% underwent THA. BMI greater than 29, male sex, and increased age at the time of presentation with hip pain were risk factors for hip OA. The cohort consisted of a large percentage of mixed-type FAI morphologies, and no... | 8/22/2020 | |
| Surgical Treatment of Combined ACL PCL Medial Side Injuries | The multiple ligament knee injury involving the medial collateral ligament, anterior cruciate ligament, and posterior cruciate ligament is typically the result of a high-energy trauma or knee dislocation event. Optimal treatment strategies are debated, specifically in regard to timing of surgery, re... | 8/3/2020 | |
| Medically Necessary Orthopaedic Surgery During the COVID-19 Pandemic Safe Surgical Practices and a Classification to Guide Treatment | CONCLUSIONS: Orthopaedic surgery during the COVID-19 pandemic can be performed safely when medically necessary but should be rare for COVID-19-positive or high-risk patients. Appropriate screening, PPE use, and multidisciplinary care will allow for safe medically necessary orthopaedic surgery to con... | 7/18/2020 | |
| Innate Arthroscopic amp; Laparoscopic Surgical Skills A Systematic Review of Predictive Performance Indicators Within Novice Surgical Trainees | CONCLUSIONS: Current literature suggests that video game experience/frequency, psychomotor and visuospatial aptitude, and perceptual ability are among the most promising predictive indicators of baseline simulator performance. Study limitations include utilization of different standards for characte... | 6/28/2020 | |
| A Novel Scoring Instrument to Assess Donor Site Morbidity After Anterior Cruciate Ligament Reconstruction With a Patellar Tendon Autograft at 2-Year Follow-up Using Contemporary Graft-Harvesting Techniques | CONCLUSION: Donor site morbidity after ACL reconstruction with a BTB autograft was less frequent than reported in the existing literature. Some patients developed anterior knee pain; therefore, an informed discussion is advised. IKDC and Lysholm scores may not capture donor site symptoms after surge... | 6/27/2020 | |
| Ultrasound-Guided Iliopsoas Tendon Release A Cadaveric Investigation | CONCLUSIONS: USG iliopsoas tendon release can be performed in a cadaveric model, consistently achieve the desired percentage of tendon release, does not result in injury to adjacent neurovascular structures, and takes approximately 6 minutes to perform. Although results cannot be generalized to a cl... | 6/8/2020 | |
| Blunt End Wire and Lateral Sacral View A Technical Trick to Precisely Terminate Percutaneous Pelvic Brim Screw Fixation in the Posterior Ilium | Percutaneous screw fixation in the treatment of a variety of pelvic fractures may involve placement of a pelvic brim or "LC-2" screw. The technique requires the use of the combined obturator oblique inlet view to define the medial and lateral cortical borders of the corridor and an iliac oblique vie... | 5/30/2020 | |
| Elbow Dislocation | This article is a brief overview of the elbow dislocations focusing on updates in treatment and rehabilitation protocols. The fight between obtaining elbow stability without leading to long-term elbow stiffness has been a continued focus in field of sports medicine. This article highlights advances ... | 5/25/2020 | |
| Evaluation and Management of Hand, Wrist and Elbow Injuries in Ice Hockey | Ice hockey continues to be a popular, fast-paced, contact sport enjoyed internationally. Due to the physicality of the game, players are at a higher risk of injury. In the 2010 Winter Olympics, men's ice hockey had the highest injury rate compared to any other sport. In this review, we present a com... | 5/20/2020 | |
| Is Labral Size Predictive of Failure With Repair in Hip Arthroscopy | CONCLUSIONS: Hypertrophic labra in the largest 10th percentile showed lower postoperative outcome scores. However, no detectable clinical benefit was found in terms of patient-perceived clinical difference or acceptable symptomatic state. For most patients, labral size does not appear to significant... | 5/1/2020 | |
| A Multicenter Study of Radiographic Measures Predicting Failure of Arthroscopy in Borderline Hip Dysplasia Beware of the Tnnis Angle | CONCLUSION: Higher Tönnis angles portend a higher risk for revision surgery. The probability of secondary operation was increased by a magnitude of 1.12 with each degree increase in the Tönnis angle. In patients with a Tönnis angle >10°, 84% required a secondary operation. | 4/29/2020 | |
| Long-term Comparison of Retrograde and Antegrade Femoral Nailing | Antegrade or retrograde nailing for femoral shaft fractures remains the gold standard, but long-term data on functional outcomes after intramedullary nailing are lacking. In a retrospective review of prospectively collected patient registry data, patients with an isolated femoral shaft fracture trea... | 4/24/2020 | |
| Increasing Fellow Recruitment How Can Fellowship Program Websites Be Optimized | BACKGROUND: The purpose of this study was to determine the importance of factors considered by orthopaedic trauma fellowship applicants when evaluating programs. We hypothesized that applicants will prioritize consistent factors when applying to programs. In addition, we assessed how the applicants ... | 4/2/2020 | |
| Iliopsoas Release in Hip Arthroscopy Assessment of Muscle Atrophy | Iliopsoas release is a common procedure for coxa saltans interna of the hip. The possible sequelae from this surgery have not been well studied. The purpose of this study was to determine postoperative atrophy and morphology of the cut tendon. This retrospective review included patients who underwen... | 3/20/2020 | |
| Is the Neck Disability Index an Appropriate Measure for Changes in Physical Function After Surgery for Cervical Spondylotic Myelopathy | CONCLUSIONS: Although the NDI composite score did predict change in PCS over time, only 2 of the 10 NDI subdomains were found to be associated with change in physical function over time. Based on these results, the item bank and composite scoring of the NDI are inappropriate for evaluating quality o... | 3/5/2020 | |
| Comparing Patient-reported Outcomes to Patient Satisfaction After a Microdiscectomy for Patients With a Lumbar Disk Herniation | CONCLUSIONS: HRQOL metrics can accurately predict patient satisfaction with symptoms at 3 months, 2 years, and 4 years after surgical intervention for a lumbar disk herniation. Absolute outcome scores were somewhat more predictive than change scores. | 2/27/2020 | |
| Comprehensive Case-Based Review of Knee Ligament Injuries | The management of knee ligament injuries continues to evolve, and much debate persists over the timing of surgery, repair versus reconstruction, surgical technique, postoperative rehabilitation, graft selection, and fixation. Surgeons should be aware of updates on the best management strategies of k... | 2/8/2020 | |
| Tips and Tricks for Common, Yet Difficult Osteopenic Fractures in the Community | Owing to advances in medicine, the number of elderly patients is growing, concurrently leading to an increasing incidence in osteopenic fractures that often require surgical management. Some of the most common anatomic areas include the proximal humerus, the distal humerus, femoral neck fractures, a... | 2/5/2020 | |
| Lower Extremity Fractures Tips and Tricks for Nails and Plates | Lower extremity fractures, ranging from the proximal femur to the distal tibia, come in a variety of patterns and complexity. Treatment modalities typically consist of using plates and intramedullary nails; however, each has its advantages and disadvantages in each anatomic region. In this instructi... | 2/5/2020 | |
| Isolated Polyethylene Insert Exchange for Flexion Instability After Primary Total Knee Arthroplasty Demonstrated Excellent Results in Properly Selected Patients | CONCLUSION: IPE for flexion instability in carefully selected patients was successful in over 90% of patients for a mean follow-up of 41 months. Pain and function scores significantly improved. Longer-term follow-up is necessary to determine whether these results are durable over time. | 1/30/2020 | |
| Medial Versus Lateral Meniscus Root Tears Is There a Difference in Injury Presentation, Treatment Decisions, and Surgical Repair Outcomes | CONCLUSIONS: Compared with MMRTs, LMRTs occur in younger male patients with lower body mass index, less cartilage degeneration, less extrusion on magnetic resonance imaging, and more commonly with a ligament injury. Although good to excellent clinical outcomes were attained in select patients for bo... | 1/25/2020 | |
| The Prevalence of Radiographic Findings of Structural Hip Deformities for Femoroacetabular Impingement in Patients With Hip Pain | CONCLUSION: The overall prevalence of radiographic findings consistent with FAI in young patients with hip pain was 60.5%. Radiographic findings for mixed-type FAI were the most prevalent. The most common radiographic finding for cam-type FAI was an alpha angle >55°. The most common radiographic fin... | 1/11/2020 | |
| Variables Associated With Lag Screw Sliding After Single-Screw Cephalomedullary Nail Fixation of Intertrochanteric Fractures | CONCLUSIONS: Unstable fracture patterns are unavoidable; however, careful attention to calcar reduction and selection of dual-screw CMN implants may minimize lag screw sliding and its detrimental effects on outcomes. | 1/10/2020 | |
| Clinical Results of Acetabular Fracture Fixation Using a Focal Kocher-Langenbeck Approach Without a Specialty Traction Table | CONCLUSION: Overall, we report on the largest cohort in the literature undergoing a prone Kocher-Langenbeck without a specialty table for acetabular fracture fixation. We found that limited extremity prepping and draping for a prone Kocher-Langenbeck on a flat, radiolucent table did not result in an... | 1/10/2020 | |
| No difference between single and staged posterolateral corner surgical procedures in the multiligament injureddislocated knee | CONCLUSION: This study demonstrates similar knee function among patients with PLC injuries treated with single or staged surgical procedures. The need for staged surgery for the dislocated knee with PLC involvement should be individualized based on specific knee and patient-related factors. | 1/9/2020 | |
| Revision Multiligament Knee Reconstruction Surgery | Failed multiligament knee reconstruction is a challenging problem due to recurrent pathologic laxity that is often associated with limb malalignment, meniscus deficiency, articular cartilage insufficiency, decreased motion, compromised bone stock, and a paucity of graft sources. Revision surgical in... | 1/3/2020 | |
| Posterior Cruciate Ligament All-Inside Reconstruction | Several techniques for posterior cruciate ligament (PCL) reconstruction have been described. Reported clinical outcomes for the various techniques are often affected by concomitant injuries. Therefore, the optimal surgical technique choice remains controversial. Variations include transtibial versus... | 1/3/2020 | |
| Trends of Follow-Up Recommendations Made on Musculoskeletal MRI Reports | OBJECTIVE. The purpose of this article was to analyze trends in follow-up recommendations made on musculoskeletal MRI reports. MATERIALS AND METHODS. An IRB-approved retrospective study identified 790 musculoskeletal MRI reports from our database between January 1, 2016, and January 1, 2018, contain... | 12/31/2019 | |
| Does an Uninstrumented Level Increase the Rate of Revision Surgery in a Multilevel Posterior Cervical Decompression and Fusion | CONCLUSIONS: When performing a multilevel PCDF, there is no increase in the rate of revision surgery if a single level is uninstrumented. Conversely, other surgical factors, including the cranial and caudal levels, affect revision rates. In contrast to other reports, the C2 sagittal vertical axis di... | 12/3/2019 | |
| Medial Meniscus Posterior Root Tear Treatment A Matched Cohort Comparison of Nonoperative Management, Partial Meniscectomy, and Repair | CONCLUSION: Meniscus root repair leads to significantly less arthritis progression and subsequent knee arthroplasty compared with nonoperative management and partial meniscectomy in a matched cohort based on patient characteristics. | 11/26/2019 | |
| Early Operative Treatment of Acetabular Fractures Does Not Increase Blood Loss A Retrospective Review | CONCLUSIONS: Fixation of acetabular fractures within 48 hours of admission did not increase blood loss or intraoperative transfusions. CS was successful in returning an average of one unit of blood to a majority of patients. | 11/6/2019 | |
| Caregivers of hip fracture patients The forgotten victims | CONCLUSIONS: High degrees of burden were experienced by 20% of caregivers of hip fracture patients. Caregivers with high caregiver burdens were more likely to consider placement of the patient into a long-term care facility. Risk factors for high caregiver burdens should be identified to optimize th... | 10/13/2019 | |
| Needlestick and sharps injuries in orthopedic surgery residents and fellows | CONCLUSIONS: The incidence of NSSI during residency training is high, with >90% of trainees in their fifth year or later of training having received an injury during their training, with a mean of >4 separate events. Most trainees with an NSSI did not report all of their events, which implies that c... | 9/27/2019 | |
| Burden of Sciatica on US Medicare Recipients | CONCLUSION: A large percentage of the US Medicare cohort suffers from symptomatic sciatica. Our study identified a 25% prevalence in the Medicare cohort. In addition, sciatica is associated with an increased incidence of comorbid medical conditions and poor health-related quality of life. | 9/14/2019 | |
| Screws are at a safe distance from critical structures after superior plate fixation of clavicle fractures | CONCLUSIONS: None of the screws were excessively prominent or within 15 mm of the subclavian vessels. Attentive superior plate fixation of the clavicle with screws is a safe technique. | 9/11/2019 | |
| Five-Year Outcome of Operative and Nonoperative Management of Meniscal Tear in Persons Older Than Forty-Five Years | CONCLUSION: Pain improved considerably in both groups over 60 months. While ITT analysis revealed no statistically significant differences following TKR, greater frequency of TKR in those undergoing arthroscopic partial meniscectomy merits further study. | 8/21/2019 | |
| Outcomes of Primary Tibiotalocalcaneal Nailing for Complicated Diabetic Ankle Fractures | CONCLUSION: With high limb salvage rates, relatively early weightbearing, maintained ambulatory level, and acceptable complication rates, we believe our technique can be considered an appropriate approach to increase the overall survivability of threatened limbs and lives in this patient population. | 8/20/2019 | |
| Surgical Decision Making for Thoracolumbar Spine Injuries in Polytrauma Patients | The management of thoracolumbar spine injuries in patients with multiple traumatic injuries is a challenge complicated by multiple competing medical and surgical demands. Safe and effective treatment of polytrauma patients with a thoracolumbar spine injury requires a multidisciplinary approach that ... | 8/15/2019 | |
| Practical Surgical Techniques for Revision Total Hip Arthroplasty | Although total hip arthroplasty is an extremely successful procedure, the continual increase in the number of total hip arthroplasties that are performed is associated with the substantial burden of revision total hip arthroplasty. Modes of total hip arthroplasty failure include instability, aseptic... | 8/15/2019 | |
| Role of Distal Femoral Replacement for Periprosthetic Fractures Above a Total Knee Arthroplasty When and How | With increasing incidence of total knee arthroplasty (TKA), a concurrent rise in periprosthetic fractures is also expected. Although many periprosthetic fractures about a TKA can be fixed through locked plating, retrograde intramedullary nailing, or both, some fracture patterns combined with poor bo... | 8/13/2019 | |
| High Rate of Recurrent Meniscal Tear and Lateral Compartment Osteoarthritis in Patients Treated for Symptomatic Lateral Discoid Meniscus A Population-Based Study | CONCLUSION: Patients with a surgically treated lateral discoid meniscal tear had a high rate of recurrent meniscal tear (59% at 8 years). Approximately 50% of surgically treated patients developed symptomatic lateral compartment OA at 8 years from diagnosis. | 8/2/2019 | |
| How Many Radiographs Does It Take to Screen for Femoral Cam Morphology A Noninferiority Study | CONCLUSIONS: A 2-view radiograph series (AP pelvis and Dunn hip) is noninferior to a 5-view radiograph series for sensitivity in identifying femoral cam morphology. | 7/29/2019 | |
| Predictors of Patient-Reported Outcomes at 2 Years After Revision Anterior Cruciate Ligament Reconstruction | CONCLUSION: PROs after revision ACL reconstruction are associated with a variety of patient- and surgeon-related variables. Understanding positive and negative predictors of PROs will allow surgeons to guide patient expectations as well as potentially improve outcomes. | 7/19/2019 | |
| Superior Laryngeal Nerve Palsy in Revision Anterior Cervical Surgery | Most spine surgeons routinely obtain preoperative ENT evaluation of recurrent laryngeal nerve function when contemplating revision anterior approaches to the cervical spine to avoid the potentially catastrophic consequences of bilateral vocal cord palsy. By contrast, there is less awareness of the p... | 6/28/2019 | |
| Relationship Between Sports Participation After Revision Anterior Cruciate Ligament Reconstruction and 2-Year Patient-Reported Outcome Measures | CONCLUSION: Participation in either a single sport or multiple sports in the 2 years after ACL revision surgery was found to be significantly associated with higher PROMs across multiple validated self-reported assessment tools. During follow-up appointments, surgeons should continue to expect that ... | 6/22/2019 | |
| Editorial Commentary Anatomic Posterolateral Corner Reconstruction All-Autograft Technique | Several techniques for posterolateral corner reconstruction have been described in the literature, typically using allogeneic tissue. Autograft reconstruction has potential value because of decreased cost and limited allograft supply in some locations. Initial results of this hamstring autograft ten... | 6/5/2019 | |
| Factors Predictive of Blocking Screw Placement in Retrograde Nailing of Distal Femur Fractures | CONCLUSIONS: This retrospective study of distal femur fractures treated with retrograde nails identified several factors that can be used to predict when blocking screw placement may be useful for increasing stability and maintaining alignment in distal third femur fractures treated with retrograde ... | 5/25/2019 | |
| Is Microfracture Necessary Acetabular Chondrolabral DebridementAbrasion Demonstrates Similar Outcomes and Survival to Microfracture in Hip Arthroscopy A Multicenter Analysis | CONCLUSION: Patients undergoing debridement/abrasion of high-grade unipolar acetabular cartilage lesions demonstrate similar outcome scores and revision rates compared with those of patients undergoing microfracture. These outcomes support the consideration of preferential debridement/abrasion at th... | 5/16/2019 | |
| Outcomes of the Extended Z-Cut Osteotomy for Correction of Adult Acquired Flatfoot Deformity | CONCLUSION: The Z-cut osteotomy is a novel, technically simplified, single-incision, single-osteotomy alternative to the previously described double calcaneus osteotomy techniques for reconstructing flexible moderate to severe adult acquired flatfoot deformity that offers comparable short-term clini... | 5/16/2019 | |
| Midterm Outcomes following Acute Repair of Grade III Distal MCL Avulsions in Multiligamentous Knee Injuries | There is limited evidence guiding management of medial collateral ligament (MCL) avulsions or functional disruptions distal to the medial joint line. This study aims to determine outcomes of a series of patients with grade III distal MCL injuries managed with acute surgical repair. Patients with gra... | 5/9/2019 | |
| Bilateral Hip Arthroscopy Can Results From Initial Arthroscopy for Femoroacetabular Impingement Predict Future Contralateral Results | CONCLUSIONS: This study demonstrated an incidence of 4.6% of patients who require bilateral hip arthroscopy. These patients can expect significant improvement after surgical intervention. Patients that had 1 side done gained similar improvement when the contralateral side was performed. Preoperative... | 4/14/2019 | |
| Early Magnetic Resonance Imaging-Based Changes in Patients With Meniscal Tear and Osteoarthritis Eighteen-Month Data From a Randomized Controlled Trial of Arthroscopic Partial Meniscectomy Versus Physical Therapy | CONCLUSION: This cohort of patients with meniscal tear and osteoarthritis showed marked advancement in MRI-based features over 18 months. Patients treated with APM showed more advancement in some features compared to those treated nonoperatively. The clinical relevance of these early findings is unk... | 4/2/2019 | |
| All-inside Posterior Cruciate Ligament Reconstruction Surgical Technique and Outcome | Several reconstructive techniques exist to treat posterior cruciate ligament (PCL) deficiency. The purpose of this study is to report knee function and clinical stability after PCL reconstruction (PCLR) using an all-inside technique. Thirty-two patients with isolated or combined PCL injuries treated... | 3/18/2019 | |
| Vitamin D and Metabolic Supplementation in Orthopedic Trauma | Active assessment and management of hypovitaminosis D among orthopedic patients is low-risk and low-cost while retaining significant potential to improve patient care. Vitamin D has an established role in musculoskeletal development and calcium homeostasis, and vitamin D deficiency is pervasive in o... | 3/10/2019 | |
| Extensor Tendon Injury Associated With Dorsal Entry Flexible Nailing of Radial Shaft Fractures in Children A Report of 5 New Cases and Review of the Literature | CONCLUSIONS: EPL tendon injury was found to be a complication unique to the dorsal entry approach for ESIN of the radius. The lateral approach appears to offer a safer alternative with regard to the EPL tendon. We suggest that physicians consider the risk of EPL tendon injury when planning for ESIN ... | 3/7/2019 | |
| Effect of Analytics-Driven Worklists on Musculoskeletal MRI Interpretation Times in an Academic Setting | OBJECTIVE. The objective of this study was to determine how use of analytics-driven worklists for MRI based on relative individual interpretation time affects the overall group interpretation time in an academic musculoskeletal practice. SUBJECTS AND METHODS. In this prospective study, interpretatio... | 2/27/2019 | |
| Long-term Results After Repair of Isolated Meniscal Tears Among Patients Aged 18 Years and Younger An 18-Year Follow-up Study | CONCLUSION: In conclusion, while there was a high early failure rate, this study demonstrated overall good to excellent long-term clinical outcomes after isolated meniscal repair in an adolescent population, even for those requiring reoperation. Early failure and reoperation rates were variable, dep... | 2/26/2019 | |
| Bennett lesions in overhead athletes and associated shoulder abnormalities on MRI | CONCLUSION: Symptomatic overhead athletes with Bennett lesions have an increased frequency of posterior glenoid cartilage abnormalities, but not labral tears or findings of internal impingement compared to those without Bennett lesions. | 2/22/2019 | |
| Knee Sepsis after Suprapatellar Nailing of an Open Tibia Fracture Treatment with Acute Deformity and External Fixation | CONCLUSION: This patient was managed with irrigation and debridements of the knee, fracture site, and intramedullary canal. A resultant soft-tissue defect over the fracture site obviated primary closure. Creation of an acute deformity stabilized by a Taylor spatial frame allowed primary wound closur... | 2/7/2019 | |
| Ulnar Collateral Ligament Insertional Injuries in Pediatric Overhead Athletes Are MRI Findings Predictive of Symptoms or Need for Surgery | CONCLUSION: The T sign is likely not an anatomic variation but is a poor predictor of symptoms and need for surgery. Soft-tissue and marrow edema are more frequently seen in overhead athletes with symptomatic injuries and can aid in the diagnosis of clinically relevant injury. | 1/31/2019 | |
| The Role of the Computed Tomographic Scan in the Diagnosis of Acetabular Fracture in the Immature Pelvis | CONCLUSIONS: In skeletally immature patients with suspected injury to the pelvis, particularly in patients younger than 12 years, diagnostic evaluation using plain radiographs alone may lead to missed injuries. If an acetabular fracture is identified, patients should be followed closely both clinica... | 1/29/2019 | |
| Anterior Cruciate Ligament Reconstruction With Hamstring Autograft A Matched Cohort Comparison of the All-Inside and Complete Tibial Tunnel Techniques | CONCLUSION: All-inside and complete tibial tunnel hamstring autograft ACLR resulted in excellent physical examination findings and PROs at minimum 2-year follow-up. Both techniques successfully restored knee stability and patient function. | 1/24/2019 | |
| Variations in treatment of C1 fractures by time, age, and geographic region in the United States An analysis of 985 patients | The purpose of this investigation was to evaluate the variations in the treatment of C1 fractures over time, by age group, and by geographic region using a nationwide database. The Nationwide Emergency Department Sample (NEDS) database was queried to identify patients ≥18 years who sustained C1 frac... | 1/22/2019 | |
| Influence of Baseline Magnetic Resonance Imaging Features on Outcome of Arthroscopic Meniscectomy and Physical Therapy Treatment of Meniscal Tears in Osteoarthritis | CONCLUSION: Among patients with osteoarthritis and meniscal tear, those with less intra-articular damage on MRI may have greater improvement in pain with APM and PT than with PT alone. However, these results should be interpreted cautiously owing to the limited sample size. | 1/18/2019 | |
| Evaluation of the Acquisition of Ultrasound Proficiency in Hand Surgery Fellows | CONCLUSIONS: After a 30-minute instructional session, hand surgery fellows can achieve a basic level of US competency. | 1/17/2019 | |
| Hip arthroscopy following contralateral total hip arthroplasty a multicenter matched-pair study | The purpose of this study was to determine if patients undergoing hip arthroscopy for labral pathology with contralateral total hip arthroplasty (THA) have a difference in revision surgeries or patient-reported outcomes (PROs) when compared with those patients undergoing hip arthroscopy for labral p... | 1/17/2019 | |
| Editorial Commentary What Is the Best Graft Source for Posterior Cruciate Ligament Reconstruction | In 2018, the best available evidence has failed to show any significant clinical or functional difference between autograft and allograft for posterior cruciate ligament reconstruction. Autograft patients may have higher complication rates. Both groups show good functional outcome after reconstructi... | 1/7/2019 | |
| Effectiveness of the Taut-Line Hitch Knot in Reducing and Splinting Lower Extremity Fractures | Techniques for single-provider reductions are valuable methods for provisional stabilization of fractures. In the setting of a lower extremity fracture, these techniques often use stockinette or kerlex to suspend an extremity while a reduction maneuver is performed, cast padding is applied, and a pl... | 12/19/2018 | |
| High tibial osteotomy with modern PEEK implants is safe and leads to lower hardware removal rates when compared to conventional metal fixation a multi-center comparison study | CONCLUSIONS: Both metal and PEEK implants were found to be effective in obtaining and maintaining coronal varus deformity correction, with 88% overall arthroplasty-free survival at 5 years. Metal fixation demonstrated a higher rate of hardware removal while HTO performed for medial compartment osteo... | 12/16/2018 | |
| Do Tibial Eminence Fractures and Anterior Cruciate Ligament Tears Have Similar Outcomes | CONCLUSION: Both groups demonstrated quality outcomes at a minimum 2-year follow-up. Patients with TEFs demonstrated lower mean clinical outcome scores compared with patients with ACL tears, but the differences were less than reported minimal clinically important difference values. Additionally, the... | 12/15/2018 | |
| Dynamic Stress Fluoroscopy for Evaluation of the Femoral Neck After Intramedullary Nails Improved Sensitivity for Identifying Occult Fractures | CONCLUSIONS: Compared with a fully static imaging protocol, DSF is a more sensitive and highly specific technique, enabling intraoperative detection of occult fractures of the femoral neck. | 11/30/2018 | |
| The Well-Cap Technique Screw Insertion for Pelvic Nutrient Foramen Hemostasis | Several approaches to the pelvis and acetabulum involve subperiosteal dissection of the iliacus from the internal iliac fossa.Typically bleeding is encountered from the nutrient foramen located near the sacroiliac joint. Bone wax and electrocautery have traditionally been used to achieve hemostasis ... | 11/30/2018 | |
| Adult foot fractures A guide | This review can help you refine your approach to the diagnosis and management of adult foot fractures, while offering guidance on when to pursue advanced imaging. | 11/28/2018 | |
| Posterolateral corner of the knee an expert consensus statement on diagnosis, classification, treatment, and rehabilitation | CONCLUSIONS: This study has established a consensus statement relating to the diagnosis, classification, treatment, and rehabilitation of PLC injuries. Further research is needed to develop updated classification systems, and better understand the role of non-invasive and minimally invasive approach... | 11/28/2018 | |
| The Clinical Evidence Behind Biologic Therapies Promoted at Annual Orthopaedic Meetings A Systematic Review | CONCLUSION: Overall, many biologic therapies promoted at leading arthroscopy and sports medicine conferences did not have clinical evidence evaluating their use in the peer-reviewed literature. Although scientific advancement requires new technology, orthopaedic surgeons should be cautious about usi... | 11/21/2018 | |
| Seventeen-Year Follow-up After Meniscal Repair With Concomitant Anterior Cruciate Ligament Reconstruction in a Pediatric and Adolescent Population | CONCLUSION: In conclusion, the long-term overall clinical success rate (failure-free survival) was 72% for repair of pediatric and adolescent meniscal tears in the setting of concomitant ACL reconstruction. Patients reported excellent knee subjective outcome scores that remained favorable when compa... | 11/14/2018 | |
| Anterior Inferior Iliac Spine Morphology Comparison of Symptomatic Hips With Femoroacetabular Impingement and Asymptomatic Hips | CONCLUSION: There is no difference in AIIS morphology between symptomatic hips with FAI versus asymptomatic hips or between hips with and those without the radiographic crossover sign. Age, sex, and other FAI parameters are not risk factors for developing AIIS impingement morphology. | 11/8/2018 | |
| Utilization of Time-driven Activity-based Costing to Determine the True Cost of a Single or 2-level Anterior Cervical Discectomy and Fusion | CONCLUSIONS: Reimbursement for a bundle of care surrounding a 1- or 2-level ACDF should be no less than $29,299 to cover the true costs of the care for the entire care cycle. However, this cost may not include the true cost of all capital expenditures, and therefore may underestimate the cost. | 10/11/2018 | |
| The Rapidly Assessed Predictor of Intraoperative Damage RAPID Score An In-Clinic Predictive Model for High-Grade Acetabular Chondrolabral Disruption | CONCLUSION: While preoperative MRI has diagnostic value for hip arthroscopic surgery, the RAPID score provides added benefit as a readily employable, in-clinic system for predicting high-grade cartilage damage. The discriminatory value of the RAPID score compares favorably with previous MRI and MRA ... | 10/11/2018 | |
| The Incidence of Posterior Malleolar Involvement in Distal Spiral Tibia Fractures Is it Higher than We Think | CONCLUSIONS: There is a high incidence of concomitant, ipsilateral fractures of the posterior malleolus in patients presenting with operative distal-third, spiral fractures of the tibia. A preoperative ankle computed tomography should be strongly considered in all cases with this specific fracture m... | 10/3/2018 | |
| Incidence and Treatment Trends of Symptomatic Discoid Lateral Menisci An 18-Year Population-Based Study | CONCLUSION: With an overall annual incidence of 3.2 per 100,000 person-years, a symptomatic discoid meniscus is an uncommonly encountered orthopaedic abnormality. However, the incidence of symptomatic discoid lateral menisci is highest in adolescent male patients. Because of the high rate of meniscu... | 9/29/2018 | |
| Acute Carpal Tunnel Syndrome After Canine Bite | Acute carpal tunnel syndrome (ACTS) from an infected source is rare because most cases result from trauma. There are cases of ACTS occurring after feline bites, but none in the reported literature after canine bites. The following is a case report of a 58-year-old woman who presented to the emergenc... | 9/14/2018 | |
| Risk Factors for Prolonged Postoperative Opioid Use After Spine Surgery A Review of Dispensation Trends From a State-run Prescription Monitoring Program | INTRODUCTION: Opioid abuse and dependence have a detrimental effect on elective orthopaedic surgeries, yet pain control is an important predictor of postoperative satisfaction. We aimed at better defining risk factors for prolonged postoperative opioid requirements and risk factors for patients requ... | 9/11/2018 | |
| Fixation Strategy Using Sequential Intraoperative Examination Under Anesthesia for Unstable Lateral Compression Pelvic Ring Injuries Reliably Predicts Union with Minimal Displacement | CONCLUSIONS: A fixation strategy based on sequential intraoperative EUA reliably results in union with minimal displacement for unstable LC pelvic ring injuries. Injuries requiring combined anterior and posterior fixation healed with no displacement. Those without anterior fixation and a unilateral ... | 9/5/2018 | |
| Terminal position of a tibial intramedullary nail a computed tomography CT based study | CONCLUSION: The distal end-point of a tibial intramedullary nail is lateral (ML plane) and center (AP plane) in both cadaveric legs and patients with midshaft tibia fractures. These results suggest that the treatment of distal tibia fractures with intramedullary nails may be improved by positioning ... | 9/1/2018 | |
| Osteochondritis Dissecans of the Knee Short-Term Outcomes of a Hybrid Technique to Restore a Partially Salvageable Progeny Fragment | CONCLUSION: The results of this case series suggest that patients with partially salvageable OCD lesions involving the knee can have positive short-term outcomes and can expect a low complication rate when treated with a hybrid technique of fixation with osteochondral autograft transfer. | 8/25/2018 | |
| Management and Outcome of Transepiphyseal Femoral Neck Fracture-Dislocation with a Transverse Posterior Wall Acetabular Fracture A Case Report | CONCLUSION: Pediatric hip fracture-dislocations are complex injuries that should be managed by a competent pelvic reconstructive surgeon in a well-resuscitated patient. If a quality reduction is obtained in a timely manner, the patient has the best chance of achieving a favorable long-term outcome. | 8/23/2018 | |
| Low Accuracy of Diagnostic Codes to Identify Anterior Cruciate Ligament Tear in Orthopaedic Database Research | CONCLUSION: This study demonstrates low accuracy with the use of diagnostic codes alone to identify an ACL tear. Database studies offer unique benefits to the medical literature, but the inherent limitations should be taken into account when these data are used to counsel patients, dictate clinical ... | 8/21/2018 | |
| Does Iliopsoas Lengthening Adversely Affect Clinical Outcomes After Hip Arthroscopy A Multicenter Comparative Study | CONCLUSION: This comparative cohort study demonstrated that treatment of painful internal snapping syndrome with arthroscopic IFL, in the setting of FAI and a labral tear, is a safe procedure with good short- to mid-term follow-up results and associated improvement in PROs. Patients who underwent IF... | 8/4/2018 | |
| Comparative Outcomes of Radial and Bucket-Handle Meniscal Tear Repair A Propensity-Matched Analysis | CONCLUSION: Satisfactory clinical outcomes are achievable for radial meniscal tear repair at short-term follow-up. In a robustly matched comparison, radial and bucket-handle meniscal tears demonstrate similar improvements in VAS and IKDC scores, restoration of preoperative Tegner scores, and accepta... | 8/3/2018 | |
| Osteochondritis Dissecans in the Knee of Skeletally Immature Patients Rates of Persistent Pain, Osteoarthritis, and Arthroplasty at Mean 14-Years Follow-Up | CONCLUSIONS: Skeletally immature OCD patients have promising histories, with an estimated 14% risk of persistent knee pain, 6% symptomatic osteoarthritis, and 3% conversion to TKA at 14 years' mean follow-up. Females, patellar lesions, and unstable lesions demonstrated increased persistent knee pain... | 7/13/2018 | |
| Comparative Outcomes of All-Inside Versus Inside-Out Repair of Bucket-Handle Meniscal Tears A Propensity-Matched Analysis | CONCLUSION: Overall, satisfactory clinical outcomes are achievable at short-term to midterm follow-up with both inside-out and all-inside repair techniques of bucket-handle meniscal tears in rigorously matched patients with similar meniscal tear patterns. | 7/7/2018 | |
| Physiologic Preoperative Knee Hyperextension Is a Predictor of Failure in an Anterior Cruciate Ligament Revision Cohort A Report From the MARS Group | CONCLUSION: This study revealed that preoperative physiologic passive knee HE ≥5° is present in one-third of patients who undergo revision ACLR. HE ≥5° was an independent significant predictor of graft failure after revision ACLR with a >2-fold OR of subsequent graft rupture in revision ACL surgery.... | 6/9/2018 | |
| Preoperative Use of a 3D Printed Model for Femoroacetabular Impingement Surgery and Its Effect on Planned Osteoplasty | CONCLUSION: Use of 3D models in preoperative planning can change both the extent and location of planned osteoplasty for FAI surgery and is particularly influential in patients with alpha angles of 60° or more and without a radiographic crossover. | 6/7/2018 | |
| Are Patients Undergoing an Anterior Cervical Discectomy and Fusion Treated Differently at a Physician-owned Hospital | CONCLUSIONS: When comparing hospitals with similar resources, surgeons do not preferentially select younger, healthier patients with higher paying insurance to be treated at the physician-owned hospital. Furthermore, both the time from the onset of symptoms to surgery and the nonoperative treatment ... | 6/1/2018 | |
| Relationship Between Patient-Reported Swelling and Magnetic Resonance Imaging-Defined Effusion-Synovitis in Patients With Meniscus Tears and Knee Osteoarthritis | CONCLUSION: We found that the sensitivity and specificity of patient-reported swelling were modest when compared with effusion-synovitis detected by MRI. These data urge caution against using patient-reported swelling as a proxy of inflammation manifesting as effusion-synovitis. | 5/5/2018 | |
| Are Results of Arthroscopic Labral Repair Durable in Dysplasia at Midterm Follow-up A 2-Center Matched Cohort Analysis | CONCLUSION: With careful selection and modern techniques, patients with dysplasia can benefit significantly and durably from arthroscopic labral repair. The dysplastic cohort had outcomes and failure rates similar to those of rigorously matched controls at midterm follow-up. Subanalyses comparing LC... | 5/4/2018 | |
| Evaluation of the Content and Accessibility of Web Sites for Accredited Orthopaedic Trauma Surgery Fellowships | CONCLUSIONS: The SF Match and OTA databases provide few direct links to fellowship web sites. Individual program web sites do not effectively and completely convey information about the programs. The Internet is an underused resource for fellow recruitment. The lack of information on these sites all... | 5/2/2018 | |
| High Rate of Missed Lateral Meniscus Posterior Root Tears on Preoperative Magnetic Resonance Imaging | CONCLUSION: Despite improved identification of other meniscus tear patterns on MRI, a high percentage of LMPRTs were still missed. In the setting of previous ACL reconstruction, if the root cannot be confidently identified, the MRI interpretation should indicate that "the root is poorly visualized" ... | 4/18/2018 | |
| Stable Fixation and Immediate Weight-Bearing After Combined Retrograde Intramedullary Nailing and Open Reduction Internal Fixation of Noncomminuted Distal Interprosthetic Femur Fractures | With an aging population, treatment of interprosthetic femur fractures continues to pose a challenge to the orthopaedic surgeon. Retrograde intramedullary nailing combined with open reduction internal fixation using a tissue-preserving plating technique was used in our series of 9 patients with nonc... | 3/10/2018 | |
| Variations in Treatment of C2 Fractures by Time, Age, and Geographic Region in the United States An Analysis of 4818 Patients | CONCLUSIONS: This investigation demonstrated that surgical management of C2 fractures is increasing in frequency over time and at all age groups. Furthermore, the treatment of these fractures varies by region-the Northeast had the highest incidence of collar use and lowest rate of halo use. | 2/25/2018 | |
| Posterolateral Corner Reconstruction Using the Anatomical Two-Tailed Graft Technique Clinical Outcomes in the Multiligament Injured Knee | Injury to the posterolateral corner (PLC) of the knee can lead to both varus and rotational instability. Multiple PLC reconstruction techniques have been described, including one-tailed graft (fibula-based constructs) or two-tailed graft (combined fibula- and tibia-based constructs). The purpose of ... | 2/15/2018 | |
| Short- to mid-term outcomes of anatomic MCL reconstruction with Achilles tendon allograft after multiligament knee injury | CONCLUSION: In a series utilizing a modified Marx Achilles tendon, MCL reconstruction in the setting of MLKI demonstrated satisfactory clinical and functional outcomes, as well as patient satisfaction at short- to mid-term follow-up. Furthermore, knee dislocation grades were demonstrated to correlat... | 2/11/2018 | |
| Safe Zone Quantification of the Third Sacral Segment in Normal and Dysmorphic Sacra | CONCLUSIONS: The third sacral segment of dysmorphic sacra has a larger osseous pathway available to safely accommodate a transiliac transsacral screw when compared with normal sacra. The S3 segment of dysmorphic sacra can serve as an additional site for screw placement when treating unstable posteri... | 2/6/2018 | |
| Factors Associated With Failure of Hip Arthroscopy in Patients With Hip Dysplasia | The purpose of this study was to compare a group of dysplastic hips treated successfully with hip arthroscopy with a group of dysplastic hips treated unsuccessfully with hip arthroscopy to determine (1) preoperative patient characteristics and radiographic parameters and (2) intraoperative findings ... | 1/30/2018 | |
| Shoulder Injuries in the Overhead-Throwing Athlete Epidemiology, Mechanisms of Injury, and Imaging Findings | The unparalleled velocity achieved by overhead throwers subjects the shoulder to extreme forces, resulting in both adaptive changes and pathologic findings that can be detected at imaging. A key biomechanical principle of throwing is achieving maximum external rotation, which initially leads to adap... | 1/23/2018 | |
| Lateral Meniscus Allograft Transplantation The Bone Plug Technique | Lateral meniscus tears are commonly encountered by orthopaedic surgeons. Despite efforts to repair and preserve the meniscus, meniscectomy is occasionally required to treat irreparable tears. The resulting lateral meniscus deficiency leads to increased tibiofemoral contact pressures and ultimately e... | 1/23/2018 | |
| The risk of deep vein thrombosis in total joint patients compared to orthopaedic trauma patients Need for new prevention guidelines | CONCLUSIONS: Historically, the risks for DVT in total joints have been emphasized, yet based on our results, the incidence of DVT is the same for orthopaedic trauma. However, the risk factors varied. It is therefore important to consider specialty-specific DVT prophylaxis for orthopaedic trauma pati... | 1/18/2018 | |
| Is Treatment of Segond Fracture Necessary With Combined Anterior Cruciate Ligament Reconstruction | CONCLUSION: At midterm follow-up, patients undergoing ACLR with and without a Segond fracture had similar pivot-shift test results, graft failure rates, and activity levels. The IKDC score was statistically worse in the patients with a combined ACL tear/untreated Segond fracture, but the difference ... | 12/30/2017 | |
| Revision Multiligament Knee Reconstruction Clinical Outcomes and Proposed Treatment Algorithm | CONCLUSIONS: Patients with recurrent instability after MLKI reconstruction present with many concomitant pathologies, including limb malalignment, bone tunnel widening, retained hardware, meniscal incompetence, and cartilage defects. Revision MLKI reconstruction can provide these patients with modes... | 12/24/2017 | |
| Risk Factors and Predictors of Significant Chondral Surface Change From Primary to Revision Anterior Cruciate Ligament Reconstruction A MOON and MARS Cohort Study | CONCLUSION: Excision of the medial and lateral meniscus at primary ACL reconstruction increases the odds of articular cartilage damage in the corresponding compartment at the time of revision ACL reconstruction. Increased age is a risk factor for deterioration of articular cartilage in both tibiofem... | 12/16/2017 | |
| Head-on Allograft Transplantation A Unique Case Report Where a Large Piece of Femoral Bone was Extruded from One Patients Body and Impaled Another Patients Tibia | CONCLUSION: To the best of our knowledge, this is the first case documented in the English literature in which an ejected piece of bone from one person caused a fracture in another fracture. Management of extruded bone segments should be considered on a case-by-case basis. | 12/16/2017 | |
| Poly-traumatic multi-ligament knee injuries is the knee the limiting factor | CONCLUSION: When comparing knees with similar multi-ligament and neurovascular injury patterns, patients who sustained their injury as a result of poly-trauma demonstrated significantly lower functional scores following reconstruction. This is despite restoration of similar knee stability and range ... | 12/1/2017 | |
| Female Sex Is a Risk Factor for Failure of Hip Arthroscopy Performed for Acetabular Retroversion | CONCLUSION: Acetabular retroversion remains a challenging pathoanatomy to treat arthroscopically. If hip arthroscopy is to be considered in select cases, we recommend labral preservation when possible. Male patients with correction of cam deformities did well, while females with significant retrover... | 11/23/2017 | |
| Adventures and Misadventures in Plastic Surgery and Soft-Tissue Implants | Soft-tissue augmentation and implants are increasingly seen by the radiologist as more techniques emerge for a variety of indications and locations. Some surgical and implant procedures are performed for purely cosmetic reasons in otherwise healthy patients seeking to improve their body image, and s... | 11/14/2017 | |
| Multicenter Analysis of Midterm Clinical Outcomes of Arthroscopic Labral Repair in the Hip Minimum 5-Year Follow-up | CONCLUSION: Patients demonstrated significant improvements in VAS, mHHS, and HOS-SSS scores after arthroscopic labral repair. However, those with Tönnis grade 2 changes preoperatively, BMI >30 kg/m², and age >35 years at the time of surgery demonstrated significantly decreased mHHS and HOS-SSS score... | 10/25/2017 | |
| Which Domains of the ODI Best Predict Change in Physical Function in Patients After Surgery for Degenerative Lumbar Spondylolisthesis | CONCLUSION: All domains of the ODI do not improve equally after surgery for degenerative spondylolisthesis. Some of the domains that improve most (e.g., sex life) have no discernible relationship to the known pathophysiology of degenerative spondylolisthesis. Based upon these results, we conclude th... | 10/14/2017 | |
| Increased risk for complications following removal of hardware in patients with liver disease, pilon or pelvic fractures A regression analysis | CONCLUSIONS: Removal of hardware following fracture fixation is not a risk-free procedure. Patients with liver disease are at increased risk for complications, including increased risk for needing revision surgery following hardware removal. Patients having hardware removed following fixation for pi... | 10/10/2017 | |
| Effect of Vascular Injury on Functional Outcome in Knees with Multi-Ligament Injury A Matched-Cohort Analysis | CONCLUSIONS: Patients who sustain an MLKI with an associated popliteal artery injury requiring bypass grafting have significantly lower knee function scores than patients without vascular involvement. This information can be used to help counsel patients with combined multiple ligament and popliteal... | 9/20/2017 | |
| Analysis of pelvic fracture pattern and overall orthopaedic injury burden in children sustaining pelvic fractures based on skeletal maturity | CONCLUSION: We suggest that patients with open triradiate cartilage are unique. Their pelvic injuries may be treated more conservatively as they have a greater potential for periosteal healing and bone remodelling. Patients with closed triradiate cartilage should be treated similarly to adults, as t... | 8/23/2017 | |
| Cam Deformities and Limited Hip Range of Motion Are Associated With Early Osteoarthritic Changes in Adolescent Athletes A Prospective Matched Cohort Study | CONCLUSION: At 5 years, young athletes with LROM of the hip showed increased progressive degenerative changes on MRI and radiographs compared with matched controls. Although the majority of these participants remained asymptomatic, those with features of FAI had radiographic findings consistent with... | 8/19/2017 | |
| Management of Hangmans Fractures A Systematic Review | CONCLUSION: Hangman's fractures are common injuries, and surgical treatment leads to an increase in the rate of osteosynthesis/fusion without significantly increasing the rate of complication. Both an anterior and a posterior approach result in a high rate of fusion, and neither approach seems to be... | 8/18/2017 | |
| Elbow Injuries in Pediatric Overhead Athletes | CONCLUSION: Elbow injuries are commonly seen in pediatric overhead athletes and have been on the rise owing to the increased participation in and demand of youth sports. Imaging plays a critical role in identifying the type and severity of injury, which helps to determine appropriate treatment optio... | 8/11/2017 | |
| The Effect of Hospital Ownership on Health Care Utilization in Orthopedic Surgery | CONCLUSIONS: In a well-established large orthopedic practice, surgeon ownership of a hospital or ASC does not lead to an increase in surgical volume. | 8/9/2017 | |
| Editorial Commentary Is Anterolateral Ligament Reconstruction of the Knee Needed The Debate Rages on | A recent systematic review on the techniques, biomechanics, and clinical outcomes of anterolateral ligament reconstruction of the knee summarizes our current understanding of this hotly debated topic. In 2017, it is not clear if an anterolateral ligament reconstruction is needed in the setting of pr... | 8/7/2017 | |
| Clinical and Radiographic Outcomes of the Ream-and-Run Procedure for Primary Glenohumeral Arthritis | CONCLUSIONS: The ream-and-run procedure can be an effective treatment for advanced primary glenohumeral osteoarthritis in active patients. Further study will be necessary to determine whether medialization affects the clinical outcome with follow-up of >2 years. | 8/2/2017 | |
| Patients at Increased Risk of Major Adverse Events Following Operative Treatment of Distal Radius Fractures Inpatient versus Outpatient | Purpose The purpose of this study was to compare complication rates following inpatient versus outpatient distal radius fracture ORIF and identify specific complications that occur at increased rates among inpatients. Methods Using the 2005-2013 ACS-NSQIP, we collected patient demographics, comorbid... | 7/21/2017 | |
| Surgical Predictors of Clinical Outcomes After Revision Anterior Cruciate Ligament Reconstruction | CONCLUSION: There are certain surgical variables that the physician can control at the time of revision ACL reconstruction that can modify clinical outcomes at 2 years. Whenever possible, opting for an anteromedial portal or transtibial surgical exposure, choosing a metal interference screw for femo... | 7/12/2017 | |
| Satisfactory knee function after single-stage posterolateral corner reconstruction in the multi-ligament injureddislocated knee using the anatomic single-graft technique | CONCLUSION: Surgical treatment of the PLC using a single-graft technique can result in satisfactory knee function and stable physical examination findings at minimum 2 years after surgery. Female gender was predictive of poor knee function after PLC reconstruction. Surgical treatment of PLC injuries... | 7/8/2017 | |
| Does Postoperative Glenoid Retroversion Affect the 2-Year Clinical and Radiographic Outcomes for Total Shoulder Arthroplasty | CONCLUSION: In this small series of TSAs, postoperative glenoid retroversion was not associated with inferior clinical results at 2 years after surgery. This suggests that it may be possible to effectively manage arthritic glenohumeral joints without specific attempts to modify glenoid version. Larg... | 7/7/2017 | |
| Arthroplasty for Unreconstructable Acute Fractures and Failed Fracture Fixation About the Hip and Knee in the Active Elderly A New Paradigm | The techniques, materials, and designs for total joint arthroplasty underwent major improvements in the past 30 years. During this time, trauma surgeons classified the severity of fractures as well as identified certain articular fractures that do not have good outcomes and have a high rate of failu... | 6/9/2017 | |
| Subsequent Surgery After Revision Anterior Cruciate Ligament Reconstruction Rates and Risk Factors From a Multicenter Cohort | CONCLUSION: There was a significant reoperation rate after revision ACLR at 2 years (11%), with meniscal procedures most commonly involved. Independent risk factors for subsequent surgery on the ipsilateral knee included age <20 years and the use of allograft tissue at the time of revision ACLR. | 5/31/2017 | |
| Factors affecting bubble size in ionic liquids | This study reports on understanding the formation of bubbles in ionic liquids (ILs), with a view to utilising ILs more efficiently in gas capture processes. In particular, the impact of the IL structure on the bubble sizes obtained has been determined in order to obtain design principles for the ion... | 5/25/2017 | |
| Return to Sport and Clinical Outcomes After Hip Arthroscopic Labral Repair in Young Amateur Athletes Minimum 2-Year Follow-Up | CONCLUSIONS: Athletes returned to sport at a high rate (92%; 46/50) after hip arthroscopy and perform activities at near preinjury levels. In this group of athletes, arthroscopic labral repair with chondrolabral preservation, which reflected less severe chondrolabral pathology, performed better than... | 5/15/2017 | |
| Editorial Commentary The Anterolateral Ligament-What We Know, What We Do Not Know, and How This Article Helps | A recent study on knee anterolateral ligament anatomy is a significant contribution to the literature because it provides precise isometric radiographic landmarks for both femoral and tibial tunnel placement, which are paramount to successful anterolateral ligament reconstruction. | 5/7/2017 | |
| Fluvastatin inhibits intimal hyperplasia in wild-type but not Thbs1-null mice | CONCLUSIONS: TSP-1 is necessary for robust IH after arterial injury. Because fluvastatin had no effect on IH in Thbs1^(-/-), the data suggest that the statin effect on IH may be largely TSP-1 dependent. Both statins and the presence of TSP-1 affect TSP-1 and TSP-2 plasma levels. | 5/2/2017 | |
| Epidemiology and Outcomes of Vertebral Artery Injury in 16582 Cervical Spine Surgery Patients An AOSpine North America Multicenter Study | CONCLUSIONS: Vertebral artery injuries are potentially catastrophic complications that can be sustained from anterior or posterior cervical spine approaches. The data from this study suggest that with proper steps to ensure hemostasis, patients recover function at a high rate and do not exhibit resi... | 4/29/2017 | |
| Mechanistic insight into the effects of Aryl Hydrocarbon Receptor activation on osteogenic differentiation | While inhibition of bone healing and increased rates of pseudarthrosis are known adverse outcomes associated with cigarette smoking, the underlying mechanisms by which this occurs are not well understood. Recent work has implicated the Aryl Hydrocarbon Receptor (Ahr) as one mediator of the anti-oste... | 4/6/2017 | |
| Is there evidence that the outcomes of primary anatomic and reverse shoulder arthroplasty are getting better | CONCLUSIONS: Better evidence from reports with greater detail will be necessary to show that patients are realizing progressively better outcomes from shoulder arthroplasty. | 3/30/2017 | |
| Bias in cervical total disc replacement trials | PURPOSE OF REVIEW: Cervical disc replacement (CDR) has emerged as a motion-preserving alternative to anterior cervical discectomy and fusion in selected cases. Despite favorable literature, CDR is not universally accepted because of concerns regarding bias in the existing literature. The purpose of ... | 3/25/2017 | |
| Partial meniscectomy provides no benefit for symptomatic degenerative medial meniscus posterior root tears | CONCLUSION: Partial meniscectomy for a complete MMPRT provides no benefit in halting arthritic progression. Patients who undergo PMM for MMPRTs still progress to significant arthritis, poor clinical outcomes and a high arthroplasty rate (54%) at over 5-year follow-up. Female gender, increased BMI, a... | 2/11/2017 | |
| Intra-Articular Vancomycin Powder Eliminates Methicillin-Resistant S aureus in a Rat Model of a Contaminated Intra-Articular Implant | CONCLUSIONS: In a rat model of a contaminated intra-articular implant, use of intra-articular vancomycin powder in combination with systemic vancomycin completely eliminated MRSA bacterial contamination. Animals treated with systemic vancomycin alone had persistent MRSA contamination. | 2/2/2017 | |
| Elbow Injuries in Adult Overhead Athletes | CONCLUSION: The overhead throwing motion subjects the elbow to a variety of complex forces, which places both osseous and soft-tissue structures at high risk for injury. | 1/18/2017 | |
| Increased Risk of Revision, Reoperation, and Implant Constraint in TKA After Multiligament Knee Surgery | CONCLUSIONS: A history of multiligament surgery is associated with lower long-term survivorship, higher use of constrained TKA designs, and higher risk of major complications, including reoperation and infection. Further research is necessary to determine if a particular multiligamentous surgical te... | 1/17/2017 | |
| Negative Stress Examination Under Anesthesia Reliably Predicts Pelvic Ring Union Without Displacement | CONCLUSIONS: Negative pelvic EUA after closed pelvic ring injury accurately predicts pelvic stability and union without displacement after nonoperative treatment with full weight-bearing bilaterally. Unless otherwise dictated by associated injuries, immediate weight-bearing as tolerated seems safe i... | 1/14/2017 | |
| Posterior Wall Osteotomy of the Acetabulum to Access Incarcerated Marginal Impaction | Marginal impaction of the acetabulum is typically accessible through fracture planes specific to the nature of the injury. Infrequently, however, incarcerated marginal impaction or free osteochondral fragments are not accessible through these existing fracture planes. As such, alternative methods to... | 1/11/2017 | |
| The Impact of Solid Organ Transplant History on Inpatient Complications, Mortality, Length of Stay, and Cost for Primary Total Hip Arthroplasty Admissions in the United States | CONCLUSION: Transplant patients exhibited increased odds of inpatient complications, longer LOS, and greater admission costs after THA compared with non-transplant patients. | 12/4/2016 | |
| The Effect of Carpal Tunnel Release on Typing Performance | CONCLUSIONS: On average, typing speed returned to preoperative levels between 2 and 3 weeks after CTR and typing speed showed improvement beyond preoperative levels after surgery. The MHQ and BCTQ-F correlate well with typing speed after CTR. | 11/20/2016 | |
| Predictors and Outcomes of Crossover to Surgery from Physical Therapy for Meniscal Tear and Osteoarthritis A Randomized Trial Comparing Physical Therapy and Surgery | CONCLUSIONS: Subjects who crossed over to APM had presented with a shorter symptom duration and greater baseline pain than those who did not cross over from PT. Subjects who crossed over had rates of surgical success similar to those of the patients who had been randomized to surgery. Our findings a... | 11/18/2016 | |
| Non-operative management of medial meniscus posterior horn root tears is associated with worsening arthritis and poor clinical outcome at 5-year follow-up | CONCLUSIONS: Non-operative treatment of medial meniscus posterior horn root tears is associated with poor clinical outcome, worsening arthritis, and a relatively high rate of arthroplasty at 5-year follow-up. Female gender was associated with lower subjective scores and higher rate of arthroplasty. ... | 10/21/2016 | |
| LRP5 Signaling in Osteosarcomagenesis a Cautionary Tale of Translation from Cell Lines to Tumors | Previous reports document expression of low-density lipoprotein receptor-related protein 5 (LRP5) in osteosarcoma (OS) tissue. Expression of this Wnt receptor correlated with metastatic disease and poor disease-free survival. Forced expression of dominant-negative LRP5 (dnLRP5), which lacks the memb... | 10/19/2016 | |
| Inside-Out Repair for Radial Meniscus Tears | Understanding of meniscal function through basic science, natural history, and biomechanics has highlighted the importance of preserving the meniscus to maintain normal knee biomechanics. Tears that may alter these biomechanics can contribute to the progressive nature of degenerative joint disease i... | 10/7/2016 | |
| Hyperelastic bone A highly versatile, growth factor-free, osteoregenerative, scalable, and surgically friendly biomaterial | Despite substantial attention given to the development of osteoregenerative biomaterials, severe deficiencies remain in current products. These limitations include an inability to adequately, rapidly, and reproducibly regenerate new bone; high costs and limited manufacturing capacity; and lack of su... | 9/30/2016 | |
| Long-term rate of graft failure after ACL reconstruction a geographic population cohort analysis | CONCLUSIONS: Among all patients receiving primary ACLR, graft failure remains an uncommon but functionally devastating outcome with an estimated graft survival rate of 91 % at 25 years following surgery. Patients aged 22 or younger had a significantly higher rate of graft failure than older patients... | 8/15/2016 | |
| Arthroscopic treatment of global pincer-type femoroacetabular impingement | CONCLUSIONS: Patients with coxa profunda can achieve similar functional scores to more traditional FAI cohorts after arthroscopic treatment. Baseline osteoarthritis is predictive of lower hip function after hip arthroscopy. This study demonstrates that patients with global over-coverage can benefit ... | 8/11/2016 | |
| Osteochondral Autograft Transfer Versus Microfracture in the Knee A Meta-analysis of Prospective Comparative Studies at Midterm | CONCLUSIONS: OAT may achieve higher activity levels and lower risk of failure when compared with MFX for cartilage lesions greater than 3 cm² in the knee, although there was no significant difference for lesions less than 3 cm² at midterm. However, because of variability in patient-specific factors ... | 8/5/2016 | |
| Are Short-term Outcomes of Hip Arthroscopy in Patients 55 Years and Older Inferior to Those in Younger Patients | CONCLUSION: Although younger patients had superior HOS outcomes reported at 2 years compared with older patients after hip arthroscopy for FAI, both groups had significant improvement compared with their baseline. These data suggest that carefully selected patients 55 years and older without radiogr... | 7/16/2016 | |
| Associated Injuries in Skeletally Immature Children with Pelvic Fractures | CONCLUSIONS: Patients sustaining fractures to an immature pelvis are likely to have additional injuries, which may be fatal or disabling if not diagnosed in a timely manner. | 6/30/2016 | |
| Open Anatomic Reconstruction of the Medial Collateral Ligament and Posteromedial Corner | Injuries to the medial collateral ligament (MCL) and posteromedial corner can occur in isolation or in the setting of multiligamentous knee injuries. Reconstruction of the MCL and posteromedial corner is indicated in the setting of a multiligamentous knee injury. Isolated cases failing nonoperative ... | 6/11/2016 | |
| Examination Under Anesthesia for Posterior Wall Acetabular Fracture A Survey of the OTA Membership | CONCLUSION: Most surgeons agreed with the following: 1. Supine is the position of choice for the examination; 2. "Live" fluoroscopy is used during the examination; 3. The AP and obturator oblique are the x-rays most frequently used; 4. The hip is placed in flexion and adduction during the exam; 5. A... | 6/10/2016 | |
| Are Female Soccer Players at an Increased Risk of Second Anterior Cruciate Ligament Injury Compared With Their Athletic Peers | CONCLUSION: Twenty-eight percent of all female soccer players and 34% of those players who returned to soccer had a second ACL tear. Soccer players had an increased rate of both graft tear and contralateral ACL injury compared with similar non-soccer athletes. Older age and return to soccer were sig... | 6/5/2016 | |
| Posterior Fixation of APC-2 Pelvic Ring Injuries Decreases Rates of Anterior Plate Failure and Malunion | CONCLUSIONS: Our study indicated that use of an anterior plate and a supplemental posterior screw for fixation of APC-2 pelvic ring injuries significantly decreases the rate of anterior plate failure and malunion compared with use of an anterior plate alone. The potential for selection and detection... | 6/3/2016 | |
| Long-term follow-up of isolated ACL tears treated without ligament reconstruction | CONCLUSIONS: Patients treated non-operatively after isolated ACL tears are at a significantly higher risk of secondary meniscal tears, arthritis, and TKA when compared to age and sex-matched subjects without ACL tears. Additionally, baseline lateral meniscal tears were significantly associated with ... | 5/26/2016 | |
| Suprapatellar Intramedullary Nail Technique Lowers Rate of Malalignment of Distal Tibia Fractures | CONCLUSIONS: This is the largest patient series directly comparing the suprapatellar with infrapatellar IMN insertion technique in the treatment of distal tibia fractures. In the treatment of distal tibia fractures, suprapatellar IMN technique results in a significantly lower rate of malalignment co... | 5/25/2016 | |
| Inadvertent Reduction of Symphyseal Diastasis During Computed Tomography | CONCLUSIONS: The anteroposterior pelvis radiograph remains an important part of the workup for trauma patients. Reliance on CT alone may underestimate the true degree of pelvic displacement. Failure to obtain pelvic radiographs in the acute setting limits the information in which the medical team ca... | 5/25/2016 | |
| The Cost of Getting Into Orthopedic Residency Analysis of Applicant Demographics, Expenditures, and the Value of Away Rotations | CONCLUSIONS: Gaining acceptance into orthopedic surgery residency remains a very competitive process. Away rotations appear to correlate strongly with match status; however, the process remains quite expensive for applicants. | 5/18/2016 | |
| Risk Factors for Deep Venous Thrombosis Following Orthopaedic Trauma Surgery An Analysis of 56,000 patients | CONCLUSIONS: This is the largest study to date using the NSQIP database to identify risk factors for DVT in orthopaedic trauma patients. Although the incidence of DVT was low in our cohort, the presence of certain risk factors significantly increased the odds of developing a DVT following orthopaedi... | 5/6/2016 | |
| Orthopedic Surgery Applicants What They Want in an Interview and How They Are Influenced by Post-Interview Contact | CONCLUSIONS: Orthopedic Surgery applicants have clear preferences for what they consider to be the ideal interview day and many alter their ROL following post-interview contact. These data may be beneficial to programs looking to optimize the interview experience for applicants. | 5/4/2016 | |
| Intra-articular Diagnostic Injection Exhibits Poor Predictive Value for Outcome After Hip Arthroscopy | CONCLUSIONS: In this study of patients undergoing hip arthroscopy for labral pathology, our data indicate that the amount of pain relief from IA injection may be a poor predictor of short-term outcome, even when adjusting for chondral degeneration. Although anesthetic injections can be an important ... | 5/3/2016 | |
| Clinical Outcomes After Revision Meniscus Repair | CONCLUSIONS: In this study of select revision meniscus repairs, 79% of patients were pain free, without any mechanical symptoms or additional surgeries at a mean of 6 years after revision repair. Younger patients may be at higher risk of failure of the revision meniscus repair. | 5/3/2016 | |
| Is more lordosis associated with improved outcomes in cervical laminectomy and fusion when baseline alignment is lordotic | CONCLUSIONS: Although creating more lordosis and decreasing SVA are associated with improved myelopathy and outcomes in patients with kyphosis, our study did not find such associationsin patients with lordosis undergoing posterior laminectomy and fusion for CSM. This suggests that any amount of lord... | 4/16/2016 | |
| Surgical Outcomes of Medial Versus Lateral Multiligament-Injured, Dislocated Knees | CONCLUSIONS: In patients undergoing multiligament knee reconstruction, our data suggest that those who undergo medial repair for knee dislocations are not as likely to achieve positive results as those who undergo reconstruction or lateral reconstruction/repair, regardless of the status of the peron... | 4/11/2016 | |
| Internal Fixation of Unstable Osteochondritis Dissecans in the Skeletally Mature Knee with Metal Screws | CONCLUSION: Headless metal compression screws provide a satisfactory union rate for treatment of unstable OCD lesions of the femoral condyles in skeletally mature patients. Patients achieving union have good knee function, maintain satisfactory activity levels, and have superior knee outcomes compar... | 4/6/2016 | |
| The effect of vancomycin powder on bone healing in a rat spinal rhBMP-2 model | OBJECTIVE This study aims to quantify the impact of vancomycin powder application on new bone formation and spine fusion rates in a rat posterolateral arthrodesis model. METHODS Thirty-six female Sprague-Dawley rats underwent a posterolateral lumbar spinal fusion (PLF) at the L-4 and L-5 vertebrae. ... | 4/2/2016 | |
| Pediatric gunshot wound recidivism Identification of at-risk youth | CONCLUSION: Using demographic data, we have been able to identify an at-risk population where there is a greater than 1 in 12 chance of getting shot multiple times. Use of this type of demographic data can help target those at highest risk by allocating resources that can have the greatest impact on... | 4/1/2016 | |
| Is Anterior Cruciate Ligament Reconstruction Effective in Preventing Secondary Meniscal Tears and Osteoarthritis | CONCLUSION: Patients treated with ACLR have a significantly lower risk of secondary meniscal tears, symptomatic arthritis, and TKA when compared with patients treated nonoperatively after ACL tears. Similarly, early ACLR significantly reduces the risk of subsequent meniscal tears and arthritis compa... | 3/10/2016 | |
| Incidence of and Factors Associated With the Decision to Undergo Anterior Cruciate Ligament Reconstruction 1 to 10 Years After Injury | CONCLUSION: In this study population of 1841 patients, 62% of patients received ACL reconstruction within 1 year of injury. Of patients treated nonoperatively for 1 year after ACL tears, 32% underwent delayed ACL reconstruction. Predictors of reconstruction beyond 1 year were young age (50% reductio... | 3/2/2016 | |
| The Combination of the Tunnel View and Weight-Bearing Anteroposterior Radiographs Improves the Detection of Knee Arthritis | Imaging used for the evaluation of knee pain has historically included weight-bearing anteroposterior (AP), lateral, and sunrise radiographs. We wished to evaluate the utility of adding the weight-bearing (WB) posteroanterior (PA) view of the knee in flexion. We hypothesize that (1) the WB tunnel vi... | 3/1/2016 | |
| Incidence and long-term follow-up of isolated posterior cruciate ligament tears | CONCLUSION: Isolated PCL tears remain a rare injury with an estimated annual incidence of 2 per 100,000 persons. Patients with isolated PCL tears have a significantly higher risk of symptomatic arthritis than patients without PCL tears. Older age at injury is associated with a higher risk of arthrit... | 2/29/2016 | |
| Incidence of Anterior Cruciate Ligament Tears and Reconstruction A 21-Year Population-Based Study | CONCLUSION: With an annual incidence of 68.6 per 100,000 person-years, isolated ACL tears remain a common orthopaedic injury. Differences in age-specific incidence trends in male and female patients may potentially reflect differences in sports participation patterns through the high school and coll... | 2/28/2016 | |
| RNA-seq analysis of clinical-grade osteochondral allografts reveals activation of early response genes | Preservation of osteochondral allografts used for transplantation is critical to ensure favorable outcomes for patients after surgical treatment of cartilage defects. To study the biological effects of protocols currently used for cartilage storage, we investigated differences in gene expression bet... | 2/25/2016 | |
| Long-term Outcomes After Osteochondral Autograft Transfer A Systematic Review at Mean Follow-up of 102 Years | CONCLUSIONS: Overall, OAT showed successful outcomes in 72% of patients at long-term follow-up. Increased age, previous surgery, and defect size correlated positively with failure rate, whereas success improved with concomitant surgical procedures. Nonetheless, this systematic review is limited by h... | 2/25/2016 | |
| All-Inside Posterior Cruciate Ligament Reconstruction GraftLink Technique | Posterior cruciate ligament (PCL) injuries account for nearly 20% of knee ligament injuries. PCL injuries can occur in isolation or, more commonly, in the setting of multiligamentous knee injuries. Isolated PCL disruptions are commonly treated nonoperatively; however, symptomatic grade III injuries,... | 2/23/2016 | |
| Increased Preoperative Narcotic Use and Its Association With Postoperative Complications and Length of Hospital Stay in Patients Undergoing Spine Surgery | CONCLUSIONS: Increased preoperative narcotic use and depression are associated with increased LOS in patients undergoing spine surgery. We calculated that for every 100 morphine equivalents a patient is taking preoperatively; their stay is extended 1.1 days. Narcotic use was not associated with 30- ... | 2/19/2016 | |
| Body mass index predicts perioperative complications following orthopaedic trauma surgery an ACS-NSQIP analysis | CONCLUSIONS: Morbidly obese patients have significantly greater odds of wound dehiscence, deep wound infection, major complications, and total complications compared to patients of normal weight. Additionally, BMI under 18.5 is associated with increased odds of minor, major, and total perioperative ... | 2/17/2016 | |
| A Simple Technique for Capsular Repair After Hip Arthroscopy | Capsulotomy is typically performed during arthroscopic treatment for femoroacetabular impingement. As the frequency of hip arthroscopy continues to expand rapidly, increased attention is being paid to the implications of interportal capsulotomy and the need for repair. To minimize the risk of postop... | 2/13/2016 | |
| Creating and Closing the T-Capsulotomy for Improved Visualization During Arthroscopic Treatment of Femoroacetabular Impingement | Treatment of femoroacetabular impingement through an arthroscopic approach has gained widespread popularity in recent years. Although outcomes are generally favorable, one of the most common reasons for failure is incomplete resection of cam lesions of the femoral neck. As a result, the T-capsulotom... | 2/13/2016 | |
| Ovariectomy-Induced Osteoporosis Does Not Impact Fusion Rates in a Recombinant Human Bone Morphogenetic Protein-2-Dependent Rat Posterolateral Arthrodesis Model | Study Design Randomized, controlled animal study. Objective Recombinant human bone morphogenetic protein-2 (rhBMP-2) is frequently utilized as a bone graft substitute in spinal fusions to overcome the difficult healing environment in patients with osteoporosis. However, the effects of estrogen defic... | 2/3/2016 | |
| Shoulder Arthroplasty, from Indications to Complications What the Radiologist Needs to Know | The replaced shoulder is increasingly encountered by the radiologist, both on a dedicated and incidental basis, in this era of the growing population of aging patients wishing to preserve their mobility and function. Knowledge of the normal biomechanics of the glenohumeral joint-particularly the fun... | 1/14/2016 | |
| Can you really swim Validation of self and parental reports of swim skill with an inwater swim test among children attending community pools in Washington State | CONCLUSIONS: Reported 'good swim skills' was most correlated with observed swim skill. Reporting 'yes' to 'ever taken swim lessons' did not correlate with swim skill. While non-generalisable, findings can help inform future studies. | 1/14/2016 | |
| Diabetes Is Related to Worse Patient-Reported Outcomes at Two Years Following Spine Surgery | CONCLUSIONS: Diabetes was associated with worse patient-reported outcomes when patients with diabetes were compared with patients without diabetes at two years following elective spine surgery. Although patients with diabetes improved when compared from baseline to the time following elective spine ... | 1/8/2016 | |
| Instability in total knee arthroplasty assessment and solutions | Instability is a common indication for early revision after both primary and revision total knee arthroplasty (TKA), accounting for up to 20% in the literature. The number of TKAs performed annually continues to climb exponentially, thus having an effective algorithm for treatment is essential. This... | 1/7/2016 | |
| Effect of recombinant human bone morphogenetic protein-2 on a novel lung cancer spine metastasis model in rodents | Lung cancer is the second most prevalent cancer. Spinal metastases are found in 30-90% of patients with death attributed to cancer. Due to bony destruction caused by metastases, surgical intervention is often required to restore spinal alignment and stability. While some research suggests that BMP-2... | 12/24/2015 | |
| Treatment of Peroneal Nerve Injuries in the Multiligament InjuredDislocated Knee | Tibiofemoral knee dislocations are typically a consequence of high-energy mechanisms, causing significant damage to the soft tissue and osseous structures of the knee. Concomitant neurovascular injuries such as popliteal artery and peroneal nerve injuries are also common and can have significant lon... | 12/20/2015 | |
| Extensor Mechanism Disruption in Knee Dislocation | Disruption of the knee extensor mechanism is a challenging injury with no clear consensus on optimal treatment. Although rare in the setting of knee dislocations, these injuries should not be overlooked. Acute, complete rupture of either the quadriceps or patellar tendon necessitates primary repair ... | 12/5/2015 | |
| Is Subchondral Acetabular Edema or Cystic Change on MRI a Contraindication for Hip Arthroscopy in Patients With Femoroacetabular Impingement | CONCLUSION: The presence of a subchondral edema with an acetabular cyst on MRI is indicative of a full-thickness cartilage lesion at the time of arthroscopy. These patients have inferior outcomes for arthroscopic treatment of FAI compared with patients with similar age and activity level without MRI... | 12/2/2015 | |
| The Evaluation of Donor Site Pain After Harvest of Tricortical Anterior Iliac Crest Bone Graft for Spinal Surgery A Prospective Study | CONCLUSION: Tricortical AICBG for ACDF is not associated with major complications and only 4% of patients (potentially, maximum of 10%) experienced moderate, persistent donor site pain at 1 year. There is no difference in health-related outcomes between patients who have autograft with those who did... | 11/17/2015 | |
| Posterolateral Reconstruction of the Knee Two-Tailed Surgical Techniques | Reconstruction of the posterolateral corner of the knee using two-tailed techniques involved grafts originating from the femur and inserting on the proximal tibia and fibular head. This method reconstructs the fibular collateral ligament, popliteofibular ligament, and popliteus tendon using anatomic... | 10/20/2015 | |
| Individualizing the Tibial Tubercle-Trochlear Groove Distance Patellar Instability Ratios That Predict Recurrent Instability | CONCLUSION: Two novel PIRs (TT-TG/TW and TT-TG/PW) were identified and found to more effectively predict recurrent instability than the TT-TG distance alone. Each ratio takes into account patient-specific anatomy and can be measured in an accurate and reliable fashion by clinicians. These PIRs are a... | 9/24/2015 | |
| Dyslipidemia regulates thrombospondin-1-induced vascular smooth muscle cell chemotaxis | Dyslipidemia is a risk factor for intimal hyperplasia (IH). Key to IH is vascular smooth muscle cell (VSMC) migration. Thrombospondin-1 (TSP-1) is a matricellular protein that stimulates VSMC migration. | 9/10/2015 | |
| Manipulation Under Anesthesia A Safe and Effective Treatment for Posttraumatic Arthrofibrosis of the Knee | OBJECTIVES: This study investigates the results of closed manipulations performed under anesthesia (MUA) to evaluate whether it is an effective means to treat posttraumatic knee arthrofibrosis. | 8/28/2015 | |
| Does age predict outcome after multiligament knee reconstruction for the dislocated knee 2- to 22-year follow-up | CONCLUSION: Based on current available literature, this study represents the largest cohort with the longest follow-up reported on MLKI to date. At intermediate- to long-term follow-up, patients >30 years of age that undergo multiligament knee reconstruction for KD have inferior IKDC and Lysholm sco... | 8/20/2015 | |
| MRI injury patterns in surgically confirmed and reconstructed posterolateral corner knee injuries | CONCLUSION: The larger structures of the PLC are easily evaluated using standard MRI techniques. This study identified a predictable pattern of imaging findings involving these more easily assessed structures in those patients who were felt to be clinically unstable and underwent surgical reconstruc... | 8/5/2015 | |
| The contribution of the tibial tubercle to patellar instability analysis of tibial tubercle-trochlear groove TT-TG and tibial tubercle-posterior cruciate ligament TT-PCL distances | CONCLUSION: Both TT-PCL and TT-TG can be measured on MRI with excellent interobserver reliability. In this series, the mean TT-PCL value in patients with patellar instability was 21.8 mm, but the range was broad. A TT-PCL distance ≥24 mm was found to be less predictive of recurrent instability in th... | 7/27/2015 | |
| Return to sport Does excellent 6-month strength and function following ACL reconstruction predict midterm outcomes | CONCLUSION: Patients with an excellent performance on their isokinetic strength and functional testing at 6 months after ACL reconstruction have superior knee function and higher activity levels at midterm follow-up. However, these patients appear to be at greater risk of contralateral ACL injury, w... | 7/25/2015 | |
| Risk factors for adverse cardiac events in hip fracture patients an analysis of NSQIP data | CONCLUSION: Orthopaedic trauma surgeons should be aware of cardiac disease history and atherosclerotic conditions (PVD, stroke) in risk stratifying patients to prevent cardiac complications. Our recommendations to reduce cardiac events include simple pre-operative lab-work to full-fledged cardiac wo... | 7/22/2015 | |
| Incidence and Risk Factor Analysis of Symptomatic Venous Thromboembolism After Knee Arthroscopy | CONCLUSIONS: In this study, symptomatic VTEs were rare and occurred infrequently, with an incidence of 0.34% (95% CI, 0.25% to 0.46%), after knee arthroscopy and arthroscopy-assisted cases in the absence of routine chemoprophylaxis. Patients with a history of VTEs, a history of malignancy, or 2 or m... | 6/25/2015 | |
| Dioxin Exposure Impairs BMP-2-Mediated Spinal Fusion in a Rat Arthrodesis Model | CONCLUSIONS: Dioxin treatment significantly inhibited spinal fusion in a rat arthrodesis model, and a prolonged cessation of dioxin exposure facilitated only a partial recovery of bone-healing capacity. This finding indicates that, although the effects of dioxin are persistent, an extended recovery ... | 6/19/2015 | |
| Are meniscal tears and articular cartilage injury predictive of inferior patient outcome after surgical reconstruction for the dislocated knee | CONCLUSION: Articular cartilage damage and meniscus tears are frequently associated with a knee dislocation. This study showed IKDC scores were significantly lower for patients with cartilage damage or combined medial and lateral meniscus tears at mid-term follow-up of 6 years. | 6/15/2015 | |
| Open distal tibial shaft fractures a retrospective comparison of medial plate versus nail fixation | CONCLUSIONS: ORIF leads to higher rates of nonunion and significantly increases the odds of developing a complication compared with IMN for open distal tibia fractures. This is the first study investigating complication rates based on surgical approach in a large cohort of patients with exclusively ... | 6/4/2015 | |
| Biologics in spine arthrodesis | Spine fusion is a tool used in the treatment of spine trauma, tumors, and degenerative disorders. Poor outcomes related to failure of fusion, however, have directed the interests of practitioners and scientists to spinal biologics that may impact fusion at the cellular level. These biologics are use... | 5/16/2015 | |
| Arthroscopic-assisted reduction and percutaneous fixation of tibial plateau fractures | Tibial plateau fractures present a difficult range of fractures to treat. Arthroscopy allows for a less invasive option when compared with arthrotomy. Furthermore, visualization of the articular surface arthroscopically can allow for a precise reduction and assessment of any concomitant injuries to ... | 5/15/2015 | |
| Influence of Femoral Component Design on Retrograde Femoral Nail Starting Point | CONCLUSIONS: The FCR for the femoral trials studied was significantly greater than the SPR for native knees and was significantly greater for CR femoral components compared with posterior stabilized components. These findings demonstrate that many total knee prostheses, particularly CR designs, are ... | 5/2/2015 | |
| Medial patellofemoral ligament tears in the setting of multiligament knee injuries rarely cause patellar instability | CONCLUSION: MPFL tears occur frequently in patients with MLKI but rarely cause instability. In the majority of cases, MPFL tears do not need to be addressed at the time of surgery. | 3/27/2015 | |
| Advances in posterior cruciate ligament reconstruction | Current advances in posterior cruciate ligament reconstruction have led to excellent clinical and functional outcomes. It is helpful to review anatomy, cadaver sectioning studies, biomechanical studies, clinical outcome data, and novel surgical techniques for posterior cruciate ligament reconstructi... | 3/10/2015 | |
| Meniscal tears and articular cartilage damage in the dislocated knee | CONCLUSION: Meniscal tears and chondral damage occur frequently in patients with a knee dislocation. A longer interval from injury to surgical reconstruction is associated with higher rates of articular cartilage lesions, especially in multiple compartments. | 2/22/2015 | |
| Femoral neck fractures current management | Femoral neck fractures are a commonly encountered injury in orthopaedic practice and result in significant morbidity and mortality. It is essential that surgeons are able to recognize specific fracture patterns and patient characteristics that indicate the use of particular implants and methods to e... | 1/31/2015 | |
| Imaging of ankle replacements | Significant innovations in the field of total ankle replacement surgery have occurred since the early disappointing experiences with first-generation devices. In recent years, total ankle arthroplasties are commonly placed in patients with end-stage ankle osteoarthrosis, supplanting ankle arthrodesi... | 1/31/2015 | |
| Overutilization and Cost of Advanced Imaging for Long-Bone Cartilaginous Lesions | CONCLUSIONS: Unnecessary AIS are frequently performed and are a significant source of expense. The imaging algorithms outlined in this study may reduce unnecessary AIS. | 1/8/2015 | |
| Fibular head and tibial-based 2-Tailed posterolateral corner reconstruction | Two-tailed techniques for reconstruction of the posterolateral corner use grafts that originate on the femur and insert onto both the proximal tibia and the fibular head. Two-tailed reconstruction aims to reconstruct the fibular collateral ligament, popliteus tendon, and popliteofibular ligament wit... | 12/30/2014 | |
| The costs of operative complications for ankle fractures a case control study | As our healthcare system moves towards bundling payments, it is vital to understand the potential financial implications associated with treatment of surgical complications. Considering that surgical treatment of ankle fractures is common, there remains minimal data relating costs to postsurgical in... | 12/20/2014 | |
| Arthroscopic Meniscal Root Repair Using a Ceterix NovoStitch Suture Passer | Meniscal root injuries can compromise knee function and lead to early degenerative changes if not appropriately treated. Numerous techniques have been described; however, the technical difficulties in performing these repairs are well known. Furthermore, the relative strengths of various repair tech... | 12/5/2014 | |
| Preoperative opioid use and its association with perioperative opioid demand and postoperative opioid independence in patients undergoing spine surgery | CONCLUSION: Greater preoperative opioid use prior to undergoing spine surgery predicts increased immediate postoperative opioid demand and decreased incidence of postoperative opioid independence. Psychiatric diagnoses in those using preoperative opioids were predictors of continued opioid use at 12... | 11/25/2014 | |
| The multiply-operated total knee replacement patient salvage options | Although the vast majority of patients that undergo total knee replacement have satisfactory outcomes with a generally low complication rate, occasionally a patient will be encountered that has had multiple failed surgeries, and now reaches a crossroad as to whether limb salvage will be acceptable o... | 11/9/2014 | |
| Dopamine does not appear to affect mental rotation in Parkinsons disease | CONCLUSIONS: These results suggest that other neuropathological factors, such as cortical-basal ganglia neurodegeneration, or dysfunction of other neurotransmitters systems, might account for these cognitive deficits and future research will have to test these alternative hypotheses. | 11/1/2014 | |
| The influence of emotional faces on the spatial allocation of attention | CONCLUSIONS: Independent of location, the presence of emotional faces influenced the spatial allocation of attention, such that normal subjects shift the direction of their attention toward left hemispace and this attentional shift appears to be greater for negative (sad) than positive faces (happy)... | 10/13/2014 | |
| The multiligament quality of life questionnaire development and evaluation of test-retest reliability and validity in patients with multiligament knee injuries | CONCLUSION: The MLQOL instrument is a novel disease-specific quality of life tool that has demonstrated excellent content validity, reliability, and construct validity. | 10/8/2014 | |
| Approach to pain management in chronic opioid users undergoing orthopaedic surgery | Opioids are commonly used for the management of pain in patients with musculoskeletal disorders; however, national attention has highlighted the potential adverse effects of the use of opioid analgesia in this and other nonmalignant pain settings. Chronic opioid users undergoing orthopaedic surgery ... | 10/5/2014 | |
| Snapping popliteus tendon within an osteochondritis dissecans lesion an unusual case of lateral knee pain | The popliteus muscle is an important structure in the posterior knee, coursing from the distal lateral femoral condyle to the posterior tibia, and it initiates knee flexion, protects the lateral meniscus, and resists tibial external rotation. Abnormalities in the lateral femoral condyle may result i... | 9/25/2014 | |
| Controversies in the management of distal radius fractures | Controversies span the entire spectrum of management of distal radius fractures-fracture assessment, diagnosis, treatment, and evaluation of outcomes. The utility of multiple radiographic views described in the literature has not been validated. Likewise, the several classification systems that exis... | 8/27/2014 | |
| Intramedullary nailing of subtrochanteric fractures--does malreduction matter | CONCLUSION: For patients with subtrochanteric fractures treated with an intramedullary device, malreduction in any plane of greater than 10° resulted in a significantly increased rate of delayed or nonunion or both. | 8/24/2014 | |
| Reconstruction of the posterolateral corner of the knee with achilles tendon allograft | Posterolateral corner injuries of the knee are relatively rare; however, they can result in significant long-term disability without appropriate treatment. They often occur in the setting of multiligament knee injuries, and as a result, diagnosis and management can be challenging. Severe injuries of... | 8/16/2014 | |
| Common issues encountered in adolescent sports medicine guide to completing the preparticipation physical evaluation | Participation in athletic activities among children and adolescents is on the rise in the United States. Approximately 35 million children ages 5 to 18 play organized sports each year. High school athletes suffer approximately 2 million injuries per year, resulting in 500,000 doctor visits and 30,00... | 8/16/2014 | |
| Does proximal tibial osteotomy with a novel osteotomy system obtain coronal plane correction without affecting tibial slope and patellar height | CONCLUSIONS: Medial opening wedge PTO using a recently developed instrumentation system was found to have no effect on tibial slope. Patellar height was decreased after osteotomy using this system, although clinical significance of these findings is unknown. Coronal plane undercorrection of 10.6 % o... | 8/15/2014 | |
| Narcotic Use and Postoperative Doctor Shopping in the Orthopaedic Trauma Population | CONCLUSIONS: There is a 20.8% prevalence of postoperative doctor shopping in the orthopaedic trauma population. Patients with multiple postoperative narcotic providers had a significant increase in postoperative narcotic prescriptions, duration of narcotics, and morphine equivalent dose per day. | 8/8/2014 | |
| Utility of Postoperative Radiographs for Pediatric Scoliosis Association Between History and Physical Examination Findings and Radiographic Findings | CONCLUSIONS: Routine radiographs provide low utility in guiding the course of treatment for asymptomatic pediatric patients following surgery for scoliosis. The results of this study suggest that patient or caregiver complaints, comorbidities, and clinical suspicion should be considered before obtai... | 7/4/2014 | |
| Safety of topical vancomycin for pediatric spinal deformity nontoxic serum levels with supratherapeutic drain levels | CONCLUSION: Topical application of vancomycin powder in pediatric spinal deformity surgery produced local levels well above the minimum inhibitory concentration for common pathogens and serum levels below the toxicity threshold (25 μg/mL). There were no deep wound or antibiotic related complications... | 6/13/2014 | |
| Reliability of hip internal rotation range of motion measurement using a digital inclinometer | CONCLUSIONS: Clinical assessment of hip IR range of motion can be performed efficiently and reliably with a digital inclinometer along with visual monitoring of the pelvis for unwanted motion. Findings from this study support unilateral active hip IR in a seated position as a reliable and responsive... | 6/11/2014 | |
| Preoperative Opioid Use as a Predictor of Adverse Postoperative Self-Reported Outcomes in Patients Undergoing Spine Surgery | CONCLUSIONS: Increased preoperative opioid consumption, Modified Somatic Perception Questionnaire score, and Zung Depression Scale score prior to undergoing spine surgery predicted worse patient-reported outcomes. This suggests the potential benefit of psychological and opioid screening with a multi... | 6/5/2014 | |
| Minimally displaced clavicle fracture after high-energy injury are they likely to displace | CONCLUSION: Clavicle fractures in patients with a high-energy mechanism of injury are prone to fracture displacement, even when initial supine chest radiographs show nondisplacement. We recommend clavicle films as part of the initial evaluation for all patients with clavicle fractures and early foll... | 5/30/2014 | |
| Diagnostic accuracy of noncontrast MRI for detection of glenohumeral cartilage lesions a prospective comparison to arthroscopy | CONCLUSION: Overall accuracy of noncontrast MRI for detection of glenohumeral articular cartilage lesions is good; however, interpretation is reader dependent, and accuracy is significantly reduced for detection of low-grade lesions. On the basis of these findings, we recommend that patients with ro... | 4/29/2014 | |
| Arthroscopic capsular repair in the treatment of femoroacetabular impingement | The role of capsular repair in the arthroscopic treatment of femoroacetabular impingement remains poorly defined. Some surgeons rarely repair the capsule, whereas others perform repairs routinely. There is little direct clinical evidence to guide surgeon decision making. When capsular repairs are pe... | 4/22/2014 | |
| Arthroscopic femoral neck osteoplasty in the treatment of femoroacetabular impingement | Femoral neck osteoplasty is an integral component for successful treatment of femoroacetabular impingement. Current techniques allow this to be performed arthroscopically, and results are equivalent to those of open procedures when typical anterior and anterosuperior lesions are considered. The arth... | 4/22/2014 | |
| Low frequency of symptomatic venous thromboembolism after multiligamentous knee reconstruction with thromboprophylaxis | CONCLUSIONS: Symptomatic VTE occurred in 2% of multiligamentous knee reconstructions at our institution while receiving thromboprophylaxis. This is similar to rates documented after anterior cruciate ligament reconstruction without thromboprophylaxis. Further multicenter research is required to iden... | 4/4/2014 | |
| Factors influencing infection rates after open fractures of the radius andor ulna | CONCLUSIONS: Factors such as time to antibiotics and time to operative debridement were not predictors for either rate of deep infection or nonunion in open fractures of the radius and/or ulna. The type of fracture as outlined by the Gustilo-Anderson classification was the factor most strongly assoc... | 3/29/2014 | |
| Does arthroscopic knee surgery work | A recent randomized trial from the Finnish Degenerative Meniscal Lesion Study Group was published in the New England Journal of Medicine and attempted to determine the efficacy of partial meniscectomy without osteoarthritis. Patients were randomized to either arthroscopic partial meniscectomy or sha... | 3/20/2014 | |
| Is peroneal nerve injury associated with worse function after knee dislocation | CONCLUSIONS: With multiligament knee dislocation and associated peroneal nerve injury, patients with partial nerve injury are more likely to regain antigravity strength when compared with those with a complete nerve injury, but their overall function may not improve. After controlling for confoundin... | 2/28/2014 | |
| Factors associated with excellent 6-month functional and isokinetic test results following ACL reconstruction | CONCLUSION: Factors significantly associated with excellent 6-month functional and isokinetic test results following ACL reconstruction included younger age, lower BMI, and minimal cartilage degeneration. The use of allograft was associated with improved functional and strength testing after ACL rec... | 2/18/2014 | |
| Modest mid-term outcomes after isolated arthroscopic debridement of acetabular labral tears | CONCLUSIONS: Isolated arthroscopic labral debridement for hip labral tears had 45 % combined poor results when strictly defining failure as repeat surgery or abnormal hip rating. Untreated FAI and concomitant chondroplasty were risk factors for inferior outcome. We recommend concomitant treatment fo... | 2/5/2014 | |
| Limited therapeutic benefits of intra-articular cortisone injection for patients with femoro-acetabular impingement and labral tear | CONCLUSION: In patients with symptomatic FAI and labral tear, intra-articular cortisone injection has limited clinical benefit as a therapeutic modality. However, anaesthetic-only IA injections for patients who may be candidates for hip arthroscopy can be a useful diagnostic tool. | 2/4/2014 | |
| Arthroscopic labral repair in the treatment of femoroacetabular impingement | Labral repair has become an essential technique in the arthroscopic surgical management of femoroacetabular impingement. Several clinical studies suggest that labral repair results in superior patient outcomes in comparison to labral debridement alone. The repair procedure requires accurate evaluati... | 1/9/2014 | |
| Arthroscopic acetabular rim resection in the treatment of femoroacetabular impingement | Appropriate identification and precise resection of the pincer lesion are integral parts of the arthroscopic surgical treatment of femoroacetabular impingement. Preoperative radiographic planning of the bone resection, as well as executing the plan intraoperatively using both fluoroscopic and arthro... | 1/9/2014 | |
| Preoperative narcotic use and its relation to depression and anxiety in patients undergoing spine surgery | CONCLUSION: Depression and anxiety as assessed by ZDS and MSPQ scores were significantly associated with increased preoperative narcotic use, underscoring the importance of thorough psychological and substance use evaluation in patients being evaluated for spine surgery. | 12/4/2013 | |
| Pelvic discontinuity current solutions | Pelvic discontinuity represents a rare but challenging problem for orthopaedic surgeons. It is most commonly encountered during revision total hip replacement, but can also result from an iatrogentic acetabular fracture during hip replacement. The general principles in management of pelvic discontin... | 11/5/2013 | |
| When femoral fracture fixation fails salvage options | Most hip fractures treated with modern internal fixation techniques will heal. However, failures occasionally occur and require revision procedures. Salvage strategies employed during revision are based on whether the fixation failure occurs in the femoral neck, or in the intertrochanteric region. P... | 11/5/2013 | |
| Accuracy and reliability of determining the isometric point of the knee for multiligament knee reconstruction | CONCLUSIONS: There was no difference in accuracy on the medial side of the knee. On the lateral side, the anatomic method was more accurate in the anterior/posterior direction. Reliability was greater in the anterior/posterior direction on both sides of the knee. Surgeons were most likely to place t... | 10/8/2013 | |
| A comprehensive five-phase rehabilitation programme after hip arthroscopy for femoroacetabular impingement | CONCLUSION: This five-phase rehabilitation programme provides a framework where progression from surgery to increasing post-operative activity level can take place in a predictable manner. Patients following this rehabilitation protocol after hip arthroscopy demonstrated satisfactory clinical and fu... | 10/1/2013 | |
| Utility of multimodal analgesia with fascia iliaca blockade for acute pain management following hip arthroscopy | CONCLUSION: In this prospective study, multimodal analgesia with fascia iliaca blockade following hip arthroscopy was safe and effective. The quality of early post-operative analgesia provided by the fascia iliaca blockade was excellent and resulted in low opioid consumption, high quality of pain re... | 9/25/2013 | |
| Retained bullet removal in civilian pelvis and extremity gunshot injuries a systematic review | CONCLUSIONS: The evidence base for making clinical recommendations on the topic of bullet and bullet fragment removal after gunshot injury is weak. Level I and II evidence is needed to determine the indications for bullet removal after gunshot injury. | 8/29/2013 | |
| Periprosthetic patellar fractures | Periprosthetic patellar fractures represent a spectrum of injuries to a patient with a total knee arthroplasty. They range in severity from an inconsequential injury, which does not compromise function, to a severely debilitating injury that may require advanced reconstructive measures. This article... | 8/27/2013 | |
| Pelvic fractures part 2 Contemporary indications and techniques for definitive surgical management | Once the patient with pelvic fracture is resuscitated and stabilized, definitive surgical management and anatomic restoration of the pelvic ring become the goal. Understanding injury pattern by stress examination with the patient under anesthesia helps elucidate the instability. Early fixation of th... | 8/3/2013 | |
| Pelvic fractures part 1 Evaluation, classification, and resuscitation | Pelvic fractures range in severity from low-energy, generally benign lateral compression injuries to life-threatening, unstable fracture patterns. Initial management of severe pelvic fractures should follow Advanced Trauma Life Support protocols. Initial reduction of pelvic blood loss can be provide... | 8/3/2013 | |
| CT and MRI measurements of tibial tubercle-trochlear groove distances are not equivalent in patients with patellar instability | CONCLUSION: The TT-TG distance can be measured with excellent interrater reliability on both MRI and CT; however, the values derived from these 2 tests may not be interchangeable. This observation should be taken into consideration when MRI is used for surgical planning because MRI may underestimate... | 7/17/2013 | |
| Sonographic evaluation of the iliotibial band at the lateral femoral epicondyle does the iliotibial band move | CONCLUSIONS: Sonographic evaluation of the ITB in our study population clearly revealed anteroposterior motion of the ITB relative to the LFE during knee flexion-extension. Our results indicate that the ITB does in fact move relative to the femur during the functional ranges of knee motion. Future i... | 6/28/2013 | |
| Silicon a review of its potential role in the prevention and treatment of postmenopausal osteoporosis | Physicians are aware of the benefits of calcium and vitamin D supplementation. However, additional nutritional components may also be important for bone health. There is a growing body of the scientific literature which recognizes that silicon plays an essential role in bone formation and maintenanc... | 6/14/2013 | |
| Decreased range of motion is associated with structural hip deformity in asymptomatic adolescent athletes | CONCLUSION: Eight percent of asymptomatic teenagers had limited internal rotation on examination; 68% of these had radiographic findings suggestive of FAI. More than two thirds of these participants had evidence of asymptomatic hip pathological lesions on MRI. | 5/24/2013 | |
| Outcomes of repeat revision anterior cruciate ligament reconstruction | CONCLUSION: Repeat revision ACL reconstruction may improve the functional outcomes of patients who have failed revision ACL reconstruction. Most patients do not return to prior activity level following repeat revision. Presence of grade 3 or 4 chondral lesions and body mass index greater than 28 wer... | 4/23/2013 | |
| Inverse metabolic engineering to improve Escherichia coli as an N-glycosylation host | An inverse metabolic engineering strategy was used to select for Escherichia coli cells with an increased capability to N-glycosylate a specific target protein. We developed a screen for E. coli cells containing extra-chromosomal DNA fragments for improved ability to add precise sugar groups onto th... | 4/10/2013 | |
| Is there a role for intramedullary nails in the treatment of simple pilon fractures Rationale and preliminary results | CONCLUSION: Simple articular fractures of the tibial plafond (AO/OTA type 43C) treated via IMN can achieve excellent alignment and union rates with proper patient selection and surgical indication. One should not hesitate to use additional bone screws or plating options to help achieve better anatom... | 4/10/2013 | |
| Surgery versus physical therapy for a meniscal tear and osteoarthritis | CONCLUSIONS: In the intention-to-treat analysis, we did not find significant differences between the study groups in functional improvement 6 months after randomization; however, 30% of the patients who were assigned to physical therapy alone underwent surgery within 6 months. (Funded by the Nationa... | 3/20/2013 | |
| Surgical considerations in total knee replacement for the obese patient | Total knee replacement (TKR) is one of the most commonly performed and successful orthopedic surgeries in the modern era. The rising prevalence of obesity has contributed to the need for TKR, but the anatomy of obese patients presents unique challenges during surgery. In this article, we will focus ... | 3/13/2013 | |
| Effect of immediate full weight bearing on abductor repair and clinical function after THA through a modified Hardinge approach | This study evaluated the effect of immediate full weight bearing on abductor repair and clinical function after total hip arthroplasty (THA) using a direct lateral (modified Hardinge) approach. The surgical approach detached a bone flake with the abductors, providing a radiographic marker for abduct... | 3/8/2013 | |
| Periarticular raft constructs and fracture stability in split-depression tibial plateau fractures | CONCLUSIONS: Designs utilising screws through the plate trended towards statistically significant improved stability against plateau displacement relative to utilising screws outside the plate. Our study also suggests that there is no significant benefit of locking screws over non-locking screws in ... | 2/26/2013 | |
| Revision for periprosthetic fractures of the hip and knee | Many periprosthetic fractures about the hip and knee can be managed successfully with modern internal fixation techniques; however, there are particular circumstances when revision arthroplasty is a better choice. These revision cases often require a substantial amount of preoperative planning and r... | 2/12/2013 | |
| Contemporary internal fixation techniques for periprosthetic fractures of the hip and knee | The volume of total hip and knee arthroplasties continues to increase as the US population ages. The number of prosthetic complications, specifically those involving periprosthetic fractures, is also increasing. Periprosthetic fractures can be difficult to manage. Reduction and fixation of these fra... | 2/12/2013 | |
| Treatment of OA of the knee in the middle-aged athlete the role of arthroscopy | Knee arthroscopy for patients with osteoarthritis remains controversial. The outcome of arthroscopic debridement in a patient with symptomatic arthritis, and in the absence of mechanical symptoms, is inconsistent and short lived. However, in carefully selected patients with mild or moderate arthriti... | 1/15/2013 | |
| Allograft versus autograft in posterior cruciate ligament reconstruction an evidence-based systematic review | Controversy exists as to the superior graft source for posterior cruciate ligament (PCL) reconstruction. Allogeneic and autogeneic tissue have unique advantages and disadvantages, but little is known about the performance of one versus the other. This study is an evidence-based, systematic literatur... | 1/5/2013 | |
| Results of revision total hip arthroplasty with modular, titanium-tapered femoral stems in severe proximal metaphyseal and diaphyseal bone loss | Evidence supporting modular, tapered stems for severe proximal metaphyseal and diaphyseal bone loss is limited. We report our clinical experience with its use for severely deficient femurs. Of 211 revision total hip arthroplasties (THAs), 18 tapered, modular titanium stems were implanted in Paprosky... | 1/1/2013 | |
| Epidural infection Is it really an abscess | CONCLUSIONS: More prevalent over the previous three decades, SEA remains a rare but deleterious infectious process requiring prompt identification and treatment. Historically, identification of SEA is often elusive, diagnosis is delayed, and clinicians contend that surgical debridement is the corner... | 12/19/2012 | |
| Treatment of PCL, ACL, and lateral-side knee injuries acute and chronic | Combined posterior cruciate ligament, anterior cruciate ligament, and lateral-side disruption is one of the more common patterns of multiligament knee injury. This is a devastating injury with significant long-term functional sequelae, making accurate diagnosis and management extremely important. Wh... | 11/15/2012 | |
| Cementless metaphyseal sleeves used for large tibial defects in revision total knee arthroplasty | Revision arthroplasty of large tibial defects remains a challenge. Thirty revision knee arthroplasties using a porous titanium tibial sleeve for Anderson Orthopaedic Research Institute (AORI) Type 2B and Type 3 defects with minimum 2year follow up were retrospectively reviewed. The average Knee Soci... | 11/6/2012 | |
| Osteolysis in the well-fixed socket cup retention or revision | Osteolysis remains a common reason for revision after total hip arthroplasty (THA). For osteolysis associated with loose cups, revision is indicated. For osteolysis around a well-fixed cup, the decision is more controversial. The data available data support retention of the cupwith lesional treatmen... | 11/3/2012 | |
| Metastatic disease around the hip maintaining quality of life | Many tumors metastasise to bone, therefore, pathologic fracture and impending pathologic fractures are common reasons for orthopedic consultation. Having effective treatment strategies is important to avoid complications, and relieve pain and preserve function. Thorough pre-operative evaluation is r... | 11/3/2012 | |
| Subcapital fractures a changing paradigm | Options for the treatment of subcapital femoral neck fractures basically fall into two categories: internal fixation or arthroplasty (either hemiarthroplasty or total hip arthroplasty). Historically, the treatment option has been driven by a diagnosis-related approach (non-displaced neck fractures v... | 11/3/2012 | |
| The MeTeOR trial Meniscal Tear in Osteoarthritis Research rationale and design features | This paper presents the rationale and design features of the MeTeOR Trial (Meniscal Tear in Osteoarthritis Research; Clinical Trials.gov NCT00597012). MeTeOR is an NIH-funded seven-center prospective randomized controlled trial (RCT) designed to establish the efficacy of arthroscopic partial menisce... | 9/13/2012 | |
| Bearing surface considerations for total hip arthroplasty in young patients | Bearing selection for total hip arthroplasty in young patients is important because of the likely long service life of the implant. Careful consideration of the next operation is recommended when choosing components. No prospective, randomized studies exist that document the clear superiority of any... | 7/24/2012 | |
| Combined orthopedic and vascular lower extremity injuries sequence of care and outcomes | Combined vascular and orthopedic injuries requiring repair are rare. However, these injuries have a high amputation rate and significant morbidity. In a retrospective review of lower extremity injuries managed at a level I trauma center over 9 years, we identified 26 patients with combined vascular ... | 4/25/2012 | |
| Essential Nutrients for Bone Health and a Review of their Availability in the Average North American Diet | Osteoporosis and low bone mineral density affect millions of Americans. The majority of adults in North America have insufficient intake of vitamin D and calcium along with inadequate exercise. Physicians are aware that vitamin D, calcium and exercise are essential for maintenance of bone health. Ph... | 4/24/2012 | |
| Systematic metabolic engineering for improvement of glycosylation efficiency in Escherichia coli | Recently, efforts to increase the toolkit which Escherichia coli cells possess for recombinant protein production in industrial applications, has led to steady progress towards making glycosylated therapeutic proteins. Although the desire to make therapeutically relevant complex proteins with elabor... | 2/21/2012 | |
| An assessment of musculoskeletal knowledge in graduating medical and physician assistant students and implications for musculoskeletal care providers | CONCLUSIONS: Graduating medical students scored significantly higher than graduating physician assistant students on the NBME MSK. This may be related to multiple factors, and further studies are necessary to evaluate the overall musculoskeletal clinical competence of both groups of students. | 2/17/2012 | |
| Surgical decision making for arthroscopic partial meniscectomy in patients aged over 40 years | CONCLUSIONS: Significant variation exists among practicing orthopaedic surgeons with regard to decision making for APM. The 3 clinical factors that most influenced a surgeon's decision to recommend APM were normal radiographic findings, failed nonoperative treatment, and the presence of positive phy... | 1/24/2012 | |
| Reliability of the dial test using a handheld inclinometer | CONCLUSIONS: This instrumented dial test using a handheld digital inclinometer to measure external rotation can be performed with acceptable reliability in the clinical setting. A difference of 10° between two measurements on the same knee suggests that a meaningful change has occurred. For right to... | 1/17/2012 | |
| Functional outcomes after operatively treated patella fractures | CONCLUSIONS: At a mean of 6.5 years after operative treatment for patella fractures, significant symptomatic complaints and functional deficits persist based on validated outcome measures as well as objective physical evaluations. This study fills a void in the literature regarding the functional ou... | 12/21/2011 | |
| Delta screw versus RetroScrew tibial fixation for ACL reconstruction | CONCLUSIONS: In an osteoporotic cadaveric model, there was no significant biomechanical advantage of the RetroScrew system versus the Delta screw for tibial fixation in soft tissue graft ACL reconstruction. However, a trend toward lower graft fixation failure to cyclic loading was noted with the Ret... | 11/15/2011 | |
| Efficacy of hydrosurgical debridement and nanocrystalline silver dressings for infection prevention in type II and III open injuries | The aim of this study was to retrospectively evaluate the clinical and culture-positive infection rates of open Gustilo/Anderson type II and III fractures using a protocol nanocrystalline silver wound dressing and hydrosurgical debridement. Retrospective case series through chart review on all type ... | 11/15/2011 | |
| Sonographic evaluation of femoral trochlear cartilage in patients with knee pain | CONCLUSIONS: Routine clinical sonography can identify femoral trochlear cartilage abnormalities in patients with knee pain and therefore can be a useful adjunct to other imaging tests for identifying arthritic changes in the knee. | 6/3/2011 | |
| Metaphyseal fixation in revision total knee arthroplasty indications and techniques | The need for revision total knee arthroplasty (TKA) is on the rise. Challenges to attaining durable, stable, well-functioning revision TKA include bony deficiency, periarticular osteopenia, deformity, and soft-tissue imbalance. Defect management often requires the use of stems, cement, metal augment... | 6/2/2011 | |
| Partial tibial nerve transfer to the tibialis anterior motor branch to treat peroneal nerve injury after knee trauma | CONCLUSION: Our observations suggest nerve transfers to the deep peroneal nerve provide inconsistent ankle dorsiflexion strength, possibly related to the mechanism of peroneal nerve injury or delays in surgery. Despite variable strength, four patients achieved M3 or greater motor recovery, which ena... | 6/1/2011 | |
| Management of complex knee ligament injuries | The ideal management of the dislocated knee remains controversial. These injuries often can be elusive; a significant number of dislocated knees spontaneously reduce and appear relatively benign on routine radiographs. A high index of suspicion, based on the mechanism of injury, soft-tissue assessme... | 5/11/2011 | |
| Surgical treatment of acute and chronic anterior and posterior cruciate ligament and lateral side injuries of the knee | Combined anterior cruciate ligament, posterior cruciate ligament, and lateral-sided injuries of the knee most often occurs secondary to a forced varus moment or after knee dislocation. Management controversies include the optimal timing of surgery, operative techniques, and postoperative rehabilitat... | 5/5/2011 | |
| Open posterior approach for tibiotalar arthrodesis | Traumatic injury to the ankle and hindfoot often results in tibiotalar or subtalar arthritis. The associated joint pain, stiffness, and deformity may be difficult to treat with conservative measures. For such problems, arthrodesis of the ankle or hindfoot joints is the mainstay of treatment. This ar... | 2/23/2011 | |
| ACL tibial spine avulsion mid-term outcomes and rehabilitation | Tibial spine fractures are characterized by fractures at the insertion site of the anterior cruciate ligament (ACL) on the tibia and were first classified into 3 types. For displaced (type II/III) fractures, surgical treatment has included fixation with screws, sutures, or wires performed through ei... | 2/18/2011 | |
| Patellofemoral arthroplasty versus total knee arthroplasty in patients with isolated patellofemoral osteoarthritis | We identified all patients at our institution who underwent patellofemoral arthroplasty (PFA) or total knee arthroplasty (TKA) as treatment for isolated patellofemoral arthritis (PA) between January 2003 and December 2005. Twenty-three PFA and 22 TKA patients met inclusion criteria. Mean age was 60 ... | 2/4/2011 | |
| Peripheral nerve sheath tumors of the foot and ankle | CONCLUSION: PNSTs of the foot and ankle usually present as innocuous, slow-growing masses leading to misdiagnosis and suboptimal surgical treatment of a potentially malignant lesion. A comprehensive diagnostic evaluation, preoperative planning and meticulous surgical excision are required to prevent... | 2/4/2011 | |
| A biomechanical comparison of the Delta screw and RetroScrew tibial fixation on initial intra-articular graft tension | CONCLUSIONS: Delta screw tibial fixation (antegrade) in soft tissue ACL reconstruction significantly increases the initial intra-articular graft tension as compared to RetroScrew screw fixation (retrograde) in this cadaveric model. Delta screw (antegrade) tibial fixation may increase initial quadrup... | 1/25/2011 | |
| Diagnosis and management of knee dislocations | An acute knee dislocation is an uncommon injury, with a high rate of associated vascular and neurologic injuries as well as potentially limb-threatening complications. High-energy trauma is the most common cause of an acute knee dislocation, although lower-energy injuries, such as those sustained du... | 12/15/2010 | |
| Treatment of recalcitrant, multiply operated tibial nonunions with the RIA graft and rh-BMP2 using intramedullary nails | Nonunions of the tibia continue to present some of the most difficult challenges in orthopaedic fracture care. Whether the consequence of the initial presenting injury, co-morbidity or subsequent attempts at fixation, the biological environment is often compromised. Compounding this problem is a lac... | 12/15/2010 | |
| Comparison of RIA and conventional reamed nailing for treatment of femur shaft fractures | CONCLUSION: No statistical significance was reached with regard to pulmonary complications, healing rates or death. However, we were unable to demonstrate favorable physiologic lung parameters with RIA use compared to conventional reaming as has been described in previous animal studies. We found a ... | 12/15/2010 | |
| Transtibial versus inlay posterior cruciate ligament reconstruction an evidence-based systematic review | Optimal surgical technique for posterior cruciate ligament (PCL) reconstruction remains controversial. Authors have reported satisfactory outcomes with both transtibial and inlay techniques. Although biomechanical data has failed to demonstrate a difference between the two, there is little clinical ... | 12/15/2010 | |
| Validation of the Caprini risk assessment model in plastic and reconstructive surgery patients | CONCLUSIONS: The Caprini RAM effectively risk-stratifies plastic and reconstructive surgery patients for VTE risk. Among patients with Caprini score >8, 11.3% have a postoperative VTE when chemoprophylaxis is not provided. In higher risk patients, there was no evidence that VTE risk is limited to th... | 11/25/2010 | |
| Posterolateral instability of the knee evaluation, treatment, results | Injuries to the fibular collateral ligament and posterolateral corner are uncommon, and are usually associated with other ligamentous injuries-in particular, the anterior cruciate ligament and/or posterior cruciate ligament, leading to significant functional impairment. The most common mechanism of ... | 11/17/2010 | |
| Stabilization of displaced articular fragments in calcaneal fractures using bioabsorbable pin fixation a technique guide | Successful operative intervention in displaced intra-articular calcaneal fractures depends in part on the maintenance of an anatomic reduction of the posterior facet. This guide describes our use of bioabsorbable implants to solve this problem. | 11/16/2010 | |
| Thoracodorsal artery scapular tip autogenous transplant vascularized bone with a long pedicle and flexible soft tissue | CONCLUSIONS: The Tdast is an excellent choice for reconstruction in the head and neck as an alternative to procedures requiring vein grafting and multiple free tissue transplants, or in which the 3-dimensional contour of the scapular tip aids in reconstruction. The complication rate should be assess... | 10/20/2010 | |
| Clamp-assisted reduction of high subtrochanteric fractures of the femur surgical technique | BACKGROUND: Subtrochanteric fractures can be a treatment challenge. The substantial forces that this region experiences and the fact that the proximal fragment is frequently displaced make accurate reduction and internal fixation difficult. The purpose of this study was to evaluate a series of patie... | 9/17/2010 | |
| Acetabular fractures the role of arthroplasty | Acetabular fractures are generally treated with open reduction and internal fixation, with the goals of anatomic reduction and preservation of the native hip joint. Modern techniques of internal fixation have resulted in good to excellent outcomes in the vast majority of patients when anatomic reduc... | 9/16/2010 | |
| Medial patellofemoral ligament repair for recurrent patellar dislocation | CONCLUSION: Isolated repair of the MPFL for recurrent patellar instability is associated with a relatively high failure rate, but remains a viable surgical option if surgical technique principles are followed. The clinical success of this operation depends on restoration of the anatomical origin of ... | 8/19/2010 | |
| Surgical treatment of peroneal nerve palsy after knee dislocation | CONCLUSION: Peroneal nerve palsy after knee dislocation leads to significant functional impairment. Prior treatment strategies utilized for restoration of dorsiflexion and peroneal nerve function have yielded overall poor results. Newer surgical techniques are being developed and clinical trials are... | 7/20/2010 | |
| Departures from community equipoise may lead to incorrect inference in randomized trials | CONCLUSION: Selective enrollment with respect to factors associated with efficacy may affect trial results and lead to inaccurate conclusions. | 7/20/2010 | |
| Staged protocol for initial management of the dislocated knee | CONCLUSION: The treatment algorithm utilized in this series for management of the dislocated knee demonstrated satisfactory clinical and functional outcomes. This staged protocol provides a management option for those patients who may be best served with initial spanning joint external fixation. Lar... | 7/17/2010 | |
| Bioabsorbable fixation of unstable osteochondritis dissecans lesions | CONCLUSION: The authors recommend caution when using bioabsorbable fixation for osteochondritis dissecans lesions in skeletally mature patients because of the low rate of clinical healing and high complication rate. Failure with unthreaded fixation devices may be caused by inadequate compression and... | 7/3/2010 | |
| Sonographically guided proximal tibiofibular joint injection technique and accuracy | CONCLUSIONS: This cadaveric investigation suggests that sonographic guidance can be used to inject the PTFJ with a high degree of accuracy and should be considered superior to palpation guidance. Clinicians should consider using sonographic guidance to inject the PTFJ for diagnostic or therapeutic p... | 4/30/2010 | |
| Sonographically guided popliteus tendon sheath injection techniques and accuracy | CONCLUSIONS: Sonographic guidance can be used to inject the popliteus tendon sheath with a high degree of accuracy. Although the longitudinal approach is potentially more accurate, both approaches may result in injectate overflow into the knee joint, likely through the popliteus hiatus. | 4/30/2010 | |
| Periprosthetic fractures of the hip and knee a problem on the rise but better solutions | The absolute number of periprosthetic fractures seen by the orthopaedic surgeon is increasing. The basic principles of fracture management include preoperative patient optimization and determining the stability of the associated components. Loose components require revision, whereas fractures associ... | 4/27/2010 | |
| Intertrochanteric fractures ten tips to improve results | Intertrochanteric hip fractures are among the most common types of fractures, and the numbers are increasing as the population ages. Most intertrochanteric fractures are treated surgically. It is therefore important that the treatment methods are effective and have a minimal risk of complications. T... | 4/27/2010 | |
| Surgical repair of meniscal tears with concomitant anterior cruciate ligament reconstruction in patients 18 years and younger | CONCLUSION: Clinically successful repair of meniscal tears treated at the time of ACL reconstruction in patients 18 years or younger depends on tear type, with complex and bucket-handle tears being negative prognostic factors. Complex tears have a higher rate of clinical success when repaired at the... | 3/20/2010 | |
| Repair versus reconstruction of the fibular collateral ligament and posterolateral corner in the multiligament-injured knee | CONCLUSION: Our series demonstrated a statistically significant higher rate of failure for repair compared with reconstruction of the FCL/PLC. Reconstruction of the FCL/PLC structures is a more reliable option than repair alone in the setting of a multiligament knee injury. | 2/2/2010 | |
| Clamp-assisted reduction of high subtrochanteric fractures of the femur | BACKGROUND: Subtrochanteric fractures can be a treatment challenge. The substantial forces that this region experiences and the fact that the proximal fragment is frequently displaced make accurate reduction and internal fixation difficult. The purpose of this study was to evaluate a series of patie... | 8/5/2009 | |
| Nonunion of fractures in pediatric patients 15-year experience at a level I trauma center | There is little data evaluating the risk factors, demographics, and prognoses for nonunions in children. Previous literature has reviewed time periods when contemporary techniques of internal fixation and management of open injuries had not been available. The purpose of this retrospective study was... | 7/29/2009 | |
| Gamma nails revisited gamma nails versus compression hip screws in the management of intertrochanteric fractures of the hip a meta-analysis | CONCLUSIONS: Our meta-analysis of randomized trials suggests that previous concerns about increased femoral shaft fracture risk with Gamma nails have been resolved with improved implant design and improved learning curves with the device. Earlier meta-analyses and randomized trials should be interpr... | 6/25/2009 | |
| Spontaneous parametric down-conversion in periodically poled KTP waveguides and bulk crystals | We present a theoretical and experimental comparison of spontaneous parametric down-conversion in periodically poled waveguides and bulk KTP crystals. We measured a waveguide pair generation rate of 2.9.10(6) pairs/s per mWof pump in a 1-nm band: more than 50 times higher than the bulk crystal gener... | 6/24/2009 | |
| Visual-spatial disembedding in Parkinsons disease | Visual-spatial disembedding requires a person to visually scan the stimulus and allocate spatial selective attention to the locations of relevant stimuli. Parkinson's disease (PD) is often associated with visual-spatial deficits, but the influence of PD on disembedding is not entirely known. The goa... | 6/2/2009 | |
| Intraoperative fracture during primary total knee arthroplasty | While the occurrence of periprosthetic fractures around total knee arthroplasties (TKAs) is well know, little is known about intraoperative fractures that occur during TKA. We describe the incidence, location, and outcomes of iatrogenic intraoperative fracture during primary TKA. We reviewed 17,389 ... | 5/12/2009 | |
| Operative management of the medial collateral ligament in the multi-ligament injured knee an evidence-based systematic review | While it is generally accepted that most partial and isolated medial collateral ligament (MCL) injuries can be treated non-operatively, ideal treatment of the MCL in multi-ligament knee injuries remains controversial. High failure rates with repair of the posterolateral corner in the multi-ligament ... | 5/8/2009 | |
| Intramedullary nailing of femoral shaft fractures current concepts | Intramedullary nailing is the preferred method for treating fractures of the femoral shaft. The piriformis fossa and greater trochanter are viable starting points for antegrade nailing. Alternatively, retrograde nailing may be performed. Each option has relative advantages, disadvantages, and indica... | 5/5/2009 | |
| Periprosthetic femoral fractures | Periprosthetic fractures of the femur are increasing both in the absolute number of fractures per year and in frequency (proportion of fractures among patients with hip arthroplasty). As a result, orthopaedic surgeons will face these challenging injuries more often. The optimal treatment must be ind... | 4/24/2009 | |
| Salvage of failed treatment of femoral neck fractures | The number of patients treated for femoral neck fractures continues to increase. Although most fractures will heal, reported rates of nonunion and osteonecrosis are cause for concern; therefore, implementation of effective salvage strategies is important. The choice of salvage strategy generally is ... | 4/24/2009 | |
| Incidence of deep venous thrombosis after temporary joint spanning external fixation for complex lower extremity injuries | CONCLUSION: The incidence of DVT in patients treated with a protocol of early joint spanning external fixation and LMWH administration does not exceed historical controls. The early restoration of limb length, alignment, and stability allows early mobilization, which may contribute to the prevention... | 4/11/2009 | |
| Decision making in the multiligament-injured knee an evidence-based systematic review | CONCLUSIONS: Our review suggests that early operative treatment of the multiligament-injured knee yields improved functional and clinical outcomes compared with nonoperative management or delayed surgery. Repair of the posterolateral corner may yield higher revision rates compared with reconstructio... | 4/4/2009 | |
| Accuracy of reduction of ipsilateral femoral neck and shaft fractures--an analysis of various internal fixation strategies | CONCLUSIONS: Open reduction and internal fixation of a displaced femoral neck fracture followed by retrograde nailing of the femoral shaft allowed accurate reduction and uneventful union of both fractures in most patients. The use of a cephalomedullary device to address both fractures simultaneously... | 3/26/2009 | |
| Controversies in the treatment of knee dislocations and multiligament reconstruction | A systematic approach to evaluation and treatment is needed for the patient with knee dislocation. There is a paucity of high-level evidence on which to base treatment decisions. Reported controversies related to the treatment of the multiligament-injured knee include the selective use of arteriogra... | 3/25/2009 | |
| Effect of cultural factors on outcome of Ponseti treatment of clubfeet in rural America | CONCLUSIONS: Compliance with the orthotic regimen after cast treatment is imperative for the Ponseti method to succeed. The striking difference in outcome in rural Native American patients as compared with the outcomes in urban Native American patients and children of other ethnicities suggests part... | 3/4/2009 | |
| Achilles tendon allograft reconstruction of the fibular collateral ligament and posterolateral corner | CONCLUSIONS: We describe a novel technique that takes into account the main static PLC stabilizers (FCL, popliteofibular ligament, and posterolateral capsule) that has not been previously reported. Our series showed no significant differences in clinical and functional outcomes between 2-ligament an... | 2/28/2009 | |
| Management of the posttraumatic arthritic knee | Excellent long-term outcomes can be achieved with contemporary methods of ligament reconstruction and open reduction and internal fixation for injuries around the knee; nevertheless, posttraumatic arthritis frequently develops. Reconstruction options for symptomatic posttraumatic knee arthritis incl... | 2/10/2009 | |
| Follicular lymphoid hyperplasia of the palate case report and literature review | Follicular lymphoid hyperplasia (FLH) of the palate is a very rare benign, proliferative process, with only 20 cases published so far in the English language literature. We describe a case, in a 55-year-old Caucasian female, who developed a swelling in the left posterior hard palate. Bony involvemen... | 1/14/2009 | |
| Arthroscopic treatment of patellar clunk and synovial hyperplasia after total knee arthroplasty | Patellofemoral pain, crepitus, and locking are infrequent symptoms after total knee arthroplasty (TKA). We performed a retrospective review of 25 patients who underwent arthroscopic debridement after primary TKA to treat the patellar clunk syndrome (15 knees) or patellofemoral synovial hyperplasia (... | 12/25/2008 | |
| Reconstruction of the anterior cruciate ligament in patients over 50 years | The records of patients aged 50 years or over who underwent primary reconstruction of the anterior cruciate ligament between 1990 and 2002 were reviewed. There were 35 knees in 34 patients that met the inclusion criteria. The mean age of the patients was 57 years (50 to 66) and the mean clinical fol... | 11/4/2008 | |
| Imaging choices in occult hip fracture | CONCLUSION: We present an evidence-based algorithm for the evaluation of a patient suspected to have an occult hip fracture in the ED. Also outlined are future directions for research to distinguish more effective techniques for identifying occult hip fractures. | 10/31/2008 | |
| Indications for surgery in clinical outcome studies of rotator cuff repair | Full-thickness tears of the rotator cuff are common, but there is no clear consensus regarding indications for rotator cuff surgery. Because some patients with full-thickness rotator cuff tears who are asymptomatic or symptomatic can be successfully treated nonoperatively, clinical outcome studies o... | 10/25/2008 | |
| Detecting vascular injury in lower-extremity orthopedic trauma the role of CT angiography | As a screening tool, CT angiography has excellent sensitivity and specificity combined with fewer complications compared to conventional arteriography. | 8/22/2008 | |
| Results of internal fixation of Pauwels type-3 vertical femoral neck fractures | CONCLUSIONS: Despite timely, excellent reduction and accurate implant placement in the vast majority of cases, the nonunion rate was 19% for fractures treated with cannulated screws alone and 8% for those treated with a fixed-angle device. Although these failure rates are not significantly different... | 8/5/2008 | |
| How accurately do novice surgeons place thoracic pedicle screws with the free hand technique | CONCLUSION: Novice resident surgeons placing thoracic pedicle screws in cadavers were able to significantly improve by the fourth cadaver to accuracy levels documented in the literature. Surgeons in training shouldpractice these skills in the laboratory before proceeding to the operating room. | 7/3/2008 | |
| Locked plating in orthopaedic trauma a clinical update | Locked plating for fracture fixation has enjoyed widespread popularity despite a paucity of published data on outcomes. Anatomically precontoured locked plates that allow fixation in various anatomic regions are widely available. New technologies incorporate subchondral support locking pegs, polyaxi... | 6/6/2008 | |
| The medial approach for arthroscopic-assisted fixation of lateral tibial plateau fractures patient selection and mid- to long-term results | Arthroscopy has been used in the fixation of tibial plateau fractures for more than 20 years. Although not proved in randomized trials, several authors using the arthroscopic technique have demonstrated results comparable to traditional methods, using open reduction and internal fixation with standa... | 3/5/2008 | |
| Treatment of acute distal femur fractures above a total knee arthroplasty systematic review of 415 cases 1981-2006 | BACKGROUND: There is no consensus on the best treatment for periprosthetic supracondylar fracture. | 2/20/2008 | |
| External iliac artery thrombosis after open reduction of an acetabular fracture a case report | Major arterial injury from open reduction and internal fixation of an acetabular fracture through an ilioinguinal approach is rare. Detection of a major intraoperative arterial injury is simple. Detection of a more occult injury leading to thrombosis is not. We report the third known case of thrombo... | 1/8/2008 | |
| Orthopedic trauma in pregnancy | Trauma sustained during pregnancy can trigger uncertainty and anxiety for patient and orthopedic surgeon alike. In particular, orthopedic-related injuries raise concerns about preoperative, intraoperative, and postoperative care. In this article, we review common concerns about radiation exposure, l... | 12/14/2007 | |
| Total hip arthroplasty requiring subtrochanteric osteotomy for developmental hip dysplasia 5- to 14-year results | This study evaluated total hip arthroplasty in patients with developmental hip dysplasia requiring femoral subtrochanteric shortening derotational osteotomy (SDO). Twenty-three total hip arthroplasties that required SDO were evaluated at an average follow-up of 8 years (range, 5-14 years). Clinical ... | 10/11/2007 | |
| Chromatography of proteins on charge-variant ion exchangers and implications for optimizing protein uptake rates | Intraparticle transport of proteins usually represents the principal resistance controlling their uptake in preparative separations. In ion-exchange chromatography two limiting models are commonly used to describe such uptake: pore diffusion, in which only free protein in the pore lumen contributes ... | 7/21/2007 | |
| Oxford unicompartmental knee replacement literature review | Oxford unicompartmental knee replacement surgery (Biomet Orthopedics, Inc, Warsaw, Ind) provides excellent long-term results according to numerous published series, with 10-year survivorship ranging from 91% to 100% and 15- year survivorship of 93%. Few knee prostheses can rival these results. Most ... | 6/7/2007 | |
| Effect of delayed treatment on open tibial shaft fractures | Open tibial shaft fractures were analyzed retrospectively to determine the effect of treatment timing on infection and nonunion rates. The cases of 77 patients with 81 open tibial shaft fractures were reviewed. Patients were treated with initial wound cleansing and splinting in the emergency departm... | 5/23/2007 | |
| Comparison of intramedullary nailing and external fixation knee arthrodesis for the infected knee replacement | We analyzed knee arthrodesis for the infected total knee replacement (TKR) using two different fixation techniques. Patients undergoing knee arthrodesis for infected TKR were identified and rates of successful fusion and recurrence of infection were compared using Cox proportional hazard models. Eig... | 5/2/2007 | |
| Indications for rotator cuff repair a systematic review | Despite the popularity of surgical repair of rotator cuff tears, literature regarding the indications for and timing of surgery are sparse. We performed a systematic review of the literature to investigate factors influencing the decision to surgically repair symptomatic, full-thickness rotator cuff... | 12/21/2006 | |
| Diabetes-induced changes in the alternative splicing of the slo gene in corporal tissue | CONCLUSIONS: Alternative splicing of the Slo transcript may represent an important compensatory mechanism to increase the ease with which relaxation of corporal tissue may be triggered as a result of a diabetes-related decline in erectile capacity. | 12/8/2006 | |
| Intraoperative fractures of the acetabulum during primary total hip arthroplasty | CONCLUSIONS: Acetabular fracture during primary total hip arthroplasty is a rare complication of acetabular fixation without cement. In the present series, retention of a stable cup was associated with uneventful osseous ingrowth and excellent early-term outcomes. We found a high rate of fracture in... | 9/5/2006 | |
| Femoral neck fractures in pediatric patients 30 years experience at a level 1 trauma center | Femoral neck fractures in children are severe injuries associated with the potentially disastrous complication of femoral head osseous necrosis. Our primary goal was to identify what factors contribute to the occurrence of femoral head osteonecrosis in skeletally immature patients with femoral neck ... | 8/29/2006 | |
| Accuracy of 3-T MRI using fast spin-echo technique to detect meniscal tears of the knee | CONCLUSION: We concluded from this study that 3-T MRI using fast spin-echo sequences is highly accurate in the detection of medial and lateral meniscal tears of the knee. | 6/24/2006 | |
| Testosterone therapy in men with Parkinson disease results of the TEST-PD Study | CONCLUSIONS: Testosterone therapy was generally well tolerated in elderly men with PD and probable testosterone deficiency. While there was no significant difference in the motor and nonmotor scales between the TT and placebo groups at the end of 8 weeks compared with baseline, this may be due to se... | 5/10/2006 | |
| Future innovations in treating advanced prostate cancer | Many novel techniques for the treatment of prostate cancer are being aggressively investigated because prostate cancer is prevalent in the population and the current treatments for advanced prostate cancer are woefully inadequate. Although the current treatment options prolong life, most patients wi... | 4/25/2006 | |
| Hospital cost of dislocation after primary total hip arthroplasty | CONCLUSIONS: Dislocation after primary hip replacement continues to be a prevalent and costly complication that diminishes the cost-effectiveness of an otherwise very successful surgical procedure. | 2/3/2006 | |
| Motor nerve palsy following primary total hip arthroplasty | CONCLUSIONS: Motor nerve palsy is uncommon following primary total hip arthroplasty. A preoperative diagnosis of developmental dysplasia of the hip or posttraumatic arthritis, the use of a posterior approach, lengthening of the extremity, and use of an uncemented femoral implant increased the odds r... | 12/3/2005 | |
| Flexion instability without dislocation after posterior stabilized total knees | Flexion instability after cruciate-retaining total knee arthroplasty has been well documented. We identified an analogous patient group with symptomatic flexion instability without dislocation after primary posterior stabilized total knee arthroplasty. We sought to determine the typical symptoms and... | 10/22/2005 | |
| Screening for extermity arterial injury with the arterial pressure index | Certain extremity injuries presenting to the ED or Trauma Unit warrant increased suspicion for underlying arterial trauma. Such injuries include knee dislocations, displaced medial tibial plateau fractures and other displaced bicondylar fractures around the knee, open or segmental distal femoral sha... | 9/6/2005 | |
| Functional results after revision of well-fixed components for stiffness after primary total knee arthroplasty | Between 1990 and 2001, 16 well-fixed, aseptic, primary total knee arthroplasties were revised in 15 patients for a diagnosis of stiffness. Patients were followed for a mean of 42 months (range, 2-6 years). Of 15 patients, 10 (66%) were satisfied with the results of the procedure. The mean Knee Socie... | 5/21/2005 | |
| Salvage of failed treatment of hip fractures | Typically, patients with failed internal fixation of a hip fracture have marked pain and disability. These patients may present treatment challenges. Salvage is tailored to the anatomic site of the nonunion, the quality of the remaining bone and articular surface, and patient factors such as age and... | 4/27/2005 | |
| Total knee arthroplasty for salvage of failed internal fixation or nonunion of the distal femur | Seventeen patients with a mean age of 66 years had total knee arthroplasty (TKA) performed to salvage failed internal fixation or nonunion of the distal femur. Two patients died at less than 2 years, both of whom were unrevised. The remaining 15 were followed for a mean of 5 years. Three arthroplast... | 4/6/2005 | |
| Wound complications after open Achilles tendon repair an analysis of risk factors | Operative treatment of Achilles tendon ruptures has the risk of wound complications. The purpose of this study is to determine the risk ratio for specific risk factors associated with wound related complications in patients with operatively treated Achilles tendon ruptures. Between 1978 and 2001, 16... | 11/24/2004 | |
| Complications and results of arthroplasty for salvage of failed treatment of malignant pathologic fractures of the hip | The purpose of this study was to evaluate the results and complications of hip arthroplasty done for salvage of failed treatment of pathologic proximal femoral fractures secondary to malignancy. Between 1980 and 2000, 42 patients with a mean age of 63 years were treated with hip arthroplasty to salv... | 11/24/2004 | |
| Systemic safety of high-dose antibiotic-loaded cement spacers after resection of an infected total knee arthroplasty | The purpose of this study was to assess the systemic safety and potential adverse effects of using a high-dose antibiotic-impregnated cement spacer after resection arthroplasty of an infected total knee replacement. Between October 2000 and December 2002, 36 knees (34 patients) had a resection arthr... | 11/24/2004 | |
| Innovations in locking plate technology | Plating techniques remain the mainstay for managing most periarticular and selected long bone fractures. However, movement toward more biologically appropriate plating techniques is occurring in an attempt to minimize soft-tissue stripping, decrease the need for bone grafting, and improve union rate... | 10/12/2004 | |
| Long-term results of total hip arthroplasty for femoral neck fracture nonunion | CONCLUSIONS: Total hip arthroplasty is an effective method for the treatment of nonunion of the femoral neck and provides satisfactory long-term results. However, the rate of implant survival is poorer than that reported in most other studies of Charnley total hip arthroplasty in the general populat... | 10/7/2004 | |
| Operative treatment of femoral neck fractures in patients between the ages of fifteen and fifty years | CONCLUSIONS: The ten-year survival rate of the native femoral head free of conversion to total hip arthroplasty was 85%. Osteonecrosis was the main reason for conversion to total hip arthroplasty, but not all patients with osteonecrosis required further surgery. The results of treatment were influen... | 8/5/2004 | |
| Management of pathologic fractures of the proximal femur state of the art | Metastases to bone are the most common cause of a destructive lesion of the skeleton in an adult. The proximal femur is the most commonly affected bone with metastatic disease in the appendicular skeleton. A systematic approach to patient management is critical, so as to avoid complications that wil... | 8/4/2004 | |
| Nonunion of fractures of the subtrochanteric region of the femur | There are no large clinical series to guide the clinician treating a subtrochanteric nonunion. Deformity, bone loss from previous hardware, and the high stresses in the subtrochanteric region all pose challenges to achieving successful bony union with reoperation. The purpose of this study was to re... | 3/17/2004 | |
| Hepatic subcapsular biloma a rare complication of laparoscopic cholecystectomy and common bile duct exploration | CONCLUSIONS: Hepatic subcapsular biloma is a rare complication of laparoscopic cholecystectomy. Computed tomography is highly sensitive for diagnosing bilomas, and percutaneous drainage procedures are appropriate treatment. Imaging of the biliary tree should be performed early to determine the locat... | 2/20/2004 | |
| Treatment of supracondylar femur nonunions with open reduction and internal fixation | We reviewed a consecutive series of 22 adults with 22 supracondylar femoral nonunions treated with open reduction and internal fixation (ORIF) to determine the results and complications associated with the procedure. Twenty-one of 22 nonunions (95%) healed. Knee Society pain scores improved from 18 ... | 12/5/2003 | |
| Locked fracture dislocation of the calcaneus treated with minimal open reduction and percutaneous fixation a report of two cases and review of the literature | Fractures of the calcaneus with associated locked dislocation of the posterior facet have been previously described. Two patients with a calcaneal fracture with a locked dislocation of a portion of the posterior facet were treated with minimally invasive open reduction and percutaneous screw fixatio... | 11/1/2003 | |
| Results of treatment of infection in both knees after bilateral total knee arthroplasty | CONCLUSION: We believe that treatment of simultaneous infection of both knees after bilateral total knee arthroplasty should consist of bilateral resection arthroplasty and delayed reimplantation after a period of intravenous administration of organism-specific antibiotics. | 10/18/2003 | |
| Open ankle fractures in patients with diabetes mellitus | Complications after surgical treatment of closed ankle fractures in patients with diabetes previously have been well documented. The purpose of this study was to evaluate the union rate, infection rate, and soft tissue complication rate in open ankle fractures in patients with diabetes. Between Janu... | 9/11/2003 | |
| Results of treatment of infected humeral nonunions the Mayo Clinic experience | Between 1987 and 2001, 15 infected humeral nonunions were treated of which nine were distal, four were proximal, and two were midshaft. One patient was lost to followup. The remaining 14 patients were followed up for a mean of 37 months (range, 8-156 months). All patients were treated with debrideme... | 9/11/2003 | |
| Salvage of failed internal fixation of intertrochanteric hip fractures | Most intertrochanteric hip fractures treated with internal fixation heal. If nonunion or early loss of fracture fixation occurs, treatment options include prosthetic replacement and revision internal fixation. The purpose of the current study was to evaluate the results of revision internal fixation... | 7/3/2003 | |
| Placement of half-pins for supra-acetabular external fixation an anatomic study | An alternative location for placement of half-pins during pelvic external fixation is the dense supra-acetabular bone in the region of the anterior-inferior iliac spine. Although these fixators have gained popularity, to the authors' knowledge there are no studies evaluating the potential anatomic r... | 6/5/2003 | |
| Hip arthroplasty for salvage of failed treatment of intertrochanteric hip fractures | CONCLUSIONS: Hip arthroplasty is an effective salvage procedure after the failed treatment of an intertrochanteric fracture in an older patient. Most patients have good pain relief and functional improvement. Calcar-replacement and long-stem implants often are required. Despite the operative challen... | 5/3/2003 | |
| Acute compartment syndrome of the leg following diagnostic electromyography | Acute compartment syndrome of the lower extremity is typically associated with some form of trauma, either fracture or blunt injury. Accurate diagnosis and urgent treatment of this condition is required for preservation of the viability of the limb. We report the case of a 73-year-old man who develo... | 3/14/2003 | |
| A technique for treating periprosthetic fractures of the femur associated with deep prosthetic infection | In this report a case of periprosthetic fracture of the femur associated with deep prosthetic infection after a total hip arthroplasty is treated in a novel way that allows for stabilization of the fracture and the delivery of local antibiotics. The technique allows the surgeon to stabilize the frac... | 3/12/2003 | |
| Intramedullary fixation of diaphyseal femoral fractures in elderly patients analysis of outcomes and complications | The efficacy of intramedullary fixation for diaphyseal femoral fractures in young patients has been well documented. There is a paucity of data, however, on the efficacy of intramedullary techniques used in the ever growing elderly population. The purpose of this study was to analyze the outcomes an... | 2/13/2003 | |
| Temporary external fixation for the management of complex intra- and periarticular fractures of the lower extremity | Complex intra-articular and periarticular fractures of the lower extremity are challenging injuries to treat. Recently, the concept of utilizing a staged approach with temporary external fixation, a delay to allow soft-tissue healing followed by open reduction and internal fixation, has gained popul... | 10/9/2002 | |
| Long-term survivorship of cemented bipolar hemiarthroplasty for fracture of the femoral neck | Cemented bipolar hemiarthroplasty commonly is used to treat displaced fractures of the femoral neck in elderly patients. The purpose of the current study was to review the results and survivorship of 212 bipolar hemiarthroplasties done in 205 patients for acute femoral neck fracture between 1976 and... | 10/3/2002 | |
| Iatrogenic nerve injury in acetabular fracture surgery a comparison of monitored and unmonitored procedures | CONCLUSIONS: The use of intraoperative monitoring did not decrease the rate of iatrogenic sciatic palsy. Further study involving larger prospective, randomized methodology appears warranted. Sciatic nerve injury was more common in ilioinguinal approaches in both groups, likely due to reduction techn... | 4/25/2002 | |
| Minimal versus maximal plate fixation techniques of the ulna the biomechanical effect of number of screws and plate length | CONCLUSIONS: In a cadaveric ulnar osteotomy model stripped of soft tissue, the number of screws is less important than the length of the plate in providing bending strength to the construct. | 3/7/2002 | |
| Elbow arthroscopy in the pediatric and adolescent population | CONCLUSIONS: This series shows that elbow arthroscopy has a safe and effective role in the treatment of selective elbow pathologies in the pediatric and adolescent population when performed by experienced small joint arthroscopists. | 9/6/2001 | |
| Fatal sepsis in a patient with rheumatoid arthritis treated with etanercept | Patients with long-standing, severe, erosive rheumatoid arthritis who have extra-articular manifestations and have undergone joint replacement surgery are at increased risk for serious infection and premature mortality. New therapies, including cytokine antagonists, hold great promise for improving ... | 6/8/2001 | |
| Reverse obliquity fractures of the intertrochanteric region of the femur | CONCLUSIONS: In this series, reverse obliquity fractures accounted for 2% of all hip fractures and 5% of all intertrochanteric and subtrochanteric fractures. Ninety-five-degree fixed-angle internal fixation devices performed significantly better than did sliding hip screws. Results were also worse f... | 5/31/2001 | |
| Results of femoral varus osteotomy in children older than 9 years of age with Perthes disease | We review the results of varus osteotomy in 17 patients older than 9 years of age with 18 hips affected by Perthes disease. Seventeen hips were judged as Catterall 3 or 4, and 14 hips had partial or complete loss of the lateral pillar. At an average follow-up of 10 years (4.2-17.8 years), 3 hips wer... | 3/10/2001 | |
| Long-term survivorship of cemented all-polyethylene acetabular components in patients gt; 75 years of age | Between 1974 and 1982, 132 consecutive hips in 112 patients >75 years of age were treated with primary total hip arthroplasty for osteoarthritis using a cemented all-polyethylene T28 socket and cemented T28 or TR28 stem with a 28-mm head size. At the time of review, 94 patients (110 hips [83%]) had ... | 7/7/2000 | |
| Surgical treatment of pediatric scaphoid fracture nonunions | Scaphoid fractures in the pediatric population are uncommon but can usually be successfully managed with standard immobilization techniques. However, nonunions of pediatric scaphoid wrist fractures have been reported. We present the treatment and outcome of 13 pediatric scaphoid fracture nonunions i... | 3/24/1999 | |
| Meniscal repair in the young athlete | Twenty-nine meniscal repairs in 26 patients 17 years of age or younger were performed using arthroscopic techniques. Clinical follow-up examinations were performed and the SF-36 Health Status Survey and International Knee Documentation Committee evaluation form were administered. A Lysholm score was... | 10/24/1998 | |
| Noninvasive measurement of distal radius instability | Except for subjective clinical criteria, there is no formal definition of distal radius fracture instability in the literature. The purposes of this ex vivo biomechanical study were (1) to provide an objective mechanical definition of fracture instability and (2) to demonstrate a noninvasive method ... | 7/1/1997 | |
| Glenoid version in children | Computed tomographic scans and magnetic resonance images of 111 normal shoulders of children were reviewed to determine the normal glenoid version in the pediatric age population. Glenoid version varies with age in this population. The glenoid is most retroverted during the first 2 years of life (-6... | 9/1/1996 | |
| Nonunion of the scaphoid in children treated by Herbert screw fixation and bone grafting A report of five cases | In children, nonunion of fractures of the waist of the scaphoid is uncommon. Treatment has included bone grafting without internal fixation, bone grafting with Kirschner-wire fixation, and screw fixation without bone grafting. We report the successful use of Herbert screw fixation and iliac-crest bo... | 1/1/1995 | |
| Osteochondroma formation after a Salter II fracture | Osteochondromas are one of the most commonly observed benign bone tumors. Although there have been a number of experimental studies carried out to determine the origin of osteochondromas, their etiology remains a controversial issue. A well-documented case is presented in which a displaced Salter-Ha... | 10/1/1994 | |
| Remodelling of a displaced phalangeal neck fracture | Phalangeal neck fractures are uncommon in children. When these injuries to the proximal and middle phalanges are displaced and not treated operatively the fracture may heal in a malunited position with loss of motion at the IP joint. Remodelling in the area of the phalangeal neck is thought to be re... | 10/1/1994 | |
| Percutaneous pinning in the treatment of displaced lateral condyle fractures | This is a review of a unique group of 12 children with lateral condyle fractures of the distal humerus with displacement of > 2 mm. Intraoperative arthrograms of each elbow demonstrated no articular incongruity associated with minimal rotation of the distal fracture fragment. After closed reduction ... | 7/1/1994 | |
| Distal loss of femoral bone following total knee arthroplasty Measurement with visual and computer-processing of roentgenograms and dual-energy x-ray absorptiometry | The changes in bone-mineral content in the distal aspect of a cadaveric femur that had been prepared for insertion of the femoral component of a total condylar knee prosthesis were evaluated with visual inspection and computer-processing of roentgenograms and with dual-energy x-ray absorptiometry. S... | 1/1/1994 | |
| Spinal injury in sport epidemiologic considerations | Review of previous epidemiologic studies, involving both contact and noncontact sports at all levels of competition ranging from the high school level to the professional level, reveals that the overwhelming majority of sports injuries related to the spine are soft-tissue injuries and self-limiting.... | 7/1/1993 | |
| Mechanical correlates of the third heart sound | In seven chronically instrumented conscious dogs, micromanometers measured left ventricular pressure, and ultrasonic dimension transducers measured left ventricular minor-axis diameter; the latter recording was filtered to examine data between 20 and 100 Hz. Acceptable external heart sounds were rec... | 2/1/1992 | |
| Uncemented press-fit total knee arthroplasty | Nineteen total knee arthroplasties in 16 patients were performed using a new prosthesis designed specifically for uncemented, press-fit fixation without any provision for tissue ingrowth. This design may be suited for use in patients with juvenile rheumatoid arthritis, postseptic knees, failed total... | 12/1/1990 | |
| Bone loss in the distal anterior femur after total knee arthroplasty | Bone loss in the distal anterior femur in asymptomatic total knee arthroplasty (TKA) patients has been noted roentgenographically and during revision surgery. A retrospective roentgenographic review of 147 TKA cases was carried out to document bone loss. The influence that the mode of fixation (poro... | 11/1/1990 | |
| The application of advanced CT imaging and computer graphics methods to reconstructive surgery of the hip | Advanced computed tomographic and computer graphic techniques enhance diagnostic accuracy and offer the means by which three-dimensional operative planning can be achieved. These techniques have been used to diagnose hip pathology, rehearse and evaluate surgical plans, assess postoperative results, ... | 5/1/1989 | |
| Basal cell carcinoma covering 4 of total body surface area | This article documents an extensive basal cell carcinoma, perhaps the largest reported yet in the literature, and describes aspects of the host-tumor relationship observed in this patient. | 3/1/1988 |
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