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Clinical Orthopaedics and related Research

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https://www.readbyqxmd.com/read/28646360/does-the-risk-of-rerevision-vary-between-porous-tantalum-cups-and-other-cementless-designs-after-revision-hip-arthroplasty
#1
Inari Laaksonen, Michelle Lorimer, Kirill Gromov, Ola Rolfson, Keijo T Mäkelä, Stephen E Graves, Henrik Malchau, Maziar Mohaddes
BACKGROUND: Earlier results with porous tantalum acetabular cups in revision THA generally have been favorable. Recently there has been some evidence presented that porous tantalum cups might decrease the risk of rerevision in the setting of revision hip surgery performed owing to prosthetic joint infection (PJI). As the data supporting this assertion come from a study with a limited study population, examining this issue with a large registry approach may be enlightening. QUESTIONS/PURPOSES: By combining results from two large, national registries, we asked: (1) Do porous tantalum cups show improved survival after revision THA compared with other cementless designs? (2) Does the use of porous tantalum cups influence survivorship when rerevision for PJI is the endpoint? METHODS: A total of 2442 first-time THA revisions with porous tantalum cups and 4401 first-time revisions with other uncemented cups were included in this collaborative study between the Australian and Swedish national joint registries...
June 23, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28643079/similar-clinical-outcomes-with-preoperative-and-postoperative-start-of-thromboprophylaxis-in-tha-a-register-based-study
#2
Pål O Borgen, Are H Pripp, Eva Dybvik, Lilian Leistad, Ola E Dahl, Olav Reikerås
BACKGROUND: Elective THA is associated with a high risk of thromboembolic events. Although these events may be less common now than they were in the past, they can be serious, and most patients undergoing the procedure therefore still receive thromboprophylaxis. However, controversy remains regarding whether to begin thromboprophylaxis before THA or after to best balance the risks of clotting and bleeding. QUESTIONS/PURPOSES: We asked the following questions: (1) Is there a difference in bleeding events with pre- versus postoperative thromboprophylaxis? (2) Is there a difference in thromboembolic episodes after THA between the two regimens? (3) How do the two approaches of thromboprophylaxis influence mortality, readmissions, and other complications? METHODS: We used a population-based followup design with predefined data based on international health codification to assess clinical effects of LMWH prophylaxis initiated before or after THA...
June 22, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28643078/on-patient-safety-is-it-possible-to-operate-too-much
#3
Michael J Lee
No abstract text is available yet for this article.
June 22, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28643077/corr-insights-%C3%A2-free-vascularized-fibular-grafting-improves-vascularity-compared-with-core-decompression-in-femoral-head-osteonecrosis-a-randomized-clinical-trial
#4
Anton Plakseychuk
No abstract text is available yet for this article.
June 22, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28634897/the-effect-of-surgical-technique-and-spacer-texture-on-bone-regeneration-a-caprine-study-using-the-masquelet-technique
#5
Viviane Luangphakdy, G Elizabeth Pluhar, Nicolás S Piuzzi, Jean-Claude D'Alleyrand, Cathy S Carlson, Joan E Bechtold, Jonathan Forsberg, George F Muschler
BACKGROUND: The Masquelet-induced-membrane technique is a commonly used method for treating segmental bone defects. However, there are no established clinical standards for management of the induced membrane before grafting. QUESTIONS/PURPOSES: Two clinically based theories were tested in a chronic caprine tibial defect model: (1) a textured spacer that increases the induced-membrane surface area will increase bone regeneration; and (2) surgical scraping to remove a thin tissue layer of the inner induced-membrane surface will enhance bone formation...
June 20, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28634896/cochrane-in-corr-%C3%A2-industry-sponsorship-and-research-outcome
#6
Tahira Devji, Jason W Busse
No abstract text is available yet for this article.
June 20, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28634895/corr-insights-%C3%A2-teaching-the-basics-development-and-validation-of-a-distal-radius-reduction-and-casting-model
#7
Paul E Levin
No abstract text is available yet for this article.
June 20, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28634894/pearls-never-write-a-research-grant-alone
#8
Michelle Ghert
No abstract text is available yet for this article.
June 20, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28631112/risk-of-revision-was-not-reduced-by-a-double-bundle-acl-reconstruction-technique-results-from-the-scandinavian-registers
#9
Cathrine Aga, Jüri-Tomas Kartus, Martin Lind, Stein Håkon Låstad Lygre, Lars-Petter Granan, Lars Engebretsen
BACKGROUND: Double-bundle anterior cruciate ligament (ACL) reconstruction has demonstrated improved biomechanical properties and moderately better objective outcomes compared with single-bundle reconstructions. This could make an impact on the rerupture rate and reduce the risk of revisions in patients undergoing double-bundle ACL reconstruction compared with patients reconstructed with a traditional single-bundle technique. The National Knee Ligament Registers in Scandinavia provide information that can be used to evaluate the revision outcome after ACL reconstructions...
June 19, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28620740/corr-insights-%C3%A2-combined-administration-of-ascs-and-bmp-12-promotes-an-m2-macrophage-phenotype-and-enhances-tendon-healing
#10
Amitabha Lahiri
No abstract text is available yet for this article.
June 15, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28616759/is-dual-semitendinosus-allograft-stronger-than-turndown-for-achilles-tendon-reconstruction-an-in-vitro-analysis
#11
Michael C Aynardi, Lara C Atwater, Roshan Melvani, Brent G Parks, Adrian G Paez, Stuart D Miller
BACKGROUND: Large Achilles tendon defects pose a treatment challenge. The standard treatment with a turndown flap requires a large extensile incision, puts the sural nerve at risk, and demands slow, careful rehabilitation. Dual allograft semitendinosus reconstruction is a new clinical alternative that has the theoretical advantages of a smaller incision, less dissection, and a stronger construct that may allow for faster rehabilitation. QUESTIONS/PURPOSES: In a cadaver biomechanical model, we compared the dual allograft semitendinosus reconstruction with the myofascial turndown in terms of (1) mechanical strength and resistance to deformation and (2) failure mechanisms in reconstruction of large segmental Achilles defects...
June 14, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28616758/does-humeral-component-lateralization-in-reverse-shoulder-arthroplasty-affect-rotator-cuff-torque-evaluation-in-a-cadaver-model
#12
Kevin Chan, G Daniel G Langohr, Matthew Mahaffy, James A Johnson, George S Athwal
BACKGROUND: Humeral component lateralization in reverse total shoulder arthroplasty (RTSA) may improve the biomechanical advantage of the rotator cuff, which could improve the torque generated by the rotator cuff and increase internal and external rotation of the shoulder. PURPOSE: The purpose of this in vitro biomechanical study was to evaluate the effect of humeral component lateralization (or lateral offset) on the torque of the anterior and posterior rotator cuff...
June 14, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28616757/corr-insights-%C3%A2-complete-circumferential-osseous-extension-in-the-acetabular-rim-occurs-regardless-of-acetabular-coverage
#13
J W Thomas Byrd
No abstract text is available yet for this article.
June 14, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28616756/editor-s-spotlight-take-5-readability-of-orthopaedic-patient-reported-outcome-measures-is-there-a-fundamental-failure-to-communicate
#14
EDITORIAL
M Daniel Wongworawat
No abstract text is available yet for this article.
June 14, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28616755/corr-insights-%C3%A2-does-the-fifa-11-injury-prevention-program-reduce-the-incidence-of-acl-injury-in-male-soccer-players
#15
Albert O Gee
No abstract text is available yet for this article.
June 14, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28600690/patients-older-than-40-years-with-unilateral-occupational-claims-for-new-shoulder-and-knee-symptoms-have-bilateral-mri-changes
#16
Tiffany C Liu, Nina Leung, Leonard Edwards, David Ring, Edward Bernacki, Melissa D Tonn
BACKGROUND: Minor events that occur in the workplace sometimes are evaluated with MRI, which may reveal age-related changes in the symptomatic body part. These age-related changes are often ascribed to the event. However, evidence of similar or worse pathophysiology in the contralateral joint would suggest that the symptoms might be new, but the pathophysiology is not. QUESTIONS/PURPOSES: Using a convenience sample of occupational injury claimants with bilateral MRI to evaluate unilateral knee or shoulder symptoms ascribed to a single event at work, we sought to determine whether MRI findings of the shoulder and knee are more often congruent or incongruent with new unilateral symptoms...
June 9, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28600689/value-based-healthcare-preoperative-assessment-and-global-optimization-pass-go-improving-value-in-total-joint-replacement-care
#17
Thomas R Vetter, Lauren M Uhler, Kevin J Bozic
No abstract text is available yet for this article.
June 9, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28597118/corr-insights-%C3%A2-prolotherapy-induces-an-inflammatory-response-in-human-tenocytes-in-vitro
#18
Benjamin K Potter
No abstract text is available yet for this article.
June 9, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28597148/medicolegal-sidebar-resident-physician-liability
#19
Wendy Z W Teo, Lawrence H Brenner, B Sonny Bal
No abstract text is available yet for this article.
June 8, 2017: Clinical Orthopaedics and related Research
https://www.readbyqxmd.com/read/28589334/are-there-differences-in-gait-mechanics-in-patients-with-a-fixed-versus-mobile-bearing-total-ankle-arthroplasty-a-randomized-trial
#20
Robin M Queen, Christopher T Franck, Daniel Schmitt, Samuel B Adams
BACKGROUND: Total ankle arthroplasty (TAA) is an alternative to arthrodesis, but no randomized trial has examined whether a fixed bearing or mobile bearing implant provides improved gait mechanics. QUESTIONS/PURPOSES: We wished to determine if fixed- or mobile-bearing TAA results in a larger improvement in pain scores and gait mechanics from before surgery to 1 year after surgery, and to quantify differences in outcomes using statistical analysis and report the standardized effect sizes for such comparisons...
June 6, 2017: Clinical Orthopaedics and related Research
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