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Instructional Course Lectures

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https://www.readbyqxmd.com/read/28594538/getting-research-published-and-achieving-the-highest-impact-factor
#1
Dia Eldean Giebaly, Fares S Haddad
High-quality surgical clinical trials are fundamental to the delivery of evidence-based orthopaedics; however, fewer than 1% of patients who undergo surgery worldwide are enrolled in surgical clinical trials. Advances in orthopaedic surgery depend on the creativity and innovation of researchers who investigate, develop, and execute local, national, and international surgical clinical trials, all of which will ultimately affect surgical practice and patient care. Surgeons should understand the challenges of surgical clinical trials, including identifying important research questions; getting support for ideas; establishing clinical research networks; collecting, collating, and analyzing data; as well as getting research published and achieving the highest impact factor...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594537/surgeon-patient-communication-disclosing-unanticipated-medical-outcomes-and-errors
#2
Michael R Marks
The disclosure of unanticipated medical outcomes and errors is essential as physicians strive to create a safer, higher quality healthcare delivery system. Physicians and other healthcare providers should use an organized approach to guide the disclosure of unanticipated medical outcomes and errors. An expression of sympathy or an apology on behalf of a physician depends on whether the medical outcome or error occurred after appropriate care (maloccurrence) or there was a deviation from the standard of care (malpractice)...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594536/surgeon-patient-communication-the-key-to-patient-satisfaction-patient-centered-care-and-shared-decision-making
#3
Dwight W Burney Iii
The surgeon-patient relationship is rapidly evolving from surgeon-centric to patient-centric. External forces, such as the Affordable Care Act and the unsustainable growth of healthcare costs in the United States, have disrupted the old model of medical care. Effective communication between surgeons and patients as well as patient satisfaction, treatment adherence, and shared decision making are essential components of the patient-centered care paradigm. Effective communication carries high stakes for surgeons, including increased surgeon satisfaction and a reduced risk of surgeon burnout and malpractice litigation...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594535/collaborative-orthopaedic-research-between-and-within-institutions
#4
Brian R Wolf, Nikhil N Verma, Kurt P Spindler, Rick W Wright
Collaborative research is common in many medical disciplines; however, the field of orthopaedics has been relatively slow to adopt this type of research approach. Collaborative research efforts can occur between multiple institutions and, in some instances, may benefit from subspecialty society sponsorship. Collaborative research efforts between several research spheres within a single institution also can be advantageous. Collaborative research has many benefits, including a larger number of patients in studies, more power in the research, and better generalizability...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594534/patient-reported-outcome-metrics-in-total-joint-arthroplasty
#5
Adam Rana, Shaleen Vira
The Patient Protection and Affordable Care Act includes several provisions that focus on improving the delivery of health care in the United States. Reducing overall healthcare costs and improving the quality of care delivered are two overarching themes of the Patient Protection and Affordable Care Act. An evaluation of quality in total joint arthroplasty focuses on three main areas: complications, readmissions, and, more recently, patient-reported outcomes. Patient-reported outcomes allow surgeons and patients to objectively document pain relief and functional gain after total joint arthroplasty...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594533/implementation-of-teamstepps-in-orthopaedic-surgery
#6
Harpal S Khanuja, Zan A Naseer, Lynne C Jones, James R Ficke, Dwight W Burney Iii
An Institute of Medicine report published in 2000 brought attention to the devastating consequences of medical errors. The report estimated that 98,000 deaths occurred in US hospitals each year as a result of medical errors and spawned investigations into factors that are associated with medical errors as well as strategies to avoid them. Taking cues from high-reliability organizations, such as the airline industry, evidence-based tools were developed to minimize human risk factors and foster teamwork, communication, and other skills that are essential to patient safety and quality...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594532/what-s-wrong-with-the-bone-an-overview-of-metabolic-and-neoplastic-bone-conditions
#7
Richard L McGough, Michael P Mott, Kristy Weber
The evaluation of any orthopaedic condition often begins with obtaining plain radiographs. Fortuitously, plain radiographs provide surgeons with direct information on the biologic activity and, therefore, the aggressiveness of any bone lesion. More advanced imaging modalities may fail to elucidate the problem and may even obscure the diagnosis. The accurate interpretation of the aggressiveness of a bone lesion on plain radiographs is the first step in establishing a differential diagnosis for any bone lesion and, often, may result in a correct diagnosis without the need for additional imaging studies...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594531/soft-tissue-tumors-a-pictorial-and-case-based-guide-to-diagnosis-and-management
#8
Valerae O Lewis, Adam S Levin, Ginger E Holt, Timothy A Damron, Scott D Weiner, Carol D Morris
General orthopaedic surgeons must learn how to appropriately evaluate patients with soft-tissue masses who present at their office. Although the incidence of benign soft-tissue sarcomas substantially outnumbers that of malignant soft-tissue sarcomas, the mismanagement of soft-tissue tumors markedly increases a patient's morbidity. The appropriate use of imaging modalities helps general orthopaedic surgeons accurately diagnose a soft-tissue mass, initiate appropriate management of a soft-tissue mass, and gain a better understanding of which patients with soft-tissue lesions should be referred to an orthopaedic oncologist...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594530/key-concepts-of-musculoskeletal-infection
#9
Scott B Rosenfeld, Lawson A Copley, Megan Mignemi, Thomas An, Michael Benvenuti, Jonathan Schoenecker
Over the past few decades, musculoskeletal infections have increased in both incidence and severity. The clinical manifestations of musculoskeletal infections range from isolated osteomyelitis to multisite infections with systemic complications. Although this increased incidence of musculoskeletal infections correlates with the increased incidence of methicillin-resistant Staphylococcus aureus infections, other nonresistant infectious organisms have been associated with severe musculoskeletal infections; this finding supports the likelihood that an antibiotic resistance profile is not a major factor in bacterial virulence...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594529/concussion-in-sports-what-do-orthopaedic-surgeons-need-to-know
#10
Patrick J Cahill, Christian Refakis, Eileen Storey, William C Warner
A concussion is a relatively common sports-related injury that affects athletes of all ages. Although not expected to replace sports medicine physicians and neurologists with regard to the management of concussions, orthopaedic surgeons, particularly those who are fellowship-trained in sports medicine, must have a current knowledge base of what a concussion is, how a concussion is diagnosed, and how a concussion should be managed. Orthopaedic surgeons should understand the pathophysiology, assessment, and management of concussion so that they have a basic comprehension of this injury that is at the forefront of the academic literature and North American media...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594528/international-perspective-on-revision-anterior-cruciate-ligament-reconstruction-what-have-we-been-missing
#11
Mohammad Humza Ansari, Steven Claes, Daniel C Wascher, Philippe Neyret, Michael J Stuart, Aaron J Krych
Primary anterior cruciate ligament (ACL) reconstruction is a common orthopaedic procedure. A graft failure rate of 5% to 10% after primary ACL reconstruction has resulted in an increased need for revision ACL reconstruction. ACL reconstruction failure etiologies include trauma, technical errors, and biologic factors. Based on the current literature, the outcomes of revision ACL reconstruction are clearly inferior compared with those of primary reconstruction. A thorough patient evaluation, including surgical history, a physical examination, and imaging studies, is crucial in the assessment of a failed ACL reconstruction...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594527/management-of-patellofemoral-arthritis-from-cartilage-restoration-to-arthroplasty
#12
Brian A Mosier, Elizabeth A Arendt, Diane L Dahm, David Dejour, Andreas H Gomoll
The management of patellofemoral cartilage lesions is controversial and should begin with a comprehensive nonsurgical treatment plan. Patients with patellofemoral cartilage lesions in whom nonsurgical treatment fails may be candidates for surgical treatment. Surgical treatment strategies for the management of patellofemoral cartilage lesions are guided by the size, quality, and location of the defect. Recent advancements in cartilage restoration and arthroplasty techniques as well as appropriate patient selection and meticulous surgical technique have resulted in promising outcomes for patients with patellofemoral cartilage lesions who undergo surgical treatment...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594526/the-four-most-common-types-of-knee-cartilage-damage-encountered-in-practice-how-and-why-orthopaedic-surgeons-manage-them
#13
Brian J Chilelli, Brian J Cole, Jack Farr, Christian Lattermann, Andreas H Gomoll
Cartilage damage of the knee is common and may present in patients as a variety of symptoms. These conditions can be classified based on location, etiology, and/or pathophysiology. A systematic approach to the evaluation and classification of chondral injuries helps improve definitive management. The four most common types of knee cartilage damage are osteochondritis dissecans, incidental chondral defects, patellofemoral defects, and defects encountered after meniscectomy.
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594525/update-in-pediatric-musculoskeletal-infections-when-it-is-when-it-isn-t-and-what-to-do
#14
Alexandre Arkader, Christopher M Brusalis, William C Warner, James H Conway, Kenneth Noonan
Musculoskeletal infections, including osteomyelitis, septic arthritis, and pyomyositis, are a substantial cause of morbidity in children and adolescents. The increased virulence of infectious agents and the increased prevalence of antimicrobial-resistant pathogens, particularly methicillin-resistant Staphylococcus aureus, have resulted in a more complicated clinical course for diagnosis and management, which is evidenced by an increased length of hospital stays, incidence of complications, and number of surgical interventions...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594524/adolescent-idiopathic-scoliosis-update-on-bracing-surgical-techniques-and-patient-safety
#15
Venu M Nemani, Laurel C Blakemore, Lori A Karol, Daniel W Green, Roger F Widmann
The primary goal in the management of adolescent idiopathic scoliosis is to prevent the progression of spinal deformity either with the use of a brace or with surgery. The goals of surgery, if indicated, are to correct the spinal deformity safely and to preserve overall spinal balance and as many motion segments as possible, which maximizes the long-term health of a patient's spine. Recently, tremendous advances have been made in the surgical techniques that are used to correct adolescent idiopathic scoliosis, and improved tools have allowed surgeons to perform spinal deformity surgery as safely and with as few complications as possible...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594523/congenital-scoliosis-a-case-based-approach
#16
Frances A Farley, Laurel C Blakemore
Congenital scoliosis is lateral curvature of the spine caused by vertebral anomalies. Congenital scoliosis is associated with congenital anomalies of other organ systems. Traditionally, treatment options for patients with congenital scoliosis focused on posterior spinal fusion. Current surgical treatment options for young children include growing rods, vertical expandable prosthetic titanium ribs, and, most recently, magnetic rods. Hemivertebrae resection is an important early treatment option for patients who have a hemivertebra...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594522/skeletally-immature-anterior-cruciate-ligament-injuries-controversies-and-management
#17
Shital N Parikh, Bradley P Jaquith, Christopher M Brusalis, Lauren H Redler, Theodore J Ganley, Mininder S Kocher
At one time, anterior cruciate ligament (ACL) tears in skeletally immature patients were considered rare. The recommended treatment option for skeletally immature patients with ACL tears was to modify activities until skeletal maturity, at which point definitive ACL reconstruction could be safely performed. The management of ACL tears in skeletally immature patients has evolved as a result of the increased frequency of ACL tears in younger patients and an increased awareness for the potential development or worsening of meniscal tears, chondral lesions, and degenerative changes that occur with the "wait-and-fix-later" approach...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594521/pediatric-distal-radius-fractures
#18
Karan Dua, Joshua M Abzug, Andrea Sesko Bauer, Roger Cornwall, Theresa O Wyrick
Distal radius fractures are the most common orthopaedic injury that occur in the pediatric population. The annual incidence of distal radius fractures has increased as a result of earlier participation in sporting activities, increased body mass index, and decreased bone mineral density. Most distal radius fractures are sustained after a fall onto an outstretched arm that results in axial compression on the extremity or from direct trauma to the extremity. Physeal fractures of the distal radius are described based on the Salter-Harris classification system...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594520/pediatric-metacarpal-fractures
#19
Jenna Godfrey, Roger Cornwall
Metacarpal fractures account for 10% to 35% of all pediatric hand fractures. Pediatric metacarpal fractures commonly occur in patients aged 13 to 16 years, with most injuries sustained during sports activities. Pseudoepiphyses can be confused with metacarpal fractures; however, a careful physical examination can help physicians distinguish the two. Thumb metacarpal base fractures that involve the physis warrant special attention. Thumb metacarpal base fractures with lateral metaphyseal fragments and pediatric Bennett fracture variants (Salter-Harris type III and type IV fractures) are unstable and require surgical management...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28594519/pediatric-scaphoid-fractures
#20
Beverlie Ting, Andrea Sesko Bauer, Joshua M Abzug, Roger Cornwall, Theresa O Wyrick, Donald S Bae
Scaphoid fractures are the most common type of carpal injuries that occur in children and adolescents. The injury pattern seen in children and adolescents who have scaphoid fractures has recently shifted to resemble that of adults who have scaphoid fractures, with scaphoid waist fractures being the most common injury pattern. This shift has been attributed to increased body mass index in children and adolescents as well as more intense participation in extreme sports by both children and adolescents. The diagnosis of scaphoid fractures is based on both a clinical examination and radiographic fi ndings...
February 15, 2017: Instructional Course Lectures
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