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Iowa Orthopaedic Journal

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https://www.readbyqxmd.com/read/28852371/the-2017-michael-bonfiglio-award-for-student-research-in-orthopaedic-surgery-the-2017-iowa-orthopaedic-society-medical-student-research-award-for-musculoskeletal-research
#1
https://www.readbyqxmd.com/read/28852366/2017-iowa-orthopedic-journal-dedication-dr-ernest-ernie-found
#2
J Lawrence Marsh
No abstract text is available yet for this article.
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852364/2017-ioj-editors-note
#3
EDITORIAL
J J Gholson, Jacob M Elkins
No abstract text is available yet for this article.
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852363/patient-factors-systematically-influence-hospital-length-of-stay-in-common-orthopaedic-procedures
#4
J J Gholson, Nicolas O Noiseux, Jesse E Otero, Yubo Gao, Apurva S Shah
INTRODUCTION: As the United States healthcare system evolves towards improved value delivery, patient outcomes and healthcare costs are increasingly used to evaluate physicians and provider organizations. One such metric is hospital length of stay, which has the potential to be influenced by a variety of patient characteristics and comorbidities. Determining factors influencing length of stay represents an opportunity to increase value in healthcare delivery. METHODS: The American College of Surgeons National Surgical Quality Improvement Program (ACS NSQIP) database (2006-2012) was utilized to identify a cohort of 92,266 patients having one of 14 common orthopaedic procedures...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852362/visual-interpretation-of-plain-radiographs-in-orthopaedics-using-eye-tracking-technology
#5
Jessica Hanley, David Warren, Natalie Glass, Daniel Tranel, Matthew Karam, Joseph Buckwalter
BACKGROUND: Despite the importance of radiographic interpretation in orthopaedics, there not a clear understanding of the specific visual strategies used while analyzing a plain film. Eyetracking technology allows for the objective study of eye movements while performing a dynamic task, such as reading X-rays. Our study looks to elucidate objective differences in image interpretation between novice and experienced orthopaedic trainees using this novel technology. METHODS: Novice and experienced orthopaedic trainees (N=23) were asked to interpret AP pelvis films, searching for unilateral acetabular fractures while eye-movements were assessed for pattern of gaze, fixation on regions of interest, and time of fixation at regions of interest...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852361/the-scarcity-of-orthopaedic-physician-scientists
#6
Joseph A Buckwalter, Jacob M Elkins
Breakthrough advances in medicine almost uniformly result from the translation of new basic scientific knowledge into clinical practice, rather than from assessment, modification or refinement of current methods of diagnosis and treatment. However, as is intuitively understood, those most responsible for scientific conception and creation-scientists - are generally not the ones applying these advances at the patient's bedside or the operating room, and vice versa. Recognition of the scarcity of clinicians with a background that prepares them to develop new basic knowledge, and to critically evaluate the underlying scientific basis of methods of diagnosis and treatment, has led to initiatives including federally funded Physician-Scientist programs, whereby young, motivated scholars begin a rigorous training, which encompasses education and mentorship within both medical and scientific fields, culminating in the conferment of both MD and PhD degrees...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852360/eponymous-instruments-in-orthopaedic-surgery
#7
M Ayodele Buraimoh, Jane Z Liu, Stephen B Sundberg, Michael P Mott
Every day surgeons call for instruments devised by surgeon trailblazers. This article aims to give an account of commonly used eponymous instruments in orthopaedic surgery, focusing on the original intent of their designers in order to inform how we use them today. We searched PubMed, the archives of longstanding medical journals, Google, the Internet Archive, and the HathiTrust Digital Library for information regarding the inventors and the developments of 7 instruments: the Steinmann pin, Bovie electrocautery, Metzenbaum scissors, Freer elevator, Cobb periosteal elevator, Kocher clamp, and Verbrugge bone holding forceps...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852359/have-residents-produced-more-research-since-the-inception-of-the-80-hour-workweek
#8
David M Levy, Timothy J Luchetti, Brett R Levine
BACKGROUND: This study hypothesizes that resident involvement in research has increased since institution of the maximum 80-hour workweek in 2002. METHODS: All 571 papers published in the Journal of Bone and Joint Surgery (JBJS) in 1997 and 2007 (five years before and after the start of the 80-hour workweek) were reviewed. To identify resident authors, a search was performed in the American Board of Orthopaedic Surgery (ABOS) database for any U.S. author with a medical doctorate (MD)...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852358/the-surgical-incidence-to-publication-sip-index-a-novel-equation-used-to-focus-future-research-efforts
#9
Matthew J Kraeutler, Eric C McCarty, Jonathan T Bravman
BACKGROUND: With increased publication rates across all fields of medicine, some research topics become heavily weighted in the literature while other, equally important topics do not receive the same exposure. The purpose of this study is to present a simple equation which can be used to measure the current level of research interest on any particular surgical procedure or medical diagnosis. METHODS: The SIP Index (surgical incidence/ publications) is calculated as shown below, [Formula: see text]where X can be any particular surgical procedure...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852357/influence-of-45s5-bioactive-glass-in-a-standard-calcium-phosphate-collagen-bone-graft-substitute-on-the-posterolateral-fusion-of-rabbit-spine
#10
Andrew J Pugely, Emily B Petersen, Nicole DeVries-Watson, Douglas C Fredericks
INTRODUCTION: Spinal fusion surgery is an effective but costly treatment for select spinal pathology. Historically iliac crest bone graft (ICBG) has remained the gold standard for achieving successful arthrodesis. Given well-established morbidity autograft harvest, multiple bone graft replacements, void fillers, and extenders have been developed. The objective of this study was to evaluate the in vivo efficacy and safety of two mineralized collagen bone void filler materials similar in composition...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852356/detection-of-retained-foreign-objects-in-upper-extremity-surgical-procedures-with-incisions-of-two-centimeters-or-smaller
#11
Josef N Tofte, Lindsey S Caldwell
BACKGROUND: While the true incidence of retained foreign bodies after surgery is unknown, it has been approximated at 1:5,500 operations overall, with substantially less frequency in hand and upper extremity procedures. Despite the rarity of foreign body retention in hand and upper extremity surgery, universal radiofrequency scanning for electronically-tagged sponges and automatic radiographic evaluation for incorrect sponge counts are employed for all surgical procedures at our institution...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852355/how-reliable-is-the-acetabular-cup-position-assessment-from-routine-radiographs
#12
Jaime A Carvajal Alba, Heather K Vincent, Jagdeep S Sodhi, Loren L Latta, Hari K Parvataneni
BACKGROUND: Cup position is crucial for optimal outcomes in total hip arthroplasty. Radiographic assessment of component position is routinely performed in the early postoperative period. AIMS: The aims of this study were to determine in a controlled environment if routine radiographic methods accurately and reliably assess the acetabular cup position and to assess if there is a statistical difference related to the rater's level of training. METHODS: A pelvic model was mounted in a spatial frame...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852354/popliteal-baker-s-cysts-in-the-setting-of-primary-knee-arthroplasty
#13
Josef N Tofte, Andrew J Holte, Nicolas Noiseux
BACKGROUND: Popliteal (Baker's) Cysts are rare complications of knee arthroplasty. Enlargement, irritation, or rupture of the cyst can lead to significant pain, tightness, and tenderness. The literature regarding popliteal cysts occurring following knee arthroplasty is limited and does not report prevalence, natural history, and treatment of popliteal cyst in the setting of knee arthroplasty. METHODS: Following Institutional Review Board approval, 2,025 primary total and partial knee arthroplasties by four surgeons at one institution from 2011-2016 were reviewed for occurrence of popliteal cysts...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852353/management-of-painful-patellar-clunk-and-crepitance-results-at-a-mean-follow-up-of-five-years
#14
J J Gholson, Devon D Goetz, Robert W Westermann, John Hart, John J Callaghan
INTRODUCTION: Painful patellar clunk and crepitance (PCC) is a known complication of total knee arthroplasty (TKA) with posterior-stabilized designs. Arthroscopic management of PCC has been proposed as a treatment option for PCC. METHODS: We reviewed all cases of PCC from a consecutive single-surgeon series using a specific posterior stabilized (PS) design treated with arthroscopy for PCC. In a series of 1,488 TKA cases, forty-six patients (3.1%) were identified to have clinical signs and symptoms of PCC during post-operative clinic follow-up...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852352/closed-and-open-reduction-of-displaced-pediatric-lateral-condyle-humeral-fractures-a-study-of-short-term-complications-and-postoperative-protocols
#15
Caitlin Justus, Lee S Haruno, Mary K Riordan, Lisa Wilsford, Tyler Smith, Shannon Antekeier, Scott D McKay
BACKGROUND: Displaced lateral condyle humeral fractures in children are treated operatively to maximize function and growth of the elbow. Traditionally an open approach is used for reduction of the fracture, but recent series have shown promising results with closed reduction. Percutaneous pins are typically used for fixation, no matter the reduction method. This retrospective review compares our experience with early complications after open and closed reduction of these fractures. METHODS: We retrospectively reviewed charts and radiographs of operatively treated lateral condyle fractures...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852351/rapid-prototyping-3d-model-in-treatment-of-pediatric-hip-dysplasia-a-case-report
#16
Andrew M Holt, Zbigniew Starosolski, J Herman Kan, Scott B Rosenfeld
BACKGROUND: Rapid prototyping is an emerging technology that integrates common medical imaging with specialized production mechanisms to create detailed anatomic replicas. 3D-printed models of musculoskeletal anatomy have already proven useful in orthopedics and their applications continue to expand. CASE DESCRIPTION: We present the case of a 10 year-old female with Down syndrome and left acetabular dysplasia and chronic hip instability who underwent periacetabular osteotomy...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852350/significance-of-pirani-score-at-bracing-implications-for-recognizing-a-corrected-clubfoot
#17
Mansoor Ali Khan, Muhammad Amin Chinoy, Rida Moosa, Syed Kamran Ahmed
BACKGROUND: The aim of clubfoot treatment by Ponseti method is to achieve a corrected foot, with at least 15° dorsiflexion and 70° abduction, and fit comfortably into a brace at the recommended setting. This study aimed to acknowledge the validity and reliability of the Pirani scoring system, while investigating if a corrected clubfoot has a Pirani score of zero. The study hypothesized that a corrected clubfoot may or may not have a Pirani score of zero. METHODS: 706 patients with clubfoot were treated by Ponseti's method of weekly manipulations and casting, from November 2011 to May 2016, at a tertiary care hospital, making a total of 1055 feet...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852349/an-osteological-study-on-the-prevalence-of-osteochondromas
#18
Gregory R Gaumer, Doug S Weinberg, Christopher D Collier, Patrick J Getty, Raymond W Liu
BACKGROUND: Osteochondromas are frequently reported to be the most common benign tumor of bone. However, there is not definitive data on their prevalence rate as they are often clinically silent, with previous studies estimating 1-3%. METHODS: We examined a large osteologic collection of 2954 skeletons to identify likely osteochondromas. One author examined all bones excluding the skull in each skeleton for atypical cortical projections. These candidates were then evaluated by an orthopedic resident and then a fellowship trained pediatric orthopedic surgeon for final inclusion using strict criteria...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852348/lessons-and-advice-from-our-patients-a-focus-group-of-sarcoma-survivors
#19
Jill Kain, Amanda Carlson, Justin Kahler, Julianna Bemboom, Katelyn McDonald, Benjamin Miller
BACKGROUND: Sarcomas are a rare, encompassing a heterogeneous group of malignancies. Success treatment often requires a combination of surgical resection, chemotherapy, and/or radiation. These life-altering interventions can have lasting impact on function and quality-of-life. There is little known about treatment outcomes from the perspective of sarcoma patients. PURPOSE: The initial goal of this investigation was to determine the sources and categories of information patients sought at various time points in their care...
2017: Iowa Orthopaedic Journal
https://www.readbyqxmd.com/read/28852347/marjolin-s-ulcer-of-the-tibia-with-pelvic-lymph-node-metastasis
#20
Craig C Akoh, Justin Chang, Joseph Buckwalter
Marjolin's ulcer, a form of squamous cell carcinoma, is a rare complication of a chronic wound infection. To date, there have not been any detailed reports of lymphatic spread of Marjolin's ulcer from an extremity. This report describes a 44-year old male with a history of an open tibia fracture at age 15, who presented with chronic osteomyelitis, increasing bloody wound drainage, and an enlarging vascular exophytic masses in the region of drainage. Biopsy of the mass showed squamous cell carcinoma. Initial staging with computed tomography (CT) was negative for metastatic disease...
2017: Iowa Orthopaedic Journal
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