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Journal of the American Academy of Orthopaedic Surgeons

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https://www.readbyqxmd.com/read/30106763/femoral-derotation-osteotomy-in-adults-for-version-abnormalities
#1
Robert L Buly, Branden R Sosa, Lazaros A Poultsides, Elaine Caldwell, S Robert Rozbruch
BACKGROUND: Version abnormalities of the femur can cause pain and hip joint damage due to impingement or instability. A retrospective clinical review was conducted on patients undergoing a subtrochanteric derotation osteotomy for either excessive anteversion or retroversion of the femur. METHODS: A total of 55 derotation osteotomies were performed in 43 patients: 36 females and 7 males. The average age was 29 years (range, 14 to 59 years). The osteotomies were performed closed with an intramedullary saw...
August 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30106762/complications-after-pelvic-arteriography-in-patients-with-pelvic-ring-disruptions
#2
Marcel Wiley, Sheena Black, Case Martin, Jonathan Barnwell, Adam Starr, Ashoke Sathy
INTRODUCTION: Pelvic angiography with transcatheter arterial embolization (TAE) is an established intervention for management of pelvic arterial hemorrhage. This study analyzes complication rates after angiography among patients with pelvic trauma treated in the context of a multidisciplinary institutional pelvic fracture protocol. METHODS: Retrospective analysis of prospectively collected data was conducted. Demographics, fracture type, embolization (ie, unilateral versus bilateral and selective versus nonselective), and complications (ie, pseudoaneurysm, renal failure, soft-tissue necrosis/infection, and anaphylactic reactions) were noted...
August 13, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30102651/usefulness-of-culturing-the-periprosthetic-membrane-or-neosynovium-for-the-diagnosis-of-infection-during-hip-and-knee-revision-arthroplasty
#3
Ernesto Muñoz-Mahamud, Ignacio Molinas, Luis Lozano, Jordi Bosch, Laura Morata, Andrés Combalia, Álex Soriano, Guillem Bori
INTRODUCTION: Identification of microorganisms is critical for correct management of an infected arthroplasty. Our hypothesis is that the culture yield depends on the location around the prosthesis from which samples are obtained. METHODS: This prospective study included 298 revisions of the hip (123) and knee (175). We compared the yield of the intraoperative samples obtained, which included synovial fluid (two), neosynovium (two), and periprosthetic membrane (two)...
August 10, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30095516/knee-pain-after-intramedullary-nailing-of-tibia-fractures-prevalence-etiology-and-treatment
#4
Julius A Bishop, Sean T Campbell, Jonathan-James T Eno, Michael J Gardner
Intramedullary nailing is often the treatment of choice for fractures of the tibia, but postoperative knee pain is common after this procedure. Potential etiologies include implant prominence, injury to intra-articular structures, patellar tendon or fat pad injury, damage to the infrapatellar branch of the saphenous nerve, and altered biomechanics. Depending on the etiology, described treatment options include observation, implant removal, assessment and treatment of injured intra-articular structures, and selective denervation...
August 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30095515/use-of-intrawound-antibiotics-in-orthopaedic-surgery
#5
Antonia F Chen, Andrew Fleischman, Matthew S Austin
Intrawound antibiotics have been used in orthopaedic surgery procedures to prevent the development of surgical site infections. Local delivery of antibiotic powder has demonstrated a notable reduction in surgical site infection in rabbit and rodent in vivo models, as well as in other surgical fields, including vascular, colorectal, cardiothoracic, and dermatologic surgery. Intrawound antibiotic powder has been used in many orthopaedic applications, including spine surgery, total joint arthroplasty, trauma, foot and ankle reconstruction, and elbow surgery...
August 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30095514/glenohumeral-osteoarthritis-in-the-young-patient
#6
Bryan M Saltzman, Timothy S Leroux, Nikhil N Verma, Anthony A Romeo
Glenohumeral osteoarthritis in the young patient (aged <60 years) is a difficult condition, given both age and functional demands. Primary osteoarthritis is the most common etiology in this patient demographic, but secondary causes include osteonecrosis, previous trauma (eg, fracture-dislocation), previous infection (eg, septic arthritis), previous capsulorrhaphy, previous arthroscopic surgery (eg, chondrolysis), and glenoid dysplasia. Nonsurgical modalities, including activity modification, pharmacotherapy, physical therapy, and intra-articular injections, are the mainstay of management; however, in young patients who have exhausted nonsurgical management, surgical options include arthroscopic débridement, humeral head replacement with or without glenoid treatment (ie, biologic glenoid resurfacing, glenoid reaming), and total or reverse total shoulder arthroplasty...
August 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30095513/comprehensive-review-of-the-elbow-physical-examination
#7
Matthew V Smith, Joseph D Lamplot, Rick W Wright, Robert H Brophy
Physical examination of the elbow is a critical component in formulating an accurate diagnosis. Various special physical examinations have been described to improve the clinician's ability to establish an accurate diagnosis. A comprehensive approach to the physical examination of the elbow, including special tests, may facilitate improved diagnosis of elbow pathology.
August 8, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30080760/current-concepts-review-evaluation-and-management-of-posterior-hip-pain
#8
Juan Gómez-Hoyos, Robroy L Martin, Hal David Martin
Understanding the etiology of and evolving research on intra- and extra-articular hip complaints requires comprehensive diagnosis and management of the spectrum of posterior hip diseases. Interest in posterior hip disorders has increased in recent years as new studies and theories have emerged regarding the disease process. Although most of the differential diagnoses around the posterior hip have traditionally been considered uncommon, recent reports suggest that these complaints have instead been commonly overlooked...
August 3, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30074512/instability-in-reverse-total-shoulder-arthroplasty
#9
Jonathan Chae, Matthew Siljander, J Michael Wiater
Recently, indications for reverse total shoulder arthroplasty have expanded to include glenohumeral arthritis, rotator cuff arthropathy, irreparable rotator cuff tears, complex proximal humerus fractures, sequelae of trauma, and failed shoulder prostheses. Dislocation is a common complication, with rates ranging from 1.5% to 31%. The literature pertaining to management of instability in reverse total shoulder arthroplasty is scanty. Assessment of the patient and biomechanical and surgical factors is critical in determining the best course of treatment...
August 1, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30063550/reply-to-letter-to-the-editor-motocross-injuries-in-pediatric-and-adolescent-patients
#10
Amy L McIntosh, Christy M Christophersen
No abstract text is available yet for this article.
July 30, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30063549/letter-to-the-editor-motocross-injuries-in-pediatric-and-adolescent-patients
#11
Christopher B Arena, John Alexander Holbert, William L Hennrikus
No abstract text is available yet for this article.
July 30, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30063548/trends-in-all-terrain-vehicle-injuries-from-2000-to-2015-and-the-effect-of-targeted-public-safety-campaigns
#12
Justin E Kleiner, Joey Johnson, Aristides I Cruz
INTRODUCTION: All-terrain vehicles (ATVs) represent a notable portion of orthopaedic injuries presenting to emergency departments (EDs) in the United States. Public awareness campaigns have targeted these injuries, and this study sought to examine the effect of the 2007 American Academy of Orthopaedic Surgeons public safety campaign on ATV use. METHODS: The United States Consumer Product Safety Commission National Electronic Injury Surveillance System (NEISS) was used to obtain national estimates of ATV and dirt bike injuries for the years 2000 to 2015...
July 30, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30063547/assessment-of-bone-healing-during-antegrade-intramedullary-rod-femur-lengthening-using-radiographic-pixel-density
#13
Ettore Vulcano, Jonathan S Markowitz, Shabaz Ali, Joseph Nguyen, Austin T Fragomen, S Robert Rozbruch
INTRODUCTION: Premature full weight bearing after femur lengthening can lead to implant failure, telescopic nail shortening, and regenerate fracture. This study aimed at performing a retrospective analysis of the correlation between pixel density ratio (PDR) calculations and clinical readiness for weight bearing in patients undergoing intramedullary nail-mediated femoral distraction osteogenesis. METHODS: Thirty-two patients who underwent antegrade femur lengthening were included in this study...
July 30, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30059395/management-of-sacroiliac-joint-pain
#14
Gary L Schmidt, Amit K Bhandutia, Daniel T Altman
Sacroiliac joint (SIJ)-based pain can be difficult to diagnose definitively through physical examination and conventional radiography. A fluoroscopically guided injection into the SIJ can be both diagnostic and therapeutic. The initial phase of treatment involves nonsurgical modalities such as activity modification, use of a sacroiliac (SI) belt, NSAIDs, and physical therapy. Prolotherapy and radiofrequency ablation may offer a potential benefit as therapeutic modalities, although limited data support their use as a primary treatment modality...
July 27, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/30036217/methicillin-resistant-staphylococcus-aureus-swab-results-did-not-change-treatment-or-outcome-in-pediatric-spinal-fusion-patients
#15
Ena Nielsen, Lindsay M Andras, Liam R Harris, David L Skaggs
INTRODUCTION: The aim of this study was to investigate whether preoperative methicillin-resistant Staphylococcus aureus (MRSA) swab results were predictive of surgical site infections (SSIs) in pediatric patients who have undergone spinal fusion. METHODS: We conducted a retrospective chart review of patients who underwent posterior spinal fusion between 2004 and 2014 to determine preoperative MRSA colonization status and SSI rates and organisms. Before October 1, 2012, we administered vancomycin to the patients for infection prophylaxis; beginning October 1, 2012, patients received ceftazidime and Ancef (cefazolin for injection; GlaxoSmithKline)...
July 20, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29985247/reply-to-the-letter-to-the-editor-compliance-with-the-american-academy-of-orthopaedic-surgeons-guidelines-for-treatment-of-osteoarthritis-of-the-knee-a-survey-of-the-american-association-of-hip-and-knee-surgeons
#16
Victor Carlson, Alvin Ong, Fabio Orozco, Victor Hernandez, Rex Lutz, Zachary Post
No abstract text is available yet for this article.
July 2, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29985245/letter-to-the-editor-compliance-with-the-aaos-guidelines-for-treatment-of-osteoarthritis-of-the-knee-a-survey-of-the-american-association-of-hip-and-knee-surgeons
#17
Andrew I Spitzer, Jack M Bert
No abstract text is available yet for this article.
July 2, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29969109/thumb-basal-joint-arthritis
#18
Arnold-Peter C Weiss, Avi D Goodman
The thumb basal joint is the second most common site of osteoarthritis in the hand, and osteoarthritis of this joint can contribute to painful movement and debilitating function. To achieve a high degree of prehensile and manipulative function, this highly mobile joint is constrained by both the saddle morphology of the trapezium and a stout complement of ligamentous constraints. The disease proceeds progressively with several wear patterns. Substantial new biomechanical and longitudinal clinical studies have changed some of the prevailing opinions on the process of serial degenerative changes...
August 15, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29958234/management-of-anterior-cruciate-ligament-injuries-in-adults-aged-40-years
#19
Matthew J Salzler, Justin Chang, John Richmond
Management of anterior cruciate ligament (ACL) injuries in adults aged >40 years has received increased attention in the literature because of an increase in the functional demands of aging athletes. Multiple structural and biomechanical age-dependent changes exist in the ACL, for example, fewer mesenchymal stem cells, decreased healing potential, decreased structural organization, decreased stiffness, and a decreased load to failure with age. As in younger patients, ACL insufficiency can predispose an older patient to the same risks of recurrent instability, meniscal and chondral injury, and osteoarthritis...
June 27, 2018: Journal of the American Academy of Orthopaedic Surgeons
https://www.readbyqxmd.com/read/29952784/diagnosis-and-treatment-of-carpal-tunnel-syndrome-in-low-prevalence-circumstances
#20
Jennifer F Waljee, David Ring
No abstract text is available yet for this article.
June 26, 2018: Journal of the American Academy of Orthopaedic Surgeons
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