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Journal of Surgical Orthopaedic Advances

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https://www.readbyqxmd.com/read/28644124/scapulothoracic-joint-dysfunction
#1
Joseph Ugorji, Stephen J Pomeranz
Scapulothoracic derangements are often overlooked and hidden within the clinical fog created by complex back, shoulder, and rib symptoms. This study reviewed 200 magnetic resonance imaging and computed tomography studies dedicated for scapular imaging between January 2010 and May 2016. This article discusses scapulothoracic pathologies and imaging findings.
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644123/pin-malposition-in-external-fixator-stabilization-of-combat-related-pelvic-fractures
#2
Mark P Coseo, Dustin J Schuett, Kevin M Kuhn, Joseph Bellamy
The purpose of this study was to compare the accuracy of pin placement in patients with unstable pelvic fractures undergoing either iliac crest or supra-acetabular external fixation. A retrospective review was performed of computed tomography (CT) scans and injury characteristics for all patients presenting to a North Atlantic Treaty Organization Medical Treatment Facility with data entered into the Department of Defense Trauma Registry from January 2008 to October 2013 who underwent pelvic external fixation for unstable pelvic ring injuries...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644122/fluoroscopic-exposure-with-use-of-mini-c-arm-during-routine-hand-surgery-a-prospective-comparison-of-hand-versus-eye-radiation-dosage
#3
Mark L Wang, C Edward Hoffler, Asif M Ilyas, Pedro K Beredjiklian, Charles F Leinberry
Radiation exposure with use of intraoperative fluoroscopy is a potential orthopedic occupational risk factor. The purpose of this study was to perform a prospective comparison of hand versus eye radiation exposure associated with mini-C-arm utilization and to test the hypothesis that routine mini-C-arm does not yield hand or eye dosages exceeding current recommended levels. Over a 12-month period, hand and eye radiation exposure was prospectively measured in a single board-certified hand surgeon using mini-C-arm fluoroscopy...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644121/intercondylar-fractures-of-the-distal-humerus-in-patients-younger-than-20-years-capsulectomy-results
#4
W Andrew Eglseder, Ebrahim Paryavi
Few reports in the literature have been dedicated to young patients with distal fractures of the humerus, and few have addressed subsequent indications to improve range of motion (ROM). This article is a retrospective review of the elbow flexion-extension ROM in 31 patients (age, 12-19 years) who had been treated with open reduction and internal fixation of intercondylar fractures of the distal humerus at a level I trauma center from 1991 through 2013. The ROM of patients who underwent capsulectomy was compared with that of those who did not...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644120/a-process-improvement-evaluation-of-sequential-compression-device-compliance-and-effects-of-provider-intervention
#5
Jason A Beachler, Chad A Krueger, Anthony E Johnson
This process improvement study sought to evaluate the compliance in orthopaedic patients with sequential compression devices and to monitor any improvement in compliance following an educational intervention. All non-intensive care unit orthopaedic primary patients were evaluated at random times and their compliance with sequential compression devices was monitored and recorded. Following a 2-week period of data collection, an educational flyer was displayed in every patient's room and nursing staff held an in-service training event focusing on the importance of sequential compression device use in the surgical patient...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644119/damage-control-plating-in-open-tibial-shaft-fractures-a-cheaper-and-equally-effective-alternative-to-spanning-external-fixation
#6
Paul S Whiting, Phillip M Mitchell, Aaron M Perdue, Arnold J Silverberg, Sarah E Greenberg, Rachel V Thakore, Vasanth Sathiyakumar, Hassan R Mir, William T Obremskey, Manish K Sethi
The purpose of this study was to evaluate damage control plating (DCP) as an alternative to external fixation (EF) in the provisional stabilization of open tibial shaft fractures. Through retrospective analysis, the study found 445 patients who underwent operative fixation for tibial shaft fractures from 2008 to 2012. Twenty patients received DCP or EF before intramedullary nailing with a minimum follow-up of 3 months. Charts and radiographs were reviewed for postoperative complications. Hospital charges were reviewed for implant costs...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644118/insurance-mandated-stay-prolongs-hospitalization-following-total-shoulder-arthroplasty
#7
Krysten M Bell, Mark E Mildren, Montri D Wongworawat, Torrey Parry, Christopher M Jobe, Wesley P Phipatanakul
Medicare currently requires a 3-night hospitalization for a patient to be considered for skilled nursing facility (SNF) placement. The purpose of this study was to analyze the relationship between length of stay and (a) insurance status and (b) readmission rates in Medicare-age patients undergoing primary total shoulder arthroplasty. A retrospective review of 251 primary consecutive total shoulder arthroplasty cases was performed. In patients discharged to SNF, Medicare insurance was associated with a significantly longer hospital stay (p < ...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644117/reverse-total-shoulder-arthroplasty-for-complex-three-and-four-part-proximal-humerus-fractures-in-elderly-patients-a-review
#8
George F Lebus V, Hassan R Mir, Brandon D Bushnell
Complex proximal humerus fractures in elderly patients represent a difficult problem for orthopaedic surgeons. Classically, treatment methods have included nonoperative management, open reduction and internal fixation, and hemiarthroplasty. Outcomes of nonoperative management for these complex fractures have been poor, and results of traditional operative techniques are variable at best. Over the past several years, reverse total shoulder arthroplasty (RTSA) has been increasingly employed in these injuries with encouraging results...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/28644116/axillary-intraneural-ganglion-cysts
#9
Kartik G Krishnan, Nikhil K Prasad, Kimberly K Amrami, Paul J Kurtin, Robert J Spinner
Aside from affecting the stability of the glenohumeral joint, tears in the joint capsule can give rise to extraneural (paralabral) and, very rarely, intraneural ganglion cysts. This report presents the first two cases of axillary intraneural ganglion cysts in the literature with magnetic resonance imaging. Both cases were incidentally noted to have coexisting lesions (lymphadenopathy from an undifferentiated malignancy and suprascapular nerve entrapment, respectively). This report reinforces the applicability of the articular theory for intraneural ganglion cysts at a novel site...
2017: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518300/ponseti-casting-technique-using-the-flags
#10
Anil Agarwal, Abbas Shaharyar, Anubrat Kumar, Mohd Shafi Bhat
Ponseti casts for congenital clubfoot are generally removed in the clinics by soaking and unwrapping them. It is often difficult to find the plaster bandage edge for unwrapping it. The use of flags at cast ends can ease this problem.
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518299/obtaining-volar-tilt-in-distal-radius-fixation-use-of-a-screw-as-a-proximal-post
#11
B Collier Watson, Benjamin C Taylor, Adam Madsen, Freddie D Persinger, Andy R Malarkey
Volar plating of distal radius fractures was introduced as a means to circumvent some of the issues with dorsal-based plating but has been shown not to be a complete panacea, as other advantages and challenges have subsequently been discovered. Careful attention and proper technique must be utilized to restore and maintain volar tilt. This study reports a technique of using a locking screw as a proximal peg to reliably obtain the volar tilt in a simple fashion.
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518298/complex-regional-pain-syndrome
#12
REVIEW
Hale Ersoy, Stephen J Pomeranz
Complex regional pain syndrome (CRPS) is a neurological disorder producing peripheral neurogenic inflammatory process in hands and feet distal to injury, which may lead to severe disability. Symptoms are often out of proportion to the initiating event and not limited to a single peripheral nerve. There is no gold standard in diagnosis of this entity, and a multidisciplinary approach is necessary for proper diagnosis. Magnetic resonance imaging (MRI) is one of the most useful diagnostic modalities in early stages of CRPS (when clinical diagnosis is most difficult), the most desirable time to diagnose this disorder to expedite treatment and improve function...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518297/arthroscopic-release-of-adhesive-capsulitis-of-the-shoulder-complicated-with-shoulder-dislocation-and-brachial-plexus-injury
#13
Fiesky A Nunez, Anastasios Papadonikolakis, Zhongyu Li
The incidence of brachial plexus injury after shoulder dislocation or arthroscopic shoulder surgery is low. Complex regional pain syndrome (CRPS) is an uncommon but painful condition that can develop after nerve injury. Historically, CRPS has been difficult to treat and therapeutic efforts are sometimes limited to ameliorating symptoms. However, if a dystrophic focus can be identified, the condition can be addressed with surgical exploration for potential neurolysis or nerve repair. The present article reports on a case of type II CRPS that developed in the postoperative setting of arthroscopic shoulder surgery complicated with simple shoulder dislocation...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518296/occupational-impact-of-multilevel-cervical-disease-treated-with-hybrid-cervical-disc-arthroplasty-in-active-duty-military-population
#14
Andrew Cleveland, Josh Herzog, Pedro Caram
This article evaluates the techniques, results, and complications of hybrid cervical disc arthroplasty in a high-demand military population. Emphasis is on the occupational impact and return to duty outcomes. This article is a case series with prospective follow-up of 30 hybrid cervical disc arthroplasty patients from the authors' institution. Average follow-up was 16.1 months. Average patient age was 39.7 years. Noncommissioned officer was the most common military rank. Cervical disc arthroplasty at C5/6 with fusion at C6/7 was the most common procedure (21/30)...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518295/american-society-of-anesthesiologists-score-as-a-predictive-tool-to-optimize-blood-ordering-for-intraoperative-transfusion-in-orthopaedic-trauma-cases
#15
Vasanth Sathiyakumar, Dagoberto Estevez-Ordonez, Rachel V Thakore, Young M Lee, Jesse M Ehrenfeld, William T Obremskey, Manish K Sethi
The objective of this study was to determine the clinical factors that are predictors for intraoperative transfusion in orthopaedic trauma patients. A retrospective chart review of patients admitted to a level I trauma center with isolated fractures was conducted. Variables such as gender, height, weight, body mass index, American Society of Anesthesiologists (ASA) classification, and medical comorbidities were assessed to determine likelihood of blood transfusion. A total of 1819 patients with isolated fractures were identified...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518294/effect-of-malnutrition-and-morbid-obesity-on-complication-rates-following-primary-total-joint-arthroplasty
#16
P Maxwell Courtney, Joshua C Rozell, Christopher M Melnic, Neil P Sheth, Charles L Nelson
The purpose of this study is to identify any association between malnutrition and morbid obesity and determine if either independently increases complications following primary total joint arthroplasty (TJA). The study retrospectively reviewed a series of 670 patients who underwent primary TJA at a single institution. Patients were categorized as malnourished if their preoperative serum albumin was <3.5 mg/dL and morbidly obese if their body mass index was >40 kg/m(2). Of the 670 patients in the study, 83 patients were malnourished (12...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518293/balance-assessment-in-sports-related-concussion-evaluating-test-retest-reliability-of-the-equilibrate-system
#17
Mitchell J Odom, Young M Lee, Scott L Zuckerman, Rachel P Apple, Theodore Germanos, Gary S Solomon, Allen K Sills
This study evaluated the test-retest reliability of a novel computer-based, portable balance assessment tool, the Equilibrate System (ES), used to diagnose sports-related concussion. Twenty-seven students participated in ES testing consisting of three sessions over 4 weeks. The modified Balance Error Scoring System was performed. For each participant, test-retest reliability was established using the intraclass correlation coefficient (ICC). The ES test-retest reliability from baseline to week 2 produced an ICC value of 0...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518292/military-orthopaedic-trauma-registry-quality-data-now-available
#18
Jessica C Rivera, Renee M Greer, Joseph C Wenke, James R Ficke, Anthony E Johnson
The Military Orthopaedic Trauma Registry (MOTR) orginally began as part of the Department of Defense Trauma Registry (DoDTR) and became a live registry in 2013. As a quality improvement process, this study examined MOTR data for 20 female amputees compared with DoDTR data. The DoDTR provided diagnosis and procedure codes as a list but no details. The MOTR provided additional data, including specific limb, fracture classifications, and associated injuries per limb. The MOTR allowed for construction of a treatment time line for each limb, including number and timing of debridements, antibiotics, and implant types...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518291/southern-orthopaedic-association-abstract-publication-rate
#19
Mark Adam Tait, Cara Petrus, C Lowry Barnes
The purpose of this study was to determine the publication rate of manuscripts presented at the Southern Orthopaedic Association's (SOA) annual meetings. An extensive literature search was performed using Google Scholar and PubMed search engines and all accepted abstracts (posters or podium presentations) presented at an SOA annual meeting from 2005 to 2011 were evaluated. A total of 568 abstracts were presented at SOA meetings between 2005 and 2011. Of these, 234 (41%) were published in the peer-reviewed literature...
2016: Journal of Surgical Orthopaedic Advances
https://www.readbyqxmd.com/read/27518290/computed-tomography-based-software-safely-guides-anterograde-percutaneous-anterior-and-posterior-column-acetabular-screws
#20
Soham Banerjee, Adam J Starr, Rahul Banerjee
The objective of this study was to develop three-dimensional (3-D) modeling software to generate the optimal individualized starting points and pathways for anterior and posterior column screws. In this cross-sectional study, 95 consecutive patients from a level I trauma center with noncontrast pelvis computed tomography (CT) images without displaced acetabular fractures were studied. A Java-based program was designed that generated a 3-D graph of pelvic bones and a list was compiled of every potential anterograde anterior and posterior column screw that exited distal to the acetabulum, eliminating screws that did not safely remain within the cortex...
2016: Journal of Surgical Orthopaedic Advances
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