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HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery

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https://www.readbyqxmd.com/read/28983226/immunoglobulin-g4-related-aortitis-a-clinical-pathology-conference-held-by-the-division-of-rheumatology-at-the-hospital-for-special-surgery
#1
Ozan Unlu, Elizabeth Schulman, Steven D Wolff, Navneet Narula, John H Stone, Anne Bass, Doruk Erkan
No abstract text is available yet for this article.
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983225/revision-achilles-reconstruction-with-hamstring-autograft-and-fhl-tendon-transfer-in-an-athlete
#2
Sydney C Karnovsky, Mark C Drakos
No abstract text is available yet for this article.
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983224/arthroscopic-treatment-of-osseous-instability-of-the-shoulder
#3
REVIEW
David A Porter, Michael Birns, Sarah J Hobart, Marc Kowalsky, Gregory J Galano
BACKGROUND: Bony deficiency of the anteroinferior glenoid rim as a result of a dislocation can lead to recurrent glenohumeral instability. These lesions, traditionally treated by open techniques, are increasingly being treated arthroscopically as our understanding of the pathophysiology and anatomy of the glenohumeral joint becomes clearer. Different techniques for arthroscopic management have been described and continue to evolve. While the success of the repair is surgeon dependent, the recent advances in arthroscopic shoulder surgery have contributed to the growing acceptance of arthroscopic reconstruction of glenoid bone defects to restore stability...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983223/surgical-technique-treatment-of-distal-humerus-nonunions
#4
Johanna C E Donders, Dean G Lorich, David L Helfet, Peter Kloen
BACKGROUND: Open reduction and internal fixation of distal humerus fractures is standard of care with good to excellent outcome for most patients. However, nonunions of the distal humerus still occur. These are severely disabling problems for the patient and a challenge for the treating physician. Fortunately, a combination of standard nonunion techniques with new plate designs and fixation methods allow even the most challenging distal humeral nonunion to be treated successfully. QUESTIONS/PURPOSES: The purpose of this manuscript is to describe our current technique in treating distal humeral nonunion as it has evolved over the last four decades...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983222/transoral-approach-for-odontoidectomy-efficacy-and-safety
#5
Ahmed Mohamed Elbadrawi, Tameem Mohamed Elkhateeb
BACKGROUND: Odontoid process pathologies can cause upper motor neuron lesions. These pathologies can be approached through either a high retropharyngeal approach or a transoral approach. The introduction of the surgical microscope, proper instrumentations, and proper antibiotics has increased utilization of the transoral approach. QUESTIONS/PURPOSES: Our approach to anterior odontoid resection through transoral approach for different pathologies resulting in compression the cervical cord or causing craniocervical instability is described here...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983221/patient-perceptions-and-current-trends-in-internet-use-by-orthopedic-outpatients
#6
M Tyrrell Burrus, Brian C Werner, James S Starman, Gregory M Kurkis, Jonathan M Pierre, David R Diduch, Joseph M Hart
BACKGROUND: Many studies have highlighted concerns about the completeness and quality of information found online and how this may affect patients' education about their medical problems. One aspect of internet usage that has received less attention in the literature, however, is patient perception of the information that is gathered online, and how patients use it related to their musculoskeletal care. QUESTIONS/PURPOSES: The objective of the study is to utilize a cross-sectional study design to describe internet usage and patient perceptions of orthopedic online information and to identify differences in usage patterns...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983220/similar-cost-savings-of-bundled-payment-initiatives-applied-to-lower-extremity-total-joint-arthroplasty-can-be-achieved-applying-both-models-2-and-3
#7
Allyson Alfonso, Lorraine Hutzler, Bill Robb, Chad Beste, André Blom, Joseph Bosco
BACKGROUND: In an effort to control cost and increase value, Medicare is transitioning from fee-for-service to value-based alternative payment models (APMs). The Bundled Payments for Care Improvement (BPCI) initiative represents one such voluntary APM. BPCI offers four different bundling options: model 1 covers all Diagnosis Related Groups (DRGs) and Models 2-4 cover 48 clinical episodes, including 186 separate DRGs. QUESTIONS/PURPOSES: The purpose of this investigation is to analyze and compare the cost savings achieved by two different BPCI program participants, provider A and provider B, enrolled in different models of BPCI (Models 2 and 3) for lower extremity joint replacements (LEJRs)...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983219/reliability-and-reproducibility-of-subject-positioning-with-eos-low-dose-biplanar-x-ray
#8
Christine Goodbody, Paz Kedem, Michaela Thompson, Huong T Do, Douglas N Mintz, Roger F Widmann, Emily R Dodwell
BACKGROUND: EOS low-dose biplanar X-ray used with tantalum bead implantation is an appealing imaging modality to evaluate limb length and physeal growth due its relatively low radiation exposure, excellent inter- and intra-observer reliability, and minimal magnification/shrinkage error. QUESTIONS/PURPOSES: The purpose of this study was to establish the error in total length and inter-bead distances using EOS and tantalum beads due to variable positioning in the EOS gantry, by assessing variation in measurements made on the same subject repeatedly positioning by one positioner (intra-positioner measurement error) and variation in measurements made on the same subject with positioning by multiple positioners (inter-positioner measurement error)...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983218/percutaneous-epiphysiodesis-using-transphyseal-screws-a-case-series-demonstrating-high-efficacy
#9
Emily R Dodwell, Matthew R Garner, Elise Bixby, Eva M Luderowski, Daniel W Green, John S Blanco, Roger F Widmann
BACKGROUND: Percutaneous epiphysiodesis using transphyseal screws (PETS) has been associated with implant failure, implant prominence, angular deformities, and delayed growth inhibition. QUESTIONS/PURPOSES: The aim of this study was to assess the complication rate and efficacy (defined as actual growth inhibition divided by expected growth inhibition) of PETS and to identify factors associated with improved efficacy. METHODS: Patients who underwent distal femoral and/or proximal tibial PETS between January 2007 and June 2014 were identified...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983217/the-incidence-of-perioperative-cardiac-events-after-orthopedic-surgery-a-single-institutional-experience-of-cases-performed-over-one-year
#10
Michael K Urban, Steffan W Wolfe, Neil M Sanghavi, Kara Fields, Steven K Magid
BACKGROUND: Orthopedic patients with ischemic heart disease are at risk for postoperative cardiac complications. QUESTIONS/PURPOSES: Using information from two medical information retrieval systems which insured the capture of all events for the period of study, our goals were to determine the incidence of myocardial injury in at-risk patients after orthopedic surgery and to delineate the type and incidence of cardiac complications in this population. METHODS: For one year, at an orthopedic hospital, we identified all postoperative patients with a measured cTnI level using an electronic ordering system...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983216/ceramic-bearings-with-titanium-adapter-sleeves-implanted-during-revision-hip-arthroplasty-show-minimal-fretting-or-corrosion-a-retrieval-analysis
#11
Chelsea N Koch, Mark Figgie, Mark P Figgie, Marcella E Elpers, Timothy M Wright, Douglas E Padgett
BACKGROUND: The BIOLOX® option system, consisting of a BIOLOX® delta ceramic femoral head with a titanium alloy adapter sleeve, is being increasingly utilized in revision hip arthroplasty. The sleeve protects the ceramic head from fracture and improper motion about the stem trunnion when a damaged trunnion is encountered at revision surgery. Corrosion and fretting due to metal-metal contact at the taper region of hip prosthesis create the potential of causing periprosthetic osteolysis and adverse local tissue reactions...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983215/mid-term-outcomes-of-metal-backed-unicompartmental-knee-arthroplasty-show-superiority-to-all-polyethylene-unicompartmental-and-total-knee-arthroplasty
#12
Jelle P van der List, Laura J Kleeblad, Hendrik A Zuiderbaan, Andrew D Pearle
BACKGROUND: Two commonly used tibial designs for unicompartmental knee arthroplasty (UKA) are all-polyethylene "inlay" and metal-backed "onlay" components. Biomechanical studies showed that the metal baseplate in onlay designs better distributes forces over the tibia but studies failed to show differences in functional outcomes between both designs at mid-term follow-up. Furthermore, no studies have compared both designs with total knee arthroplasty (TKA). QUESTIONS/PURPOSES: The goal of this study was to compare outcomes of inlay UKA and onlay UKA at mid-term follow-up and compare these with TKA outcomes...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983214/factors-associated-with-choice-and-success-of-one-versus-two-stage-revision-arthroplasty-for-infected-hip-and-knee-prostheses
#13
Lucas Castellani, Nick Daneman, Samira Mubareka, Richard Jenkinson
BACKGROUND: Prosthetic joint infections (PJI) of hip and knee arthroplasties are becoming increasingly common with an aging population and an increasing demand for these procedures. Despite attempts at standardization, medical and surgical approaches vary widely among practitioners. QUESTIONS/PURPOSES: We first sought to determine if there were specific factors associated with choice of one- versus two-stage revision. Then we investigated whether the type of revision approach influenced clinical treatment success...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983213/humeral-lengthening-with-the-precice-magnetic-lengthening-nail
#14
Ahmed I Hammouda, Shawn C Standard, S Robert Rozbruch, John E Herzenberg
BACKGROUND: Different types of external fixators have been used for humeral lengthening with successful outcomes reported in literature. Motorized intramedullary (IM) lengthening nails have been developed as an alternative to external fixators for long bone lengthening in the lower extremity. QUESTIONS/PURPOSES: This case series reports on using the new technology of IM lengthening nails for humeral lengthening. We assessed the radiological healing and functional outcomes after using the PRECICE IM nail for humeral lengthening...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983212/operative-distal-humerus-fractures-in-older-patients-predictors-for-early-complications-based-on-a-national-database
#15
Gleb Medvedev, Charles Wang, Richard Amdur, Robert Neviaser, Andrew Neviaser
BACKGROUND: Open reduction internal fixation (ORIF) and total elbow arthroplasty (TEA) have both been utilized in the treatment of distal humerus fractures in patients over 65 years of age. Comparisons of early complications between these procedures have not been well described. QUESTIONS/PURPOSES: The purpose of this study is to evaluate complication rates in the treatment of distal humerus fractures in elderly patients and to utilize prediction models to identify risk factors associated with postoperative complications...
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28983211/a-fond-farewell
#16
EDITORIAL
Charles N Cornell
No abstract text is available yet for this article.
October 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28690473/total-knee-arthroplasty-for-knee-osteoarthritis-support-for-a-foregone-conclusion
#17
REVIEW
Michael E Steinhaus, Alexander B Christ, Michael B Cross
Total knee arthroplasty (TKA) is generally accepted as the definitive treatment for advanced knee arthritis after patients fail nonoperative treatments; however, the safety and efficacy of TKA compared to continued nonoperative treatment has never been proven in high-quality, randomized controlled trials. Recently, a 2015 Danish study published a 12-month follow-up on a cohort of patients randomized to either a TKA or continued nonsurgical management for advanced knee osteoarthritis (OA). The authors reported significantly greater improvement in the TKA group in functional outcome scores such as the overall Knee Injury and Osteoarthritis Outcome Score (KOOS4 score), the KOOS subscales, EQ-5D descriptive index, and timed get up-and-go and 20-m walk tests; however, patients in the TKA did suffer significantly more serious adverse events (SAE)...
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28690472/lung-adenocarcinoma-with-miliary-metastases-and-left-femur-pathologic-fracture-an-unusual-case-mimicking-disseminated-tuberculosis
#18
Nasim Khadem, Cristina Costales, Eric A White, Dakshesh B Patel, Anderanik Tomasian, George R Matcuk
No abstract text is available yet for this article.
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28690471/using-mobile-tracking-technology-to-visualize-the-trajectory-of-recovery-after-hip-arthroscopy-a-case-report
#19
Nabil Mehta, Claire Steiner, Kara G Fields, Danyal H Nawabi, Stephen L Lyman
No abstract text is available yet for this article.
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/28690470/equivalent-clinical-outcomes-following-favored-treatments-of-chronic-scapholunate-ligament-tear
#20
REVIEW
Pengcheng Wang, Jeffrey G Stepan, Tonya An, Daniel A Osei
BACKGROUND: Optimal treatment of chronic scapholunate (SL) instability remains controversial. Many surgical techniques have been proposed with varied results in subsequent case series; however, there is limited evidence demonstrating the relative effectiveness of the different treatment options. QUESTIONS/PURPOSES: We conducted a systematic review of the English literature to compare outcomes from capsulodesis and ligament reconstruction for treatment of chronic scapholunate instability...
July 2017: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
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