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HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery

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https://www.readbyqxmd.com/read/29399002/the-infection-rate-of-metal-on-metal-total-hip-replacement-is-higher-when-compared-to-other-bearing-surfaces-as-documented-by-the-australian-orthopaedic-association-national-joint-replacement-registry
#1
Phil Huang, Matt Lyons, Michael O'Sullivan
Background: Despite the well-documented decline in the use of metal-on-metal (MoM) implants over the last decade, there are still controversies regarding whether all MoM implants are created equally. Complications such as elevated serum metal ion levels, aseptic lymphocyte-dominated vasculitis-associated lesion (ALVAL) and pseudotumours have all been well documented, but recent studies suggest increased risk of infection with MoM bearing surfaces. Most of these studies however have small patient numbers...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29399001/clavicle-malunions-surgical-treatment-and-outcome-a-literature-review
#2
REVIEW
Claudia Christine Sidler-Maier, Nicolas J Dedy, Emil H Schemitsch, Michael D McKee
Background: Successful treatment of clavicle malunion represents a major challenge for orthopedic surgeons. Questions/Purposes: The aim of this study was to provide an overview of surgical options for the treatment of clavicle malunions regarding their technical details and clinical results. Methods: A comprehensive search of the literature was performed to retrieve articles and conference abstracts regarding the surgical treatment of clavicle malunions...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29399000/outcomes-following-operative-treatment-of-adolescent-mallet-fractures
#3
Andrew T Chen, Keegan T Conry, Allison Gilmore, Jochen P Son-Hing, Raymond W Liu
Background: Many surgeons advocate for surgical intervention of adult mallet fractures that involve either subluxation of the distal interphalangeal (DIP) joint or those that involve more than one-third of the articular surface. However, the efficacy of operative treatment and complication rates are unclear regarding the adolescent population. Questions/Purposes: The goal of this study is to evaluate the clinical outcomes following operative fixation of bony mallet fractures in the adolescent population...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398999/the-fascia-iliaca-block-as-the-primary-intraoperative-anesthesia-for-hip-fracture-surgery-a-preliminary-study
#4
Joseph J Ruzbarsky, Elizabeth B Gausden, Elan M Goldwyn, Isaac P Lowenwirt, Vitaly Kotlyar
Background: Early surgical intervention for hip fractures in the elderly has proven efficacious. However, surgical delays commonly occur in this patient population due to comorbid conditions that put these patients at a high risk for hypotension-related complications of general or neuraxial anesthesia or anticoagulants that delay the safe use of neuraxial anesthesia. Questions/Purposes: The questions/purposes of this study are (1) to investigate if a fascia iliaca block in conjunction with light to moderate sedation could provide adequate analgesia throughout open surgery for intertrochanteric hip fractures (AO/OTA 31-1) without requiring conversion to general anesthesia with airway support and (2) to assess its perioperative complication profile...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398998/postoperative-myocardial-injury-and-inflammation-is-not-blunted-by-a-trial-of-atorvastatin-in-orthopedic-surgery-patients
#5
Anne R Bass, Jackie D Szymonifka, Matthew T Rondina, Margaret Bogardus, Mitchell G Scott, Scott C Woller, Scott M Stevens, Charles Eby, Kerri Merritt, Alejandro Gonzalez Della Valle, Gerard Moskowitz, Eva Flores, Brian F Gage
Background: Orthopedic patients are at risk for adverse postoperative cardiovascular outcomes. Questions/Purposes: This pilot randomized controlled trial (RCT) of atorvastatin vs. placebo in orthopedic surgery patients was performed in order to assess: (1) the prevalence of perioperative myocardial injury; (2) the effect of atorvastatin on perioperative inflammation; and (3) the feasibility of performing a large RCT of statin therapy in orthopedic patients. Methods: Hip fracture (hip Fx) and total hip and knee replacement (THR and TKR) patients were randomized 1:1 to atorvastatin 40 mg daily vs...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398997/no-difference-in-conventional-polyethylene-wear-between-yttria-stabilized-zirconia-and-cobalt-chromium-molybdenum-femoral-heads-at-10%C3%A2-years
#6
Todd A Morrison, Rebecca D Moore, Jia Meng, Clare M Rimnac, Matthew J Kraay
Background: Concerns have arisen regarding deterioration of wear properties of yttria-stabilized zirconia (YSZ) femoral head on conventional polyethylene (PE) bearings due to YSZ phase transformation. Questions/Purposes: The purpose of this study was to determine if there is a difference in long-term PE wear properties between YSZ and cobalt-chromium-molybdenum (Co-Cr-Mo) femoral heads. Methods: Ten-year radiographic wear assessment was performed on a cohort of patients enrolled in a prospective randomized clinical trial comparing total hip arthroplasty with YSZ or Co-Cr-Mo femoral heads on conventional, non-cross-linked PE...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398996/scaling-marker-position-determines-the-accuracy-of-digital-templating-for-total-hip-arthroplasty
#7
Austin J Ramme, Nina D Fisher, Jonathan Egol, Gregory Chang, Jonathan M Vigdorchik
Background: Digital templating systems foster patient-specific measurements for preoperative planning. Questions/Purposes: We aim (1) to verify the accuracy of a templating system, (2) to describe the effects of scaling marker position on the accuracy of digital templating of the hip, and (3) to provide a practical guide for scaling marker position using patient body mass index (BMI). Methods: A scaling sphere was placed in five positions along the anterior-posterior axis of an acetabular implant and pelvis phantom, and x-rays were obtained...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398995/preoperative-valgus-alignment-does-not-predict-inferior-outcome-of-total-knee-arthroplasty
#8
Cynthia A Kahlenberg, Myra Trivellas, Yuo-Yu Lee, Douglas E Padgett
Background: Preoperative valgus deformity is present in an estimated 10-20% of patients undergoing total knee replacement (TKR). Questions/Purposes: The objective of this study was to compare the Western Ontario and McMaster Universities Arthritis Index (WOMAC) scores after TKR in a matched cohort of patients with preoperative valgus and varus deformities. Methods: This is a matched cohort study of 162 patients with varus native knees and 162 patients with valgus native knees who underwent TKR and were prospectively followed in our institutional registry...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398994/single-local-infiltration-analgesia-lia-aids-early-pain-management-after-total-knee-replacement-tkr-an-evidence-based-review-and-commentary
#9
REVIEW
E Carlos Rodriguez-Merchan
Background: There is controversy in the literature regarding the role of single local infiltration analgesia (LIA) after total knee replacement (TKR). Questions/Purposes: Is single LIA really efficient in controlling pain after TKR? Methods: A Cochrane Library and PubMed (MEDLINE) search related to the justification LIA after TKR was analyzed. The main criteria for selection were that the articles were focused in the aforementioned question...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398993/pregabalin-did-not-improve-pain-management-after-spinal-fusions
#10
Michael K Urban, Kristy M Labib, Shane C Reid, Amanda K Goon, Valeria Rotundo, Frank P Cammisa, Federico P Girardi
Background: The treatment of postoperative pain is a challenge after posterior spinal fusions. Pain management using predominantly opioids is often associated with multiple adverse effects, while multimodal postoperative analgesia may provide adequate pain relief with fewer opioid side effects. Questions/Purposes: The purpose of this review is to determine whether addition of 150 mg pregabalin daily would reduce narcotic requirements and improve outcomes after posterior lumbar fusion (PLF)...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398992/long-head-of-biceps-tendon-management-a-survey-of-the-american-shoulder-and-elbow-surgeons
#11
Keith T Corpus, Grant H Garcia, Joseph N Liu, David M Dines, Stephen J O'Brien, Joshua S Dines, Samuel A Taylor
Background: Management of symptomatic long head of biceps tendon (LHBT) pathology remains a source of debate. Questions/Purposes: The purpose of this study was to identify consensus trends for the treatment of LHBT pathology among specialists. Methods: A survey was distributed to members of the American Shoulder and Elbow Society (ASES), consisting of three sections-demographics, case scenarios, and general LHBT pathology management. Cases presented common clinical scenarios, and surgeons reported their management preferences...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398991/comparative-evaluation-of-surgical-procedures-with-clinical-equipoise-the-unique-perspective-of-our-hand-therapy-colleagues
#12
Joseph J Schreiber, Susan Clark, Jeffrey Yao
Background: There are several accepted surgical treatment options available for carpal tunnel syndrome, thumb carpometacarpal joint (CMC), osteoarthritis (OA), and wrist degenerative joint disease. Questions/Purposes: We sought to obtain the views and preferences from a cohort of certified hand therapists (CHT) and hypothesized that this source may identify differences in procedures that are otherwise widely believed to have clinical equipoise. Methods: Five hundred twelve CHTs were surveyed regarding their experience, volume, and referral base along with their subjective assessments and preferences regarding open versus endoscopic carpal tunnel release (CTR), various surgical procedures for CMC OA, and proximal row carpectomy (PRC) versus 4-corner fusion (4-CF)...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398990/revision-total-shoulder-arthroplasty-is-associated-with-increased-thirty-day-postoperative-complications-and-wound-infections-relative-to-primary-total-shoulder-arthroplasty
#13
Venkat Boddapati, Michael C Fu, William W Schairer, Lawrence V Gulotta, David M Dines, Joshua S Dines
Background: With an increasing volume of primary total shoulder arthroplasties (TSA), the number of revision TSA cases is expected to increase as well. However, the postoperative medical morbidity of revision TSA has not been clearly described. Questions/Purposes: The purpose of this study was to determine the rate of postoperative complications following revision TSA, relative to primary TSA. In addition, we sought to identify independent predictors of complications, as well as to compare operative time and postoperative length of stay between primary and revision TSA...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398989/the-primary-stability-of-a-bioabsorbable-poly-l-lactic-acid-suture-anchor-for-rotator-cuff-repair-is-not-improved-with-polymethylmethacrylate-or-bioabsorbable-bone-cement-augmentation
#14
Mehmet F Güleçyüz, Michael Kraus-Petersen, Christian Schröder, Andreas Ficklscherer, Markus U Wagenhäuser, Christian Braun, Peter E Müller, Matthias F Pietschmann
Background: The incidence of osteoporosis and rotator cuff tears increases with age. Cement augmentation of bones is an established method in orthopedic and trauma surgery. Questions/Purposes: This study analyses if polymethylmethacrylate or bioabsorbable cement can improve the primary stability of a bioabsorbable suture anchor in vitro in comparison to a non-augmented suture anchor in osteoporotic human humeri. Methods: The trabecular bone mineral density was measured to ensure osteopenic human specimens...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398988/epidemiology-and-disease-burden-of-lateral-epicondylitis-in-the-usa-analysis-of-85-318-patients
#15
Ryan M Degen, Matthew S Conti, Christopher L Camp, David W Altchek, Joshua S Dines, Brian C Werner
Background: National rates of lateral epicondylitis and surgical treatment are poorly defined. Disease burden of lateral epicondylitis (LE) continues to increase annually. Further study is necessary to optimize treatment algorithms to reduce associated health-care expenditures. Questions/Purposes: The purpose of this study is to review the annual incidence of LE, surgical rates, and associated health-care costs in a population setting. Methods: A national database was queried for LE from 2007 to 2014...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398987/shoulder-arthroplasty-for-humeral-head-avascular-necrosis-is-associated-with-increased-postoperative-complications
#16
M Tyrrell Burrus, Jourdan M Cancienne, Jeffrey D Boatright, Scott Yang, Stephen F Brockmeier, Brian C Werner
Background: Humeral head avascular necrosis (AVN) of differing etiologies may lead to shoulder arthroplasty due to subchondral bone collapse and deformity of the articular surface. There have been no large studies evaluating the complications for these patients after they undergo total shoulder arthroplasty (TSA). Questions/Purposes: The first objective of this study is to evaluate the complication rate after TSA in patients with humeral head AVN. The secondary objective is to compare the complication rates among the different etiologies of the AVN...
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
https://www.readbyqxmd.com/read/29398986/a-culture-of-safety
#17
EDITORIAL
Charles N Cornell
No abstract text is available yet for this article.
February 2018: HSS Journal: the Musculoskeletal Journal of Hospital for Special Surgery
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
#18
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
#19
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
#20
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
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