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Open Orthopaedics Journal

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https://www.readbyqxmd.com/read/30416609/minimal-increase-in-total-hip-arthroplasty-surgical-procedural-time-with-the-use-of-a-novel-surgical-navigation-tool
#1
Alexander Christ, Danielle Ponzio, Michael Pitta, Kaitlin Carroll, Jeffrey M Muir, Peter K Sculco
Background: Computer-assisted navigation has proven effective at improving the accuracy of component placement during Total Hip Arthroplasty (THA); however, the material costs, line-of-site issues and potential for significant time increases have limited their widespread use. Objective: The purpose of this study was to investigate the impact of an imageless navigation device on surgical time, when compared with standard mechanical guides. Methods: We retrospectively reviewed prospectively collected data from 61 consecutive primary unilateral THA cases (posterior approach) performed by a single surgeon...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30369990/spinal-tuberculosis-directly-observed-treatment-and-short-course-or-daily-anti-tubercular-therapy-are-we-over-treating
#2
Ravinder Kumar Banga, Jagdeep Singh, Anshul Dahuja, Radhe Shyam Garg
Study Design: Prospective randomised control trial. Purpose: To compare the effectiveness of Directly Observed Treatment and Short Course (DOTS) and Daily Anti Tubercular Therapy (ATT) in spinal tuberculosis with no neurological deficit. Overview of Literature: Spinal tuberculosis is rampant in India with a major cause of morbidity and mortality. There is a lot of conflict regarding management with anti tubercular drugs, the regimen to be followed and the duration the drugs needed for complete cure...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30288192/effects-of-arthroscopic-coracohumeral-ligament-release-on-range-of-motion-for-patients-with-frozen-shoulder
#3
Yoshihiro Hagiwara, Takuya Sekiguchi, Akira Ando, Kenji Kanazawa, Masashi Koide, Junichiro Hamada, Yutaka Yabe, Shinichiro Yoshida, Eiji Itoi
Background: A thickened coracohumeral ligament is a highly specific manifestation of, and primary restraint against external rotation in frozen shoulders. Objective: The purpose of this study was to evaluate the effects of complete arthroscopic coracohumeral ligament release on range of motion in frozen shoulder. Methods: Fifty-two consecutive shoulders in 52 patients were treated between April 2015 and June 2016. To evaluate solely glenohumeral range of motion, the scapula was fixed by an examiner with one hand (without palpating scapular motion), and range of motion was measured using a goniometer...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30288191/pelvic-tilt-angle-differences-between-symptom-free-young-subjects-and-elderly-patients-scheduled-for-tha-the-rationale-for-tilt-adjusted-acetabular-cup-implantation
#4
Carlos J Marques, Tobias Martin, Andrzej Kochman, Adrian Goral, Frank Lampe, Viktor Breul, Josef Kozak
Background: The question whether Pelvic Tilt (PT) angles measured in the supine position are adequate for the alignment of the acetabular cup without an adjustment for anatomical differences between patients is of clinical importance. The aim of this work was to test for factors that can significantly affect PT angles. Methods: In the present retrospective cohort comparison, the PT angles of 12 Symptom-Free Young Subjects (SFYS) and 45 patients scheduled for Total Hip Arthroplasty (THA) were compared...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30288190/a-protocol-for-the-management-of-the-inpatient-fracture-neck-of-femur-is-required
#5
Carl Malcolm Green, Nikhil Shah
Falls within a hospital environment are a major cause of morbidity and may even lead to mortality. Pathways for patients suffering a Fractured Neck of Femur (FNOF) in the community are well established following the development of the Blue Book, BOAST guidelines and National Hip Fracture Database (NHFD). However, there is no such agreed pathway for patients suffering FNOF within a hospital environment. Such patients have been demonstrated to have a higher risk of delays in medical optimisation, delays in operative management, and mortality...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30288189/intramuscular-myxoma-in-the-supinator-muscle-with-transient-postoperative-posterior-interosseous-nerve-palsy-a-case-report
#6
Toshihiro Nonaka, Motoki Sonohata, Shuhei Takeshita, Yosuke Oba, Yoshimasa Fujii, Masaaki Mawatari
Background: Intramuscular myxomas are rare, benign mesenchymal tumors in the musculoskeletal system, and usually, the tumors arise in the large muscles of the thigh, buttocks, shoulder, and upper arm. However, a tumor of the forearm is very rare. Herein, we describe the case of an intramuscular myxoma in the supinator muscle of a 56-year-old female patient. Case Presentation: Magnetic resonance imaging showed a well-defined mass that was hypointense with the peritumoral fat ring sign...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197717/fabella-syndrome-following-de-rotation-surgery-to-correct-a-femoral-malunion
#7
Iain Rankin, Haroon Rehman, George Patrick Ashcroft
Background: The fabella is a sesamoid bone situated within the lateral head of the gastrocnemius tendon, close to the lateral femoral condyle, and adjoined to the fabellofibular ligament. It is a normal variant, found in up to 87% of patients. Fabella Syndrome describes traditionally posterolateral knee pain, occurring due to biomechanical pressure of the fabella against the lateral femoral condyle. Given its rarity, its diagnosis is often overlooked. We present a case of Fabella Syndrome with a modified surgical excision technique and review of the literature...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197716/slap-lesions-an-opinion-piece
#8
REVIEW
Cecilie P Schrøder
SLAP lesions were first classified by Snyder in 1990. Results of treatment have been controversial without clear consensus. All have agreed that prospective studies would be useful. We conducted such a study between 2008 to 2114 that randomized treatment between sham surgery, biceps tenodesis and labral repair. No significant differences in results between the groups were found. Crossover between groups was only possible from the sham surgery group and this may introduce some degree of bias. However, the six month outcomes between all three groups before any crossover were statistically identical...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197715/current-concepts-in-the-evaluation-and-management-of-type-ii-superior-labral-lesions-of-the-shoulder
#9
REVIEW
William A Hester, Michael J O'Brien, Wendell M R Heard, Felix H Savoie
Background: Superior labrum tears extending from anterior to posterior (SLAP lesion) are a cause of significant shoulder pain and disability. Management for these lesions is not standardized. There are no clear guidelines for surgical versus non-surgical treatment, and if surgery is pursued there are controversies regarding SLAP repair versus biceps tenotomy/tenodesis. Objective: This paper aims to briefly review the anatomy, classification, mechanisms of injury, and diagnosis of SLAP lesions...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197714/treatment-of-type-two-slap-lesion-with-anatomic-suture-anchor-repair-without-biceps-tenotomy-or-tenodesis
#10
Chadwick C Prodromos, Susan Finkle, Alexander Dawes, Ji Young Baik
Background: Poor results after repair of type 2 SLAP tears are relatively common and some have reported better results after biceps tenodesis or tenotomy than repair. In addition, some believe that the long head of the biceps is expendable. Therefore, many now favor biceps tenotomy or tenodesis over biceps anchor repair either in all patients or in older patients, reserving SLAP lesion repair only for young athletes. Hypothesis: We hypothesized that repair of the biceps anchor of the labrum would be effective in all patients regardless of age provided that care was taken not to overtighten the labrum and that rotator cuff pain as the primary pain generator had been ruled out...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197713/mr-imaging-of-slap-lesions
#11
REVIEW
Robert D Boutin, Richard A Marder
Background: SLAP lesions of the shoulder are challenging to diagnose by clinical means alone. Interpretation of MR images requires knowledge of the normal appearance of the labrum, its anatomical variants, and the characteristic patterns of SLAP lesions. In general, high signal extending anterior and posterior to the biceps anchor is the hallmark of SLAP lesions. Common diagnostic criteria for a SLAP lesion by MR or MR arthrography include the following: presence of a laterally curved, high signal intensity in the labrum on a coronal image, multiple or branching lines of high signal intensity in the superior labrum on a coronal image, full-thickness detachment with irregularly marginated high signal intensity and/or separation >2 mm on conventional MRI or 3 mm on MR arthrography between the labrum and glenoid on a coronal image, and a paralabral cyst extending from the superior labrum...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197712/superior-labral-anterior-to-posterior-tear-management-in-athletes
#12
REVIEW
Cristin John Mathew, David Mark Lintner
Background: The diagnosis and treatment of Superior Labrum Anterior to Posterior (SLAP) tears have been evolving and controversial. The lack of clear diagnostic criteria on physical examination, Magnetic Resonance Imaging (MRI), and arthroscopic evaluation clouds the issue. The high rate of MRI diagnosed SLAP lesions in the asymptomatic population of athletes and non-athletes warrants consideration when planning treatment for those with shoulder pain. Objective: To provide information on the evaluation, diagnosis and management of SLAP tears in athletes...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197711/superior-capsular-release-after-failed-combined-superior-labral-repair-and-biceps-tenodesis-for-slap-tear
#13
Yung Han, Janet Lee, Sung Park, Eugene Suh
Introduction: Optimal treatment of type II superior labrum anterior and posterior (SLAP) tears is controversial. There has been a recent trend towards biceps tenodesis over SLAP repair in older patients. Few surgeons have performed combined biceps tenodesis and SLAP repair with inferior results. Case Report: This case describes a 46-year-old patient who had persistent pain and stiffness after combined biceps tenodesis and SLAP repair for a type II SLAP tear. His pain and motion improved after arthroscopic superior capsular release...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197710/treatment-of-slap-lesions
#14
Apostolos Stathellis, Emmanouil Brilakis, Jim-Dimitris Georgoulis, Emmanouil Antonogiannakis, Anastasios Georgoulis
Background: The surgical treatment of a Superior Labrum Anterior and Posterior (SLAP) lesion becomes more and more frequent as the surgical techniques, the implants and the postoperative rehabilitation of the patient are improved and provide in most cases an excellent outcome. Objective: However, a standard therapy of SLAP lesions in the shoulder surgery has not been established yet. An algorithm on how to treat SLAP lesions according to their type and data on the factors that influence the surgical outcome is essential for the everyday clinical practice...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197709/a-treatment-based-algorithm-for-the-management-of-type-ii-slap-tears
#15
REVIEW
Adam M Johannsen, John G Costouros
Background: The management of Type-II superior labral tears (SLAP) of the shoulder remains a controversial topic. Treatment ranges from non-operative management to surgical management including SLAP repair, biceps tenotomy, and biceps tenodesis. An optimal treatment algorithm has yet to reach universal acceptance. Objective: The goal of this paper was to provide a treatment algorithm for the management of Type-II SLAP tears based on current literature and expert opinion...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197708/an-age-and-activity-algorithm-for-treatment-of-type-ii-slap-tears
#16
Michael D Charles, David R Christian, Brian J Cole
Background: Type II SLAP tears predominantly occur in males between their third and fifth decades of life. The mechanism of injury is often repeated overheard activity but can also occur due to direct compression loads and traction injuries. The treatment options have changed over the years and include non-operative therapy, direct labral-biceps complex repair, and labral debridement with biceps tenodesis or tenotomy. Objective: To review the existing literature on the management of Type II SLAP tears and provide clinical recommendations based on patient age and activity level...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30197707/labral-repair-versus-biceps-tenotomy-tenodesis-for-the-treatment-of-type-ii-slap-lesions-indications-and-technique
#17
EDITORIAL
Chadwick C Prodromos
No abstract text is available yet for this article.
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30123375/is-it-possible-to-recover-cardiac-functions-after-total-knee-arthroplasty
#18
Aydın Arslan, Bilal Çuglan, Bülent Özkurt, Ali Utkan, Mehmet Fatih Korkmaz, Tuba Tülay Koca, Resit Sevimli
Background: Patients suffering from knee osteoarthritis lead a less active life than their healthy peers. It is well known that insufficient physical activity is the most common cause of chronic diseases. However, there is not enough research to enlighten the effect of increased functional capacity on cardiac functions after Total Knee Arthroplasty (TKA). This study aimed to investigate whether the orthopedic surgeons can predict that the patients will be healthier after TKA in terms of cardiac functions or not? Methods: 109 patients who underwent TKA were prospectively followed for one year...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30123374/hemidystrophic-thorax-mimicking-scoliosis
#19
Hans-Rudolf Weiss, Sarah Seibel
Background: We regularly use Angle of Trunk Rotation (ATR) measurements for scoliosis screening and also for clinical follow-up of our scoliosis patients under treatment. In some patients, when ATR measurements exceed the screening threshold but without a significant degree of curvature on the X-ray (Cobb angle), a Hemidystrophic Thorax (HDT) is diagnosed. The purpose of this paper was to present a case series of patients with this kind of thoracic deformity because this may be mimicking scoliosis to a significant degree...
2018: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/30123373/factors-in-pulmonary-embolus-diagnosis-via-ct-pulmonary-angiogram-in-patients-undergoing-repair-of-proximal-femur-fractures
#20
Peter Moriarty, Heather Moriarty, Michael Maher, James Harty
Background: As imaging technology improves small Pulmonary Emboli (PE) of debatable clinical relevance are increasingly detected leading to higher numbers of patients receiving anticoagulation. Although PE are an important cause of morbidity and mortality in patients undergoing repair of proximal femur fractures, this cohort of patients are at increased falls risk and are therefore largely unsuitable for long term anticoagulant therapy. Objective: 1. To review sequential Computed Tomography Pulmonary Angiograms (CTPA) performed in patients who underwent repair of proximal femur fractures at our institution...
2018: Open Orthopaedics Journal
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