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Open Orthopaedics Journal

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https://www.readbyqxmd.com/read/29152008/short-medium-and-long-term-complications-after-total-anatomical-shoulder-arthroplasty
#1
REVIEW
T M Gregory, B Boukebous, J Gregory, J Pierrart, E Masemjean
Total shoulder arthroplasty (TSA) is an effective approach for the treatment of a variety of clinical conditions affecting the shoulder, including osteoarthritis, inflammatory arthritis and osteonecrosis, and the number of TSA implanted has grown exponentially over the past decade. This review gives an update of the major complications, mainly infections, instability and loosening, encountered after TSA, based on a corpus of recent publications and a dynamic approach: The review focuses on the causes of glenoid loosening, which account for 80% of the complication, and underlines the importance of glenoid positioning in the recovery of early shouder function and in the long term survival rate of TSA...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152007/shoulder-arthroplasty-imaging-what-s-new
#2
REVIEW
T M Gregory, J Gregory, E Nicolas, J Pierrart, E Masmejean
Background: Shoulder arthroplasty, in its different forms (hemiarthroplasty, total shoulder arthroplasty and reverse total shoulder arthroplasty) has transformed the clinical outcomes of shoulder disorders. Improvement of general clinical outcome is the result of stronger adequacy of the treatment to the diagnosis, enhanced surgical techniques, specific implanted materials, and more accurate follow up. Imaging is an important tool in each step of these processes. Method: This article is a review article declining recent imaging processes for shoulder arthroplasty...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152006/anatomic-shoulder-arthroplasty-technical-considerations
#3
REVIEW
Bogdan A Matache, P Lapner
Osteoarthritis of the shoulder is a common condition in the aging population, and it can have profound effects on patients' quality of life. The anatomic total shoulder arthroplasty is a well-described treatment modality resulting generally excellent outcomes. The objective of this review is to discuss the technical aspects of primary anatomic total shoulder arthroplasty, and to provide a framework to follow to achieve a successful surgical result. The topics covered include preoperative planning, surgical considerations, and approaches, humeral preparation, glenoid bone loss and the emerging concept of using the reverse total shoulder arthroplasty for the type B2 glenoid...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152005/humeral-head-replacement-and-reverse-shoulder-arthroplasty-for-the-treatment-of-proximal-humerus-fracturesm
#4
REVIEW
Aaron Andrew Frombach, Kendra Brett, Peter Lapner
Acute proximal humeral fractures in the elderly are generally treated non-operatively if alignment is acceptable and in stable fracture patterns. When operative treatment is indicated, surgical fixation is often difficult or impossible to obtain. Hemiarthroplasty has long been the standard of care. However, with its reliance on tuberosity healing, functional outcomes and patient satisfaction are often poor. Reverse shoulder arthroplasty has emerged as a new technology for treating proximal humeral fractures but the indications for its use remain uncertain...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152004/shoulder-arthroplasty-historical-considerations
#5
REVIEW
Sébastien Zilber
Background: The first articular metal prosthesis was implanted in the shoulder more than 120 years ago. The aim of this paper is to report shoulder arthroplasty evolution during this time thru the literature of the twentieth century. Methods: A literature review was performed selecting the founding papers about shoulder arthroplasty. Results: After being almost forgotten during the first part of the 20(th) century, various implants were introduced in the 1950s with Charles Neer as a leader...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152003/shoulder-prosthesis
#6
REVIEW
Sebastien Zilber
No abstract text is available yet for this article.
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152002/cadaveric-anatomical-study-of-sural-nerve-where-is-the-safe-area-for-endoscopic-gastrocnemius-recession
#7
REVIEW
Alvin Chin Kwong Tan, Zhi Hao Tang, Muhammad Farhan Bin Mohd Fadil
Purpose: To ascertain in cadavers where the sural nerve crosses the gastro-soleus complex and where the gastrocnemius tendon merges with the Achilles tendon in relation to the calcaneal tuberosities. Methods: Twelve cadaveric lower limbs (6 right and 6 left) were dissected. The distances between the calcaneal tuberosities and the lateral border of the Achilles tendon where the sural nerve crosses from medial to lateral, as well as to the gastrocnemius tendon insertion into the Achilles tendon, were measured...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152001/total-knee-arthroplasty-in-patients-with-parkinson-s-disease-a-critical-analysis-of-available-evidence
#8
REVIEW
Munis Ashraf, Sruthi Priyavadhana, Senthil Nathan Sambandam, Varatharaj Mounasamy, Om Prakash Sharma
Background: In this era of modern medicine, there is an increase in life expectancy and thereby an ageing population. Among this group one of the most common neurological disorder is Parkinson disease and one of the most common operation done in elderly population is a total joint arthroplasty. But total joint arthroplasty in Parkinson disease is a relatively uncommon entity. There is sparse literature available with regards to total knee arthroplasty (TKA) in Parkinson disease. This review focusses on the necessity, complications and previous experiences on TKA in PD based on the literature available...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29152000/muscle-weakness-in-the-empty-and-full-can-tests-cannot-differentiate-rotator-cuff-tear-from-cervical-spondylotic-amyotrophy-pain-provocation-is-a-useful-finding
#9
REVIEW
Eiichiro Iwata, Hideki Shigematsu, Kazuya Inoue, Takuya Egawa, Yoshihiro Sakamoto, Yasuhito Tanaka
Purpose: Rotator cuff tears and cervical spondylotic amyotrophy (CSA) are often confused as the main symptom in those with difficulty in shoulder elevation. Empty and full can tests are frequently used for the clinical diagnosis of rotator cuff tears. The aim of the present study was to investigate whether the empty and full can test results can help differentiate rotator cuff tears from CSA. Methods: Twenty-seven consecutive patients with rotator cuff tears and 25 with CSA were enrolled...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29151999/mid-term-outcomes-after-open-reduction-internal-fixation-of-proximal-interphalangeal-joint-dorsal-fracture-dislocations-through-a-volar-shotgun-approach-and-a-review-of-the-literature
#10
REVIEW
Juan Marcelo Giugale, Juntian Wang, Robert A Kaufmann, John R Fowler
Background: Proximal interphalangeal (PIP) fracture dislocations remain a complex injury pattern to treat. There are several treatment methods available aimed to restore stability, preserve range of motion, and reconstitute the articular surface. This study looked at the mid-term clinical and radiographic results of open reduction internal fixation through a shotgun approach of comminuted PIP fracture dislocations. Methods: A retrospective review was conducted of all PIP fracture dislocations treated through a volar, shotgun approach at a single institution over a 15-year period...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29151998/hallux-osteoid-osteoma-a-case-report-and-literature-review
#11
REVIEW
Konstantinos C Xarchas, George Kyriakopoulos, Spyros Manthas, Leon Oikonomou
Osteoid osteoma is a benign bone tumour that mostly affects males in the second and third decade of their life. The lesion mainly occurs in long bones, usually in the femur and tibia, causing severe localized pain that is worse at night and responds to nonsteroidal anti-inflammatory drugs (NSAIDs). Diagnosis is usually made on the basis of history and radiographic findings. However, in more unusual locations as the hand and foot, diagnostic issues can arise. Treatment often includes complete removal of the tumor...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114339/lateral-antebrachial-cutaneous-nerve-as-a-donor-source-for-digital-nerve-grafting-a-concept-revisited
#12
Mehmet Bekir Unal, Kemal Gokkus, Evrim Sirin, Eren Cansü
Objective: The main objective of this study is to evaluate the availability of lateral antebrachial cutaneous nerve (LACN) autograft for acute or delayed repair of segmented digital nerve injuries. Patients and Methods: 13 digital nerve defects of 11 patients; treated with interposition of LACN graft that harvested from ipsilateral extremity were included in the study. Mean follow up period was 35, 7 months. The mean time from injury to grafting is 53, 3 days. The results of the mean 2PDT and SWMT values of injured /uninjured finger at the end of follow up period were evaluated with Paired T test...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114338/rationale-of-cruciate-retaining-design-in-rheumatoid-arthritis-a-review-of-clinical-analysis-and-its-role-in-rheumatoid-arthritis
#13
Munis Ashraf, Om Prakash Sharma, Sruthi Priyavadhana, Senthil Nathan Sambandam, Varatharaj Mounasamy
Background: Over the years, proponents of total knee designs (cruciate retaining and posterior stabilised) have conducted several long-term studies to claim the potential of these designs in several subsets of patients. Total knee arthroplasty (TKA) in patients with rheumatoid arthritis has also been one such domain where numerous studies were conducted in the past. A general perception among majority of arthroplasty surgeons is that, posterior stabilised (PS) is the implanted design of choice among patients with Rheumatoid arthritis (RA)...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114337/arthroscopic-soft-tissue-procedures-for-anterior-shoulder-instability
#14
Mathew Brown, Andrew Wallace, Andrew Lachlan, Susan Alexander
Background: Arthroscopy has rapidly transformed the treatment of anterior shoulder instability over the past 30 years. Development of arthroscopic equipment has permitted the investigation and diagnosis of the unstable shoulder, and fixation methods have evolved to promote arthroscopy from an experimental procedure to one of first-line mainstream treatment. Methods: Key research papers were reviewed to identify the fundamental principles in patient diagnosis and appropriate selection for arthroscopic treatment...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114336/physical-exam-and-evaluation-of-the-unstable-shoulder
#15
María Valencia Mora, Miguel Ángel Ruiz Ibán, Jorge Diaz Heredia, Juan Carlos Gutiérrez-Gómez, Raquel Ruiz Diaz, Mikel Aramberri, Carlos Cobiella
Background: The clinical evaluation of the patient with shoulder instability can be challenging. The pathological spectrum ranges from the straightforward "recurrent anterior dislocation" patient to the overhead athlete with a painful shoulder but not clear instability episodes. Advances in shoulder arthroscopy and imaging have helped in understanding the anatomy and physiopathology of the symptoms. The aim of this general article is to summarize the main examination manoeuvres that could be included in an overall approach to a patient with a suspicion of instability...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114335/imaging-of-the-unstable-shoulder
#16
Paolo Baudi, Manuela Rebuzzi, Giovanni Matino, Fabio Catani
Background: Unstable shoulder can occur in different clinical scenarios with a broad spectrum of symptoms and presentations: first-time (or recurrent) traumatic acute shoulder anterior dislocation or chronic anterior instability after repeated dislocations.Imaging in unstable shoulder is fundamental for choosing the right treatment preventing recurrence.The goal of imaging depends on clinical scenario and patient characteristics. Method: Careful selection and evaluation of the imaging procedures is therefore essential to identify, characterize and quantify the lesions...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29114334/anesthesia-and-analgesia-in-the-patient-with-an-unstable-shoulder
#17
Ismael Acevedo Bambaren, Fernando Dominguez, Maria Elena Elias Martin, Silvia Domínguez
Introduction: The patient with an unstable shoulder represents a challenge for the anesthesiologist. Most patients will be young individuals in good health but both shoulder dislocation reduction, a procedure that is usually performed under specific analgesia in an urgent setting, and instability surgery anesthesia and postoperative management present certain peculiarities. Material and Methods: For the purpose of the article, 78 references including clinical trials and reviews were included...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29081865/multidirectional-instability-natural-history-and-evaluation
#18
REVIEW
Miguel García Navlet, Cristina Victoria Asenjo-Gismero
BACKGROUND: Multidirectional instability (MDI) represents a great challenge to the orthopedic surgeon. When treating these patients we must be aware that instability refers to a symptomatic situation, thus multidirectional instability is defined as symptomatic involuntary instability in two or more directions, and should be clearly differentiated from asymptomatic hyperlaxity. It may be associated with hyperlaxity, either congenital or acquired following repetitive stress, but also may be present without hyperlaxity, which is rare...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29081864/distal-tibiofibular-syndesmosis-anatomy-biomechanics-injury-and-management
#19
REVIEW
Chi Pan Yuen, Tun Hing Lui
A stable and precise articulation of the distal tibiofibular syndesmosis is essential for normal motion of the ankle joint. Injury to the syndesmosis occurs through rupture or bony avulsion of the syndesmotic ligament complex. External rotation of the talus has been identified as the major mechanism of syndesmotic injury. None of the syndesmotic stress tests was sensitive or specific; therefore the diagnosis of syndesmotic injury should not be made based on the medical history and physical examination alone...
2017: Open Orthopaedics Journal
https://www.readbyqxmd.com/read/29081863/chronic-achilles-tendon-rupture
#20
REVIEW
Nicola Maffulli, Alessio Giai Via, Francesco Oliva
BACKGROUND: The Achilles tendon, the largest and strongest tendon in the human body, is nevertheless one of the tendons which most commonly undergoes a complete subcutaneous tear. Achilles tendon ruptures are especially common in middle aged men who occasionally participate in sport. Even though Achilles tendon ruptures are frequent, up to 25% of acute injuries are misdiagnosed, and present as chronic injuries. METHODS: This is a review article about diagnosis and management of chronic Achilles tendon ruptures...
2017: Open Orthopaedics Journal
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