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Musculoskeletal Surgery

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https://www.readbyqxmd.com/read/28470576/a-comparative-analysis-of-the-role-of-tranexamic-acid-as-an-independent-variable-in-reducing-intraoperative-blood-loss-in-patients-undergoing-conventional-total-knee-arthroplasty-versus-computer-assisted-total-knee-arthroplasty
#1
K K Eachempati, A V Gurava Reddy, S Apsingi, S R Sankineani, J Shaheed, C Dannana
BACKGROUND: Blood loss in total knee arthroplasty (TKA) is an area of significant concern as it has an effect on patient morbidity and hospital stay. Among many different modalities to reduce blood loss, the use of Tranexamic acid has become a standard procedure nowadays. The aim of our study was to determine if Tranexamic acid alone decreases blood loss as an independent variable irrespective of other blood loss preserving measures. METHOD: This prospective non-randomized study included patients undergoing unilateral TKA by conventional method (Group 1) and computer-assisted TKA (Group 2)...
May 3, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28452043/comparison-of-clinical-results-and-patient-s-satisfaction-between-direct-anterior-approach-and-hardinge-approach-in-primary-total-hip-arthroplasty-in-a-community-hospital
#2
C Trevisan, R Compagnoni, R Klumpp
INTRODUCTION: Aim of the study is to compare clinical results and patient's satisfaction between direct anterior approach and Hardinge approach in primary total hip arthroplasty. METHODS: A group of 30 patients operated with DAA (group B) were compared to 39 patients operated by Hardinge approach (group A). Peri- and postoperative complications, Harris Hip Score (HHS), implant positioning, experienced pain and patient satisfaction were evaluated at a mean follow-up of 30 months...
April 27, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28452042/what-should-i-expect-from-my-recalled-adept-hip-resurfacing
#3
Matteo Cadossi, Silvio Terrando, Andrea Sambri, Giuseppe Tedesco, Antonio Mazzotti, Barbara Bordini, Dalila De Pasquale, Cesare Faldini
"My Hip Resurfacing (HR) has been recalled. What will happen to me?" This is the question of every patient who underwent an implant recall, a highly stressful event for both patients and physicians. Triggered by a 11.64% failure rate at 7 years, a recall process started for Adept HR with head diameter less than 48 mm. We report our experience in the recall process of 40 patients with the above-mentioned components. One patient underwent revision surgery due to an adverse reaction to metal debris at 5-year follow-up...
April 27, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28444541/reverse-shoulder-arthroplasty-for-massive-irreparable-rotator-cuff-tears-and-cuff-tear-arthropathy-a-systematic-review
#4
REVIEW
S Petrillo, U G Longo, R Papalia, V Denaro
PURPOSE: To report the outcomes and complications of reverse shoulder arthroplasty (RSA) in massive irreparable rotator cuff tears (MIRCT) and cuff tear arthropathy (CTA). METHODS: A systematic review of the literature contained in Medline, Cochrane, EMBASE, Google Scholar and Ovid databases was conducted on May 1, 2016, according to PRISMA guidelines. The key words "reverse total shoulder arthroplasty" or "reverse total shoulder prostheses" with "rotator cuff tears"; "failed rotator cuff surgery"; "massive rotator cuff tears"; "irreparable rotator cuff tears"; "cuff tear arthropathy"; "outcomes"; "complications" were matched...
April 25, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28444540/impact-of-residual-disease-after-unplanned-excision-of-primary-localized-adult-soft-tissue-sarcoma-of-the-extremities-evaluation-of-452-cases-at-a-single-institution
#5
G Bianchi, A Sambri, S Cammelli, A Galuppi, A Cortesi, A Righi, E Caldari, S Ferrari, D Donati
BACKGROUND: Soft tissue sarcomas are often inappropriately excised; it is, however, still a matter of debate whether the presence of residual disease in the re-excision specimen can affect patients' prognosis. The aim of this study is to investigate the impact of re-excision after unplanned surgery of primary soft tissue sarcomas (STS) of the extremities. PATIENTS AND METHODS: We retrospectively evaluated 452 adults with grade 2-3, localized STS (349 primary and 103 unplanned excisions)...
April 25, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28429173/a-new-approach-to-local-dco-in-ankle-fracture-dislocations-external-fixation-with-diaphyseal-unicortical-screws-applied-by-local-anaesthesia
#6
F Lavini, T Maluta, G Carpeggiani, C Dall'Oca, E Samaila, G Marconato, B Magnan
PURPOSE: Ankle fracture dislocations represent a great threat for soft tissue viability and articular instability. The use of a temporary ankle bridging ExFix plays a fundamental role in the local damage control orthopaedics while waiting for definitive synthesis. METHODS: For this prospective research, we have developed a full application protocol of innovative diaphyseal monocortical screws fixator (Unyco-Orthofix(TM)) exclusively under local anaesthesia. Rigid selection criteria allowed us to collect nine patients during a period of almost 2 years...
April 20, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28417290/unilateral-external-fixator-in-the-treatment-of-humeral-shaft-fractures-results-of-a-single-center-retrospective-study
#7
M Basso, M Formica, L Cavagnaro, M Federici, M Lombardi, F Lanza, L Felli
BACKGROUND: The aim of our work is to evaluate and critically analyze long-term clinical and radiological data of a new unilateral external fixator (MIKAI KIT FEP©-Mikai S.p.A, Genoa, Italy), in the treatment of humeral shaft fractures. MATERIALS AND METHODS: We reviewed 47 patients affected by humeral fractures that underwent surgery from July 2010 to March 2016 with unilateral external fixator. Demographic characteristics of the patients were recorded, which included age, sex and baseline comorbidities and mechanism of injury...
April 17, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28324232/reducing-surgical-site-infections-following-total-hip-and-knee-arthroplasty-an-israeli-experience
#8
R Finkelstein, O Eluk, T Mashiach, D Levin, B Peskin, G Nirenberg, S Karkabi, M Soudri
PURPOSE: To assess the changes observed in surgical site infection (SSI) rates following total joint arthroplasty (TJA) after the introduction of an infection control programme and evaluate the risk factors for the development of these infections. DESIGN: Prospective cohort study. SETTING: Large tertiary medical centre in Israel. METHODS: Data about SSIs and potential prophylaxis-, patient-, and procedure-related risk factors were collected for all patients who underwent elective total hip and total knee arthroplasty during the study period...
March 21, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28255840/in-hospital-mortality-risk-of-intertrochanteric-hip-fractures-a-comprehensive-review-of-the-us-medicare-database-from-2005-to-2010
#9
E Kiriakopoulos, F McCormick, B U Nwachukwu, B J Erickson, J Caravella
PURPOSE: Intertrochanteric hip fracture is a common injury in the Medicare population. Very little is known about the in-hospital mortality risk of intertrochanteric hip fractures and associated demographics for the US Medicare population. The purpose of this study is to determine the in-hospital mortality rate of closed intertrochanteric hip fractures and to evaluate demographic factors influencing an increased mortality risk. METHODS: The PearlDiver Medicare database from 2005 to 2010 was queried for closed intertrochanteric hip fractures...
March 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28251582/role-of-preoperative-calculation-of-condylar-twist-angle-cta-by-ct-scan-in-optimizing-femoral-component-rotation-during-tka
#10
D Sharma, A Shukla, K Kumar
BACKGROUND: A perfect rotational alignment could be achieved if the implant rotation is individualized for each knee before operation. The anatomic transepicondylar axis (aTEA) is a standard reference for setting the femoral component rotation. Intraoperative localization of aTEA is difficult. However, aTEA could be readily identified on preoperative CT scans, and condylar twist angle (CTA) could be determined preoperatively. The femoral component can subsequently be implanted according to CTA...
March 2, 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28050809/the-treatment-of-olecranon-fractures-in-adults
#11
REVIEW
A J Powell, O M Farhan-Alanie, J K Bryceland, T Nunn
Olecranon fractures are common. They are usually managed surgically with open reduction and either tension band wiring or plate fixation. Currently, there are few studies comparing fracture treatments. We aim to review the available literature to guide the orthopaedic surgeon on the management of these fractures. A literature review of peer-reviewed publications in international orthopaedic journals detailing olecranon fracture treatment was conducted. An additional focus was placed on the evidence base for and surgical outcomes of tension band wiring for common two-part fractures...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/28004306/arthroscopic-bankart-repair-associated-with-subscapularis-augmentation-asa-versus-open-latarjet-to-treat-recurrent-anterior-shoulder-instability-with-moderate-glenoid-bone-loss-clinical-comparison-of-two-series
#12
R Russo, G Della Rotonda, F Cautiero, M Ciccarelli, M Maiotti, C Massoni, F Di Pietto, M Zappia
PURPOSE: The treatment of chronic anterior shoulder instability with glenoid bone loss is still debated. The purpose of this study is to compare short-term results of two techniques treating chronic shoulder instability with moderate glenoid bone loss: bone block according to open Latarjet-Patte procedure and arthroscopic Bankart repair in association with subscapularis augmentation. METHODS: Ninety-one patients with moderate anterior glenoid bone loss underwent from 2011 to 2015...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27915405/long-term-functional-outcomes-and-knee-alignment-of-computer-assisted-navigated-total-knee-arthroplasty
#13
V Sardana, J M Burzynski, M Khan, N Stone, B S Weening, P K Zalzal
INTRODUCTION: This retrospective study examined the relationship between the mechanical axis throughout a functional arc of motion and functional outcome scores in patients undergoing computer-assisted navigation-based total knee arthroplasty (CAN-TKA) at 6-year follow-up. MATERIALS AND METHODS: The Stryker eNact Precision Knee Navigation System was utilized to obtain pre- and postoperative alignment measurements throughout the functional arc of motion. Patients were contacted via telephone and asked to complete the Short Form-12 and Western Ontario and McMaster Universities, which have been demonstrated to be reliable, valid, and sensitive assessment tools in this patient population...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27915404/is-there-any-influence-of-humeral-component-retroversion-on-range-of-motion-and-clinical-outcome-in-reverse-shoulder-arthroplasty-a-clinical-study
#14
F A de Boer, P M van Kampen, P E Huijsmans
PURPOSE: Reverse shoulder arthroplasty becomes more widely used as treatment for patients with complex cuff arthropathy. Theoretically, a higher retroversion of the humeral component leads to an increase in external rotation ROM and a decrease in internal rotation ROM. There is no consensus in optimal retroversion orientation. We retrospectively describe the effect of retroversion of the humeral component. We hypothesize that 20° humeral retroversion improves postoperative ROM, strength or clinical outcome scores compared to neutral retroversion...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27900545/functional-and-oncological-outcome-after-surgical-resection-of-the-scapula-and-clavicle-for-primary-chondrosarcoma
#15
S P F T Nota, M J A M Russchen, K A Raskin, H J Mankin, F J Hornicek, J H Schwab
PURPOSE: The scapula is a relatively common site for chondrosarcoma to develop in contrary to the clavicle, which is rarely affected by these tumors. The aim of this study is to determine the functional and oncological outcome for patients treated operatively for scapular or clavicular chondrosarcoma. METHODS: In this single-center retrospective study, we included a sample of 20 patients that received the diagnosis of a primary chondrosarcoma of the scapula or clavicle...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27878549/fluoroscopic-freehand-and-electromagnetic-guided-targeting-system-for-distal-locking-screws-of-humeral-intramedullary-nail
#16
P Persiani, M Gurzi, O Moreschini, G Di Giacomo, C Villani
PURPOSE: The current techniques used to lock distal screws for the nailing of long bone fractures expose the surgeons, radiologists and patients to a hearty dose of ionizing radiation. The Sureshot™ Distal Targeting System is a new technique that, with the same results, allows for shorter surgery times and, consequently, less exposure to radiation. MATERIALS AND METHODS: The study was performed on 59 patients (34 males and 25 females) with a simple humerus fracture diagnosis, type 1...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27822870/a-prospective-study-for-the-treatment-of-proximal-humeral-fractures-with-the-galaxy-fixation-system
#17
R D'Ambrosi, F Palumbo, A Barbato, R M Facchini
BACKGROUND: Fractures of the proximal humerus represent a common problem in clinical practice; in particular for three- or four-part fractures, there is no consensus regarding which is the best treatment. The aim of our study was to report clinical and radiological outcomes in patients treated with the Galaxy Fixation System™ for a proximal humerus fracture. MATERIALS AND METHODS: Thirty-two patients of which 18 (56.25%) women, and 14 (43.75%) men suffering from proximal humerus fractures were treated using the Galaxy Fixation System™...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27766497/factors-increasing-mortality-of-the-elderly-following-hip-fracture-surgery-role-of-body-mass-index-age-and-smoking
#18
A R Vosoughi, M J Emami, B Pourabbas, H Mahdaviazad
OBJECTIVES: Hip fracture is one of the most common public health problems with a significant financial burden on the patient and on the healthcare system. This study was conducted to assess the 3-month and 1-year mortality rates of patients with operated hip fractures and to determine the influence of predictors of mortality. METHODS: In this prospective cross-sectional study, all admitted patients aged more than 50 years with hip fracture at Chamran Hospital from January 2008 to August 2013 were enrolled...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27757848/management-of-non-traumatic-avascular-necrosis-of-the-femoral-head-a-comparative-analysis-of-the-outcome-of-multiple-small-diameter-drilling-and-core-decompression-with-fibular-grafting
#19
S P Mohanty, K A Singh, R Kundangar, V Shankar
BACKGROUND: The purpose of this study was to compare the clinical and radiological outcomes of multiple small diameter drilling and core decompression with fibular strut grafting in the management of non-traumatic avascular necrosis (AVN) of the femoral head. MATERIALS AND METHODS: Outcomes of patients with AVN treated by multiple small diameter drilling (group 1) were compared retrospectively with patients treated by core decompression and fibular grafting (group 2)...
April 2017: Musculoskeletal Surgery
https://www.readbyqxmd.com/read/27734206/are-work-return-and-leaves-of-absence-after-acetabular-fractures-predictable-a-retrospective-study-of-108-patients
#20
A Aprato, A Joeris, F Tosto, V Kalampoki, E Rometsch, M Favuto, A Stucchi, M Azi, A Massè
BACKGROUND: To test if complexity of acetabular fractures, pre-trauma health status, time from trauma to definitive surgery, severity of injury or job characteristics influence work resumption, return to the same professional position and time out of work. MATERIALS AND METHODS: We performed a retrospective study on patients with surgically treated acetabular fractures. Medical records were reviewed to analyse demographics, follow-up, diagnosis (Letournel classification), type of surgical treatment, co-morbidities, time from trauma to definitive surgery, American Society of Anesthesiologists physical status classification (ASA) and associated injuries...
April 2017: Musculoskeletal Surgery
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