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Clinics in Orthopedic Surgery

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https://www.readbyqxmd.com/read/28275424/blood-transfusion-rates-as-a-primary-outcome-measure-the-use-of-predetermined-triggers-and-display-of-clinical-indications-in-providing-accurate-comparative-transfusion-rates-in-reply
#1
COMMENT
Atul F Kamath, Daniel C Austin, Peter B Derman, R Carter Clement, Jonathan P Garino, Gwo-Chin Lee
No abstract text is available yet for this article.
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261438/blood-transfusion-rates-as-a-primary-outcome-measure-the-use-of-predetermined-triggers-and-display-of-clinical-indications-in-providing-accurate-comparative-transfusion-rates-to-the-editor
#2
COMMENT
David Skipsey, Felix Allen, Anwar Hussein, Deiary Kader, Tomislav Smoljanovic
No abstract text is available yet for this article.
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261437/outcome-after-surgery-for-metastases-to-the-pelvic-bone-a-single-institutional-experience
#3
Chandra Kumar Krishnan, Ilkyu Han, Han-Soo Kim
BACKGROUND: The pelvic bone is the most common site of bone metastases following the axial skeleton. Surgery on the pelvic bone is a demanding procedure. Few studies have been published on the surgical outcomes of metastasis to the pelvic bone with only small numbers of patients involved. This study sought to analyze the complications, local progression and survival after surgery for metastasis to the pelvic bone on a larger cohort of patients. METHODS: We analyzed 83 patients who underwent surgery for metastases to the pelvic bone between the years 2000 and 2015...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261436/orthopedic-manifestations-of-type-i-camurati-engelmann-disease
#4
Alisher J Yuldashev, Chang Ho Shin, Yong Sung Kim, Woo Young Jang, Moon Seok Park, Jong Hee Chae, Won Joon Yoo, In Ho Choi, Ok Hwa Kim, Tae-Joon Cho
BACKGROUND: Camurati-Engelmann disease (CED) is a rare genetic skeletal disorder characterized by limb pain, muscle emaciation and weakness, and cortical thickening of the diaphysis of long bones. It is caused by mutations in the transforming growth factor beta 1 (TGFB1) (type I) or other unknown gene(s) (type II). We present 8 consecutive patients with type I CED. METHODS: We retrospectively reviewed medical records and radiographs of type I CED patients with special reference to the mode of presentation, process of diagnostic work-up, and disease course...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261435/flexible-intramedullary-nailing-of-forearm-fractures-at-the-distal-metadiaphyseal-junction-in-adolescents
#5
Byung Sung Kim, Yong Sung Lee, Sung Yong Park, Jae Hwi Nho, Sun Geun Lee, Young Hwan Kim
BACKGROUND: The purpose of this study was to analyze the radiographic and functional outcomes of flexible intramedullary (IM) nailing in adolescent patients with forearm fractures at the diaphysis or at the metadiaphyseal junction (MDJ). METHODS: We retrospectively reviewed the results of 40 patients who underwent IM nailing for pediatric forearm fractures. Thirty males and 10 females were followed for an average of 16 months (range, 12 to 20 months). Their average age was 11 years (range, 10 to 16 years)...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261434/survey-of-preferences-in-patients-scheduled-for-carpal-tunnel-release-using-conjoint-analysis
#6
Wan Lim Kim, Jin Sam Kim, Jun Bum Lee, Sun Hwa Kim, Dong-Uk Min, Ho Youn Park
BACKGROUND: This study aimed to investigate the preferences of patients scheduled for carpal tunnel release using conjoint analysis and also introduce an example of how to apply a conjoint analysis to the medical field. The use of conjoint analysis in this study is new to the field of orthopedic surgery. METHODS: A total of 97 patients scheduled for carpal tunnel release completed the survey. The following four attributes were predefined: board certification status, distance from the patient's residency, medical costs, and waiting time for surgery...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261433/ultrasonographic-and-clinical-characteristics-of-schwannoma-of-the-hand
#7
Seoung Joon Lee, Seok Tae Yoon
BACKGROUND: The purpose of this study was to report the ultrasonographic findings and clinical features of schwannoma of the hand. METHODS: We enrolled 8 patients who were initially diagnosed with ganglion by ultrasonography but finally with schwannoma by a tissue biopsy. We retrospectively analyzed the ultrasonographic findings of eight patients including echogenicity, internal homogeneity, posterior enhancement, internal vascularity, and clinical manifestations such as the occurrence site, tenderness, Tinel's sign, and paresthesia before the surgery...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261432/comparison-of-clinical-and-radiological-results-according-to-glenosphere-position-in-reverse-total-shoulder-arthroplasty-a-short-term-follow-up-study
#8
Chang Hyuk Choi, Sung Guk Kim, Jae Jun Lee, Byung Hoon Kwack
BACKGROUND: In a previous biomechanical study, eccentric glenospheres with more inferior position of the center of rotation were shown to improve range of motion and reduce the incidence of scapular notching after reverse total shoulder arthroplasty (RSA). The purpose of this study was to compare the clinical and radiological results of RSA using an eccentric glenosphere to those using a concentric glenosphere and to determine the usefulness of the eccentric glenosphere. METHODS: From 2009 to 2015, we performed a retrospective review of 20 consecutive patients who underwent RSA using a deltopectoral approach...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261431/outcomes-of-rotator-cuff-repair-in-patients-with-comorbid-disability-in-the-extremities
#9
Joo Han Oh, Woo Kim, Jung Youn Kim, Yong Girl Rhee
BACKGROUND: Rehabilitation and overuse of the shoulder after rotator cuff repair are a concern in patients with comorbid disability in other extremities. Improvement of outcomes can be hampered in this situation. This study was to describe the clinical outcomes of rotator cuff repair in patients with comorbid disability in other extremities. METHODS: In two tertiary institutions, 16 patients with comorbid disability (9 men and 7 women; mean age of 57.1 years [range, 45 to 71 years]; 14 dominant arms; mean follow-up of 18 months [range, 12 to 38 months]) underwent rotator cuff repair...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261430/assessment-of-anteroposterior-subpedicular-approach-and-oblique-scotty-dog-subpedicular-approach-for-selective-nerve-root-block
#10
Arun-Kumar Kaliya-Perumal, Yu-Cheng Yeh, Chi-An Luo, Kit-Yang Joey-Tan
BACKGROUND: The technique used to administer a selective nerve root block (SNRB) varies depending on individual expertise. Both the anteroposterior (AP) subpedicular approach and oblique Scotty dog subpedicular approach are widely practiced. However, the literature does not provide a clear consensus regarding which approach is more suitable. Hence, we decided to analyse the procedural parameters and clinical outcomes following SNRBs using these two approaches. METHODS: Patients diagnosed with a single lumbar herniated intervertebral disc (HIVD) refractory to conservative management but not willing for immediate surgery were selected for a prospective nonrandomized comparative study...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261429/radiological-parameters-of-undegenerated-cervical-vertebral-segments-in-a-korean-population
#11
Sung Hoon Choi, HeeSang Lee, Jae Hwan Cho, Jin Il Jung, Dong-Ho Lee
BACKGROUND: Several scoring systems for cervical disc and facet joint degeneration, using radiography or computed tomography, have been developed and tested for reliability. However, definitions of disc height and facet joint space narrowing vary. To our knowledge, no study has reported quantitative data for normal radiologic values of the cervical spine in the Korean population. The purpose of this study is to determine normal cervical disc height, disc height ratio, and facet joint space values, and investigate the correlation between demographic data and these values...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261428/association-between-sacral-slanting-and-adjacent-structures-in-patients-with-adolescent-idiopathic-scoliosis
#12
Jae Hwan Cho, Choon Sung Lee, Youn-Suk Joo, Jungu Park, Chang Ju Hwang, Dong-Ho Lee
BACKGROUND: Sacral slanting is a frequent unique phenomenon in patients with adolescent idiopathic scoliosis (AIS) and may be important for selecting the distal fusion level. However, the reason of the phenomenon remains unknown. The purpose of this study was to determine the association between sacral slanting and adjacent structures in patients with AIS. METHODS: A total of 303 AIS patients who underwent both whole spine standing anteroposterior (AP) and whole leg standing AP radiography were included...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261427/causes-of-aseptic-persistent-pain-after-total-knee-arthroplasty
#13
Hong-An Lim, Eun-Kyoo Song, Jong-Keun Seon, Kyung-Soon Park, Young-Joo Shin, Hong-Yeol Yang
BACKGROUND: Persistent pain after total knee arthroplasty (TKA) is dissatisfying to the patient and frustrating to the surgeon. The purpose of this study is to evaluate the aseptic causes and clinical course of intractable pain following TKA. METHODS: Of the total 2,534 cases of primary TKA reviewed, 178 cases were classified as having aseptic persistent pain that was not resolved within 1 year after surgery. Except for the cases with periprosthetic fracture (56 knees), 122 cases of aseptic painful TKA were divided into two groups: intra-articular group (83 knees) and extra-articular group (39 knees)...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261426/is-intraoperative-use-of-quikclot-combat-gauze-effective-for-hemostasis-after-total-knee-arthroplasty
#14
Jung Ho Noh, Jae Woo Lee, Young Joon Nam, Ki Yong Choi
BACKGROUND: To assess the hemostatic effect of QuikClot Combat Gauze (QCG) compared to that of standard gauze during cruciate-retaining total knee arthroplasty (TKA). METHODS: Sixty knees underwent TKA using a pneumatic tourniquet in this prospective randomized study. After implantation of the femoral and tibial components and hardening of the bone cement, the tourniquet was deflated and QCG (group 1) or standard gauze (group 2) was packed into the joint cavity for 5 minutes for hemostasis...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261425/intermittent-pneumatic-compression-for-the-prevention-of-venous-thromboembolism-after-total-hip-arthroplasty
#15
Hong Suk Kwak, Jai Ho Cho, Jung Taek Kim, Jeong Joon Yoo, Hee Joong Kim
BACKGROUND: Venous thromboembolism (VTE) is a relatively common and potentially life threatening complication after major hip surgery. There are two main types of prophylaxis: chemical and mechanical. Chemical prophylaxis is very effective but causes bleeding complications in surgical wounds and remote organs. On the other hand, mechanical methods are free of hemorrhagic complications but are less effective. We hypothesized that mechanical prophylaxis is effective enough for Asians in whom VTE occurs less frequently...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261424/healing-process-of-osteonecrotic-lesions-of-the-femoral-head-following-transtrochanteric-rotational-osteotomy-a-computed-tomography-based-study
#16
Devendra Lakhotia, Siva Swaminathan, Won Yong Shon, Jong Keon Oh, Jun Gyu Moon, Chirayu Dwivedi, Suk Joo Hong
BACKGROUND: Transtrochanteric rotational osteotomy (TRO) is a controversial hip-preserving procedure with a variable success rate. The healing process of femoral head osteonecrosis after TRO has been poorly explained till now. This study aimed to evaluate the healing process of previously transposed necrotic lesion after a TRO for nontraumatic osteonecrosis of the femoral head using computed tomography (CT). METHODS: Among 52 patients (58 hips) who had preserved original femoral head after TRO, we retrospectively reviewed 27 patients (28 hips) who had undergone sequential CT scans and had no major complication following TRO...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261423/cementless-total-hip-arthroplasty-involving-trochanteric-osteotomy-without-subtrochanteric-shortening-for-high-hip-dislocation
#17
Soong Joon Lee, Jeong Joon Yoo, Hee Joong Kim
BACKGROUND: Total hip arthroplasty with subtrochanteric shortening osteotomy is widely performed for high hip dislocation. However, suboptimal leg length discrepancy correction and nonunion of the osteotomy site remain concerns. Although total hip arthroplasty using trochanteric osteotomy without subtrochanteric osteotomy was introduced, cemented implants have been more commonly used than contemporary cementless implants in this procedure. We evaluated the long-term results of cementless total hip arthroplasty with trochanteric osteotomy without subtrochanteric osteotomy for high hip dislocation...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261422/a-comprehensive-analysis-of-the-causes-and-predictors-of-30-day-mortality-following-hip-fracture-surgery
#18
Hassaan Qaiser Sheikh, Fahad Siddique Hossain, Adeel Aqil, Babawande Akinbamijo, Vhaid Mushtaq, Harish Kapoor
BACKGROUND: A fracture neck of femur is the leading cause of injury-related mortality in the elderly population. The 30-day mortality figure is a well utilised marker of clinical outcome following a fracture neck of femur. Current studies fail to analyse all patient demographic, biochemical and comorbid parameters associated with increased 30-day mortality. We aimed to assess medical risk factors for mortality, which are easily identifiable on admission for patients presenting with a fractured neck of femur...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/28261421/spinal-cord-injury-and-related-clinical-trials
#19
REVIEW
Young-Hoon Kim, Kee-Yong Ha, Sang-Il Kim
Spinal cord injury (SCI) has been considered an incurable condition and it often causes devastating sequelae. In terms of the pathophysiology of SCI, reducing secondary damage is the key to its treatment. Various researches and clinical trials have been performed, and some of them showed promising results; however, there is still no gold standard treatment with sufficient evidence. Two therapeutic concepts for SCI are neuroprotective and neuroregenerative strategies. The neuroprotective strategy modulates the pathomechanism of SCI...
March 2017: Clinics in Orthopedic Surgery
https://www.readbyqxmd.com/read/27904734/recurrence-of-a-unicameral-bone-cyst-in-the-femoral-diaphysis
#20
Hyun Se Kim, Kyung Sup Lim, Sung Wook Seo, Seung Pil Jang, Jong Sup Shim
Diaphyseal unicameral bone cysts of the long bone are generally known to originate near the growth plate and migrate from the metaphysis to the diaphysis during skeletal growth. In the case of unicameral bone cysts of diaphyseal origin, recurrence at the same location is extremely rare. We report a case of recurrence of a unicameral bone cyst in the diaphysis of the femur that developed 8 years after treatment with curettage and bone grafting. We performed bone grafting and lengthening of the affected femur with an application of the Ilizarov apparatus over an intramedullary nail to treat the cystic lesion and limb length discrepancy simultaneously...
December 2016: Clinics in Orthopedic Surgery
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