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Clinics in Orthopedic Surgery

Byung Hak Oh, Youn Moo Heo, Jin Woong Yi, Tae Gyun Kim, Jae Sin Lee
Atypical fractures have been reported as a complication of long-standing bisphosphonate therapy and occur commonly in the subtrochanteric region or shaft of the femur showing typical radiographic features. We encountered a case of atypical fracture of the proximal one-third of the shaft of the ulna. Radiographic findings of this case differed from previously reported cases of ulnar fracture in terms of showing a transverse fracture line with cortical thickening and an oblique fracture line with anterior cortical spike...
September 2018: Clinics in Orthopedic Surgery
Woo Jin Shin, Byung Kwon Chang, Jae Woo Shim, Jun Sik Park, Hwan Jin Kwon, Gab Lae Kim
Pincer nail deformity is a severe condition in which the nail bed becomes compressed and the nail shows an overcurvature. We retrospectively analyzed 13 pincer nail deformities treated using our nail plate and bed reconstruction technique. Visual analogue scale scores, the width of nail root, width of nail tip, height of nail tip, width index, and height index were assessed before and after surgery. The overcurvature was corrected after detachment of the nail plate. The nail fold was pushed underneath the nail plate and then fixed...
September 2018: Clinics in Orthopedic Surgery
Won Shik Shin, Dong Ki Ahn, Jung Soo Lee, In Sun Yoo, Ho Young Lee
Background: The incidence of cardiovascular and neurovascular diseases has been increasing with the aging of the population, and antiplatelet drugs (APDs) are more frequently used than in the past. With the average age of spinal surgery patients also increasing, there has been a great concern on the adverse effects of APD on spine surgery. To our knowledge, though there have been many studies on this issue, their results are conflicting. In this study, we aimed to determine the influence of APDs on spine surgery in terms of intraoperative bleeding and postoperative spinal epidural hematoma complication...
September 2018: Clinics in Orthopedic Surgery
Chang Hyun Yoo, Chan Kang, Deuk Soo Hwang, Jung Mo Hwang, Gi Soo Lee, Young Cheol Park
Background: After calcaneal fracture surgery, a short leg splint and cast are typically applied. However, these restrict joint exercises, which is inconvenient for patients. In addition, there is a risk of complications, such as pressure ulcers or nerve paralysis with a short leg cast. In this study, we evaluated clinical and radiological outcomes of the use of a specially designed calcaneal brace after calcaneal fracture surgery. Methods: From among patients who underwent open reduction and internal fixation for calcaneal fracture between July 9, 2013 and May 31, 2017, 102 patients who wore a calcaneal fracture brace (group A) and 82 patients who wore a postoperative short leg cast (group B) were randomly chosen for this study...
September 2018: Clinics in Orthopedic Surgery
Jeon-Gyo Kim, Dong-Jun Ha, Heui-Chul Gwak, Chang-Wan Kim, Jung-Han Kim, Seon-Joo Lee, Young-Jun Kim, Chang-Rak Lee, Ji-Hwan Park
Background: The purpose of this study was to compare clinical and radiological results of arthrodesis performed by the anterior approach and by the transfibular approach in ankle osteoarthritis. Methods: Sixty patients underwent open arthrodesis (38 by the anterior approach and 22 by the transfibular approach). The visual analogue scale score and the American Orthopedic Foot and Ankle Society (AOFAS) score were examined clinically, and radiological examination was performed on the alignment of the lower extremity and bone union...
September 2018: Clinics in Orthopedic Surgery
Piyush Suresh Nashikkar, Sung-Min Rhee, Chintan Vinod Desai, Joo Han Oh
Background: We hypothesized that anatomical healing in superior labrum anterior to posterior (SLAP) repair is associated with good clinical outcome. The purposes of this study were to assess the failure rate of anatomical healing after arthroscopic repair of SLAP lesions using computed tomography arthrography (CTA), investigate correlation of the rate with clinical outcomes, and identify prognostic factors for anatomical failure following SLAP repair. Methods: We retrospectively evaluated the outcome of 43 patients at a minimum follow-up of 1 year after arthroscopic surgery for SLAP lesions or SLAP lesions associated with Bankart lesions...
September 2018: Clinics in Orthopedic Surgery
Chul-Hyun Cho, Yong-Ho Lee, Kwang-Soon Song, Kyung-Jae Lee, Si-Wook Lee, Sung-Moon Lee
Background: The aim of this study was to assess the consistency between preoperative ultrasonographic and intraoperative measurements of the ulnar nerve in patients with cubital tunnel syndrome. Methods: Twenty-six cases who underwent anterior transposition of the ulnar nerve for cubital tunnel syndrome were enrolled prospectively. On preoperative ultrasonography, largest cross-sectional diameters of the ulnar nerve were measured at the level of medial epicondyle (ME) and 3 cm proximal (PME) and distal (DME) to the ME on the transverse scan by a single experienced radiologist...
September 2018: Clinics in Orthopedic Surgery
Eric Michael Padegimas, Thema A Nicholson, Stephen Silva, Matthew L Ramsey, Gerald R Williams, Mark D Lazarus, Surena Namdari
Background: The purpose of this study was to evaluate the functional outcomes, infection rate, and complications associated with shoulder arthroplasty for sequelae of prior septic arthritis. Methods: This is a retrospective cohort study of 17 patients who underwent shoulder arthroplasty for sequelae of septic arthritis. Patients were analyzed for patient-reported outcomes, complications, and reoperations. Results: The 17 patients in this cohort were an average age of 65...
September 2018: Clinics in Orthopedic Surgery
Bryce W Polascik, Hamid Rahmatullah Bin Abd Razak, Hwei-Chi Chong, Ngai-Nung Lo, Seng-Jin Yeo
Background: This study evaluated outcomes following total knee arthroplasty for severely stiff knees in Asians. Methods: Registry data of patients undergoing primary total knee arthroplasty between 2004 and 2013 were collected and retrospectively reviewed. Sociodemographic and anthropometric data together with the Oxford Knee Score and the Knee Society Score (Knee Society Knee Score and the Knee Society Function Score) were collected both preoperatively and postoperatively for up to 2 years...
September 2018: Clinics in Orthopedic Surgery
Ju-Eun Kim, Dae-Jung Choi
Background: Open microscopic laminectomy has been the standard surgical method for degenerative spinal stenosis without instability till now. However, it is associated with complications such as paraspinal muscle injury, excessive bleeding, and wound infection. Several surgical techniques, including microendoscopic decompression, have been introduced to solve these problems. Methods: Authors analyzed retrospectively 55 patients presenting with neurological symptoms due to degenerative lumbar spinal stenosis refractory to conservative treatment...
September 2018: Clinics in Orthopedic Surgery
Myung-Sang Moon, Hohyoung Lee, Seong-Tae Kim, Sang-Jae Kim, Min-Su Kim, Dong-Suk Kim
Background: Several previous studies reported on the impact of upright standing and chair sitting on the sagittal spinopelvic alignment. However, there are no studies on the impact of the two Asian (Korean and Japanese) style floor-sitting positions on the sagittal spinopelvic alignment. The purpose of this study was to evaluate the impact of four different body postures (standing, chair sitting, kneel sitting, and cross-legged sitting) on the sagittal spinopelvic alignment. Methods: Sixteen selected healthy volunteers (10 males and six females) were subjects of this pilot study...
September 2018: Clinics in Orthopedic Surgery
Ju-Hyung Yoo, Hyun-Cheol Oh, Sang-Hoon Park, Jin-Kyu Kim, Sang-Hee Kim
Background: The aim of this study was to evaluate the clinical and radiological outcomes of minimally invasive total knee arthroplasty (MIS-TKA) in obese patients. Methods: We examined the records of 371 cases of MIS-TKA performed using the mini-midvastus approach from January 2006 to December 2006. According to body mass index (BMI), the cases were classified into group A (BMI < 25 kg/m2 , 114 knees), group B (25 kg/m2 ≤ BMI < 30 kg/m2 , 179 knees), and group C (BMI ≥ 30 kg/m2 , 78 knees)...
September 2018: Clinics in Orthopedic Surgery
Diego Ventura, Jorge H Nuñez, Nayana Joshi-Jubert, Enric Castellet, Joan Minguell
Background: Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. The aim of this study was to detail the clinical, radiological, arthroscopic, and pathological findings of mucoid degeneration of the anterior cruciate ligament and report the clinical outcomes following arthroscopic treatment. Methods: A historical cohort of patients who underwent arthroscopic total or partial excision of the anterior cruciate ligament due to mucoid degeneration between 2011 and 2014 were reviewed...
September 2018: Clinics in Orthopedic Surgery
Byung-Woo Min, Chang Soo Kang, Kyung-Jae Lee, Ki-Cheor Bae, Chul-Hyun Cho, Jung-Hoon Choi, Hyuk-Joon Sohn, Hong-Kwan Sin
Background: Although satisfactory mid- to long-term results of rotational acetabular osteotomy for early osteoarthritis secondary to acetabular dysplasia have been reported, there is still controversy about the long-term effects of this surgery in more advanced osteoarthritis. The purpose of this study was to investigate the radiographic progression of osteoarthritic changes after rotational acetabular osteotomy in acetabular dysplasia according to the preoperative Tönnis grade and evaluate its effects after minimum 10-year follow-up...
September 2018: Clinics in Orthopedic Surgery
Myung Rae Cho, Jae Hyuk Lee, Jai Bum Kwon, Jung Suk Do, Seung Bum Chae, Won-Kee Choi
Background: We evaluated the radiological and clinical results of reduction using a dynamic hip screw according to the grade of medial cortical support in patients with AO Foundation and Orthopaedic Trauma Association (AO/OTA) classification type 31-A2 pertrochanteric fractures. Methods: We enrolled 100 patients with AO/OTA type 31-A2 fractures with displaced lesser trochanter fragments (length of the cortical area longer than 20 mm on the pelvis anteroposterior view)...
September 2018: Clinics in Orthopedic Surgery
Keith T Aziz, Matthew J Best, Zan Naseer, Richard L Skolasky, Karthik E Ponnusamy, Robert S Sterling, Harpal S Khanuja
Background: Our goal was to determine whether postoperative delirium is associated with inpatient complication rates after primary elective total hip arthroplasty (THA). Methods: Using the National Inpatient Sample, we analyzed records of patients who underwent primary elective THA from 2000 through 2009 to identify patients with delirium (n = 13,551) and without delirium (n = 1,992,971) and to assess major perioperative complications (acute renal failure, death, myocardial infarction, pneumonia, pulmonary embolism, and stroke) and minor perioperative complications (deep vein thrombosis, dislocation, general procedural complication, hematoma, seroma, and wound infection)...
September 2018: Clinics in Orthopedic Surgery
Youngsoo Byun, Youngho Cho, Karam Kim
Background: Displaced anterior column fractures have increasingly been treated surgically by the ilioinguinal approach and fixation with lag screws and a buttress plate on the pelvic brim. However, a major disadvantage of the ilioinguinal approach is possible damage to the neurovascular bundle and the lymphatic structures in the intermediate part of the approach. This study aims to present a novel surgical technique of the less invasive anterior iliac approach and compression osteosynthesis for high anterior column fractures of the acetabulum...
September 2018: Clinics in Orthopedic Surgery
Yuan-Zhe Jin, Jae Hyup Lee
Mesenchymal stem cells (MSCs) have been used in clinic for approximately 20 years. During this period, various new populations of MSCs have been found or manipulated. However, their characters and relative strength for bone regeneration have not been well known. For a comprehensive understanding of MSCs, we reviewed the literature on the multipotent cells ranging from the definition to the current research progress for bone regeneration. Based on our literature review, bone marrow MSCs have been most widely studied and utilized in clinical settings...
September 2018: Clinics in Orthopedic Surgery
Dimitrios Stasinopoulos
No abstract text is available yet for this article.
June 2018: Clinics in Orthopedic Surgery
Joong-Bae Seo, Sung-Hyun Yoon, Joon-Yeul Lee, Jun-Kyom Kim, Jae-Sung Yoo
No abstract text is available yet for this article.
June 2018: Clinics in Orthopedic Surgery
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