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Orthopedic Reviews

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https://www.readbyqxmd.com/read/29770180/factors-impacting-arthroscopic-rotator-cuff-repair-operational-throughput-time-at-an-ambulatory-care-center
#1
Emily J Curry, Catherine Logan, Kaytelin Suslavich, Kaitlyn Whitlock, Eric Berkson, Elizabeth Matzkin
Identifying patient factors influencing operational throughput time is becoming more imperative due to an increasing focus on value and cost savings in healthcare. The primary objective of this study was to determine patient factors influencing throughput time for primary rotator cuff repairs. Demographic information, medical history and operative reports of 318 patients from one ambulatory care center were retrospectively reviewed. Operating room set up, incision to closure and recovery room time were collected from anesthesia records...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770179/biomechanical-comparison-between-titanium-and-cobalt-chromium-rods-used-in-a-pedicle-subtraction-osteotomy-model
#2
Kalpit N Shah, Gregory Walker, Sarath C Koruprolu, Alan H Daniels
Instrumentation failure is a common complication following complex spinal reconstruction and deformity correction. Rod fracture is the most frequent mode of hardware failure and often occurs at or near a 3-column osteotomy site. Titanium (Ti) rods are commonly utilized for spinal fixations, however, theoretically stiffer materials, such as cobalt-chrome (CoCr) rods are also available. Despite ongoing use in clinical practice, there is little biomechanical evidence that compares the construct ability to withstand fatigue stress for Ti and Co-Cr rods...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770178/dynamic-stabilization-for-degenerative-diseases-in-the-lumbar-spine-2-years-results
#3
Ahmed Hosny Khalifa, Timo Stübig, Oliver Meier, Christian Walter Müller
Following lumbar fusion, adjacent segment degeneration has been frequently reported. Dynamic systems are believed to reduce main fusion drawbacks. We conducted a retrospective study on patients with degenerative lumbar disease treated with posterior dynamic stabilization with monoaxial hinged pedicular screws and lumbar decompression. VAS and ODI were used to compare clinical outcomes. As radiological outcomes, LL and SVA were used. 51 patients were included with an average follow-up of 24 months. 13 patients were revised because of postoperative radiculopathy (n=4), subcutaneous hematoma (n=2), L5 screw malposition (n=1) and adjacent segment disease (n=6)...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770177/tibial-plateau-fractures-fracture-patterns-and-computed-tomography-evaluation-of-tibial-plateau-fractures-in-winter-sports
#4
Philipp Jan Gebel, Malte Tryzna, Thomas Beck, Bernd Wilhelm
The purpose was to analyze tibial plateau fractures (TPF) by computed tomography (CT) by creating a frequency map (FM). We hypothesized that a FM shows clinically important aspects of involvement that are not expressed in classic classifications. 185 TPF were retrospectively evaluated in this single center study. We created a FM onto an axial template of an intact subarticular tibial plateau and separated the joint surface in 9 areas, counted the frequency of involvement. The FM gives information of location and grade of damage and expressed three major fracture areas in 76%...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770176/the-top-50-most-cited-articles-on-total-ankle-arthroplasty-a-bibliometric-analysis
#5
Azeem Tariq Malik, Shahryar Noordin
Total Ankle Arthroplasty (TAA) is a relatively new and evolving field in Foot and Ankle surgery. We conducted a citation analysis to identify the characteristics of the top 50 most cited articles on total ankle arthroplasty. Using the Web of Science database and the search strategy total ankle arthroplasty OR total ankle replacement , we identified 2445 articles. After filtering for relevant articles, the top 50 cited articles on total ankle arthroplasty were retrieved for descriptive and statistical analysis...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770175/neurologic-complications-in-common-wrist-and-hand-surgical-procedures
#6
Nicole Verdecchia, Julie Johnson, Mark Baratz, Steven Orebaugh
Nerve dysfunction after upper extremity orthopedic surgery is a recognized complication, and may result from a variety of different causes. Hand and wrist surgery require incisions and retraction that necessarily border on small peripheral nerves, which may be difficult to identify and protect with absolute certainty. This article reviews the rates and ranges of reported nerve dysfunction with respect to common surgical interventions for the distal upper extremity, including wrist arthroplasty, wrist arthrodesis, wrist arthroscopy, distal radius open reduction and internal fixation, carpal tunnel release, and thumb carpometacarpal surgery...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29770174/a-simple-technique-to-prolong-molding-time-during-application-of-a-fiberglass-cast-an-in-vitro-study
#7
Mark Ayzenberg, Michael Narvaez, James Raphael
Casting is routinely used for acute and post-operative immobilization and remains a cornerstone in the non-operative management of fractures and deformities. The application of a properly fitted and wellmolded cast, especially for a trainee, can be challenging. We present a simple method of prolonging cure time of fiberglass cast - placing ice in the dip water. Eight-ply, fiveinch fiberglass cast was circumferentially applied to an aluminum-wrapped cardboard cylinder. An electronic, 2-channel temperature sensor (TR-71wf Temp Logger, T&D Corporation, Matsumoto, Japan), accurate to 0...
March 29, 2018: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564079/complications-after-operative-treatment-of-femoral-shaft-fractures-in-childhood-and-adolescence
#8
Christiane Kruppa, Gabriele Wiechert, Thomas A Schildhauer, Marcel Dudda
Purpose of the study was to retrospectively analyze the complication rates after operatively treated femoral shaft fractures in childhood and adolescence. Retrospective evaluation of 42 children with operatively treated femoral shaft fractures between 2000 and 2014. Fractures were classified as 27 A type, 12 B type and 3 C type fractures according the OTA/AO classification. 8 (19.05%) fractures were open. Age averaged 10.2 years (3-16). Fracture treatment was recorded as temporary or definitive external fixation, ESIN, plate fixation or IMN...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564078/value-based-procurement-of-prostheses-for-total-knee-replacement
#9
Andrea Messori, Sabrina Trippoli
Cost-effectiveness evaluations concerning devices for total knee arthroplasty (TKA) have little impact on real-life management of these devices. This study explored how pharmacoeconomic models can inform the procurement of TKA devices to improve their value for money. Our study included three phases: i) literature search for data of outcome, cost, and device type in TKA; ii) development of a Markov model predicting costs, QALYs, and net monetary benefit (NMB); iii) simulation of tenders aimed at value-based device procurement...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564077/extra-articular-deformities-in-arthritic-knees-a-grueling-challenge-for-arthroplasty-surgeons-an-evidence-based-update
#10
Vishesh Khanna, Senthil N Sambandam, Munis Ashraf, Varatharaj Mounasamy
Critical to the success of a total knee arthroplasty (TKA) is the anatomical alignment. This may appear as a challenge in an extra-articular deformity (EAD) that may be inherent in certain people or result from fracture malunion, congenital disorders, nutritional, metabolic and infective causes. This appraisal aimed at providing the reader with an up-todate overview of the research carried out on, and existent evidence of EAD correction while planning a TKA. We reviewed the current English literature on TKA in extra-articular knee deformities...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564076/the-deformity-correction-and-fixator-assisted-treatment-using-ilizarov-versus-taylor-spatial-frame-in-the-foot-and-ankle
#11
Yudha Manggala, Chayanin Angthong, Andri Primadhi, Supoj Kungwan
This study was to report the comparison of outcomes between Ilizarov ring fixator (IRF) and Taylor Spatial Frame® (Smith & Nephew, Memphis, Tenn.; TSF) in terms of the effectiveness of ankle-foot deformities correction, follow-up results, and complications. Fourteen patients with ankle-foot deformities were corrected using circular external fixation (IRF group = 7 patients; TSF group = 7 patients) and related procedures. Baseline data and treatment variables were recorded. The patients' mean age was 42...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564075/patellofemoral-pain-syndrome-in-female-athletes-a-review-of-diagnoses-etiology-and-treatment-options
#12
Molly Vora, Emily Curry, Amanda Chipman, Elizabeth Matzkin, Xinning Li
Patellofemoral pain syndrome (PFPS) is one of the most common causes of knee pain and is present in females disproportionately more relative to males. PFPS causes tend to be multifactorial in nature and are described in this review. From a review of the current literature, it is clear that there needs to be further research on PFPS in order to better understand the complex etiology of this disorder in both males and females. It is known that females with patellofemoral pain syndrome demonstrate a decrease in abduction, external rotation and extension strength of the affected side compared with healthy patients...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564074/the-role-of-postoperative-radiation-and-coordination-of-care-in-patients-with-metastatic-bone-disease-of-the-appendicular-skeleton
#13
Andrew R Summers, Travis Philipp, Jacob D Mikula, Kenneth R Gundle
Metastatic bone disease affects approximately 300,000 people in the United States, and the burden is rising. These patients experience significant morbidity and decreased survival. The management of these patients requires coordinated care among a multidisciplinary team of physicians, including orthopaedic surgeons. This article reviews the role of radiation therapy after orthopaedic stabilization of impending or realized pathologic extremity fractures. Orthopaedic surgeons have an opportunity to benefit patients with metastatic bone disease by referring them for consideration of post-operative radiation therapy...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564073/primary-leiomyosarcoma-of-the-distal-fibula-a-case-report-and-review-of-the-literature
#14
Marwan Hanafy, Martin Schwonzen, Cornelius Kuhnen, Bernhard Schley, Axel Wilke
We describe a primary leiomyosarcoma of bone located in the distal fibula in a 67- year-old man. Plain radiographs and computer tomography scan revealed a lytic destructive lesion in the distal metaepiphyseal region of the left fibula with little involvement of the surrounding soft tissues. The lesion was composed of proliferating spindle-shaped cells with very slim cytoplasm and narrow oval cigar shaped nuclei. Immunohistochemistry studies demonstrated a strong positivity for actin and desmin, and weak positivity for caldesmon...
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29564072/current-trends-in-the-management-of-trapeziometacarpal-arthritis
#15
Adam E M Eltorai, Alex Han
The purpose of this update is to report on a variety of topics related to trapeziometacarpal arthritis that have been recently investigated. The keyword trapeziometacarpal arthritis was utilized to query the PubMed database of the U.S. National Library of Medicine. From the resulting list, papers published from the beginning of April 2014 through the beginning of April 2017 were reviewed. The forty-five studies identified are reviewed here and referenced.
December 14, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29090074/developments-in-trapezium-replacements
#16
REVIEW
Adam E M Eltorai, Alex Han
No abstract text is available yet for this article.
September 30, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29090073/anatomic-humeral-head-replacement-with-a-press-fit-prosthesis-an-in-vivo-radiographic-study
#17
REVIEW
Bryan Vopat, Jeremy Truntzer, Daniel Aaron, Jack Anavian, Joel Schwartz, Andrew Green
No abstract text is available yet for this article.
September 30, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29090072/biomechanical-analysis-of-four-external-fixation-pin-insertion-techniques
#18
REVIEW
Dillon Arango, Nathan Tiedeken, Benjamin Clippinger, Solomon Praveen Samuel, Vilas Saldanha, Gene Shaffer
No abstract text is available yet for this article.
September 30, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/29071040/cost-effectiveness-of-timely-versus-delayed-primary-total-hip-replacement-in-germany-a-social-health-insurance-perspective
#19
Ruben E Mujica-Mota, Leala K Watson, Rosanna Tarricone, Marcus Jäger
Without clinical guideline on the optimal timing for primary total hip replacement (THR), patients often receive the operation with delay. Delaying THR may negatively affect long-term health-related quality of life, but its economic effects are unclear. We evaluated the costs and health benefits of timely primary THR for functionally independent adult patients with end-stage osteoarthritis (OA) compared to non-surgical therapy followed by THR after progression to functional dependence (delayed THR), and non-surgical therapy alone (Medical Therapy), from a German Social Health Insurance (SHI) perspective...
September 30, 2017: Orthopedic Reviews
https://www.readbyqxmd.com/read/28713528/the-double-transforaminal-lumbar-interbody-fusion-an-innovative-one-stage-surgical-technique-for-posterior-kyphosis-correction
#20
Marcus Jäger, Tjark Tassemeier
Posttraumatic deformities after vertebral fractures are challenging for orthopedic surgeons in the non-operative and operative field. Especially osteoporotic fractures may cause a hyperkyphosis resulting in segmental or global sagittal imbalance and chronic back pain. Different vertebral osteotomies are potent to restore sagittal profile but show a very high perioperative risk including neurological and soft tissue complications. In addition, some of these extensive operations require a two-step procedure including posterior and anterior approaches...
June 23, 2017: Orthopedic Reviews
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