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Advances in Orthopedics

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https://www.readbyqxmd.com/read/27843650/reliability-and-validity-measurement-of-sagittal-lumbosacral-quiet-standing-posture-with-a-smartphone-application-in-a-mixed-population-of-183-college-students-and-personnel
#1
George A Koumantakis, Maria Nikoloudaki, Sara Thacheth, Kalliroi Zagli, Konstantina Bitrou, Andreas Nigritinos, Leon Botton
Accurate recording of spinal posture with simple and accessible measurement devices in clinical practice may lead to spinal loading optimization in occupations related to prolonged sitting and standing postures. Therefore, the purpose of this study was to establish the level of reliability of sagittal lumbosacral posture in quiet standing and the validity of the method in differentiating between male and female subjects, establishing in parallel a normative database. 183 participants (83 males and 100 females), with no current low back or pelvic pain, were assessed using the "iHandy Level" smartphone application...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27818800/new-technique-for-tibiotalar-arthrodesis-using-a-new-intramedullary-nail-device-a-cadaveric-study
#2
Emmanuel D Eisenstein, Mario Rodriguez, Amr A Abdelgawad
Introduction. Ankle arthrodesis is performed in a variety of methods. We propose a new technique for tibiotalar arthrodesis using a newly designed intramedullary nail. Methods. We proposed development of an intramedullary device for ankle arthrodesis which spared the subtalar joint using a sinus tarsi approach. Standard saw bones models and computer assisted modeling and stress analysis were used to develop different nail design geometries and determine the feasibility of insertion. After the final design was constructed, the device was tested on three cadaveric specimens...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27800188/arthroscopic-treatment-for-primary-septic-arthritis-of-the-hip-in-adults
#3
Jörg Hartmut Schröder, David Krüger, Carsten Perka, Martin Hufeland
Purpose. Primary septic arthritis is a rare differential diagnosis of acute hip pain in adults. Inspired by the success of all-arthroscopic treatment in pediatric patients, we developed a diagnostic and surgical pathway for our adult patients. Methods. Seven patients, average age 44 ± 13.7 years with acute hip pain since 4.4 ± 2.9 days in the average, were included. Septic arthritis was confirmed by joint aspiration and dissemination was excluded by MRI and standard radiographs. Surgical treatment consisted of immediate arthroscopic lavage using 4 portals for debridement, high-volume irrigation, partial synovectomy, and drainage...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27688914/the-prevalence-of-mrsa-nasal-carriage-in-preoperative-pediatric-orthopaedic-patients
#4
J J Walrath, W L Hennrikus, C Zalonis, A M Dyer, J E Latorre
Nasal carriage of methicillin-resistant Staphylococcus aureus (MRSA) has been described as a risk factor for postsurgical infection. The purpose of this study is to determine the prevalence of MRSA in pediatric orthopaedic patients and whether being a MRSA carrier is a predictor of postoperative infection. Six hundred and ninety-nine consecutive pediatric patients who underwent MRSA nasal screening prior to surgery were studied. Postoperative cultures, total surgical site infections (SSIs), and epidemiological and surgical prophylaxis data were reviewed...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27462471/arthroscopic-repair-of-articular-surface-partial-thickness-rotator-cuff-tears-transtendon-technique-versus-repair-after-completion-of-the-tear-a-meta-analysis
#5
REVIEW
Yohei Ono, Jarret M Woodmass, Aaron J Bois, Richard S Boorman, Gail M Thornton, Ian K Y Lo
Articular surface partial-thickness rotator cuff tears (PTRCTs) are commonly repaired using two different surgical techniques: transtendon repair or repair after completion of the tear. Although a number of studies have demonstrated excellent clinical outcomes, it is unclear which technique may provide superior clinical outcomes and tendon healing. The purpose was to evaluate and compare the clinical outcomes following arthroscopic repair of articular surface PTRCT using a transtendon technique or completion of the tear...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27340569/minimally-invasive-medial-plating-of-low-energy-lisfranc-injuries-preliminary-experience-with-five-cases
#6
Jorge Javier Del Vecchio, Mauricio Ghioldi, Nicolás Raimondi, Manuel De Elias
Fracture dislocations involving the Lisfranc joint are rare; they represent only 0.2% of all the fractures. There is no consensus about the surgical management of these lesions in the medical literature. However, both anatomical reduction and tarsometatarsal stabilization are essential for a good outcome. In this clinical study, five consecutive patients with a diagnosis of Lisfranc low-energy lesion were treated with a novel surgical technique characterized by minimal osteosynthesis performed through a minimally invasive approach...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27313898/reliable-alignment-in-total-knee-arthroplasty-by-the-use-of-an-ipod-based-navigation-system
#7
Paola Koenen, Marco M Schneider, Matthias Fröhlich, Arne Driessen, Bertil Bouillon, Holger Bäthis
Axial alignment is one of the main objectives in total knee arthroplasty (TKA). Computer-assisted surgery (CAS) is more accurate regarding limb alignment reconstruction compared to the conventional technique. The aim of this study was to analyse the precision of the innovative navigation system DASH® by Brainlab and to evaluate the reliability of intraoperatively acquired data. A retrospective analysis of 40 patients was performed, who underwent CAS TKA using the iPod-based navigation system DASH. Pre- and postoperative axial alignment were measured on standardized radiographs by two independent observers...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27239347/comment-on-a-systematic-literature-review-of-three-modalities-in-technologically-assisted-tka
#8
Raju Vaishya, Nishint Gupta, Vipul Vijay, Amit Kumar Agrawal
No abstract text is available yet for this article.
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27190653/early-functional-treatment-and-modern-cast-making-for-indications-in-hand-surgery
#9
REVIEW
S Bohr, N Pallua
Cast treatment can serve both as a nonsurgical treatment option and as a means for providing postoperative protection. However, with the duration of immobilization intervals, the benefits of cast treatment, especially in hand surgery, are at risk of being outweighed by undesired drawbacks such as joint stiffening and contracture formation. In order to minimize potential complications commonly associated with cast treatment, efforts to further improve cast making must attempt to reconcile two conflicting objectives: (1) to achieve stability and rigidity at the site of injury (e...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27092280/effects-of-zoledronate-on-mortality-and-morbidity-after-surgical-treatment-of-hip-fractures
#10
Ömer Cengiz, Gökhan Polat, Gökhan Karademir, Oytun Derya Tunç, Mehmet Erdil, İbrahim Tuncay, Cengiz Şen
We aimed to evaluate the effects of intertrochanteric femoral fractures on mortality, morbidity, and cost of zoledronate treatment in elderly patients treated by osteosynthesis. Based on Evans classification, 114 patients with unstable intertrochanteric femoral fractures were treated with osteosynthesis. After the surgical treatment of intertrochanteric fractures, the treatment group (M/F, 24/32; mean age, 76.7 ± SD years) received zoledronate infusion, and the control group (M/F, 20/38; mean age, 80.2 ± SD years) received placebo...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/27034841/a-trend-for-increased-risk-of-revision-surgery-due-to-deep-infection-following-fast-track-hip-arthroplasty
#11
Einar Amlie, Anners Lerdal, Caryl L Gay, Øystein Høvik, Lars Nordsletten, Sigbjørn Dimmen
Rates of revision surgery due to deep infection following total hip arthroplasty (THA) increased at a Norwegian hospital following implementation of fast-track procedures. The purpose of this study was to determine whether selected demographic (age and sex) and clinical (body mass index, American Society of Anesthesiologists (ASA) classification, surgery duration, length of hospital stay, cemented versus uncemented prosthesis, and fast-track procedures) factors were associated with higher risk of revision surgery due to deep infection following THA...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/26981285/flexible-stabilisation-of-the-degenerative-lumbar-spine-using-peek-rods
#12
Jacques Benezech, Bruno Garlenq, Gilles Larroque
Posterior lumbar interbody fusion using cages, titanium rods, and pedicle screws is considered today as the gold standard of surgical treatment of lumbar degenerative disease and has produced satisfying long-term fusion rates. However this rigid material could change the physiological distribution of load at the instrumental and adjacent segments, a main cause of implant failure and adjacent segment disease, responsible for a high rate of further surgery in the following years. More recently, semirigid instrumentation systems using rods made of polyetheretherketone (PEEK) have been introduced...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/26881087/three-dimensional-analysis-of-the-contact-pattern-between-the-cortical-bone-and-femoral-prosthesis-after-cementless-total-hip-arthroplasty
#13
Hiroshi Wada, Hajime Mishima, Hisashi Sugaya, Tomofumi Nishino, Masashi Yamazaki
The cementless stem Excia (B. Braun, Melsungen, Germany) implant has a rectangular cross-sectional shape with back-and-forth flanges and a plasma-sprayed, dicalcium phosphate dihydrate coating from the middle to proximal portion to increase initial fixation and early bone formation. Here, the conformity of the Excia stem to the femoral canal morphology was three-dimensionally assessed using computed tomography. Forty-three patients (45 hips) were examined after primary total hip arthroplasty with a mean follow-up of 27 ± 3 months (range: 24-36 months)...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/26881086/computed-tomography-analysis-of-postsurgery-femoral-component-rotation-based-on-a-force-sensing-device-method-versus-hypothetical-rotational-alignment-based-on-anatomical-landmark-methods-a-pilot-study
#14
Stefan W Kreuzer, Amir Pourmoghaddam, Kevin J Leffers, Clint W Johnson, Marius Dettmer
Rotation of the femoral component is an important aspect of knee arthroplasty, due to its effects on postsurgery knee kinematics and associated functional outcomes. It is still debated which method for establishing rotational alignment is preferable in orthopedic surgery. We compared force sensing based femoral component rotation with traditional anatomic landmark methods to investigate which method is more accurate in terms of alignment to the true transepicondylar axis. Thirty-one patients underwent computer-navigated total knee arthroplasty for osteoarthritis with femoral rotation established via a force sensor...
2016: Advances in Orthopedics
https://www.readbyqxmd.com/read/26881085/which-are-the-most-relevant-questions-in-the-assessment-of-outcome-after-distal-radial-fractures
#15
Donald Buchanan, D Prothero, J Field
A study was designed to determine which wrist scoring system best correlates with patient satisfaction and which individual variables predict a satisfactory outcome. We looked at forty-five females and 5 males with wrist fractures at 12 weeks after injury and compared their level of satisfaction with various respected outcome measures. The mean age was 66 years. Multivariate regression analysis was carried out using a statistical software package. Patient satisfaction correlated best with the MacDermid, Watts, and DASH scores...
2015: Advances in Orthopedics
https://www.readbyqxmd.com/read/26788373/relationship-between-pain-and-medial-meniscal-extrusion-in-knee-osteoarthritis
#16
Hiroaki Kijima, Shin Yamada, Koji Nozaka, Hidetomo Saito, Yoichi Shimada
Purpose. In knee osteoarthritis, the degree of pain varies despite similar imaging findings. If there were quantitative findings related to the pain of knee osteoarthritis, it could be used for diagnosis or screening. The medial meniscal extrusion was investigated as a candidate quantitative finding related to the pain of knee osteoarthritis. Methods. Seventy-six knees of 38 patients (mean age, 73 years) who received intra-articular injections of hyaluronic acid into unilateral knees at the time of diagnosis of knee arthritis were investigated...
2015: Advances in Orthopedics
https://www.readbyqxmd.com/read/26664755/a-systematic-literature-review-of-three-modalities-in-technologically-assisted-tka
#17
REVIEW
William A Leone, Leah C Elson, Christopher R Anderson
In effort to reduce the revision burden of total knee arthroplasty (TKA), industry emphasis has focused on replacing manual techniques-which are subject to variability-with technological implements. Unfortunately, technological innovation often continues before adequate time for critical evaluation has passed. Therefore, the purpose of this descriptive literature review was to collect a large sample of international data and report on the clinical and economic efficacy of three major types of technologically assisted TKA: navigation, patient-specific instrumentation, and sensorized trials...
2015: Advances in Orthopedics
https://www.readbyqxmd.com/read/26635978/sagittal-and-frontal-plane-evaluation-of-the-whole-spine-and-clinical-outcomes-after-vertebral-fractures
#18
A Topalidou, G Tzagarakis, K Balalis, K Ziogas, A Papaioannou
Although it is known that a change in any level of the spine alters biomechanics, there are not many studies to evaluate the spine as a whole in both sagittal and frontal planes. This prospective cohort study evaluates the morphology and mobility of the entire spine in patients with vertebral fractures. The Treatment Group consisted of 43 patients who underwent percutaneous balloon kyphoplasty or percutaneous balloon kyphoplasty plus fixation. The Control Group consisted of 39 healthy subjects. Spinal Mouse was used for the assessment of the curvatures and the mobility of the spine...
2015: Advances in Orthopedics
https://www.readbyqxmd.com/read/26587288/pain-levels-after-local-anaesthetic-with-or-without-hyaluronidase-in-carpal-tunnel-release-a-randomised-controlled-trial
#19
G Yeo, A Gupta, G Ding, H Skerman, M Khatun, D Melsom
Purpose. Hyaluronidase is an enzyme that temporarily liquefies the interstitial barrier, allowing easy dispersal of local anaesthetic through cleavage of tissue planes. This prospective, blinded, randomised controlled study investigates the utility of adding hyaluronidase to local anaesthetic in the setting of carpal tunnel release. Methods. 70 consecutive carpal tunnel release patients were recruited and randomised into a control group only receiving local anaesthetic and a hyaluronidase group receiving both hyaluronidase and local anaesthetic...
2015: Advances in Orthopedics
https://www.readbyqxmd.com/read/26557996/the-accordion-maneuver-a-noninvasive-strategy-for-absent-or-delayed-callus-formation-in-cases-of-limb-lengthening
#20
Asim M Makhdom, Adrian Sever Cartaleanu, Juan Sebastian Rendon, Isabelle Villemure, Reggie C Hamdy
The distraction osteogenesis (DO) technique has been used worldwide to treat many orthopaedic conditions. Although successful, absent or delayed callus formation in the distraction gap can lead to significant morbidities. An alternate cycle of distraction-compression (accordion maneuver) is one approach to accelerate bone regeneration. The primary aim of our study is to report our experience with the accordion maneuver during DO and to provide a detailed description of this technique, as performed in our center...
2015: Advances in Orthopedics
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