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Bone & Joint Journal

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https://www.readbyqxmd.com/read/28249983/does-osteofibrous-dysplasia-progress-to-adamantinoma-and-how-should-they-be-treated
#1
D W Scholfield, Z Sadozai, C Ghali, V Sumathi, H Douis, L Gaston, R J Grimer, L Jeys
AIMS: The aim of this study was to identify any progression between benign osteofibrous dysplasia (OFD), OFD-like adamantinoma and malignant adamantinoma, and to investigate the rates of local recurrence, metastases and survival, in order to develop treatment algorithms for each. PATIENTS AND METHODS: A single institution retrospective review of all patients presenting with OFD, OFD-like adamantinoma and adamantinoma between 1973 and 2012 was undertaken. Complete data were available for 73 patients (42 with OFD; ten with an OFD-like adamantinoma and 21 with an adamantinoma)...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249982/staged-lengthening-and-reconstruction-for-children-with-a-leg-length-discrepancy-after-excision-of-an-osteosarcoma-around-the-knee
#2
S Kang, J S Lee, J Park, S-S Park
AIMS: Children treated for osteosarcoma around the knee often have a substantial leg-length discrepancy at skeletal maturity. The aim of this study was to investigate the results of staged skeletal reconstruction after a leg lengthening procedure using an external fixator in these patients. PATIENTS AND METHODS: We reviewed 11 patients who underwent staged reconstruction with either an arthroplasty (n = 6) or an arthrodesis (n = 5). A control group of 11 patients who had undergone wide excision and concurrent reconstruction with an arthroplasty were matched for gender, location, and size of tumour...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249981/the-in-vivo-effect-of-a-porous-titanium-alloy-flange-with-hydroxyapatite-silver-and-fibronectin-coatings-on-soft-tissue-integration-of-intraosseous-transcutaneous-amputation-prostheses
#3
M Chimutengwende-Gordon, C Pendegrass, G Blunn
AIMS: The Intraosseous Transcutaneous Amputation Prosthesis (ITAP) may improve quality of life for amputees by avoiding soft-tissue complications associated with socket prostheses and by improving sensory feedback and function. It relies on the formation of a seal between the soft tissues and the implant and currently has a flange with drilled holes to promote dermal attachment. Despite this, infection remains a significant risk. This study explored alternative strategies to enhance soft-tissue integration...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249980/five-year-follow-up-results-of-the-profher-trial-comparing-operative-and-non-operative-treatment-of-adults-with-a-displaced-fracture-of-the-proximal-humerus
#4
H H Handoll, A Keding, B Corbacho, S D Brealey, C Hewitt, A Rangan
AIMS: The PROximal Fracture of the Humerus Evaluation by Randomisation (PROFHER) randomised clinical trial compared the operative and non-operative treatment of adults with a displaced fracture of the proximal humerus involving the surgical neck. The aim of this study was to determine the long-term treatment effects beyond the two-year follow-up. PATIENTS AND METHODS: Of the original 250 trial participants, 176 consented to extended follow-up and were sent postal questionnaires at three, four and five years after recruitment to the trial...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249979/do-radiological-and-functional-outcomes-correlate-for-fractures-of-the-distal-radius
#5
C E Plant, N R Parsons, M L Costa
AIMS: We conducted a study to determine whether radiological parameters correlate with patient reported functional outcome, health-related quality of life and physical measures of function in patients with a fracture of the distal radius. PATIENTS AND METHODS: The post-operative palmar tilt and ulnar variance at six weeks and 12 months were correlated with the Patient Rated Wrist Evaluation, Disabilities of the Arm, Shoulder and Hand, and EuroQol scores, grip strength, pinch strength and range of movement at three, six and 12 months for 50 patients (mean age 57 years; 26 to 85) having surgical fixation, with either percutaneous pinning or reconstruction with a volar plate, for a fracture of the distal radius...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249978/the-influence-of-cartilage-thickness-at-the-sigmoid-notch-on-inclination-at-the-distal-radioulnar-joint
#6
M Ross, M Wiemann, S E Peters, R Benson, G B Couzens
AIMS: The aims of this study were: firstly, to investigate the influence of the thickness of cartilage at the sigmoid notch on the inclination of the distal radioulnar joint (DRUJ), and secondly, to compare the sensitivity and specificity of MRI with plain radiographs for the assessment of the inclination of the articular surface of the DRUJ in the coronal plane. PATIENTS AND METHODS: Contemporaneous MRI images and radiographs of 100 wrists from 98 asymptomatic patients (mean age 43 years, (16 to 67); 52 male, 53%) with no history of a fracture involving the wrist or surgery to the wrist, were reviewed...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249977/the-role-of-the-width-of-the-forefoot-in-the-development-of-morton-s-neuroma
#7
Y H Park, S M Jeong, G W Choi, H J Kim
AIMS: Morton's neuroma is common condition of the forefoot, but its aetiology remains unclear. Our aim was to evaluate the relationship between the width of the forefoot and the development of a Morton's neuroma. PATIENTS AND METHODS: Between January 2013 and May 2016, a total of 84 consecutive patients (17 men, 67 women) with a unilateral Morton's neuroma were enrolled into the study. The involved and uninvolved feet of each patient were compared. A control group of patients with symptoms from the foot, but without a neuroma who were matched for age, gender, affected side, and web space location, were enrolled...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249976/bone-penetration-of-intravenous-flucloxacillin-and-gentamicin-as-antibiotic-prophylaxis-during-total-hip-and-knee-arthroplasty
#8
M S Torkington, M J Davison, E F Wheelwright, P J Jenkins, I Anthony, A M Lovering, M Blyth, B Jones
AIMS: To investigate the bone penetration of intravenous antibiotic prophylaxis with flucloxacillin and gentamicin during hip and knee arthroplasty, and their efficacy against Staphylococcus (S.) aureus and S. epidermidis. PATIENTS AND METHODS: Bone samples from the femoral head, neck and acetabulum were collected from 18 patients undergoing total hip arthroplasty (THA) and from the femur and tibia in 21 patients during total knee arthroplasty (TKA). The concentration of both antibiotics in the samples was analysed using high performance liquid chromatography...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249975/improving-the-accuracy-of-synovial-fluid-analysis-in-the-diagnosis-of-prosthetic-joint-infection-with-simple-and-inexpensive-biomarkers-c-reactive-protein-and-adenosine-deaminase
#9
R Sousa, P Serrano, J Gomes Dias, J C Oliveira, A Oliveira
AIMS: The aims of this study were to increase the diagnostic accuracy of the analysis of synovial fluid in the differentiation of prosthetic joint infection (PJI) by the addition of inexpensive biomarkers such as the levels of C-reactive protein (CRP), adenosine deaminase (ADA), alpha-2-macrogloblulin (α2M) and procalcitonin. PATIENTS AND METHODS: Between January 2013 and December 2015, synovial fluid and removed implants were requested from 143 revision total joint arthroplasties...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249974/trochleoplasty-with-a-flexible-osteochondral-flap-results-from-an-11-year-series-of-214-cases
#10
A J Metcalfe, D A Clark, M A Kemp, J D Eldridge
AIMS: The Bereiter trochleoplasty has been used in our unit for 12 years to manage recurrent patellar instability in patients with severe trochlea dysplasia. The aim of this study was to document the outcome of a large consecutive cohort of patients who have undergone this operation. PATIENTS AND METHODS: Between June 2002 and August 2013, 214 consecutive trochleoplasties were carried out in 185 patients. There were 133 women and 52 men with a mean age of 21.3 years (14 to 38)...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249973/the-long-term-clinical-and-radiological-outcomes-in-patients-who-suffer-recurrent-injuries-to-the-anterior-cruciate-ligament-after-reconstruction
#11
I Ahmed, L Salmon, J Roe, L Pinczewski
AIMS: The aim of this study was to investigate the long-term clinical and radiological outcome of patients who suffer recurrent injuries to the anterior cruciate ligament (ACL) after reconstruction and require revision surgery. PATIENTS AND METHODS: From a consecutive series of 200 patients who underwent primary reconstruction following rupture of the ACL, we identified 36 who sustained a further rupture, 29 of whom underwent revision surgery. Patients were reviewed prospectively at one, two, seven, 15 and about 20 years after their original surgery...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249972/debridement-and-implant-retention-in-the-management-of-hip-periprosthetic-joint-infection-outcomes-following-guided-and-rapid-treatment-at-a-single-centre
#12
P O Lötscher, M Clauss, P Sendi, B Kessler, P Graber, W Zimmerli
AIMS: To analyse the effectiveness of debridement and implant retention (DAIR) in patients with hip periprosthetic joint infection (PJI) and the relationship to patient characteristics. The outcome was evaluated in hips with confirmed PJI and a follow-up of not less than two years. PATIENTS AND METHODS: Patients in whom DAIR was performed were identified from our hip arthroplasty register (between 2004 and 2013). Adherence to criteria for DAIR was assessed according to a previously published algorithm...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249971/proximal-femoral-replacement-in-contemporary-revision-total-hip-arthroplasty-for-severe-femoral-bone-loss-a-review-of-outcomes
#13
A Viste, K I Perry, M J Taunton, A D Hanssen, M P Abdel
AIMS: Loss or absence of proximal femoral bone in revision total hip arthroplasty (THA) remains a significant challenge. While the main indication for the use of proximal femoral replacements (PFRs) is in the treatment of malignant disease, they have a valuable role in revision THA for loosening, fracture and infection in patients with bone loss. Our aim was to determine the clinical outcomes, implant survivorship, and complications of PFRs used in revision THA for indications other than malignancy...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249970/local-bisphosphonate-reduces-migration-and-formation-of-radiolucent-lines-adjacent-to-cemented-acetabular-components
#14
J Schilcher, L Palm, I Ivarsson, P Aspenberg
AIMS: Post-operative migration of cemented acetabular components as measured by radiostereometric analysis (RSA) has a strong predictive power for late, aseptic loosening. Also, radiolucent lines predict late loosening. Migration has been reduced by systemic bisphosphonate treatment in randomised trials of hip and knee arthroplasty. Used as a local treatment, a higher local dose of bisphosphonate can be achieved without systemic exposure. We wished to see if this principle could be applied usefully in total hip arthroplasty (THA)...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249969/assessment-of-the-equivalence-of-a-generic-to-a-branded-femoral-stem
#15
H Hothi, J Henckel, P Shearing, T Holme, A Cerquiglini, A Di Laura, A Atrey, J Skinner, A Hart
AIMS: The aim of this study was to compare the design of the generic OptiStem XTR femoral stem with the established Exeter femoral stem. MATERIALS AND METHODS: We obtained five boxed, as manufactured, implants of both designs at random (ten in total). Two examiners were blinded to the implant design and independently measured the mass, volume, trunnion surface topography, trunnion roughness, trunnion cone angle, Caput-Collum-Diaphyseal (CCD) angle, femoral offset, stem length, neck length, and the width and roughness of the polished stem shaft using peer-reviewed methods...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249968/defining-modes-of-failure-after-joint-preserving-surgery-of-the-hip
#16
P E Beaulé, H Bleeker, A Singh, J Dobransky
AIMS: Joint-preserving surgery of the hip (JPSH) has evolved considerably and now includes a number of procedures, including arthroscopy, surgical dislocation, and redirectional osteotomies of the femur and acetabulum. There are a number of different factors which lead to failure of JPSH. Consequently, it is of interest to assess the various modes of failure in order to continue to identify best practice and the indications for these procedures. PATIENTS AND METHODS: Using a retrospective observational study design, we reviewed 1013 patients who had undergone JPSH by a single surgeon between 2005 and 2015...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249967/atypical-femoral-fractures-related-to-bisphosphonate-treatment-issues-and-controversies-related-to-their-surgical-management
#17
A Koh, E Guerado, P V Giannoudis
AIMS: Treatment guidelines for atypical femoral fractures associated with bisphosphonates have not been established. We conducted a systematic review of the treatment of atypical femoral fractures first, to evaluate the outcomes of surgical fixation of complete atypical fractures and secondly, to assess whether prophylactic surgery is necessary for incomplete atypical fractures. MATERIALS AND METHODS: Case reports and series were identified from the PubMed database and were included if they described the treatment of atypical femoral fractures...
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249966/clinical-management-and-pathogenesis-of-atypical-fractures-of-the-femur
#18
EDITORIAL
M K Javaid, R Handley, M L Costa
No abstract text is available yet for this article.
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28249965/heritage-must-be-earned
#19
EDITORIAL
F S Haddad
No abstract text is available yet for this article.
March 2017: Bone & Joint Journal
https://www.readbyqxmd.com/read/28148674/computer-hexapod-assisted-orthopaedic-surgery-provides-a-predictable-and-safe-method-of-femoral-deformity-correction
#20
A Hughes, N Heidari, S Mitchell, J Livingstone, M Jackson, R Atkins, F Monsell
AIMS: Computer hexapod assisted orthopaedic surgery (CHAOS), is a method to achieve the intra-operative correction of long bone deformities using a hexapod external fixator before definitive internal fixation with minimally invasive stabilisation techniques. The aims of this study were to determine the reliability of this method in a consecutive case series of patients undergoing femoral deformity correction, with a minimum six-month follow-up, to assess the complications and to define the ideal group of patients for whom this treatment is appropriate...
February 2017: Bone & Joint Journal
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