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Bone & Joint Journal

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https://www.readbyqxmd.com/read/29305460/delays-in-the-diagnosis-and-treatment-of-bone-and-joint-tuberculosis-in-the-united-kingdom
#1
C Broderick, S Hopkins, D J F Mack, W Aston, R Pollock, J A Skinner, S Warren
AIMS: Tuberculosis (TB) infection of bones and joints accounts for 6.7% of TB cases in England, and is associated with significant morbidity and disability. Public Health England reports that patients with TB experience delays in diagnosis and treatment. Our aims were to determine the demographics, presentation and investigation of patients with a TB infection of bones and joints, to help doctors assessing potential cases and to identify avoidable delays. PATIENTS AND METHODS: This was a retrospective observational study of all adults with positive TB cultures on specimens taken at a tertiary orthopaedic centre between June 2012 and May 2014...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305459/fractures-of-the-femoral-shaft-in-children-national-epidemiology-and-treatment-trends-in-england-following-activation-of-major-trauma-networks
#2
C Talbot, N Davis, I Majid, M Young, O Bouamra, F E Lecky, S Jones
AIMS: The aim of this study was to describe the epidemiology of closed isolated fractures of the femoral shaft in children, and to compare the treatment and length of stay (LOS) between major trauma centres (MTCs) and trauma units (TUs) in England. PATIENTS AND METHODS: National data were obtained from the Trauma and Audit Research Network for all isolated, closed fractures of the femoral shaft in children from birth to 15 years of age, between 2012 and 2015. Age, gender, the season in which the fracture occurred, non-accidental injury, the mechanism of injury, hospital trauma status, LOS and type of treatment were recorded...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305458/hemiarthroplasty-proximal-femoral-endoprostheses-following-tumour-reconstruction-is-acetabular-replacement-necessary
#3
J D Stevenson, V S Kumar, G L Cribb, P Cool
AIMS: Dislocation rates are reportedly lower in patients requiring proximal femoral hemiarthroplasty than for patients undergoing hip arthroplasty for neoplasia. Without acetabular replacement, pain due to acetabular wear necessitating revision surgery has been described. We aimed to determine whether wear of the native acetabulum following hemiarthroplasty necessitates revision surgery with secondary replacement of the acetabulum after proximal femoral replacement (PFR) for tumour reconstruction...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305457/the-role-of-a-small-posterior-malleolar-fragment-in-trimalleolar-fractures-a-biomechanical-study
#4
J Evers, M Fischer, I Zderic, D Wähnert, R G Richards, B Gueorguiev, M J Raschke, S Ochman
AIMS: The aim of this study was to investigate the effect of a posterior malleolar fragment (PMF), with < 25% ankle joint surface, on pressure distribution and joint-stability. There is still little scientific evidence available to advise on the size of PMF, which is essential to provide treatment. To date, studies show inconsistent results and recommendations for surgical treatment date from 1940. MATERIALS AND METHODS: A total of 12 cadaveric ankles were assigned to two study groups...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305456/wound-irrigation-does-not-affect-health-related-quality-of-life-after-open-fractures-results-of-a-randomized-controlled-trial
#5
S Sprague, B Petrisor, K Jeray, P McKay, D Heels-Ansdell, E Schemitsch, S Liew, G Guyatt, S D Walter, M Bhandari
AIMS: The Fluid Lavage in Open Fracture Wounds (FLOW) trial was a multicentre, blinded, randomized controlled trial that used a 2 × 3 factorial design to evaluate the effect of irrigation solution (soap versus normal saline) and irrigation pressure (very low versus low versus high) on health-related quality of life (HRQL) in patients with open fractures. In this study, we used this dataset to ascertain whether these factors affect whether HRQL returns to pre-injury levels at 12-months post-injury...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305455/the-effectiveness-of-anterior-cervical-decompression-and-fusion-for-the-relief-of-dizziness-in-patients-with-cervical-spondylosis-a-multicentre-prospective-cohort-study
#6
MULTICENTER STUDY
B Peng, L Yang, C Yang, X Pang, X Chen, Y Wu
AIMS: Cervical spondylosis is often accompanied by dizziness. It has recently been shown that the ingrowth of Ruffini corpuscles into diseased cervical discs may be related to cervicogenic dizziness. In order to evaluate whether cervicogenic dizziness stems from the diseased cervical disc, we performed a prospective cohort study to assess the effectiveness of anterior cervical discectomy and fusion on the relief of dizziness. PATIENTS AND METHODS: Of 145 patients with cervical spondylosis and dizziness, 116 underwent anterior cervical decompression and fusion and 29 underwent conservative treatment...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305454/efficacy-and-adverse-effects-of-collagenase-use-in-the-treatment-of-dupuytren-s-disease-a-meta-analysis
#7
R Sanjuan-Cerveró, F J Carrera-Hueso, P Vazquez-Ferreiro, M A Ramon-Barrios
AIMS: The aim of this meta-analysis was to assess the safety and efficacy of collagenase clostridium histolyticum compared with fasciectomy and percutaneous needle fasciotomy (PNF) for Dupuytren's disease. MATERIALS AND METHODS: We systematically searched PubMed, EMBASE, LILACS, Web of Science, Cochrane, Teseo and the ClinicalTrials.gov registry for clinical trials and cohort or case-control studies which compared the clinical outcomes and adverse effects of collagenase with those of fasciectomy or PNF...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305453/synovasure-quick-test-is-not-as-accurate-as-the-laboratory-based-%C3%AE-defensin-immunoassay-a-systematic-review-and-meta-analysis
#8
K Suen, M Keeka, R Ailabouni, P Tran
AIMS: α-defensin is a biomarker which has been described as having a high degree of accuracy in the diagnosis of periprosthetic joint infection (PJI). Current meta-analyses are based on the α-defensin laboratory-based immunoassay rather than the quick on-table lateral flow test kit. This study is the first meta-analysis to compare the accuracy of the α-defensin laboratory-based immunoassay and the lateral flow test kit for the diagnosis of PJI. MATERIALS AND METHODS: A systematic review was performed according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305452/infographic-meniscal-transplantation-is-beneficial-at-one-year
#9
N A Smith, N Parsons, D Wright, C Hutchinson, A Metcalfe, P Thompson, M L Costa, T Spalding
No abstract text is available yet for this article.
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305451/a-pilot-randomized-trial-of-meniscal-allograft-transplantation-versus-personalized-physiotherapy-for-patients-with-a-symptomatic-meniscal-deficient-knee-compartment
#10
N A Smith, N Parsons, D Wright, C Hutchinson, A Metcalfe, P Thompson, M L Costa, T Spalding
AIMS: Meniscal allograft transplantation is undertaken to improve pain and function in patients with a symptomatic meniscal deficient knee compartment. While case series have shown improvements in patient reported outcome measures (PROMs), its efficacy has not been rigorously evaluated. This study aimed to compare PROMs in patients having meniscal transplantation with those having personalized physiotherapy at 12 months. PATIENTS AND METHODS: A single-centre assessor-blinded, comprehensive cohort study, incorporating a pilot randomized controlled trial (RCT) was performed on patients with a symptomatic compartment of the knee in which a (sub)total meniscectomy had previously been performed...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305450/in-vivo-three-dimensional-kinematics-of-normal-knees-during-different-high-flexion-activities
#11
K Kono, T Tomita, K Futai, T Yamazaki, S Tanaka, H Yoshikawa, K Sugamoto
AIMS: In Asia and the Middle-East, people often flex their knees deeply in order to perform activities of daily living. The purpose of this study was to investigate the 3D kinematics of normal knees during high-flexion activities. Our hypothesis was that the femorotibial rotation, varus-valgus angle, translations, and kinematic pathway of normal knees during high-flexion activities, varied according to activity. MATERIALS AND METHODS: We investigated the in vivo kinematics of eight normal knees in four male volunteers (mean age 41...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305449/mid-term-results-of-lateral-unicondylar-mobile-bearing-knee-arthroplasty-a-multicentre-study-of-363-cases
#12
T Walker, N Zahn, T Bruckner, M R Streit, G Mohr, P R Aldinger, M Clarius, T Gotterbarm
AIMS: The aim of this independent multicentre study was to assess the mid-term results of mobile bearing unicondylar knee arthroplasty (UKA) for isolated lateral osteoarthritis of the knee joint. PATIENTS AND METHODS: We retrospectively evaluated 363 consecutive, lateral UKAs (346 patients) performed using the Oxford domed lateral prosthesis undertaken in three high-volume knee arthroplasty centres between 2006 and 2014. Mean age of the patients at surgery was 65 years (36 to 88) with a mean final follow-up of 37 months (12 to 93) RESULTS: A total of 36 (10...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305448/is-the-rate-of-revision-of-36-mm-metal-on-metal-total-hip-arthroplasties-with-pinnacle-acetabular-components-related-to-the-year-of-the-initial-operation-an-interrupted-time-series-analysis-using-data-from-the-national-joint-registry-for-england-and-wales
#13
G S Matharu, L P Hunt, D W Murray, P Howard, H G Pandit, A W Blom, B Bolland, A Judge
AIMS: The aim of this study was to determine whether the rates of revision for metal-on-metal (MoM) total hip arthroplasties (THAs) with Pinnacle components varied according to the year of the initial operation, and compare these with the rates of revision for other designs of MoM THA. PATIENTS AND METHODS: Data from the National Joint Registry for England and Wales included 36 mm MoM THAs with Pinnacle acetabular components which were undertaken between 2003 and 2012 with follow-up for at least five years (n = 10 776) and a control group of other MoM THAs (n = 13 817)...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305447/metal-on-metal-total-hip-arthroplasty-is-not-associated-with-cardiac-disease
#14
L H Goodnough, A Bala, J I Huddleston Iii, S B Goodman, W J Maloney, D F Amanatullah
AIMS: Many case reports and small studies have suggested that cobalt ions are a potential cause of cardiac complications, specifically cardiomyopathy, after metal-on-metal (MoM) total hip arthroplasty (THA). The impact of metal ions on the incidence of cardiac disease after MoM THA has not been evaluated in large studies. The aim of this study was to compare the rate of onset of new cardiac symptoms in patients who have undergone MoM THA with those who have undergone metal-on-polyethylene (MoP) THA...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305446/the-risk-of-cardiac-failure-following-metal-on-metal-hip-arthroplasty
#15
S A Sabah, J C Moon, S Jenkins-Jones, C Ll Morgan, C J Currie, J M Wilkinson, M Porter, G Captur, J Henckel, N Chaturvedi, P Kay, J A Skinner, A H Hart, C Manisty
AIMS: The aim of this study was to determine whether patients with metal-on-metal (MoM) arthroplasties of the hip have an increased risk of cardiac failure compared with those with alternative types of arthroplasties (non-MoM). PATIENTS AND METHODS: A linkage study between the National Joint Registry, Hospital Episodes Statistics and records of the Office for National Statistics on deaths was undertaken. Patients who underwent elective total hip arthroplasty between January 2003 and December 2014 with no past history of cardiac failure were included and stratified as having either a MoM (n = 53 529) or a non-MoM (n = 482 247) arthroplasty...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305445/outcomes-of-dual-mobility-components-in-total-hip-arthroplasty-a-systematic-review-of-the-literature
#16
REVIEW
B Darrith, P M Courtney, C J Della Valle
AIMS: Instability remains a challenging problem in both primary and revision total hip arthroplasty (THA). Dual mobility components confer increased stability, but there are concerns about the unique complications associated with these designs, as well as the long-term survivorship. MATERIALS AND METHODS: We performed a systematic review of all English language articles dealing with dual mobility THAs published between 2007 and 2016 in the MEDLINE and Embase electronic databases...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305444/follow-up-after-arthroplasty-of-the-hip-and-knee-are-we-over-servicing-or-under-caring
#17
REVIEW
T M Lovelock, N S Broughton
The number of arthroplasties of the hip and knee is predicted to increase rapidly during the next 20 years. Accompanying this is the dilemma of how to follow-up these patients appropriately. Current guidelines recommend long-term follow-up to identify patients with aseptic loosening, which can occur more than a decade postoperatively. The current guidelines and practices of orthopaedic surgeons vary widely. Existing models take up much clinical time and are expensive. Pilot studies using 'virtual' clinics and advanced-practice physiotherapists have shown promise in decreasing the time and costs for orthopaedic surgeons and patients...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305443/reviewer-acknowledgement
#18
F S Haddad
No abstract text is available yet for this article.
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29305442/a-new-year-but-the-spectre-of-metal-on-metal-lives-on
#19
EDITORIAL
J A Skinner, F S Haddad
No abstract text is available yet for this article.
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29292344/a-functional-comparison-of-medial-pivot-and-condylar-knee-designs-based-on-patient-outcomes-and-parameters-of-gait
#20
RANDOMIZED CONTROLLED TRIAL
B Benjamin, J R T Pietrzak, J Tahmassebi, F S Haddad
AIMS: The outcome of total knee arthroplasty (TKA) is not always satisfactory. The purpose of this study was to identify satisfaction and biomechanical features characterising the gait of patients who had undergone TKA with either an anatomical single radius design or a medial pivot design. We hypothesised that the latter would provide superior function. PATIENTS AND METHODS: This is a study of a subset of patients recruited into a prospective randomised study of a single radius design versus a medial pivot design, with a minimum follow-up of one year...
January 2018: Bone & Joint Journal
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