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Journal of Orthopaedics

Toby Jennison, Rathan Yarlagadda
Periprosthetic fractures of the proximal femur after hip hemiarthroplasty are an increasing concern. The aim of this study was to analyse the 30 day mortality of periprosthetic fractures around a hip hemiarthroplasty. A retrospective case review at a single institution. 32 patients. Mean age 76.5, 16 males and 16 females. 13% underwent non-operative treatment, 50% open reduction internal fixation and 38% revision arthroplasty. 30 day mortality was 12.5% and 1 year mortality 28.1%. Time to surgery was the only significant risk factor for 30 day mortality Periprosthetic fractures following a hip hemiarthroplasty have high 30 day mortality...
September 2018: Journal of Orthopaedics
Roshan Wade, Bhanuprakash Reddy P V
Introduction: The shoulder joint is the most common major joint to dislocate. Population aged younger than 20 years, recurrent dislocation rates have been reported to be as high as 90%. For those individuals that continue to experience dislocations surgery is often a good decision. The goal of the Bankart surgery is to reconnect the torn labrum to the glenoid fossa. Double-row Bankart repair can both achieve anatomic reduction and enhance fixation stability. The purpose of our study is to assess the clinical outcome of arthroscopic double row repair...
September 2018: Journal of Orthopaedics
Firas Arnaout, Varun Dewan, Christos Paliobeis
Background: Templating for preoperative planning of joint arthroplasty has followed the evolution of digital templating software. Objective: This study aims to provide a safe, reliable and reproducible method for prediction of acetabular component size based on measurement of the radiographic femoral head diameter, with the aid of templating software. Methods: A defined methodology for femoral head measurement was applied to 97 consecutive, calibrated digital pelvic radiographs...
September 2018: Journal of Orthopaedics
Ritesh Rathi, Jacek Mazek
Background: The native labrum has been shown to play a critical role in the maintenance of overall health of the cartilage of the hip. Disruption of the labral seal could be detrimental to the overall nutrition of the cartilage, leading to its premature degeneration. Purpose: This study sought to investigate patients undergoing labral reconstruction with indirect head of rectus femoris autograft, to determine the subjective improvement in pain they experienced, the complications and reoperation rates including conversion to Total hip replacement(THR)...
September 2018: Journal of Orthopaedics
Balaji Umamahesvaran, Senthil Nathan Sambandam, Varatharaj Mounasamy, Ponnusami Pillai Gokulakrishnan, Munis Ashraf
Calcifying Tendinitis (CT) shoulder a self limiting disorder characterized by deposition of calcium salts in rotator cuff muscles. The main symptom being pain followed by activity restriction resolving on its own in most cases. Symptomatic patients are initially managed by NSAIDs, Physiotherapy, Corticosteroid injections. ESWT involves acoustic waves causing fragmentation of deposits with pain releif. Ultrasound guided needling barbotage have shown promising results. Arthroscopic excision remains the definitive management for patients associated with complications as cuff tear and for uncomplicated patients...
September 2018: Journal of Orthopaedics
L E Murphy, A Tucker, A P Charlwood
No abstract text is available yet for this article.
September 2018: Journal of Orthopaedics
Motasım K Bavaneh, Gorkem Kiyak, Tevfik Balikci
Osteoid osteoma is an uncommon benign tumor and causes severe pain, being worse at night, that responds dramatically to nonsteroidal anti-inflammatory medications. An osteoid osteoma of the patella is very rare and if it arise close to chondral surface differential diagnosis may be challenging. In three patients the osteoid osteoma was completely excised by nidus removal by mosaicoplasty set with open surgical technique. The patients were followed up in average for 31 (16-48 months) months with annual clinical and radiographic evaluations...
September 2018: Journal of Orthopaedics
T N Jennison, P Craig, Edward D Davis
We hypothesised that a femoral array placed into bone or an external (pinless) reference marker made no difference to leg length discrepancy in patients undergoing navigated total hip arthroplasty. Consecutive patients undergoing navigated total hip arthroplasty. 162 patients. No statistical difference between preoperative leg length discrepancy (p = 0.524). Mean intraoperative change was 3.7 mm and 4.6 mm (p = 0.262). The mean change in leg length measure post operatively was 4.2 mm and 4.1 mm (p = 0...
September 2018: Journal of Orthopaedics
Jonathan A Baxter, Joideep Phadnis, Paul M Robinson, Lennard Funk
Background: Acromioclavicular joint instability following distal clavicle resection can result in considerable pain and dysfunction. Method: We present a review of 13 patients who underwent ACJ stabilization following one or more distal clavicle resection procedures. Results: The mean Quick DASH and CM scores were 26(0-57) and 73(46-100) respectively. All but one patient reported an improvement in the pain component of their CM score and in the work component of the Quick DASH score...
September 2018: Journal of Orthopaedics
Eivind Inderhaug, Maiken Kalsvik, Kristin H Kollevold, Janne Hegna, Eirik Solheim
Purpose: Some studies suggest a common degenerative path might contribute to a range of shoulder diseases involving subacromial pain syndrome and full-thickness rotator cuff tears. One could therefore theorize arthroscopic subacromial decompression and rotator cuff repair as interventions at different stages of a degenerative shoulder disease. Few studies have compared long-term outcomes after these two procedures. Method: Matched case-controls undergoing arthroscopic rotator cuff repair combined with subacromial decompression (N = 180) or subacromial decompression only (N = 180) were evaluated pre- and 7...
September 2018: Journal of Orthopaedics
J Wadhwani, Bellido P Correa, Huete H Chicote
Femoroacetabular impingement (FAI) is a common cause of hip joint dysfunction and pain in adults aged between 30-60 years. The main objective of the study is to evaluate the short term clinical outcome of hip arthroscopy in patients diagnosed with FAI. A total of 105 patients were studied. This minimal invasive technique has shown to be highly effective in comparison to open surgery in young patients.
September 2018: Journal of Orthopaedics
Mohammad Reza Sobhan, Masoud Mahdinezhad-Yazdi, Kazem Aghili, Masoud Zare-Shehneh, Shohreh Rastegar, Jalal Sadeghizadeh-Yazdi, Hossein Neamatzadeh
Objective: A comprehensive search on electronic databases was conducted to identify all eligible studies of TNF-α polymorphisms and knee osteoarthritis (OA). Methods: Eight studies on TNF-α -308 G > A and three on TNF-α -238G > A polymorphism were identified. Results: Overall, the pooled ORs indicated that neither TNF-α -238G > A nor -238G > A polymorphism was associated with knee OA risk. Similarly, in the stratified analysis by ethnicity, no significant association was found...
September 2018: Journal of Orthopaedics
Joshua P Herzog, Nicholas J Zarkadis, Gautham Prabhakar, Nicholas A Kusnezov
Background: Compare the biomechanical stability of a novel "U" posterior cervical fixation construct to four other posterior cervical atlantoaxial fixation constructs. Methods: Eight fresh frozen human cadaver spines were tested after a simulated odontoid fracture, and following stabilization with each construct. Results: All constructs significantly decreased flexion-extension and axial rotation compared to the destabilized spine...
June 2018: Journal of Orthopaedics
Garin Gil Hecht, Justin Neal Hopkins, Zachary Christopher Lum, Saba Fatima Ali, Cassandra Alda Lee
Case: We describe a case of extensive symptomatic bilateral lipoma arborescens of the knee in a 19-year-old man who suffered from recurrent knee effusions for many years. This patient had MRI evidence of progression of disease prior to arthroscopic intervention. He was treated with bilateral complete arthroscopic synovectomies, demonstrating no evidence of cartilage wear. Conclusion: Lipoma arborescens is a progressive disease. Timely diagnosis and treatment may prevent disease evolution and sequela...
June 2018: Journal of Orthopaedics
Nikhil Sharma, Ahmed El Refaiy, T F Sibly
We report outcomes of using GraftJacket to repair massive rotator-cuff-tears. Twenty patients with a mean age of 64.6y over 12-month duration were reviewed. Two patients had a single GraftJacket repair (group1), whilst 18 had the GraftJacket sheet doubled (group2). Pre and post oxford shoulder scores (OSS) and patient related outcome measures were evaluated. A statistically significant improvement of OSS was demonstrated in-group 2 from a mean of 22 to 45.5 (p < 0.00148) over a follow up of 18 months...
June 2018: Journal of Orthopaedics
Parth B Patel, Nirmal C Tejwani
This article aims to provide a systematic review of the limited literature and clinical knowledgebase available on the Hoffa fractures. It is inclusive of the normal anatomy, pathology, diagnosis, treatment options comprising of non-operative and operative protocols, and postoperative findings.
June 2018: Journal of Orthopaedics
Mohamed ElAttar, Ahmed El Naggar, Fahmy Fahmy Samir, Hossam Fathi
Background: Currently, correction of the first intermetatarsal angle associated with hallux valgus is done using two main categories of surgeries either a distal or a proximal first metatarsal osteotomy. The osteotomy-sparing technique using TigthRope ®device was developed to manage hallux valgus avoiding osteotomy complications. Our hypothesis was that osteotomy sparing technique using TightRope® implant would be suitable for moderate hallux valgus in young adult patients with strong larger bones giving good results with minimal complications...
June 2018: Journal of Orthopaedics
Masahiko Kemmochi, Shigeru Sasaki, Masako Takahashi, Tomitaka Nishimura, Chisa Aizawa, Jun Kikuchi
Introduction: Platelet-rich fibrin (PRF) is the only autologous blood product that releases growth factors and has scaffolding properties. We hypothesized that the use of PRF and Platelet-rich plasma (PRP) would improve operative results, including the recovery of function and repaired meniscus. Materials and Methods: Seventeen patients underwent arthroscopic meniscus repair with PRF and PRP (PRF group) using our novel device for the injection of the PRF into the joint...
June 2018: Journal of Orthopaedics
Nicholas Bene, Xing Li, Sumon Nandi
Background: We aimed to determine if reoperation-free survival following irrigation and debridement (I&D) with head and liner exchange of infected primary THA is affected by: 1) postoperative antibiotic duration; 2) patient characteristics; 3) infecting organism; or 4) postoperative versus hematogenous infection. Methods: Revision THAs from 2006 to 2012 (n = 1184) were observed; 26 underwent I&D with head and liner exchange with mean 4.1-year follow-up...
June 2018: Journal of Orthopaedics
William Mamane, Stenley Lippmann, Dan Israel, Reeta Ramdhian-Wihlm, Michael Temam, Virginie Mas, Jérome Pierrart, Emmanuel H Masmejean
Introduction: Since Kanavel in 1905, knowledge of phlegmon of flexor tendon sheaths of the fingers have evolved over the twentieth century. This serious infection is 20% of infections of the hand and may have adverse consequences for the function of the finger and even beyond, of the hand. Amputation is always a risk. Frequently face this type of infection, we conducted a retrospective study and made an inventory of knowledge in order to consolidate and improve the overall care. Materials & Methods: The study was retrospective and cross, focused on 120 patients operated on at Hand Surgery Unit, during 4 years...
June 2018: Journal of Orthopaedics
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