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Journal of Orthopaedics

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https://www.readbyqxmd.com/read/29643694/bone-preserving-techniques-for-explanting-the-well-fixed-cemented-acetabular-component
#1
Jarrad Stevens, Gavin Macpherson, Colin Howie
Background: Removal of a well-fixed, cemented acetabular component at the time of revision hip surgery can be complex. It is essential to remove the implant and cement mantle in a timely fashion while preserving bone stock and osseous integrity. The biomechanical properties of polymethylmethacrylate cement and polyethylene can be utilised to aid with the removal of well cemented implants which are often harder than the surrounding bone. While removal of loose components may be relatively straightforward, the challenge for the revision arthroplasty surgeon often involves the removal of well-fixed implants...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29643693/joint-perception-and-patient-perceived-satisfaction-after-total-hip-and-knee-arthroplasty-in-the-american-population
#2
Matthew Varacallo, Rajit Chakravarty, Kevin Denehy, Andrew Star
Background: Total hip (THA) and knee arthroplasty (TKA) are two of the most successful procedures in orthopedics. Current evaluation trends focus on patient-reported outcomes. We sought to compare the changing WOMAC scores from various time points from pre-operative to 1-year follow-up between separate THA and TKA cohorts. In addition, we compared THA and TKA patients' joint perception, satisfaction, and function via a questionnaire. Methods: One hundred elective THA (n = 50) and TKA (n = 50) patients at one institution were randomly selected and contacted between 2 and 4 years after the index surgery...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29643692/correlation-of-tibial-bone-defect-shape-with-patient-demographics-following-total-knee-revision
#3
Madhav Bole, Matthew Teeter, Brent A Lanting, James L Howard
Background: Bone defects of the proximal tibia following revision total knee arthroplasty (TKA) are challenging to manage, but must be addressed to provide lasting stability. This paper will categorize tibial bone defects into shape groups and correlate resulting groups to patient demographic data. Methods: Retrospective analysis of four hundred and four patients post revision TKA between January 2005 and February 2014 was conducted. One hundred and eighteen met the inclusion criteria and were subcategorized by defect shape on their post-operative lateral and anterior-posterior (AP) radiographs...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29556117/children-s-and-parents-perspectives-of-health-related-quality-of-life-in-newly-diagnosed-adolescent-idiopathic-scoliosis
#4
Nick Kontodimopoulos, Konstantia Damianou, Eleni Stamatopoulou, Anastasios Kalampokis, Ioannis Loukos
The aim of this study is to compare child and parent perceptions of health-related quality of life in Adolescent Idiopathic Scoliosis. The scoliosis-specific SRS-22 and the generic KIDSCREEN-52 were administered to newly diagnosed patients and the latter also to a parent. Strong correlations (r > 0.5, p < 0.001) were revealed between conceptually similar dimensions of the instruments. Parents' assessments of their child's HRQoL were generally higher than the children/adolescents; however score differences were small and insignificant...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29556116/static-antibiotic-spacers-augmented-by-calcium-sulphate-impregnated-beads-in-revision-tka-surgical-technique-and-review-of-literature
#5
REVIEW
Salvatore Risitano, Luigi Sabatini, Francesco Atzori, Alessandro Massè, Pier Francesco Indelli
Periprosthetic joint infection (PJI) is a serious complication in total knee arthroplasty (TKA) and represents one of the most common causes of revision. The challenge for surgeons treating an infected TKA is to quickly obtain an infection-free joint in order to re-implant, when possible, a new TKA. Recent literature confirms the role of local antibiotic-loaded beads as a strong bactericidal, allowing higher antibiotic elution when compared with antibiotic loaded spacers only. Unfortunately, classical Polymethylmethacrylate (PMMA) beads might allow bacteria adhesion, secondary development of antibiotic resistance and eventually surgical removal once antibiotics have eluted...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29556115/does-blood-transfusion-type-affect-complication-and-length-of-stay-following-same-day-bilateral-total-knee-arthroplasty
#6
Vasileios G Soranoglou, Lazaros A Poultsides, Florian Wanivenhaus, Allina A Nocon, Georgios K Triantafyllopoulos, Peter K Sculco, Stavros G Memtsoudis, Thomas P Sculco
Same-day Bilateral Total Knee Arthroplasty (BTKA) safety is still controversial. The aim of this study was to examine the association of blood transfusion type (pure autologous, pure allogeneic, and combined) with complication and prolonged length of stay (PLOS) following same-day BTKA. 649 consecutive patients were retrospectively identified over a two-year period. Pure allogeneic transfusions were associated with increased odds of minor complication when compared to patients who had pure autologous transfusions...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29556114/the-effect-of-drill-hole-location-on-load-bearing-capacity-of-long-bones
#7
Christopher James Yiachos, Subrata Saha
We investigated how load bearing capacity (LBC) of long bone differs with a bicortical drill hole in a compressive/tensile location vs. a neutral location. Group I had a hole drilled through 0°/180° ([compressive at 0°/maximum tensile at 180°]), Group II at 90°/270° ([neutral]), and Group III at 135°/315° ([tensile at 135°/compressive at 315°]). Maximum load at failure and stiffness was measured. A significant ([ p  < 0.05]) decrease in LBC of all Group I and Group III bones was observed. Loss of strength for Group II was statistically insignificant ([ p  > 0...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29556113/comparing-psychological-burden-of-orthopaedic-diseases-against-medical-conditions-investigation-on-hospital-course-of-hip-knee-and-spine-surgery-patients
#8
Bassel G Diebo, Denis Cherkalin, Cyrus M Jalai, Neil V Shah, Greg W Poorman, George A Beyer, Frank A Segreto, Virginie Lafage, Qais Naziri, Jared M Newman, William P Urban, Thomas J Errico, Frank J Schwab, Carl B Paulino, Peter G Passias
Retrospective review of National Inpatient Sample (2000-2012) revealed that 31.28% of musculoskeletal (MSK) patients were found to have in-hospital psychological burdens (PBs). Adult spinal deformity (ASD), degenerative disc disease (DDD) and lung cancer patients had highest PB-prevalence. MSK patients with PB were more often young, white females with increased Deyo index compared to no-PB patients. Patients who underwent spinal revision procedures had higher PB rates than with primary procedures; a converse trend was observed for total hip/knee arthroplasty...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29551875/the-optimal-treatment-for-stage-2-3-goutallier-rotator-cuff-tears-a-systematic-review-of-the-literature
#9
REVIEW
Freek Hollman, Nienke Wolterbeek, Petra E Flikweert, Kiem G Auw Yang
Fatty infiltration is an important prognostic factor for cuff healing after rotator cuff repair. Treatment options for stage 2-3 Goutallier rotator cuff tears vary widely and there is lack of decent comparative studies. Purposes: The objective of this study was 1) to give an overview of the treatment options of stage 2-3 Goutallier rotator cuff tears and their clinical outcome and 2) to give a recommendation of the optimal treatment within this specific subgroup. Methods: We searched the databases of Medline, Embase, Cochrane library, NHS Centre for Reviews and Dissemination, PEDro from inception to December 12th, 2016...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29515329/femoral-stem-size-mismatch-in-women-undergoing-total-hip-arthroplasty
#10
John M Dundon, Dvorah Leah Felberbaum, William J Long
Background: Total hip arthroplasty (THA) is a highly successful surgery with a high prevalence in women. Women have been noted to have smaller proximal femoral anatomy and decreased bone strength compared to males. The goal of our study was to define the size discrepancy in femoral stem implants between men and women using a metaphyseal fitting single taper stem. Methods: We retrospectively reviewed the THA's performed by a single surgeon over the previous two years...
June 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657483/imaging-the-anterior-cruciate-ligament-points-to-ponder
#11
EDITORIAL
P Gopinathan
No abstract text is available yet for this article.
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657482/functional-and-radiological-outcome-in-management-of-compound-tibia-diaphyseal-fracture-with-ao-monolateral-fixator-versus-limb-reconstruction-system
#12
Hitesh J Mangukiya, Neetin P Mahajan, Eknath D Pawar, Aakash Mane, Jitsen Manna
Introduction: Tibia being the most common fractured long bone represents 36.7% of all long bone fractures in adults with open fracture comprises 23.5% of all tibial shaft fracture. The lack of the muscular covering over anteromedial aspect of the tibia and poor blood supply predispose open tibial fractures to a 10-20 fold increased risk of developing infection than open fracture in any other anatomical areas and a nonunion rate as high as 28% has been reported in the literature. Methods: We did a prospective study at our institute from 2014-2016 comprising 40 patients with compound tibia diaphyseal fracture managed with AO monolateral external fixator (Group 1) (n = 20) and Limb reconstruction system (Group 2) (n = 20) as primary and definitive tool...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657481/getting-back-in-the-game-after-humeral-head-resurfacing
#13
Matthias Bülhoff, Boris Sowa, Thomas Bruckner, Patric Raiss, Felix Zeifang
Background: Aim of this investigation was to analyze whether patients undergoing humeral head resurfacing (HHR) surgery are able to successfully return to their sports and occupation afterwards. Materials and methods: Fifty patients treated with CUP (HHR) arthroplasty were included. Two groups were built: Patients who have participated in sports less than 5 years prior surgery (Group 1: n = 42 (84%)) and patients who have never participated in sports (Group 2: n = 8 (16%))...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657480/a-novel-method-for-reducing-gap-formation-in-tendon-repair
#14
Ryan Dean, Paul Sethi
Background: This study investigates gap formation in tendon repair using a novel tensioning method. Hypothesis: The novel stitch will demonstrate less gap formation than the other suture configurations tested. Methods: Porcine tendons stitched with classic Krackow stitch configurations were compared to a Krackow stitch modified with a proximal Tension-Assist Loop. Each group was cyclically loaded followed by analysis of the tendon-suture construct for gap formation...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657479/minimally-invasive-mis-t%C3%A3-nnis-osteotomy-a-technical-annotation-and-review-of-short-term-results
#15
Balasubramanian Balakumar, Malek Racy, Sanjeev Madan
Aims: We detail a modified single incision approach to perform the Tonnis triple pelvic osteotomy by a minimally invasive approach. Patients and Methods: 12 children underwent minimally invasive Tonnis Osteotomy. There were five boys and seven girls in this study group. Average age was 11 years (9-15 years) at the time of surgery. Mean follow-up was 20.5 months (13-39 months). Results: The average preoperative Antero-Posterior (AP) Centre Edge (CE) angle was -8...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657478/cryopreserved-bone-allograft-for-the-treatment-of-shoulder-instability-with-glenoid-defect
#16
Mina M Abdelshahed, Steven D Shamah, Siddharth A Mahure, Brent Mollon, Young W Kwon
The purpose of this study was to examine outcomes after cryopreserved tri-cortical iliac crest allograft reconstruction for glenoid bone loss in patients with shoulder instability. 10 patients completed the required assessments at a mean follow up of 4.5 years. At final follow up, mean ASES was 92 ± 12, mean WOSI was 315 ± 319, with good range of motion. None of the final radiographs demonstrated graft resorption or failure of hardware. The data demonstrated that patients who were treated with glenoid bone grafting with cryopreserved tri-cortical iliac crest allograft can expect good range of motion and functional capacity...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657477/evaluation-of-the-multi-attribute-prioritisation-tool-for-total-joint-replacement
#17
Michael Nganga, Donald Bramwell, Jenifer Monaghan, Christine Doerr, Graham Mercer, Jeganath Krishnan
Rationale aims and objectives: The demand for arthroplasty is increasing and will continue to rise with an ageing population. Obesity and lengthy waiting time for Total Joint Replacement (TJR) have been associated with poorer outcomes postoperatively. This study aimed to evaluate the Multi-Attribute Prioritisation Tool (MAPT) for TJR patients. The primary objective was to explore if patients prioritised by the MAPT had an improvement in score post-operative. Further to identify any relationship between MAPT score and length of time on the waiting list or obesity...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657476/platelet-rich-plasma-injections-for-lateral-epicondylitis-of-the-elbow-reduce-the-need-for-surgical-intervention
#18
Graham Hastie, Mazen Soufi, James Wilson, Bibhas Roy
Objective: We aimed to assess the effectiveness of PRP injections in lateral epicondylitis of the elbow as it was felt after PRP introduction the numbers of patients requiring surgery for had reduced. Methods: We conducted a retrospective review of cases from the 1st January 2008 to 31st December 2015. The numbers of patients undergoing surgical release and the numbers of patients requiring PRP injections were recorded each year and the numbers of patients requiring surgery was compared pre and post PRP injection to ascertain if PRP introduction reduced surgical intervention...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657475/incidence-of-tendon-rupture-following-volar-plate-fixation-of-distal-radius-fractures-a-survey-of-2787-cases
#19
Kotaro Sato, Kenya Murakami, Yoshikuni Mimata, Minoru Doita
This study assessed the comprehensive incidence of tendon rupture following volar locking plate (VLP) surgery for a large number of patients with distal radius fractures (DRFs) at multiple facilities in one prefecture, Japan. During the 4-year period, 2787 patients with DRFs underwent fixation using VLP. The overall incidence rates of rupture of the FPL, the extensor pollicis longus, the flexor digitorum profundus of the index finger, and the extensor digitorum communis were 0.35% (10 patients), 0.29% (8 patients), 0...
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29657474/analysis-of-a-generic-talar-prosthetic-with-a-biological-talus-a-cadaver-study
#20
Alexandra N Trovato, Troy D Bornes, Marwan El-Rich, Sukhvinder S Dhillon, Samer Adeeb, Nadr M Jomha
Treatment for talar avascular necrosis is challenging. This study evaluates the feasibility of a generic talar implant by cadaveric assessment. Ten cadaveric ankles were CT-scanned to determine talar implant size. The opposite ankles were CT-scanned with the biological talus and then with the implant. 3D ankle geometry was reconstructed and implant position was compared to the biological talus position. The averages among specimens' positive and negative average-deviations were 0.91 mm and 0.70 mm. Seventy percent of talar dome deviations between the biological talus and implant were within an acceptable range...
March 2018: Journal of Orthopaedics
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