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Archives of Bone and Joint Surgery

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https://www.readbyqxmd.com/read/28580380/recurrent-dislocation-of-the-proximal-interphalangeal-joint-of-the-finger-a-rare-issue-in-hand-surgery
#1
Hossein Saremi, Ali Karbalaeikhani
Recurrent dislocation is not common in small joints. This report presents a recurrent dislocation of the proximal interphalangeal joint of the ring finger in a 23-years-old man. Recurrent dislocation was addressed successfully by repairing the avulsed volar plate to the base of the middle phalanx, followed by 6 weeks of splint immobilization.
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497105/challenges-in-evaluating-sleep-disturbances-in-patients-with-hand-and-upper-extremity-disease
#2
Michael P Gaspar, Patrick M Kane, Sidney M Jacoby, A Lee Osterman
No abstract text is available yet for this article.
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497104/stress-fracture-of-the-lateral-femoral-condyle-after-total-knee-arthroplasty
#3
Mohammad M Sarzaeem, Mahmood Jabalameli
BACKGROUND: This is to assess one of the rare complications after total knee replacement and to assess risk factors of failure. METHODS: 11 patients with varus knee and an average age of 67 years underwent TKA between 2005 and 2013. All patients returned with a sudden sharp knee pain, disability to walk and significant decrease in ROM about 4 to 8 weeks after surgery. Radiographic examination revealed a lateral femoral condylar stress fracture. RESULTS: After analyzing the images, we found common characteristics among all patients, which might be attributable to the later fracture including varus deformity>25, femoral component lateralization, and valgus correction...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497103/reverse-total-shoulder-arthroplasty-for-the-treatment-of-synovial-chondromatosis-a-case-report-and-review-of-the-literature
#4
Alexander Kreines, Sean McMillan, Elizabeth Ford, Abigail Dingle
Synovial chondromatosis affecting the glenohumeral joint is rare. Treatment primarily consists of arthroscopic loose body removal and synovectomy. Shoulder arthroplasty has been mentioned in the literature as a treatment option for patients with coexisting arthritis, although the results have been underreported. The case of an 84-year-old man with long standing synovial chondromatosis of the shoulder resulting in severe degenerative disease is presented. The patient was treated with a reverse total shoulder arthroplasty, loose body removal, and a complete synovectomy...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497102/use-of-hardware-battery-drill-in-orthopedic-surgery
#5
Bhava R J Satish, Masood Shahdi, Duddupudi Ramarao, Atmakuri V Ranganadham, Sundaresan Kalamegam
Among the power drills (Electrical/Pneumatic/Battery) used in Orthopedic surgery, battery drill has got several advantages. Surgeons in low resource settings could not routinely use Orthopedic battery drills (OBD) due to the prohibitive cost of good drills or poor quality of other drills. "Hardware" or Engineering battery drill (HBD) is a viable alternative to OBD. HBD is easy to procure, rugged in nature, easy to maintain, durable, easily serviceable and 70 to 75 times cheaper than the standard high end OBD...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497101/prognostic-factors-affecting-the-results-of-modified-thompson-quadricepsplasty-for-the-treatment-of-extension-contracture-of-the-knee
#6
Ali Birjandinejad, Mohammad H Ebrahimzadeh, Sayyed-Hadi Sayyed-Hosseinian, Saman Tabesh, Maryam Ghanbarifard
BACKGROUND: Knee extension contracture is a disabling complication after fractures around the knee. In this study we aimed to study factors influencing the outcomes of quadricepsplasty for the treatment of traumatic knee extension contracture. We hypothesized that there is no factor influencing the final range of knee motion. METHODS: In this retrospective study, we included 64 patients who underwent modified Thompson quadricepsplasty between 2008 to 2011 with a mean follow-up time of 36 months...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497100/does-tranexamic-acid-reduce-bleeding-during-femoral-fracture-operation
#7
Mohammad Haghighi, Hossein Ettehad, Mohsen Mardani-Kivi, Ahmadreza Mirbolook, Bahram Naderi Nabi, Roya Moghaddam, Abbas Sedighinejad, Gita Khanjanian
BACKGROUND: Proximal Femoral shaft fractures are commonly associated with marked blood loss which can lead to postoperative acute anemia and some other complications. Tranexamic acid (TA) is an antifibrinolytic medication that reduces intra-and postoperative blood loss and transfusion requirements during some elective surgeries. The aim of this study is to evaluate the effect of intravenous Tranexamic acid (TA) on intraoperative blood loss and a subsequent need for transfusion in patients who were undergoing surgery for femoral shaft fractures in trauma setting...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497099/acetabular-fractures-in-the-senior-population-epidemiology-mortality-and-treatments
#8
Reza Firoozabadi, William W Cross, James C Krieg, Milton L Chip Routt
BACKGROUND: Management of acetabular fractures in the senior population can be one of the most challenging injuries to manage. Furthermore, treating surgeons have a paucity of information to guide the treatment in this patient population. THE PURPOSE OF THIS STUDY WAS TO DETERMINE: (1) demographic and epidemiologic data, (2) mortality rates for nonoperative compared to operative management at different time points, (3) common fracture configurations, and (4) fracture fixation strategies in senior patients treated with acetabular fractures...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497098/gravity-reduction-view-a-radiographic-technique-for-the-evaluation-and-management-of-weber-b-fibula-fractures
#9
Lauren K Ehrlichman, Tyler A Gonzalez, Alec A Macaulay, Mohammad Ghorbanhoseini, John Y Kwon
BACKGROUND: While various radiographic parameters and application of manual/gravity stress have been proposed to elucidate instability for Weber B fibula fractures, the prognostic capability of these modalities remains unclear. Determination of anatomic positioning of the mortise is paramount. We propose a radiographic technique, the Gravity Reduction View (GRV), which helps elucidate non-anatomic positioning and reducibility of the mortise. METHODS: The patient is positioned lateral decubitus with the injured leg elevated on a holder with the fibula directed superiorly...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497097/a-randomized-controlled-pilot-study-of-educational-techniques-in-teaching-basic-arthroscopic-skills-in-a-low-income-country
#10
Abhiram R Bhashyam, Catherine Logan, Heather J Roberts, Rameez A Qudsi, Jacky Fils, George S M Dyer
BACKGROUND: Little is known about how to introduce complex technologies like arthroscopy into low-income countries. Thus, we compared low- versus high-resource intensive methods of teaching basic arthroscopic skills in a randomized controlled trial in Haiti. METHODS: Forty-eight Haitian orthopaedic surgeons and residents attending an orthopaedic conference in Haiti were block randomized to receive instruction through a composite video (Control) or a composite video plus hands-on teaching with an expert visiting surgeon (Intervention)...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497096/patient-complaints-emphasize-non-technical-aspects-of-care-at-a-tertiary-referral-hospital
#11
John D King, Pim A D van Dijk, Celeste L Overbeek, Michiel G J S Hageman, David Ring
BACKGROUND: Patient concerns represent opportunities for improvement in orthopaedic care. This study's objective is to identify the nature and prevalence of unsolicited patient complaints regarding orthopaedic care at a tertiary referral hospital. The primary null hypothesis that there are no demographic factors associated with complaint types was tested. Secondarily we determined if the overall complaint number and types differed by year. METHODS: Complaints to the hospital ombudsperson by orthopaedic patients between January 1997 and June 2013 were reviewed...
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28497095/case-reports-stories-worth-telling-in-today-s-bone-and-joint-literature
#12
EDITORIAL
Ali Moradi, Mohammad H Ebrahimzadeh
No abstract text is available yet for this article.
March 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271092/loosening-of-total-knee-arthroplasty-after-brucellosis-infection-a-case-report
#13
Mohammad Ali Sazegari, Fateme Bahramian, Fateme Mirzaee, Zohreh Zafarani, Hamidreza Aslani
In this report we describe a 78-year-old man whose total knee arthroplasty showed the symptoms of infection with brucella with radiographic signs of loosening 5 years after the index surgery. The patient was treated successfully after a 2-stage revision arthroplasty surgery along with using rifampicin and doxycycline for 8 weeks.
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271091/osteochondritis-dissecans-of-the-humeral-head-a-case-report-and-review-of-the-literature
#14
Davod Jafari, Hooman Shariatzadeh, Farid Najd Mazhar, Mohammad Ali Okhovatpour, Mehran Razavipour
Osteochondritis dissecans (OCD) is a common joint disorder in knee, ankle and elbow, however it can be rarely found in glenohumeral joint. In this study, we report an asymptomatic case of humeral head OCD, which was detected incidentally following a trauma. X-rays showed an area of lucency around an oval bony fragment measuring about 1 cm on the superior aspect of the humeral head. However, the patient was pain-free and the shoulder range of motion was normal.
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271090/intrapelvic-protrusion-of-a-broken-guide-wire-fragment-during-fixation-of-a-femoral-neck-fracture
#15
Ahmadreza Afshar
During fixation of a femoral neck fracture in a 23-year-old male patient with cannulated screws, a broken guide wire fragment inadvertently advanced through the hip joint and protruded into the pelvis. A second surgical approach was needed to remove the broken fragment from the pelvis. Awareness of such a potentially devastating complication will make surgeons more cautious during implementation of orthopedic instruments and increases patient's safety during surgery.
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271089/total-knee-arthroplasty-in-severe-unstable-knee-case-report-and-literature-review
#16
Mohammad Naghi Tahmasebi, Gholamreza Ghorbani Amjad, Mohammad Hassan Kaseb, Kaveh Bashti
Multiplanar or global laxity in arthritic knee is rare, most of this patients have neuromuscular disorder (post poliomyelitis, spinal dystrophy) or history of knee trauma. Ligament insufficiency and severe bone loss is significant in this patient. The estimated prevalence for the concurrence of charcot marie-tooth (CMT) with myasthenia gravis (MG) suggests an extremely rare event. We have presented a 54-year-old female patient with CMT and MG complaining of progressive pain, swelling, and crepitation of the knee joints who had been undergone total knee arthroplasty (TKA) with rotating hinge prosthesis...
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271088/axillary-artery-injury-associated-with-proximal-humerus-fracture-a-report-of-6-cases
#17
Rinne M Peters, Mariano E Menendez, Jos J Mellema, David Ring, R Malcolm Smith
Proximal humerus fractures are common, but associated injury of the axillary artery is uncommon. The majority of published blunt traumatic axillary artery injuries are associated with anterior glenohumeral dislocation; a few are associated with isolated proximal humerus fractures or fracture-dislocation. Experience within our institution demonstrates that axillary artery injury is often unrecognized on initial presentation owing to palpable peripheral pulses and the absence of ischemia and places the hand at risk of necrosis and amputation if there is prolonged ischemia and the forearm at risk of compartment syndrome after revascularization...
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271087/comparison-of-pediatric-and-general-orthopedic-surgeons-approaches-in-management-of-developmental-dysplasia-of-the-hip-and-flexible-flatfoot-the-road-to-clinical-consensus
#18
Ramin Haj Zargarbashi, Hirbod Nasiri Bonaki, Shayan Abdollah Zadegan, Taghi Baghdadi, Mohammad Hossein Nabian, Mehdi Ramezan Shirazi
Developmental dysplasia of the hip (DDH) and flatfoot are common pediatric orthopedic disorders, being referred to and managed by both general and pediatric orthopedic surgeons, through various modalities. Our study aimed to evaluate their consensus and perspective disagreements in terms of diagnostic and therapeutic approaches of the mentioned deformities. Forty participants in two groups of general orthopedic surgeons (GOS) (n=20) and pediatric orthopedic surgeons (POS) (n=20), were asked to answer an 8-item questionnaire on DDH and flexible flatfoot...
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271086/minimally-invasive-surgical-approach-to-distal-fibula-fractures-a-technique-tip
#19
Tyler Gonzalez, Bonnie Chien, Mohammad Ghorbanhoseini, John Y Kwon
Wound complications following ankle fracture surgery are a major concern. Through the use of minimally invasive surgical techniques some of these complications can be mitigated. Recent investigations have reported on percutaneous fixation of distal fibula fractures demonstrating similar radiographic and functional outcomes to traditional open approaches. The purpose of this manuscript is to describe in detail the minimally invasive surgical approach for distal fibula fractures.
January 2017: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/28271085/the-zeitgeist-of-challenging-the-evidence-a-perspective-on-the-international-consensus-meeting-on-periprosthetic-joint-infection
#20
Hangama C Fayaz, Jesse B Jupiter
BACKGROUND: The economic burden of the treatment of periprosthetic joint infection (PJI) is high and the treatment of PJI has a high degree of international controversy. Several papers have declared the International Consensus Meeting on Periprosthetic Joint Infection (ICMPJI) to be the "flawless pledge of international academics" to overcome the challenges of musculoskeletal infections. The purpose of this paper is to highlight for the first time some essential insights into the key dilemmas that are associated with this international consensus process...
January 2017: Archives of Bone and Joint Surgery
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