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SICOT-J

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https://www.readbyqxmd.com/read/28322719/prp-in-oa-knee-update-current-confusions-and-future-options
#1
Mandeep S Dhillon, Sandeep Patel, Rakesh John
Positive results have been uniformly observed by various researchers for platelet-rich plasma (PRP) in early osteoarthritis (OA) knee in the past few years. PRP has clearly demonstrated its supremacy in comparison to hyaluronic acid (HA) and placebo in various clinical trials and is undoubtedly the best option available for symptomatic treatment in early OA. The release of growth factors from PRP occurs immediately and lasts for around three weeks and the clinical effect tends to wane down by the end of the year...
2017: SICOT-J
https://www.readbyqxmd.com/read/28322718/pseudoaneurysm-of-a-branch-of-the-femoral-circumflex-artery-as-a-complication-of-revision-arthroscopic-release-of-the-iliopsoas-tendon
#2
Naoki Nakano, Laughter Lisenda, Vikas Khanduja
Treatment of painful internal snapping hip via arthroscopic release of the iliopsoas tendon is becoming the preferred option over open techniques because of the benefits of minimal dissection and fewer complications. However, complications do occur with arthroscopic techniques as well. We present the case of a 33-year-old woman who presented with painful internal snapping of her right hip and underwent arthroscopic release of the iliopsoas tendon. Following the procedure she continued to complain of pain in her groin and was therefore investigated further with a magnetic resonance imaging (MRI) which revealed a swelling near the femoral circumflex vessels...
2017: SICOT-J
https://www.readbyqxmd.com/read/28322717/lengthening-and-deformity-correction-about-the-knee-using-a-magnetic-internal-lengthening-nail
#3
Austin T Fragomen, S Robert Rozbruch
INTRODUCTION: The introduction of the internal lengthening nail (ILN) has changed the treatment of complex malalignment and shortening about the knee. Acute correction of the deformity and gradual lengthening through this osteotomy site has greatly simplified postoperative recovery. This manuscript is a review of the techniques that are currently being used in surgery. METHODS: The article is broken into two sections: distal femur osteotomy and tibia osteotomy. Each is addressed separately since they have different personalities...
2017: SICOT-J
https://www.readbyqxmd.com/read/28304274/a-mid-term-follow-up-of-koutsogiannis-osteotomy-in-adult-acquired-flatfoot-stage-ii-and-early-stage-iii
#4
Camilla Arvinius, Elena Manrique, Antonio Urda, Zulema Cardoso, Jose Enrique Galeote, Fernando Marco
INTRODUCTION: Koutsogiannis' osteotomy has been widely described to treat adult-acquired flatfoot. However, few articles describe its midterm follow-up. Our aim was to study clinical and radiological outcomes at least one year after surgery and to analyze whether a combined procedure on the medial soft tissue affected these outcomes. METHODS: We performed a retrospective study of 30 feet of patients who underwent a Koutsogiannis' osteotomy due to adult-acquired flatfoot stage II and "early stage III": a stage III acquired flatfoot without any important structural deformities...
2017: SICOT-J
https://www.readbyqxmd.com/read/28304273/comment-on-modular-titanium-alloy-neck-failure-in-total-hip-replacement
#5
LETTER
Francesco Benazzo, Loris Perticarini
No abstract text is available yet for this article.
2017: SICOT-J
https://www.readbyqxmd.com/read/28287389/sudden-peroneal-nerve-palsy-in-an-osteoarthritic-knee-a-case-report
#6
Vijay Kumar, Mayur Nayak, Tahir Ansari, Rajesh Malhotra
Peroneal nerve injuries have been reported in association with various causes around the knee such as traumatic varus injury, traumatic dislocation, upper tibial osteotomy, knee arthroscopy and total knee arthroplasty. Two instances of varus arthritic knee associated with a peroneal nerve palsy have been reported so far. One presented with gradual onset peroneal nerve palsy that recovered with time and the other with sudden onset peroneal nerve palsy that did not recover. We describe the case of a 63-year-old man who presented with a symptomatic varus arthritic knee and sudden onset peroneal nerve palsy with synovial cysts over the lateral aspect of the knee...
2017: SICOT-J
https://www.readbyqxmd.com/read/28287388/kerboull-type-plate-in-a-direct-anterior-approach-for-severe-bone-defects-at-primary-total-hip-arthroplasty-technical-note
#7
Mikio Matsumoto, Tomonori Baba, Hironori Ochi, Yu Ozaki, Taiji Watari, Yasuhiro Homma, Kazuo Kaneko
INTRODUCTION: For cases with extensive acetabular bone defects, we perform surgery combining the Kerboull-type (KT) plate and bone graft through direct anterior approach (DAA) in primary total hip arthroplasty (THA) requiring acetabular reconstruction as minimally invasive surgery. This paper provides the details of the surgical procedure. METHODS: The basic structure of the Kerboull-type plate is a cruciform plate. Since the hook of the Kerboull-type plate has to be applied to the tear drop, a space for it was exposed...
2017: SICOT-J
https://www.readbyqxmd.com/read/28287387/management-of-soft-tissue-sarcomas-treatment-strategies-staging-and-outcomes
#8
Eyal M Ramu, Matthew T Houdek, Christian E Isaac, Colleen I Dickie, Peter C Ferguson, Jay S Wunder
Soft-tissue sarcomas (STS) are a rare group of malignant tumors which can affect any age group. For the majority of patients who present with a localized STS, treatment involves a multidisciplinary team decision-making approach ultimately relying on surgical resection with or without adjuvant radiation for successful limb salvage. The goals of treatment are to provide the patient with a functional extremity without local tumor relapse. The purpose of this article is to review the treatment of extremity STS, with a focus on staging, treatment options, and outcomes...
2017: SICOT-J
https://www.readbyqxmd.com/read/28220752/putting-3d-modelling-and-3d-printing-into-practice-virtual-surgery-and-preoperative-planning-to-reconstruct-complex-post-traumatic-skeletal-deformities-and-defects
#9
Kevin Tetsworth, Steve Block, Vaida Glatt
3D printing technology has revolutionized and gradually transformed manufacturing across a broad spectrum of industries, including healthcare. Nowhere is this more apparent than in orthopaedics with many surgeons already incorporating aspects of 3D modelling and virtual procedures into their routine clinical practice. As a more extreme application, patient-specific 3D printed titanium truss cages represent a novel approach for managing the challenge of segmental bone defects. This review illustrates the potential indications of this innovative technique using 3D printed titanium truss cages in conjunction with the Masquelet technique...
2017: SICOT-J
https://www.readbyqxmd.com/read/28220751/upper-extremity-sarcoma-impact-of-current-practice-guidelines-and-controversies-on-reconstructive-approaches
#10
Marek Dobke, Gina A Mackert
The goals of sarcoma management include both a cure and the functional preservation of involved tissues and adjacent critical structures with common opinions favoring immediate reconstruction. The question arises whether these goals are contradictory. This paper discusses the question based on the experience of 28 patients with different types of extremity sarcoma, with 24 surgically treated by the University of California San Diego (UCSD) orthopedic and plastic surgery team (2011-2016) and the collection of evidence from published practice guidelines, reviews, case studies, and clinical trials...
2017: SICOT-J
https://www.readbyqxmd.com/read/28186873/pre-operative-simulation-of-periacetabular-osteotomy-via-a-three-dimensional-model-constructed-from-salt
#11
Kensuke Fukushima, Naonobu Takahira, Katsufumi Uchiyama, Mitsutoshi Moriya, Masashi Takaso
INTRODUCTION: Periacetabular osteotomy (PAO) is an effective joint-preserving procedure for young adults with developmental dysplasia of the hip. Although PAO provides excellent radiographic and clinical results, it is a technically demanding procedure with a distinct learning curve that requires careful 3D planning and, above all, has a number of potential complications. We therefore developed a pre-operative simulation method for PAO via creation of a new full-scale model. METHODS: The model was prepared from the patient's Digital Imaging and Communications in Medicine (DICOM) formatted data from computed tomography (CT), for construction and assembly using 3D printing technology...
2017: SICOT-J
https://www.readbyqxmd.com/read/28186872/acoustic-pattern-evaluation-during-cementless-hip-arthroplasty-surgery-may-be-a-new-method-for-predicting-complications
#12
Itaru Morohashi, Hideaki Iwase, Akio Kanda, Taichi Sato, Yasuhiro Homma, Atsuhiko Mogami, Osamu Obayashi, Kazuo Kaneko
BACKGROUND: Although surgeons must perform implantation of the cementless stem during total hip arthroplasty (THA) without complications, assessment is left to the surgeon's intuitive judgement, which could contain inter/intra-observer bias variety. We therefore asked (1) whether the sound created during the stem implantation could be evaluated objectively and (2) whether those sounds are correlate to the complication specific to the cementless stems. Our hypothesis is that the sounds produced during stem insertion could be quantified and related to the complications...
2017: SICOT-J
https://www.readbyqxmd.com/read/28186871/augmentation-of-proximal-femoral-nail-in-unstable-trochanteric-fractures
#13
Wasudeo M Gadegone, Bhaskaran Shivashankar, Vijayanad Lokhande, Yogesh Salphale
INTRODUCTION: Biomechanically proximal femoral nail (PFN) is a better choice of implant, still it is associated with screw breakage, cut out of screw through femoral head, Z effect, reverse Z effect, and lateral migration of screws. The purpose of this study is to evaluate the results of augmented PFN in terms of prevention of postoperative complications and failure rates in unstable trochanteric fractures. MATERIAL AND METHODS: We carried out a prospective study of 82 cases with unstable trochanteric femoral fractures from April 2010 to December 2015...
2017: SICOT-J
https://www.readbyqxmd.com/read/28186870/total-hip-arthroplasty-via-the-direct-anterior-approach-with-kerboull-type-acetabular-reinforcement-device-for-an-elderly-female-with-factor-xi-deficiency
#14
Kei Sano, Yasuhiro Homma, Tomonori Baba, Jun Ando, Mikio Matsumoto, Hideo Kobayashi, Takahito Yuasa, Kazuo Kaneko
We present a case of successful and uncomplicated total hip arthroplasty with an acetabular reinforcement device in an elderly patient with hip osteoarthritis already diagnosed with factor XI deficiency, which is a very rare bleeding disorder and at high risk of post-operative haemorrhage, and it poses a substantial challenge to surgeons as a consequence of the specific risks of infection and fixation failure. Moreover, bone fragility in elderly patient increases potential risk of adverse event. Fresh frozen plasma was used to supplement factor XI activity...
2017: SICOT-J
https://www.readbyqxmd.com/read/28176673/surgical-hip-dislocation-in-treatment-of-slipped-capital-femoral-epiphysis
#15
Mohammed Elmarghany, Tarek M Abd El-Ghaffar, Mahmoud Seddik, Ahmed Akar, Yousef Gad, Eissa Ragheb, Alessandro Aprato, Alessandro Massè
BACKGROUND: Most surgeons advocate in situ fixation of the slipped epiphysis with acceptance of any persistent deformity in the proximal femur [Aronsson DD, Loder RT, Breur GJ, Weinstein SL (2006) Slipped capital femoral epiphysis: current concepts. J Am Acad Orthop Surg 14, 666-679]. This residual deformity can lead to osteoarthritis due to femoroacetabular cam impingement (FAI) [Leunig M, Slongo T, Ganz R (2008) Subcapital realignment in slipped capital femoral epiphysis: surgical hip dislocation and trimming of the stable trochanter to protect the perfusion of the epiphysis...
2017: SICOT-J
https://www.readbyqxmd.com/read/28176672/no-dislocations-after-primary-hip-arthroplasty-with-the-dual-mobility-cup-in-displaced-femoral-neck-fracture-in-patients-with-dementia-a-one-year-follow-up-in-20-patients
#16
Anders Elneff Graversen, Stig Storgaard Jakobsen, Pia Kjær Kristensen, Theis Muncholm Thillemann
PURPOSE: The aim of this study was to describe the dislocation rates, reoperation rates and mortality 30 day and one year following THA with AVANTAGE(®) dual mobility cup among dementia patients with an acute displaced intracapsular femoral neck fracture. PATIENTS AND METHODS: From 2010 to 2014 we identified 20 hip fracture patients with dementia, who have had total hip arthroplasty with the AVANTAGE(®) dual mobility cup. The primary outcome was dislocation. Secondary outcomes were revision surgery, 30 days and one year mortality, time to surgery and length of hospital stay...
2017: SICOT-J
https://www.readbyqxmd.com/read/28176671/the-perceptions-and-attitudes-of-medical-students-towards-trauma-and-orthopaedic-teaching-a-cross-sectional-study
#17
Tarek Boutefnouchet, Basil Budair
OBJECTIVES: This study aimed to identify how undergraduate students perceive learning opportunities available to them and to determine whether students with an interest in trauma and orthopaedic (T&O) surgery have different perceptions and attitudes towards learning. METHODS: All fourth year medical students from the University of Birmingham Medical School (UK) were surveyed regarding their career intentions and their attitudes towards the teaching received in trauma and orthopaedic surgery...
2017: SICOT-J
https://www.readbyqxmd.com/read/28134091/irrigation-solutions-in-open-fractures-of-the-lower-extremities-evaluation-of-isotonic-saline-and-distilled-water
#18
Olukemi Temiloluwa Olufemi, Adeolu Ikechukwu Adeyeye
INTRODUCTION: Open fractures are widely considered as orthopaedic emergencies requiring immediate intervention. The initial management of these injuries usually affects the ultimate outcome because open fractures may be associated with significant morbidity. Wound irrigation forms one of the pivotal principles in the treatment of open fractures. The choice of irrigation fluid has since been a source of debate. This study aimed to evaluate and compare the effects of isotonic saline and distilled water as irrigation solutions in the management of open fractures of the lower extremities...
2017: SICOT-J
https://www.readbyqxmd.com/read/28134090/impact-of-academic-collaboration-and-quality-of-clinical-orthopaedic-research-conducted-in-low-and-middle-income-countries
#19
Hao-Hua Wu, Max Liu, Kushal R Patel, Wes Turner, Lincoln Baltus, Amber M Caldwell, Jesse C Hahn, Ralph Richard Coughlin, Saam Morshed, Theodore Miclau, David W Shearer
BACKGROUND: Little is known about the quality of orthopaedic investigations conducted in low- and middle-income countries (LMICs). Academic collaboration is one model to build research capacity and improve research quality. Our study aimed to determine (1) the quality of clinical orthopaedic research conducted in LMICs, (2) the World Bank Regions and LMICs that publish the highest quality studies, (3) the pattern of collaboration among investigators and (4) whether academic collaboration between LMIC and non-LMIC investigators is associated with studies that have higher levels of evidence...
2017: SICOT-J
https://www.readbyqxmd.com/read/28120747/the-paley-ulnarization-of-the-carpus-with-ulnar-shortening-osteotomy-for-treatment-of-radial-club-hand
#20
Dror Paley
Recurrent deformity from centralization and radialization led to the development in 1999 of a new technique by the author called ulnarization. This method is performed through a volar approach in a vascular and physeal sparing fashion. It biomechanically balances the muscle forces on the wrist by dorsally transferring the flexor carpi ulnaris (FCU) from a deforming to a corrective force. The previous problems of a prominent bump from the ulnar head and ulnar deviation instability were solved by acutely shortening the diaphysis and by temporarily fixing the station of the carpus to the ulnar head at the level of the scaphoid...
2017: SICOT-J
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