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Arthroplasty, Foot and Ankle,trauma

M Walther, P Chomej, S Kriegelstein, S Altenberger, A Röser
OBJECTIVES: Treatment of hallux rigidus by minimally invasive resection of the dorsal osteophytes, synovectomy and resection of the dorsal part of the metatarsal head. INDICATIONS: Hallux rigidus grades II and III CONTRAINDICATIONS: End-stage osteoarthritis of the first metatarsophalangeal joint with beginning ankylosis. SURGICAL TECHNIQUE: Osteophytes around the metatarsophalangeal joint are removed using a 1 cm incision dorsomedial, approximately 3 cm proximal of the joint space...
June 2018: Operative Orthopädie und Traumatologie
Amanda Lans, Stein J Janssen, David Ring
PURPOSE: We sought to determine and quantify which subspecialties of orthopedic surgeons are operating off hours in an urban, quaternary-care, level 1 trauma center. MATERIALS AND METHODS: We used our clinical registry to identify 43,211 orthopedic surgeries performed between January 2008 and December 2011. Our outcome measures were the number and proportion of off-hour surgeries performed as well as the number and proportion of off-hours per subspecialty. The denominators were the total number of surgeries and the total number of surgical hours worked per subspecialty...
December 2016: Journal of Hand Surgery
Arjun S Sebastian, Stephanie F Polites, Amy E Glasgow, Elizabeth B Habermann, Robert R Cima, Sanjeev Kakar
PURPOSE: The American College of Surgeons National Surgical Quality Improvement Project (ACS-NSQIP) is a clinically-derived, validated tool to track outcomes in surgery. The Agency for Healthcare Research and Quality Patient Safety Indicators (AHRQ-PSI) are a set of computer algorithms run on administrative data to identify adverse events. The purpose of this study is to compare complications following orthopedic surgery identified by ACS-NSQIP and AHRQ-PSI. METHODS: Patients between 2010 and 2012 who underwent orthopedic procedures (arthroplasty, spine, trauma, foot and ankle, hand, and upper extremity) at our tertiary-care, academic institution were identified (n = 3,374)...
January 2017: Journal of Hand Surgery
Rohan A Shirwaiker, Bryan D Springer, Mark J Spangehl, Grant E Garrigues, David W Lowenberg, David N Garras, Jung U Yoo, Paul S Pottinger
Orthopaedic implants improve the quality of life of patients, but the risk of postoperative surgical site infection poses formidable challenges for clinicians. Future directions need to focus on prevention and treatment of infections associated with common arthroplasty procedures, such as the hip, knee, and shoulder, and nonarthroplasty procedures, including trauma, foot and ankle, and spine. Novel prevention methods, such as nanotechnology and the introduction of antibiotic-coated implants, may aid in the prevention and early treatment of periprosthetic joint infections with goals of improved eradication rates and maintaining patient mobility and satisfaction...
April 2015: Journal of the American Academy of Orthopaedic Surgeons
Hyeong-Won Park, Keun-Bae Lee
PURPOSE: To compare the outcomes of arthroscopic microfracture for chondral and osteochondral lesions of the talus, and to identify the characteristics. METHOD: One hundred and four ankles were divided into two groups, namely chondral group (58 ankles) and osteochondral group (46 ankles). The chondral group consisted of 37 men and 21 women with a mean age of 41.5 years [95 % confidence interval (CI) 38.9-44.1] and a mean follow-up duration of 37.6 months (95 % CI 34...
March 2015: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
Thomas G Harris, David Lee
Ankle arthrodesis is an essential tool in the foot and ankle surgeon's armamentarium. Despite the evolving technology and ongoing research in ankle arthroplasty, arthrodesis continues to be a proven and safe option for the majority of patients with ankle arthritis refractory to conservative management. Here, the authors present their technique of an arthroscopic ankle arthrodesis specifically in the setting of a previous open-reduction internal fixation (ORIF) for a tibia plafond type fracture. They have found this to be a reliable technique to achieve a solid ankle arthrodesis while minimizing soft-tissue trauma and dissection in an already compromised soft-tissue envelope...
June 2011: Foot & Ankle Specialist
Sanaz Hariri, Sally C York, Mary I O'Connor, Brian S Parsley, Joseph C McCarthy
BACKGROUND: An orthopaedic workforce shortage has been projected. The purpose of this study is to analyze the supply side of this shortage by ascertaining the career plans of current orthopaedic residents, comparing these plans with the career patterns of practicing orthopaedists, and identifying career-plan differences according to sex. METHODS: An online, self-administered survey was e-mailed to U.S. orthopaedic residents in postgraduate year three or higher, querying them about their fellowship specialty choice and their career plans...
March 2, 2011: Journal of Bone and Joint Surgery. American Volume
Eric White, Darren Lu, Ben Eyer, Chris Gottsegen, Elke Ahlmann, Chris Allison
The purpose of this gallery of orthopedic implants was to provide a reference for emergency radiologists to quickly identify uncommon devices in the shoulders, hips, and extremities. The cases presented in this exhibit will include unusual arthroplasties and prostheses as well as bone graft implants (including allograft and autograft). Bone grafts are frequently used for the treatment of bone defects, which may be caused by trauma, infection, or avascularity. Autogenous cancellous, corticocancellous, or cortical bone grafts are often used, either free or vascularized...
May 2010: Emergency Radiology
Woo Jin Choi, Kwan Kyu Park, Bom Soo Kim, Jin Woo Lee
BACKGROUND: Identifying factors associated with favorable or unfavorable outcomes would provide patients with accurate expectations of the arthroscopic marrow stimulation techniques. PURPOSE: To investigate the prognostic significance and optimal measures of defect size in osteochondral lesion of the talus as treated with arthroscopy. HYPOTHESIS: A critical, or threshold, defect size may exist at which clinical outcomes become poor in the treatment of osteochondral lesion of the talus...
October 2009: American Journal of Sports Medicine
Trevor Gaskill, Chad Cook, James Nunley, R Chad Mather
BACKGROUND: Previous reports have compared the expected financial return of a medical education with those expected in other professions. However, we know of no published report estimating the financial return of orthopaedic training. The purpose of this study was to estimate the financial incentives that may influence the decision to invest an additional year of training in each of the major orthopaedic fellowships. METHODS: With survey data from the American Academy of Orthopaedic Surgeons and using standard financial techniques, we calculated the estimated return on investment of an additional year of orthopaedic training over a working lifetime...
July 2009: Journal of Bone and Joint Surgery. American Volume
Florian D Naal, Franco M Impellizzeri, Markus Loibl, Martin Huber, Pascal F Rippstein
BACKGROUND: There is a lack of detailed information about habitual physical activity levels and the sports participation of patients after total ankle arthroplasty. HYPOTHESIS: The proportion of sports active patients increases after total ankle arthroplasty, and the majority of patients will meet current recommendations for health-enhancing physical activity. STUDY DESIGN: Case series; Level of evidence, 4. METHODS: The authors assessed the pre- and postoperative participation in sports and recreational activities of 101 patients at a mean of 3...
January 2009: American Journal of Sports Medicine
T Mittlmeier, K Klaue, P Haar, M Beck
Neuro-osteoarthropathy is accompanied by the destruction of single or multiple joints involving little or no pain. Diabetic patients suffering from symmetric distal polyneuropathy are the main risk group. The main location is the foot (Charcot foot). Inadvertent or repetitive trauma appears to be the main trigger mechanism for Charcot foot. Undiagnosed and untreated fractures and dislocations, foot and ankle deformities and instabilities with consecutive ulcerations may be the consequence, which again may increase the risk for later extremity loss due to the need for amputation or at least functional deterioration...
April 2008: Der Unfallchirurg
Bavornrit Chuckpaiwong, Eric M Berkson, George H Theodore
PURPOSE: The purpose of this study was to identify outcomes and outcome predictors of arthroscopic debridement with osteochondral bone stimulation (microfracture) for osteochondral lesions of the ankle. METHODS: One hundred five consecutive patients with osteochondral lesions of the ankle who underwent ankle arthroscopy with microfracture were prospectively followed up for a mean of 31.6 +/- 12.1 months. Study patients were evaluated at 6 weeks, 3 months, 6 months, 12 months, and annually after surgery...
January 2008: Arthroscopy: the Journal of Arthroscopic & related Surgery
Aniruth Gadgil, Rhys H Thomas
BACKGROUND: Few studies exist to guide the best practice in thromboprophylaxis after foot and ankle surgery. A survey of foot and ankle surgeons was performed to assess current trends in thromboprophylaxis. METHODS: An email-based survey of American and British foot and ankle surgeons was conducted. Surgeons were questioned as to their use and type(s) of thromboprophylaxis as well as reasons for not using prophylaxis. Surgeons also were asked about their use of thromboprophylaxis in hip and knee arthroplasty, if they did these surgeries...
October 2007: Foot & Ankle International
T C Beals
There is a growing base of literature that supports the use of external ring fixators in the treatment of complex foot and ankle fractures. Clinical studies that determine definitively the optimal treatment for particular injuries are absent. Small wire ring fixators have a growing role in allowing the stabilization of complex skeletal injuries with a minimum of iatrogenic soft tissue injury. Ring fixators should be considered in the algorithm of treatment of complex lower extremity fractures with associated significant soft tissue injury...
January 2001: Orthopedic Clinics of North America
L Demetriades, E Strauss, J Gallina
Primary osteoarthritis of the ankle is a rare entity. Osteoarthritis of the ankle more commonly is seen secondary to trauma of the articular surface involving the normal biomechanics of the ankle. The causes are many and treatment consists of prevention of additional deterioration or treatment of that deterioration. The patient with osteoarthritis is plagued by chronic pain and decreased function. The surgical option for treatment includes soft tissue and bony debridement, ligamentous reconstruction, corrective osteotomy, arthrodesis, arthroplasty, or a combination of those treatments...
April 1998: Clinical Orthopaedics and related Research
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