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MINS Orthopaedic Surgery

Boohwi Hong, Choonho Jung, Yumin Jo, Hyemin Kang, Woosuk Chung, Yoon-Hee Kim, ChaeSeong Lim, YoungKwon Ko
PURPOSE: Dexmedetomidine, an alpha 2 receptor agonist, prolongs nerve block duration when administered in conjunction with peripheral nerve blocks. We hypothesised that sedation with dexmedetomidine could also significantly prolong the analgesic duration of brachial plexus block (BPB) during orthopaedic surgery on the upper extremities. MATERIALS AND METHODS: One hundred and two patients received upper extremity surgery under BPB. The patients were randomly sedated with dexmedetomidine (D group) or midazolam (M group) following BPB using 25 ml of local anaesthetics (1:1 mixture of 1% lidocaine and 0...
October 16, 2018: Anaesthesia, Critical Care & Pain Medicine
C Kaiser, F P Tillmann, J Löchter, S Landgraeber, M Jäger
PURPOSE: Elective hip or knee replacement is an optimal, standardised orthopaedic surgical procedure. The influence of chronic kidney disease, defined as an estimated glomerular filtration rate (eGFR) of 15-45 ml/min/1.73 m2 body surface area (BSA) (KDIGO stage G3a-G4), on the duration of hospitalisation, perioperative decrease in haemoglobin (Hb) levels, and transfusion rates after orthopaedic procedures has not been fully clarified. Our study, therefore, aimed to evaluate the impact of chronic kidney disease on the previously mentioned variables...
October 15, 2018: International Urology and Nephrology
Frank A Segreto, Virginie Lafage, Renaud Lafage, Justin S Smith, Breton G Line, Robert K Eastlack, Justin K Scheer, Dean Chou, Nicholas J Frangella, Samantha R Horn, Cole A Bortz, Bassel G Diebo, Brian J Neuman, Themistocles S Protopsaltis, Han Jo Kim, Eric O Klineberg, Douglas C Burton, Robert A Hart, Frank J Schwab, Shay Bess, Christopher I Shaffrey, Christopher P Ames, Peter G Passias
BACKGROUND: Limited data are available to objectively define what constitutes a "good" versus a "bad" recovery for operative cervical deformity (CD) patients. Furthermore, the recovery patterns of primary versus revision procedures for CD is poorly understood. OBJECTIVE: To define and compare the recovery profiles of CD patients undergoing primary or revision procedures, utilizing a novel area-under-the-curve normalization methodology. METHODS: CD patients undergoing primary or revision surgery with baseline to 1-yr health-related quality of life (HRQL) scores were included...
September 28, 2018: Neurosurgery
M Lacko, D Schreierová, R Čellár, G Vaško
PURPOSE OF THE STUDY The study aims to evaluate the long-term results of computer-navigated total knee arthroplasties performed by less experienced surgeon performing a small number of procedures per year. MATERIAL AND METHODS In the prospective randomised study functional and radiological results, rate of revision and probability of clinical and radiological survival were compared in 30 computer-navigated (in 28 patients: 19 women, 9 men, with the mean age of 66.9 years) and 31 conventionally implanted (in 30 patients: 27 women, 3 men, with the mean age of 66...
2018: Acta Chirurgiae Orthopaedicae et Traumatologiae Cechoslovaca
Yong-Cheol Yoon, Sang-Hoon Moon, Hyuk-Min Kwon, Jae-Ang Sim, Chang-Wug Oh, Jong-Keon Oh
INTRODUCTION: Fracture surgery is the most frequently performed orthopaedic procedure and is considered an essential surgical procedure for orthopaedic surgeons in general. Although the approach and circumstances of orthopaedic residency training for fracture treatment may differ between countries, the goals of training, which is to educate the residents regarding the principles of the fracture treatment and foster conscientious orthopaedic specialists, remain unchanged. Thus, the aim of the this study was to determine a desirable course of orthopaedic residency training by investigating and analysing the reality of training associated with fracture surgery and treatment during the orthopaedic residency of 4th year orthopaedic residents in Korea...
September 13, 2018: Injury
Shaho Hasan, Pieta Krijnen, M Elske van den Akker-van Marle, Inger B Schipper, Kees A Bartlema
OBJECTIVE: To measure the effects of a medical scribe in an orthopaedic trauma surgery outpatient clinic on consultation time, patient satisfaction, doctor satisfaction and costs. DESIGN: Cross-sectional study. METHOD: At a level-1 trauma centre in the Netherlands, all standard outpatient trauma consultations were performed either with or without a medical scribe, for a period of 10 weeks. Length of consultation time was defined as the time from commencement of the consultation until the moment the electronic health record had been completely filled out and checked by the surgeon...
August 30, 2018: Nederlands Tijdschrift Voor Geneeskunde
Yang Zhou, Hong-Lin Teng, Jing Wang, Min-Yu Zhu, Chi Li
OBJECTIVE: To analyze the effect whether or not retaining muscle ligament complex of C2 attachment on cervical spine kyphotic deformity after single open-door laminoplasty. METHODS: A total 40 patients with cervical spondylotic myelopathy underwent single open-door laminoplasty from February 2011 to June 2014 were retrospectively analyzed. Of them, single open-door for C₃-C₆ was 40 cases (group A), including 28 males and 12 females, with an average age of (68...
August 25, 2018: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
Hai-Dong Li, Qiang-Hua Zhang, Shi-Tong Xing, Ji-Kang Min, Jian-Gang Shi, Xiong-Sheng Chen
BACKGROUND: Cervical ossification of the posterior longitudinal ligament (OPLL) is a progressive disease. Posterior decompression surgery is reported to be an effective and comparatively safe procedure with few complications for treatment of patients with myelopathy caused by OPLL. However, some patients require revision surgery because of late neurological deterioration due to OPLL progression or kyphotic changes in cervical alignment. This study reports preliminary clinical results of anterior controllable antidisplacement and fusion (ACAF), a novel revision surgery after initial posterior surgery for OPLL...
August 29, 2018: Journal of Orthopaedic Surgery and Research
Ki Hyuk Sung, Soon-Sun Kwon, Yeo-Hon Yun, Moon Seok Park, Kyoung Min Lee, Muhyun Nam, Jae Hong Jung, Seung Yeol Lee
The present study investigated the factors influencing the early clinical outcomes after ankle fracture surgery. We included 88 patients, who had undergone implant removal surgery at 1 year after ankle fracture surgery, with ankle computed tomographic (CT) scans obtained before ankle fracture surgery and at implant removal available. We collected demographic information, including age, sex, the presence of diabetes mellitus, level of trauma energy, and fracture classification from the medical records. We also recorded the fracture height using the radiographs and CT images...
August 23, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
P J Zufferey, E Ollier, X Delavenne, S Laporte, P Mismetti, S B Duffull
AIMS: Increased exposure to fondaparinux, as observed in patients with renal impairment, may increase bleeding risk. This study aims to determine the time course of major bleeding after major orthopaedic surgery, identify predictors of bleeding and simulate the effect of a reduced dose of fondaparinux on bleeding for patients with moderate renal impairment (creatinine clearance = 20-50 ml min-1 ). METHODS: Data including fondaparinux anti-Xa activities from two multicentre prospective cohorts were used...
October 2018: British Journal of Clinical Pharmacology
Min Wu, Jianzhong Guan, Yuzhou Xiao, Zhaodong Wang, Xiaotian Chen, Zhi Zhao, Kuankuan Zhang, Jun Zhu
Objective: To evaluate the effectiveness of three-dimensional (3-D) printing assisting minimally invasive for intraarticular calcaneal fractures with percutaneous poking reduction and cannulate screw fixation. Methods: A retrospective analysis was performed of the 19 patients (19 feet) with intraarticular calcaneal fracture who had been treated between March 2015 and May 2016. There were 13 males and 6 females with an average age of 38.2 years (range, 24-73 years)...
November 1, 2017: Chinese Journal of Reparative and Reconstructive Surgery
Yang Yang, Zhong-Yu Liu, Liang-Ming Zhang, Mao Pang, Kishor Chhantyal, Wen-Bin Wu, Zi-Hao Chen, Chun-Xiao Luo, Li-Min Rong, Bin Liu
OBJECTIVE: We sought to evaluate 5-year outcomes between microendoscopy-assisted minimally invasive (MIS) and open transforaminal lumbar interbody fusion (TLIF). METHODS: Sixty single-level MIS and open surgeries were performed (30 patients in either group). Perioperative parameters including operative duration, intraoperative estimated blood loss, fluoroscopy time, postoperative analgesic usage, ambulatory time, and complications were recorded. Visual analog scale (back and leg), Japanese Orthopaedics Association score, and Oswestry Disability Index were obtained...
August 2018: World Neurosurgery
Yong-Xiong Pan, Guang-Gang Yang, Zhong-Wan Li, Zhong-Min Shi, Zhan-Dong Sun
This study investigated clinical outcomes of biomimetic mineralized collagen artificial bone putty for bone reconstruction in the treatment of calcaneus fracture. Sixty cases of calcaneal fractures surgically treated with open reduction and internal fixation in our hospital from June 2014-2015 were chosen and randomly divided into two groups, including 30 cases treated with biomimetic mineralized collagen artificial bone putty as treatment group, and 30 cases treated with autogenous ilia as control group. The average follow-up time was 17...
March 2018: Regenerative Biomaterials
Hyuck Min Kwon, Ick-Hwan Yang, Woo-Suk Lee, Alvin Ray L Yu, Sang Yun Oh, Kwan Kyu Park
Accurate measurement of knee range of motion (ROM) is critical to predict the outcomes of knee surgery and prognosis. We investigated the reliability of knee ROM measurements by goniometer compared with robotic system. Fifty-three patients with medial osteoarthritis who were planning to undergo unicompartmental knee arthroplasty (UKA) with robotic UKA were prospectively enrolled. During the operation, knee ROM measurement was performed in both flexion and extension before and after insertion of the implant using both a goniometer and robotic system...
April 4, 2018: Journal of Knee Surgery
Shengtao Zhang, Conglin Ye, Qi Lai, Xiaolong Yu, Xuqiang Liu, Tao Nie, Haibo Zhan, Min Dai, Bin Zhang
BACKGROUND: Lumbar spondylolysis and isthmic spondylolisthesis are common conditions. However, double-level lumbar spondylolysis and spondylolisthesis are rare. We report 24 cases of it along with a review of literature and a briefly description of the clinical and radiological features and integrated management of patients with this condition. METHODS: Of 1700 inpatients diagnosed with lumbar spondylolisthesis at our hospital between January 2008 and September 2015, we selected those with a diagnosis of double-level spondylolisthesis who underwent surgery...
March 16, 2018: Journal of Orthopaedic Surgery and Research
N Solheim, I Gregersen, B Halvorsen, V Bjerkeli, A Stubhaug, T Gordh, L A Rosseland
BACKGROUND: Ketorolac is an effective non-steroidal anti-inflammatory drug, commonly used with local anaesthetics as part of local infiltration analgesia protocols following orthopaedic surgery. However, systemic uptake and drug action may be the major mechanism after local infiltration. The aims of this project were to study the effects of a small, systemically ineffective dose of ketorolac given intra-articularly for post-operative pain and also to study synovial inflammatory biomarkers...
July 2018: Acta Anaesthesiologica Scandinavica
Riccardo Maria Lanzetti, Auro Caraffa, Domenico Lupariello, Paolo Ceccarini, Giulio Gambaracci, Luigi Meccariello, Francesco Manfreda, Daniele Maiettini, Cristina Ibáñez Vicente, Michele Scialpi, Olga Bisaccia, Giuseppe Rinonapoli, Michele Bisaccia
BACKGROUND: Intertrochanteric fractures are of great interest worldwide and are the most frequently operated fractures. Intramedullary nailing is commonly used in the treatment of intertrochanteric fractures. The purpose of this study is to assess the necessity of using the distal blocking screw in 31-A1 and 31-A2 fractures, classified according to the Orthopaedic Trauma Association classification system (AO/OTA). METHODS: This is a prospective study of 143 consecutive patients (mean age 85...
May 2018: European Journal of Orthopaedic Surgery & Traumatology: Orthopédie Traumatologie
Zheng Xu, Yi Liu, Jinchuan Chen
AIM: L5/S1 Adolescent lumbar disc herniation (ALDH) is usually ignored for its low incidence. Recently, percutaneous endoscopic procedures have been widely used. The aim of the study was to investigate the surgical techniques and clinical outcomes of percutaneous endoscopic interlaminar discectomy (PEID) in the treatment of L5/S1 (ALDH). MATERIAL AND METHODS: A retrospective study was performed between May 2012 to September 2014, which included 23 adolescent patients who underwent PEID for L5/S1 lumbar disc herniation...
December 28, 2017: Turkish Neurosurgery
A Abdelnasser, B Abdelhamid, A Elsonbaty, A Hasanin, A Rady
Background: Supraclavicular nerve block is a popular approach for anaesthesia for upper limb surgeries. Conventional methods for evaluation of block success are time consuming and need patient cooperation. The aim of this study was to evaluate whether the perfusion index (PI) can be used to predict and provide a cut-off value for ultrasound-guided supraclavicular nerve block success. Methods: The study included 77 patients undergoing elective orthopaedic procedures under ultrasound-guided supraclavicular nerve block...
August 1, 2017: British Journal of Anaesthesia
Min Lu, Erik Nathan Hansen
As the burden of deep hardware infections continues to rise in orthopaedics, there is increasing interest in strategies for more effective debridement of colonized tissues and biofilm. Hydrogen peroxide has been used medically for almost a century, but its applications in orthopaedic surgery have yet to be fully determined. The basic science and clinical research on the antiseptic efficacy of hydrogen peroxide have demonstrated its efficacy against bacteria, and it has demonstrated potential synergy with other irrigation solutions such as chlorhexidine and povidone-iodine...
2017: Journal of Bone and Joint Infection
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