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https://www.readbyqxmd.com/read/28331961/-corrective-osteotomies-for-posttraumatic-elbow-deformities
#1
J Nowotny, F Thielemann, A Biewener, K D Schaser
OBJECTIVES: Correcion of elbow joint deformities that usually develop secondary to direct or indirect trauma of the arm or elbow with subsequent inadequate healing and consecutive axial/rotational malalignment and may be associated with cosmetic or functional deficits of the arm. INDICATIONS: Relevant malalignment of the arm axis with corresponding cosmetic or functional deficits for the patient. CONTRAINDICATIONS: Pre-existing degenerative and chronic inflammatory changes...
March 22, 2017: Operative Orthopädie und Traumatologie
https://www.readbyqxmd.com/read/28322717/lengthening-and-deformity-correction-about-the-knee-using-a-magnetic-internal-lengthening-nail
#2
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/28306639/defining-the-role-of-the-lower-limbs-in-compensating-for-sagittal-malalignment
#3
Renaud Lafage, Barthelemy Liabaud, Bassel G Diebo, Jonathan H Oren, Shaleen Vira, Sébastien Pesenti, Themistocles S Protopsaltis, Thomas J Errico, Frank J Schwab, Virginie Lafage
STUDY DESIGN: Retrospective review OBJECTIVE.: Investigate the role of lower limbs compensation with progressive sagittal malalignment SUMMARY OF BACKGROUND DATA.: While lower limb compensatory mechanisms are an established response to progressive sagittal malalignment, their specific role and potential impact on surgical planning has not been evaluated. METHODS: Single center retrospective review of full body xrays was performed in patients >20 yrs. Parameters were measured with dedicated software...
March 16, 2017: Spine
https://www.readbyqxmd.com/read/28298946/tissue-doppler-imaging-in-the-evaluation-of-abdominal-aortic-pulsatility-a-useful-tool-for-the-neonatologist
#4
Enrico Valerio, Alessandra Grison, Anna Capretta, Rosanna Golin, Paola Ferrarese, Massimo Bellettato
Sonographic cardiac evaluation of newborns with suspected aortic coarctation (AoC) should tend to demonstrate a good phasic and pulsatile flow and the absence of pressure gradient along a normally conformed aortic arch from the modified left parasternal and suprasternal echocardiographic views; these findings, however, may not necessarily rule out a more distal coarctation in the descending aorta. For this reason, the sonographic exam of newborns with suspected AoC should always include a Doppler evaluation of abdominal aortic blood flow from the subcostal view...
March 2017: Journal of Ultrasound
https://www.readbyqxmd.com/read/28291955/change-of-chondral-lesions-and-predictive-factors-after-medial-open-wedge-high-tibial-osteotomy-with-a-locked-plate-system
#5
Kang-Il Kim, Min-Chul Seo, Sang-Jun Song, Dae-Kyung Bae, Duk-Hyun Kim, Sang Hak Lee
BACKGROUND: Although cartilage regeneration after medial open-wedge high tibial osteotomy (HTO) has been described, there is a paucity of reports regarding which factors influence cartilage regeneration. PURPOSE: To document whether cartilage regeneration occurs in the previously degenerated medial compartment of arthritic knees after medial open-wedge HTO without concomitant cartilage procedures and to assess which predictive factors influence regeneration after HTO...
March 1, 2017: American Journal of Sports Medicine
https://www.readbyqxmd.com/read/28291378/magnetic-resonance-spectroscopic-analysis-of-multifidus-muscles-lipid-content-and-association-with-spino-pelvic-malalignment-in-chronic-low-back-pain
#6
Izaya Ogon, Tsuneo Takebayashi, Hiroyuki Takashima, Tomonori Morita, Mitsunori Yoshimoto, Yoshinori Terashima, Toshihiko Yamashita
OBJECTIVE: To analyze intramyocellular lipids (IMCLs) and extramyocellular lipids (EMCLs) of the multifidus muscle (Mm) using MR spectroscopy (MRS) in chronic low back pain (CLBP) and control groups and to identify correlations with spino-pelvic alignment. METHODS: Forty (16 males, 24 females; mean age, 62.9 ± 1.9 years) patients whose visual analog scale scores were >30 mm for CLBP were included. Further, 40 control participants matched with the CLBP group subjects by sample size, gender and age (17 males, 23 females; mean age, 65...
March 14, 2017: British Journal of Radiology
https://www.readbyqxmd.com/read/28291186/efficacy-of-patient-specific-instruments-in-total-knee-arthroplasty-a-systematic-review-and-meta-analysis
#7
Emmanuel Thienpont, Pierre-Emmanuel Schwab, Peter Fennema
BACKGROUND: Patient-specific instrumentation (PSI) was introduced with the aim of making the procedure of total knee arthroplasty more accurate and efficient. The purpose of this study was to compare PSI and standard instrumentation in total knee arthroplasty with regard to radiographic and clinical outcomes as well as operative time and blood loss. METHODS: A meta-analysis was conducted in accordance with the PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses) statement...
March 15, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28280509/self-reported-halitosis-in-relation-to-oral-hygiene-practices-oral-health-status-general-health-problems-and-multifactorial-characteristics-among-workers-in-ilala-and-temeke-municipals-tanzania
#8
C M Kayombo, E G Mumghamba
Aim. To assess self-reported halitosis, oral hygiene practices, oral health conditions, general health problems, sociodemographic factors, and behavioural and psychological characteristics among workers in Ilala and Temeke municipals. Materials and Methods. This was a cross-sectional descriptive study. Four hundred workers were recruited using a self-administered structured questionnaire. Results. Self-reported tooth brushing practice was 100%, tongue cleaning 58.5%, dental flossing 4.3%, gum bleeding on tooth brushing 79...
2017: International Journal of Dentistry
https://www.readbyqxmd.com/read/28264631/effects-of-patellofemoral-taping-on-patellofemoral-joint-alignment-and-contact-area-during-weight-bearing
#9
Kai-Yu Ho, Ryan Epstein, Ron Garcia, Nicole Riley, Szu-Ping Lee
Study Design Controlled laboratory study. Background Although it has been theorized that patellofemoral joint (PFJ) taping can correct patellar malalignment, the effects of PFJ taping techniques on patellar alignment and contact area have not yet been studied during weight bearing. Objective To examine the effects of 2 taping approaches (Kinesio and McConnell) on PFJ alignment and contact area. Methods Fourteen female subjects with patellofemoral pain and PFJ malalignment participated. Each subject underwent a pretaping magnetic resonance imaging (MRI) scan session and 2 MRI scan sessions after the application of the 2 taping techniques, which aimed to correct lateral patellar displacement...
February 2017: Journal of Orthopaedic and Sports Physical Therapy
https://www.readbyqxmd.com/read/28263226/age-adjusted-alignment-goals-have-the-potential-to-reduce-pjk
#10
Renaud Lafage, Frank Schwab, Steve Glassman, Shay Bess, Bradley Harris, Justin Sheer, Robert Hart, Breton Line, Jensen Henry, Doug Burton, HanJo Kim, Eric Klineberg, Christopher Ames, Virginie Lafage
STUDY DESIGN: Retrospective cohort OBJECTIVE.: To explore proximal junctional kyphosis(PJK) as a function of age-adjusted surgical correction goals. SUMMARY OF BACKGROUND DATA: Recent adult spinal deformity(ASD) studies show that alignment targets are age-specific. Despite recognizing age and malalignment as PJK risk factors, no study has assessed the age-specific effects of alignment on PJK. METHODS: ASD patients with fusions to the pelvis were included and stratified into three groups: young adults(YA<40yo), middle aged(MA: 40-65yo), the elderly(ED>65yo)...
March 3, 2017: Spine
https://www.readbyqxmd.com/read/28257250/ceramic-veneers-for-esthetic-restoration-of-retained-primary-teeth-a-4-year-follow-up-case-report
#11
M S Bin-Shuwaish
Retained primary teeth in the smile zone can cause patient dissatisfaction, especially if associated with malposition of teeth. Orthodontic and prosthetic treatment options to treat the situation may not be accepted by some patients. Therefore, these patients tend to maintain their primary teeth and seek different esthetic options. Ceramic veneers may provide an esthetic treatment option to restore these teeth. However, the survival rates of ceramic restorations in such cases have not yet been established. This case report provides a step-by-step clinical description of the use of ceramic veneers for the restoration of retained primary canines and mild teeth malalignment, with a 4-year follow-up report, in a 28-year-old female patient...
March 2017: Operative Dentistry
https://www.readbyqxmd.com/read/28254673/cervical-lordosis-the-effect-of-age-and-gender
#12
Ella Been, Sara Shefi, Michalle Soudack
BACKGROUND CONTEXT: The cervical lordosis is of great importance to posture and function. Neck pain and disability is often associated with cervical lordosis malalignment. Surgical procedures involving cervical lordosis stabilization or restoration must take into account age and gender differences in cervical lordosis architecture, to avoid further complications. PURPOSE: Therefore, the purpose of this study was to evaluate differences in the cervical lordosis between males and females from childhood to adulthood...
February 27, 2017: Spine Journal: Official Journal of the North American Spine Society
https://www.readbyqxmd.com/read/28248893/risk-factors-for-poor-patient-reported-quality-of-life-outcomes-after-posterior-lumbar-interbody-fusion-an-analysis-of-two-year-follow-up
#13
Takahiro Makino, Takashi Kaito, Hiroyasu Fujiwara, Hirotsugu Honda, Yusuke Sakai, Shota Takenaka, Hideki Yoshikawa, Kazuo Yonenobu
STUDY DESIGN: A retrospective review of prospectively collected data. OBJECTIVE: This study aimed to identify risk factors for poor patient-reported quality of life (QOL) outcomes, based on five categories (pain-related disorders, lumbar spine dysfunction, gait disturbance, social life dysfunction, and psychological disorders) of the Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ), after posterior lumbar interbody fusion (PLIF) at the two-year follow-up...
February 28, 2017: Spine
https://www.readbyqxmd.com/read/28244909/predictors-of-reoperation-for-adult-femoral-shaft-fractures-managed-operatively-in-a-sub-saharan-country
#14
Edmund N Eliezer, Billy T Haonga, Saam Morshed, David W Shearer
BACKGROUND: The optimal treatment for femoral shaft fractures in low-resource settings has yet to be established, in part, because of a lack of data supporting operative treatment modalities. We aimed to determine the reoperation rate among femoral fractures managed operatively and to identify risk factors for reoperation at a hospital in a Sub-Saharan country. METHODS: We conducted a prospective clinical study at a single tertiary care center in Tanzania, enrolling all skeletally mature patients with diaphyseal femoral fractures managed operatively from July 2012 to July 2013...
March 1, 2017: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/28243677/evaluation-of-commissural-malalignment-of-aortic-pulmonary-sinus-using-cardiac-ct-for-arterial-switch-operation-comparison-with-transthoracic-echocardiography
#15
Ji Hyun Bang, Jeong-Jun Park, Hyun Woo Goo
BACKGROUND: There are limited data regarding the influence of commissural malalignment of the aortic-pulmonary sinus on the arterial switch operation. OBJECTIVE: To compare diagnostic accuracy between cardiac CT and echocardiography for evaluating commissural malalignment of aortic-pulmonary sinus in children with complete transposition of the great arteries and to seek potential clinical implication of commissural malalignment on the arterial switch operation. MATERIALS AND METHODS: In 37 patients (35 boys; median age: 8 days, range: 3-80 days) with complete transposition of the great arteries who had tricuspid semilunar valves and underwent an arterial switch operation, the degree of the commissural rotation of the aortic-pulmonary sinus was assessed on cardiac CT (n=37) and echocardiography (n=35)...
February 27, 2017: Pediatric Radiology
https://www.readbyqxmd.com/read/28242569/uphill-walking-biomechanical-demand-on-the-lower-extremities-of-obese-adolescents
#16
Gerda Strutzenberger, Nathalie Alexander, Dominik Bamboschek, Elisabeth Claas, Helmut Langhof, Hermann Schwameder
The number of obesity prevalence in adolescents is still increasing. Obesity treatment programs typically include physical activity with walking being recommended as appropriate activity, but limited information exists on the demand uphill walking places on the joint loading and power of obese adolescents. Therefore, the purpose of this study was to investigate the effect of different inclinations on step characteristics, sagittal and frontal joint angles, joint moments and joint power of obese adolescents in comparison to their normal-weight peers...
February 20, 2017: Gait & Posture
https://www.readbyqxmd.com/read/28236624/coronal-malalignment-in-the-adult-knee
#17
REVIEW
Carlos Uquillas, William Rossy, Eric Strauss
Coronal plane deformity in the adult patient is a complex clinical problem. Once the hip, knee, and ankle joint centers lose collinerarity, the knee is exposed to abnormal loads across its tibiofemoral compartments, leading to early degenerative changes. Malalignment can coexist with arthrosis and ligamentous instability. High tibial osteotomy and distal femoral osteotomy have been useful tools to realign the adult knee. They can be performed along with ligament reconstruction and cartilage restoration procedures with high success rates...
January 2017: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/28224070/combined-particulated-juvenile-cartilage-allograft-transplantation-and-medial-patellofemoral-ligament-reconstruction-for-symptomatic-chondral-defects-in-the-setting-of-recurrent-patellar-instability
#18
Armin Arshi, Dean Wang, Kristofer J Jones
Successful management of patellar osteochondral lesions has proved difficult, with unreliable outcomes reported using traditional cartilage repair and restoration procedures. Unique considerations for this type of defect include the multiplanar contours of the articular surface of the patella, high compressive and shear forces with knee range of motion that may disrupt graft healing, and the potential need for concomitant surgery to address patellar malalignment and instability. We describe our preferred method for treatment of a symptomatic chondral defect in the setting of recurrent patellar instability using particulated juvenile articular cartilage allograft transplantation and medial patellofemoral ligament reconstruction with semitendinosus allograft...
October 2016: Arthroscopy Techniques
https://www.readbyqxmd.com/read/28219637/malreduction-of-syndesmosis-injury-associated-with-malleolar-ankle-fracture-can-be-avoided-using-weber-s-three-indexes-in-the-mortise-view
#19
Kentaro Futamura, Tomonori Baba, Atsuhiko Mogami, Itaru Morohashi, Akio Kanda, Osamu Obayashi, Kazuo Sato, Yasuhisa Ueda, Yoshiaki Kurata, Hideki Tsuji, Kazuo Kaneko
PURPOSE: Malalignment of syndesmosis is generally associated with a poor outcome, yet occurs at a high rate in malleolar ankle fractures. In this study, we examine whether malreduction of syndesmosis injury associated with malleolar ankle fracture can be avoided using Weber's three indexes in the mortise view. MATERIALS AND METHODS: Of 156 patients with malleolar ankle fracture who underwent surgery from December 2012 to March 2016 at two medical facilities, 24 patients who received syndesmotic screw fixation were included in the study...
February 14, 2017: Injury
https://www.readbyqxmd.com/read/28217567/painful-knee-prosthesis-ct-scan-to-assess-patellar-angle-and-implant-malrotation
#20
REVIEW
Antonio Spinarelli, Vito Pesce, Caterina Campagna, Giuseppe Maccagnano, Biagio Moretti
BACKGROUND: According to literature, the incidence of pain in knee prostheses is on the increase. In the last decade Authors have focused attention on rotational alignment of the prosthetic components. The aim of this study is to evaluate the efficiency of a new angle, which we define as patellar angle, in order to achieve early diagnosis of malrotation. METHODS: We set up a retrospective observational study recruiting 100 subjects who had undergone total knee prosthesis...
October 2016: Muscles, Ligaments and Tendons Journal
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