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https://www.readbyqxmd.com/read/29137023/a-case-report-of-schatzker-type-vi-tibial-plateau-fracture-treated-with-double-reverse-traction-closed-reduction-combined-with-minimally-invasive-percutaneous-plate-osteosynthesis-technique-a-case-report
#1
Dian-Qing Li, De-Ye Song, Jiang-Dong Ni, Mu-Liang Ding, Jun Huang
RATIONALE: The knee joint is an important weight-bearing joint, tibial plateau fractures affect knee function and stability. High-energy intra-articular fractures involving the tibial plateau can cause management-related problems such as wound dehiscence; severe comminution leading to malalignment; and delayed complications such as varus collapse, implant failure, and arthritis of the knee joint. The treatment of severe or complex tibial plateau fractures can be quite difficult. Traditional methods of open reduction and plating require extensive exposures, which may further compromise soft tissue and devascularize bone fragments, leading to infection...
November 2017: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29127513/pentosidine-concentration-is-associated-with-degenerative-lumbar-scoliosis-in-older-women-preliminary-results
#2
Yawara Eguchi, Toru Toyoguchi, Kazuhide Inage, Kazuki Fujimoto, Sumihisa Orita, Kazuyo Yamauchi, Miyako Suzuki, Hirohito Kanamoto, Koki Abe, Masaki Norimoto, Tomotaka Umimura, Masao Koda, Takeo Furuya, Yasuchika Aoki, Kazuhisa Takahashi, Seiji Ohtori
PURPOSE: Advanced glycation end products (AGEs) have been implicated in the pathogenesis of sarcopenia. The objective of the study was to investigate the prevalence of sarcopenia in degenerative lumbar scoliosis (DLS), and the relationship between biochemical markers including major AGEs, pentosidine, and DLS in older women. METHODS: Our study participants were 20 elderly women with idiopathic DLS (mean age 76.4 years, range 56-88). Nineteen age- and sex-matched volunteers (mean age 74...
November 10, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29119592/orthopedic-complications-of-linear-morphea-implications-for-early-interdisciplinary-care
#3
REVIEW
Jennifer J Schoch, Bradley S Schoch, Jean David Werthel, Amy L McIntosh, Dawn M R Davis
Linear morphea of the limb primarily affects children, and extracutaneous manifestations are common. Orthopedic surgeons are often essential in the care of patients with linear morphea, yet there are few reports outlining specific orthopedic complications in this population. We sought to improve the understanding of orthopedic complications in linear morphea of the limb. Between 1999 and 2014, 51 children were evaluated for linear morphea of an extremity. Twenty-six (51%) had documented orthopedic manifestations...
November 9, 2017: Pediatric Dermatology
https://www.readbyqxmd.com/read/29110218/cervical-sagittal-balance-a-biomechanical-perspective-can-help-clinical-practice
#4
REVIEW
Avinash G Patwardhan, Saeed Khayatzadeh, Robert M Havey, Leonard I Voronov, Zachary A Smith, Olivia Kalmanson, Alexander J Ghanayem, William Sears
PURPOSE: In this article, we summarize our work on understanding the influence of cervical sagittal malalignment on the mechanics of the cervical spine. METHODS: Biomechanical studies were performed using an ex vivo laboratory model to study the kinematic and kinetic response of human cervical spine specimens in the setting of cervical sagittal imbalance. The model allowed controlled variations of C2-C7 Sagittal Vertical Alignment (C2-C7 SVA) and T1-Slope so that clinically relevant sagittally malaligned profiles could be prescribed, while maintaining horizontal gaze, and their biomechanical consequences studied...
November 6, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29108731/ratio-of-the-tibial-tuberosity-trochlear-groove-distance-to-the-tibial-maximal-mediolateral-axis-a-more-reliable-and-standardized-way-to-measure-the-tibial-tuberosity-trochlear-groove-distance
#5
Pengkai Cao, Yingzhen Niu, Chang Liu, Xiaomeng Wang, Guman Duan, Qinghua Mu, Xintong Luo, Fei Wang
BACKGROUND: Tibial tuberosity-trochlear groove distance(TT-TG) is a measurement to assist in the diagnosis and treatment of patellar instability, however it still has some limitations. Our study was to modify the accepted measurement method and seek a more reliable and standardized method. METHODS: The data of 65 healthy controls and 49 patients with bilateral patellar instability from 2010 to 2016 were collected and analyzed by CT. The TT-TG, tibial maximal mediolateral axis (MML), and their ratio [i...
November 3, 2017: Knee
https://www.readbyqxmd.com/read/29105591/treatment-of-the-scaphoid-humpback-deformity-is-correction-of-the-dorsal-intercalated-segment-instability-deformity-critical
#6
Christophe L Mathoulin, Margareta Arianni
Treatment of scaphoid fractures has been focused mainly on achieving union, with less attention to restoring normal scaphoid shape and orientation. Malalignment of one carpal bone will disrupt the kinetics of the entire wrist. The dorsal intercalated segment instability deformity associated with scaphoid waist nonunion is a nondissociative form of carpal instability. It has to be reduced in the treatment of scaphoid waist nonunions to avoid kinetic problems that will lead to arthritic changes. Computerized tomography scanning has become indispensable to visualize the humpback deformity clearly...
January 1, 2017: Journal of Hand Surgery, European Volume
https://www.readbyqxmd.com/read/29103207/complex-tibial-fractures-are-associated-with-lower-social-classes-and-predict-early-exit-from-employment-and-worse-patient-reported-qol-a-prospective-observational-study-of-46-complex-tibial-fractures-treated-with-a-ring-fixator
#7
Rasmus Elsoe, Peter Larsen, Juozas Petruskevicius, Søren Kold
The long-term outcomes following complex fractures of the tibia are reported to carry a risk of knee pain, malalignment, articular injury and post-traumatic osteoarthritis. The main objective of this study was to account for the patient-reported quality of life (QOL) 12 months after ring fixator removal in patients with a complex tibial fracture. Secondary objectives included a review of the socio-economic characteristics of the patient group and the rate of return to work in the study period. A prospective follow-up study was conducted of 60 patients with complex fractures of the tibia treated with ring external fixation...
November 4, 2017: Strategies in Trauma and Limb Reconstruction
https://www.readbyqxmd.com/read/29101454/-surgical-management-of-ankylosing-spondylitis-bechterew-s-disease
#8
REVIEW
H Allouch, M Shousha, H Böhm
Ankylosing spondylitis is an inflammatory rheumatic disease that is often associated with back pain and restricted spinal movement. In the later stages of the disease, complete ossification of the entire spine and severe deformity can occur, often resulting in a marked reduction in quality of life and an increased risk of loss of independence due to diminished visual field. Patients with ankylosing spondylitis are at greater risk of spinal fractures. These are generally complex fractures associated with high morbidity and mortality; in addition, neurological deficits are not unusual...
November 3, 2017: Zeitschrift Für Rheumatologie
https://www.readbyqxmd.com/read/29093784/sagittal-alignment-of-a-strut-graft-affects-graft-subsidence-and-clinical-outcomes-of-anterior-cervical-corpectomy-and-fusion
#9
Koun Yamauchi, Kazunari Fushimi, Kei Miyamoto, Akira Hioki, Katsuji Shimizu, Haruhiko Akiyama
Study Design: Retrospective study. Purpose: The purpose of this study was to investigate the influence of sagittal alignment of the strut graft on graft subsidence and clinical outcomes after anterior cervical corpectomy and fusion (ACCF). Overview of Literature: ACCF is a common technique for the treatment of various cervical pathologies. Although graft subsidence sometimes occurs after ACCF, it is one cause for poor clinical results. Malalignment of the strut graft is probably one of the factors associated with graft subsidence...
October 2017: Asian Spine Journal
https://www.readbyqxmd.com/read/29076708/relationship-between-the-goniometric-alignment-and-articular-cartilage-damage-in-knee-osteoarthritis
#10
H A Amaratunga, S B Adikari, T L Dassanayake, J Gamage, H J Suraweera
Introduction: Osteoarthritis of the knee is common among the elderly. The alignment of the knee plays an important part in disease progression. Objectives: The aim was to determine the relationship between goniometric measurement of malalignment and gross and histological damage to articular cartilages of osteoarthritic knees. Methods: Anterior plane knee alignment was measured using a handheld metal goniometer in 84 patients awaiting knee replacement...
September 30, 2017: Ceylon Medical Journal
https://www.readbyqxmd.com/read/29070955/patellofemoral-pain-in-athletes-clinical-perspectives
#11
REVIEW
Farzin Halabchi, Maryam Abolhasani, Maryam Mirshahi, Zahra Alizadeh
Patellofemoral pain (PFP) is a very common problem in athletes who participate in jumping, cutting and pivoting sports. Several risk factors may play a part in the pathogenesis of PFP. Overuse, trauma and intrinsic risk factors are particularly important among athletes. Physical examination has a key role in PFP diagnosis. Furthermore, common risk factors should be investigated, such as hip muscle dysfunction, poor core muscle endurance, muscular tightness, excessive foot pronation and patellar malalignment...
2017: Open Access Journal of Sports Medicine
https://www.readbyqxmd.com/read/29063151/correction-to-a-case-series-of-lateral-opening-wedge-high-tibial-osteotomy-for-valgus-malalignment
#12
Brett Collins, Alan Getgood, Abdulaziz Z Alomar, J Robert Giffin, Kevin Willits, Peter J Fowler, Trevor B Birmingham, Robert B Litchfield
Unfortunately, one of the co-author affiliation was incorrect in the original publication of this article. The correct affiliation is given below: Abdulaziz Z. Alomar, King Khalid University Hospital, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
October 23, 2017: Knee Surgery, Sports Traumatology, Arthroscopy: Official Journal of the ESSKA
https://www.readbyqxmd.com/read/29062819/conventional-plate-and-screws-in-medial-opening-wedge-high-tibial-osteotomy-are-they-sufficiently-stable-a-retrospective-study
#13
Rodrigo Salim, Fabricio Fogagnolo, Mauricio Martins Perina, Ugo Messas Rubio, Mauricio Kfuri Junior
OBJECTIVE: Opening-wedge osteotomy of the proximal tibia is a widely performed procedure for treating medial gonarthrosis in active patients and in the presence of varus malalignment of the lower limb. The fixation method is controversial, and the use of conventional implants has been abandoned in favor of implants with more modern locking screws. The aim of the present clinical study was to assess the maintenance of the correction achieved in cases wherein fixation was performed using conventional implants...
September 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/29040759/cervical-alignment-changes-in-patients-developing-proximal-junctional-kyphosis-following-surgical-correction-of-adult-spinal-deformity
#14
Peter G Passias, Samantha R Horn, Cyrus M Jalai, Subaraman Ramchandran, Gregory W Poorman, Han Jo Kim, Justin S Smith, Daniel Sciubba, Alexandra Soroceanu, Christopher P Ames, D Kojo Hamilton, Robert Eastlack, Douglas Burton, Munish Gupta, Shay Bess, Virginie Lafage, Frank Schwab
BACKGROUND: Proximal junctional kyphosis (PJK) following adult spinal deformity (ASD) surgery is a well-documented complication, but associations between radiographic PJK and cervical malalignment onset remain unexplored. OBJECTIVE: To study cervical malalignment in ASD surgical patients that develop PJK. METHODS: Retrospective review of prospective multicenter database. Inclusion: primary ASD patients (≥5 levels fused, upper instrumented vertebra [UIV] at T2 or above, and 1-yr minimum follow-up) without baseline cervical deformity (CD), defined as ≥2 of the following criteria: T1 slope minus cervical lordosis < 20°, cervical sagittal vertical axis < 4 cm, C2-C7 cervical lordosis < 10°...
October 12, 2017: Neurosurgery
https://www.readbyqxmd.com/read/29040234/preventing-wedge-deformities-when-treating-intertrochanteric-femur-fractures-with-intramedullary-devices-a-technical-tip
#15
Bennet A Butler, Ryan S Selley, Hobie D Summers, Michael D Stover
Intertrochanteric femur fractures are common injuries associated with significant patient morbidity and mortality and high societal costs. Although intramedullary devices have shown promise for treating a wide range of intertrochanteric femur fractures, improper technique can lead to malalignment, fracture displacement and/or iatrogenic fractures. In particular, a "wedge effect" has been described, in which the passage of conical reamers and the intramedullary nail itself results in distraction of intertrochanteric fragments with lateralization of the shaft from the femoral neck and varus malalignment...
October 7, 2017: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29027007/lumbosacral-stress-and-age-may-contribute-to-increased-pelvic-incidence-an-analysis-of-1625-adults
#16
Hongda Bao, Barthelemy Liabaud, Jeffrey Varghese, Renaud Lafage, Bassel G Diebo, Cyrus Jalai, Subaraman Ramchandran, Gregory Poorman, Thomas Errico, Feng Zhu, Themistocles Protopsaltis, Peter Passias, Aaron Buckland, Frank Schwab, Virginie Lafage
PURPOSE: While there is a consensus that pelvic incidence (PI) remains constant after skeletal maturity, recent reports argue that PI increases after 60 years. This study aims to investigate whether PI increases with age and to determine potential associated factors. METHODS: 1510 patients with various spinal degenerative and deformity pathologies were enrolled, along with an additional 115 asymptomatic volunteers. Subjects were divided into six age subgroups with 10-year intervals...
October 12, 2017: European Spine Journal
https://www.readbyqxmd.com/read/29026917/-fractures-of-the-lower-extremities-in-childhood-part-2-lower-leg-and-ankle-fractures
#17
M Voth, L Kremer, I Marzi
The treatment of pediatric patients in trauma surgery is a special situation in every aspect. For deciding on the correct treatment of fractures of the lower leg and ankle joint, various parameters, such as residual growth rate, skeletal age and height of the patient are decisive. The differences between fractures in children and adolescents are the open epiphyseal plate and the resulting residual growth. The bones of young children have a higher healing tendency and a greater potential for correction than in adolescents...
November 2017: Der Chirurg; Zeitschrift Für Alle Gebiete der Operativen Medizen
https://www.readbyqxmd.com/read/29023529/radiographic-measurement-of-the-quadriceps-angle-in-dogs
#18
Stefania Pinna, Noemi Romagnoli
The direction of the force of the quadriceps muscle group is expressed by the value of the quadriceps angle, between the long axis of the muscle rectus femoris and the patellar ligament. This value is often modified in dogs with patellar luxation, a common orthopaedic disease of the stifle joint in both small and large dogs. The aims of the present study were to give a reference value for the quadriceps angle in healthy small and medium-large breed dogs. The medical records of healthy dogs and their pelvic limb radiographs (2014-2016) were reviewed...
2017: PloS One
https://www.readbyqxmd.com/read/29021671/atlantoaxial-langerhans-cell-histiocytosis-radiographic-characteristics-and-corresponding-prognosis-analysis
#19
Lihua Zhang, Liang Jiang, Huishu Yuan, Zhongjun Liu, Xiaoguang Liu
BACKGROUND: Langerhans cell histiocytosis (LCH) may affect atlas and axis, and there were very few published cases describing a characteristic of LCH of atlantoaxial. OBJECTIVE: The objective of the study is to investigate the image manifestations of atlantoaxial LCH to improve the in-depth comprehension on it. MATERIALS AND METHODS: A retrospective study was done of computed tomography (CT) and magnetic resonance imaging in atlas and axis and prognosis was analyzed...
July 2017: Journal of Craniovertebral Junction and Spine
https://www.readbyqxmd.com/read/28989851/is-there-a-patient-profile-that-characterizes-a-patient-with-adult-spinal-deformity-as-a-candidate-for-minimally-invasive-surgery
#20
Robert K Eastlack, Gregory M Mundis, Michael Wang, Praveen V Mummaneni, Juan Uribe, David Okonkwo, Behrooz A Akbarnia, Neel Anand, Adam Kanter, Paul Park, Virginie Lafage, Christopher Shaffrey, Richard Fessler, Vedat Deviren
STUDY DESIGN: Retrospective review. OBJECTIVES: The goal of this study was to evaluate the baseline characteristics of patients chosen to undergo traditional open versus minimally invasive surgery (MIS) for adult spinal deformity (ASD). METHODS: A multicenter review of 2 databases including ASD patients treated with surgery. Inclusion criteria were age >45 years, Cobb angle minimum of 20°, and minimum 2-year follow-up. Preoperative radiographic parameters and disability outcome measures were reviewed...
October 2017: Global Spine Journal
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