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https://www.readbyqxmd.com/read/29355444/patient-injury-claims-involving-fractures-of-the-distal-radius
#1
Henrik Sandelin, Eero Waris, Eero Hirvensalo, Jarkko Vasenius, Heini Huhtala, Timo Raatikainen, Teemu Helkamaa
Background and purpose - Optimal treatment for distal radius fractures remains controversial, with a significant number of fractures resulting in complications and long-term morbidity. We investigated patient injury claims related to distal radius fractures to detect the critical steps in the treatment leading to avoidable adverse events Patients and methods - We analyzed all compensated patient injury claims in Finland between 2007 and 2011. Claims were collected from the Patient Insurance Center's (PIC) nationwide claim register...
January 22, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29354421/arthroscopic-inside-out-repair-of-a-meniscus-bucket-handle-tear-augmented-with-bone-marrow-aspirate-concentrate
#2
Kyle J Muckenhirn, Bradley M Kruckeberg, Mark E Cinque, Jorge Chahla, Nicholas N DePhillipo, Jonathan A Godin, Robert F LaPrade
Bucket-handle tears of the meniscus comprise nearly 10% of all meniscus tears and commonly affect the young male population. Displacement of the free segment can lead to significant pain and disability, necessitating reduction and surgical treatment. General contraindications include malalignment, severe arthritis, significant comorbidities, or chronic asymptomatic tears, but otherwise repair should almost always be performed. Options for surgical treatment include partial meniscectomy and arthroscopic repair using an all-inside, outside-in, or inside-out technique...
August 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349031/modified-elmslie-trillat-procedure-for-distal-realignment-of-patella-tendon
#3
Ricardo Bastos Filho, Alberto Monteiro, Renato Andrade, M J S Fredrick Michael, Nuno Sevivas, Bruno Pereira, André Sarmento, João Espregueira-Mendes
Patellofemoral dysfunction, due to either a patellofemoral malalignment or patellar instability, is a complex and debilitating condition that significantly decreases the knee function. Conservative management may yield significant clinical outcomes; however, when morphologic anomalies are identified, the surgical approach should be employed. Hence, several surgical procedures have been described in the scientific literature aiming the correction of underlying extensor mechanism malalignments. Still, the rate of complications is higher than desirable...
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349013/open-wedge-valgus-high-tibial-osteotomy-technique-with-inverted-l-shaped-configuration
#4
Juan C Monllau, Juan I Erquicia, Federico Ibañez, Maximiliano Ibañez, Pablo E Gelber, Angel Masferrer-Pino, Xavier Pelfort
High tibial osteotomy (HTO) is a useful alternative in the treatment of symptomatic varus malalignment. However, among its drawbacks is the tendency to decrease patellar height and increase the posterior tibial slope. The increased tibial slope increases anterior cruciate ligament tension and may compromise its function. On the other hand, patella baja often causes anterior knee pain and, over time, may favor degeneration of the patellofemoral joint. The aim of this study is to describe a technical modification of the standard open-wedge HTO...
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29349001/medial-closing-wedge-distal-femoral-osteotomy-with-medial-patellofemoral-ligament-imbrication-for-genu-valgum-with-lateral-patellar-instability
#5
Orlando D Sabbag, Jarret M Woodmass, Isabella T Wu, Aaron J Krych, Michael J Stuart
A varus-producing distal femoral osteotomy (DFO) is an effective technique for the treatment of lateral patellar instability (LPI) in patients with concomitant moderate to severe valgus malalignment. Patellar maltracking and subluxation are corrected via neutralization of some of the laterally directed forces on the patella due to the valgus deformity. This can be accomplished with a distal femoral lateral opening-wedge or medial closing-wedge osteotomy and medial soft tissue stabilization. A medial closing-wedge osteotomy offers the advantages of immediate weight bearing and a single incision in cases requiring patellofemoral soft tissue stabilization...
December 2017: Arthroscopy Techniques
https://www.readbyqxmd.com/read/29342496/-adverse-events-in-the-treatment-of-periprosthetic-fractures-around-the-knee-a-clinical-and-radiological-outcome-analysis
#6
Anna Janine Schreiner, Christoph Gonser, Christoph Ihle, Max Konstantin Zauleck, Tim Klopfer, Fabian Stuby, Ulrich Stöckle, Björn Gunnar Ochs
BACKGROUND: The incidence of periprosthetic fractures associated with total knee arthroplasty (PpFxK) has been reported to be 0.3 - 5.5%. 40% of all cases are related to revision TKA. The most common localisation is the distal femur. Classification is performed according to Rorabeck (RB). RB I - II fractures are usually treated with locked plating and retrograde intramedullary nailing, whereas RB III fractures are an indication for revision arthroplasty using a hinged endoprosthesis...
January 17, 2018: Zeitschrift Für Orthopädie und Unfallchirurgie
https://www.readbyqxmd.com/read/29330745/-treatment-of-rotational-malalignment-of-the-lower-leg
#7
REVIEW
P Keppler
BACKGROUND: Rotational malalignment after intramedullary nailing of tibial shaft fractures is not uncommon. In-toeing and out-toeing conditions in children are often the reason for orthopedic and traumatological medical consultation. OBJECTIVE: Evaluation of diagnostic modalities and therapeutic options for rotational malalignment in relationship to the patient's age. Surgical indications and efficacy of specific surgical techniques. MATERIAL AND METHODS: Systematic literature search in the German Institute for Medical Documentation and Information (DIMDI) and MEDLINE and evaluation of the currently published articles...
January 12, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29329325/classification-of-patients-with-knee-osteoarthritis-in-clinical-phenotypes-data-from-the-osteoarthritis-initiative
#8
A Dell'Isola, M Steultjens
OBJECTIVES: The existence of phenotypes has been hypothesized to explain the large heterogeneity characterizing the knee osteoarthritis. In a previous systematic review of the literature, six main phenotypes were identified: Minimal Joint Disease (MJD), Malaligned Biomechanical (MB), Chronic Pain (CP), Inflammatory (I), Metabolic Syndrome (MS) and Bone and Cartilage Metabolism (BCM). The purpose of this study was to classify a sample of individuals with knee osteoarthritis (KOA) into pre-defined groups characterized by specific variables that can be linked to different disease mechanisms, and compare these phenotypes for demographic and health outcomes...
2018: PloS One
https://www.readbyqxmd.com/read/29326763/incidence-of-varus-malalignment-post-interlocking-nail-in-proximal-femur-shaft-fractures-comparing-two-types-of-entry-points
#9
A N Sadagatullah, M N Nazeeb, S Ibrahim
Introduction: Osteosynthesis of the femur using an interlocking nail is the gold standard for treating diaphyseal fractures of the femur. There are two established entry points for the antegrade interlocking nails which is the piriformis fossa or the greater trochanter. It has been reported that varus malalignment was frequently seen in proximal femur fracture which were treated with interlocking nail utilizing the greater trochanter entry point. The study was done to find out if the problem was of significance...
November 2017: Malaysian Orthopaedic Journal
https://www.readbyqxmd.com/read/29320988/prevalence-and-key-radiographic-spinal-malalignment-parameters-that-influence-the-risk-for-gastroesophageal-reflux-disease-in-patients-treated-surgically-for-adult-spinal-deformity
#10
Tetsuro Ohba, Shigeto Ebata, Kensuke Koyama, Hirotaka Haro
BACKGROUND: Gastroesophageal reflux disease (GERD) is a factor that has a significant negative impact on the quality of life (QoL). Vertebral fractures and/or spinal malalignment may influence the frequency of GERD. However, the epidemiology and pathology of GERD in patients with adult spinal deformity (ASD) are still largely unknown. To establish the optimal surgical strategy for GERD in patients treated surgically for ASD, we sought to clarify the GERD prevalence, determine radiographically which spinal malalignment parameters influence GERD risk, and evaluate GERD improvement postoperatively...
January 10, 2018: BMC Gastroenterology
https://www.readbyqxmd.com/read/29315118/characteristics-of-cervical-spine-motion-in-different-types-of-cervical-alignment-kinematic-mri-study
#11
Kittipong Sessumpun, Permsak Paholpak, Kevork N Hindoyan, Koji Tamai, Thananit Sangkomkamhang, Zorica Buser, Jeffrey C Wang
STUDY DESIGN: Retrospective study. OBJECTIVE: To evaluate how each type of sagittal cervical alignment affects the motion of the upper and subaxial cervical spine using kinematic magnetic resonance imaging. SUMMARY OF BACKGROUND DATA: The sagittal malalignment of the cervical spine from degeneration in the subaxial cervical spine reflects a disruption in the kinematic properties of the cervical spine and affects the motion of adjacent segments...
January 8, 2018: Clinical Spine Surgery
https://www.readbyqxmd.com/read/29305619/-torsional-malalignment-of-the-humerus
#12
REVIEW
N Hawi, S Razaeian, C Krettek, R Meller, E Liodakis
The torsion of the humerus describes the physiological rotation of the humerus around its longitudinal axis. Various clinical and radiological methods for measurement have been described. The computed tomography method is currently the gold standard. The angle between the humeral head axis and the transepicondylar axis is measured. This angle is called retroversion. Values of retroversion vary between 10° and 40°. For the treatment of many humeral pathologies, a precise reconstruction of the anatomical retroversion is required...
January 5, 2018: Der Unfallchirurg
https://www.readbyqxmd.com/read/29305451/a-pilot-randomized-trial-of-meniscal-allograft-transplantation-versus-personalized-physiotherapy-for-patients-with-a-symptomatic-meniscal-deficient-knee-compartment
#13
N A Smith, N Parsons, D Wright, C Hutchinson, A Metcalfe, P Thompson, M L Costa, T Spalding
AIMS: Meniscal allograft transplantation is undertaken to improve pain and function in patients with a symptomatic meniscal deficient knee compartment. While case series have shown improvements in patient reported outcome measures (PROMs), its efficacy has not been rigorously evaluated. This study aimed to compare PROMs in patients having meniscal transplantation with those having personalized physiotherapy at 12 months. PATIENTS AND METHODS: A single-centre assessor-blinded, comprehensive cohort study, incorporating a pilot randomized controlled trial (RCT) was performed on patients with a symptomatic compartment of the knee in which a (sub)total meniscectomy had previously been performed...
January 2018: Bone & Joint Journal
https://www.readbyqxmd.com/read/29303366/current-clinical-radiological-and-treatment-perspectives-of-patellofemoral-pain-syndrome
#14
Aishwarya Gulati, Christopher McElrath, Vibhor Wadhwa, Jay P Shah, Avneesh Chhabra
Anterior knee pain in active young adults is commonly related to patellofemoral (PF) pain syndrome (PFPS), which can be broadly classified into patellar malalignment and patellar maltracking. PFPS can be caused by a host of miserable malalignments, such as excessive femoral antetorsion, tibial varus / external rotation, knee valgus and pes planus. Radiographic, CT and MRI evaluations are commonly obtained to further elucidate the malalignment and maltracking abnormalities and exclude other related differentials, such as lateral meniscus tear, extensor tendon tear, anterior tenosynovial giant cell tumor and plica syndrome...
January 5, 2018: British Journal of Radiology
https://www.readbyqxmd.com/read/29300223/osteotomies-in-patello-femoral-instabilities
#15
David Dejour, Bertrand Le Coultre
Patellar instability is defined by clinical and radiologic criteria. The surgical treatment is aimed at restoring the congruence of the patellofemoral articulation and correcting extensor mechanism malalignment, to prevent recurrence of dislocation. The standard soft-tissue procedures are lateral release and vastus medialis advancement and medial patello femoral ligament plasty. Bony procedures are frequently performed in addition to soft-tissue surgery, to realign the extensor mechanism by means of tibial tubercle medialization, or to correct the patellar index in patella alta...
March 2018: Sports Medicine and Arthroscopy Review
https://www.readbyqxmd.com/read/29298263/subtubercle-osteotomy-for-medial-compartment-osteoarthritis-of-the-knee-using-ilizarov-technique-survival-analysis-and-clinical-outcomes
#16
Stephen J Warner, Daniel P O'Connor, Mark R Brinker
BACKGROUND: High tibial osteotomy with acute correction and internal fixation can be used to correct malalignment and malorientation and reduce symptoms in patients with medial compartment osteoarthritis of the knee. To address the inadequacies of this technique, we performed a series of subtubercle tibial osteotomy (STO) procedures using circular ring fixation to correct knee varus malalignment and joint malorientation. The purpose of this study was to analyze the ability of this technique to delay subsequent knee arthroplasty and decrease symptoms...
January 3, 2018: Journal of Bone and Joint Surgery. American Volume
https://www.readbyqxmd.com/read/29287823/posterior-only-vertebral-column-resection-for-fused-spondyloptosis
#17
Jeffrey L Gum, Lawrence G Lenke, Anand Mohapatra, Sam Q Sun, Michael P Kelly
STUDY DESIGN: Retrospective review. OBJECTIVES: To describe 3 cases of a posterior-only vertebral column resection (pVCR) for the treatment of spondyloptosis in the setting of prior spinal fusions. SUMMARY OF BACKGROUND DATA: Lumbosacral spondyloptosis is a rare spinal deformity with a number of surgical options, none of which demonstrate clear superiority. The use of an L5 vertebral column resection, via combined anterior and posterior approaches, to restore lumbosacral alignment has been described though is accompanied by high rates of neurological deficit...
January 2018: Spine Deformity
https://www.readbyqxmd.com/read/29284442/how-to-avoid-unintended-valgus-alignment-in-distal-femoral-derotational-osteotomy-for-treatment-of-femoral-torsional-malalignment-a-concept-study
#18
Florian B Imhoff, Bastian Scheiderer, Philip Zakko, Elifho Obopilwe, Franz Liska, Andreas B Imhoff, Augustus D Mazzocca, Robert A Arciero, Knut Beitzel
BACKGROUND: Defining the optimal cutting plane for derotational osteotomy at the distal femur for correction of torsion in cases of patellofemoral instability is still challenging. This preliminary study investigates changes of frontal alignment by a simplified trigonometrical model and demonstrates a surgical guidance technique with the use of femur cadavers. The hypothesis was that regardless of midshaft bowing, a cutting plane perpendicular to the virtual anatomic shaft axis avoids unintended valgus malalignment due to derotation...
December 29, 2017: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29282267/stepped-care-approach-for-medial-tibiofemoral-osteoarthritis-streamline-protocol-for-a-randomised-controlled-trial
#19
Sarah Rubia Robbins, Luciano Ricardo S Melo, Hema Urban, Leticia A Deveza, Rebecca Asher, Victoria L Johnson, David J Hunter
INTRODUCTION: Current guidelines recommend tailored interventions to optimise knee osteoarthritis (OA) management. However, models of care still have a 'one size fits all' approach, which is suboptimal as it ignores patient heterogeneity. This study aims to compare a stepped care strategy with standard care for overweight and obese persons with medial tibiofemoral OA. METHODS AND ANALYSIS: Participants will be randomised into two groups (85 each). The intervention will receive a diet and exercise programme for 18 weeks in the first step of the study...
December 26, 2017: BMJ Open
https://www.readbyqxmd.com/read/29281113/complication-rates-and-maintenance-of-correction-after-3-column-osteotomy-in-the-elderly-report-of-55-patients-with-2-year-follow-up
#20
Vincent Challier, Jensen K Henry, Shian Liu, Christopher Ames, Khaled Kebaish, Ibrahim Obeid, Richard Hostin, Munish Gupta, Oheneba Boachie-Adjei, Justin S Smith, Gregory Mundis, Shay Bess, Frank Schwab, Virginie Lafage
BACKGROUND: Three-column osteotomies (3CO) provide substantial correction for adult spinal deformity (ASD), but carry risks of complications and revisions. The risk-benefit balance of 3CO in the elderly remains unclear. OBJECTIVE: To evaluate sagittal alignment and complications after 3CO in a population over 70-yr old. METHODS: Radiographic retrospective review of consecutive patients over 70 yr ("Elderly") undergoing 3CO for ASD. Demographic, operative, and outcomes data were collected...
December 21, 2017: Neurosurgery
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