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Orthopedic traumatology

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https://www.readbyqxmd.com/read/29228056/back-and-neck-pain-and-function-in-females-with-adolescent-idiopathic-scoliosis-a-follow-up-at-least-23-years-after-conservative-treatment-with-a-milwaukee-brace
#1
Ewa Misterska, Jakub Głowacki, Adam Okręt, Maria Laurentowska, Maciej Głowacki
We aimed to explore the long-term outcomes of back and neck pain and functionality in adult females with adolescent idiopathic scoliosis (AIS), who had been treated with a Milwaukee brace, in a follow-up study a minimum of 23 years after the completion of the treatment, using radiological, clinical and socio-demographical data. Thirty AIS patients (scoliosis group-SG), were included in the study based on an extensive search of Pediatric Orthopedics and Traumatology Clinic charts. All treatments were successfully completed between 1974 and 1990...
2017: PloS One
https://www.readbyqxmd.com/read/29189856/-the-impact-of-the-orthopedic-surgeons-attire-on-patient-preferences
#2
Stefan Lozic, Pedro Christian Aravena, Nicolás Martínez, Catalina Proboste, Nicolás Pinto, Gabriel Albornoz, Pablo Larraguibel
BACKGROUND: The formal appearance of health care professionals may influence their trustworthiness. AIM: To determine the effect of the orthopedic surgeon's attire on patients' perceptions of credibility and reliability of professionals. MATERIAL AND METHODS: In a cross-sectional design, 351 patients (mean age 43 ± 17 years, 62% males) from the Department of Orthopedics and Traumatology of a Chilean regional hospital in southem of Chile were chosen to complete a questionnaire of attire preferences, in which five photographs with male and female orthopedic surgeons appeared (executive, formal attire, informal attire, scrubs and casual clothing)...
August 2017: Revista Médica de Chile
https://www.readbyqxmd.com/read/29155312/designing-clinical-studies-in-orthopedic-traumatology
#3
REVIEW
D M Rouleau
The design of clinical studies in orthopedic traumatology is challenging in several respects. In this era of evidence-based medicine, the pressure is high to choose our treatments solely based on randomized controlled studies. This type of study, when well-constructed, makes it possible to discern the best treatment for a specific fracture in a given group of patients and in connection with a specific outcome. Randomized controlled trials require a lot of resources and are not designed to answer all research questions...
November 16, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29153869/-benign-tumors-of-the-soft-tissue-of-the-hand-about-70%C3%A2-cases
#4
M Khezami, H Bellaaj, A Abdennadher, K Amri, M Hamdi, L Nouisri
Through a retrospective study of 70 cases of benign soft tissue tumors in the orthopedic traumatology department of the military hospital of Tunis over a 12-year period from January 2005 to December 2016, we have compared our findings to those of the literature in an attempt to identify epidemiological notions relevant to daily medical practice as epidemiological data on benign tumors of the soft parts of the hand remain few and sometimes discordant. The authors report a series of 70 active, young adults, mostly female, with a swelling at the level of the hand as the most common reason for consultation...
November 16, 2017: Annales de Chirurgie Plastique et Esthétique
https://www.readbyqxmd.com/read/29138696/use-of-common-inflammatory-markers-in-the-long-term-screening-of-total-hip-arthroprosthesis-infections-our-experience
#5
Gabriele Falzarano, Antonio Piscopo, Predrag Grubor, Giuseppe Rollo, Antonio Medici, Valerio Pipola, Michele Bisaccia, Auro Caraffa, Elizabeth Mary Barron, Francesco Nobile, Raffaele Cioffi, Luigi Meccariello
Orthopedic implants have become essential components of modern medicine. The risk of infection of total hip arthroplasty (THA) is 1.5%-2%. Are the C-reactive protein (CRP), the erythrocyte sedimentation rate (ESR), and procalcitonin (PCT) good markers for THA infection screenings? From February 2009 to December 2012 at our Department of Orthopedics and Traumatology, 1248 patients were treated with THA. No prosthesis was cemented. All patients received antibiotic prophylaxis. All patients were discharged approximately 7...
2017: Advances in Orthopedics
https://www.readbyqxmd.com/read/29125819/how-successful-are-turkish-orthopedists-in-complying-with-time-limit-in-scientific-presentations
#6
Nadir Yalçın, Enes Uluyardımcı, İbrahim Bozkurt
OBJECTIVES: This study aims to investigate the durations of scientific presentations and factors affecting the rates of exceeding the time limit in presentations at 26th Turkish National Congress of Orthopedics and Traumatology, which is one of Turkey's largest nationally organized orthopedics and traumatology meetings in terms of the numbers of speakers and participators. MATERIALS AND METHODS: Speech durations of Turkish orthopedists and the rates of these durations against the durations specified in the schedule were calculated...
December 2017: Eklem Hastalıkları Ve Cerrahisi, Joint Diseases & related Surgery
https://www.readbyqxmd.com/read/29119632/the-effect-of-education-of-nurses-on-preventing-catheter-associated-urinary-tract-infections-in-patients-who-undergo-hip-fracture-surgery
#7
Ezgi Seyhan Ak, Ayfer Özbaş
AIMS AND OBJECTIVES: The aim of the study is to investigate the effect of educating nurses on preventing catheter-associated urinary tract infections in patients who undergo hip fracture surgery. BACKGROUND: Urinary tract infections after hip fracture surgery are observed at a rate of 12% to 61%, and the most important risk factor associated with urinary tract infection is considered to be the presence of urinary catheters. Nurse education about the use and management of urinary catheters is important to decrease the risk of urinary tract infections...
November 9, 2017: Journal of Clinical Nursing
https://www.readbyqxmd.com/read/29111126/mandibular-response-and-directional-forces-with-a-new-functional-orthopedic-appliance%C3%A2-%C3%A2-a-clinical-case-treated-with-a-paolone-kaitsas-pk-appliance
#8
Maria Giacinta Paolone, Roberto Kaitsas
Class II/1 malocclusion needs strict vertical control in order to obtain a mandibular response and correction of the sagittal discrepancy. These objectives can be achieved not only in one-stage treatments but also in two stages, when clinicians decide to perform functional therapy for psychological, traumatological or social reasons. This paper reports on expression of mandibular response and directional forces in a two-stage class II/1 malocclusion using a new functional appliance. The Paolone-Kaitsas (PK) appliance provides vertical control and occlusal plane management during the very first phases of treatment...
October 27, 2017: International Orthodontics
https://www.readbyqxmd.com/read/29083354/early-rehabilitation-after-elective-total-knee-arthroplasty
#9
Claudio Lisi, Patrick Caspani, Marco Bruggi, Ettore Carlisi, Donatella Scolè, Francesco Benazzo, Elena Dalla Toffola
BACKGROUND AND AIM OF THE WORK: Outcomes after TKA surgery are supposed to be related to the intensity and type of post-operative rehabilitation. Aim of this paper is to describe our early rehabilitation protocol following TKA with mini-invasive surgery in the immediate post-operative period and analyze functional recovery and changes in pain scores in these patients. METHODS: in this observational study, data were collected on 215 total knee arthroplasty patients referred to Orthopedics and Traumatology inpatient ward from July 2012 to January 2014, treated with the same early start rehabilitation protocol...
October 18, 2017: Acta Bio-medica: Atenei Parmensis
https://www.readbyqxmd.com/read/29078996/ambulatory-unicompartmental-knee-arthroplasty-short-outcome-of-50-first-cases
#10
N Ruiz, X Buisson, G Filippi, M Roulet, H Robert
INTRODUCTION: The reduction in length of stay (LOS) in orthopaedic surgery has been steady for several years. For the past 3 or 4 years in France, the trend towards outpatient surgery has been growing up, as it is a goal for hospital administration. MATERIALS AND METHODS: This is a prospective, continuous,mono-centric, single operator study on 56 UKAs. Included were all UKAs carried out between January 2014 and December 2015, meeting the following criteria: voluntary patients, supportive family environment, absence of comorbidity (oral anticoagulants, diabetes, obesity), ASA score ≤ 3...
October 24, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29077292/-scientific-publication-output-of-spanish-emergency-physicians-from-2005-to-2014-a-comparative-study
#11
Inés María Fernández-Guerrero, Francisco Javier Martín-Sánchez, Guillermo Burillo-Putze, Òscar Miró Rafat Sellarés
OBJECTIVES: To analyze the research output of Spanish emergency physicians between 2005 and 2014 and to compare it to their output in the previous 10-year period (1995-2004) as well as to that of emergency physicians in other countries and Spanish physicians in other specialties. MATERIAL AND METHODS: Original articles indexed in the Science Citation Index Expanded of the Web of Science were included. Documents from Spanish emergency physicians were identified by combining the word Spain and any other search term identifying an emergency service or unit in Spain...
October 2017: Emergencias: Revista de la Sociedad Española de Medicina de Emergencias
https://www.readbyqxmd.com/read/29058226/clinical-guidelines-for-the-prevention-and-treatment-of-osteoporosis-summary-statements-and-recommendations-from-the-italian-society-for-orthopaedics-and-traumatology
#12
Umberto Tarantino, Giovanni Iolascon, Luisella Cianferotti, Laura Masi, Gemma Marcucci, Francesca Giusti, Francesca Marini, Simone Parri, Maurizio Feola, Cecilia Rao, Eleonora Piccirilli, Emanuela Basilici Zanetti, Noemi Cittadini, Rosaria Alvaro, Antimo Moretti, Dario Calafiore, Giuseppe Toro, Francesca Gimigliano, Giuseppina Resmini, Maria Luisa Brandi
BACKGROUND: The Italian Society for Orthopaedics and Traumatology conceived this guidance-which is primarily addressed to Italian orthopedic surgeons, but should also prove useful to other bone specialists and to general practitioners-in order to improve the diagnosis, prevention, and treatment of osteoporosis and its consequences. MATERIALS AND METHODS: Literature reviews by a multidisciplinary team. RESULTS: The following topics are covered: the role of instrumental, metabolic, and genetic evaluations in the diagnosis of osteoporosis; appraisal of the risk of fracture and thresholds for intervention; general strategies for the prevention and treatment of osteoporosis (primary and secondary prevention); the pharmacologic treatment of osteoporosis; the setting and implementation of fracture liaison services for tertiary prevention...
October 20, 2017: Journal of Orthopaedics and Traumatology: Official Journal of the Italian Society of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29056119/polymorphisms-in-the-growth-differentiation-factor-5-gdf-5-gene-in-knee-osteoarthritis
#13
Seda Sabah Ozcan, Murat Korkmaz, Ozlem Balbaloglu, Ferda Percin, Neziha Yilmaz, Yalcin Erdogan, Ilhan Gunaydin
OBJECTIVE: To identify the frequency of the rs143383 SNPin the GDF5 gene, which is located in the 5'-untranslated region of Turkish population with knee osteoarthritis (OA). STUDY DESIGN: Acase-control study. PLACE AND DURATION OF STUDY: Orthopedics and Traumatology Department, Bozok University Medical Faculty, Yozgat, Turkey, from 2012 to 2014. METHODOLOGY: Patients diagnosed with OA(n=94) and patients who did not have joint complaints (n=279) were enrolled in this study...
October 2017: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/29052751/-prevention-of-infections-due-to-musculoskeletal-allografts
#14
REVIEW
A Pruß
Transplantation of musculoskeletal tissues is widely used in the treatment of extensive defects of the musculoskeletal system, especially in orthopedics for exchange of prostheses, surgical interventions on the spine and in traumatology for reconstruction after extensive tumor resections. A danger after transplantation is the potential transmission of clinically relevant pathogens. Tissue banks have therefore established a safety level approach for musculoskeletal tissue transplants, which includes donor selection, laboratory testing, tissue procurement, tissue processing, tissue storage and quality assurance...
November 2017: Der Unfallchirurg
https://www.readbyqxmd.com/read/28977312/analysis-of-surgical-site-infections-in-pediatric-patients-after-orthopedic-surgery-a-case-control-study
#15
Mariana de Queiroz Leite Chagas, Ana Maria Magalhães Costa, Pedro Henrique Barros Mendes, Saint Clair Gomes
OBJECTIVES: To describe the rate of surgical site infections in children undergoing orthopedic surgery in centers of excellence and analyze the patients' profiles. METHODS: Medical records of pediatric patients undergoing orthopedic surgery in the Jamil Haddad National Institute of Traumatology and Orthopedics from January 2012 to December 2013 were analyzed and monitored for one year. Patients diagnosed with surgical site infection were matched with patients without infection by age, date of admission, field of orthopedic surgery and type of surgical procedure...
January 2017: Revista Paulista de Pediatria: Orgão Oficial da Sociedade de Pediatria de São Paulo
https://www.readbyqxmd.com/read/28954007/a-comparative-study-of-sagittal-balance-in-patients-with-neuromuscular-scoliosis
#16
COMPARATIVE STUDY
Paulo Alvim Borges, Flávio Gerardo Benites Zelada, Thiago Felipe Dos Santos Barros, Olavo Biraghi Letaif, Ivan Dias da Rocha, Raphael Martus Marcon, Alexandre Fogaça Cristante, Tarcíso Eloy Pessoa Barros-Filho
OBJECTIVES: Spinopelvic alignment has been associated with improved quality of life in patients with vertebral deformities, and it helps to compensate for imbalances in gait. Although surgical treatment of scoliosis in patients with neuromuscular spinal deformities promotes correction of coronal scoliotic deformities, it remains poorly established whether this results in large changes in sagittal balance parameters in this specific population. The objective of this study is to compare these parameters before and after the current procedure under the hypothesis is that there is no significant modification...
August 2017: Clinics
https://www.readbyqxmd.com/read/28928047/quality-of-meta-analyses-in-major-leading-orthopedics-journals-a-systematic-review
#17
REVIEW
X Zhi, Z Zhang, J Cui, X Zhai, X Chen, J Su
BACKGROUND: Meta-Analyses are the basis of professional and healthcare agencies recommendations and have a growing importance. Quality of meta-analyses has been investigated in some medical fields but to our best knowledge this issue remains under investigated in orthopedics. Therefore, we performed a systematic analysis to: 1) after the introduction of PRISMA statement as a comprehensive guideline and the use of the AMSTAR tool as the standard for sufficient review methodology, has the quality of MAs improved because of that? 2) have some general characteristics influenced the quality of MAs (country, funding source, number of authors)? MATERIAL AND METHODS: We systematically searched the meta-analyses in the top four journals with the impact factor (2015) as following: JBJS, Osteoarthritis Cartilage Arthroscopy and Clin Orthop Relat Res from 2005 to 2008 and from 2012 to 2015...
September 18, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28888524/total-knee-arthroplasty-after-opening-%C3%A2-versus-closing-wedge-high-tibial-osteotomy-a-135-case-series-with-minimum-5-year-follow-up
#18
M Ehlinger, A D'Ambrosio, P Vie, S Leclerc, F Bonnomet, P Bonnevialle, S Lustig, S Parratte, M Colmar, J-N Argenson
INTRODUCTION: High tibial osteotomy (HTO) is effective in treating isolated medial osteoarthritis of the knee, but subsequent deterioration is inevitable, and total knee arthroplasty (TKA) is then an option. The present study sought to compare TKA following medial opening-wedge HTO (OW-HTO) versus lateral closing-wedge HTO (CW-HTO) in terms of intraoperative data and clinical results. The study hypothesis was that there is no significant difference in clinical results or complications in TKA following OW-HTO or CW-HTO...
September 6, 2017: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/28884100/relationship-between-the-critical-shoulder-angle-and-the-development-of-rotator-cuff-lesions-a-retrospective-epidemiological-study
#19
Leandro Cardoso Gomide, Thiago Correa do Carmo, Guilherme Henrique Moreira Bergo, Glauber Araújo Oliveira, Igor Severino Macedo
OBJECTIVE: To perform a retrospective epidemiological study of radiographs in order to evaluate the relationship between the anatomy of the scapula and the development of rotator cuff injuries (RCIs). METHODS: This study retrospectively evaluated the relation of the critical shoulder angle (CSA) and RCIs from January 2011 to November 2013; patients were examined in the Orthopedics and Traumatology Department of a university hospital. The CSA was measured by radiographic standardization of two groups: a control group of 34 asymptomatic shoulders and a study group of 44 shoulders with complete RCIs...
June 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28799133/tablets-for-image-review-and-communication-in-daily-routine-of-orthopedic-surgeons-an-evaluation-study
#20
Sven Y Vetter, Svenja Schüler, Matthes Hackbusch, Michael Müller, Benedict Swartman, Marc Schnetzke, Paul Alfred Grützner, Jochen Franke
Medical images are essential in modern traumatology and orthopedic surgery. Access to images is often cumbersome due to a limited number of workstations. Moreover, due to the tremendous increase of data, the time to review or to communicate images has also become limited. One approach to overcome these problems is to make use of modern mobile devices, like tablet computers, to facilitate image access and associated workflows. Ten orthopedic surgeons were equipped with an Apple iPad mini 2 and specialized viewing software for medical images...
August 10, 2017: Journal of Digital Imaging: the Official Journal of the Society for Computer Applications in Radiology
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