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Orthopedic traumatology

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https://www.readbyqxmd.com/read/28194376/one-year-mortality-of-elderly-patients-with-hip-fracture-surgically-treated-at-a-hospital-in-southern-brazil
#1
Marcelo Teodoro Ezequiel Guerra, Roberto Deves Viana, Liégenes Feil, Eduardo Terra Feron, Jonathan Maboni, Alfonso Soria-Galvarro Vargas
OBJECTIVE: To analyze the mortality rate at one-year follow-up of patients with hip fracture who underwent surgery at the university hospital of this institution. METHOD: The authors reviewed 213 medical records of hospitalized patients aged 65 years or older, following to the order they were admitted to the orthopedics and traumatology service from January 2012 to August 2013. RESULTS: One-year mortality rate was 23.6%. Mortality was higher among women, with a 3:1 ratio...
January 2017: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/28166840/app-based-serious-gaming-for-training-of-chest-tube-insertion-study-protocol-for-a-randomized-controlled-trial
#2
Mirco Friedrich, Christian Bergdolt, Patrick Haubruck, Thomas Bruckner, Karl-Friedrich Kowalewski, Beat Peter Müller-Stich, Michael C Tanner, Felix Nickel
BACKGROUND: Chest tube insertion is a standard intervention for management of various injuries of the thorax. Quick and accurate execution facilitates efficient therapy without further complications. Here, we propose a new training concept comprised of e-learning elements as well as continuous rating using an objective structured assessment of technical skills (OSATS) tool. The study protocol is presented for a randomized trial to evaluate e-learning with app-based serious gaming for chest drain insertion...
February 6, 2017: Trials
https://www.readbyqxmd.com/read/28132729/malnutrition-an-underestimated-factor-in-the-inpatient-treatment-of-traumatology-and-orthopedic-patients-a-prospective-evaluation-of-1055-patients
#3
Christoph Ihle, Thomas Freude, Christian Bahrs, Eva Zehendner, Janick Braunsberger, Hans Konrad Biesalski, Christine Lambert, Ulrich Stöckle, Elke Wintermeyer, Julia Grünwald, Leonard Grünwald, Gunnar Ochs, Ingo Flesch, Andreas Nüssler
INTRODUCTION: Suboptimal nutritional status is often observed among hospitalized patients across all medical specialties. The objective of the present study was to (1) analyze the prevalence of malnutrition in hospitalized orthopedic and trauma patients and (2) to evaluate the relationship between malnutrition and selected clinical outcomes. MATERIALS AND METHODS: The prospective field study was conducted between 06/2014 and 06/2015 in a German level I trauma center (Department of Traumatology, Septic Trauma Surgery and Arthroplasty) with a total number of 1055 patients...
January 22, 2017: Injury
https://www.readbyqxmd.com/read/28131638/treatment-preferences-in-turkey-for-open-fracture-of-the-tibial-diaphysis
#4
Güzelali Özdemir, Barış Yılmaz, Baran Kömür, Evrim Şirin, Nazım Karahan, Erman Ceyhan
OBJECTIVE: The purpose of this study was to investigate different treatment methods employed by orthopedic surgeons for open tibial fracture in adults. METHODS: Survey of 12 questions regarding treatment of open tibial fracture was conducted with 285 orthopedics and traumatology specialists in Turkey in personal interviews and using web-based technique. RESULTS: Of all survey participants, 99.6% responded that tetanus prophylaxis is necessary emergency procedure in cases of adult open tibial diaphysis fracture...
January 25, 2017: Acta Orthopaedica et Traumatologica Turcica
https://www.readbyqxmd.com/read/28102165/occupational-activity-in-patients-10-years-after-hip-replacement-surgery
#5
Teresa Pop, Ewelina Czenczek-Lewandowska, Bogumił Lewandowski, Justyna Leszczak, Justyna Podgórska-Bednarz, Joanna Baran
BACKGROUND: Advanced hip osteoarthritis requires total joint replacement surgery to improve daily activity, including occupational activity. The purpose of this study was to evaluate employment status among patients 10 years after hip replacement surgery. MATERIAL AND METHODS: A total of 63 patients who underwent total hip replacement surgery at the Department of Orthopedics and Traumatology between 2003 and 2005 were enrolled in the study. At the time of the study (2014), all patients from the study group were of working age...
August 30, 2016: Ortopedia, Traumatologia, Rehabilitacja
https://www.readbyqxmd.com/read/28043311/acromion-types-and-role-of-corticosteroid-with-shoulder-impingement-syndrome
#6
Muhammad Akram, Syed Faraz Ul Hassan Shah Gillani, Faheem Mubashir Farooqi, Syed Muhammad Awais
OBJECTIVE: To determine the association between shoulder impingement and morphological characteristics of acromion and the role of sub-acromial injection of methylprednisolone in the short-term treatment for relieving pain and improve functional disability of these patients. STUDY DESIGN: A descriptive study. PLACE AND DURATION OF STUDY: Department of Orthopedic Surgery and Traumatology Unit-I (DOST-I), Mayo Hospital, Lahore, between November 2013 to June 2014...
December 2016: Journal of the College of Physicians and Surgeons—Pakistan: JCPSP
https://www.readbyqxmd.com/read/27899440/the-elimination-of-transfer-distances-is-an-important-part-of-hospital-design
#7
Sauli Karvonen, Isto Nordback, Jussi Elo, Jouni Havulinna, Heikki-Jussi Laine
OBJECTIVE: The objective of the present study was to describe how a specific patient flow analysis with from-to charts can be used in hospital design and layout planning. BACKGROUND: As part of a large renewal project at a university hospital, a detailed patient flow analysis was applied to planning the musculoskeletal surgery unit (orthopedics and traumatology, hand surgery, and plastic surgery). METHOD: First, the main activities of the unit were determined...
November 29, 2016: HERD
https://www.readbyqxmd.com/read/27828685/the-link-between-industry-and-social-interests-in-health-in-brazil-s-national-health-innovation-system-the-experience-of-the-brazilian-national-institute-of-traumatology-and-orthopedics-into
#8
Cid Manso de Mello Vianna, Marcelo Kropf Santos Fermam, Marcus Paulo da Silva Rodrigues, Gabriela Bittencourt Gonzalez Mosegui
This article has two parts. The first discusses the relationship between industry and health interests based on three different but non-mutually exclusive "logics": (a) independent; (b) divergent; and (c) convergent. The second part describes the experience at the Brazilian National Institute of Traumatology and Orthopedics (INTO) with a technology management model. The accumulated expertise in orthopedics at INTO can favor Brazil's domestic medical equipment industry without jeopardizing the country's social health needs...
November 3, 2016: Cadernos de Saúde Pública
https://www.readbyqxmd.com/read/27800113/-predictive-factors-of-aseptic-loosening-of-cemented-total-hip-prostheses
#9
Rateb Kochbati, Hedi Rbai, Marouene Jlailia, Hassen Makhlouf, Abderrazak Bouguira, Med Samir Daghfous
INTRODUCTION: Aseptic loosening is the main long-term complication and indicates total hip replacement failure. There are many and often intricate causes for aseptic loosening. Incorrect placement of the implants is the most incriminated factor. Other patient and implant related factors may also predispose to loosening but to various degrees. METHODS: We conducted a retrospective study of 64 cases with aseptic loosening of total hip prosthesis to individuate patient, implant type and surgical technique related factors leading to aseptic loosening and to provide recommendations to minimize this risk...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27800106/-role-of-hackethal-bundle-nailing-in-the-treatment-of-humerus-fractures-about-80-cases
#10
Omar Margad, Jalal Boukhris, Hicham Sallahi, Mohamed Daoudi, Ouahb Azriouil, Khalid Koulali
The main debate regarding humerus fractures focuses on their therapeutic indications because any type of orthopedic or surgical stabilization finds unconditional and sometimes vehement defenders. We conducted a retrospective study of 80 patients treated initially with Hackethal's technique of intramedullary bundle nailing in the Department of Orthopaedics and Traumatology at Avicenne Military Hospital between January 2000 and January 2012. The fractures were classified according to AO classification and Hackethal classification (modified by De La Caffinière)...
2016: Pan African Medical Journal
https://www.readbyqxmd.com/read/27703947/erythromycin-seromadesis-in-orthopedic-surgery
#11
Martin Salgado, Felipe Fernández, Carolina Avilés, Cecilia Cordova
INTRODUCTION: The presence of postoperative seromadesis is common, corresponding to the presence of serum in the subcutaneous tissue post a surgical event. Erythromycin has been reported as sclerosing, although not in orthopedic surgery. We report a case of erythromycin seromadesis in orthopedic surgery. CASE PRESENTATION: We present a case of a 63-year-old woman having undergone femoral prosthesis surgery and total hip replacement with a subfacial seroma without findings of infection, refractory to standard treatment of compression bandages, massage and cleaning surgery in two oportunities...
April 2016: Journal of Orthopaedic Case Reports
https://www.readbyqxmd.com/read/27638556/-magnetic-resonance-imaging-and-computed-tomography-what-is-important-in-orthopedics-and-traumatology
#12
F Mauch, B Drews
BACKGROUND: Magnetic resonance imaging (MRI) and computed tomography (CT) are established complementary tools for cross-sectional imaging in addition to standard x‑rays in orthopedics and traumatology. OBJECTIVE: Illustration of possible applications of MRI and CT in acute and chronic joint diseases. MATERIAL AND METHODS: Summary of the relevant literature with focus on the validity of MRI and CT in depicting joint trauma and pathologies...
October 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27590300/confidentiality-breaches-in-clinical-practice-what-happens-in-hospitals
#13
Cristina M Beltran-Aroca, Eloy Girela-Lopez, Eliseo Collazo-Chao, Manuel Montero-Pérez-Barquero, Maria C Muñoz-Villanueva
BACKGROUND: Respect for confidentiality is important to safeguard the well-being of patients and ensure the confidence of society in the doctor-patient relationship. The aim of our study is to examine real situations in which there has been a breach of confidentiality, by means of direct observation in clinical practice. METHODS: By means of direct observation, our study examines real situations in which there has been a breach of confidentiality in a tertiary hospital...
2016: BMC Medical Ethics
https://www.readbyqxmd.com/read/27566507/-interpersonal-competence-in-orthopedics-and-traumatology-why-technical-and-procedural-skills-alone-are-not-sufficient
#14
R Seemann, M Münzberg, R Stange, M Rüsseler, M Egerth, B Bouillon, R Hoffmann, M Mutschler
Patient safety has increasingly gained significance as criterion which clinics and doctors will be measured against in terms of ethics and finances. The "human factor" moved into focus regarding the question of how to reduce treatment errors in clinical daily routine. Nevertheless, systematic mediation of interpersonal competences only plays a minor role in the catalogue of requirements for medical specialization and professional training. This is the case not only in orthopedics and traumatology, but in other medical fields as well...
October 2016: Der Unfallchirurg
https://www.readbyqxmd.com/read/27517027/epidemiological-study-on-giant-cell-tumor-recurrence-at-the-brazilian-national-institute-of-traumatology-and-orthopedics
#15
Roberto Clayton Lima Oliveira Júnior, Marcelo Glauber da Silva Pereira, Pedro Braga Linhares Garcia, Patrícia Albuquerque Dos Santos, Amanda Dos Santos Cavalcanti, Walter Meohas
OBJECTIVE: Giant cell tumors are benign bone neoplasms that are relatively rare in adults and their biological behavior is still unpredictable. The incidence of local recurrence has presented variation between 0% and 65% in studies conducted worldwide, but few data are available on this complication in the Brazilian population. METHODS: Information on 155 patients with confirmed histological diagnoses of giant cell tumor who were treated in our institution's orthopedic oncology service between January 2000 and July 2014 was gathered...
July 2016: Revista Brasileira de Ortopedia
https://www.readbyqxmd.com/read/27514437/methodological-reporting-quality-of-randomized-controlled-trials-a-survey-of-seven-core-journals-of-orthopaedics-from-mainland-china-over-5-years-following-the-consort-statement
#16
J Zhang, X Chen, Q Zhu, J Cui, L Cao, J Su
BACKGROUND: In recent years, the number of randomized controlled trials (RCTs) in the field of orthopaedics is increasing in Mainland China. However, randomized controlled trials (RCTs) are inclined to bias if they lack methodological quality. Therefore, we performed a survey of RCT to assess: (1) What about the quality of RCTs in the field of orthopedics in Mainland China? (2) Whether there is difference between the core journals of the Chinese department of orthopedics and Orthopaedics Traumatology Surgery & Research (OTSR)...
August 8, 2016: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/27427932/alveolar-bone-graft-clinical-profile-and-risk-factors-for-complications-in-oral-cleft-patients
#17
Erica Alexandra Macedo Pessoa, Andre Braune, Priscila Ladeira Casado, Patricia Nivoloni Tannure
OBJECTIVE:  The aim of this study was to investigate clinical aspects and predisposing factors for alveolar bone graft complications in persons born with oral clefts. DESIGN:  A total of 105 patients, aged 7 to 57 years old, who received alveolar bone graft at the Cranio-maxillofacial Surgery Center in the National Institute of Traumatology and Orthopedics (INTO), Rio de Janeiro (RJ) from 2009 to 2014 were selected. Data were collected concerning the type of oral cleft, family history of cleft, medical and dental exam, donor area, type of graft material, repaired surgical treatment done, and postoperative follow-up examinations...
July 18, 2016: Cleft Palate-craniofacial Journal
https://www.readbyqxmd.com/read/27358117/extracorporeal-shockwaves-as-regenerative-therapy-in-orthopedic-traumatology-a-narrative-review-from-basic-research-to-clinical-practice
#18
REVIEW
M C D Agostino, R Frairia, P Romeo, E Amelio, L Berta, V Bosco, S Gigliotti, C Guerra, S Messina, L Messuri, B Moretti, A Notarnicola, G Maccagnano, S Russo, R Saggini, M C Vulpiani, P Buselli
Extracorporeal Shock Wave Therapy (ESWT), after its first medical application in the urological field for lithotripsy, nowadays represents a valid therapeutical tool also for many musculoskeletal diseases, as well as for regenerative medicine applications. This is possible thanks to its mechanisms of action, which in the non-urological field are not related to mechanical disruption (as for renal stones), but rather to the capacity, by mechanotransduction, to induce neoangiogenesis, osteogenesis and to improve local tissue trophism, regeneration and remodeling, through stem cell stimulation...
April 2016: Journal of Biological Regulators and Homeostatic Agents
https://www.readbyqxmd.com/read/27316448/partial-weight-bearing-of-the-tibia
#19
Bergita Ganse, Peng-Fei Yang, Jenny Gardlo, Peter Gauger, Andreas Kriechbaumer, Hans-Christoph Pape, Timmo Koy, Lars-Peter Müller, Jörn Rittweger
INTRODUCTION: Partial weight bearing is part of treatment schemes in orthopedic surgery and traumatology. The aim of the present study was to explore to what degree ground reaction forces during partial weight bearing of the lower leg are related to given instructions and to tibia deformation. MATERIALS AND METHODS: Tibia deformation (torsion, medio-lateral and anterio-posterior bending) was measured for rear foot and forefoot loading, 10kg, 20kg and half body weight instructions compared to full loading in five healthy male subjects using the "Optical Segment Tracking" approach, a motion-capturing based method that uses monocortically fixed bone screws...
August 2016: Injury
https://www.readbyqxmd.com/read/27296538/-the-effect-of-spinal-deformity-correction-on-the-quality-of-life-of-elderly-patients
#20
COMPARATIVE STUDY
N S Zaborovsky, D A Ptashnikov, D A Mikhailov, O A Smekalenkov, S V Masevnin, O A Lapaeva
AIM: At present, there is no consensus on the approach to treatment of patients older than 60 years of age who have spinal deformity and clinical symptoms. The article describes the effect of two different types of surgery on the quality of life of elderly patients with deformities. MATERIAL AND METHODS: A prospective study included 58 patients operated on at the Verden Russian Research Institute of Traumatology and Orthopedics in the period between 2007 and 2010...
2016: Zhurnal Voprosy Neĭrokhirurgii Imeni N. N. Burdenko
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