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Orthopaedic rehabilitation

Prem N Ramkumar, Ton La, Evan Fisch, Peter D Fabricant, Alexander E White, Kristofer J Jones, Samuel A Taylor
PURPOSE: The purpose of this observational study of social media in sports medicine was to investigate and analyze the presence and shared content of anterior cruciate ligament (ACL) patients, sports surgeons, and top orthopaedic hospitals on popular social media streams. METHODS: A search of 2 public domains (Instagram and Twitter) was performed over a 6-month period. ACL surgery ("#aclsurgery") was selected for the Instagram-based patient analysis after exclusion of veterinary ACL operations...
October 19, 2016: Arthroscopy: the Journal of Arthroscopic & related Surgery
Wataru Miyamoto, Shinji Imade, Ken Innami, Hirotaka Kawano, Masato Takao
BACKGROUND: Although early accelerated rehabilitation is recommended for the treatment of acute Achilles tendon rupture, most traditional rehabilitation techniques require some type of brace. METHODS: We retrospectively analyzed 44 feet of 44 patients (25 male and 19 female) with a mean age of 31.8 years who had an acute Achilles tendon rupture related to athletic activity. Patients had been treated by a double side-locking loop suture (SLLS) technique using double antislip knots between stumps and had undergone early accelerated rehabilitation, including active and passive range of motion exercises on the day following the operation and full weight-bearing at 4 weeks...
October 10, 2016: Foot & Ankle International
Dianne Court
Well done to 83-year-old nurse Monica Bulman (news, 14 September, page 7 ). At 71 and working on an orthopaedic rehabilitation ward at a hospital in Birmingham, I thought I was getting near to being the oldest nurse practising on a ward.
October 12, 2016: Nursing Standard
S Raymond Golish, Michael L Reed
BACKGROUND CONTEXT: Recently, there has been increased public awareness of regulatory actions by the United States Food and Drug Administration (US FDA) regarding spinal devices. There has been increased scrutiny of the pivotal clinical trials of these devices. PURPOSE: To investigate the premarket approval (PMA) of class III spinal devices in the US since the turn of the century. To explore clinically relevant issues that affect the interpretation of investigational device exemption trials...
October 10, 2016: Spine Journal: Official Journal of the North American Spine Society
Martin Brünger, Karla Spyra
OBJECTIVE: Patients in rehabilitation with comorbid depressive disorders display increased morbidity, mortality and inability to work. The aim of this study is to determine the prevalence of comorbid depressive symptoms in rehabilitation. METHODS: A total of 6,000 patients were contacted by post at the same time as receiving approval for their medical rehabilitation from German Federal Pension Insurance. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-2)...
October 13, 2016: Journal of Rehabilitation Medicine
Chunping Du, Jiadan Yu, Jiaqi Zhang, Jiaojiao Jiang, Huabin Lai, Wei Liu, Yang Liu, Hao Li, Pu Wang
OBJECTIVE: To investigate relevant aspects of functioning and disability, and environmental factors in people with adolescent idiopathic scoliosis according to patients' self-reports based on the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY). DESIGN: Multicentre, empirical, cross-sectional study. SETTING: Four departments of orthopaedics in 4 hospitals, and 5 departments of rehabilitation medicine in 5 hospitals...
October 12, 2016: Journal of Rehabilitation Medicine
Kenneth Chin, Joshua M Abzug, Donald S Bae, Bernard D Horn, Martin Herman, Craig P Eberson
Management of pediatric polytrauma patients is one of the most difficult challenges for orthopaedic surgeons. Multisystem injuries frequently include complex orthopaedic surgical problems that require intervention. The physiology and anatomy of children and adolescent trauma patients differ from the physiology and anatomy of an adult trauma patient, which alters the types of injuries sustained and the ideal methods for management. Errors of pediatric polytrauma care are included in two broad categories: missed injuries and inadequate fracture treatment...
February 15, 2016: Instructional Course Lectures
Z L Luo, M Chen, X F Shang, F Hu, Z Ni, P Cheng, X F Ji, K R Wu, X Q Zhang
Objective: To compare the clinical efficacy of the direct anterior approach (DAA) and the posterolateral approach (PLA) for total hip arthroplasty (THA) in the lateral decubitus position. Methods: From July to December, 2014, 104 patients randomly divided into two equal groups of the DAA group and the PLA group underwent unilateral primary THA procedures.All procedures were performed by the same surgeon in the Department of Orthopaedics, the Affiliated Anhui Provincial Hospital of Anhui Medical University.General data, perioperative index, postoperative function and radiological evaluation were recorded and statistically analyzed...
September 20, 2016: Zhonghua Yi Xue za Zhi [Chinese medical journal]
Cyrille Burrus, Johanne Tuscher, Philippe Vuistiner, Gilles Rivier, Bertrand Léger, François Luthi
OBJECTIVE: Functional capacity evaluation (FCE) based on a safe maximal performance (kinesiophysical criteria), is used to evaluate abilities of a patient to accomplish work-related tasks that may help precise functional limitations. As known in chronic pain, psychosocial factors and behavioral factors have been shown to influence FCE. The influence of the "fear-avoidance" model on FCE is debated (van Abbema, 2011) and has never been studied with a full model. The goal of this study was to evaluate the influence of the fear-avoidance model on FCE performance in patients admitted for vocational rehabilitation after orthopaedic trauma...
September 2016: Annals of Physical and Rehabilitation Medicine
Chantal Plomb-Holmes, Roger Hilfiker, François Lüthi
OBJECTIVE: To measure if a decision-supportive tool based on the WORRK model, developed to predict non-return to work (nRTW) after orthopaedic trauma, improves the allocation to various vocational pathways according to patients' "nRTW" risk, for use in clinical practice. MATERIAL/PATIENTS AND METHODS: Randomized-controlled trial using vocational inpatients after orthopaedic trauma (n=280). In the intervention group, the nRTW risk estimated using the WORRK tool was given to the clinician team before allocation of the vocational pathway, while in the control group it was not...
September 2016: Annals of Physical and Rehabilitation Medicine
François Luthi
OBJECTIVE: Activity behaviour patterns influence the development and perpetuation of musculoskeletal pain. Three major patterns have been observed in chronic pain patients: avoidance, pacing and persistence (also labelled "overdoing", "confronting" or "endurance" pattern). MATERIAL/PATIENTS AND METHODS: Relationships between these patterns and clinical outcomes remain inconclusive. Associations between pain, disability, depressive symptoms, and poor self-efficacy have been consistently demonstrated for the avoidance model...
September 2016: Annals of Physical and Rehabilitation Medicine
Koffi Benjamin Manou, Ndoula Espérance Kounkou, Romaric Toe, Awo Dorcas Akadje, Cisse Ali, Amonso Daniel Alloh, Manse Béatrice Nandjui
OBJECTIVE: The quality of the residual limb of the amputations in the consequences of a ballistic trauma often was compromised and limits the success of a good equipment for a satisfactory locomotive function. The objective of the study is to describe the various anomalies of the residual limb and their difficulty of equipment of the traumatic amputations by bal PATIENTS AND METHODS: A descriptive retrospective study concerned patients amputated of lower limbs in the consequences of a ballistic trauma during the military crisis in Ivory Coast from 2010 to 2012 and dealt in the center of equipment "Vivre Debout" in the Teacher Hospital of Yopougon...
September 2016: Annals of Physical and Rehabilitation Medicine
Emna Bahlouli, Mariem Rekik, Bassam Krifa, Khawla Achour, Sonia Lebib, Fatma Ezzahra Ben Salah, Catherine Dziri
OBJECTIVE: The aim of this study was to investigate the quality of life of patients with severe traumatic brain injury and their relatives by a visual analogue scale (0-10) and a distress companion score (1-6) and to establish correlations between Glasgow Coma Scale (GCS), Glasgow out scale (GOS), the Functional Independence Measure (FIM) and QOL. MATERIAL/PATIENTS AND METHODS: Retrospective study conducted in the department of physical and rehabilitation medicine of Kassab Institute of Traumatology and Orthopaedics concerning patients followed for severe traumatic brain injury sequalea...
September 2016: Annals of Physical and Rehabilitation Medicine
Scott M Tintle, Christopher LeBrun, James R Ficke, Benjamin K Potter
Traumatic and trauma-related amputations represent unfortunate sequelae of severe injury, but should not be viewed as a treatment failure and may represent the best reconstructive option for some patients. Lessons from recent military conflicts have guided the evolution of modern surgical techniques and rehabilitation management of this challenging patient population, and treatment at a specialty center may improve patient outcomes. Despite appropriate management, however, surgical complications remain common and revision surgery is often necessary...
October 2016: Journal of Orthopaedic Trauma
Simon N van Laarhoven, Matthijs Lipperts, Stijn A A N Bolink, Rachel Senden, Ide C Heyligers, Bernd Grimm
BACKGROUND: A growing need in clinical practice of rehabilitation and orthopaedic medicine is for objective outcome tools to estimate physical activity. Current techniques show limited validity or are too demanding for routine clinical use. Accelerometer-based activity monitors (AMs) have shown promise for measuring physical activity in healthy people but lack validity in impaired patients. OBJECTIVES: This study aimed to validate an accelerometer-based AM in impaired, slow-walking, crutch-supported patients after total joint arthroplasty (TJA)...
September 19, 2016: Annals of Physical and Rehabilitation Medicine
Jessica M Fritz, Ryan R Inawat, Brooke A Slavens, John R McGuire, Dean W Ziegler, Sergey S Tarima, Steven I Grindel, Gerald F Harris
BACKGROUND: The increasing demand for rotator cuff (RC) repair patients to return to work as soon as they are physically able has led to exploration of when this is feasible. Current guidelines from our orthopedic surgery clinic recommend a return to work at 9 weeks postoperation. To more fully define capacity to return to work, the current study was conducted using a unique series of quantitative tools. To date, no study has combined 3-dimensional (3D) motion analysis with electromyography (EMG) assessment during activities of daily living (ADLs), including desk tasks, and commonly prescribed rehabilitation exercise...
September 14, 2016: PM & R: the Journal of Injury, Function, and Rehabilitation
D R Griffin, E J Dickenson, J O'Donnell, R Agricola, T Awan, M Beck, J C Clohisy, H P Dijkstra, E Falvey, M Gimpel, R S Hinman, P Hölmich, A Kassarjian, H D Martin, R Martin, R C Mather, M J Philippon, M P Reiman, A Takla, K Thorborg, S Walker, A Weir, K L Bennell
The 2016 Warwick Agreement on femoroacetabular impingement (FAI) syndrome was convened to build an international, multidisciplinary consensus on the diagnosis and management of patients with FAI syndrome. 22 panel members and 1 patient from 9 countries and 5 different specialties participated in a 1-day consensus meeting on 29 June 2016. Prior to the meeting, 6 questions were agreed on, and recent relevant systematic reviews and seminal literature were circulated. Panel members gave presentations on the topics of the agreed questions at Sports Hip 2016, an open meeting held in the UK on 27-29 June...
October 2016: British Journal of Sports Medicine
John Prodromo, Justin Rackley, Mary K Mulcahey
Obesity represents a unique challenge in orthopaedic surgery, the impact of which is seen through all phases of injury: in the development of disease, during the operative procedure, and throughout the rehabilitation period. Given the high prevalence of obesity in the United States and around the world, this patient population represents a substantial proportion of patients in need of orthopedic care. The effects of this disease constrain both medical and financial resources. For obese patients undergoing orthopedic procedures, adequate steps must be taken to minimize the risks that occur before, during, and after surgical intervention...
September 2016: Physician and Sportsmedicine
M Bondi, N Rossi, A Pizzoli, L Renzi Brivio
PURPOSE: Ten percentage of all ankle fractures sustain an associated syndesmotic injury. TightRope is a relatively new technique for syndesmosis fixation, characterized by a non-absorbable FibreWire held tight between two cortical metal buttons. The purpose of this study was to evaluate the results obtained with the use of this device. METHODS: From January 2011 to December 2015, 54 patients with ankle diastases were treated. Eighteen patients were excluded from the study...
August 27, 2016: Musculoskeletal Surgery
J W Wu, H L Shen, L M Liu, Z H Gao
OBJECTIVE: To analyze the reasons of early failure of the PHILOS in proximal humerus fractures. METHODS: From Nov. 2010 to Nov. 2014, there were 117 patients with humerus fractures treated with PHILOS locking plate in Department of Orthopaedics, Xuanwu Hospital. All of the patients were treated with the plate by open reduction internal fixation, and we analyzed these cases retrospectively. After the operation, we removed the drainage tube within 48 h, and the patients were allowed to do the passive motion 3 days after the surgery if the X-Ray showed the plate and screws were reliable...
February 18, 2016: Beijing da Xue Xue Bao. Yi Xue Ban, Journal of Peking University. Health Sciences
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