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https://www.readbyqxmd.com/read/29740525/a-survey-of-current-practices-and-preferences-for-internal-fixation-of-trochanteric-fractures-of-the-femur-in-brazil
#1
Vincenzo Giordano, Denner N Ribeiro, Rafael G Tinoco, Thiago A Alvim, Marcos Giordano, Anderson Freitas, Hilton A Koch
Objective The primary aim of this study was to survey current practices and preferences behind internal fixation of trochanteric femoral fractures among Brazilian orthopedic surgeons. The secondary aim was to identify the main reason for these preferences. Methods A survey containing 20 images of trochanteric fractures of the femur was presented to a group of 62 orthopedists, all members of the Brazilian Society of Orthopedics and Traumatology (SBOT). The first part of the questionnaire was created to identify the surgeons' degree of professional experience, type of practice, and areas of greatest interest and performance within the specialty...
March 7, 2018: Curēus
https://www.readbyqxmd.com/read/29731618/fima-the-questionnaire-for-health-related-resource-use-in-the-elderly-population-validity-reliability-and-usage-of-the-polish-version-in-clinical-practice
#2
Justyna Mazurek, Edyta Sutkowska, Dorota Szcześniak, Katarzyna Małgorzata Urbańska, Joanna Rymaszewska
Purpose: The purpose of this study was to determine the validity and reliability of the Polish version of the Questionnaire for Health-Related Resource Use in an Elderly Population [Fragebogen zur Inanspruchnahme medizinischer und nicht-medizinischer Versorgungsleistungen im Alter (FIMA)]. Patients and methods: This was a cross-sectional study conducted in a rehabilitation care unit in Poland between January and June of 2017. Sixty-one patients aged ≥65 years who had been admitted to the unit were enrolled into the study...
2018: Clinical Interventions in Aging
https://www.readbyqxmd.com/read/29728303/establishment-of-reference-scores-and-interquartile-ranges-for-the-japanese-orthopaedic-association-back-pain-evaluation-questionnaire-joabpeq-in-patients-with-low-back-pain
#3
Ryoji Tominaga, Miho Sekiguchi, Koji Yonemoto, Tatsuyuki Kakuma, Shin-Ichi Konno
BACKGROUND: The Japanese Orthopaedic Association Back Pain Evaluation Questionnaire (JOABPEQ) was developed in 2007, including the five domains of Pain-related disorder, Lumbar spine dysfunction, Gait disturbance, Social life disturbance, and Psychological disorder. It is used by physicians to evaluate treatment efficacy by comparing scores before and after treatment. However, the JOABPEQ does not allow evaluation of the severity of a patient's condition compared to the general population at a single time point...
May 1, 2018: Journal of Orthopaedic Science: Official Journal of the Japanese Orthopaedic Association
https://www.readbyqxmd.com/read/29702739/midfacial-growth-patterns-in-males-from-newborn-to-5-years-old-based-on-computed-tomography
#4
Andrej Evteev, Anatoliy Anikin, Leonid Satanin
OBJECTIVES: Growth patterns of the human facial skeleton have been of great interest and importance for biological anthropologists, forensic scientists, craniofacial surgeons, and orthopedists. Nevertheless, growth trends of the facial skeleton in infancy and early childhood are still poorly known and clinical CT data have been insufficiently used for studying craniofacial ontogeny. The purpose of this study was to provide a comprehensive quantitative description of human midfacial ontogeny in infancy and early childhood, and to contribute to debates regarding the role of modularity vs...
April 27, 2018: American Journal of Human Biology: the Official Journal of the Human Biology Council
https://www.readbyqxmd.com/read/29685857/three-dimensional-printing-as-a-technology-supporting-the-treatment-of-lower-limb-deformity-and-shortening-with-the-ilizarov-method
#5
Piotr Morasiewicz, Karolina Burzyńska, Wiktor Orzechowski, Szymon Łukasz Dragan, Szymon Feliks Dragan, Jarosław Filipiak
BACKGROUND: Treatment of multiplanar deformities, especially in younger children, requires construction of a complex Ilizarov fixator, frequently with small dimensions. The aim of this study is to verify clinical application of a3D-printed bone model in treatment with the Ilizarov method. METHODS: The study involved a 6-year-old child in whom clinical and radiological examination revealed multiplanar deformity of the right leg. Then, 3D models of individual bones were printed by means of additive manufacturing and were used as a scaffold to install the Ilizarov apparatus...
April 20, 2018: Medical Engineering & Physics
https://www.readbyqxmd.com/read/29682704/-anastomotic-leakage-after-rectal-cancer-surgery-classification-and-management
#6
Pan Chi, Shenghui Huang
Many studies have focused on the identification of risk factors and prevention of anastomotic leakage following rectal cancer surgery. However, there is little knowledge regarding classification and management of anastomotic leakage in clinic. Herein, we reviewed and summarized the classification and management of anastomotic leakage after rectal cancer surgery. The relevant treatments of anastomotic leakage should be chosen based on patient's manifestation, including general and local reactions, anatomical location, and nature of the leakage (contained or free, controlled or uncontrolled leakage)...
2018: Zhonghua Wei Chang Wai Ke za Zhi, Chinese Journal of Gastrointestinal Surgery
https://www.readbyqxmd.com/read/29664883/should-all-orthopedists-perform-hemiarthroplasty-for-femoral-neck-fractures-a-volume-outcome-analysis
#7
R Carter Clement, Paula D Strassle, Robert F Ostrum
OBJECTIVES: To determine whether very low surgeon and hospital hip arthroplasty volume are associated with unfavorable outcomes following hemiarthroplasty for femoral neck fractures. METHODS: Patients ≥60 years old and who underwent hemiarthroplasty for femoral neck fracture were identified in the New York Statewide Planning and Research Cooperative System data from 2001-2015. Incidence of inpatient mortality and postoperative complications were compared across both surgeon and hospital volume using multivariable Cox proportional hazards regression, adjusting for clinical and demographic factors...
April 3, 2018: Journal of Orthopaedic Trauma
https://www.readbyqxmd.com/read/29658976/current-trends-in-the-use-of-shoulder-arthroplasty-in-the-united-states
#8
John A Palsis, Kit N Simpson, J Hunter Matthews, Sophia Traven, Josef K Eichinger, Richard J Friedman
Reverse total shoulder arthroplasty (rTSA) has become increasingly popular since its introduction to the United States. The purpose of this study was to assess the current trends and use of rTSA, anatomic total shoulder arthroplasty (aTSA), and hemiarthroplasty (HA) from 2011 to 2014. Shoulder arthroplasty data from the National (Nationwide) Inpatient Sample database were analyzed for the years 2011 to 2014 using International Classification of Diseases, Ninth Revision, Clinical Modification procedure codes...
April 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29623101/prediction-of-pathological-subjects-using-genetic-algorithms
#9
Murat Sari, Can Tuna
This paper aims at estimating pathological subjects from a population through various physical information using genetic algorithm (GA). For comparison purposes, K -Means (KM) clustering algorithm has also been used for the estimation. Dataset consisting of some physical factors (age, weight, and height) and tibial rotation values was provided from the literature. Tibial rotation types are four groups as RTER, RTIR, LTER, and LTIR. Each tibial rotation group is divided into three types. Narrow (Type 1) and wide (Type 3) angular values were called pathological and normal (Type 2) angular values were called nonpathological...
2018: Computational and Mathematical Methods in Medicine
https://www.readbyqxmd.com/read/29620655/clinical-characteristics-and-treatment-outcomes-in-camurati-engelmann-disease-a-case-series
#10
Yoon-Myung Kim, Eungu Kang, Jin-Ho Choi, Gu-Hwan Kim, Han-Wook Yoo, Beom Hee Lee
BACKGROUND: Camurati-Engelmann disease is an extremely rare disease characterized by hyperostosis of multiple long bones. This condition is caused by heterozygous mutations in the TGFB1 gene. METHODS: We describe the clinical and genetic characteristics of 4 Korean patients with this rare disease diagnosed at Asan Medical Center in Korea between June 2012 and May 2016, to increase awareness about this condition among general physicians and orthopedists. The presenting features, biochemical findings, radiographic and nuclear imaging findings, molecular analysis, and treatment outcomes of 4 patients were reviewed retrospectively...
April 2018: Medicine (Baltimore)
https://www.readbyqxmd.com/read/29618349/3d-printing-based-minimally-invasive-cannulated-screw-treatment-of-unstable-pelvic-fracture
#11
Leyi Cai, Yingying Zhang, Chunhui Chen, Yiting Lou, Xiaoshan Guo, Jianshun Wang
BACKGROUND: Open reduction and internal fixation of pelvic fractures could restore the stability of the pelvic ring, but there were several problems. Minimally invasive closed reduction cannulated screw treatment of pelvic fractures has lots advantages. However, how to insert the cannulated screw safely and effectively to achieve a reliable fixation were still hard for orthopedist. Our aim was to explore the significance of 3D printing technology as a new method for minimally invasive cannulated screw treatment of unstable pelvic fracture...
April 4, 2018: Journal of Orthopaedic Surgery and Research
https://www.readbyqxmd.com/read/29597270/prediction-of-tibial-rotation-pathologies-using-particle-swarm-optimization-and-k-means-algorithms
#12
Murat Sari, Can Tuna, Serkan Akogul
The aim of this article is to investigate pathological subjects from a population through different physical factors. To achieve this, particle swarm optimization (PSO) and K-means (KM) clustering algorithms have been combined (PSO-KM). Datasets provided by the literature were divided into three clusters based on age and weight parameters and each one of right tibial external rotation (RTER), right tibial internal rotation (RTIR), left tibial external rotation (LTER), and left tibial internal rotation (LTIR) values were divided into three types as Type 1, Type 2 and Type 3 (Type 2 is non-pathological (normal) and the other two types are pathological (abnormal)), respectively...
March 28, 2018: Journal of Clinical Medicine
https://www.readbyqxmd.com/read/29595101/orthopedic-aspects-of-the-diabetic-foot
#13
E J A Tijdens-Creusen, Paul C Jutte, W M H H Schoumakers, M M Van der Klauw, Marjan Wouthuyzen-Bakker
Background Diabetes Mellitus (DM) is a common medical condition affecting more than 6% of the world population. Besides well-known pathology like diabetic retinopathy and renal insufficiency, it carries important orthopedic implications, especially around the foot and ankle (diabetic foot). Focus This article focusses on the three major areas confronting the orthopedist: 1) changes in foot statics and biology leading to ulceration with or without osteomyelitis, 2) ankle fractures, particularly complications after a fracture and 3) Charcot foot...
March 28, 2018: Current Pharmaceutical Design
https://www.readbyqxmd.com/read/29589171/lowered-dose-full-spine-radiography-in-pediatric-patients-with-idiopathic-scoliosis
#14
Caroline Ernst, Nico Buls, Armand Laumen, Gert Van Gompel, Filip Verhelle, Johan de Mey
PURPOSE: To optimize our standard full-spine radiography with respect to diagnostic quality and dose. METHODS: A phantom study was performed to establish an optimal posterior-anterior view (PA) full spine protocol having the lowest dose with non-inferior quality compared to standard. We then applied this protocol in 40 pediatric patients (group B). The radiographs were scored on six criteria by a pediatric radiologist and orthopedist and compared to the scores of 40 PA full spine radiographs performed in 2013 with standard protocol (group A)...
March 27, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29577791/automated-detection-and-classification-of-the-proximal-humerus-fracture-by-using-deep-learning-algorithm
#15
Seok Won Chung, Seung Seog Han, Ji Whan Lee, Kyung-Soo Oh, Na Ra Kim, Jong Pil Yoon, Joon Yub Kim, Sung Hoon Moon, Jieun Kwon, Hyo-Jin Lee, Young-Min Noh, Youngjun Kim
Background and purpose - We aimed to evaluate the ability of artificial intelligence (a deep learning algorithm) to detect and classify proximal humerus fractures using plain anteroposterior shoulder radiographs. Patients and methods - 1,891 images (1 image per person) of normal shoulders (n = 515) and 4 proximal humerus fracture types (greater tuberosity, 346; surgical neck, 514; 3-part, 269; 4-part, 247) classified by 3 specialists were evaluated. We trained a deep convolutional neural network (CNN) after augmentation of a training dataset...
March 26, 2018: Acta Orthopaedica
https://www.readbyqxmd.com/read/29547944/has-current-french-training-for-military-orthopedic-surgeons-deployed-in-external-operations-been-appropriately-adapted
#16
Olivier Barbier, Maelle Racle
Introduction: The current evolution of surgical practices is increasingly trending toward hyper-specialization. For military surgeons, their practice in France does not differ from their civilian counterparts. In contrast, in external operations, they have to deal with specific war injuries in austere conditions. They are also required to take care of local populations. Therefore, specific training is necessary, and the French Military Health Service Academy (Ecole du Val-de-Grâce) Paris has set up a specific training called Advanced Course for Deployment Surgery (ACDS) in 2007...
March 14, 2018: Military Medicine
https://www.readbyqxmd.com/read/29537959/evaluation-and-management-of-pediatric-bone-lesions
#17
Alan T Blank, Norman Y Otsuka, Timothy B Rapp
Bone abnormalities on pediatric radiographs are not uncommon findings for both the general orthopedist as well as the specialist. Although the majority of lesions encountered are benign, the treating physician should also be aware of more concerning diagnoses. General orthopedists and pediatric orthopedists should exhibit a basic level of comfort with working up and diagnosing these benign lesions. When evaluating the pediatric patient with a bone lesion it is crucial to keep in mind important aspects of the clinical history, physical exam, and radiographic findings...
March 2018: Bulletin of the Hospital for Joint Diseases
https://www.readbyqxmd.com/read/29499822/evidence-based-review-of-distal-radius-fractures
#18
REVIEW
Benjamin M Mauck, Colin W Swigler
Distal radius fractures are one of the most commonly treated fractures in the United States. The highest rates are seen among the elderly, second only to hip fractures. With the increasing aging population these numbers are projected to continue to increase. Distal radius fractures include a spectrum of injury patterns encountered by general practitioners and orthopedists alike. This evidence-based review of distal radius fractures incorporates current and available literature on the diagnosis, management, and treatment of fractures of the distal radius...
April 2018: Orthopedic Clinics of North America
https://www.readbyqxmd.com/read/29452295/what-types-of-treatment-are-provided-for-patients-with-carpal-tunnel-syndrome-a-retrospective-analysis-of-commercial-insurance
#19
Nancy A Baker, Joel Stevans, Lauren Terhorst, Allen M Haas, Yong-Fan Kuo, Soham Al Snih
BACKGROUND: Treatment of carpal tunnel syndrome (CTS) in commercially insured patients across the spectrum of provider types rarely has been described. OBJECTIVE: To describe patterns of types of treatment for patients with CTS using a large commercial insurance database. DESIGN: Retrospective cohort descriptive study. SETTING: Administrative health data from the Clinformatics Data Mart (OptumInsight, Eden Prairie, MN)...
February 13, 2018: PM & R: the Journal of Injury, Function, and Rehabilitation
https://www.readbyqxmd.com/read/29433860/surgical-deserts-in-california-an-analysis-of-access-to-surgical-care
#20
Tarsicio Uribe-Leitz, Micaela M Esquivel, Naomi Y Garland, Kristan L Staudenmayer, David A Spain, Thomas G Weiser
BACKGROUND: Areas of minimal access to surgical care, often called "surgical deserts", are of particular concern when considering the need for urgent surgical and anesthesia care. We hypothesized that California would have an appropriate workforce density but that physicians would be concentrated in urban areas, and surgical deserts would exist in rural counties. METHODS: We used a benchmark of six general surgeons, six orthopedists, and eight anesthesiologists per 100,000 people per county to define a "desert"...
March 2018: Journal of Surgical Research
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