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https://www.readbyqxmd.com/read/29455514/-current-knowledge-in-the-treatment-of-anterolateral-ligament-injury-of-knees
#1
REVIEW
Yu-Qing Zeng, Jin-Tao Hu, Jun-Ming Wan, Fu-Hua Zhong, Bin-Feng Jiang, Jian-Fang Zhang, Jian-Wei Lu
Although the function of the anterolateral stabilizing structures of the knee in the anterior cruciate ligament (ACL) injuries has been recognized since many years, most of orthopedic surgeons do not take the anterolateral structure into consideration when performing an ACL reconstruction. Anatomic ACL reconstruction will improve knee stability, but a small subset of patients may experience some residual anteroposterior and rotational instability. For this reason, some researchers have paid attention to the anterolateral aspects of the knee, especially the anterolateral ligament...
August 25, 2017: Zhongguo Gu Shang, China Journal of Orthopaedics and Traumatology
https://www.readbyqxmd.com/read/29455094/emodin-attenuates-titanium-particle-induced-osteolysis-and-rankl-mediated-osteoclastogenesis-through-the-suppression-of-ikk-phosphorylation
#2
Juehong Li, Yamin Li, Xiaochun Peng, Bin Li, Xiangwei Yuan, Yunsu Chen
Aseptic loosening due to wear particles is a serious challenge for orthopedic surgeons, sabotaging the long-term success of total joint arthroplasty. The existing treatments for aseptic loosening are still far from satisfactory, necessitating more aggressive drug exploration. Here, we examined the effect of emodin on titanium particle-induced osteolysis and further investigated its underlying mechanism in vivo and in vitro. Thirty-two C57BL/6 mice were randomly assigned into four groups: the Sham group (sham operation with vehicle injection), Vehicle group (titanium particle treatment with vehicle injections), Low group (titanium particle treatment with injections of 10 mg/kg/day emodin) and High group (titanium particle treatment with injections of 50 mg/kg/day emodin)...
February 15, 2018: Molecular Immunology
https://www.readbyqxmd.com/read/29454974/proof-of-patient-information-analysis-of-201-judicial-decisions
#3
E Dugleux, H Rached, C Rouge-Maillart
INTRODUCTION: The ruling by the French Court of Cassation dated February 25, 1997 obliged doctors to provide proof of the information given to patients, reversing more than half a century of case law. In October 1997, it was specified that such evidence could be provided by "all means", including presumption. No hierarchy in respect of means of proof has been defined by case law or legislation. The present study analyzed judicial decisions with a view to determining the means of proof liable to carry the most weight in a suit for failure to provide due patient information...
February 15, 2018: Orthopaedics & Traumatology, Surgery & Research: OTSR
https://www.readbyqxmd.com/read/29451938/the-management-of-cerebrospinal-fluid-leak-after-anterior-cervical-decompression-surgery
#4
Jiliang Zhai, Ripul R Panchal, Ye Tian, Shujie Wang, Lijuan Zhao
Cerebrospinal fluid (CSF) leak is a rare but potentially troublesome and occasionally catastrophic complication after anterior cervical decompression surgery. There is limited literature describing this complication, and the management of CSF leak varies. The aim of this study was to retrospectively review the treatment of cases with CSF leak and develop a management algorithm. A series of 14 patients with CSF leak from January 2011 to May 2016 were included in this study. Their characteristics, management of CSF leak, and outcomes were documented...
February 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29443836/course-review-aotrauma-hand-fixation-for-surgeons
#5
Devvrat Katechia, Abdulla Ibrahim
Hand trauma forms an important part of plastic surgery and orthopedic training curricula. Although numerous practical hand trauma courses exist, there is always difficulty in achieving the right balance between educational content and practical workshops. AOTrauma-Hand Fixation for Surgeons is a 2.5-day course for plastic surgery and orthopedic trainees that aims to instill the principles of hand fracture fixation and soft tissue coverage through self-directed learning, lectures, small group discussion, and dry bone practical workshops...
February 13, 2018: Annals of Plastic Surgery
https://www.readbyqxmd.com/read/29433860/surgical-deserts-in-california-an-analysis-of-access-to-surgical-care
#6
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
https://www.readbyqxmd.com/read/29431299/clinical-knee-alignment-among-adolescents-and-association-with-body-mass-index-a-large-prevalence-study
#7
Noam Shohat, Yossy Machluf, Rivka Farkash, Aharon S Finestone, Yoram Chaiter
BACKGROUND: Children and adolescents are commonly referred to an orthopedic surgeon to assess knee malalignment. OBJECTIVES: To assess the prevalence of genu varum and valgum among adolescents, and to identify correlates of these conditions. METHODS: A medical database of 47,588 candidates for military service presenting to the northern recruitment center during an 11 year period was analyzed to identify clinical knee alignment. Based on the standing skin surface intercondylar distance (ICD) or intermalleolar distance (IMD), the prevalence rates of genu varum (ICD ≥ 3 cm) and genu valgum (IMD ≥ 4 cm) were calculated...
February 2018: Israel Medical Association Journal: IMAJ
https://www.readbyqxmd.com/read/29430499/translation-and-validation-of-the-persian-version-the-boston-carpal-tunnel-syndrome-questionnaire
#8
Golnaz Ghayyem Hassankhani, Ali Moradi, Ali Birjandinejad, Ehsan Vahedi, Amir R Kachooei, Mohammad H Ebrahimzadeh
Background: Carpal tunnel syndrome (CTS) is recognized as the most common type of neuropathies. Questionnaires are the method of choice for evaluating patients with CTS. Boston Carpal Tunnel Syndrome (BCTS) is one of the most famous questionnaires that evaluate the functional and symptomatic aspects of CTS. This study was performed to evaluate the validity and reliability of the Persian version of BCTS questionnaire. Methods: First, both parts of the original questionnaire (Symptom Severity Scale and Functional Status Scale) were translated into Persian by two expert translators...
January 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29430493/preoperative-sterilization-preparation-of-the-shoulder-a-comparative-study-evaluating-gauze-sponge-and-commercially-available-applicator-prep-stick
#9
Usman Ali M Syed, Adam J Seidl, Ryan A Hoffman, Justin Bianchini, Pedro K Beredjiklian, Joseph A Abboud
Background: Surgical site infection (SSI) remains a concern in shoulder surgery, especially during arthroplasty. While many studies have explored the characteristics and efficacy of different sterilizing solutions, no study has evaluated the method of application. The purpose of this study was to compare two popular pre-surgical preparatory applications (two 4 x 4 cm gauze sponges and applicator stick) in their ability to cover the skin of the shoulder. Methods: Two orthopedic surgeons simulated the standard pre-surgical skin preparation on 22 shoulders of volunteer subjects...
January 2018: Archives of Bone and Joint Surgery
https://www.readbyqxmd.com/read/29427011/self-learning-computers-for-surgical-planning-and-prediction-of-postoperative-alignment
#10
Renaud Lafage, Sébastien Pesenti, Virginie Lafage, Frank J Schwab
PURPOSE: In past decades, the role of sagittal alignment has been widely demonstrated in the setting of spinal conditions. As several parameters can be affected, identifying the driver of the deformity is the cornerstone of a successful treatment approach. Despite the importance of restoring sagittal alignment for optimizing outcome, this task remains challenging. Self-learning computers and optimized algorithms are of great interest in spine surgery as in that they facilitate better planning and prediction of postoperative alignment...
February 9, 2018: European Spine Journal
https://www.readbyqxmd.com/read/29422812/hyperbaric-oxygen-therapy-for-pyoderma-gangrenosum-associated-with-ulcerative-colitis
#11
Hyun Il Seo, Hyun-Ju Lee, Koon Hee Han
Pyoderma gangrenosum (PG), an ulcerating skin condition, is rare in patients with ulcerative colitis (UC). We report a case of successful treatment of PG in a patient with UC using hyperbaric oxygen therapy (HBOT). The patient had UC that was in remission following treatment with mesalazine and azathioprine therapy. After visiting an orthopedic clinic, the patient opted for treatment with antibiotics and daily dressing of the ulcerative skin lesions, while azathioprine was discontinued. However, the lesions did not improve...
January 2018: Intestinal Research
https://www.readbyqxmd.com/read/29422329/radiographic-cobb-angle-a-feature-of-congenital-lumbar-spine-stenosis
#12
Falgun H Chokshi, Nadja Kadom, Nishant Dwivedi, Suprateek Kundu, Ahmed Y Moussa, Chadi Tannoury, Tony Tannoury
PURPOSE: A low cost, reproducible radiographic method of diagnosing congenital lumbar spinal stenosis (CLSS) is lacking. We hypothesized that the Cobb angle for lumbar lordosis would be smaller in patients with CLSS, based on observations in our spine clinic patient population. Here, we compared lumbar lordosis Cobb angles with the radiographic ratio method in patients with normal spine imaging, degenerative spinal stenosis, and with CLSS. MATERIALS AND METHODS: Orthopedic surgeons categorized patients with low back pain as "Normal," "Degenerative spinal stenosis," and "CLSS" based on clinical presentation and findings on lumbar magnetic resonance imaging...
January 11, 2018: Current Problems in Diagnostic Radiology
https://www.readbyqxmd.com/read/29420806/a-history-of-shoulder-instability-in-the-military-where-we-have-been-and-what-we-have-learned
#13
Jared A Wolfe, Daniel L Christensen, Timothy C Mauntel, Brett D Owens, Lance E LeClere, Jonathan F Dickens
Introduction: Shoulder instability is one of the most common pathologies seen by the orthopedic sports medicine surgeon. With a uniquely young, high-demand patient population in the U.S. Military, the incidence of shoulder instability is remarkably more common than the civilian population. As such, military orthopedic surgeons and sports medicine and shoulder specialists have developed a unique understanding and experience of shoulder instability. The historical advances of shoulder instability in the military have been instrumental in understanding the epidemiology, evaluation, pathology, treatment of first-time shoulder subluxations and dislocations, operative and non-operative treatment options, arthroscopic and open stabilization methods, management of the in-season athlete, treatment of combined and circumferential labral pathology, and associated pathology...
February 6, 2018: Military Medicine
https://www.readbyqxmd.com/read/29417079/prescription-pattern-analysis-of-nonsteroidal-anti-inflammatory-drugs-in-the-northeastern-iranian-population
#14
Majid Zeinali, Jamshid Tabeshpour, Seyed Vahid Maziar, Zhila Taherzadeh, Mohammad Reza Zirak, Danielle Sent, Kamal Razavi Azarkhiavi, Saeid Eslami
Objective: Inappropriate nonsteroidal anti-inflammatory drugs (NSAIDs) therapy is a common cause of actual and potential adverse effects, such as bleeding and gastrointestinal ulceration, which exacerbates the patient's medical condition and might even be life threatening. We aimed to evaluate and analyze the prescription pattern of NSAIDs in Northeastern Iranian population and also provide suggestions for a more rational prescription behavior for such drugs. Methods: In this cross-sectional retrospective study, pattern of 1-year prescriptions was inspected based on 9...
October 2017: Journal of Research in Pharmacy Practice
https://www.readbyqxmd.com/read/29416166/navigation-in-musculoskeletal-oncology-an-overview
#15
Guy Vernon Morris, Jonathan D Stevenson, Scott Evans, Michael C Parry, Lee Jeys
Navigation in surgery has increasingly become more commonplace. The use of this technological advancement has enabled ever more complex and detailed surgery to be performed to the benefit of surgeons and patients alike. This is particularly so when applying the use of navigation within the field of orthopedic oncology. The developments in computer processing power coupled with the improvements in scanning technologies have permitted the incorporation of navigational procedures into day-to-day practice. A comprehensive search of PubMed using the search terms "navigation", "orthopaedic" and "oncology" yielded 97 results...
January 2018: Indian Journal of Orthopaedics
https://www.readbyqxmd.com/read/29410173/knowledge-and-attitude-regarding-radiation-exposure-amongst-spine-surgeons-latin-america
#16
Asdrubal Falavigna, Miguel Bertelli Ramos, Alexandre Sadao Iutaka, Cristiano Magalhães Menezes, Juan Emmerich, Nestor Taboada, K Daniel Riew
OBJECTIVE: Spine surgeons are exposed to high amounts of radiation from fluoroscopic procedures during their lifetime. The objective is to evaluate spine surgeons' knowledge and attitude regarding radiation exposure during spine surgery. METHODS: We developed a questionnaire encompassing questions about surgeon's characteristics and surgeon's knowledge and attitude regarding radiation exposure during spine surgery. A survey was performed with the members of AOSpine Latin America...
January 31, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29409262/foot-and-ankle-infections-debridement-early-fixation-and-rifampicin-provide-earlier-recovery-of-function-and-quality-of-life
#17
Daniel Pérez-Prieto, María E Portillo, Gemma González-Lucena, Alberto Ginés-Cespedosa
BACKGROUND: Infection after foot and ankle fractures is a major concern for orthopedic surgeons. It is widely believed that final osteosynthesis should be delayed until the infection is cured. However, there is no literature that supports this practice. In addition, the delay impairs patient function and quality of life (QoL). METHODS: In the present study, four cases of ankle infection treated with aggressive debridement, early fixation and antibiofilm antibiotics are described...
August 4, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409195/anterolateral-talar-palpation-a-complementary-test-for-ankle-instability
#18
João Ellera Gomes, Arthur F Soares, Carlos E Bastiani, Jacqueline Vieira de Castro
BACKGROUND: The anterior drawer test is traditionally used to assess ankle instability, but we believe that there is room for a small but effective improvement by adding digital palpation of the talus. We aimed to determine the accuracy of anterolateral talar palpation (ATP) in the diagnosis of ankle instability by comparing it with the traditional anterior drawer test. METHODS: Fourteen symptomatic and 10 asymptomatic patients were examined for excessive mobility through comparison of both ankles by two blinded orthopedic surgeons, each one using one of the above-mentioned tests...
June 6, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29409190/clinical-presentation-and-surgical-management-of-chronic-achilles-tendon-disorders-a-retrospective-observation-on-a-set-of-consecutive-patients-being-operated-by-the-same-orthopedic-surgeon
#19
Håkan Alfredson, Christoph Spang
BACKGROUND: Non-invasive treatment is not always successful in patients with Achilles tendon disorders, and surgical treatment is instituted as the next step. There is sparse knowledge about the diagnoses, pain levels before surgery, surgically confirmed pathologies and postoperative complications in large patient groups. AIMS: To study the diagnoses, pain scores before surgery, macroscopic surgical findings and postoperative complications in a series of patients treated for Achilles disorders...
June 12, 2017: Foot and Ankle Surgery: Official Journal of the European Society of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29408945/collaborations-with-pediatric-hospitalists-national-surveys-of-pediatric-surgeons-and-orthopedic-surgeons
#20
Rebecca E Rosenburg, Joshua A Abzug, David I Rappaport, Mark A Mazziotti, M Wade Shrader, David Zipes, Benedict Nwomeh, Lisa McLeod
To understand characteristics of pediatric hospitalist (PH) involvement in the care of children admitted to surgical services and explore surgeons' perspectives of PH effectiveness, we conducted a cross-sectional, web-based survey of pediatric surgical (PS) and pediatric orthopedic subspecialists (OS) from professional organizations. We used basic analyses to compare responses between the 2 surgical groups. The initial response rate was 48% (291/606) for PS and 59% (415/706) for OS. Among 185 PS and 212 OS unique programs, PH were routinely engaged (69% and 75%) in the care of surgical patients, particularly in patients with medical complexity (64% PS vs 81% OS; P = ...
February 6, 2018: Journal of Hospital Medicine: An Official Publication of the Society of Hospital Medicine
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