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https://www.readbyqxmd.com/read/29681436/compatibility-of-lauge-hansen-classification-between-plain-radiographs-and-magnetic-resonance-imaging-in-ankle-fractures
#1
Haluk Çabuk, Filiz Çelebi, Yunus İmren, Süleyman Semih Dedeoğlu, Mustafa Çağlar Kır, Abdullah Faruk Uyanık, Hakan Gürbüz
We evaluated the accuracy of the predictive injury sequences of the Lauge-Hansen (L-H) classification using magnetic resonance imaging (MRI) in patients with ankle fractures and determined the possible causes of mismatch. Sixty-five patients with ankle fractures who had a complete series of anteroposterior, lateral, and oblique radiographs and ankle MRI studies available were included. The fracture pattern was assigned by 2 senior orthopedic surgeons according to the L-H classification system. The syndesmotic ligaments, lateral collateral ligaments, and medial deltoid complex ligaments were evaluated on the preoperative MRI scans...
April 19, 2018: Journal of Foot and Ankle Surgery: Official Publication of the American College of Foot and Ankle Surgeons
https://www.readbyqxmd.com/read/29681163/patterns-of-narcotic-prescribing-by-orthopedic-surgeons-for-medicare-patients
#2
Matthew R Boylan, Kelly I Suchman, James D Slover, Joseph A Bosco
In recent years, narcotics have been subject to increased regulation and monitoring because of their side effects and potential for misuse. Currently, variation in prescribing patterns of narcotics among orthopedic surgeons is unknown. The Medicare Part D claims database was used to identify orthopedic surgeons who prescribed at least one schedule II or III narcotic during 2014. The median duration of a narcotic prescription was 8.2 days. The median prescription duration was shortest for hand surgeons (5.6 days) and longest for spine surgeons (12...
April 1, 2018: American Journal of Medical Quality: the Official Journal of the American College of Medical Quality
https://www.readbyqxmd.com/read/29678713/posterior-fossa-epidural-hematomas-a-rare-but-serious-complication-of-occipito-cervical-fusion-surgery
#3
Chang Rong Zhu, Jianhua Wang, Dai Jianqiang, Kun Chen, Xia Hong
BACKGROUND: Posterior occipito-cervical fusion surgery is a commonly used surgical method to treat various craniovertebral junction pathologies. Though it is an effective method, there also have been some reports about complications of occipito-cervical fusion. However, there have been no reports about posterior fossa epidural hematomas after occipito-cervical fusion. CASE DESCRIPTION: A 44-year-old female was referred to our Hospital with a 6-month history of neck pain and numbness limbs for 2 months...
April 17, 2018: World Neurosurgery
https://www.readbyqxmd.com/read/29667719/occupational-health-hazards-in-the-interventional-laboratory-time-for-a-safer-environment
#4
Lloyd W Klein, Donald L Miller, Stephen Balter, Warren Laskey, Neil Naito, David Haines, Allan Ross, Matthew A Mauro, James A Goldstein
Over the past 30 years, the advent of fluoroscopically guided interventional procedures has resulted in dramatic increments in both X-ray exposure and physical demands that predispose interventionists to distinct occupational health hazards. The hazards of accumulated radiation exposure have been known for years, but until recently the other potential risks have been ill-defined and under-appreciated. The physical stresses inherent in this career choice appear to be associated with a predilection to orthopedic injuries, attributable in great part to the cumulative adverse effects of bearing the weight and design of personal protective apparel worn to reduce radiation risk and to the poor ergonomic design of interventional suites...
January 4, 2018: Catheterization and Cardiovascular Interventions
https://www.readbyqxmd.com/read/29664759/characteristics-of-medical-professional-liability-claims-in-pediatric-orthopedics
#5
Jessica Burns, M Wade Shrader, Carla Boan, Mohan Belthur
OBJECTIVES: Medical malpractice is burdensome to the U.S. healthcare system. The following is an epidemiological analysis of the closed medical professional liability (MPL) claims in pediatric orthopedics using data maintained by the Physician Insurers Association of America. METHODS: The Physician Insurers Association of America registry of MPL claims from 1985 to 2013 for all specialties included 286,021 closed claims in the United States. All closed MPL claims for orthopedic surgery in patients younger than 18 years were retrospectively reviewed (N = 2,671)...
April 16, 2018: Journal of Patient Safety
https://www.readbyqxmd.com/read/29664339/general-practitioners-referring-adults-to-mr-imaging-for-knee-pain-a-randomized-controlled-trial-to-assess-cost-effectiveness
#6
Kim van Oudenaarde, Nynke M Swart, Johan L Bloem, Sita M A Bierma-Zeinstra, Paul R Algra, Patrick J E Bindels, Bart W Koes, Rob G H H Nelissen, Jan A N Verhaar, Pim A J Luijsterburg, Monique Reijnierse, Wilbert B van den Hout
Purpose To determine the cost-effectiveness of early referral by the general practitioner for magnetic resonance (MR) imaging compared with usual care alone in patients aged 18-45 years with traumatic knee symptoms. Materials and Methods Cost-utility analysis was performed parallel to a prospective multicenter randomized controlled trial in Dutch general practice. A total of 356 patients with traumatic knee symptoms were included from November 2012 to December 2015 (mean age, 33 years ± 8 [standard deviation]; 222 men [62%])...
April 17, 2018: Radiology
https://www.readbyqxmd.com/read/29658978/innovation-and-entrepreneurship-perspectives-from-orthopedic-surgery
#7
Kevin J Campbell, Philip K Louie, Derek A Khorsand, Nicholas B Frisch, Tad L Gerlinger, Brett R Levine
Orthopedic surgeons are tasked with treating complex patients while employing critical surgical skills, clinical knowledge, and new technologies. The constant inundation of information, coupled with hours in the hospital setting, provides unique perspectives on various aspects of how health care is delivered, thereby creating a milieu ripe for innovation. The rigors of an orthopedic career make it challenging for physicians to translate an idea into a great product. Through the authors' experiences at a tertiary orthopedic practice, they review the process of taking an idea from concept to fruition...
April 16, 2018: Orthopedics
https://www.readbyqxmd.com/read/29657438/red-blood-cell-distribution-width-rdw-and-its-potential-significance-to-orthopedic-surgeons
#8
Austin D Williams, Sarah Jaroudi, Alan N Peiris
No abstract text is available yet for this article.
March 2018: Journal of Orthopaedics
https://www.readbyqxmd.com/read/29652173/a-review-of-commercially-available-point-of-care-devices-to-concentrate-bone-marrow-for-the-treatment-of-osteoarthritis-and-focal-cartilage-lesions
#9
Florian Gaul, William D Bugbee, Heinz R Hoenecke, Darryl D D'Lima
Objective Mesenchymal stem cells (MSCs) are a promising cell-based therapy treatment option for several orthopedic indications. Because culture expansion of MSC is time and cost intensive, a bedside concentration of bone marrow (BM) aspirate is used as an alternative. Many commercial systems are available but the available literature and knowledge regarding these systems is limited. We compared different point-of-care devices that concentrate BM (BMC) by focusing on technical features and quality parameters to help surgeons make informed decisions while selecting the appropriate device...
April 1, 2018: Cartilage
https://www.readbyqxmd.com/read/29644103/morphometric-study-of-the-semitendinosus-muscle-and-its-neurovascular-pedicles-in-south-indian-cadavers
#10
Rajanigandha Vadgaonkar, Manoor Dass Prameela, Bukkambudhi Virupakshamurthy Murlimanju, Mamatha Tonse, Chettiar Ganesh Kumar, Amit Massand, Vandana Blossom, Latha Venkatraya Prabhu
The purpose of this study was to determine the length of the semitendinosus muscle belly and its tendon in South Indian population and to study the topography and diameter of its neurovascular pedicles. The study included 46 formalin fixed human cadaveric lower limbs. The length of the semitendinosus muscle belly and its tendon were measured. The neurovascular pedicles of the semitendinosus muscle were identified and counted. The diameter of the neurovascular pedicle was measured just before its entrance into the semitendinosus muscle...
March 2018: Anatomy & Cell Biology
https://www.readbyqxmd.com/read/29628701/management-of-growth-arrest-current-practice-and-future-directions
#11
REVIEW
Sherif Dabash, Gautham Prabhakar, Eric Potter, Ahmed M Thabet, Amr Abdelgawad, Stephen Heinrich
Introduction: Premature growth arrest can pose a challenge to the orthopedic surgeon. Various options for treating physeal arrest exist. Methods: Systematic searches were conducted on PubMed/Medline, ScienceDirect, OVID, and Cochrane Library. Secondary searching was performed, where certain articles from reference lists of the selected studies were reviewed that were not found in the primary search. Results: This review article discusses the different methods of management for premature growth arrest...
March 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29628690/the-top-10-arthroplasty-articles-published-in-last-10-years-by-indian-authors
#12
REVIEW
Raju Vaishya, Mohit Kumar Patralekh, Anuj Raj Bijukchhe, Abhishek Vaish, Vipul Vijay, Amit Kumar Agarwal
Joint replacement surgery is becoming increasingly popular globally and recently,​in India. The phenomenon of medical tourism has also contributed to increasing number of arthroplasty surgeries being done every year in our country. The surgeons who work in this highly specialized field of orthopedic surgery, have been publishing their research work in reputed journals. In this paper, we have discussed the most cited Indian papers in the field of arthroplasty. It was observed that publications in high impact and reputed journals attract more citations and therefore it is recommended that the 'good' scientific research work should preferably be submitted to these journals to create greater impact and awareness about ones' research...
January 2018: Journal of Clinical Orthopaedics and Trauma
https://www.readbyqxmd.com/read/29628197/bundled-payments-for-care-improvement-in-the-private-sector-a-win-for-everyone
#13
Jared S Preston, Darleen Caccavale, Amy Smith, Lauren E Stull, David A Harwood, Stephen Kayiaros
BACKGROUND: To help slow the rising costs associated with total joint arthroplasty (TJA), the Centers for Medicare and Medicaid Services introduced the Bundled Payments for Care Improvement (BPCI) initiative. The purpose of this study is to report our 1-year experience with BPCI in our 2 arthroplasty surgeon private practice. METHODS: In this series, a historical baseline group is compared with our first year under BPCI. We reviewed the cohorts with respect to hospital length of stay (LOS), readmission rates, discharge disposition, postacute care LOS, and overall savings on a per episode basis...
March 14, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29626280/automated-muscle-segmentation-from-ct-images-of-the-hip-and-thigh-using-a-hierarchical-multi-atlas-method
#14
Futoshi Yokota, Yoshito Otake, Masaki Takao, Takeshi Ogawa, Toshiyuki Okada, Nobuhiko Sugano, Yoshinobu Sato
PURPOSE: Patient-specific quantitative assessments of muscle mass and biomechanical musculoskeletal simulations require segmentation of the muscles from medical images. The objective of this work is to automate muscle segmentation from CT data of the hip and thigh. METHOD: We propose a hierarchical multi-atlas method in which each hierarchy includes spatial normalization using simpler pre-segmented structures in order to reduce the inter-patient variability of more complex target structures...
April 6, 2018: International Journal of Computer Assisted Radiology and Surgery
https://www.readbyqxmd.com/read/29623237/cementless-stem-for-femoral-neck-fractures-in-a-patient-s-10th-decade-of-life-high-rate-of-periprosthetic-fractures
#15
Method Kabelitz, Yannick Fritz, Patrick Grueninger, Christoph Meier, Patrick Fries, Michael Dietrich
Background: Subsidence of cementless femoral stems in hemiarthroplasty (HA) and increased fracture rates are ongoing concerns of orthopedic surgeons when treating fractures in very old patients. Additionally, bone cement implantation syndrome may result in perioperative cardiac or pulmonary complications, especially in older patients, leading to morbidity and mortality. This study was performed to analyze possible subsidence and intraoperative fractures in a cohort of very old patients treated with cementless stems...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29619275/operative-trends-in-the-treatment-of-hip-fractures-and-the-role-of-arthroplasty
#16
Luis Grau, Spencer Summers, Dustin H Massel, Samuel Rosas, Alvin Ong, Victor Hugo Hernandez
Introduction: There is a projected exponential increase in the number of hip fractures in the United States. Trends in patient demographics and the role of total hip arthroplasty (THA) and its associated outcomes following hip fractures surgery have not been well studied. Methods: Patients with proximal femur fractures between 1990 and 2007 were identified in the National Hospital Discharge Survey database. Demographics, comorbidities, perioperative complications, and discharge status for patients undergoing THA, hemiarthroplasty, or internal fixation were examined...
2018: Geriatric Orthopaedic Surgery & Rehabilitation
https://www.readbyqxmd.com/read/29615376/the-22-modifier-in-reimbursement-for-orthopedic-procedures-hip-arthroplasty-and-obesity-are-worth-the-effort
#17
Eric L Smith, David J Tybor, Hayley D Daniell, Laura A Naccarato, Mary E Pevear, Charles Cassidy
BACKGROUND: Orthopedic surgeons utilize the 22-modifier when billing for complex procedures under the American Medical Association's Current Procedural Terminology (CPT) for reasons such as excessive blood loss, anatomic abnormality, and morbid obesity, cases that would ideally be reimbursed at a higher rate to compensate for additional physician work and time. We investigated how the 22-modifier affects physician reimbursement in knee and hip arthroplasty. METHODS: We queried hospital billing data from 2009 to 2016, identifying all cases performed at our urban tertiary care orthopedic center for knee arthroplasty (CPT codes 27438, 27447, 27487, and 27488) and hip arthroplasty (CPT codes 27130, 27132, 27134, 27236)...
February 21, 2018: Journal of Arthroplasty
https://www.readbyqxmd.com/read/29615032/the-impact-of-varus-angulation-on-proximal-fractures-of-the-ulna
#18
Xuchao Shi, Tianlong Pan, Dengying Wu, Rong Chen, Zeng Lin, Jun Pan
BACKGROUND: We studied anteromedial varus angulation (VA) in the proximal third of the ulna. The importance of restoration of the anatomical orientation of the ulnar after a proximal fracture is unclear. The purpose of this study was to evaluate the impact of minimal proximal ulna malunion on elbow function after a proximal ulna fracture. METHODS: We reviewed the follow-up of 60 patients who had undergone open reduction with internal fixation (ORIF) of a proximal fracture of the ulna...
April 4, 2018: BMC Musculoskeletal Disorders
https://www.readbyqxmd.com/read/29609892/communication-skills-training-for-surgical-residents-learning-to-relate-to-the-needs-of-older-adults
#19
Linda Roberts, Charles Cornell, Mathias Bostrom, Sandra Goldsmith, Titilayo Ologhobo, Timothy Roberts, Laura Robbins
BACKGROUND: It is vital for physicians and surgeons to communicate successfully with older adults, who will constitute one-fifth of the US population by 2030. Older adults often perceive themselves as stigmatized and powerless in healthcare settings. Effective communication leads to better patient compliance and satisfaction, which is now a component of Medicare hospital reimbursement and physician and surgeon compensation from hospitals and networks. OBJECTIVE: To increase orthopaedic surgery resident understanding of the unique needs of older adults in order to maintain effective and sensitive communication with this vulnerable population...
March 30, 2018: Journal of Surgical Education
https://www.readbyqxmd.com/read/29600335/radiation-exposure-for-intraoperative-3d-scans-in-a-hybrid-operating-room-how-to-reduce-radiation-exposure-for-the-surgical-team
#20
K Schuetze, M Kraus, A Eickhoff, F Gebhard, P H Richter
BACKGROUND: Hybrid operating rooms are used in different fields of surgery. In orthopedic surgery, the possibility of a 3D scan of difficult anatomical regions (spine, pelvis) showed promising results not only in navigated screw placement. The associated exposure to radiation raises questions regarding potential risks for the operating room personal and the patient. The present study focuses on scatter radiation during 3D scans in a hybrid operating room, the adjacent rooms, and methods to reduce radiation exposure...
March 29, 2018: International Journal of Computer Assisted Radiology and Surgery
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