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Orthopaedic Reviews

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213 papers 500 to 1000 followers Recent review articles in orthopaedic journals
By Nicholas Trasolini Stony Brook University Medical Student
Emilie Cheung, Matthew Willis, Matthew Walker, Rachel Clark, Mark A Frankle
Reverse total shoulder arthroplasty was initially used to manage complex shoulder problems. Indications have been expanded to include rotator cuff arthropathy, massive rotator cuff tear, failed shoulder arthroplasty, and fracture sequelae. Increased use of primary reverse total shoulder arthroplasty has led to reports of associated problems unique to the procedure. The most common complications include neurologic injury, periprosthetic fracture, hematoma, infection, scapular notching, dislocation, mechanical baseplate failure, and acromial fracture...
July 2011: Journal of the American Academy of Orthopaedic Surgeons
Philip Mulieri, Page Dunning, Steven Klein, Derek Pupello, Mark Frankle
BACKGROUND: The purpose of the present study was to evaluate the indications for, and outcomes of, reverse shoulder arthroplasty in patients with massive rotator cuff tears but without glenohumeral arthritis. METHODS: From December 1998 to December 2006, sixty-nine patients (seventy-two shoulders) were managed with reverse shoulder arthroplasty for the treatment of irreparable rotator cuff dysfunction without glenohumeral arthritis. The indications for reverse shoulder arthroplasty were persistent shoulder pain and dysfunction despite a minimum of six months of nonoperative treatment, the presence of at least a two-tendon tear, and Hamada stage-1, 2, or 3 changes in a patient for whom a non-arthroplasty option did not exist...
November 3, 2010: Journal of Bone and Joint Surgery. American Volume
Ryan E Dobbs, Arlen D Hanssen, David G Lewallen, Mark W Pagnano
BACKGROUND: There is relatively little information about quadriceps tendon tears after total knee arthroplasty. The purpose of this study was to determine the prevalence of this condition and the outcomes of patients who had a tear of the quadriceps tendon after a total knee arthroplasty. METHODS: From a cohort of 23,800 primary total knee arthroplasties, we identified twenty-four patients who had a rupture of the quadriceps tendon postoperatively. Ten additional patients had the total knee arthroplasty done elsewhere and were referred for care after sustaining a tear of the quadriceps tendon...
January 2005: Journal of Bone and Joint Surgery. American Volume
R C Wasielewski, L A Cooperstein, M P Kruger, H E Rubash
An anatomical and radiographic study was undertaken to determine the safest zones in the acetabulum for the transacetabular placement of screws during uncemented acetabular arthroplasty. To avoid injury to intrapelvic structures, which are not visible to the surgeon during placement of the screws, cadavera were studied to define the location of these structures with respect to fixed points of reference within the acetabulum. Four clinically useful acetabular quadrants were delineated. The quadrants are formed by drawing a line from the anterior superior iliac spine through the center of the acetabulum to the posterior fovea, forming acetabular halves...
April 1990: Journal of Bone and Joint Surgery. American Volume
Javad Parvizi, Elie Ghanem, Sarah Menashe, Robert L Barrack, Thomas W Bauer
No abstract text is available yet for this article.
December 2006: Journal of Bone and Joint Surgery. American Volume
Neil P Sheth, Charles L Nelson, Bryan D Springer, Thomas K Fehring, Wayne G Paprosky
As the number of primary total hip arthroplasty (THA) procedures performed continues to rise, the burden of revision THA procedures is also expected to increase. Proper evaluation and management of acetabular bone loss at the time of revision surgery will be an increasing challenge facing orthopaedic surgeons. Proper preoperative patient assessment and detailed preoperative planning are essential in obtaining a good clinical result. Appropriate radiographs are critical in assessing acetabular bone loss, and specific classification schemes can identify bone loss patterns and guide available treatment options...
March 2013: Journal of the American Academy of Orthopaedic Surgeons
Kishore Mulpuri, Kit M Song
No abstract text is available yet for this article.
March 2015: Journal of the American Academy of Orthopaedic Surgeons
Kevin G Shea, James L Carey
Management of Anterior Cruciate Ligament Injuries: Evidence-Based Guideline is based on a systematic review of the current scientific and clinical research. This guideline has been endorsed by the National Academy of Sports Medicine, the American Orthopaedic Society for Sports Medicine, the National Athletic Trainers' Association, and the American Academy of Physical Medicine and Rehabilitation. The guideline contains 20 recommendations, including both diagnosis and treatment. In addition, the work group highlighted the need for better research in the treatment of anterior cruciate ligament injuries...
May 2015: Journal of the American Academy of Orthopaedic Surgeons
Scott R Nodzo, Thomas Bauer, Paul S Pottinger, Grant E Garrigues, Hany Bedair, Carl A Deirmengian, John Segreti, Kevin J Blount, Imran M Omar, Javad Parvizi
Periprosthetic joint infection remains a clinical challenge with no benchmark for diagnosis. The diagnosis is based on many different clinical variables that may be difficult to interpret, especially in the setting of chronic systemic disease. Synovial fluid aspiration, diagnostic imaging, traditional culture, peripheral serum inflammatory markers, and intraoperative frozen sections each have their limitations but continue to be the mainstay for diagnosis of periprosthetic joint infection. As molecular- and biomarker-based technologies improve, the way we interpret and diagnose periprosthetic joint infection will ultimately change and may even improve diagnostic accuracy and turnaround time...
April 2015: Journal of the American Academy of Orthopaedic Surgeons
Ronald A Lehman, Daniel Gene Kang, Scott Cameron Wagner
Osteoporosis is a burgeoning clinical problem that is characterized by decreased bone strength and density. It predisposes patients to fragility fractures and debilitating spine deformities. Several complications are associated with spine surgery in patients with osteoporosis, and there is currently no treatment algorithm to guide the spine surgeon. A multidisciplinary approach to treatment of patients with osteoporosis and spine deformity or fracture is encouraged, and preoperative planning is crucial for successful surgical outcomes...
April 2015: Journal of the American Academy of Orthopaedic Surgeons
Andrew R Hsu, Steven L Haddad, Mark S Myerson
Total ankle arthroplasty (TAA) is an increasingly popular treatment option for patients with end-stage ankle arthritis. Although improved short- and long-term clinical and radiographic outcomes have been achieved with TAA, revision surgery may be necessary in the setting of aseptic loosening, subsidence, impingement, arthrofibrosis, or infection. Factors such as patient selection, implant design, and surgical technique can all contribute to TAA failure. Treatment of patients with a painful TAA is complex and requires careful consideration of symptom history, workup, and nonsurgical and surgical treatment options...
May 2015: Journal of the American Academy of Orthopaedic Surgeons
Michael B Ellman, Seth L Sherman, Brian Forsythe, Robert F LaPrade, Brian J Cole, Bernard R Bach
In athletes, significant advances in anterior cruciate ligament reconstruction techniques and rehabilitation have led to improved surgical outcomes and increased expectations for return to play. Although an expeditious return to sport has become an achievable and often realistic goal, the factors that most influence safe, timely, and successful return to play remain unknown. The literature offers mainly anecdotal evidence to guide the team physician in the decision-making process, with a paucity of criteria and consensus guidelines available to help determine return to sport...
May 2015: Journal of the American Academy of Orthopaedic Surgeons
John D Wyrick, Steven K Dailey, Jacob M Gunzenhaeuser, E Christopher Casstevens
Complex elbow dislocations (ie, fracture-dislocations) are challenging injuries to treat and may result in significant patient morbidity. Chronic instability, posttraumatic arthrosis, and poor functional outcomes are frequent. Orthopaedic surgeons should strive to optimize elbow function through restoration of articular congruity and stability coupled with early rehabilitation. Although most of these injuries require surgical management, not all complex elbow dislocations are equivalent. Understanding elbow biomechanics and the injury mechanism provides valuable insight into the variations of pathology that may be observed...
May 2015: Journal of the American Academy of Orthopaedic Surgeons
Alan H Daniels, Scott A Ritterman, Lee E Rubin
Paralytic ileus is marked by the cessation of bowel motility. This condition is a major clinical concern that may lead to severe patient morbidity in orthopaedic surgery and trauma patients. Ileus most commonly occurs following spinal surgery, traumatic injury, or lower extremity joint reconstruction, but it may also occur following minor orthopaedic procedures. Possible consequences of ileus include abdominal pain, malnutrition, prolonged hospital stay, hospital readmission, bowel perforation, and death. Therapies used in the treatment of ileus include minimization of opioids, early patient mobilization, pharmacologic intervention, and multidisciplinary care...
June 2015: Journal of the American Academy of Orthopaedic Surgeons
Jennifer Moriatis Wolf, Lisa Cannada, Ann E Van Heest, Mary I O'Connor, Amy L Ladd
Gender differences exist in the presentation of musculoskeletal disease, and recognition of the differences between men and women's burden of disease and response to treatment is key in optimizing care of orthopaedic patients. The role of structural anatomy differences, hormones, and genetics are factors to consider in the analysis of differential injury and arthritic patterns between genders.
June 2015: Journal of the American Academy of Orthopaedic Surgeons
Nirav H Amin, Neil S Kumar, Mark S Schickendantz
Medial epicondylitis, often referred to as "golfer's elbow," is a common pathology. Flexor-pronator tendon degeneration occurs with repetitive forced wrist extension and forearm supination during activities involving wrist flexion and forearm pronation. A staged process of pathologic change in the tendon can result in structural breakdown and irreparable fibrosis or calcification. Patients typically report persistent medial-sided elbow pain that is exacerbated by daily activities. Athletes may be particularly symptomatic during the late cocking or early acceleration phases of the throwing motion...
June 2015: Journal of the American Academy of Orthopaedic Surgeons
Brian K Daines, Douglas A Dennis, Sean Amann
Periprosthetic joint infections are devastating complications that are difficult and expensive to treat and have a substantial mortality rate. A major goal of modern joint arthroplasty is to minimize these infections. Preoperative factors associated with increased risk of infection include malnutrition, diabetes mellitus, obesity (body mass index >40 kg/m(2)), and rheumatoid arthritis. Administration of appropriate antibiotics before the surgical incision is made is essential to minimize infection. The use of laminar flow rooms, proper skin preparation, limiting operating room traffic, and the use of various wound closure techniques can help to decrease infection rates...
June 2015: Journal of the American Academy of Orthopaedic Surgeons
Valerie M Wolfe, Angela A Wang
Replantation is the process of reattaching amputated parts. Relative indications for replantation in the upper extremity include amputation of the thumb or multiple digits as well as amputations proximal to zone II and pediatric finger amputations at any level. Preoperatively, the part should be sealed in a bag and placed on ice; maximum ischemia times are approximately 12 hours of warm and 24 hours of cold time for digits, with shorter times tolerated for amputations at more proximal levels. With multiple digit involvement, an assembly line approach is used in the operating room...
June 2015: Journal of the American Academy of Orthopaedic Surgeons
Michael S Pinzur
No abstract text is available yet for this article.
August 2007: Foot & Ankle International
Loretta B Chou, David C Lee
No abstract text is available yet for this article.
January 2009: Foot & Ankle International
2015-05-16 13:57:33
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