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This page shows you the most recent publications within this specialty of the MedWorm directory. This is page number 18.
Implantation of resorbable gentamicin sponges in addition to irrigation and debridement in 34 patients with infection complicating total hip arthroplasty.
Abstract We evaluated a prosthesis-retaining treatment protocol for prosthetic joint infection in patients presenting at a mean of 116 days (range 10-1216 days) after primary arthroplasty. Our regime involved irrigation and debridement followed by implantation of biodegradable gentamicin loaded sponges which do not require removal after implantation. Of 34 patients with a deep infection after total hip arthroplasty, Twenty-five were treated successfully, with a mean follow-up of 35 months. There were no permanent complications. This success rate is comparable to earlier studies. Early initiation of treatment demons...
Source: Hip International - January 22, 2013 Category: Orthopaedics Authors: Kuiper JW, Brohet RM, Wassink S, van den Bekerom MP, Nolte PA, Vergroesen DA Tags: Hip Int Source Type: research
Long stem cemented revision arthroplasty for aseptic loosening in elderly patients produces good results, despite significant bone loss.
Abstract We assessed the results of long cemented stems in patients over 65 undergoing a first time revision hip arthroplasty for aseptic loosening. 103 patients were followed up for a minimum of five years after revision surgery; 45% had EndoKlinik C grade preoperative bone loss. At final follow-up 31 patients had died, all but one with the prosthesis in situ. There were 71 revisions alive, one had been revised for a peri-prosthetic fracture. Of the 45 that had radiographs at a minimum of five years, three stems were probably or definitely loose according to the Harris classification. There was 92% patient satisfa...
Source: Hip International - January 22, 2013 Category: Orthopaedics Authors: Harrison T, Wynn Jones H, Darrah C, Warriner G, Tucker JK Tags: Hip Int Source Type: research
The analgesic impact of preoperative lumbar plexus blocks for hip arthroscopy. A retrospective review.
This study aimed to examine the impact of preoperative lumbar plexus blockade on perioperative analgesia and opioid consumption following hip arthroscopy. The records of patients (n = 236) who underwent hip arthroscopy between July 27, 2004 and November 15, 2009 were reviewed (118 patients with preoperative lumbar plexus block and 118 procedure matched patients without a preoperative block). Baseline patient characteristics were similar between groups. Immediate post-anaesthesia care unit (PACU) pain scores, peak PACU pain scores, perioperative opioid administration, and PACU antiemetic administration favoured preoperative...
Source: Hip International - January 22, 2013 Category: Orthopaedics Authors: Schroeder KM, Donnelly MJ, Anderson BM, Ford MP, Keene JS Tags: Hip Int Source Type: research
Effect of mirror therapy on hand function in patients with hand orthopaedic injuries: a randomized controlled trial.
Conclusions: Despite significant improvement at post-test in both groups and maintenance of improvement during the follow-up period, MT combined with conventional rehabilitation produced more improvement in hand function than control group. Implications for Rehabilitation Hand orthopaedic injuries can result in disabilities in activities of daily living. Mirror therapy (MT) provides perception of two healthy limbs through reflection of the healthy limb as the injured limb. In a randomized controlled trial, our study shows positive effects of MT combined with a classical rehabilitation programme to improve hand fun...
Source: Disability and Rehabilitation - January 22, 2013 Category: Rehabilitation Authors: Rostami HR, Arefi A, Tabatabaei S Tags: Disabil Rehabil Source Type: research
Efficacy and Safety of Strontium Ranelate in the Treatment of Osteoporosis in Men.
Conclusions:The effects of strontium ranelate on BMD in osteoporotic men were similar to those in postmenopausal osteoporotic women, supporting its use in the treatment of osteoporosis in men. PMID: 23341486 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - January 22, 2013 Category: Endocrinology Authors: Kaufman JM, Audran M, Bianchi G, Braga V, Diaz-Curiel M, Francis RM, Goemaere S, Josse R, Palacios S, Ringe JD, Felsenberg D, Boonen S Tags: J Clin Endocrinol Metab Source Type: research
TBS (Trabecular Bone Score) and Diabetes-Related Fracture Risk.
Conclusions:Lumbar spine TBS predicts osteoporotic fractures in those with diabetes, and captures a larger portion of the diabetes-associated fracture risk than BMD. PMID: 23341489 [PubMed - as supplied by publisher]
Source: The Journal of Clinical Endocrinology and Metabolism - January 22, 2013 Category: Endocrinology Authors: Leslie WD, Aubry-Rozier B, Lamy O, Hans D, for the Manitoba Bone Density Program Tags: J Clin Endocrinol Metab Source Type: research
Prevalence of Morphometric Vertebral Fractures in Patients With Type 1 Diabetes.
CONCLUSIONST1D patients have low BMD and elevated prevalence of asymptomatic VFx, which is associated with the presence of T1D independently of BMD. PMID: 23340886 [PubMed - as supplied by publisher]
Source: Diabetes Care - January 22, 2013 Category: Endocrinology Authors: Zhukouskaya VV, Eller-Vainicher C, Vadzianava VV, Shepelkevich AP, Zhurava IV, Korolenko GG, Salko OB, Cairoli E, Beck-Peccoz P, Chiodini I Tags: Diabetes Care Source Type: research
The relation between Botulinum toxin‐A and fracture healing. Comment on Hao et al.: Short‐term muscle atrophy caused by Botulinum toxin‐A local injection impairs fracture healing in the rat femur
Source: Journal of Orthopaedic Research - January 22, 2013 Category: Orthopaedics Authors: Halil Atmaca, Kaya Memisoglu Tags: Letter to the Editor Source Type: research
Screening elderly cancer patients for disabilities: evaluation of study of osteoporotic fractures (SOF) index and comprehensive geriatric assessment (CGA)
Conclusions As the SOF proved to reach the end-point of our study, we support its use as a means of screening elderly cancer patients in everyday clinical practice.
Source: Annals of Oncology - January 22, 2013 Category: Cancer & Oncology Authors: Luciani, A., Dottorini, L., Battisti, N., Bertuzzi, C., Caldiera, S., Floriani, I., Zonato, S., Ferrari, D., Foa, P. Tags: quality of life and supportive care Source Type: research
Zoledronic acid (zoledronate) for postmenopausal women with early breast cancer receiving adjuvant letrozole (ZO-FAST study): final 60-month results
Conclusions Immediate zoledronate in postmenopausal women receiving letrozole preserved BMD and is associated with improved DFS compared with letrozole alone. Clinical Trials Registration No NCT00171340.
Source: Annals of Oncology - January 22, 2013 Category: Cancer & Oncology Authors: Coleman, R., de Boer, R., Eidtmann, H., Llombart, A., Davidson, N., Neven, P., von Minckwitz, G., Sleeboom, H. P., Forbes, J., Barrios, C., Frassoldati, A., Campbell, I., Paija, O., Martin, N., Modi, A., Bundred, N. Tags: breast cancer Source Type: research
Application of European suspension criteria to dental radiology: an Irish perspective
This study presents the quality assurance (QA) assessment results for 187 intra-oral and 37 orthopantomogram (OPG) dental X-ray systems from a range of nine different manufacturers. The equipment was assessed over a 24- month period. Testing was performed based on the methodologies and tolerances from Irish and other international guidelines and standards. Analysis of the results which was undertaken in recent months with a focus on the suspension tolerances proposed in the Criteria for Acceptability of Medical Radiological Equipment (RP 162) are presented in this paper.
Source: Radiation Protection Dosimetry - January 22, 2013 Category: Radiology Authors: Gallagher, A., Bell, A., O'Connor, U., Dowling, A., O'Reilly, G. Tags: Section 7: Diagnostic Radiology, Radiography and Fluoroscopy Source Type: research
Suspension criteria for dual energy X ray absorptiometry
The use of dual-energy X-ray absorptiometry (DXA) units primarily for the assessment of fracture risk and in the diagnosis of osteoporosis is ubiquitous in Europe and ever-expanding in its implementation worldwide. DXA is known for its reported low radiation dose and precision in the determination of bone mineral density. However, the use of simple suspension criteria, as proposed in the new EC report RP-162, will identify units that are unfit for useful and safe diagnosis. Such suspension levels, however, are not a substitute for regular maintenance, quality control testing and optimisation of clinical outcomes.
Source: Radiation Protection Dosimetry - January 22, 2013 Category: Radiology Authors: McLean, I. D. Tags: Section 6: Diagnostic Radiology, Mammography, DXA, Viewing Boxes and Monitors Source Type: research
Long-term results of cemented total hip arthroplasty in patients younger than 30 years and the outcome of subsequent revisions
Conclusions: Cemented total hip implants in patients under 30 years have an encouraging outcome at 10 and 15 years after surgery in these young patients. The 13 revised hips, treated with bone grafting and the third generation cement technique, were performing well with no re-revisions within ten years after surgery.
Source: BMC Musculoskeletal Disorders - January 22, 2013 Category: Orthopaedics Authors: Marloes SchmitzVincent BuschJean GardeniersJan HendriksRené VethB Schreurs Source Type: research
Comparing radiation exposure during percutaneous vertebroplasty using one- vs. two-fluoroscopic technique
Conclusion: Compared to the one-fluoroscopic technique, the two-fluoroscopic technique used during PV provides not only shorter operative times but also reduces the radiation exposure to the patient. There was no significant difference between the two techniques with regards to radiation exposure to the operator.
Source: BMC Musculoskeletal Disorders - January 22, 2013 Category: Orthopaedics Authors: Yen-Yao LiTsung-Jen HuangChin-Chang ChengMeng-Huang WuChing-Yu Lee Source Type: research
Characterization of the hypothalamus of Xenopus laevis during development. I. The alar regions
Abstract The patterns of expression of a set of conserved developmental regulatory transcription factors and neuronal markers were analyzed in the alar hypothalamus of Xenopus laevis throughout development. Combined immunohistochemical and in situ hybridization techniques were used for the identification of subdivisions and their boundaries. The alar hypothalamus was located rostral to the diencephalon in the secondary prosencephalon and represents the rostral continuation of the alar territories of the diencephalon and brainstem, according to the prosomeric model. It is composed of the supraoptoparaventricular (dorsal) an...
Source: The Journal of Comparative Neurology - January 22, 2013 Category: Neurology Authors: Laura Domínguez, Ruth Morona, Agustín González, Nerea Moreno Tags: Cover Image Source Type: research
Knee replacement pain predicted by comorbidity
Research may help physicians give patients undergoing total knee arthroplasty a realistic expectation of surgery outcome based on their overall physical and mental health, US researchers believe.
Source: MedWire News - Bone Health - January 21, 2013 Category: Orthopaedics Source Type: news
Corrigendum to “Traumatic brain injury in older adults: Characteristics, causes and consequences” [Injury 43 (11) (2012) 1821–1826]
The authors wish to inform the readers of a needed clarification in this manuscript regarding an error in lines 9 and 10 of the Abstract section. The sentence should read “Hospitalisation rates for TBI among the older population increased by 7.2% (95% CI 6.4–8.0, p
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Lara A. Harvey, Jacqueline C.T. Close Tags: Corrigendum Source Type: research
Response to “Benefit of Helicopter Emergency Medical Services on trauma patient mortality in the Netherlands?”
We thank the four Dutch HEMS centres for their critical evaluation of our paper. The main goal of our study was to assess the quality of care provided by the chain of prehospital and hospital trauma care. Until now such data are unfortunately not available on a nationwide based registry. As provided in the discussion we do not consider our current results and conclusions as the end of a phase, but just the beginning of a better, more reliable matrix to monitor the quality of care.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Mariska A.C. de Jongh, Luke P.H. Leenen, Michael H.J. Verhofstad Tags: Correspondence Source Type: research
Benefit of Helicopter Emergency Medical Services on trauma patient mortality in the Netherlands?
Recently we received the following publication in this Journal: The effect of Helicopter Emergency Medical Services on trauma patient mortality in the Netherlands, by de Jongh et al. We have read this article with a higher than normal level of interest as this directly appeals to our field of work. However, a few serious questions were raised at (all) the four HEMS centres in the Netherlands which we like to discuss.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: N. Hoogerwerf, J.P. Valk, R.J. Houmes, H.M. Christiaans, L.M.G. Geeraedts, P. Schober, E.S.M. de Lange-de Klerk, E.M.M. Van Lieshout, G.J. Scheffer, D. Den Hartog Tags: Correspondence Source Type: research
Comminuted quadrilateral plate fracture fixation through the iliofemoral approach
Abstract: Comminuted quadrilateral plate fracture with medial displacement is a technically difficult fracture to treat. Minimal bone stock, proximity to the hip joint with limited surgical access, and difficulty in obtaining a stable fixation at this area, contribute to the surgical challenge of open reduction and internal fixation. Fixation of a medial buttress plate in an infrapectineal fashion is a well-described technique to address such fractures. However, this plate alone may be inadequate to buttress all the fragments in a grossly comminuted quadrilateral plate fracture. An additional spring plate is often placed u...
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Ramesh Kumar Sen, Sujit Kumar Tripathy, Sameer Aggarwal, Tarun Goyal, Santosh Kumar Mahapatra Tags: Case Reports & Technical Note Source Type: research
Periprosthetic fractures in the resurfaced hip—A case report and review of the literature
Abstract: Traumatic periprosthetic fractures adjacent a hip resurfacing prosthesis are rare. When proximal fractures are encountered the obvious surgical solution is to revise to a large head stemmed femoral component. A previously well functioning implant may however be retained as various non-operative and operative treatment options exist. This paper reports the case history of a traumatic periprosthetic fracture successfully treated with cannulated screw fixation and reviews the current literature.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Stephen A. Brennan, Brian M. Devitt, Cathleen J. O’Neill, Paul Nicholson Tags: Case Reports & Technical Note Source Type: research
Femoral nerve palsy following traumatic posterior dislocation of the native hip
We present an extremely unusual case of femoral nerve palsy following traumatic posterior dislocation of the native hip which to our knowledge has never previously been reported.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Nicholas Frew, Patrick Foster, Anthony Maury Tags: Case Reports & Technical Note Source Type: research
Pre-peritoneal pelvic packing in a paediatric unstable pelvic fracture: An undescribed complication of lower limb compartment syndrome
We present a child who underwent this procedure as a lifesaving measure in a level 2 hospital prior to transfer to a tertiary setting. We review the background of the technique and highlight potential complications and poor outcomes in the paediatric patient if incorrect technique is used.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Sharon Gail Cox, Christopher James Westgarth-Taylor, Stewart Iain Dix-Peek, Alastair John Ward Millar Tags: Case Reports & Technical Note Source Type: research
Anterior debridement and bone grafting with posterior single-segment internal fixation for the treatment of mono-segmental spinal tuberculosis
Conclusion: After bone fusion, single-segment fixation is effective in restoring and maintaining spinal stability and retains normal motion segment more than short-segment fixation approach. Strict adherence to the clinical indications must occur in order to optimize the overall outcome.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Zili Wang, Qijun Wu, Guangqi Geng Tags: Clinical Research Source Type: research
Prolonged operative time increases infection rate in tibial plateau fractures
Abstract: Background: Fractures of the tibial plateau present a treatment challenge and are susceptible to both prolonged operative times and high postoperative infection rates. For those fractures treated with open plating, we sought to identify the relationship between surgical site infection and prolonged operative time as well as to identify other surgical risk factors.Methods: We performed a retrospective controlled analysis of 309 consecutive unicondylar and bicondylar tibial plateau fractures treated with open plate osteosynthesis at our institution's level I trauma centre during a recent 5-year period. We recorded ...
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Matthew Colman, Adam Wright, Gary Gruen, Peter Siska, Hans-Christoph Pape, Ivan Tarkin Tags: Clinical Research Source Type: research
Less invasive polyaxial locking plate fixation in periprosthetic and peri-implant fractures of the femur—A prospective study of 41 patients
Conclusion: Periprosthetic fracture fixation can be performed as part of a standardised less invasive strategy, but the MI technique should be the preferred treatment. The NCB® system allows for a stable plate fixation around an intramedullary implant. With the less invasive technique, long plates can be applied with low rates of soft-tissue complication and implant failure.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Steffen Ruchholtz, Bilal El-Zayat, Dimitri Kreslo, Benjamin Bücking, Ulrike Lewan, Antonio Krüger, Ralph Zettl Tags: Clinical Research Source Type: research
Surgical stabilization of flail chest injuries with MatrixRIB implants: A prospective observational study
Conclusions: Anatomic plates eliminated the need for extensive intraoperative plate contouring. Intramedullary rib splints provided a less-invasive fixation alternative for single, non-comminuted fractures. These early clinical results indicate that the novel implant system provides reliable fixation and accommodates the wide range of fractures encountered in flail chest injury.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Michael Bottlang, William B. Long, Daniel Phelan, Drew Fielder, Steven M. Madey Tags: Clinical Research Source Type: research
Biological fixation of comminuted subtrochanteric fractures with proximal femur locking compression plate
Conclusion: Biological fixation of comminuted subtrochanteric fractures with PF-LCP provides stable fixation with high union rate and fewer complications.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Pramod Saini, Rakesh Kumar, Vishal Shekhawat, Narendra Joshi, Mahesh Bansal, Senthil kumar Tags: Clinical Research Source Type: research
Increased morbidity and mortality after bilateral femoral shaft fractures: Myth or reality in the era of damage control?
The objective of this study was to compare the incidence of morbidity and mortality in patients with bilateral vs. unilateral femoral shaft fractures in the era of damage control orthopaedics.Methods: Retrospective analysis of the TraumaRegister DGU from 2002 to 2005. Inclusion criteria were uni- or bilateral femoral shaft fractures and complete demographic data documentation. Univariate data analysis and logistic regression analysis were performed with SPSS.Results: Between 2002 and 2005, 776 patients with unilateral and 118 patients with bilateral femoral shaft fractures were identified. Patients with bilateral femoral s...
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Philipp Kobbe, Fabian Micansky, Philipp Lichte, Richard Martin Sellei, Roman Pfeifer, Derek Dombroski, Rolf Lefering, Hans Christoph Pape, The TraumaRegister DGU Tags: Clinical Research Source Type: research
Early fracture stabilisation in the presence of subclinical hypoperfusion
This study aimed to investigate the effect of fracture fixation in polytrauma patients with SCH.Methods: We undertook a database review extracting 88 polytrauma patients with a new injury severity score (NISS)>16 with significant long bone or pelvic fractures (extremity NISS≥9) who underwent surgical fracture stabilisation within 48h of injury. In the group of patients with normal vital signs (mean arterial pressure≥60mmHg and heart rate≤110 beats/min) we compared outcomes between those with a normal preoperative lactate (
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Ben Grey, Reitze N. Rodseth, David J.J. Muckart Tags: Clinical Research Source Type: research
The exclusive use of coagulation factor concentrates enables reversal of coagulopathy and decreases transfusion rates in patients with major blunt trauma
Abstract: Background: FFP and coagulation factor concentrates are used to correct trauma-induced coagulopathy (TIC). However, data on coagulation profiles investigating effects of therapy are scarce.Methods: This is an analysis of 144 patients with major blunt trauma ((ISS)≥15), who were enrolled in a prospective cohort study investigating characteristics and treatment of TIC. Patients who received fibrinogen concentrate and/or prothrombin complex concentrate alone (CF Group) were compared with those additionally receiving FFP transfusions (FFP Group).Results: Sixty-six patients exclusively received CF, while 78 patients...
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Petra Innerhofer, Isabella Westermann, Helmuth Tauber, Robert Breitkopf, Dietmar Fries, Tobias Kastenberger, Rene El Attal, Alexander Strasak, Markus Mittermayr Tags: Clinical Research Source Type: research
Intraoperative computed tomography with integrated navigation in percutaneous iliosacral screwing
Conclusions: An iCT with an integrated navigation system provided accuracy for percutaneous iliosacral screwing. In addition, the accumulated dose was minimized for surgeons. However, effective dose of radiation in iCT with an integrated navigation system group was higher than fluoroscopic-assisted iliosacral screwing in hands of the same group of surgeons. No neurologic complications occurred. The iCT with an integrated navigation system provided an alternative to percutaneous iliosacral screwing.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Kuo-Ti Peng, Yen-Yao Li, Wei-Hsiu Hsu, Meng-Huang Wu, Jen-Tsung Yang, Chu-Hsiang Hsu, Tsung-Jen Huang Tags: Clinical Research Source Type: research
The effect of early operative stabilization on late displacement of zone I and II sacral fractures
Conclusion: Operative fixation for unstable sacral fractures ensures displacement at follow up is comparable with stable fractures treated non operatively.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Osa Emohare, Nathaniel Slinkard, Paul Lafferty, Sandy Vang, Robert Morgan Tags: Clinical Research Source Type: research
Posterior iliac crescent fracture-dislocation: What morphological variations are amenable to iliosacral screw fixation?
Conclusions: The majority of PICFSIDs are amenable to closed reduction and percutaneous iliosacral screw fixation. The Day classification for PCIFSID should be expanded to include variant injury patterns.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Leo Afshin Calafi, Milton Lee (Chip) Routt Tags: Clinical Research Source Type: research
Articular exposure with the swashbuckler versus a “Mini-swashbuckler” approach
Abstract: Objective: To quantify the articular exposure obtained with a Swashbuckler approach to the distal femur and compare this to a “Mini-swashbuckler” approach.Methods: Forty surgical approaches in 20 fresh-frozen hemipelvis specimens were performed using a Mini-swashbuckler approach followed by a traditional Swashbuckler. Key anatomic landmarks, including the posterior femoral condyles, intercondylar notch, and medial articular margin, were either directly visualised or palpated with a tonsil clamp. Calibrated digital photographs were taken from the surgeon's viewing perspective after each approach. The digital i...
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Michael J. Beltran, James A. Blair, Jeannie Huh, Jess M. Kirby, Joseph R. Hsu, the Skeletal Trauma Research Consortium(STReC) Tags: Experimental Research Source Type: research
Reduction and fixation capabilities of different plate designs for pubic symphysis disruption: A biomechanical comparison
Conclusions: The experimental results suggest a biomechanical advantage in using prebended plates for symphysis fixation compared to non-bended plates. Best results with regard to compression and increased contact area can be achieved by anatomically contoured plates with combined DC and locking screw capabilities. These findings are of special interest in pelvic surgery for choosing the right implant in severe displacements, obese patients and symphysiodesis techniques.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Antonius Pizanis, Patric Garcia, Maike Santelmann, Ulf Culemann, Tim Pohlemann Tags: Experimental Research Source Type: research
Preliminary study of the feasibility and accuracy of percutaneous peri-acetabular screw insertion in a porcine model
Abstract: The aim of this pilot study was to assess a new method of training for peri-acetabular screw placement under indirect vision using standard C-arm fluoroscopy using a porcine model.Two novice orthopaedic residents placed 72 screws (36 each) about the acetabula of six porcine pelves under C-arm fluoroscopic guidance. Unsatisfactory screw position was noted in 22 of 72, with five instances of screw ingress into the hip joint. All of these cases occurred in the first half of each resident's series. Screw direction and final position improved over subsequent trials.This pilot study demonstrates that surgical simulatio...
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: A.J. Cassar-Gheiti, M.K. Dodds, D.P. Byrne, K.J. Mulhall Tags: Experimental Research Source Type: research
Vascular risk reduction during anterior surgical approach sacroiliac joint plating
Conclusion: Familiarity of the vasculature of the internal pelvis is of utmost importance for the surgeon when considering operative fixation of the anterior SI joint. We were able to identify the relation of the nutrient artery to the anatomic landmarks of the internal pelvis and to define the “at risk area” for the nutrient artery. We believe increased understanding of the anatomy of the nutrient artery will aid in the avoidance of vascular complications during internal fixation of the anterior SI joint.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Sreenivasa R. Alla, Craig S. Roberts, Nwakile I. Ojike Tags: Experimental Research Source Type: research
Percutaneous cerclage wiring, does it disrupt femoral blood supply? A cadaveric injection study
Conclusion: Percutaneous cerclage wiring resulted in minimal disruption of the femoral blood supply. When partial disruption occurred the SFA, DFA, and their associated perforators compensated to maintain femoral perfusion through their anastomoses. The location of the cerclage wire and the distance between the wire loops in the proximal femur showed no significant difference in the rate of iatrogenic perforator injury.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: T. Apivatthakakul, J. Phaliphot, S. Leuvitoonvechkit Tags: Experimental Research Source Type: research
Quadrilateral plate fractures of the acetabulum: An update
We present a systematic review of conservative and operative management and their respective outcomes over the last century.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: Grace White, Nikolaos K. Kanakaris, Omar Faour, Jose Antonio Valverde, Miguel Angel Martin, Peter V. Giannoudis Tags: Review Source Type: research
Grading of injury severity – What should be the prerequisites to separate multiply injured patients from those in critical condition and polytrauma?
The grading of injury severity has become a crucial issue in health care. In developed countries, multiple different scoring systems serve various purposes. Some of them were developed to grade patients on scene, some on admission and some during the hospital course. In addition, many scores are in use to monitor complications, such as ARDS, MODS or MOF.
Source: Injury - January 21, 2013 Category: Orthopaedics Authors: H.C. Pape, R. Lefering Tags: Editorial Source Type: research
This report by Calligaro et al regarding stent angioplasty across the inguinal ligament, although a limited experience with a select group of patients, lends promise to a technique previously thought to be avoided at all costs. Crossing the inguinal ligament was thought to lead to stent kinking, fracture, and certain occlusion. There were also concerns about occlusion of the profunda femoris artery when stenting into the area of the femoral artery and the femoral bifurcation. These concerns regarding occlusion, enhanced hyperplasia, and the profunda femoris precluded most physicians from using this technique despite less t...
Source: Journal of Vascular Surgery - January 21, 2013 Category: Surgery Authors: Richard F. Neville Tags: Clinical research studies Source Type: research
Healing responses following transverse root fracture: a historical review and case reports showing healing with (a) calcified tissue and (b) dense fibrous connective tissue
Abstract BackgroundThe understanding and management of transverse intra‐alveolar root fractures has evolved to its current high level of sophistication and clinical success from foundations laid down by histological studies as early as the mid‐nineteenth century. SignificanceThe aim of the review was to highlight those earlier histological reports and studies that have contributed to the current understanding of the biological processes involved in the healing of transverse root fractures. Healing of a transverse root fracture by calcified tissue was demonstrated histologically by Howe in 1926, while Boulger in 1928 sh...
Source: Dental Traumatology - January 21, 2013 Category: Dentistry Authors: Geoffrey S. Heithersay AO, Bill Kahler Tags: Original Article Source Type: research
Steroids Versus Botox For Painful Foot Condition, Plantar Fasciitis
Plantar fasciitis is the most frequent cause of chronic heel pain, leaving many sufferers unable to put their best foot forward for months at a time. Now a Mexican study suggests that physicians should turn to Botox rather than steroids to offer patients the fastest road to recovery. The research appears in the journal Foot & Ankle International, published by SAGE. Plantar fasciitis results when connective tissues on the sole of the foot, the plantar fascia, become painfully inflamed...
Source: Health News from Medical News Today - January 21, 2013 Category: Consumer Health News Tags: Bones / Orthopedics Source Type: news
New Insights Into The Mechanics Of Muscle Fatigue
A study in The Journal of General Physiology examines the consequences of muscle activity with surprising results, indicating that the extracellular accumulation of potassium that occurs in working muscles is considerably higher than previously thought. Muscle excitation involves the influx of sodium ions and efflux of potassium ions. Although the fraction of ions that cross the muscle membrane with each contraction is minute, repeated activity can lead to substantial changes in the intracellular and extracellular concentrations of sodium and potassium ions...
Source: Health News from Medical News Today - January 21, 2013 Category: Consumer Health News Tags: Bones / Orthopedics Source Type: news
Enhancing Damage Visibility on Metallic Bearing Surfaces: A Simple Technique for Photography and Viewing
Abstract: Damage to metallic bearing surfaces typically involves scratches, scrapes, metal transfer, and organic deposits. This damage can cause accelerated wear of the opposing surface and subsequent implant failure. Photography and viewing of metallic bearing surfaces, for documenting this damage, are hindered by optical reflectivity. This note demonstrates a simple, practical technique for metallic bearing surface photography and viewing that minimizes this reflectivity problem, that does not involve any modification of the bearing surface, and that allows for improved observation and documentation of overall damage. Wh...
Source: The Journal of Arthroplasty - January 21, 2013 Category: Orthopaedics Authors: Anneliese D. Heiner, Karen M. Kruger, Thomas E. Baer, Thomas D. Brown Tags: Case Reports Source Type: research
Clinical and Radiographic Outcomes of Metacarpophalangeal Joint Pyrolytic Carbon Arthroplasty for Osteoarthritis
Conclusions: Pyrolytic carbon arthroplasties of the metacarpophalangeal joint resulted in satisfactory outcomes at average 4-year follow-up, with improved joint motion, good pain relief and satisfaction, and few complications. Radiographic outcomes revealed a consistent, asymptomatic surrounding lucency with no evidence of implant failure or migration. Type of study/level of evidence: Therapeutic IV.
Source: The Journal of Hand Surgery - January 21, 2013 Category: Surgery Authors: Lindley B. Wall, Peter J. Stern Tags: Scientific Articles Source Type: research
Intra-articular Injections of Hyaluronic Acid in Osteoarthritis of the Subtalar Joint: A Pilot Study
Abstract: We evaluated the efficacy of intra-articular viscosupplementation with sodium hyaluronate in the management of osteoarthritis of the subtalar joint. A total of 22 patients, aged 22 to 72 years (mean 53), with symptomatic subtalar joint osteoarthritis of 1 to 20 years' duration (mean 4.2) and a severity of Kellgren–Lawrence grade II to IV and Paley and Hall grade 1 to 3, were entered into the present study. Intra-articular injections of 10 mg sodium hyaluronate (Euflexxa) were administered weekly to the subtalar joint for 3 weeks. Clinical evaluations and objective scoring using the American Orthopaedic Foot and...
Source: Journal of Foot and Ankle Surgery - January 21, 2013 Category: Orthopaedics Authors: Omer Mei-Dan, Michael Carmont, Lior Laver, Gideon Mann, Nicola Maffulli, Meir Nyska Tags: Original Research Source Type: research
Comparison of Lateral Opening Wedge Calcaneal Osteotomy and Medial Calcaneal Sliding-opening Wedge Cuboid-closing Wedge Cuneiform Osteotomy for Correction of Planovalgus Foot Deformity in Children
Abstract: The purpose of the present study was to compare the clinical and radiographic results between 2 procedures, lateral opening wedge calcaneal osteotomy (LCL) and medial calcaneal sliding-opening wedge cuboid-closing wedge cuneiform osteotomy (3C) in patients with planovalgus foot deformity. A total of 38 patients who underwent either LCL (18 patients, 28 feet) or 3C (20 patients, 32 feet) were included in the present study. The etiology of the planovalgus foot deformity was idiopathic in 16 feet and cerebral palsy in 44 feet. The 2 procedures used in the present study were indicated in symptomatic (pain or callus) ...
Source: Journal of Foot and Ankle Surgery - January 21, 2013 Category: Orthopaedics Authors: Jung Ryul Kim, Sung Jin Shin, Sung-Il Wang, Sang Min Kang Tags: Original Research Source Type: research