The Orthopedic Clinics of North AmericaThis is an RSS file. You can use it to subscribe to this data in your favourite RSS reader, such as GoogleReader, or to display this data on your own website or blog. Subscribe to this data using MyMedWorm.Subscribe to this data using GoogleReader.Subscribe to this data using Bloglines.Subscribe to this data using MyYahoo.

This page shows you the latest items in this publication.

Pages: 1 2 3 4 5 6

285 records returned

Minimally invasive carpal tunnel release.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
We prospectively compared the safety and effectiveness of mini-incision (group A) and a limited open technique (group B) for carpal tunnel release (CTR) in 185 consecutive patients operated between November 1999 and May 2001, with a 5-year minimum follow-up. Patients in Group A had a minimally invasive approach (<2 cm incision), performed using the KnifeLight (Stryker, Kalamazoo, Michigan) instrument. Patients in Group B had a limited longitudinal incision (3-4 cm). Patient status was evaluated with an Italian modified version of the Boston Carpal Tunnel questionnaire, administered preoperatively and at 19, 30, and ...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Cellocco P, Rossi C, El Boustany S, Di Tanna GL, Costanzo G Tags: Orthop Clin North Am Source Type: journals

Percutaneous CT-guided vertebroplasty in the management of osteoporotic fractures and dorsolumbar metastases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Percutaneous vertebroplasty (PVP) is a minimally invasive, image-guided procedure consisting of an injection of acrylic cement into a vertebral body to reinforce the compressed segment and achieve pain relief. The use of PVP is a minimally invasive option in the treatment of osteoporotic or metastatic vertebral collapses. Our personal experience, using a CT-guided technique, confirms the efficacy and safety of PVP with a lower risk for complications compared with conventional fluoroscopic approaches because of a precise placement of the instruments in the vertebral body and an early detection of small cement leakages. ...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Pizzoli AL, Brivio LR, Caudana R, Vittorini E Tags: Orthop Clin North Am Source Type: journals

Thoracoscopy for minimally invasive thoracic spine surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Thoracoscopy has been used worldwide for many years by thoracic surgeons. Despite a long learning curve and technical demands of the procedure, thoracoscopy has several advantages, including better cosmesis, adequate exposure to all levels of the thoracic spine from T2 to L 1, better illumination and magnification at the site of surgery, less damage to the tissue adjacent to the surgical field, less morbidity when compared with standard thoracotomy in terms of respiratory problems, pain, blood loss, muscle and chest wall damages, consequent shorter recovery time, less postoperative pulmonary function impairment, and sh...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Longo UG, Papapietro N, Maffulli N, Denaro V Tags: Orthop Clin North Am Source Type: journals

Vertebroplasty and kyphoplasty: reasons for concern?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides an overview of the state of the art in vertebroplasty and kyphoplasty, discussing the indications, techniques, results, and pitfalls. PMID: 19773051 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Denaro L, Longo UG, Denaro V Tags: Orthop Clin North Am Source Type: journals

The anterolateral minimally invasive approach for total hip arthroplasty: technique, pitfalls, and way out.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the technique of a minimally invasive approach to the hip from the anterolateral direction step by step and includes preoperative settings and pitfalls. PMID: 19773052 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Basad E, Ishaque B, Stürz H, Jerosch J Tags: Orthop Clin North Am Source Type: journals

Minimally invasive total knee arthroplasty: a systematic review.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The concept of minimally invasive total knee arthroplasty surgery evolved to reduce quadriceps muscle strength loss and improve clinical outcome following total knee replacement. We performed a systematic review of the published literature on Minimally Invasive Total Knee Arthroplasty (MITKA) and analyzed the reported surgical outcomes. Twenty-eight studies published from January 2003 to June 2008 that met the inclusion criteria were evaluated using the modified Coleman Methodology Score (CMS). At a mean CMS of 60, most studies reporting on outcome of MITKA are of moderate scientific quality. Patients undergoing MITKA ...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Khanna A, Gougoulias N, Longo UG, Maffulli N Tags: Orthop Clin North Am Source Type: journals

Minimally invasive surgery of the achilles tendon.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents recent advances in the field of minimally invasive AT surgery for tendinopathy, acute ruptures, and chronic tears. All of the techniques described in this article are inexpensive and do not require highly specialized equipment and training. Future randomized controlled trials are required to address the issue of the comparison between open versus minimally invasive AT surgery. PMID: 19773054 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Maffulli N, Longo UG, Oliva F, Ronga M, Denaro V Tags: Orthop Clin North Am Source Type: journals

Minimally invasive osteosynthesis of distal tibial fractures using locking plates.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The management of distal tibia fractures can be challenging because of the scarcity of soft tissue, their subcutaneous nature, and poor vascularity. Classic open reduction and internal plate fixation require extensive soft tissue dissection and periosteal stripping, with high rates of complications. Minimally invasive plating techniques reduce iatrogenic soft tissue injury and damage to bone vascularity and preserve the osteogenic fracture hematoma. Locking plates (LPs) have the biomechanical properties of internal and external fixators, with superior holding power because of fixed angular stability through the head of...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Ronga M, Shanmugam C, Longo UG, Oliva F, Maffulli N Tags: Orthop Clin North Am Source Type: journals

Percutaneous hallux valgus surgery: a prospective multicenter study of 189 cases.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Distal first metatarsal osteotomies have been indicated for the correction of mild-to-moderate hallux valgus deformity. The aim of this study was to assess the clinical and radiographic results of the distal Reverdin-Isham first metatarsal osteotomy with use of a percutaneous procedure after a minimum 1-year followup. One hundred eighty-nine feet in 168 consecutive subjects were included in the present prospective multicenter study. A radiographic and clinical assessment using the American Orthopaedic Foot and Ankle Society's (AOFAS) hallux-metatarsophalangeal-interphalangeal scale was performed for all the subjects wi...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Bauer T, de Lavigne C, Biau D, De Prado M, Isham S, Laffenétre O Tags: Orthop Clin North Am Source Type: journals

Bosch osteotomy and scarf osteotomy for hallux valgus correction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Minimally invasive distal metatarsal osteotomies are becoming broadly accepted for correction of hallux valgus. We compared the duration of surgery, the length of hospital stay, the American Orthopaedic Foot and Ankle Society (AOFAS) score, and the Foot and Ankle Outcome Score (FAOS) in 36 patients who underwent a minimal incision subcapital osteotomy of the first metatarsal with 36 matched patients who had hallux valgus corrected by a scarf technique. The minimum follow-up was 2.1 years (mean, 2.5 years; range, 2.1-3.2 years). Patients having the osteotomy had similar AOFAS and FAOS scores with less operating time and...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Maffulli N, Longo UG, Oliva F, Denaro V, Coppola C Tags: Orthop Clin North Am Source Type: journals

Minimally invasive hallux valgus correction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes our surgical MIS for hallux valgus correction, including the postoperative management, and reviews the literature on MIS for hallux valgus correction. The reports on such techniques are few, and mainly case series are reported. More adequately planned and executed randomized prospective clinical trials are needed. Historical attempts, indications, preferred surgical techniques, and complications are discussed. PMID: 19773058 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Oliva F, Longo UG, Maffulli N Tags: Orthop Clin North Am Source Type: journals

From mini-invasive to non-invasive treatment using monopolar radiofrequency: the next orthopaedic frontier.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Tendinopathy arises from a failed tendon healing process. Current non-invasive therapeutic alternatives are anti-inflammatory in nature, and outcomes are unpredictable. The benefit of invasive alternatives resides in the induction of the healing response. A new technology that uses non-invasive monopolar capacitive coupled radiofrequency has demonstrated the ability to raise temperatures in tendons and ligaments above 50 degrees C, the threshold for collagen modulation, tissue shrinkage and recruitment of macrophages, fibroblasts, and heat shock protein factors, without damaging the overlying structures, resulting in a...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Whipple TL Tags: Orthop Clin North Am Source Type: journals

Minimally invasive computer-navigated total knee arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Modern computerized knee navigation systems aid surgeons both in the conventional and in the minimally invasive approach to optimize mechanical and rotational alignments of the components in all three planes to avoid any malrotation and/or any errors in coronal, sagittal, and axial alignments. The advantages of minimally invasive total knee arthroplasty can be achieved without loss of accuracy. There is increasing evidence of a positive correlation between accurate mechanical alignment after total knee arthroplasty and functional as well as quality-of-life patient outcomes. PMID: 19773060 [PubMed - in process] (Sou...
Source: The Orthopedic Clinics of North America - September 24, 2009 Category: Orthopaedics Authors: Biasca N, Schneider TO, Bungartz M Tags: Orthop Clin North Am Source Type: journals

The anterior approach for hip reconstruction. Preface.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19576397 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Beaulé PE Tags: Orthop Clin North Am Source Type: journals

Preface.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19576397 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Beaulé PE Tags: Orthop Clin North Am Source Type: journals

The history of the anterior approach to the hip.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The anterior approach is a safe, reliable, and feasible technique for total hip arthroplasty, permitting optimal soft tissue preservation. Since Hueter first described this interval, many surgeons have approached the hip anteriorly to perform a myriad of surgical procedures. The anterior approach allows optimal muscle preservation, and it is a truly internervous approach to the hip. An understanding of the evolution of the anterior approach to the hip will help the orthopedic community understand these advantages and why so many have used this approach in the treatment of hip pathology and for the implantation total hi...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Rachbauer F, Kain MS, Leunig M Tags: Orthop Clin North Am Source Type: journals

Direct anterior approach for total hip arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article describes the surgical technique for total hip arthroplasty using the single-incision direct anterior approach. The authors believe the direct anterior approach has significant advantages, including minimal soft tissue trauma, resulting in faster postoperative mobilization and rehabilitation. The small incision scar also results in better cosmesis. PMID: 19576399 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Bender B, Nogler M, Hozack WJ Tags: Orthop Clin North Am Source Type: journals

Outcomes Following the Single-Incision Anterior Approach to Total Hip Arthroplasty: A Multicenter Observational Study.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Authors: The authors conducted a retrospective, multicenter cohort study of 1,152 patients across nine clinical sites across the United States, evaluating complications and function associated with the anterior approach to total hip arthroplasty using an orthopedic table. Eligible patients included those with primary diagnosis of hip arthritis. Outcomes included hospital stay, use of assistive devices, complications, and function. In the cohort of 1,152 patients treated with the anterior approach to total hip arthroplasty, the authors found (i) an acceptable complication profile with a very low dislocation rate, (ii)...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Tags: Orthop Clin North Am Source Type: journals

Anterior-supine minimally invasive total hip arthroplasty: defining the learning curve.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article provides a detailed description of the surgical approach, including the use of a standard operating room table and fluoroscopy. Cadaver dissections and one-on-one mentoring are recommended when implementing this approach in one's practice. PMID: 19576401 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Seng BE, Berend KR, Ajluni AF, Lombardi AV Tags: Orthop Clin North Am Source Type: journals

Simultaneous bilateral supine anterior approach total hip arthroplasty: evaluation of early complications and short-term rehabilitation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Simultaneous bilateral anterior approach total hip arthroplasty has been a successful procedure with high patient demand and good short-term clinical results. Complication rates are acceptable and compare favorably with previously published series. The anterior approach takes advantage of supine positioning, allowing improved intraoperative monitoring and anesthesia care. Short-term rehabilitation goals are met early with this technique. Despite these advantages, providing this simultaneous approach imposes a large financial burden on the hospital and surgeon. PMID: 19576402 [PubMed - in process] (Source: The Ortho...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Mast NH, Muñoz M, Matta J Tags: Orthop Clin North Am Source Type: journals

Hueter anterior approach for hip resurfacing: assessment of the learning curve.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article evaluates the safety and the learning curve with the less invasive Hueter hip resurfacing using an anterior approach on an orthopedic traction table. The first 50 hip resurfacings using this approach are compared with the previous 50 procedures performed through a surgical dislocation approach. The authors conclude that it is a reasonable alternative to more extensile surgical approaches for a high-volume resurfacing arthroplasty surgeon. Further long-term studies and comparisons to other approaches will determine if the anterior approach provides advantages in terms of patient function and time to recovery. ...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Benoit B, Gofton W, Beaulé PE Tags: Orthop Clin North Am Source Type: journals

Comparison of mini-incision total hip arthroplasty through an anterior approach and a posterior approach using navigation.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study reports on differences in the use of minimally invasive surgery for total hip arthroplasty related to the direction of cup insertion against the operating table, intraoperative hip range of motion, stability, and a choice of cup liners for both a mini-incision posterior approach (MPA) and a mini-incision anterior approach (MAA) using Stryker Navigation's CT-Hip system. The MPA group consisted of 39 consecutive patients and the MAA group consisted of 33 consecutive patients. Clinically, there was no significant difference in the average Japanese Orthopedic Association hip score or the Oxford hip score preoperativ...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Sugano N, Takao M, Sakai T, Nishii T, Miki H, Nakamura N Tags: Orthop Clin North Am Source Type: journals

Complications of the direct anterior approach for total hip arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With the direct anterior approach gaining in popularity, it is important to appreciate the complications that are specific to it. The authors outline these potential complications and offer advice on the ways and the techniques to avoid them. This information is especially useful to the surgeon considering using this approach for the first time or to the surgeon who may already have encountered some of these complications as a result of using this approach. PMID: 19576405 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Barton C, Kim PR Tags: Orthop Clin North Am Source Type: journals

Multimodal analgesia for hip arthroplasty.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Multimodal analgesia incorporates the use of analgesic adjuncts with different mechanisms of action to enhance postoperative pain management. Acetaminophen, anti-inflammatories, and gabapentinoids provide effective analgesia while reducing opioid requirements and opioid-related side effects. Intrathecal morphine and periarticular local anesthetic infiltration further enhance dynamic analgesia and improve postoperative mobilization. Epidural analgesia, peripheral nerve blocks, tramadol, ketamine, and/or clonidine can be added for improved benefit in opioid-tolerant individuals. PMID: 19576406 [PubMed - in process] (...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Tang R, Evans H, Chaput A, Kim C Tags: Orthop Clin North Am Source Type: journals

Anterior hueter approach in the treatment of femoro-acetabular impingement: rationale and technique.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the indications and diagnostic criteria and the surgical technique and early clinical results for the combined arthroscopic/Hueter approach. PMID: 19576407 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Barton C, Banga K, Beaulé PE Tags: Orthop Clin North Am Source Type: journals

Gait and motion analysis of the lower extremity after total hip arthroplasty: what the orthopedic surgeon should know.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents critical issues related to the interpretation of biomechanical findings of the hip joint for patients having undergone hip arthroplasty. The use of a gait, or biomechanical, analysis provides objective evidence of the efficiency of the treatments or the effectiveness of hip replacement approaches. Based on our biomechanical analysis, patients who have undergone total hip arthroplasty use a stair ascent and descent strategy allowing them to significantly reduce loading at the prosthetic hip joint. Since hip joint reaction forces are highly dependent on muscle activation, the THA group have adopted a ne...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Lamontagne M, Beaulieu ML, Varin D, Beaulé PE Tags: Orthop Clin North Am Source Type: journals

Spatiotemporal Parameters of Gait After Total Hip Replacement: Anterior versus Posterior Approach.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The objective of this preliminary study was to examine possible differences in gait characteristics between subjects operated by way of a direct anterior approach and a posterior approach for primary total-hip arthroplasty, and age-matched healthy controls. Fifty-one subjects walked over an instrumented mat at two different speeds (self-selected comfortable and faster than normal) and spatiotemporal gait parameters were calculated using a validated methodology. Despite excellent clinical and radiographic scores, and irrespective of surgical approach, patients demonstrated an impaired walking performance (lower velocity and...
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Maffiuletti NA, Impellizzeri FM, Widler K, Bizzini M, Kain MS, Munzinger U, Leunig M Tags: Orthop Clin North Am Source Type: journals

Blood management for hip reconstruction surgery.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Blood conservation techniques are well established and have significant benefits. We review the current literature on these techniques and their applicability to hip reconstruction surgery and offer a suitable strategy to minimize allogeneic red cell transfusion. PMID: 19576410 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Lane A, Crosby ET Tags: Orthop Clin North Am Source Type: journals

Overview of Current Venous Thromboembolism Protocols in Hip Reconstruction.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the current evidence-based recommendations for anticoagulant prophylaxis after total-hip arthroplasty and provides insight into the current areas of active research and controversy. PMID: 19576411 [PubMed - as supplied by publisher] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - June 30, 2009 Category: Orthopaedics Authors: Lazo-Langner A, Rodger MA Tags: Orthop Clin North Am Source Type: journals

Bone circulation disorders. Preface.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19358903 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Mont MA, Jones LC Tags: Orthop Clin North Am Source Type: journals

Outcome measures for evaluation of treatments for osteonecrosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
With the advent of cell-based therapies, biologics, and pharmaceuticals for the potential treatment of osteonecrosis, it is important to conduct evaluations using scientifically accepted outcomes measures. For the treatment of osteonecrosis, most studies have focused on pain relief, surgery, or the need for surgery, disease progression (advancing stage), and change in lesion size. Quantification of imaging techniques continue to gain in sophistication but have not yet been validated for use in clinical trials. Despite recent interest in using biomarkers or genetic markers in the diagnosis and analysis of disease progre...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Jones LC, Hungerford MW, Khanuja HS, Hungerford DS Tags: Orthop Clin North Am Source Type: journals

Osteonecrosis of the knee: a review of three disorders.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the current knowledge of these distinct conditions by describing their etiology, pathology, and pathogenesis, as well as their clinical and radiographic presentations. The various treatment options available for each condition are reviewed, with a discussion of their rationale and indications, and a summary of results with various techniques. A thorough understanding of these conditions and their distinguishing features is critical to selecting the best treatment option for an individual patient. PMID: 19358905 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Zywiel MG, McGrath MS, Seyler TM, Marker DR, Bonutti PM, Mont MA Tags: Orthop Clin North Am Source Type: journals

Cellular-based therapy for osteonecrosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This review article describes bone remodeling in the context of osteonecrosis as a bone disease, the use of stem cells in bone and vascular diseases, and cellular therapy in osteonecrosis. PMID: 19358906 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Gangji V, Hauzeur JP Tags: Orthop Clin North Am Source Type: journals

Bisphosphonates and osteonecrosis: potential treatment or serious complication?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
They are commonly used to treat osteoporosis and other diseases that involve osteoclast-mediated bone resorption, including Paget's disease and multiple myeloma. Their use in treating osteonecrosis of the femoral head has been studied and theoretically holds promise. There are complications associated with these medications, however, including the development of osteonecrosis in the jaw. PMID: 19358907 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Goytia RN, Salama A, Khanuja HS Tags: Orthop Clin North Am Source Type: journals

Does statin usage reduce the risk of corticosteroid-related osteonecrosis in renal transplant population?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The relationship between corticosteroids and osteonecrosis is well known. Limited data suggest that statins modulate cholesterol metabolism and may protect against osteonecrosis. The authors analyzed their prospective renal transplant database to determine if statin usage reduces the incidence of corticosteroid-related osteonecrosis and identified 2,881 renal transplantation patients who met the entry criteria. Among 338 patients on statins, 15 (4.4%) developed osteonecrosis, versus 180 of 2,543 (7%) patients who were not on statins. Osteonecrosis-free survival was similar in patients with and without statin exposure. ...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Ajmal M, Matas AJ, Kuskowski M, Cheng EY Tags: Orthop Clin North Am Source Type: journals

Bone marrow edema syndrome in postpartal women: treatment with iloprost.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Bone marrow edema syndrome of the femoral head in pregnant women is a rare disease resulting in disabling coxalgia, beginning in the last 3 months of pregnancy and persisting for several months after parturition. The parenteral administration of the vasoactive drug iloprost constitutes a new approach to the treatment of painful bone marrow edema syndrome of the hip of pregnant women. Six postpartal women (8 hips) with bone marrow edema syndrome of the femoral head were treated with iloprost followed by 3 weeks of partial weight-bearing. Relief from pain, restoration of functional capacity, and normalization of the MRI ...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Aigner N, Meizer R, Meraner D, Becker S, Meizer E, Landsiedl F Tags: Orthop Clin North Am Source Type: journals

Assessment of bone perfusion with contrast-enhanced magnetic resonance imaging.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the use of novel noninvasive imaging techniques as a means of assessing bone perfusion and quantifying differences seen in osteoarthritis and avascular necrosis. Review of our human data suggests that the MRI contrast dye is retained for longer periods of time, suggesting decreased perfusion out of regions of osteoarthritis and avascular necrosis. Use of such a noninvasive measure of assessing bone perfusion could be useful in the diagnosis, prevention, and treatment of not only osteoarthritis and avascular necrosis but also other entities that affect the musculoskeletal system. PMID: 19358910 [P...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Lee JH, Dyke JP, Ballon D, Ciombor DM, Tung G, Aaron RK Tags: Orthop Clin North Am Source Type: journals

Collapsed subchondral fatigue fracture of the femoral head.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article evaluates the follow-up results of subchondral fatigue fractures of the femoral head in which femoral head collapse occurred. The study shows that collapsed subchondral fatigue fractures of the femoral head have a benign clinical course quite unlike that of collapsed osteonecrosis of the femoral head. PMID: 19358911 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Lee YK, Yoo JJ, Koo KH, Yoon KS, Min BW, Kim HJ Tags: Orthop Clin North Am Source Type: journals

Respherical contour with medial collapsed femoral head necrosis after high-degree posterior rotational osteotomy in young patients with extensive necrosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
In this study, the authors evaluated the effectiveness of high-degree posterior rotation in terms of regaining the spherical contour of severely collapsed necrotic femoral head that was moved medially. They also investigated whether or not subchondral fracture disappeared on the medial femoral head on postoperative anteroposterior radiographs as a result of remodeling after this procedure. PMID: 19358912 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Atsumi T, Kajiwara T, Tamaoki S, Maeda A, Nakanishi R Tags: Orthop Clin North Am Source Type: journals

Current status of hemi-resurfacing arthroplasty for osteonecrosis of the hip: a 27-year experience.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The purpose of the study discussed in this article is to review the authors' long-term experience with this procedure, compare their clinical results to those of other centers, particularly regarding the difficulty of predicting pain relief, and determine the role of hemi-resurfacing in the future. PMID: 19358913 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Amstutz HC, Le Duff MJ Tags: Orthop Clin North Am Source Type: journals

Outcome of uncemented primary femoral stems for treatment of femoral head osteonecrosis.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This study examined the outcome of the femoral stem of four generations of an uncemented, proximally porous-coated, chrome-cobalt total hip prosthesis. There were 158 cases in 141 osteonecrosis patients (74 men, 67 women) who had a mean age of 46 years (range, 17-83 years). The mean follow-up was 103 months (range, 20-235 months). The femoral components of 144 cases were not revised and had a mean Harris hip score of 84 (+/-15) at final follow-up. Of the 14 revisions (8.9%), the primary reasons for revision were loosening or significant osteolysis. There were one infection and one chronic dislocation. Proximally porous-coa...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Hungerford MW, Hungerford DS, Jones LC Tags: Orthop Clin North Am Source Type: journals

Total hip arthroplasty after failed treatment for osteonecrosis of the femoral head.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article presents results for total hip arthroplasty after failed transtrochanteric rotational osteotomy according to Sugioka and after failed bone impaction grafting, both initially performed for osteonecrosis of the femoral head. After a minimal follow-up of 2 years, 33 hips were studied. In total hip arthroplasty after failed osteotomy, when compared with total hip arthroplasty after failed bone impaction grafting, clinical and radiologic outcome was less favorable, more complications were observed, and there was a higher revision rate for a technically more demanding procedure. PMID: 19358915 [PubMed - indexed ...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Rijnen WH, Lameijn N, Schreurs BW, Gardeniers JW Tags: Orthop Clin North Am Source Type: journals

Current literature: an educational tool to study osteonecrosis for the Orthopaedic In-Training Examination?Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The Orthopaedic In-Training Examination (OITE) is used to evaluate the knowledge of residents and focuses on relevant information supported by current scientific literature. The purpose of this study was to assess the relevance of current literature as a study tool for the exam, especially for osteonecrosis-related material. A systematic review was conducted of the OITE and relevant journals to compare the proportion and characterization of questions and published studies related to osteonecrosis and other frequently tested subject areas over a 5-year period (2002 to 2006). This review suggests that the OITE and litera...
Source: The Orthopedic Clinics of North America - March 31, 2009 Category: Orthopaedics Authors: Marker DR, Mont MA, Seyler TM, LaPorte DM, Frassica FJ Tags: Orthop Clin North Am Source Type: journals

Preface: the management of spine tumors.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19064050 [PubMed - indexed for MEDLINE] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - January 1, 2009 Category: Orthopaedics Authors: Donthineni R, Ofluoglu O Tags: Orthop Clin North Am Source Type: journals

Preface.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
PMID: 19064050 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Donthineni R, Ofluoglu O Tags: Orthop Clin North Am Source Type: journals

Diagnosis and staging of spine tumors.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
Persistent axial pain with or without neurologic changes should prompt workup for a possible tumor of the spine. Metastatic disease is more predominant than primary tumors, but still needs adequate evaluation before any management. The various steps of evaluation, diagnosis, and staging are reviewed. PMID: 19064051 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Donthineni R Tags: Orthop Clin North Am Source Type: journals

Management of benign tumors of the mobile spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article is a guide to diagnosing and treating such rare tumors. PMID: 19064052 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Gasbarrini A, Cappuccio M, Donthineni R, Bandiera S, Boriani S Tags: Orthop Clin North Am Source Type: journals

Primary malignant tumors of the spine.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article reviews the changes in surgical philosophy in the management of malignant spinal tumors during the past two decades. PMID: 19064053 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Sundaresan N, Rosen G, Boriani S Tags: Orthop Clin North Am Source Type: journals

Algorithms and planning in metastatic spine tumors.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
This article discusses the selection of treatment for metastatic spine tumors and, in particular, the indications for surgical treatment. PMID: 19064054 [PubMed - in process] (Source: The Orthopedic Clinics of North America)
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Tokuhashi Y, Ajiro Y, Oshima M Tags: Orthop Clin North Am Source Type: journals

Total en bloc spondylectomy for spinal tumors: surgical techniques and related basic background.Email this article to a colleague. Save this article to My Clippings. Discuss or comment on this article.
The authors' group has developed a new surgical technique of spondylectomy (vertebrectomy) called "total en bloc spondylectomy" (TES). This technique is different from spondylectomy in that it involves en bloc removal of the lesion, that is, removal of the whole vertebra, body and lamina, as one compartment. The surgical technique of TES has been remarkably improved based on adequate knowledge and consideration of the surgical anatomy, physiology, and biomechanics of the spine and spinal cord. Review of the developmental process of this operation leads to recognition of the tips, pitfalls, and solutions. PMID: 1906...
Source: The Orthopedic Clinics of North America - December 11, 2008 Category: Orthopaedics Authors: Kawahara N, Tomita K, Murakami H, Demura S Tags: Orthop Clin North Am Source Type: journals