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Source: Iowa orthopaedic journal
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Total 2435 results found since Jan 2013.
Orthopedic Manifestations of Hereditary Sensory and Autonomic Neuropathy IV in a 10-Year-Old Patient
Iowa Orthop J. 2023;43(1):95-99.ABSTRACTHereditary sensory and autonomic neuropathy type IV (HSAN) is a rare and debilitating disorder highlighted by congenital absence of pain and anhidrosis. Orthopedic sequelae include physeal fractures, Charcot joint development, excessive joint laxity, soft tissue infections and recurrent painless dislocations, all of which often present in a delayed fashion. While there is no accepted guideline on management of these patients, several case studies have highlighted the importance of early diagnosis and cautioned against surgical intervention in these patients due to their inability to ...
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: James Kohler Rory Metcalf Heather Kowalski Source Type: research
Increased Number of Medical Comorbidities Associated With Increased Risk of Presenting With Pathological Femur Fracture in Metastatic Bone Disease
CONCLUSION: This analysis suggests that those with an increasing number of comorbidities may be at increased risk for pathologic fracture. This study raises the possibility that patient factors and/ or comorbidities alter bone strength and/or pain experiences and may guide orthopaedic oncologists weighing prophylactic stabilization of femur lesions. Level of Evidence: III.PMID:37383878 | PMC:PMC10296482
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Jon-Luc Poirier L Daniel Wurtz Christopher D Collier Source Type: research
Pre-Emptive Opioid-Sparing Medication Protocol Decreases Pain and Length of Hospital Stay in Children Undergoing Posterior Spinal Instrumented Fusion for Scoliosis
CONCLUSION: This is a preliminary report demonstrating a significant decrease in maximal pain score and length of stay following PSIF on a cohort of patients receiving a novel pre-emptive opioid-sparing pain medication protocol based on first order pharmacokinetics. Future studies should investigate degree of mobilization and opioid consumption and maximal pain level after discharge from the hospital. Level of Evidence: III.PMID:37383870 | PMC:PMC10296464
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Selina Poon De-An Zhang Frederic Bushnell Vangie Luong Emmanuel Barragan Manu Raam Alexander VanSpeyBroeck Paul Choi Robert Cho Source Type: research
Outcomes Vary Significantly Using a Tiered Approach To Define Success After Total Hip Arthroplasty
CONCLUSION: There is significant variability in clinical outcomes at 1 year after primary THA when using a tiered approach to define success from the patient's perspective. Tiered approaches to interpretation of PROMs should be considered for future research and clinical assessment. Level of Evidence: III.PMID:37383868 | PMC:PMC10296457
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Christopher N Carender Morgan L Gulley Ayushmita De Kevin J Bozic John J Callaghan Nicholas A Bedard Source Type: research
Outcomes of the First Generation Locking Plate and Minimally Invasive Techniques Used for Fractures About the Knee
CONCLUSION: Longer-term outcomes of first-generation locking plates (FGLP) demonstrate that this construct provides for a high rate of union and low incidence of complications, as well as good clinical and functional results. Level of Evidence: III.PMID:37383856 | PMC:PMC10296454
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Leah J Gonzalez Abhishek Ganta Philipp Leucht Sanjit R Konda Kenneth A Egol Source Type: research
Orthopedic Manifestations of Hereditary Sensory and Autonomic Neuropathy IV in a 10-Year-Old Patient
Iowa Orthop J. 2023;43(1):95-99.ABSTRACTHereditary sensory and autonomic neuropathy type IV (HSAN) is a rare and debilitating disorder highlighted by congenital absence of pain and anhidrosis. Orthopedic sequelae include physeal fractures, Charcot joint development, excessive joint laxity, soft tissue infections and recurrent painless dislocations, all of which often present in a delayed fashion. While there is no accepted guideline on management of these patients, several case studies have highlighted the importance of early diagnosis and cautioned against surgical intervention in these patients due to their inability to ...
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: James Kohler Rory Metcalf Heather Kowalski Source Type: research
Increased Number of Medical Comorbidities Associated With Increased Risk of Presenting With Pathological Femur Fracture in Metastatic Bone Disease
CONCLUSION: This analysis suggests that those with an increasing number of comorbidities may be at increased risk for pathologic fracture. This study raises the possibility that patient factors and/ or comorbidities alter bone strength and/or pain experiences and may guide orthopaedic oncologists weighing prophylactic stabilization of femur lesions. Level of Evidence: III.PMID:37383878 | PMC:PMC10296482
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Jon-Luc Poirier L Daniel Wurtz Christopher D Collier Source Type: research
Pre-Emptive Opioid-Sparing Medication Protocol Decreases Pain and Length of Hospital Stay in Children Undergoing Posterior Spinal Instrumented Fusion for Scoliosis
CONCLUSION: This is a preliminary report demonstrating a significant decrease in maximal pain score and length of stay following PSIF on a cohort of patients receiving a novel pre-emptive opioid-sparing pain medication protocol based on first order pharmacokinetics. Future studies should investigate degree of mobilization and opioid consumption and maximal pain level after discharge from the hospital. Level of Evidence: III.PMID:37383870 | PMC:PMC10296464
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Selina Poon De-An Zhang Frederic Bushnell Vangie Luong Emmanuel Barragan Manu Raam Alexander VanSpeyBroeck Paul Choi Robert Cho Source Type: research
Outcomes Vary Significantly Using a Tiered Approach To Define Success After Total Hip Arthroplasty
CONCLUSION: There is significant variability in clinical outcomes at 1 year after primary THA when using a tiered approach to define success from the patient's perspective. Tiered approaches to interpretation of PROMs should be considered for future research and clinical assessment. Level of Evidence: III.PMID:37383868 | PMC:PMC10296457
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Christopher N Carender Morgan L Gulley Ayushmita De Kevin J Bozic John J Callaghan Nicholas A Bedard Source Type: research
Orthopedic Manifestations of Hereditary Sensory and Autonomic Neuropathy IV in a 10-Year-Old Patient
Iowa Orthop J. 2023;43(1):95-99.ABSTRACTHereditary sensory and autonomic neuropathy type IV (HSAN) is a rare and debilitating disorder highlighted by congenital absence of pain and anhidrosis. Orthopedic sequelae include physeal fractures, Charcot joint development, excessive joint laxity, soft tissue infections and recurrent painless dislocations, all of which often present in a delayed fashion. While there is no accepted guideline on management of these patients, several case studies have highlighted the importance of early diagnosis and cautioned against surgical intervention in these patients due to their inability to ...
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: James Kohler Rory Metcalf Heather Kowalski Source Type: research
Increased Number of Medical Comorbidities Associated With Increased Risk of Presenting With Pathological Femur Fracture in Metastatic Bone Disease
CONCLUSION: This analysis suggests that those with an increasing number of comorbidities may be at increased risk for pathologic fracture. This study raises the possibility that patient factors and/ or comorbidities alter bone strength and/or pain experiences and may guide orthopaedic oncologists weighing prophylactic stabilization of femur lesions. Level of Evidence: III.PMID:37383878 | PMC:PMC10296482
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Jon-Luc Poirier L Daniel Wurtz Christopher D Collier Source Type: research
Outcomes of the First Generation Locking Plate and Minimally Invasive Techniques Used for Fractures About the Knee
CONCLUSION: Longer-term outcomes of first-generation locking plates (FGLP) demonstrate that this construct provides for a high rate of union and low incidence of complications, as well as good clinical and functional results. Level of Evidence: III.PMID:37383856 | PMC:PMC10296454
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Leah J Gonzalez Abhishek Ganta Philipp Leucht Sanjit R Konda Kenneth A Egol Source Type: research
Pre-Emptive Opioid-Sparing Medication Protocol Decreases Pain and Length of Hospital Stay in Children Undergoing Posterior Spinal Instrumented Fusion for Scoliosis
CONCLUSION: This is a preliminary report demonstrating a significant decrease in maximal pain score and length of stay following PSIF on a cohort of patients receiving a novel pre-emptive opioid-sparing pain medication protocol based on first order pharmacokinetics. Future studies should investigate degree of mobilization and opioid consumption and maximal pain level after discharge from the hospital. Level of Evidence: III.PMID:37383870 | PMC:PMC10296464
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Selina Poon De-An Zhang Frederic Bushnell Vangie Luong Emmanuel Barragan Manu Raam Alexander VanSpeyBroeck Paul Choi Robert Cho Source Type: research
Outcomes Vary Significantly Using a Tiered Approach To Define Success After Total Hip Arthroplasty
CONCLUSION: There is significant variability in clinical outcomes at 1 year after primary THA when using a tiered approach to define success from the patient's perspective. Tiered approaches to interpretation of PROMs should be considered for future research and clinical assessment. Level of Evidence: III.PMID:37383868 | PMC:PMC10296457
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Christopher N Carender Morgan L Gulley Ayushmita De Kevin J Bozic John J Callaghan Nicholas A Bedard Source Type: research
Outcomes of the First Generation Locking Plate and Minimally Invasive Techniques Used for Fractures About the Knee
CONCLUSION: Longer-term outcomes of first-generation locking plates (FGLP) demonstrate that this construct provides for a high rate of union and low incidence of complications, as well as good clinical and functional results. Level of Evidence: III.PMID:37383856 | PMC:PMC10296454
Source: Iowa orthopaedic journal - June 29, 2023 Category: Orthopaedics Authors: Leah J Gonzalez Abhishek Ganta Philipp Leucht Sanjit R Konda Kenneth A Egol Source Type: research
