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Long-term Results of Modified Salter Innominate Osteotomy for Legg-Calv é-Perthes Disease.
Conclusions: The modified Salter innominate osteotomy produced relatively satisfactory long-term clinical and radiological results. PMID: 29201291 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Factors Associated with the Risk of Articular Surface Perforation during Anchor Placement for Arthroscopic Acetabular Labral Repair.
Conclusions: The radiographic analysis of the placement of suture anchors after arthroscopic labral refixation based on follow-up CTA demonstrates that articular involvement of anchors is related to the location on the acetabular rim (clock position) and anchor diameter. PMID: 29201292 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Calcar Femorale in Patients with Osteoarthritis of the Hip Secondary to Developmental Dysplasia.
Conclusions: The angle of the calcar femorale differs according to the severity of hip deformity, and the calcar femorale might thus serve as a more useful reference for stem insertion than femoral neck anteversion in total hip arthroplasty using a single-wedge stem. PMID: 29201293 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Trend in the Age-Adjusted Incidence of Hip Fractures in South Korea: Systematic Review.
Conclusions: The age-adjusted incidence of hip fractures was stable among men and women, while the absolute number of hip fractures increased for both genders in Korea. Further studies with longer study periods on age-adjusted incidences are required to better determine the trend in the incidence of hip fractures in Korea. PMID: 29201294 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Comparative Study of Clinical Outcomes and Second-Look Arthroscopic Findings between Remnant-Preserving Tibialis Tendon Allograft and Hamstring Tendon Autograft in Anterior Cruciate Ligament Reconstruction: Matched-Pair Design.
Conclusions: When an autograft is not feasible in anterior cruciate ligament reconstruction, the remnant-preserving technique can produce comparable results in terms of restoration of function, stability of the knee, and degree of synovium coverage at second-look arthroscopy compared to remnant-sacrificing hamstring autograft. PMID: 29201295 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Predictors of Midterm Outcomes after Medial Unicompartmental Knee Arthroplasty in Asians.
This study was designed to evaluate predictors of good outcomes following medial unicompartmental knee arthroplasty (UKA) in Asian patients. Methods: Registry data of patients who underwent primary unilateral medial UKA from 2006 to 2011 were collected. Outcomes studied were the Oxford Knee Score (OKS) and the Physical Component Score (PCS) of the Short Form 36 (SF-36) questionnaire. These outcome scores were collected prospectively, pre- and postoperatively up to 5 years. Good outcome was defined as an overall improvement in score greater than or equal to the minimal clinically important difference (MCID). The MCID fo...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Randomized, Multicenter, Phase III Trial to Evaluate the Efficacy and Safety of Polmacoxib Compared with Celecoxib and Placebo for Patients with Osteoarthritis.
Conclusions: Polmacoxib 2 mg was relatively well tolerated and demonstrated efficacy superior to placebo and noninferior to celecoxib after 6 weeks of treatment in patients with OA. The results obtained during the 18-week trial extension with polmacoxib 2 mg were consistent with those observed during the 6-week treatment period, indicating that polmacoxib can be considered safe for long-term use based on this relatively small scale of study in a Korean population. More importantly, the results of this study showed that polmacoxib has the potential to be used as a pain relief drug with reduced gastrointestinal side effects ...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Lateralization of Tibial Plateau Reference Point Improves Accuracy of Tibial Resection in Total Knee Arthroplasty in Patients with Proximal Tibia Vara.
Authors: Thippana RK, Kumar MN Abstract Background: The tibial cut referenced to the center of the intercondylar eminence often leads to varus malalignment in the presence of preexisting proximal tibia vara. The purpose of this study was to investigate the effect of lateralization of the lateral tibial plateau reference point (based on the amount of proximal tibia vara) on the postoperative coronal plane alignment. Methods: In this prospective cohort study, 62 patients (95 knees) with osteoarthritis and proximal tibia vara underwent primary total knee arthroplasty using a lateral tibial plateau reference point ...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Relationship between Superior Disc-Endplate Complex Injury and Correction Loss in Young Adult Patients with Thoracolumbar Stable Burst Fracture.
Conclusions: A superior intervertebral disc-endplate complex injury may have an influence on the prognosis after short-segment fixation in young adult patients with a stable thoracolumbar burst fracture. PMID: 29201299 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Validation of Ultrasound-Guided Target Segment Identification in Thoracic Spine as Confirmed by Fluoroscopy.
Conclusions: Ultrasound-guided detection using the 12th rib as a starting landmark for scanning could be a promising technique for successful target segment identification in the thoracic spine. PMID: 29201300 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Effects of Different Angles of the Traction Table on Lumbar Spine Ligaments: A Finite Element Study.
Conclusions: The results show that traction beds are highly effective for disc movement and lower back pain relief. Also, an optimal angle for traction can be obtained in a 3D model analysis using CT or magnetic resonance imaging images. The optimal angle would be different for different patients and thus should be determined based on the decreased height of the intervertebral disc, weight and height of patients. PMID: 29201301 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Antibiotic Spacers in Shoulder Arthroplasty: Comparison of Stemmed and Stemless Implants.
Conclusions: Stemmed and stemless spacers had similar clinical outcomes. When analyzing all antibiotic spacers, over 70% were converted to revision arthroplasties. The results of this study do not suggest superiority of either stemmed or stemless antibiotic spacers. PMID: 29201302 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Bridging Graft in Irreparable Massive Rotator Cuff Tears: Autogenic Biceps Graft versus Allogenic Dermal Patch Graft.
Authors: Rhee SM, Oh JH Abstract Background: Few comparative studies have reported on the use of biologic grafts for irreparable massive rotator cuff tears. The purpose of this study was to assess the results of arthroscopic bridging graft in irreparable massive rotator cuff tears using an autogenic long head of biceps tendon (LHBT) or an allogenic dermal patch (ADP). Methods: We retrospectively reviewed 24 patients treated using the LHBT (group I) and eight patients with complete rupture of the LHBT treated using an ADP (group II) since 2011. Preoperative Goutallier's fatty degeneration, range of motion (ROM),...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Minimally Invasive Plate Osteosynthesis Using a Screw Compression Method for Treatment of Humeral Shaft Fractures.
Conclusions: MIPO using a screw compression method in simple humeral shaft fractures demonstrated superior efficacy to ORIF in terms of the time to clinical/radiographic union, pain score, and postoperative infection rate. PMID: 29201304 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Biomechanical Comparison Study of Three Fixation Methods for Proximal Chevron Osteotomy of the First Metatarsal in Hallux Valgus.
Conclusions: Authors have demonstrated proximal chevron metatarsal osteotomy with intramedullary screw fixation provides superior biomechanical stability to locking plate and K-wire fixations. The new technique using intramedullary screw fixation can offer robust fixation and may lead to better outcomes in surgical treatment of hallux valgus. PMID: 29201305 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Analysis of Radiographic Parameters of the Forearm in Traumatic Radial Head Dislocation.
Conclusions: Complicated deformities developing during long-term remodeling after injury indicate that stable reduction is difficult to achieve with conventional one-bone osteotomy. Even after successful reduction, secondary deformity in the proximal ulna and/or remaining deformity in the proximal radius can hinder forearm rotation. PMID: 29201306 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Ischiofemoral Impingement Syndrome: Outcomes of Endoscopic Resection of the Lesser Trochanter.
Authors: Hernandez A, Haddad S, Nuñez JH, Gargallo-Margarit A, Sallent A, Barro V Abstract Ischiofemoral impingement syndrome is a rare clinical entity characterized by chronic groin, buttock or hip pain associated with radiographic evidence of narrowing of the space between the lesser femoral trochanter and the ischial tuberosity. Introduction of magnetic resonance imaging to the clinical practice as well as the establishment of the radiological definition of the abnormal ischiofemoral distance has led to an increasing interest in this condition. Ischiofemoral impingement syndrome is a poorly understood dis...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Rare Case of Intra-Articular Displacement of EndoButton Following Anterior Cruciate Ligament Reconstruction.
We present a case of anterior femoral tunnel placement resulting in intra-articular displacement of the EndoButton after failure. A 24-year-old man presented to us after failure of anterior cruciate ligament reconstruction performed 3 years prior. Radiographs revealed an intra-articular displacement of the EndoButton. Intraoperatively, it was noted that the femoral tunnel exit was within the suprapatellar pouch, with the displaced EndoButton lodged between the posterior aspect of the lateral tibial plateau and the capsule. Intra-articular displacement of the EndoButton is a rare complication and has only been reported twic...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Little Leaguer's Shoulder Can Cause Severe Three-Dimensional Humeral Deformity.
Authors: Hosokawa Y, Mihata T, Itami Y, Neo M, Doi M Abstract We analyzed three-dimensional (3D) humeral deformity (valgus-varus, flexion-extension, and rotational deformation) after little leaguer's shoulder using 3D computed tomography in a 15-year-old male baseball player. Humeral retroversion was increased by 27.1° on the dominant side compared with the nondominant side. Compared with the nondominant shaft, the dominant humeral shaft was deformed in the varus direction (9.4°), resulting in a decreased neck-shaft angle (dominant side, 127.5°; nondominant side, 135.1°), and it was also deformed in...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Neglected Markedly Displaced Medial Epicondyle Fracture with Simultaneous Ulnar Nerve Palsy in an Adolescent.
This study demonstrates that the surgical outcome of a late presenting fracture can be satisfactory in terms of function and neural recovery. It also underscores the importance of careful interpretation of elbow imaging including normal anatomic variants. PMID: 29201310 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Synovial Sarcoma Complicating Total Knee Arthroplasty.
Authors: Savvidou OD, Chloros GD, Koutsouradis P, Megaloikonomos PD, Skarpidi E, Papagelopoulos PJ Abstract Synovial sarcoma is a relatively common periarticular soft tissue malignancy, occurring mostly in the extremities of younger patients. Occasionally, diversity in its clinical features may lead to misdiagnosis and inappropriate management. The authors report herein a unique case of a patient who underwent a primary total knee arthroplasty to treat osteoarthritis. During the operation, a mass was discovered but was attributed to synovitis. Biopsy revealed a rare intra-articular synovial sarcoma. The patient und...
Source: Clinics in Orthopedic Surgery - December 6, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Porous Femoral Fixation in Total Hip Arthroplasty with Short Anatomical Stem: Radiographic Evaluation.
We present a study of a short anatomical femoral stem used in all age groups of patients with Dorr A and B type of femora. METHODS: We reviewed radiographs of 85 hips in 74 patients who had a cementless total hip arthroplasty with a short anatomical 80 mm femoral stem designed to achieve pure metaphyseal fixation. A ream-only technique was used for femoral canal preparation in all patients. At each follow-up, radiological evaluation was performed for stem alignment, proximal metaphyseal fill, subsidence, status of biological fixation of the femoral stem, heterotrophic ossification, radiolucency, osteolysis, and limb le...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Outcomes of Total Hip Arthroplasty between Patients with Ankylosing Spondylitis and Avascular Necrosis of the Femoral Head.
CONCLUSIONS: Cementless THA showed satisfactory clinical and radiological results in both groups, despite the longer operation time, larger blood loss volume, and lower HHS score of the AS group. Our findings suggest that cementless THA is an effective and reliable treatment for both AS and AVN. PMID: 28861192 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Poly-L-Lactic Acid and Poly-L-Lactic Acid/Hydroxyapatite Bioabsorbable Screws for Tibial Fixation in ACL Reconstruction: Clinical and Magnetic Resonance Imaging Results.
Authors: Lee DW, Lee JW, Kim SB, Park JH, Chung KS, Ha JK, Kim JG, Kim WJ Abstract BACKGROUND: The purpose of this study was to compare the clinical and radiological results of 2 different tibial fixations performed using bioabsorbable screws with added hydroxyapatite (HA) and pure poly-L-lactic acid (PLLA) screws in anterior cruciate ligament (ACL) reconstruction. METHODS: A total of 394 patients who underwent arthroscopic ACL reconstruction between March 2009 and June 2012 were retrospectively reviewed. Of those, 172 patients who took the radiological and clinical evaluations at more than 2 years after surger...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Tibial Base Plate for Total Knee Arthroplasty: Symmetric or Asymmetric?
CONCLUSIONS: The determination of correct size and rotation of the tibial component is essential for favorable outcomes of total knee arthroplasty. In this study, the symmetric tibial base plate design was more effective than the asymmetric design in providing the ideal tibial rotation and coverage. PMID: 28861194 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

India-Based Knee Osteoarthritis Evaluation (iKare): A Multi-Centre Cross-Sectional Study on the Management of Knee Pain and Early Osteoarthritis in India.
Authors: Sancheti P, Shetty VD, Dhillon MS, Sprague SA, Bhandari M Abstract BACKGROUND: Access to early knee osteoarthritis treatment in low and middle income nations is often believed to be limited. We conducted a cross-sectional study in India to assess prior access to treatment among patients presenting with knee pain to specialist orthopaedic clinics. METHODS: The multi-centre, cross-sectional study included patients presenting with knee pain at 3 hospitals in India. Patients who met the inclusion criteria and provided informed consent completed a questionnaire designed to assess patient demographics, socio...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Patellofemoral Joint Arthroplasty: Early Results and Functional Outcome of the Zimmer Gender Solutions Patello-Femoral Joint System.
We report the early results and outcomes of the Zimmer Gender Solutions Patello-Femoral Joint (PFJ) system used to treat isolated patellofemoral osteoarthritis (PFA). METHODS: We retrospectively reviewed and analysed data of patients who underwent PFJ replacement (PFJR) at our institution with a minimum follow-up of 2 years. RESULTS: Median Oxford Knee score (OKS) was 38 (interquartile range, 28 to 42) at the latest follow-up with a significant improvement from preoperative scores (p
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of the Effect of Continuous Femoral Nerve Block and Adductor Canal Block after Primary Total Knee Arthroplasty.
CONCLUSIONS: The groups showed no difference in postoperative pain control. Adductor canal block was superior to femoral nerve block in preserving quadriceps strength and walking ability. However, adductor canal block was inferior to femoral nerve block in maintaining the exact location of the catheter. PMID: 28861197 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Lumbar Single-Level Dynamic Stabilization with Semi-Rigid and Full Dynamic Systems: A Retrospective Clinical and Radiological Analysis of 71 Patients.
CONCLUSIONS: Each procedure offered satisfactory outcome regardless of which system was applied. PMID: 28861198 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Efficacy of Vitamin C on Postoperative Outcomes after Posterior Lumbar Interbody Fusion: A Randomized, Placebo-Controlled Trial.
CONCLUSIONS: Postoperative pain intensity, the primary outcome measure, was not significantly different at 1 year after surgery between the 2 groups. However, vitamin C may be associated with improving functional status after PLIF surgery, especially during the first 3 postoperative months. PMID: 28861199 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Reverse Shoulder Arthroplasty in Patients with Rheumatoid Arthritis: A Systematic Review.
CONCLUSIONS: RSA in RA showed similar short- to mid-term results without higher complication rates as compared to RSA in cuff tear arthropathy. Although RSA can be considered a reliable treatment option in patients with RA, further large-scale studies are required to determine the long-term survival of the implant. PMID: 28861200 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Evaluation of Subluxation of the Long Head of the Biceps Tendon and Its Relationship with Subscapularis Tears.
Authors: Koh KH, Kim SC, Yoo JC Abstract BACKGROUND: The purpose of this study was to evaluate the angle between the long head of the biceps tendon (LHBT) and the glenoid during arthroscopic surgery and its correlation with biceps subluxation on magnetic resonance imaging (MRI). Furthermore, we evaluated the relationship of this angle with subscapularis tears and biceps pathologies. METHODS: MRI and arthroscopic images of 270 consecutive patients who had undergone arthroscopic surgery were retrospectively evaluated. On MRI, 60 shoulders with biceps subluxation and 210 shoulders without subluxation were identifi...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Arthroscopically Guided Suprascapular Nerve Block and Blinded Axillary Nerve Block vs. Blinded Suprascapular Nerve Block in Arthroscopic Rotator Cuff Repair: A Randomized Controlled Trial.
CONCLUSIONS: Arthroscopically guided SSNB and blinded axillary nerve block in arthroscopic rotator cuff repair for medium-sized rotator cuff tears provided more improvement in VAS for pain and greater patient satisfaction in the first 48 postoperative hours than blinded SSNB. PMID: 28861202 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Differences between the Upper Extremity and the Lower Extremity in Reconstruction Using an Anterolateral Thigh Perforator Flap.
Authors: Lee SH, Suh JT, Ahn TY, Hong SM, Lee HY Abstract BACKGROUND: While reconstruction of soft tissue defects is the common purpose, surgical reconstructions of upper extremities and lower extremities have different goals in terms of functional and aesthetic outcomes. The purpose of the current study was to compare and analyze differences between reconstructions of upper extremities and lower extremities using an anterolateral thigh (ALT) flap. METHODS: We analyzed 74 patients who underwent reconstructions of upper extremities and lower extremities using an ALT flap from October 2006 to August 2012 (upper e...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical Outcome of Lateral Wedge Osteotomy of the Radius in Advanced Stages of Kienb öck's Disease.
CONCLUSIONS: Radial wedge osteotomy yielded excellent radiological and functional outcomes in advanced stages of Kienböck's disease and these results were comparable to those of Lichtman stage IIIA disease. This technique could be a useful alternative to salvage procedures in the treatment of Lichtman stage IIIB/IV Kienböck's disease without severe radiocarpal arthritis. PMID: 28861204 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Gait Analysis of Symptomatic Flatfoot in Children: An Observational Study.
Authors: Kim HY, Shin HS, Ko JH, Cha YH, Ahn JH, Hwang JY Abstract BACKGROUND: Flatfoot deformity is a lever arm disease that incurs kinetic inefficiency during gait. The purpose of this study was to measure the degree of kinetic inefficiency by comparing the gait analysis data of a flatfoot group with a normal control group. METHODS: The patient group consisted of 26 children (21 males and 5 females) with symptomatic flatfoot. They were examined with gait analysis between May 2005 and February 2014. Exclusion criteria were patients with secondary flatfoot caused by neuromuscular disorders, tarsal coalition, ve...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Pasteurized Autograft-Prosthesis Composite Reconstruction and Resection Hip Arthroplasty for Periacetabular Tumors.
Authors: Lee SY, Jeon DG, Cho WH, Song WS, Kong CB Abstract BACKGROUND: Because of the high complication rate of anatomical reconstruction after periacetabular resection, the strategy of resection alone has been revisited. However, in terms of complications and functional outcome, whether resection hip arthroplasty (RHA) shows a superior result to that of pelvic ring reconstruction remains controversial. METHODS: We compared 24 RHAs and 16 pasteurized autograft-prosthesis composite (PPC) reconstructions regarding the complication rates, operative time, blood loss, and functional outcome. RESULTS: Compared t...
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical Outcomes in Musculoskeletal Involvement of Burkholderia Pseudomallei Infection.
CONCLUSIONS: This series describing musculoskeletal involvement in melioidosis is the largest such study from a recently recognized 'endemic' region. Of importance are the patterns of musculoskeletal involvement, pitfalls in diagnosis and adequate clinical response with timely diagnosis and appropriate surgical management. PMID: 28861207 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Retrograde Intramedullary Nailing for Humerus Fracture in a Supine Position: Performing an Unfamiliar Procedure in a Familiar Position.
We report that the retrograde IM nail fixation technique performed in a supine position and some ancillary techniques for minimizing scars or complications can provide the advantages of both retrograde nailing and supine position during surgery. PMID: 28861208 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Erratum to "Clinical Outcomes and Complications during the Learning Curve for Reverse Total Shoulder Arthroplasty: An Analysis of the First 40 Cases".
Erratum to "Clinical Outcomes and Complications during the Learning Curve for Reverse Total Shoulder Arthroplasty: An Analysis of the First 40 Cases". Clin Orthop Surg. 2017 Sep;9(3):396 Authors: Abstract [This corrects the article on p. 213 in vol. 9, PMID: 28567225.]. PMID: 28861209 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Rotational Acetabular Osteotomy.
Authors: Yasunaga Y, Fujii J, Tanaka R, Yasuhara S, Yamasaki T, Adachi N, Ochi M Abstract Hip dysplasia is the most common cause of secondary osteoarthritis (OA). To prevent the early onset of secondary OA, Nishio's transposition osteotomy, Steel's triple osteotomy, Eppright's dial osteotomy, Wagner's spherical acetabular osteotomy, Tagawa's rotational acetabular osteotomy (RAO), and Ganz' periacetabular osteotomy (PAO) have been proposed. PAO and RAO are now commonly used in surgical treatment of symptomatic acetabular dysplasia in Europe, North America, and Asia. The aim of this paper is to present the followings...
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Surgical Treatment of Piriformis Syndrome.
CONCLUSIONS: PS is thought to be an exclusively clinical diagnosis, and if the diagnosis is performed correctly, surgery can be a good treatment option in patients with refractory sciatica despite appropriate conservative treatments. PMID: 28567214 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Postoperative Infection-Related Complications between Cemented and Cementless Hemiarthroplasty in Elderly Patients: A Meta-Analysis.
CONCLUSIONS: Results of our meta-analysis suggest that when selecting a fixation method for hemiarthroplasty, infection-related postoperative complications are not the determinant factor to consider. PMID: 28567215 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Need for an Implant Identification Card at Airport Security Check.
CONCLUSIONS: It is the opinion of airport security officers and patients that joint replacement implant identification cards streamline airport security checks and decrease the need for more invasive searches at airport security. PMID: 28567216 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of Surgical Parameters and Results between Curved Varus Osteotomy and Rotational Osteotomy for Osteonecrosis of the Femoral Head.
Authors: Lee YK, Park CH, Ha YC, Kim DY, Lyu SH, Koo KH Abstract BACKGROUND: Various osteotomies have been introduced to treat osteonecrosis of the femoral head. The purpose of this study was to compare surgical parameters, postoperative limb length discrepancy, and minimum 5-year clinical and radiological results between transtrochanteric curved varus osteotomy (TCVO) and transtrochanteric rotational osteotomy (TRO) for osteonecrosis of the femoral head. METHODS: From 2004 to 2009, 103 consecutive TROs (97 patients) followed by 72 consecutive TCVOs (64 patients) were performed for the treatment of osteonecrosi...
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Robotic Total Knee Arthroplasty with a Cruciate-Retaining Implant: A 10-Year Follow-up Study.
CONCLUSIONS: Both robotic and conventional TKAs resulted in good clinical outcomes and postoperative leg alignments. Robotic TKA appeared to reduce the incidence of leg alignment outliers and radiolucent lines compared to conventional TKA. PMID: 28567218 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Effect of Anxiety, Depression, and Optimism on Postoperative Satisfaction and Clinical Outcomes in Lumbar Spinal Stenosis and Degenerative Spondylolisthesis Patients: Cohort Study.
Authors: Lee J, Kim HS, Shim KD, Park YS Abstract BACKGROUND: The aim of this study is to evaluate the effect of depression, anxiety, and optimism on postoperative satisfaction and clinical outcomes in patients who underwent less than two-level posterior instrumented fusions for lumbar spinal stenosis and degenerative spondylolisthesis. METHODS: Preoperative psychological status of subjects, such as depression, anxiety, and optimism, was evaluated using the Hospital Anxiety and Depression Scale (HADS) and the Revised Life Orientation Test (LOT-R). Clinical evaluation was determined by measuring changes in a vis...
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Should We Check the Routine Postoperative MRI for Hematoma in Spinal Decompression Surgery?
Authors: Shin HK, Jeong HJ, Kim E, Park JH, Park SJ, Cho Y Abstract BACKGROUND: A postoperative magnetic resonance imaging (MRI) is performed as a routine to assess decompression of the spinal cord as well as to evaluate postoperative complications. The purpose of this study is to analyze the efficacy of postoperative MRI for hematoma in spinal decompression surgery. METHODS: Between January 1, 2008 and January 31, 2015, 185 patients who underwent postoperative MRI after spinal decompression surgery were included in this study. We checked the history of the use of an anticoagulant or antiplatelet agent, withdra...
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Use of Contrast in Caudal Epidural Injections under Image Intensifier Guidance: Is It Necessary?
CONCLUSIONS: The results from this study demonstrate that a surgeon beyond the learning curve can accurately place caudal epidural injections using image intensification only, without the use of contrast. PMID: 28567221 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparison of the Extent of Degeneration among the Normal Disc, Immobilized Disc, and Immobilized Disc with an Endplate Fracture.
This study attempts to prove a cause and effect relationship between spine immobilization following posterior fixation for unstable burst fractures and degeneration observed following hardware removal. METHODS: We enrolled 57 patients (259 intervertebral discs [IVDs]) who underwent only posterior instrumentation without fusion for thoracolumbar and lumbar unstable burst fractures. We arbitrarily named the IVD that has an endplate fracture after immobilization using pedicle screws as the fractured endplate and immobilized disc (FEID), the IVD that has no endplate fracture after immobilization using pedicle screws as the...
Source: Clinics in Orthopedic Surgery - June 2, 2017 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research