Treatment of Acute Achilles Tendon Rupture.
Authors: Park SH, Lee HS, Young KW, Seo SG Abstract There is no clear consensus on the optimal treatment of acute Achilles tendon rupture. Recently, studies have demonstrated the critical role of functional rehabilitation in the treatment of ruptured Achilles tendons. Hence, conservative treatment is preferred by a growing number of surgeons seeking to treat the condition without the risk of complications from surgery. However, operative treatment is still considered as a more reliable treatment option for acute Achilles tendon rupture. In this review article, we provide an overview of recent treatment strategies f...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Evaluation and Management of Osteoporosis and Sarcopenia in Patients with Distal Radius Fractures.
Authors: Shah GM, Gong HS, Chae YJ, Kim YS, Kim J, Baek GH Abstract Distal radius fractures (DRFs) are one of the most common fractures seen in elderly people. Patients with DRFs have a high incidence of osteoporosis and an increased risk of subsequent fractures, subtle early physical performance changes, and a high prevalence of sarcopenia. Since DRFs typically occur earlier than vertebral or hip fractures, they reflect early changes of the bone and muscle frailty and provide physicians with an opportunity to prevent progression of frailty and secondary fractures. In this review, we will discuss the concept of DRF...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

How Many Screws Are Needed for Reliable Stability of Extra-articular Nonosteoporotic Distal Radius Fractures Fixed with Volar Locking Plates?
Conclusions: In the dorsally comminuted, extra-articular, nonosteoporotic distal radius fractures, the minimum number of screws-four in the distal row and two in the shaft-in volar locking plate fixation can provide sufficient stability. Further biomechanical studies involving osteoporotic bone will be necessary to confirm the results because volar plate fixation is most commonly used in patients with osteoporosis. PMID: 32117534 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Risk Factors Associated with Failure of Cephalomedullary Nail Fixation in the Treatment of Trochanteric Hip Fractures.
Authors: Yoo J, Chang J, Park C, Hwang J Abstract Background: Intramedullary (IM) nailing is widely performed in elderly patients with trochanteric fractures. Thus, it is important to identify causative factors associated with fixation failure. We investigated fixation failures after IM nailing in elderly patients with trochanteric fractures and compared the failure group with nonfailure group to identify risk factors of fixation failure. Methods: A total of 396 patients aged 65 years or older underwent IM nailing for trochanteric fractures between January 2012 and August 2016 at our institution. Of those, 194 ...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Lupus and Perioperative Complications in Elective Primary Total Hip or Knee Arthroplasty.
Authors: Aziz KT, Best MJ, Skolasky RL, Ponnusamy KE, Sterling RS, Khanuja HS Abstract Background: The number of patients with systemic lupus erythematosus (herein, lupus) undergoing total hip arthroplasty (THA) or total knee arthroplasty (TKA) is increasing. There is disagreement about the effect of lupus on perioperative complication rates. We hypothesized that lupus would be associated with higher complication rates in patients who undergo elective primary THA or TKA. Methods: Records of more than 6.2 million patients from the National Inpatient Sample who underwent elective primary THA or TKA from 2000 to 2...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Contamination Rate of Burnt Necrotic Tissue after Electrocoagulation in Total Knee Arthroplasty.
Conclusions: BNT in surgical field can become a reservoir of contaminating bacteria. However, contamination of BNT was not associated with PJI. Therefore, routine removal of all BNTs may be unnecessary. PMID: 32117537 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Long-term Follow-up of Patellar Nonresurfacing in Total Knee Arthroplasty.
Conclusions: Patellar nonresurfacing TKA reduces anterior knee pain in the early postoperative period. The procedure can be considered a relatively safe option with fewer complications; however, its effectiveness appears to decrease over time. PMID: 32117538 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Review of Physician Referrals to Orthopedic Spine versus Neurosurgery.
Conclusions: Even though both orthopedic surgeons and neurosurgeons are intensively trained to treat a similar breath of spinal pathology, physicians vary in their referring patterns according to spinal pathology, location of pathology, and intended surgery. Education on the role of spine surgeons among PCPs is essential in ensuring unbiased referral patterns. PMID: 32117539 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Definition, Diagnosis, Treatment, and Prognosis of Frozen Shoulder: A Consensus Survey of Shoulder Specialists.
Conclusions: The survey revealed a general consensus among shoulder specialists on the definition and treatment of FS. However, classification of FS was found controversial. PMID: 32117540 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical Results of Surgical Resection and Histopathological Evaluation of Synovial Chondromatosis in the Shoulder: A Retrospective Study and Literature Review.
Conclusions: The present study showed that resection of shoulder osteochondral lesions successfully relieved the clinical symptoms and that primary synovial chondromatosis is less common than secondary synovial chondromatosis in the shoulder. Although most of the present osteochondral lesions were clinically determined to be primary chondromatosis, only one case was histopathologically categorized as primary synovial chondromatosis. These results suggest that histopathological identification is needed to differentiate between primary and secondary synovial chondromatosis. PMID: 32117541 [PubMed - in process] (Source: C...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Effectiveness of Ultrasound in Evaluation of Fatty Infiltration in Rotator Cuff Muscles.
Conclusions: US is effective for detecting advanced FI in the rotator cuff muscles. US can assess the infraspinatus more accurately than the supraspinatus, and architecture is a more decisive component of FI status than echogenicity. PMID: 32117542 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Factors Affecting Quality of Life and Satisfaction in Patients with Arthritis after Change to a Fixed-Dose Naproxen/Esomeprazole Combination Drug.
Authors: Park D, Kwon Y Abstract Background: In drug therapy for patients with arthritis, a naproxen/esomeprazole combination drug may be a tolerable choice because it can minimize gastrointestinal and cardiovascular adverse effects. The aim of this study was to investigate the changes in quality of life (QOL), medication adherence, and satisfaction after switch from the existing drug to the combination drug. In addition, we analyzed the correlation between the above-mentioned variables and the stratified demographic and medical data of the patients. Methods: A prospective, noninterventional, observational stud...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Functional Outcomes of Hip Arthroscopy for Pediatric and Adolescent Hip Disorders.
Conclusions: Our short-term follow-up evaluation shows that hip arthroscopy for pediatric and adolescent hip disorder is a less invasive and safe procedure. It appears to be effective in improving functional impairment caused by femoroacetabular impingement between the deformed femoral head and acetabulum or intra-articular focal problems in pediatric and adolescent hip disorders. PMID: 32117544 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Results of a Standard versus an Accelerated Ponseti Protocol for Clubfoot: A Prospective Randomized Study.
Authors: Islam MS, Masood QM, Bashir A, Shah FY, Halwai MA Abstract Background: The aim of this study was to compare the results of the standard once-weekly Ponseti casting technique to an accelerated twice-weekly regimen in our population cohort. Methods: A prospective randomized controlled study was conducted with a total of 100 consecutive patients (158 feet) being enrolled for the study. Fifty patients were randomized to each group and followed up for at least one year. Results: Initial mean Pirani score was 4.67 ± 0.73 in the standard group and 4.35 ± 0.76 in the accelerated group, and th...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Correlation between Accelerometer and Questionnaire-Based Assessment of Physical Activity in Patients with Cerebral Palsy.
Conclusions: In patients with CP, happiness and quality of life are associated with higher levels of PA. Thus, programs for patients with CP should focus on improving their PA. PMID: 32117546 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Factors Associated with Disease Stabilization of Desmoid-Type Fibromatosis.
Conclusions: Frontline conservative treatment seems to be the optimal treatment for most patients with DF. Younger patients or those with recurrence may require longer time to spontaneous disease stabilization. PMID: 32117547 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Proteomic Classification and Identification of Proteins Related to Tissue Healing of Platelet-Rich Plasma.
Conclusions: We identified the unknown proteins associated with tissue healing in PRP. Our findings may serve as a foundation for the establishment of basic medical evidence for PRP applications. PMID: 32117548 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Intramedullary Stabilization Technique Using Headless Compression Screws for Distal Ulnar Fractures.
In this study, we present a technique using headless compression screws to achieve bony union of distal ulnar fractures. From November 2016 to November 2018, we treated 11 patients with distal ulnar fractures combined with distal radial fractures with headless compression screws (DePuy Synthes). Patients were instructed to maintain a short-arm splint for less than two weeks after the treatment. The mean time to bony union was 6.5 weeks, mean Quick Disabilities of the Arm, Shoulder, and Hand score was 14.6 points, and mean visual analog scale score was 1.09 points. Full range of motion was possible in all directions after s...
Source: Clinics in Orthopedic Surgery - March 4, 2020 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Total Elbow Arthroplasty: Clinical Outcomes, Complications, and Revision Surgery.
Authors: Kwak JM, Koh KH, Jeon IH Abstract Total elbow arthroplasty is a common surgical procedure used in the management of advanced rheumatoid arthritis, posttraumatic arthritis, osteoarthritis, and unfixable fracture in elderly patients. Total elbow prostheses have evolved over the years and now include the linked, unlinked, and convertible types. However, long-term complications, including infection, aseptic loosening, instability, and periprosthetic fracture, remain a challenge. Here, we introduce each type of implant and evaluate clinical outcomes and complications by reviewing the previous literature. PM...
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Metabolic and Hemodynamic Results and Early Complications in Simultaneous Bilateral versus Unilateral Hip Arthroscopy.
Conclusions: The variations of hemodynamic parameters in patients undergoing hip arthroscopy remained within normal ranges. The findings of this study suggest that bilateral hip arthroscopy be selected according to the patient's condition, considering that the risk of complications and metabolic alterations in bilateral hip arthroplasty are similar to those in unilateral arthroscopy. PMID: 31788159 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Outcomes of Fast-Track Multidisciplinary Care of Hip Fractures in Veterans: A Geriatric Hip Fracture Program Report.
Conclusions: Elderly hip fracture has a high risk of mortality (14%-58%). Thus, expeditious surgery within 24 hours of admission has been advocated in the Western literature to minimize mortality. Mortality rate at 1 year after surgery remains at 10% to 24%. In our study, even with aggressive co-management, the average delay to hip fracture fixation was more than 3 days; however, the 1-year mortality was relatively low (7.7%). This indicates the importance of preoperative optimization and postoperative rehabilitation for independent ambulation and mortality reduction in the elderly population. PMID: 31788160 [PubMed - ...
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Anterior Cortical Window Technique Instead of Extended Trochanteric Osteotomy in Revision Total Hip Arthroplasty: A Minimum 10-Year Follow-up.
Conclusions: With use of an anterior cortical window, a well-fixed stem can be easily removed, and a new stem can be inserted with firm mediolateral stability in the proximal femur in revision THA. We recommend using this technique instead of the extended trochanteric osteotomy in revision THA. PMID: 31788161 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Follow-up of Metal-on-Metal Hip Replacements at a Large District Hospital and the Implementation of Medicines and Healthcare Products Regulatory Agency Guidelines: A Review of 297 Patients.
Conclusions: Positive MARS-MRI can often occur in the absence of elevated metal ion levels; elevated blood metal ion levels do not mean MARS-MRI will be positive. All patients with MoM replacements were at risk. It is imperative to assess patients regularly for symptoms that may raise clinical suspicion and maintain a low threshold to performing MARS-MRI. PMID: 31788162 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Effect of Prosthesis Design on Blood Loss in Simultaneous Bilateral Total Knee Arthroplasty: Closed-Box versus Open-Box Prosthesis.
Authors: Rattanaprichavej P, Laoruengthana A, Rasamimogkol S, Varakornpipat P, Reosanguanwong K, Pongpirul K Abstract Background: Various pre- and perioperative risk factors have been reported in association with blood loss in knee arthroplasty. However, the effect of the uncovered cancellous surface on blood loss in simultaneous bilateral total knee arthroplasty (SBTKA) by different prosthetic designs is not well elucidated. Therefore, this study aimed to compare the blood loss and transfusion rate between different knee prostheses in SBTKA and to identify risk factors that influence blood loss and transfusion aft...
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Influence of Patellar Tilt Angle in Merchant View on Postoperative Range of Motion in Posterior Cruciate Ligament-Substituting Fixed-Bearing Total Knee Arthroplasty.
Authors: Chon J, Jeon T, Yoon J, Jung D, An CH Abstract Background: We investigated whether the patellar tilt angle influences the maximum knee flexion after total knee arthroplasty (TKA) performed by using a posterior cruciate ligament-substituting (PS) fixed-bearing prosthesis in patients with relatively loose or tight flexion gap. Methods: In this prospective cohort study, we followed up 169 patients for at least 2 years after TKA using PS fixed-bearing prosthesis. The patients were divided into two groups according to the flexion gap value-calculated by subtracting the thickness of the final bearing from th...
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Survey on the Short-term Outcome of Microlumbar Discectomy with General versus Spinal Anesthesia.
Conclusions: Simple lumbar disc operations in the otherwise healthy patients can be safely performed under either spinal or general anesthesia. Both anesthetic methods led to comparable outcomes with minimal complications. PMID: 31788165 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Is Acromial Fracture after Reverse Total Shoulder Arthroplasty a Negligible Complication?: A Systematic Review.
Conclusions: Acromial fractures after RTSA are a complication neither uncommon nor negligible. In the absence of studies with high-level evidence, there is a controversy on the outcomes after treatment. Further well-designed prospective randomized controlled studies with a long-term follow-up should be performed to ascertain the diagnosis, treatment, and prognosis of acromial fractures after RTSA. PMID: 31788166 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Conversion of Failed Reverse Total Shoulder Arthroplasty to Hemiarthroplasty: Three Cases of Instability and Three Cases of Glenoid Loosening.
Conclusions: Conversion to hemiarthroplasty can be a good alternative to revision RTSA in patients with serious complications (such as unresolved instability and glenoid loosening) difficult to treat with revision RTSA. PMID: 31788167 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Reliability of the Instability Severity Index Score as a Predictor of Recurrence after Arthroscopic Anterior Capsulolabral Reconstruction: A Multicenter Retrospective Study.
Conclusions: Not all ISIS domains accurately predicted recurrence after arthroscopic capsulolabral reconstruction. The ISIS may not be a proper reference for determining Latarjet procedure in patients with anterior shoulder instability. PMID: 31788168 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Trapeziectomy with Ligament Reconstruction and Interposition Arthroplasty Using the Palmaris Longus Tendon: An Average 5-Year Follow-up.
Conclusions: The modified LRTI procedure provided significant subjective and objective improvements without severe complications particularly related to the harvesting of the PL tendon. This procedure is a valuable surgical option for trapeziometacarpal osteoarthritis and could be a useful salvage modality if the FCR tendon ruptures during the conventional LRTI procedure. PMID: 31788169 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Results of Simple Conservative Treatment of Midfoot Charcot Arthropathy.
Conclusions: Conservative treatment without restriction of ambulation is recommended for midfoot Charcot arthropathy because it is rarely progressive, unlike hindfoot-ankle arthropathy. In some cases, simple bumpectomy can be required to prevent catastrophic infection. PMID: 31788170 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Alpha Angle as a Predictor of Impending Contralateral Slipped Capital Femoral Epiphysis in an Asian Population.
Authors: Chan CX, Yang YO, Cheng GHM, Gera SK, Mohammad ABZ Abstract Background: Prophylactic pinning of the uninvolved side after unilateral slipped capital femoral epiphysis (SCFE) is controversial. The alpha angle, a measurement of femoral head-neck aspherity, was proposed as a predictor of progression of contralateral SCFE with a treatment threshold of greater than 50.5°. The aim of this study was to evaluate its validity in our cohort of patients. Methods: A retrospective review of a 10-year series of patients who presented with unilateral SCFE was conducted. Minimum follow-up duration to identify cont...
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Diagnosis and Management of Hip Dislocation in Patients with Kabuki Syndrome.
Conclusions: The management of hip dislocation by conservative or surgical method showed successful results. Awareness of Kabuki syndrome could lead to an early diagnosis of this rare disease in patients with hip dislocation and allow for early detection of other underlying conditions and multidisciplinary management. PMID: 31788172 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Locating the Instant Center of Rotation in the Subaxial Cervical Spine with Biplanar Fluoroscopy during In Vivo Dynamic Flexion-Extension.
Conclusions: The ICR in the cervical spine showed a trend of moving progressively more superiorly and anteriorly and the disc space overlapping the distribution circle of ICR increased along the lower motion segments except the C5-6 segment. These findings could provide a good basis for level-specific cervical arthroplasty designs. PMID: 31788173 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Modified Under-Vastus Approach for Knee Arthroplasty with Anatomical Repair of Soft Tissue.
Authors: Hiranaka T, Tanaka T, Fujishiro T, Anjiki K, Nagata N, Kitazawa D, Kotoura K, Okamoto K Abstract The under-vastus approach (UVA) is a modification of the conventional subvastus approach for knee arthroplasty. Our modified UVA allows the muscles to be spared while offering good exposure of the operative field and facilitating anatomical repair of the capsule and fascia. A medial parapatellar incision is made and the vastus medialis fascia is incised along the same line. The muscle belly is not incised but detached from the surrounding fascia and retracted laterally. The suprapatellar pouch capsule is then l...
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

"Free Hand" or Wire Guide: To the Editor.
"Free Hand" or Wire Guide: To the Editor. Clin Orthop Surg. 2019 Dec;11(4):495 Authors: Sinha NK, Bhardwaj A PMID: 31788175 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

"Free Hand" or Wire Guide: In Reply.
"Free Hand" or Wire Guide: In Reply. Clin Orthop Surg. 2019 Dec;11(4):496 Authors: Lee YK, Moon KH, Kim JW, Ha YC, Lee MH, Koo KH PMID: 31788176 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comments on the Article "The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw": To the Editor.
Comments on the Article "The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw": To the Editor. Clin Orthop Surg. 2019 Dec;11(4):497-498 Authors: Cho SH PMID: 31788177 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comments on the Article "The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw": In Reply.
Comments on the Article "The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw": In Reply. Clin Orthop Surg. 2019 Dec;11(4):499 Authors: Cho MR, Choi WK PMID: 31788178 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Corrigendum to "Anterolateral Approach in the Treatment of Femoroacetabular Impingement of the Hip".
Corrigendum to "Anterolateral Approach in the Treatment of Femoroacetabular Impingement of the Hip". Clin Orthop Surg. 2019 Dec;11(4):500 Authors: Kim HT, Kim UJ, Cho YJ Abstract [This corrects the article on p. 337 in vol. 11, PMID: 31475056.]. PMID: 31777647 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - November 30, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Treatment Strategy for Frozen Shoulder.
Authors: Cho CH, Bae KC, Kim DH Abstract Frozen shoulder (FS) is a common shoulder disorder characterized by a gradual increase of pain of spontaneous onset and limitation in range of motion of the glenohumeral joint. The pathophysiology of FS is relatively well understood as a pathological process of synovial inflammation followed by capsular fibrosis, but the cause of FS is still unknown. Treatment modalities for FS include medication, local steroid injection, physiotherapy, hydrodistension, manipulation under anesthesia, arthroscopic capsular release, and open capsular release. Conservative management leads to i...
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Pearls and Tips in Shoulder Arthroplasty.
This article will review key aspects of patient evaluation, discuss key technical steps in primary anatomic and reverse arthroplasty, and lastly provide tips to facilitate revision surgery. PMID: 31475044 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Preoperative Iron Supplementation and Restrictive Transfusion Strategy in Hip Fracture Surgery.
Authors: Yoon BH, Lee BS, Won H, Kim HK, Lee YK, Koo KH Abstract Background: Hip fracture surgery (HFS) is often associated with perioperative blood loss, and it frequently necessitates transfusion. However, the hemoglobin (Hb) threshold for transfusion remains controversial in hip fracture patients. We evaluated the usefulness of the restrictive strategy and preoperative intravenous iron supplementation in HFS. Methods: We retrospectively reviewed the medical records of 1,634 patients (> 60 years of age) who underwent HFS between May 2003 and June 2014 and were followed up for 1 year or more after surgery. ...
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Isolated Acetabular Liner Exchange for Polyethylene Wear and Osteolysis with Well-Fixed Metal Shell.
Conclusions: The results of this study suggest that isolated acetabular liner exchange is a reasonable option for wear and osteolysis when the metal shell is well fixed. More promising long-term results are expected with the use of highly cross-linked polyethylene liners. PMID: 31475046 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Treatment for Femoroacetabular Impingement with Extraspinal Diffuse Idiopathic Skeletal Hyperostosis.
Conclusions: This study has demonstrated that extraspinal DISH involving the hip joint could lead to FAI, and arthroscopic treatment could result in relief of symptoms, including pain and ROM limitation, in extraspinal DISH patients. PMID: 31475047 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical and Radiological Changes after Microfracture of Knee Chondral Lesions in Middle-Aged Asian Patients.
Authors: Kim JK, Vaidya R, Lee SK, Yu J, Park JY, Ro DH, Lee MC, Han HS Abstract Background: Although microfracture is widely accepted as an effective treatment option for knee chondral lesions, little is known about the deterioration of clinical outcomes and radiological progression in middle-aged patients. Therefore, this study was conducted to evaluate the clinical and radiological changes after microfracture of knee chondral lesions in middle-aged Asian patients. Methods: A total of 71 patients were included in the study. They were between the ages of 40 and 60 years and underwent arthroscopic microfracture...
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Percutaneous Pedicle Screw Fixation in Thoracolumbar Fractures: Comparison of Results According to Implant Removal Time.
Conclusions: PPSF followed by implant removal after healing of fractured body appears to be effective in achieving restoration of ROM. In our study, early removal of implant within 12 months after surgery was associated with better achievement of ROM than removal after 12 months. In addition, there were no significant differences in restoration of vertebral height between the two groups. PMID: 31475049 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Etiology and Related Factors of Postoperative Delirium in Orthopedic Surgery.
Authors: Song KJ, Ko JH, Kwon TY, Choi BW Abstract Background: Delirium is a serious complication for elderly patients after orthopedic surgery. The purpose of this study was to assess the etiology and related factors of delirium after orthopedic surgery in Korea. Methods: We retrospectively reviewed the medical records of 3,611 patients over 50 years who had orthopedic surgery. The age of patients (50s, 60s, 70s, and> 80s), type of anesthesia (general, spinal, and local), operation time (more than 2 hours vs. less than 2 hours), surgical site (spine, hip, knee, or others), and etiology (trauma or disease) w...
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Biomechanical Comparison of Fixed- versus Variable-Angle Locking Screws for Distal Humerus Comminuted Fractures.
Conclusions: Our results did not show any difference in the biomechanical stability of the fixed- versus variable-angle constructs. There was not any screw breakage or failure of the plate-screw interface. PMID: 31475051 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Difference of Critical Shoulder Angle (CSA) According to Minimal Rotation: Can Minimal Rotation of the Scapula Be Allowed in the Evaluation of CSA?
Conclusions: The X-ray view corresponding to Suter-Henninger classification type A1 or CT-reconstructed image can be used to reduce the measurement error and obtain reliable CSA values. The CSA measured on the X-ray view corresponding to Suter-Henninger classification type A1 may be related with rotator cuff tear. PMID: 31475052 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 3, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research