Treatment Strategy for Irreparable Rotator Cuff Tears.
Authors: Oh JH, Park MS, Rhee SM Abstract Recently, patients with shoulder pain have increased rapidly. Of all shoulder disorders, rotator cuff tears (RCTs) are most prevalent in the middle-aged and older adults, which is the primary reason for shoulder surgery in the population. Some authors have reported that up to 30% of total RCTs can be classified as irreparable due to the massive tear size and severe muscle atrophy. In this review article, we provide an overview of treatment methods for irreparable massive RCTs and discuss proper surgical strategies for RCTs that require operative management. PMID: 298543...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Juxta-articular Plate Fixation in Distal Radius Intra-articular Fractures with Accompanying Volar Free Fragments beyond the Watershed Line.
Conclusions: In cases of intra-articular DRF with free fragments beyond the watershed line, a volar approach with use of a juxtaarticular plate provided favorable outcomes without significant complications. PMID: 29854335 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Supplementary Technique for Unstable Clavicle Shaft Fractures: Interfragmentary Wiring and Temporary Axial K-Wire Pinning.
Conclusions: The cognizant effort to achieve anatomic reduction without surrounding soft tissue insult before definitive plating allows excellent radiologic and functional outcomes. Interfragmentary cerclage wiring and temporary axial K-wire pinning can overcome difficulties associated with unstable clavicle fractures to allow proper fracture reduction. In this article, we introduce a concise technique for achieving the desired outcomes reliably and efficiently when treating unstable clavicle midshaft fractures. PMID: 29854336 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Cortical Thickness Index of the Proximal Femur: A Radiographic Parameter for Preliminary Assessment of Bone Mineral Density and Osteoporosis Status in the Age 50 Years and Over Population.
This study aimed to investigate the correlation of cortical thickness index (CTI) and canal flare index (CFI) with BMD and FRAX and to evaluate their ability to predict femoral neck BMD (nBMD) and FRAX in the general elderly population. Methods: A total of 560 volunteers (age ≥ 50 years) who underwent hip-spine X-ray, BMD scanning and FRAX calculation were retrospectively reviewed. CTI and CFI were measured on anteroposterior radiographs and analyzed for their correlation with BMD and FRAX and for their ability to predict nBMD. The ability of CTI to predict osteoporosis status (OPS) and fracture risk status (FRS) wa...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Magnetic Resonance Imaging and Clinical Results of Outside-in Anterior Cruciate Ligament Reconstruction: A Comparison of Fixed- and Adjustable-Length Loop Cortical Fixation.
Conclusions: The adjustable-length loop device provided comparable graft healing, implant-related failure, and clinical results with the fixed-length loop device, allowing adaptation of the graft to the different tunnel lengths. Therefore, it could be effectively used with an adjustment according to the femoral tunnel length. PMID: 29854338 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Is Immediate Postoperative Mechanical Axis Associated with the Revision Rate of Primary Total Knee Arthroplasty? A 10-Year Follow-up Study.
Conclusions: Restoration of neutral limb alignment is a factor that can result in a lower revision rate and higher longevity in TKA. However, there were no significant differences in clinical outcomes between the two groups. PMID: 29854339 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comparing Outcomes of Tumor Prosthesis Revision and Locking Plate Fixation in Supracondylar Femoral Periprosthetic Fractures.
Conclusions: The results of revision TKR using a tumor prosthesis were comparable to those of fixation using a locking plate in periprosthetic fractures after TKR. Tumor prosthesis revision may be considered as a viable alternative to locking plate fixation when indicated. PMID: 29854340 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Prevalence and Predictors of Patellofemoral Osteoarthritis after Anterior Cruciate Ligament Reconstruction with Hamstring Tendon Autograft.
Conclusions: Significant predictors of PFOA after ACL reconstruction with hamstring autograft were decreased quadriceps strength at last follow-up, increased age, and concurrent meniscectomy at primary surgery. Quadriceps weakness as a modifiable factor should be considered in the establishment of a rehabilitation strategy to prevent PFOA after ACL reconstruction, especially in older age. PMID: 29854341 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Need for Early Tracheostomy in Patients with Traumatic Cervical Cord Injury.
Conclusions: In patients with severe traumatic cervical spinal cord injury, tracheostomy may be needed when the motor grade of the ASIA scale is low, above the C4 segment is injured, or paradoxical respiration occurs after injuries. In addition, if endotracheal extubation is not feasible within 4 days after surgery, an early tracheostomy should be considered. PMID: 29854342 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Impact of Fat Infiltration in Cervical Extensor Muscles on Cervical Lordosis and Neck Pain: A Cross-Sectional Study.
Conclusions: These results suggest that fat infiltration in the upper cervical extensor muscles has relevance to the loss of cervical lordosis, whereas fat infiltration in the lower cervical extensor muscles is associated with cervical functional disability. PMID: 29854343 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical and Imaging Features of Longus Colli Calcific Tendinitis: An Analysis of Ten Cases.
In this study, we analyzed the imaging and clinical features of LCCT in 10 patients. Methods: We retrospectively reviewed the radiolographic findings, laboratory data and clinical features of 10 patients diagnosed with LCCT between January 2015 and June 2017. All patients were treated with medical treatment consisting of intravenous methylprednisolone 125 mg twice and oral nonsteroidal anti-inflammatory drug administration. Results: On clinical findings, all 10 patients complained of severe posterior neck pain and cervical motion limitation. Odynophagia was present in nine patients. The mean time from symptom onset...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Revalidating Pfirrmann's Magnetic Resonance Image-Based Grading of Lumbar Nerve Root Compromise by Calculating Reliability among Orthopaedic Residents.
Conclusions: Our residents took only a short time to learn and reproduce this grading system as ratings that proved to be moderately reliable. Even though the value of kappa was slightly lower, reliability was similar to that of the original authors. We think that this grading system can be adopted in day-to-day practice by framing appropriate rules to interpret MR images where the nerve roots are not visible. PMID: 29854345 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Sex Differences in Pedobarographic Findings and Relationship between Radiographic and Pedobarographic Measurements in Young Healthy Adults.
This study examined pedobarographic findings in young healthy adults with regard to sex-related differences and correlations among measurement indices. Methods: Twenty young healthy adults (mean age, 22.4 years; standard deviation, 1.2 years; and 10 males and 10 females) were included. Weight bearing anteroposterior (AP) and lateral foot radiographs were taken, and dynamic pedobarographic data during treadmill walking and maximum ankle dorsiflexion were obtained. AP talo-first metatarsal angle, naviculocuboid overlap, lateral talo-first metatarsal angle, and plantar soft tissue thickness were measured on foot radiograp...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Role of Nonsteroidal Anti-inflammatory Drug in Treatment of Extra-abdominal Desmoid Tumors.
Conclusions: The present study suggests that conservative treatment would be a primary treatment option for this perplexing disease even though we were not able to determine that the use of a cyclooxygenase-2 inhibitor would have an additional influence on the natural course of a desmoid tumor. PMID: 29854347 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Intraosseous Lipoma: 18 Years of Experience at a Single Institution.
Conclusions: There was no correlation between the degree of degeneration and clinical symptoms. Pain was the most common clinical symptom, but it was rarely accompanied by functional limitation. However, it is important to distinguish it from other pain-inducing disorders. The incidence of intraosseous lipomas is low, and detection based on various imaging findings can be difficult. Clear understanding of the radiographic findings and symptoms of intraosseous lipoma is helpful for diagnosis and differentiation. PMID: 29854348 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Leukocyte-Poor Platelet-Rich Plasma-Derived Growth Factors Enhance Human Fibroblast Proliferation In Vitro.
Authors: Noh KC, Liu XN, Zhuan Z, Yang CJ, Kim YT, Lee GW, Choi KH, Kim KO Abstract Background: Leukocyte-poor platelet-rich plasma (LP-PRP) from peripheral blood is currently used as a concentrated source of growth factors to stimulate repair at sites of soft tissue injury. Fibroblasts are primary mediators of wound healing. Thus, we aimed to assess the positive effect of LP-PRP on human fibroblast proliferation in vitro. Methods: LP-PRP was prepared from 49 donors. The fibroblasts were seeded, and at 24 hours after seeding, 1 × 107/10 µL LP-PRP was added once to each well. The cells were harvested...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Biportal Endoscopic Transforaminal Lumbar Interbody Fusion with Arthroscopy.
Authors: Kim JE, Choi DJ Abstract Lumbar spine fusion has been widely accepted as a treatment for various spinal pathologies, including the degenerative spinal diseases. Transforaminal interbody fusion (TLIF) using minimally invasive surgery (MIS-TLIF) is well-known for reducing muscle damage. However, the need to use a tubular retractor during MIS-TLIF may contribute to some limitations of instrument handling, and a great deal of difficulty in confirming contralateral decompression and accurate endplate preparation. Several studies in spinal surgery have reported the use of the unilateral biportal endoscopic spina...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Unsintered Hydroxyapatite and Poly-L-Lactide Composite Screws/Plates for Stabilizing β-Tricalcium Phosphate Bone Implants.
Unsintered Hydroxyapatite and Poly-L-Lactide Composite Screws/Plates for Stabilizing β-Tricalcium Phosphate Bone Implants. Clin Orthop Surg. 2018 Jun;10(2):253-259 Authors: Sakamoto A, Okamoto T, Matsuda S Abstract Unsintered hydroxyapatite (u-HA) and poly-L-lactide (PLLA) composites (u-HA/PLLA) are osteoconductive and biodegradable. Screw (Super-Fixsorb MX30) and plate (Super-Fixsorb MX40 Mesh) systems made of u-HA/PLLA are typically used in small bones in maxillofacial surgeries. After the resection of bone tumors in larger bones, reconstructions with β-tricalcium phosphate (β-TCP) imp...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Three Cases of Femoral Stem Failure in Rotating Hinge Revision Total Knee Arthroplasty: Causes and Surgical Considerations.
Authors: Sandiford NA, Phillips JR, Back DL, Toms AD Abstract Catastrophic failure of stemmed components in arthroplasty is an uncommon but a serious complication. Stem fractures and techniques for addressing these have been described following hip arthroplasty but much less so following total knee arthroplasty (TKA). We review three cases of catastrophic failure of the stem in rotating hinge revision TKA prostheses. We discuss the possible mechanism of failure and review the current literature addressing this topic. Metaphyseal support needs to be optimized in order to minimize load transfer to the stem and to the...
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Traumatic Absence of the Shaft of the Radius in a Child: A 15-Year Follow-up after Reconstruction by a Modified Define's One Bone Forearm Procedure.
We report a 5-year-old boy with traumatic absence of the entire right radial shaft. The Define's reconstruction procedure was chosen to localize the surgery only to the distal forearm and avoid further additional damage to the forearm muscles. The child's forearm was successfully reconstructed by the authors' modified Define's procedure, which was followed until his maturity. Hand function was well maintained. PMID: 29854353 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comments on the Article "What Is the Most Effective Eccentric Stretching Position in Lateral Elbow Tendinopathy?": In Reply.
Comments on the Article "What Is the Most Effective Eccentric Stretching Position in Lateral Elbow Tendinopathy?": In Reply. Clin Orthop Surg. 2018 Jun;10(2):270 Authors: Seo JB, Yoon SH, Lee JY, Kim JK, Yoo JS PMID: 29854354 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Comments on the Article "What Is the Most Effective Eccentric Stretching Position in Lateral Elbow Tendinopathy?": To the Editor.
Comments on the Article "What Is the Most Effective Eccentric Stretching Position in Lateral Elbow Tendinopathy?": To the Editor. Clin Orthop Surg. 2018 Jun;10(2):269 Authors: Stasinopoulos D PMID: 29855629 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 3, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Noise around the Knee.
Authors: Song SJ, Park CH, Liang H, Kim SJ Abstract Noise in the knee joint is a common symptom that often leads to outpatient clinic visits. However, there have been no previous review articles regarding noise around the knee despite its high prevalence. We will review the noise characteristics according to sound nature and onset as well as factors for differentiation between physiological and pathological noises. In addition, we will describe causes of the physiological and pathological noises and management of noise in the knee. An appropriate review of the characteristics of noise, its pathophysiology, and fact...
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Learning Curve of Internal Fixation for Nondisplaced Femoral Neck Fractures: A Cumulative Sum Analysis.
Conclusions: The CUSUM analysis revealed there was no obvious learning curve to become proficient at internal fixation for nondisplaced femoral neck fractures, if technical principles were followed during the procedure. PMID: 29564041 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Predictors of Intraoperative Fractures during Hemiarthroplasty for the Treatment of Fragility Hip Fractures.
Conclusions: Our identified predictor of increasing age is nonmodifiable and illustrates the importance of meticulous surgical technique in older patients. Furthermore, its independence from fixation methods or prosthesis design as a predictor of IOF may support using an uncemented prosthesis in patients at risk from cement implantation. PMID: 29564042 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Postoperative Intravenous Ferric Carboxymaltose Reduces Transfusion Amounts after Orthopedic Hip Surgery.
Conclusions: This study suggests that postoperative intravenous ferric carboxymaltose injection is associated with reduced transfusion amounts and that intravenous ferric carboxymaltose does not influence clinical outcomes after hip surgery. PMID: 29564043 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

WHO Class of Obesity Influences Functional Recovery Post-TKA.
Authors: Maniar RN, Maniar PR, Singhi T, Gangaraju BK Abstract Background: No study in the literature has compared early functional recovery following total knee arthroplasty (TKA) in the obese with the nonobese using World Health Organization (WHO) classes of obesity. Our aim was to compare functional scores and flexion post-TKA in each class of obesity as per WHO classification against a matched control group of nonobese patients. Methods: Records of 885 consecutive primary TKA patients (919 knees) operated by a single surgeon were reviewed. The first 35 knees in each class I, class II and class III obesity g...
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Analgesic Efficacy and Safety of Prolonged-Release Oxycodone/Naloxone in Korean Patients with Chronic Pain from Spinal Disorders.
The objective of this study was to assess efficacy and safety of prolonged-release oxycodone/naloxone in Korean patients for management of chronic moderate-to-severe pain. Methods: In this multicenter, single-arm, open-label, phase IV study, Korean adults with moderate-to-severe spinal disorder-related pain that was not satisfactorily controlled with weak opioids and nonsteroidal anti-inflammatory drugs received prolonged-release oral oxycodone/naloxone at a starting dose of 10/5 mg/day (maximum 80/40 mg/day) for 8 weeks. Changes in pain intensity and quality of life (QoL) were measured using a numeric rating scale (NR...
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Prevalence of Diffuse Idiopathic Skeletal Hyperostosis Diagnosed by Whole Spine Computed Tomography: A Preliminary Study.
Conclusions: The incidence of DISH diagnosed by CT was higher than we expected. Whole spine CT can be a valuable modality to evaluate the location of DISH in the cervical and lumbar spine and the comorbidity rates of OLF and OPLL. PMID: 29564046 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

What Is the Most Effective Eccentric Stretching Position in Lateral Elbow Tendinopathy?
Conclusions: This study determined that elbow extension, forearm pronation, and wrist flexion was the most effective eccentric stretching for the ECRB in vivo. PMID: 29564047 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Can a Single Sagittal Magnetic Resonance Imaging Slice Represent Whole Fatty Infiltration in Chronic Rotator Cuff Tears at the Supraspinatus?
Conclusions: A single sagittal MRI slice can represent the whole FI in chronic rotator cuff tears, except in some patient groups. We recommend measurement of FI using a single sagittal MRI slice, given the effort required for repeated measurements. PMID: 29564048 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Systematic Review and Meta-analysis of Randomized Controlled Trials Comparing Surgical versus Conservative Treatments for Acute Undisplaced or Minimally-Displaced Scaphoid Fractures.
Conclusions: While four studies reported advantages of surgical treatment, evidence was insufficient to provide a definitive conclusion that surgery is a better option. Due to the significant limitations with respect to certain variables, the superiority of one method to the other could not be established. PMID: 29564049 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Fasciocutaneous Propeller Flap Based on Perforating Branch of Ulnar Artery for Soft Tissue Reconstruction of the Hand and Wrist.
Conclusions: The fasciocutaneous propeller flap based on a perforating branch of the ulnar artery is a reliable treatment option for the ulnar side skin defect of the hand and wrist. PMID: 29564050 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Where Is the Ulnar Styloid Process? Identification of the Absolute Location of the Ulnar Styloid Process Based on CT and Verification of Neutral Forearm Rotation on Lateral Radiographs of the Wrist.
Conclusions: The ulnar styloid is located at nearly the ulnar-most (the opposite side of the humerus with the elbow flexed) and slightly dorsal aspects of the ulnar head on the axial plane. It should appear almost midway (55% dorsally) from the ulnar head on the standard lateral view of the wrist in neutral forearm rotation. These location references could help clinicians determine whether the forearm is in neutral or rotated position on an axial CT/magnetic resonance imaging scan or a lateral radiograph of the wrist. PMID: 29564051 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Anatomical Relationships between Muscles Overlying Distal Transverse Carpal Ligament and Thenar Motor Branch of the Median Nerve.
Conclusions: A thorough knowledge of the standard and variant anatomy of the muscle belly and recurrent motor branch in the carpal tunnel is fundamental to prevention of complications such as muscle wasting or atrophy by iatrogenic motor branch injury during carpal tunnel release. PMID: 29564052 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Origin of Satellite Ganglion Cysts with Effusion in the Flexor Hallucis Longus Tendon Sheath around the Hallux.
Conclusions: Synovial fluid accumulation in the metatarsophalangeal or interphalangeal joint supplies the synovial cyst of the flexor hallucis longus tendon sheath and subsequently ganglion cysts in the hallux. In clinical practice, the surgeon should carefully check surrounding joints with tendon sheaths to prevent recurrence of the ganglion cysts around the hallux. PMID: 29564053 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Enhanced Tendon-to-Bone Healing of Chronic Rotator Cuff Tears by Bone Marrow Aspirate Concentrate in a Rabbit Model.
Conclusions: Locally administered BMAC enhanced tendon-to-bone healing and has potential for clinical applications. PMID: 29564054 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Medial Meniscal Root Repair Using Curved Guide and Soft Suture Anchor.
Authors: Lee SK, Yang BS, Park BM, Yeom JU, Kim JH, Yu JS Abstract Medial meniscal root tears have been repaired using various methods. Arthroscopic all-inside repair using a suture anchor is one of the popular methods. However, insertion of the suture anchor into the proper position at the posterior root of the medial meniscus is technically difficult. Some methods have been reported to facilitate suture anchor insertion through a high posteromedial portal, a posterior trans-septal portal, or a medial quadriceptal portal. Nevertheless, many surgeons still have difficulty during anchor insertion. We introduce a tec...
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Regarding Camurati-Engelmann Disease: To the Editor.
Authors: Viana MM, Nunes SV, Fernandes Gomes DCF, de Andrade MAP, de Aguiar MJB PMID: 29564056 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Regarding Camurati-Engelmann Disease: In Reply.
Authors: Yuldashev AJ, Shin CH, Kim YS, Jang WY, Park MS, Chae JH, Yoo WJ, Choi IH, Kim OH, Cho TJ PMID: 29564057 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 23, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

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