A Meta-analysis of Studies of Volar Locking Plate Fixation of Distal Radius Fractures: Conventional versus Minimally Invasive Plate Osteosynthesis.
Conclusions: Both conventional and MIPO techniques were effective for patients with distal radius fractures. Despite limited high quality evidence to compare osteosynthesis with a volar locking plate via the conventional and MIPO techniques, the present study showed that the MIPO technique was associated with more favorable patient satisfaction. PMID: 31156774 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Modified Transosseous Wiring Technique for Neglected Fracture-Dislocation of the Proximal Interphalangeal Joint.
Conclusions: For chronic fracture-dislocation of the PIP joint, transosseous wiring with direct curettage and optimal bone purchase can provide satisfying outcome. PMID: 31156775 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Surgical Results of Limb Lengthening at the Femur, Tibia, and Humerus in Patients with Achondroplasia.
Conclusions: Humeral lengthening was relatively effective and safe. Careful attention will be needed to avoid the occurrence of limb length discrepancy or malalignment in crossed lengthening. PMID: 31156776 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical Outcome of Beta-Tricalcium Phosphate Use for Bone Defects after Operative Treatment of Benign Tumors.
Conclusions: Purified β-TCP could be a suitable choice as a bone graft substitute after the removal of benign bone tumors. PMID: 31156777 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Assessment of Korea's Orthopedic Research Activities in the Top 15 Orthopedic Journals, 2008-2017.
Conclusions: Orthopedic research in South Korea demonstrated high productivity in terms of the number of publications in high-quality journals between 2008 and 2017. However, total citations and average citations per article were still relatively low. Efforts should be made to increase citation rates for further improvement in research productivity in the field of orthopedics. PMID: 31156778 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Modified Tension Band Wiring Using FiberWire for Patellar Fractures.
Authors: Lee BJ, Chon J, Yoon JY, Jung D Abstract In comminuted patellar fractures, we performed modified tension band wiring using a FiberWire (Arthrex) instead of the conventional methods. From March 2016 to March 2018, 63 patients with patellar fractures who needed surgical treatment were treated with modified tension band wiring using two Kirschner wires (K-wires) and FiberWire. We inserted two 1.6-mm K-wires perpendicular to the fracture line after accurate reduction. With the knee flexed over 90°, we sutured around the patella using a FiberWire. Visual analog scale score and Levack's score were improved p...
Source: Clinics in Orthopedic Surgery - June 5, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Biomechanical Evaluation of Internal Fixation of Pauwels Type III Femoral Neck Fractures: A Systematic Review of Various Fixation Methods.
Conclusions: There are a variety of methods and instruments for fixation of the Pauwels type III fractures. However, it is difficult to conclude that any method is more desirable because there are advantages and disadvantages to each method. Therefore, we should pay attention to the implant choice and consider adequate weight bearing affecting the stiffness of the implant. PMID: 30838102 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Difference in Mortality Rate by Type of Anticoagulant in Elderly Patients with Cardiovascular Disease after Hip Fractures.
Conclusions: CVD increases short-term mortality within 30 days, 60 days, and 3 months in elderly hip fracture patients. The use of anticoagulants in CVD patients increases the rate of surgical delay and short-term mortality within 30 days, 60 days, and 3 months. PMID: 30838103 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Accuracy of Magnetic Resonance Imaging and Computed Tomography Arthrography in Diagnosing Acetabular Labral Tears and Chondral Lesions.
Conclusions: This study demonstrated that the accuracy of MRI to detect an acetabular labral tear and a chondral lesion of the hip joint was not sufficient. CTA was reliable in the diagnosis of acetabular labral tears. However, both CTA and MRI were also of limited value to detect chondral lesions. PMID: 30838104 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Repair of Acetabular Labral Tears Associated with Femoroacetabular Impingement: 7-10 Years of Long-Term Follow-up Results.
Authors: Lee JW, Hwang DS, Kang C, Hwang JM, Chung HJ Abstract Background: The purpose of this study is to report the long-term follow-up results of arthroscopic repair of acetabular labral tears with femoroacetabular impingement (FAI). Methods: Of 45 patients who underwent arthroscopic labral repair under the diagnosis of acetabular labral tears with FAI from January 2008 to December 2010 and met our inclusion criteria, 41 patients who were available for a long-term follow-up were included in the analysis. We compared the long-term follow-up results with the previously reported short-term follow-up results of ...
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Effect of Valgus Reduction on the Position of the Blade of the Proximal Femoral Nail Antirotation in Intertrochanteric Hip Fractures.
Authors: Jung EY, Oh IT, Shim SY, Yoon BH, Sung YB Abstract Background: The purpose of this study was to evaluate the quantitative association between the degree of reduction and the position of the blade of the proximal femoral nail antirotation (PFNA) in intertrochanteric hip fractures. Methods: From March 2009 to April 2015, 530 patients treated with PFNA for intertrochanteric hip fractures were retrospectively reviewed. Patients were divided into a valgus reduced group (group 1) and a non-valgus reduced group (group 2), and the "valgus reduced" was defined as valgus reduction over 5°. We compa...
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Efficacy of Computed Tomography-Based Navigation for Cup Placement in Revision Total Hip Arthroplasty.
Conclusions: The results show that the use of navigation for revision total hip arthroplasty improved cup positioning and reduced the range of outliers. Improvement of cup placement accuracy influenced the installation of the stem and also improved the achievement rate of combined anteversion. Thus, a computed tomography-based navigation system is very useful for surgeons when placing the cup within the target angle in revision total hip arthroplasty. PMID: 30838107 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Effects of Anteromedial Portal versus Transtibial ACL Tunnel Preparation on Contact Characteristics of the Graft and the Tibial Tunnel Aperture.
Authors: Mehta A, Lin CC, Campbell RA, Chin G, McGarry MH, Lee TQ, Adamson GJ Abstract Background: The purpose of this study was to compare the tibial tunnel aperture contact characteristics simulating an anteromedial and transtibial anterior cruciate ligament (ACL) tunnel preparation. Methods: Seven matched pairs of cadaveric knees were tested. From each knee, a 10-mm quadriceps ACL graft was prepared. The native ACL was arthroscopically removed and tibial tunnels were drilled. In one knee, a transtibial technique was performed with femoral tunnel drilling approached through the tibial tunnel. For the anterome...
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Functional Effects of Single Semitendinosus Tendon Harvesting in Anatomic Anterior Cruciate Ligament Reconstruction: Comparison of Single versus Dual Hamstring Harvesting.
This study aimed to determine the effects of single semitendinosus tendon (ST) harvesting for anterior cruciate ligament (ACL) reconstruction by comparing outcomes of single ST and semitendinosus-gracilis tendon (ST-G) harvesting. Methods: ACL reconstruction with ST-G harvesting (D group, n = 60) or single ST harvesting (S group, n = 60) were included according to inclusion criteria. Subjective assessments included subjective International Knee Documentation Committee score, Lysholm score, and Tegner activity scale score. Objective assessments included isokinetic strength and functional tests. These tests were complete...
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Role of Suction Drain after Knee Arthroplasty in the Tranexamic Acid Era: A Randomized Controlled Study.
Conclusions: Presence of a suction drain significantly reduces opioid consumption during the first 6 hours after total knee arthroplasty. Use of a drain made no difference to the functional outcome at 1 year postoperatively. With the use of tranexamic acid in total knee arthroplasty, the total blood loss and the requirement of blood transfusion were unaffected by the presence or absence of closed suction drainage or by the bore of the drain used. The clinical parameters such as swelling, range of motion, infection and deep vein thrombosis also remained the same. PMID: 30838110 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Efficacy of Biportal Endoscopic Spine Surgery for Lumbar Spinal Stenosis.
Conclusions: BESS for LSS showed clinical results not inferior to those of the other open surgery methods in the short-term. Stable hemodynamic changes with no need for blood transfusion and minimal changes in CRP were thought to cause less injury to the back muscles with minimal bleeding. Foraminal stenosis decompression should be simultaneously conducted with central decompression to avoid an additional surgery. PMID: 30838111 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Is It Radiculopathy or Referred Pain? Buttock Pain in Spinal Stenosis Patients.
This study compared a selective nerve root block and a facet joint block for patients with degenerative spinal disease and buttock pain. Methods: Patients with degenerative spinal disease who presented with buttock pain, received a selective nerve root block (group A) or a facet joint block (group B) from June 2017 to September 2017, and were able to be followed up for more than 3 months were prospectively enrolled. Clinical results were assessed using a visual analog scale for comparative analysis. Results: One day after the procedure, an excellent response was found in 7% and 6% of groups A and B, respectively; a...
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Restoration of the Spinous Process Following Muscle-Preserving Posterior Lumbar Decompression via Sagittal Splitting of the Spinous Process.
Conclusions: We found that the single-level operation and partial splitting of the spinous process were favourable factors for obtaining complete restoration of the posterior bony structure of the lumbar spine in spinous process-splitting decompression. PMID: 30838113 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Intraoperative and Postoperative Complications after Arthroscopic Coracoclavicular Stabilization.
Conclusions: Arthroscopic CC stabilization resulted in high rates of intraoperative and early postoperative complications. Most of them were related to the surgical technique involving bone tunnel placement in the coracoid process and the clavicle. PMID: 30838114 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Prognostic Radiological Factors Affecting Clinical Outcomes of Reverse Shoulder Arthroplasty in the Korean Population.
Conclusions: Proper amount of deltoid lengthening (mean, 2.3 cm) and inferior glenosphere overhang (mean, 2.9 mm) should be chosen for the better outcomes, while the center of rotation should be individualized according to patient characteristics in the Korean population. PMID: 30838115 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

A Comparative Study of Tensile Strength of Three Operative Fixation Techniques for Metacarpal Shaft Fractures in Adults: A Cadaver Study.
Conclusions: The tensile strength median values decreased in the following order showing significant differences among the fixation methods: plate and screw fixation, headless compression screw fixation, K-wire fixation. Significant differences were also observed between the plate and screw fixation and K-wire fixation, between the headless compression screw fixation and K-wire fixation, and between the headless compression screw fixation and plate and screw fixation. PMID: 30838116 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Return to Play after Modified Brostr öm Operation for Chronic Ankle Instability in Elite Athletes.
Conclusions: The RTP was 83.3% at 4 months after lateral ankle ligament repair and 100% at 8 months postoperatively. The results provide reference data for orthopedic surgeons in evaluating surgical results and informing patients about expectations after surgery in terms of performance level and timing of return to sports. PMID: 30838117 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Preganglionic Epidural Steroid Injection through Translateral Recess Approach.
Authors: Hwang SM, Son IS, Yang PJ, Kang MS Abstract The approach we suggest was developed for cases in which the fourth and fifth lumbar and first sacral spinal nerves were affected in lumbar degenerative disc disease. Retrodiscal transforaminal epidural injection is known to be very effective for lumbar radiculopathy because of excellent access to primary pathology; however, access below L5 is often restricted by the anatomic characteristics of the L5-S1. In the translateral recess approach (TLR), proper final needle placement (i.e., in the axillary portion between the exiting and traversing nerve roots) can be a...
Source: Clinics in Orthopedic Surgery - March 7, 2019 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Remaining Loose Bodies after Arthroscopic Surgery Including Extensive Capsulectomy for Synovial Chondromatosis of the Hip.
Conclusions: Arthroscopic surgery was useful to treat synovial chondromatosis of the hip. In spite of limited removal of loose bodies, arthroscopic procedures including extensive capsulectomy could be effective for the treatment of synovial chondromatosis of the hip. PMID: 30505405 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Preoperative Serum Albumin Levels Predict Treatment Cost in Total Hip and Knee Arthroplasty.
Authors: Rudasill SE, Ng A, Kamath AF Abstract Background: Hypoalbuminemia (serum albumin
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

How to Avoid Graft-Tunnel Length Mismatch in Modified Transtibial Technique for Anterior Cruciate Ligament Reconstruction Using Bone-Patellar Tendon-Bone Graft.
Authors: Ko D, Kim HJ, Oh SH, Kim BJ, Kim SJ Abstract Background: We conducted this study to determine the optimal length of patellar and tibial bone blocks for the modified transtibial (TT) technique in anterior cruciate ligament (ACL) reconstruction using the bone-patellar tendon-bone (BPTB) graft. Methods: The current single-center, retrospective study was conducted in a total of 64 patients with an ACL tear who underwent surgery at our medical institution between March 2015 and February 2016. After harvesting the BPTB graft, we measured its length and that of the patellar tendon, patellar bone block, and ti...
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Factors Affecting the Extent of Graft Tendon Synovialization after Double-Bundle Anterior Cruciate Ligament Reconstruction: Based on Second-Look Arthroscopic Findings.
Conclusions: While we were able to identify several factors influencing synovialization of the grafted tendon after double-bundle ACL reconstruction, including patient age, length of preserved remnant tissue of the torn ACL, type of bundle, type of graft, and time from injury to surgery, we found no evidence that increased synovialization improves clinical outcomes at 1 year postoperatively. PMID: 30505408 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Factors Affecting Tibial Tuberosity-Trochlear Groove Distance in Recurrent Patellar Dislocation.
Conclusions: Tuberosity lateralization and knee rotation were factors affecting patellar dislocation. These factors should be considered in addition to the TT-TG distance to determine the need for tibial tubercle osteotomy in patients with patellar dislocation. PMID: 30505409 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Safety of Temporary Use of Recycled Autoclaved Femoral Components in Infected Total Knee Arthroplasty: Confirming Sterility Using a Sonication Method.
Conclusions: We found sonication for identification of pathogens could be helpful, but this finding should be interpreted carefully because of the possibility of contamination. Sterilization of an infected femoral implant with an autoclave method could be a good method for using the temporary articulating antibiotic spacer in two-stage revision arthroplasty. PMID: 30505410 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Prevalence of Cervical Foraminal Stenosis on Computed Tomography of a Selected Community-Based Korean Population.
Conclusions: The prevalence of CFS was highest at the C5-6 level (19.06%). Compared to other levels, focal stenosis was more frequent at C4-5 and diffuse stenosis was more common at C5-6. At C6-7, the incidence of focal stenosis was higher on the right side and that of diffuse stenosis was higher on the left side. PMID: 30505411 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical and Radiological Outcomes of Foraminal Decompression Using Unilateral Biportal Endoscopic Spine Surgery for Lumbar Foraminal Stenosis.
Conclusions: UBEFLD using endoscopy showed a satisfactory clinical outcome after 1-year follow-up and did not induce postoperative segmental spinal instability. It could be a feasible alternative to conventional open decompression or fusion surgery for lumbar foraminal stenosis. PMID: 30505412 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Importance of Early Surgical Decompression for Acute Traumatic Spinal Cord Injury.
Authors: Lee DY, Park YJ, Song SY, Hwang SC, Kim KT, Kim DH Abstract Background: Traumatic spinal cord injury (SCI) is a tragic event that has a major impact on individuals and society as well as the healthcare system. The purpose of this study was to investigate the strength of association between surgical treatment timing and neurological improvement. Methods: Fifty-six patients with neurological impairment due to traumatic SCI were included in this study. From January 2013 to June 2017, all their medical records were reviewed. Initially, to identify the factors affecting the recovery of neurological deficit ...
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Effect of Surgical-Site, Multimodal Drug Injection on Pain and Stress Biomarkers in Patients Undergoing Plate Fixation for Clavicular Fractures.
Conclusions: After internal fixation of the clavicular fracture, the surgical-site, multimodal drug injection effectively relieved pain on the day of the surgery without any complications. Therefore, we believe that SI is a safe and effective method for pain management after internal fixation of a clavicular fracture. PMID: 30505414 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Morphometric Variations in the Volar Aspect of the Distal Radius.
Authors: Kwon BC, Lee JK, Lee SY, Hwang JY, Seo JH Abstract Background: Significant discrepancy exists between anatomical plate designs and the anatomy of the native distal radius, which may be attributable to considerable morphometric variations in the volar aspect of the distal radius. We aimed to evaluate the degree of variability in the morphometry of the distal radius and identify factors associated with this variability. Methods: We measured the volar surface angle (VSA) of the intermediate and lateral columns and the volar surface width (VSW) in the distal radius from three-dimensional computed tomograph...
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Feasibility of a New Desktop Motion Analysis System with a Video Game Console for Assessing Various Three-Dimensional Wrist Motions.
Conclusions: The results for the parameters of dart throwing, hammering, and circumduction of our motion analysis system using the motion controller were considerably similar to those of the previous studies with three-dimensional reconstruction with computed tomography, electrogoniometer, and motion capture system. Therefore, our system may be a cost-effective and simple method for wrist motion analysis. PMID: 30505416 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Modified Proximal Scarf Osteotomy for Hallux Valgus.
Conclusions: The modified proximal scarf osteotomy for the treatment of moderate hallux valgus showed similar results with the classic scarf osteotomy with regard to changes in the first intermetatarsal angle and postoperative satisfaction. Therefore, we suggest the modified proximal scarf osteotomy be considered as well as other proximal osteotomy in the treatment of moderate to severe hallux valgus. PMID: 30505417 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Repeatability of a Multi-segment Foot Model with a 15-Marker Set in Normal Children.
Conclusions: We demonstrated that 3D MFM using a 15-marker set had high intrasession, intersession, and interrater repeatability in the assessment of foot motion in healthy children but recommend some caution in interpreting the hindfoot parameters. PMID: 30505418 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Analysis of Postural Stability and Daily Energy Expenditure to Manage Tumor Patients' Functional Expectation.
Conclusions: Objective functional results acquired from various clinics will provide significant data to compare reconstruction techniques, rehabilitation protocols, and surgical techniques. In this way, it will be possible to satisfy the expectations of patients that increase in relation to enhanced recovery. PMID: 30505419 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Reliability of the EOS Imaging System for Assessment of the Spinal and Pelvic Alignment in the Sagittal Plane.
Conclusions: EOS showed excellent reliability for assessment of the sagittal alignment of the spine and pelvis. PMID: 30505420 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Unilateral Biportal Endoscopic Spinal Surgery Using a 30 ° Arthroscope for L5-S1 Foraminal Decompression.
Unilateral Biportal Endoscopic Spinal Surgery Using a 30° Arthroscope for L5-S1 Foraminal Decompression. Clin Orthop Surg. 2018 Dec;10(4):508-512 Authors: Kim JE, Choi DJ Abstract Foraminal decompression using a minimally invasive technique to preserve facet joint stability and function without fusion reportedly improves the radicular symptoms in approximately 80% of patients and is considered one of the good surgical treatment choices for lumbar foraminal or extraforaminal stenosis. However, proper decompression was not possible because of the inability to access the foramen at the L5-S1 level due...
Source: Clinics in Orthopedic Surgery - December 8, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Mesenchymal Stem Cell Therapy for Bone Regeneration.
Authors: Jin YZ, Lee JH Abstract Mesenchymal stem cells (MSCs) have been used in clinic for approximately 20 years. During this period, various new populations of MSCs have been found or manipulated. However, their characters and relative strength for bone regeneration have not been well known. For a comprehensive understanding of MSCs, we reviewed the literature on the multipotent cells ranging from the definition to the current research progress for bone regeneration. Based on our literature review, bone marrow MSCs have been most widely studied and utilized in clinical settings. Among other populations of MSCs, ...
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Less Invasive Anterior Iliac Approach and Compression Osteosynthesis for the Treatment of High Anterior Column Fractures of the Acetabulum.
Conclusions: Our less invasive surgical technique of the anterior iliac approach and compression osteosynthesis is a useful addition to the existing techniques in the treatment of high anterior column fractures of the acetabulum. Despite being a limited approach and fixation, this technique provides sufficient exposure for reducing and fixing the fracture and adequate stability to allow immediate mobilization of the patient after surgery. PMID: 30174802 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Association of Delirium with Perioperative Complications in Primary Elective Total Hip Arthroplasty.
Authors: Aziz KT, Best MJ, Naseer Z, Skolasky RL, Ponnusamy KE, Sterling RS, Khanuja HS Abstract Background: Our goal was to determine whether postoperative delirium is associated with inpatient complication rates after primary elective total hip arthroplasty (THA). Methods: Using the National Inpatient Sample, we analyzed records of patients who underwent primary elective THA from 2000 through 2009 to identify patients with delirium (n = 13,551) and without delirium (n = 1,992,971) and to assess major perioperative complications (acute renal failure, death, myocardial infarction, pneumonia, pulmonary embolism,...
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Effect of Positive Medial Cortical Support in Reduction of Pertrochanteric Fractures with Posteromedial Wall Defect Using a Dynamic Hip Screw.
Conclusions: In the treatment of pertrochanteric fractures accompanied by posteromedial wall defect using a dynamic hip screw, reduction with negative cortical support should be avoided. PMID: 30174804 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Radiographic Progression of Osteoarthritis after Rotational Acetabular Osteotomy: Minimum 10-Year Follow-up Outcome According to the T önnis Grade.
Radiographic Progression of Osteoarthritis after Rotational Acetabular Osteotomy: Minimum 10-Year Follow-up Outcome According to the Tönnis Grade. Clin Orthop Surg. 2018 Sep;10(3):299-306 Authors: Min BW, Kang CS, Lee KJ, Bae KC, Cho CH, Choi JH, Sohn HJ, Sin HK Abstract Background: Although satisfactory mid- to long-term results of rotational acetabular osteotomy for early osteoarthritis secondary to acetabular dysplasia have been reported, there is still controversy about the long-term effects of this surgery in more advanced osteoarthritis. The purpose of this study was to investigate the radio...
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Outcome of Arthroscopic Treatment of Mucoid Degeneration of the Anterior Cruciate Ligament.
Authors: Ventura D, Nuñez JH, Joshi-Jubert N, Castellet E, Minguell J Abstract Background: Mucoid degeneration of the anterior cruciate ligament is a rare pathological entity. Several authors have identified this condition, described their experiences, and suggested their own guidelines for management. The aim of this study was to detail the clinical, radiological, arthroscopic, and pathological findings of mucoid degeneration of the anterior cruciate ligament and report the clinical outcomes following arthroscopic treatment. Methods: A historical cohort of patients who underwent arthroscopic total or pa...
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Does Obesity Affect Clinical and Radiological Outcomes in Minimally Invasive Total Knee Arthroplasty? Minimum 5-Year Follow-up of Minimally Invasive TKA in Obese Patients.
We examined the records of 371 cases of MIS-TKA performed using the mini-midvastus approach from January 2006 to December 2006. According to body mass index (BMI), the cases were classified into group A (BMI 0.05). With respect to the accuracy of the femorotibial angle, 93.9%, 94.6%, and 90.2% of each group had 6° ± 3° valgus angulation, with group C demonstrating the lowest level of accuracy (p
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Spinopelvic Orientation on Radiographs in Various Body Postures: Upright Standing, Chair Sitting, Japanese Style Kneel Sitting, and Korean Style Cross-Legged Sitting.
Conclusions: The kneel sitting position did not show significant differences with the standing position when assessed using four parameters related to the sagittal spinopelvic alignment, whereas chair sitting and cross-legged sitting positions significantly altered the spinopelvic alignment compared to the standing position. PMID: 30174808 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical and Radiological Outcomes of Unilateral Biportal Endoscopic Decompression by 30 ° Arthroscopy in Lumbar Spinal Stenosis: Minimum 2-Year Follow-up.
Clinical and Radiological Outcomes of Unilateral Biportal Endoscopic Decompression by 30° Arthroscopy in Lumbar Spinal Stenosis: Minimum 2-Year Follow-up. Clin Orthop Surg. 2018 Sep;10(3):328-336 Authors: Kim JE, Choi DJ Abstract Background: Open microscopic laminectomy has been the standard surgical method for degenerative spinal stenosis without instability till now. However, it is associated with complications such as paraspinal muscle injury, excessive bleeding, and wound infection. Several surgical techniques, including microendoscopic decompression, have been introduced to solve these problem...
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Acceptable Functional Outcomes and Patient Satisfaction Following Total Knee Arthroplasty in Asians with Severe Knee Stiffness: A Matched Analysis.
This study evaluated outcomes following total knee arthroplasty for severely stiff knees in Asians. Methods: Registry data of patients undergoing primary total knee arthroplasty between 2004 and 2013 were collected and retrospectively reviewed. Sociodemographic and anthropometric data together with the Oxford Knee Score and the Knee Society Score (Knee Society Knee Score and the Knee Society Function Score) were collected both preoperatively and postoperatively for up to 2 years. Case subjects consisted of patients with a preoperative flexion range of ≤ 20°. Control subjects consisted of patients with a preopera...
Source: Clinics in Orthopedic Surgery - September 5, 2018 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research