Evaluation of Outcome of Posterior Decompression and Instrumented Fusion in Lumbar and Lumbosacral Tuberculosis.
CONCLUSIONS: Posterior decompression with instrumented fusion is a safe and effective approach for management of patients with lumbar and lumbosacral tuberculosis. PMID: 27583109 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Adequacy of Diagnosis and Treatment for Osteoporosis in Patients with Proximal Humeral Fractures.
Authors: Kim TI, Choi JH, Kim SH, Oh JH Abstract BACKGROUND: The purpose of this study was to evaluate whether physicians' practice was adequate for the diagnosis and treatment of osteoporosis in patients with proximal humeral fracture over the age of 50 years, which is one of major osteoporotic fractures. METHODS: A retrospective nation-wide cohort study was performed using data collected in 2010 by the Korean Health Insurance Review Agency. The incidences of fractures around the hip, spine, and proximal humerus in patients more than 50 years of age, the frequencies of diagnostic bone density scan for osteopor...
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Morphologic Variability of the Shoulder between the Populations of North American and East Asian.
Authors: Cabezas AF, Krebes K, Hussey MM, Santoni BG, Kim HS, Frankle MA, Oh JH Abstract BACKGROUND: The aim of this study was to determine if there were significant differences in glenohumeral joint morphology between North American and East Asian populations that may influence sizing and selection of shoulder arthroplasty systems. METHODS: Computed tomography reconstructions of 92 North American and 58 East Asian patients were used to perform 3-dimensional measurements. The proximal humeral position was normalized in all patients by aligning it with the scapular plane utilizing anatomic landmarks. Measurement...
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Influence of Glenosphere Design on Outcomes and Complications of Reverse Arthroplasty: A Systematic Review.
CONCLUSIONS: Both the traditional Grammont and the lateralized offset reverse arthroplasty designs can improve pain and function in patients with diagnoses of cuff tear arthropathy and irreparable rotator cuff tear. While a lateralized design can result in increased active external rotation and decreased rates of scapular notching, there may be a higher rate of glenoid baseplate loosening. PMID: 27583112 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Changes in Clinical Symptoms, Functions, and the Median Nerve Cross-Sectional Area at the Carpal Tunnel Inlet after Open Carpal Tunnel Release.
CONCLUSIONS: The study shows clinical symptoms resolve rapidly after open CTR, but median nerve swelling and clinical function take several months to recover. In addition, preoperative median nerve swelling might predict preoperative severities of clinical symptoms and functional disabilities. However, postoperative reductions in median nerve swelling were not found to reflect postoperative reductions in clinical symptoms or functional disabilities. PMID: 27583113 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Misdiagnosis of Talar Body or Neck Fractures as Ankle Sprains in Low Energy Traumas.
CONCLUSIONS: A talar body fracture and a talar neck fracture should be considered in the differential diagnosis of patients with acute and chronic ankle pain after a minor ankle injury. PMID: 27583114 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Fixation of Intertrochanteric Valgus Osteotomy with T Plate in Treatment of Developmental Coxa Vara.
Authors: Elzohairy MM, Khairy HM Abstract BACKGROUND: Although the valgus subtrochanteric osteotomy is considered as a standard surgical treatment for coxa vara, there is no consensus on the optimal method of fixation and osteotomy technique. Fixation of the osteotomy has been achieved by various methods including external fixation and internal fixation with pins and cerclage and a variety of plates. The aim of this study is the evaluation of the results of developmental coxa treated by Y intertrochanteric valgus osteotomy fixed with a T-buttress plate compared with other methods of fixation in the literature. ...
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Three-Dimensional Scapular Kinematics in Patients with Reverse Total Shoulder Arthroplasty during Arm Motion.
CONCLUSIONS: The shoulder kinematics after RTSA showed significant differences from the contralateral asymptomatic shoulders. Increased upward rotation and decreased SHR after RTSA indicate that RTSA shoulders use more scapulothoracic motion and less glenohumeral motion to elevate the arm. PMID: 27583116 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Biportal Endoscopic Spinal Surgery for Recurrent Lumbar Disc Herniations.
Authors: Choi DJ, Jung JT, Lee SJ, Kim YS, Jang HJ, Yoo B Abstract The major problems of revision surgery for recurrent lumbar disc herniation (LDH) include limited visualization due to adhesion of scar tissue, restricted handling of neural structures in insufficient visual field, and consequent higher risk of a dura tear and nerve root injury. Therefore, clear differentiation of neural structures from scar tissue and adhesiolysis performed while preserving stability of the remnant facet joint would lower the risk of complications and unnecessary fusion surgery. Biportal endoscopic spine surgery has several merits ...
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Intra-Articular Pigmentation of Synovium: An Unusual Cause.
Authors: Verma S, Hamilton S, Liew SM Abstract An unusual grayish brown discoloration of the synovium was found during a knee arthroscopy of a 72-year-old man. He also had similar pigmentation affecting the skin on the legs, arms, hands, and face. It was found he had been taking 400 mg of amiodarone hydrochloride daily for last 7 years. Amiodarone is known to cause a slate grey pigmentation of skin and cornea, but we believe this is the first report of amiodarone-induced pigmentation of the synovium. The arthroscopist should be aware of the possibility of drug-related synovial pigmentation and include this in diffe...
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Chronic Irreducible Anterior Dislocation of the Shoulder without Significant Functional Deficit.
We report on one such patient who had a chronic shoulder dislocation for more than 2 years without receiving treatment. PMID: 27583119 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Bilateral Scapulohumeral Ankylosis after Prolonged Mechanical Ventilation.
Authors: van Lotten ML, Schreinemakers JR, van Noort A, Rademakers MV Abstract This case demonstrates a rarely reported bilateral scapulohumeral bony ankylosis. A young woman developed extensive heterotopic ossifications (HOs) in both shoulder joints after being mechanically ventilated for several months at the intensive care unit in a comatose status. She presented with a severe movement restriction of both shoulder joints. Surgical resection of the bony bridges was performed in 2 separate sessions with a significant improvement of shoulder function afterwards. No postoperative complications, pain, or recurrence o...
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Floating Upper Limb: Multiple Injuries Involving Ipsilateral, Proximal, Humeral, Supracondylar, and Distal Radial Limb.
In this report, we discuss the surgical procedures used and recovery of the patient monitored to ascertain the effectiveness of the method in limb reorganisation. PMID: 27583121 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - September 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinics in Orthopedic Surgery's Evolution into an International Journal Based on Journal Metrics.
This article is aimed at providing evidence of increased international recognition of Clinics in Orthopedic Surgery (CiOS) based on journal metrics. Since 7 years have passed since its launch in 2009, it is time to reflect on the journal's efforts to be recognized as a top-notch journal. The following journal metrics were analyzed from the journal's homepage and Web of Science Core Collection database: number of citable and noncitable articles; number of original articles supported by grants; editorial board members' countries; authors' countries; citing authors' countries; source titles of citing articles; impact factor; ...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Measurement of Optimal Insertion Angle for Iliosacral Screw Fixation Using Three-Dimensional Computed Tomography Scans.
CONCLUSIONS: The incidence of sacral dysplasia in Koreans was 54%, which is higher than previous studies for Western populations. The cross-sectional area of the safe zone can be increased by anteromedial direction of the iliosacral screw. Considering the diversity of sacral morphology present in the Korean population, a tilt angle of 10° may be the safest angle. PMID: 27247736 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Prediction of Mortality in Nonagenarians Following the Surgical Repair of Hip Fractures.
CONCLUSIONS: Nonagenarians with a history of CHF and CPD have a higher risk of in-hospital mortality following the operative repair of hip fractures. CPD and dementia patients over 90 years old have higher 90-day and 1-year mortality hazards postoperatively. Dementia patients are also discharged more quickly than nondementia patients. PMID: 27247737 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Clinical Results of Internal Fixation of Subcapital Femoral Neck Fractures.
CONCLUSIONS: The complication rates for subcapital femoral neck fractures were lower than those previously reported; hence, internal fixation could be a primary treatment option for these fractures. PMID: 27247738 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Effect of Preoperative Vitamin D Levels on Functional Performance after Total Knee Arthroplasty.
Authors: Maniar RN, Patil AM, Maniar AR, Gangaraju B, Singh J Abstract BACKGROUND: Low vitamin D levels affects muscle function. Vitamin D and calcium deficiency cause osteomalacic myopathy and poor functional recovery after hip fractures. The relationship of vitamin D and functional performance after total knee arthroplasty (TKA) is not previously reported. METHODS: Influence of vitamin D on functional performance before and after TKA was reviewed retrospectively in 120 patients. Of these, 64 had vitamin D deficiency (25-hydroxy vitamin D
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Analysis of Impingement between Patella Bone and Bearing Post in Cruciate-Substituting High-Flexion Total Knee Arthroplasty.
Authors: Chon J, Lee B, Shin S, Jang G, Jeon T Abstract BACKGROUND: We investigated the causes of impingement between the patella bone and the bearing post during high flexion in cruciate-substituting total knee arthroplasty and proposed a treatment strategy. METHODS: This prospective cohort study included 218 cases that had undergone cruciate-substituting total knee arthroplasty from February 2014 to January 2015; a single surgeon performed the operation using the same method without patellar resurfacing in all patients. RESULTS: In these patients, the occurrence of impingement was determined by performing...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Failure Rate of Spine Surgeons in Preoperative Clinical Screening of Severe Psychological Disorders.
Authors: Omidi-Kashani F, Faridhoseini F, Ariamanesh S, Kazar MH, Baradaran A Abstract BACKGROUND: The surgeon's attention to the patient's underlying psychological state is essential to attaining desired outcomes. We aimed to investigate the prevalence and severity of psychological disorders in patients undergoing elective spine surgery. METHODS: In this case-control study, associated psychological disorders were assessed using the Hospital Anxiety and Depression Scale (HADS) questionnaire at a single academic spine surgery center from August 2013 to June 2015. The case group consisted of 68 adult patients (me...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Anterior Shoulder Instability with Concomitant Superior Labrum from Anterior to Posterior (SLAP) Lesion Compared to Anterior Instability without SLAP Lesion.
CONCLUSIONS: Anterior instability with SLAP lesion may not be related to frequent episodes of dislocation but rather to a high-energy trauma. SLAP fixation with anterior stabilization procedures did not lead to poor functional outcomes if appropriate surgical techniques were followed. PMID: 27247742 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Role of Lunate Morphology on Scapholunate Instability and Fracture Location in Patients Treated for Scaphoid Nonunion.
CONCLUSIONS: A type II lunate was associated with low incidence of DISI deformity and proximal location of fracture in patients presenting with a scaphoid nonunion. PMID: 27247743 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Effect of Distal Location of the Volar Short Arm Splint on the Metacarpophalangeal Joint Motion.
Authors: Kim JY, Sohn DW, Park HY, Yoo JH, Kim JH, Jung MG, Cho JH Abstract BACKGROUND: The goals of this study were to compare maximal metacarpophalangeal joint (MCPJ) flexion angles after application of a volar short arm splint at 3 different locations and verify the relations between the three different physical and radiological locations. METHODS: Forty dominant hands of healthy subjects were analyzed in the study. We defined a transverse skin folding line as a line drawn from the radial aspect of the thenar crease to the ulnar aspect of the distal transverse palmar crease. The distal end of the volar short...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Effects of Soft Tissue Surgery on Pelvic and Hip Rotation in Patients with Spastic Diplegia: A Meta-Analysis.
Authors: Jung HJ, Yoon JY, Oh MK, Kim YC, Kim JH, Eom TW, Park KB Abstract BACKGROUND: There are several different opinions regarding the improvements seen on the transverse plane after soft tissue surgery alone in independently ambulant patients with cerebral palsy. We performed a meta-analysis using data from previous studies to identify the effects of soft tissue surgery alone on pelvic and hip rotation in children with spastic diplegia. METHODS: We conducted a pilot study to evaluate the improvement in pelvic and hip rotation after muscle-tendon lengthening surgery in children with spastic diplegia. We also...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Sarcopenia and Sarcopenic Obesity in Patients Undergoing Orthopedic Surgery.
CONCLUSIONS: Our study demonstrated a high prevalence of sarcopenia among OS patients. PMID: 27247746 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Disparity between Clinical and Ultrasound Examinations in Neonatal Hip Screening.
CONCLUSIONS: Discrepancies between clinical and ultrasound examinations were present even if almost all of the exams were performed by a single experienced pediatric orthopedic surgeon. In relation to screening for DDH, it is recommended that both sonographic morphology and stability be checked in addition to clinical examination. PMID: 27247747 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

New Technique for Removal of the Ulnar Intramedullary Nail Failed to Remove: Broken Assembly Piece in the Nail.
Authors: Yi JW, Oh BH, Kim SB, Heo YM, Kim TG, Kim DH, Jung YS Abstract Methods about removal of intramedullary nail in complicated cases were reported in some literatures but there are no reports about nail removal in the ulna. The authors would like to report such a case and the technique. We removed bone of the inlet site and created another bony window using an osteotome to expose the interlocking screw holes. Only a bony window the size of 2 inter-interlocking holes at the most proximal part of the nail can be used to remove the nail with minimal damage of the triceps brachii tendon and soft tissue. PMID:...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Open Anterior Dislocation of the Hip in Togo.
We report this case because of the rarity and seriousness of this injury due to its progressive complications and difficulties related to its management, which are typical to a developing country like ours. PMID: 27247749 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Total Knee Arthroplasty in Severe Synovial Osteochondromatosis in an Osteoarthritic Knee.
We present a 71-year-old woman with significant osteoarthritis and severe SO intra-articular and in the suprapatellar bursa of the right knee. Total knee arthroplasty, extraction of the loose bodies, and partial synovectomy were performed. During a 2.5-year follow-up, the patient regained full function of her affected knee and there was no recurrence of SO. We choose to present this case to show the extensiveness SO can occur in. Our advice is to remove all the loose bodies carefully to prevent damage to the prosthesis. During follow-up, special attention should be paid to prevent recurrence of SO. When recurrence is assoc...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Acute Dislocation of the Metacarpal-Trapezoid Joint.
Authors: Cardozo DF, Plata GV, Casas JA, Rodríguez NS Abstract The trapezoid metacarpal dislocation is a rare event. In the literature, it is found in case reports. This injury is caused by direct or indirect high energy trauma. In most cases, the dislocation is dorsal and is difficult to reproduce because the joint is not very mobile. Given the low incidence and little evidence supported in the literature regarding the management, this injury can be treated by open or closed reduction; however, it has been published that most authors use Kirschner wire fixation with good results. Here we present our experie...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Fixed Lunate Flexion Deformity in Distal Radius Fractures.
We report two cases of fixed lunate flexion deformity after a distal radius fracture, in which reduction and fixation of fresh fracture or corrective osteotomy of malunion were not successful. Arthritic changes were observed in the radiolunate joint on arthroscopy. Thus, fixed flexion deformity of the lunate might be associated with posttraumatic arthritic change in the radiolunate joint. PMID: 27247752 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Pathologic Femoral Neck Fracture Due to Fanconi Syndrome Induced by Adefovir Dipivoxil Therapy for Hepatitis B.
We present a rare case of a 43-year-old Korean male who was found to have insufficiency stress fracture of the femoral neck secondary to osteomalacia due to Fanconi syndrome. He had been receiving low-dose adefovir dipivoxil (ADV, 10 mg/day) for the treatment of chronic hepatitis B virus infection for 7 years and he subsequently developed severe hypophosphatemia and proximal renal tubule dysfunction. The incomplete femoral neck fracture was fixed with multiple cannulated screws to prevent further displacement of the initial fracture. After cessation of ADV and correction of hypophosphatemia with oral phosphorus supplementa...
Source: Clinics in Orthopedic Surgery - June 2, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Stem Cell Therapy for the Treatment of Hip Osteonecrosis: A 30-Year Review of Progress.
Authors: Hernigou P, Trousselier M, Roubineau F, Bouthors C, Chevallier N, Rouard H, Flouzat-Lachaniette CH Abstract Avascular necrosis of the femoral head is caused by a multitude of etiologic factors and is associated with collapse with a risk of hip arthroplasty in younger populations. A focus on early disease management with the use of stem cells was proposed as early as 1985 by the senior author (PH). We undertook a systematic review of the medical literature to examine the progress in cell therapy during the last 30 years for the treatment of early stage osteonecrosis. PMID: 26929793 [PubMed - in process...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Triangular Fixation Technique for Bicolumn Restoration in Treatment of Distal Humerus Intercondylar Fracture.
CONCLUSIONS: Triangular fixation technique for bicolumn restoration was an effective and reliable method in treatment of distal humerus intercondylar fracture. This technique maintained articular congruency and restored both medial and lateral columns, resulting in good elbow function. PMID: 26929794 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Senior Managed Care System for Hip Fracture in the United States.
CONCLUSIONS: The proposed care protocol is recommended to shorten hospital stay in elderly patients with hip fractures. PMID: 26929795 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Epidemiology and National Trends of Bearing Surface Usage in Primary Total Hip Arthroplasty in Korea.
CONCLUSIONS: The trends and epidemiology of bearing surface usage in THAs in Korea are different from those in other countries, and the CoC bearing surface is the most prevalent articulation. In future, the results of a large-scale study using nationwide data of THAs involving a CoC bearing surface will be reported in Korea. PMID: 26929796 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Results of Total Hip Arthroplasty after Core Decompression with Tantalum Rod for Osteonecrosis of the Femoral Head.
CONCLUSIONS: The two groups showed no clinical or radiological differences except extended operative time and increased blood loss. However, the incidence of squeaking (1 of 8 hips) was higher, as compared to the control group or previously reported values. PMID: 26929797 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Radiologic Measurement of Tibial Tuberosity-Trochlear Groove (TT-TG) Distance by Lower Extremity Rotational Profile Computed Tomography in Koreans.
CONCLUSIONS: Some of the TT-TG distances on rotational profile CT scans were significantly correlated, indicating that they could be accepted. Furthermore, the values on CT scans showed good reliability. In this study, the TT-TG distance in normal Korean people was approximately 10.24 mm without significant differences in TT-TG values between genders. PMID: 26929798 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Quantification of the Effect of Vertical Bone Resection of the Medial Proximal Tibia for Achieving Soft Tissue Balancing in Total Knee Arthroplasty.
CONCLUSIONS: The method of bone resection of the MPT can be considered effective with a predictable result for achieving soft tissue balancing in terms of quantification during TKA. PMID: 26929799 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Arthroscopic Bioabsorbable Screw Fixation of Unstable Osteochondritis Dissecans in Adolescents: Clinical Results, Magnetic Resonance Imaging, and Second-Look Arthroscopic Findings.
CONCLUSIONS: For unstable OCD lesions causing pain in adolescents, arthroscopic bioabsorbable screw fixation provided favorable outcomes with reduced pain and restoration of movement. Therefore, it should be considered as an effective treatment for OCD. PMID: 26929800 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Lumbar Lordosis of Spinal Stenosis Patients during Intraoperative Prone Positioning.
CONCLUSIONS: Intraoperative lumbar lordosis on the OSI frame with a prone position was larger in the SS patients than the spondylolisthesis patients, which also produced a larger postoperative lordosis angle after posterior spinal fusion surgery. An increase in lumbar lordosis on the OSI frame should be considered during posterior spinal fusion surgery, especially in spondylolisthesis patients. PMID: 26929801 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

More than 5-Year Follow-up Results of Two-Level and Three-Level Posterior Fixations of Thoracolumbar Burst Fractures with Load-Sharing Scores of Seven and Eight Points.
CONCLUSIONS: In our study, two-level posterior fixation could be used successfully in selected cases of thoracolumbar burst fractures of 7 and 8 points in the load-sharing classification. PMID: 26929802 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Can We Prevent a Postoperative Spinal Epidural Hematoma by Using Larger Diameter Suction Drains?
This study evaluated the following alternative hypothesis: the larger the diameter of a suction drain, the less the remaining epidural hematoma after spinal surgery. METHODS: This was a randomized prospective study. Patients who underwent posterior lumbar decompression and instrumented fusion were divided into two groups: the large drain (LD, 2.8-mm-diameter tube) and small drain (SD, 1.6-mm-diameter tube) groups according to the diameter of the suction drains. All patients were consecutive and allocated alternately according to the date of operations. Suction drains were removed on day 3 and magnetic resonance imaging...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Biomechanical Comparison of the Latarjet Procedure with and without Capsular Repair.
Authors: Kleiner MT, Payne WB, McGarry MH, Tibone JE, Lee TQ Abstract BACKGROUND: The purpose of this study was to determine if capsular repair used in conjunction with the Latarjet procedure results in significant alterations in glenohumeral rotational range of motion and translation. METHODS: Glenohumeral rotational range of motion and translation were measured in eight cadaveric shoulders in 90° of abduction in both the scapular and coronal planes under the following four conditions: intact glenoid, 20% bony Bankart lesion, modified Latarjet without capsular repair, and modified Latarjet with capsular re...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

The Efficacy of Percutaneous Lateral Hemiepiphysiodesis on Angular Correction in Idiopathic Adolescent Genu Varum.
Authors: Woo K, Lee YS, Lee WY, Shim JS Abstract BACKGROUND: Percutaneous lateral hemiepiphysiodesis of the lower extremity is a simple and excellent method to correct the angular and length problems cosmetically. However, the efficacy of percutaneous lateral hemiepiphysiodesis is not well established in the literature. The purpose of this study was to evaluate the efficacy of percutaneous lateral hemiepiphysiodesis for angular corrections in adolescent idiopathic genu varum patients with proximal tibia vara and identify the factors affecting the amount of deformity correction of the lower limb in the coronal plane...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Computer-Assisted Rotational Acetabular Osteotomy for Patients with Acetabular Dysplasia.
Authors: Inaba Y, Kobayashi N, Ike H, Kubota S, Saito T Abstract Rotational acetabular osteotomy (RAO) is a well-established surgical procedure for patients with acetabular dysplasia, and excellent long-term results have been reported. However, RAO is technically demanding and precise execution of this procedure requires experience with this surgery. The usefulness of computer navigation in RAO includes its ability to perform three-dimensional (3D) preoperative planning, enable safe osteotomy even with a poor visual field, reduce exposure to radiation from intraoperative fluoroscopy, and display the tip position of...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Bursectomy, Curettage, and Chemotherapy in Tuberculous Trochanteric Bursitis.
We presented three patients with trochanteric tuberculosis and described the clinical and imaging findings of the infection. Histology revealed a necrotizing granulomatous bursitis and microbiology confirmed tuberculosis. All cases were successfully treated with bursectomy and curettage of the trochanteric lesion and antituberculous chemotherapy including isoniazid, pyrazinamide, rifampicin, and ethambutol. PMID: 26929807 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Injury to the Anterior Tibial Artery during Bicortical Tibial Drilling in Anterior Cruciate Ligament Reconstruction.
Authors: Kim SB, Lim JW, Seo JG, Ha JK Abstract Many complications have been reported during or after anterior cruciate ligament (ACL) reconstruction, including infection, bleeding, tibial tunnel widening, arthrofibrosis, and graft failure. However, arterial injury has been rarely reported. This paper reports a case of an anterior tibial arterial injury during bicortical tibial drilling in arthroscopic ACL reconstruction, associated with an asymptomatic occlusion of the popliteal artery. The patient had a vague pain which led to delayed diagnosis of compartment syndrome and delayed treatment with fasciotomy. All su...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Compartment Syndrome Following Arthroscopic Removal of a Bullet in the Knee Joint after a Low-Velocity Gunshot Injury.
Authors: Keskinbora M, Yalçin S, Oltulu İ, Erdil ME, Örmeci T Abstract Gunshot injuries are getting more frequently reported while the civilian (nongovernmental) armament increases in the world. A 42-year-old male patient presented to emergency room of Istanbul Medipol University Hospital due to a low-velocity gunshot injury. We detected one entry point on the posterior aspect of the thigh, just superior to the popliteal groove. No exit wound was detected on his physical examination. There was swelling around the knee and range of motion was limited due to pain and swelling. Neurological and vascular e...
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research

Is Antegrade Transmalleolar Drilling Method for Osteochondral Lesion of Talus Necessary? Iatrogenic Cystic Formation at the Tibia: A Report of Five Cases.
We present five patients who underwent tibial drilling for treatment of OLT and later developed distal tibial cystic formation induced by cartilage opening or heat necrosis during drilling. Antegrade transmalleolar drilling can be a possible option for the treatment of OLT if the lesion is not easily reachable; however, other viable treatment should be considered due to its possibility of distal tibial pathologic change. PMID: 26929810 [PubMed - in process] (Source: Clinics in Orthopedic Surgery)
Source: Clinics in Orthopedic Surgery - March 3, 2016 Category: Orthopaedics Tags: Clin Orthop Surg Source Type: research