My vision regarding orthopaedics according to Mediouni’s mindset
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

What is a Weitlaner?
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Editorial Source Type: research

Multiplane osteotomy of the clavicle for symptomatic malunion: a case report of augmentation of healing with bone morphogenetic protein-2
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Case Reports Source Type: research

Bilateral distal clavicular fracture in a patient with traumatic brain injury and decreased level of consciousness: a rare case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Case Reports Source Type: research

A case report of cervical spondylodiscitis
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Case Reports Source Type: research

Implementation of a virtual learning and simulation curriculum for orthopaedic resident training during COVID and beyond
The recent coronavirus disease of 2019 pandemic has resulted in unprecedented limitations in person-to-person contact, elective surgeries, and even traumatic injuries, leaving potential gaps in training and skill development. Surgical programs have had to adapt with the rapid implementation of surgical simulation curricula, collaborative lecture series, and greater focus on online learning. Using models, simulation, and virtual learning, we have accommodated for restrictions and operative volume from coronavirus disease of 2019. The goal was to establish a durable system of extra-clinical training that would increase patie...
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Innovations in Practice Source Type: research

Patient outcomes after direct capsular closure following hip arthroscopy: a systematic review
Conclusions: Available evidence was promising in regard to the function and durability of capsule closure when utilized on a routine basis. In this situation, revisions and conversion rates to total hip arthroplasty were very low with significant improvements in patient-reported outcomes. However, our data could not definitively support the claim that routine capsule closure leads to improved outcomes compared with leaving the capsulotomy unrepaired. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Review Articles Source Type: research

Aspirin as venous thromboembolism prophylaxis in total joint arthroplasty: a narrative review of the current evidence
The utilization of aspirin (acetylsalicylic acid [ASA]) as primary prophylaxis for venous thromboembolism (VTE) after total hip arthroplasty (THA) and total knee arthroplasty (TKA) in the United States has increased in concordance with the number of arthroplasty procedures being completed. The available literature regarding dosage, duration, efficacy, and safety varies considerably. This review assessed the recent published literature for both the efficacy and safety of aspirin as VTE prophylaxis. Overall, the rates of symptomatic VTE found in the literature ranged from 0.1% to 4.1%, of deep vein thrombosis (DVT) 0.1% to 3...
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Review Articles Source Type: research

An unusual presentation of osteosarcoma in the proximal femur with peculiar diagnostic characteristics: a retrospective series
Conclusions: Osteosarcoma of the proximal femur generally presents without classical features. Most notably, the tumor almost never has an extraosseous tumor mass. Therefore, the absence of an extraosseous component does not preclude the diagnosis of osteosarcoma in the femoral neck. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Early debridement improves outcome in managing ankle tuberculosis: a systematic review
Conclusions: Early debridement is recommended to improve outcome in managing ankle TB. This review is limited by the lack of high evidence level studies from high-quality randomized controlled trials, lack of control groups, heterogenous outcomes reporting, small sample sizes, and no objective scoring were used to report the outcomes. However, larger sample sizes with long-term follow-up data were not found. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Racial and socioeconomic disparities among patients undergoing hip arthroplasty: a New York State population analysis
This study used the publicly available New York Statewide Planning and Research Cooperative System (SPARCS) database to identify hip replacement cases from 2013 to 2016 in New York State. Multivariable logistic regression models were used to examine characteristic differences between white and black patients. Multivariable linear models were used to identify predictive variables for hospital charges and length of stay. Results: White patients had lower mean length of stay (3.61 vs. 4.35, P (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Conservative management of posterior cruciate ligament avulsion with a large bony fragment: a prospective cohort study
Conclusions: Conservative management of the PCL avulsion with a large bony fragment could result in acceptable outcome. However, application of this technique needs further characterization, particularly with respect to the size of bony fragment. Level of Evidence: Level II. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Injury incidence is higher on artificial turf compared with natural grass in high school athletes: a retrospective cohort study
Background: Prior investigations have demonstrated increased injury risk on artificial turf at the collegiate and professional levels. However, no prior study has examined this risk among high school athletics beyond football. The purpose of this study was to compare injury incidences on artificial versus natural playing surfaces among high school athletes. Methods: Data collected from 26 high schools was analyzed to compare injury incidences on artificial turf versus natural grass based on sport. Analyses were also performed to compare injury incidence by injury location (upper extremity, lower extremity, torso...
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Pedicled fibular graft in knee-sparing tumor resection surgery: a retrospective case series
Conclusions: Pedicled vascularized fibular graft alone as a novel reconstructive technique after knee-sparing limb salvage surgery for juxtaarticular proximal tibial sarcoma is an effective technique with overall good oncologic and functional results. Level of Evidence: Level IV (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Management of proximal humeral fractures: a review
Proximal humeral fractures are a common orthopaedic injury. Although many proximal humeral fractures are managed nonoperatively, operative management can result in improved functional outcome when appropriately indicated. Commonly utilized surgical treatment options include open reduction internal fixation (ORIF), arthroplasty, percutaneous fixation, and intramedullary fixation. The most commonly used classification remains the Neer fracture classification. The authors present a comprehensive review of the epidemiology, relevant anatomy, biomechanics, clinical presentation, diagnosis, and management of proximal humeral fra...
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Special Focus: Trauma Source Type: research

Results of fixed-angle device fixation (dynamic hip screw) in femoral neck fractures in young adults: a prospective study of 20 cases
Conclusions: DHS results in better functional outcome with lower complication rates in transcervical and vertical shear femoral neck fractures in young adults. Level of Evidence: Level IV (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Special Focus: Trauma Source Type: research

Does a medial mini-incision decrease the risk of iatrogenic ulnar nerve injury in pediatric supracondylar humeral fractures treated with closed reduction and percutaneous pinning? A retrospective cohort study
Conclusions: A medial mini-open incision decreased the risk of ulnar nerve injury during cross pin fixation in the treatment of displaced supracondylar humeral fractures, without additional morbidity. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Special Focus: Trauma Source Type: research

Patient and surgical factors affect postoperative opioid prescription for orthopaedic trauma patients undergoing single-admission, single-surgery fracture fixation: a retrospective cohort study
Conclusions: Opioid use and prescription for orthopaedic trauma patents following single-admission, single-surgery fracture fixation is strongly predicted by surgical and patient factors. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2021 Category: Orthopaedics Tags: Special Focus: Trauma Source Type: research

Orthopaedic considerations in a private hospital during the COVID-19 outbreak in São Paulo, Brazil
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Editorial Source Type: research

Flexor carpi radialis brevis identified during volar approach for distal radial fracture fixation: a review of the literature and case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Case Reports Source Type: research

Arthroscopic proximal femoral resection surgical technique: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Case Reports Source Type: research

Holding traction during CT: simple tricks to maintain reduction in the lower extremity
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Innovations in Practice Source Type: research

Role of machine learning in management of degenerative spondylolisthesis: a systematic review
Conclusions: Although the proposed results may be misleading, the studies provided evidence to suggest that two-thirds of the patients with grade I spondylolisthesis were stable enough to tolerate decompression without fusion, but that one-third of the patients appeared to develop instability over time. This instability often led to reoperation for spinal fusion at the level of listhesis. It is possible to create a predictive machine learning algorithm that is calibrated and accurate to predict discharge placement. Level of Evidence: Level I. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Review Article Source Type: research

Chondroblastoma of the femoral neck presenting with pathologic fracture: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Practical Orthopaedic Pathology Source Type: research

Internal hemipelvectomy for primary pelvic tumors, first experience in Peru: a case series
Internal hemipelvectomy (IH) is a newer surgical choice for pelvic tumors. It involves resection of the tumor, reconstruction of the pelvis without sacrificing the neurovascular structures, and preservation of the lower limb. We aimed to describe first experience with IH in primary pelvic tumors in Peru. Four patients aged 17 to 49 years old at the time of diagnosis were included. 75% were chondrosarcomas, and 25% were chondroblastomas. The IH types were 50% type II, 25% type I-A, and 25% type III. The neoplasm sizes differed from 5cm to more than 20 cm. Postoperative complications were right hip arthrosis, transien...
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Practical Orthopaedic Pathology Source Type: research

A large aneurysmal bone cyst of the clavicle in a 5-year-old child: a case report and review of literature
This study illustrates the importance of listing the aneurysmal bone cyst in the differential diagnosis of expansile clavicular lesions in young children. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Practical Orthopaedic Pathology Source Type: research

Patients’ perceptions of receiving orthopaedic care during a pandemic: a patient survey
Conclusions: Patients remained interested in receiving orthopaedic care in the midst of a pandemic. As a result, physicians need to ensure that they effectively communicate what safety precautions are in place and what additional infection prevention measures are available. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Clinical outcomes between long and short proximal femoral nail antirotation (PFNA-II) devices in the management of extracapsular hip fractures: a retrospective cohort study
Conclusions: The purported extra stability of the unlocked, long PFNA-II device in extracapsular hip fractures has not been demonstrated in this study. Hence, we recommend the short PFNA-II device in extracapsular hip fractures due to its superior cost-benefit advantage. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Management trends of clavicular fractures at a level 1 trauma center: a retrospective chart review
Background: Controversy remains regarding optimal treatment of clavicular fractures, despite evidence touting lower nonunion rates for operative interventions. Given increasing evidence supporting operative treatment, the goal of this study was to observe trends in operative versus nonoperative treatment over a 15-year period. Methods: One thousand and eighty nine patients with any clavicular fracture (AO Foundation/Orthopaedic Trauma Association 15A to 15AC) between 2004 and 2018 were identified. Patient records were queried for demographic information, injuries to the head or chest, and treatment modality (ope...
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Cross-leg Ilizarov limb-salvage technique for management of combined bone and soft-tissue distal tibial defect: a case series
Conclusions: The modified cross-leg Ilizarov technique is shown to be an effective and appropriate method in simultaneous management of combined bone and soft-tissue defects in the distal leg. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Comparison of closed and open reduction internal fixation of acutely displaced unstable lateral humeral condylar fractures in children: a prospective cohort study
Conclusions: Closed reduction and percutaneous pinning of lateral humeral condylar fractures gave the same results in bone healing without the complications of skin-incision healing that were found in open reduction. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

All aperture fixation technique of anatomical medial patellofemoral ligament (MPFL) reconstruction with semitendinosus double loop graft: a retrospective case series
Background: The all-aperture fixation technique for anatomical medial patellofemoral ligament (MPFL) reconstruction using a double-loop semitendinosus autograft has been proposed as a strong and biomechanically sound surgical procedure. The aim of the study was to describe the surgical procedure and report the early and mid-term results of MPFL reconstruction using patellar knotless anchors and femoral interference screws. These procedures were performed in the same institution. Methods: This is a retrospective case series studying 10 patients with chronic patellofemoral instability who underwent anatomical MPFL...
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

A novel universal medial approach for difficult posteromedial tibial plateau fractures: a prospective case series
Conclusions: The posteromedial approach offers a very good access to view, reduce, and fix difficult posteromedial fractures together with comminuted tibial plateau fractures without the need for dissection of the neurovascular bundle in the fossa or soft-tissue injury. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

The comparison of medial longitudinal arch development in normal feet and flexible flatfeet in preschool children with an 18-month follow-up: a retrospective case-control study
Conclusions: The results of this study indicated that the medial longitudinal arch development was lower in preschool children with flexible flatfoot than in the control group. This lower development was shown by higher AI. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Trunnionosis in total knee arthroplasty: an unusual case report in revision knee arthroplasty
Conclusions: The limitations of modularity and trunnionosis must be understood, as many patients have been receiving modular total knee arthroplasty at younger ages. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Special Focus: Arthroplasty Source Type: research

Periprosthetic early insufficiency fracture after total knee arthroplasty: a retrospective case series
Conclusions: Severe knee deformity, osteoporosis, high BMI, and small size of the femoral condyle were the main risk factors of early periprosthetic insufficiency fracture. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Special Focus: Arthroplasty Source Type: research

Comparisons of initial outcomes and cost-effectiveness after total ankle arthroplasty versus bipolar osteochondral allograft transplantation in the ankle: a retrospective cohort study
Conclusions: These results will guide more robust planning for 90-day postoperative reimbursement guidelines. Ongoing work is needed to assess mid-term and long-term outcomes for patients with respect to morbidity, complications, patient-reported outcomes, costs, and QALY. Level of Clinical Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Special Focus: Arthroplasty Source Type: research

Hospital environmental influences and the rate of periprosthetic joint infections at a Canadian tertiary center: a retrospective chart review
Conclusions: Despite rates of hand hygiene at our institution being reported as having a greater than 90% success rate, we did not find any association between successful hand hygiene practices and rates of PJI. Our study revealed that the rate of infection for THA at our institution was nearly two to three times higher than what was reported in the literature, and we believe poor patient selection played a factor. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - April 30, 2021 Category: Orthopaedics Tags: Special Focus: Arthroplasty Source Type: research

Learning curve for robot-assisted total knee arthroplasty in mixed robot-assisted and conventional practice: a letter to the editor
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Letter to the Editor Source Type: research

Medial retinacular pain after total knee arthroplasty: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Case Report Source Type: research

Bilateral simultaneous total hip arthroplasty in ankylosed hips with and without computer navigation: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Case Report Source Type: research

Angled polyethylene insert exchange for lower extremity coronal malalignment in total knee arthroplasty: a case report with long-term follow-up and review of the literature
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Case Report Source Type: research

Mini-anterior approach for surgical reduction of developmental dysplasia of the hip: a case series
Conclusions: The mini-anterior approach can be used safely in patients with dysplasia of the hip who are younger than 20 mo with adequate exposure and minimal soft-tissue dissection. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Innovations in Practice Source Type: research

A literature review of commercially available demineralized bone matrix products and their clinical evidence in acute fractures, nonunions, and fusion procedures
This study reviews comparison studies of brand-specific DBM products, including Allomatrix (Wright Medical Technology, Memphis, Tennessee), DBX (Depuy Synthes, Suchwil, Switzerland), Grafton (Osteotech, Eatontown, New Jersey), Orthoblast (Integra Orthobiologics, Plainsboro, New Jersey), and Osteosponge (Bacterin International, Belgrade, Montana), in an attempt to propose the most efficacious DBM product for bone grafting of various orthopaedic applications. Secondarily, we evaluate these specific DBM products in their potential use of tibial plateau fractures, which our future clinical research aims to achieve. A definitiv...
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Review Article Source Type: research

Comparing indirect decompression using elastic nails versus curettage, bone graft substitute, and intramedullary stabilization for the management of unicameral bone cysts in skeletally immature patients: a retrospective case series study
Conclusions: No statistically significant difference exists regarding the outcomes of both treatment techniques. Therefore, we recommend the use of elastic nails for intramedullary nailing alone as a first line of management of primary unicameral bone cyst because it is a less invasive technique with reliable results. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Phantom pain decreases with vibrating silicone liner in lower limb amputee: a prospective study
Background: The purpose of this study was to design, construct, and evaluate the effectiveness of a vibrating silicone liner on the phantom pain of traumatic below-knee amputees. Methods: Twelve unilateral below-knee amputees who had phantom pain and did not use another treatment participated in this study. The patients were asked to use vibrating silicone liners for three 10-minute sessions daily for 30 days. The severity of pain was evaluated by the short form of the McGill Pain Questionnaire before and after 30 days of using the vibrating silicone liner. Results: The mental aspect of pain intensity, pa...
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Incidence of rotational malalignment and its effect on functional outcome after nail osteosynthesis of unstable trochanteric fractures: a prospective cohort study
Conclusions: Rotational malalignment after trochanteric fracture fixation is unavoidable despite best efforts, and these patients have a significantly poorer functional outcome when compared with patients in whom there is no malalignment. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Outcome of single radius constrained condylar device in primary and revision total knee arthroplasty: a retrospective cohort study
Conclusions: Implant survival was excellent after primary CCK, and acceptable after revision CCK. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Is it a must to tenotomize the biceps intraarticular origin during tenodesis? A prospective case series study of biceps tenodesis without tenotomy
This study was conducted to investigate three questions; Does biceps tenodesis without tenotomy reduce short-term tenodesis failure and revision rate? Does preserved biceps origin increase the prevalence of postoperative bicipital pain and tenderness? Does this technical modification limit postoperative range of motion? Methods: Between October 2014 and December 2018, a case series of 24 patients with different isolated biceps tendon lesions were prospectively managed by arthroscopic intraarticular suture-anchor biceps tenodesis without tenotomizing the biceps intraarticular origin. Patients were evaluated for demog...
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research

Baseball performance via the lens of anthropometric testing, fitness metrics, and statistics: a longitudinal cross-sectional study
Background: Anthropometric testing (AT) and fitness metrics (FM) are contributing factors for success in sports. Limited evidence exists regarding longitudinal baseball AT or FM roles on baseball performance statistics (PS). AT, FM, and PS associations were examined for 5 yr to create a performance model. Methods: Eighty collegiate Division I players participated in this study. Height, mass, and body fat percentage (BF%) were selected as AT variables of interest. Grip strength (GS), one repetition maximum squat (1RMSQ), and vertical-jump height were selected for FM. Batting average percentage (AVG), slugg...
Source: Current Orthopaedic Practice - March 1, 2021 Category: Orthopaedics Tags: Original Research Source Type: research