Dynamic intraoperative assessment of patellar tracking using a stimulating nerve catheter for the surgical management of patellofemoral instability: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Case Reports Source Type: research
Atypical pregnancy-associated osteoporosis of the patella: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Case Reports Source Type: research
A rare proximal tibial intraosseous hemangioma treated with en bloc resection and total knee arthroplasty: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Case Reports Source Type: research
Tumoral calcinosis: a case report of an exceptionally large lesion and review of literature
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Case Reports Source Type: research
Bilateral primary aneurysmal bone cyst of the patella: a rare case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Case Reports Source Type: research
Implementation and maintenance of an established clinical decision support tool algorithm: challenges and recommendations from a prospective cohort study
Conclusions:
Various challenges were identified concerning CDSTA usability, and the main stumbling point was communication between the clinical and information technology staff who developed the CDSTA, demonstrated through technical language barriers, CDSTA backend updating delays, and reluctance of clinicians and staff to adapt to the CDSTA in addition to the typical daily workflow. The most significant lesson was maintaining open lines of dialogue between the developer and pilot site to allow for seamless CDSS integration into a practice and minimal technical downtime. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Innovations in Practice Source Type: research
Intraoperative axial patellar imaging: a new technique
Conclusions:
Our technique established more precise guide-pin placement for the patellar tunnel. It also reduced time spent evaluating patellar fixation via additional orthogonal imaging. This could be associated with better outcomes and avoidance of common complications such as patellar fracture attributed to violation of the anterior cortex.
Level of Evidence:
Level V. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Innovations in Practice Source Type: research
New reduction technique for posterior prosthetic hip dislocation: a case report demonstrating ease of reduction with this technique in larger patients
The authors describe a new technique for posterior prosthetic hip dislocation. This technique is unique because it requires only one assistant and is suitable for smaller physicians who are performing the reduction on much larger patients. This technique uses the first-order lever created by the knee and extensor mechanism, which acts as a fulcrum, to convert the applied force necessary to perform the reduction from a pulling force into a pushing force. This case report presents an obese patient with a posterior prosthetic hip dislocation that was reduced with this new technique after two failed attempts with conventional ...
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Innovations in Practice Source Type: research
The use of virtual clinics in the management of fractures: a narrative review
Virtual fracture clinics (VFC) involve the management and follow-up of appropriate patients through virtual interaction, namely telephone or teleconference consultation and review of imaging. VFCs appear safe for the management of several minor orthopaedic injuries in adults and children. In adults, there is evidence for using a VFC to manage patients with clavicular isolated radial head (Mason 1 and 2), radial neck, and radial styloid fractures, and closed soft-tissue and bony injuries of the hand (excluding carpal and wrist fractures). Stable ankle fractures and fifth metatarsal fractures also can be managed effectively ...
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Review Article Source Type: research
Treatment of distal humeral fractures in elderly patients: where are we in 2020? A review article
Distal humeral fractures are increasing in the elderly population and pose a difficult clinical problem as orthopaedic surgeons attempt to maximize return of function and avoid complications. Many treatments have been suggested for distal humeral fractures in the elderly, with operative intervention becoming a mainstay of treatment for active patients. Open reduction internal fixation (ORIF) and total elbow arthroplasty (TEA) have been utilized with both success and complications. The available literature appears to be equivocal on the ideal treatment of geriatric distal humeral fractures, with well-done TEA and ORIF demon...
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Review Article Source Type: research
Facet joint syndrome treated with interventional procedures: a review article with an update on the current evidence and practice
Conclusions:
The authors suggest a standardized stepladder approach to the management of FJS, with conservative measures initially and interventional procedures if those measures fail. All procedures were reported to be safe and efficient when clinically indicated and properly performed. Further studies with appropriate methodology are needed.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Review Article Source Type: research
Does participation in a multicenter study group affect physician treatment preference? A survey of participants
Conclusions:
Although treatment preferences varied, study group participation did not impact decisions for operative versus nonoperative treatment, except in one case.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
Anteroposterior view of the knee does not reliably replace the lateral view during evaluation of femoral torsion: a case series
Conclusions:
The use of anteroposterior imaging alone does not reliably replace the lateral view for evaluation of femoral torsion. Circumstances of erroneous results when using the anteroposterior view were identified. Due to side-to-side differences, the anteroposterior technique cannot be recommended to determine anatomic torsion in femoral shaft fractures. The conventional technique using overlapping posterior condyles on the lateral view of the knee remains an important part of determining femoral torsion.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
Implant prominence and flexor tendon rupture in distal radial fractures using volar locking plate technology: a retrospective chart review
Conclusions:
Flexor tendon rupture historically has been linked to VLP fixation in distal radial fractures. This study found tendon rupture was not associated with fracture classification or implant prominence and had a lower incidence than previously reported. Finger function had no relation to fracture classification or implant prominence. This study suggested implant prominence is more likely with increasing fracture complexity with little clinical significance.
Level of Evidence:
Level IV (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
Early complications of antibiotic prophylaxis with cefazolin protocols versus piperacillin-tazobactam for open fractures: a retrospective comparative study
Conclusions:
Compared to cefazolin based antibiotic regimens, with or without an aminoglycoside, piperacillin-tazobactam single agent therapy may lower the risk of superficial infection or wound healing complications after operative fixation of type II and III open fractures and may also decrease inpatient risk of nephrotoxicity.
Level of Evidence:
Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - October 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research
