How to determine the type of femoral osteotomy in the management of developmental dysplasia of the hip: a prospective case series
Conclusions: Femoral shortening should be performed in cases where tight reduction is achieved to avoid pressure on the femoral head and development of avascular necrosis (AVN). Femoral derotational osteotomy was usually required with femoral shortening because most of the cases had excessive femoral neck anteversion. Evaluation of the CCD angle was done preoperatively and intraoperatively to determine the need for adding varus. If the CCD angle was less than 140 degrees, additional varization was deemed unnecessary. Level of Evidence: Level III (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research

Evaluation of the effects of various force configurations and magnitudes on scoliotic curve correction by use of finite element analysis: A case study
Conclusions: The results of this case study confirmed the efficiency of vertically directed forces to decrease scoliotic curves of lumbar and thoracic spinal parts. The results of this analysis confirmed the results of the available literature, which support the efficiency of some braces such as Boston, Lyon, and Cheneau, which were mostly designed based on full contact and vertical traction. The results of this study also support the feasibility of finite element analysis to predict the output of brace treatment by use of various force configurations. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research

Sublaminar decompression and fusion versus transforaminal lumbar interbody fusion in management of lumbar degenerative disorders: a retrospective cohort study
Introduction: Sublaminar decompression is a new technique that includes partial laminectomy and facetectomy providing a wide central, foraminal, and lateral recess decompression and leaving maximal bone posterior and posterolateral to allow adequate fusion. The aim of this study was to evaluate the efficacy and safety of sublaminar decompression in comparison to standard transforaminal lumbar interbody fusion (TLIF). Methods: Forty patients with degenerative lumbar disorders were managed with spinal fusion at the Zagazig University Hospital. The patients were divided into two groups. Group 1 included 20 patients manag...
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research

Cervicothoracic fixation using a tapered rod with posterior en bloc multilevel laminectomy for treatment of cervicothoracic pathology: a prospective case series
Conclusions: Multilevel en bloc laminectomy is a safe technique that provides adequate decompression of the spinal cord and neurological improvement for patients suffering from cervicothoracic myelopathy due to various pathologies. The use of a tapered rod is a good alternative for connection of screws across the cervicothoracic region, with easy handling and minimal complications. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Original Research Source Type: research

Comparison the effect of kinetic parameters of innovative storing-restoring hybrid passive (comfort gait) ankle-foot orthosis (AFO) with posterior leaf spring AFO in drop-foot patients: a prospective cohort study
This study aimed to compare the affected lower limb joints of ankle, knee, and hip kinetics parameters (moments and powers) during walking in drop-foot patients using an innovative AFO storing-restoring hybrid passive AFO, named “Comfort Gait” and posterior leaf spring (PLS) AFO. Methods: Ten drop-foot patients were recruited in the current study to walk at a comfortable self-selected speed while wearing two different AFO selections. Kinetic parameters with a motion capture system were obtained for these patients. Results: The results of this study revealed a significant increase in the peak values of kinetic par...
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Special Focus: Foot and Ankle Source Type: research

Headless compression screw fixation of Jones fractures: a clinical and radiographic comparison study
Conclusions: Factors significantly correlated with failure were age, diabetes, and body mass index, without significant correlation with tobacco or gender. No differences were found between zone II and III fractures. The two groups had similar clinical and radiographic results, both with high union rates. The 21% failure rate with partially threaded screws is concerning and may warrant further investigation. This supports the headless compression screw as a viable Jones fracture treatment. Level of Clinical Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Special Focus: Foot and Ankle Source Type: research

An orthopaedist’s review of diabetic foot wounds and osteomyelitis
As the number of patients with diabetes continues to grow, complications of diabetes have likewise increased. Specifically, diabetic foot ulcers have become a massive burden to both the diabetic patient population and national healthcare systems. Diabetic foot ulcers occur due to nerve damage as a result of extensive hyperglycemia. This nerve damage can allow the progression of ulceration, thus providing a window of opportunity for various pathogens to invade the surrounding tissue. Extensive infection of the ulcer tissue can lead to infection of nearby bone, which may require both surgical and antimicrobial intervention f...
Source: Current Orthopaedic Practice - August 28, 2020 Category: Orthopaedics Tags: Special Focus: Foot and Ankle Source Type: research

Reinventing the orthopaedic drill
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Editorial Source Type: research

Posterolateral acromial fracture with acute deltoid dysfunction: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Case Report Source Type: research

Combined vascularized bone graft and scaphocapitate fusion in the treatment of stage III(b) Kienböck’s disease: a cohort study involving 11 patients
Conclusions: Revascularization and restoration of lunate anatomy together with an unloading procedure gives better results in the treatment of stage III(b) Kienböck’s disease. This technique prevents further collapse of the lunate with satisfactory long term results. Intraoperative wrist arthroscopy is mandatory to prove the intact lunate articular surface. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Innovations in Practice Source Type: research

Return to driving after fracture an overview of current recommendations
Level of Evidence: Level IV. One of the many important considerations after fracture is determining the time for safe return to driving. Although a seemingly mundane question, patients rely on their ability to drive in order to work, take care of their families, and perform day-to-day tasks, making it an important landmark on their road to recovery. Patients who are currently taking narcotic medications, are wearing restrictive medical devices, or have inadequate fracture healing all pose a potential risk to themselves and others if they operate a motor vehicle. Despite objective data on when a patient physically might ...
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Review Article Source Type: research

Trochanteric pain and total hip arthroplasty: a systematic review of the literature
Conclusions: Approximately one in 25 patients who has undergone standard THA experiences postoperative trochanteric pain. With low certainty, the results of this review suggest the surgical approach may not influence incidence of trochanteric pain. The heterogeneity in both diagnostic modalities reported and in treatment options suggests that further prospective research is required to better inform treatment decisions for this common condition. Level of Evidence: Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Review Article Source Type: research

The effect of neuromuscular electrical stimulation on function outcome measures following muscle fatigue: a systematic review
Conclusions: Inconsistencies between the studies likely attributed to the unclear findings of the review. Several protocols were used throughout the various studies causing multiple variables that could not be isolated. Electrode placement, stimulation frequency and intensity, and functional testing protocols were the major difference between studies that led to the inconsistent findings. Although neuromuscular electrical stimulation is often used as a recovery modality, research findings are mixed regarding its effectiveness as an intervention for recovery. Level of Evidence: Level I. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Review Article Source Type: research

Anterolateral ligament in pediatric knees: A radiographic study
Conclusions: The main finding of this study was that ALL can be seen in pediatric patients using MRI. Despite numerous studies, additional research is needed to further define the role of the ALL in knee function. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Original Research Source Type: research

Post-exercise leg compartment pressure measurements in asymptomatic collegiate distance runners: a prospective study
Conclusions: Elevated anterior leg compartment pressures were prevalent in collegiate distance runners despite a lack of symptoms. Post-exercise compartment pressure measurements should be viewed only as an indicator of exertional compartment syndrome and not relied upon as a confirmatory test. Level of Evidence: Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - June 25, 2020 Category: Orthopaedics Tags: Original Research Source Type: research