Preoperative leukocytosis and postoperative outcomes in geriatric hip fracture patients: a retrospective cohort study
Conclusions:
Preoperative leukocytosis was not associated with adverse postoperative outcome after geriatric hip-fracture surgery. The more reliable variables for prediction of surgical outcome in geriatric patients with hip fracture were delay in surgery, gender, hypoalbuminemia, dementia, and use of anticoagulant or antiaggregant medications.
Level of Evidence:
Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - July 1, 2022 Category: Orthopaedics Tags: Original Research Source Type: research
Chronic exertional compartment syndrome: a review of the literature
Chronic exertional compartment syndrome (CECS) is a serious, yet underdiagnosed condition that can cause severe lower-extremity pain in running athletes. CECS is a transient increase in compartment pressure that can lead to severe pain, paresthesia, and vascular compromise. Understanding the detailed anatomy is paramount to proper diagnosis and treatment. Diagnosis is made with measuring compartment pressures before and after exercise at certain time intervals. When properly diagnosed and treated, CECS can be appropriately managed and patients can return to their previous level of activity. The aim of this review was to fa...
Source: Current Orthopaedic Practice - July 1, 2022 Category: Orthopaedics Tags: Special Focus: Sports Medicine Source Type: research
Repair of the ulnar collateral ligament: a review of current trends and outcomes
Diagnosis and surgical treatment of elbow ulnar collateral ligament (UCL) injury is becoming more common. A thorough understanding of nonsurgical and surgical options for this injury is required for successful treatment. Gold standard treatment remains ligamentous reconstruction with autograft in the elite throwing athlete. However, advances in surgical technique, technology, and a better understanding of the pathoanatomy of the injury have renewed interest in primary repair of the UCL. Recent literature has shown encouraging results with primary repair and with augmented primary repair, especially over the past 5 yr. Th...
Source: Current Orthopaedic Practice - July 1, 2022 Category: Orthopaedics Tags: Special Focus: Sports Medicine Source Type: research
Fracture of an unossified medial epicondyle: a case report of an unusual presentation diagnosed utilizing ultrasonography
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Case Reports Source Type: research
Unique case of posttraumatic atrophic proximal ulnar nonunion in a child: a review of the literature with case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Case Reports Source Type: research
Fast-progressing Kienbock’s: a review of the literature with a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Case Reports Source Type: research
Misdiagnosis of reactive arthritis with septic arthritis in a coronavirus disease 2019 (COVID-19)-positive patient: a case report
No abstract available (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Practical Orthopaedic Pathology Source Type: research
Osgood-Schlatter disease: a review of current diagnosis and management
Osgood-Schlatter disease is a common cause of knee pain in children and adolescents, particularly in those who participate in sports. Repetitive force during athletic activities, along with changes that happen during a growth spurt, result in the development of traction apophysitis. Because of its typical presentation, the diagnosis is usually made clinically. The disorder generally resolves with skeletal maturity, and most patients respond to conservative therapy. Surgery can be considered in recalcitrant cases. Several approaches of surgical intervention have been proposed; each approach has its advantages and disadvanta...
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Review Articles Source Type: research
The utilization of tranexamic acid in orthopaedic procedures and gap in research for its benefits conferred in hip arthroscopy: a literature review
Tranexamic acid (TXA) is a commonly used drug that has many uses within multiple medical fields. Within orthopedics, TXA has been used heavily because of the benefits it confers for reducing perioperative bleeding and preventing reductions in hemoglobin/hematocrit. However, despite these advantages, no set indications for the use of TXA have been defined. The authors performed a literature review assessing current literature for TXA use in knee arthroscopy, shoulder arthroscopy, and hip arthroscopy. Articles were searched in Google Scholar using a combination of keywords including, “tranexamic acid,” “arthroscopy,”...
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Review Articles Source Type: research
Surgical outcomes of intramedullary screw fixation for metacarpal fractures: a systematic review
Conclusions:
This systematic review demonstrated that intramedullary screw fixation for metacarpal fractures yields excellent clinical and functional outcomes with low complication rates. IM screw fixation provides rigid internal fixation with minimal soft-tissue dissection without extramedullary hardware, thus precluding the need for prolonged postoperative immobilization and limiting the potential for extensor tendon adhesions and digital stiffness. IM screw fixation is a viable and safe option for surgical management of metacarpal fractures.
Level of Evidence:
Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Review Articles Source Type: research
Short-term radiographic outcome of varus osteotomy in the treatment of Legg-Calvé-Perthes disease: a retrospective case series study
In this study, the authors aimed to evaluate the radiographic outcomes of varus osteotomy and its association with the extent of hip involvement.
Methods:
Twenty-one patients in early stages of disease (stage I and II of LCPD, according to the modified Elizabethtown classification) who were treated with varus osteotomy were studied. The radiographic outcome measures were Caput Index and epiphyseal quotient (EQ) that were assessed before the surgery and 2 yr postoperatively. The level of hip involvement was determined by the modified lateral pillar classification.
Results:
The mean Caput index of the patient...
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Original Research Source Type: research
The importance of surgeon judgment in obtaining early magnetic resonance imaging to prevent delays in care for acute subacromial injury: a retrospective comparative cohort study
Conclusions:
Nearly 60% of patients undergoing initial MRI based on orthopaedic surgeon judgment had a full-thickness rotator cuff tear, significantly more than patients treated conservatively upon initial evaluation. Patients who first undergo conservative treatment for suspected acute subacromial injury experience a significant delay both in MRI and surgical intervention. Surgeon judgment is an important factor in the decision to obtain MRI in acute subacromial injury to prevent delays in care.
Level of Evidence:
Level III. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Original Research Source Type: research
Virtual orthopaedic surgery away rotation benefits both the program and applicant: a survey of participants
Conclusions:
The results indicate that the VOSAR benefits students and programs. Based on the success of the VOSAR, both programs continued to offer the curriculum for 2021.
Level of Evidence:
Level IV. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Original Research Source Type: research
How do orthopaedic surgery residency program websites feature diversity? An analysis of 187 orthopaedic surgery programs in the United States
Conclusions:
Most orthopaedic surgery residency websites contained fewer than half of the diversity and inclusion elements studied, suggesting opportunities for further commitment to diversity and inclusion. Inclusion of diversity initiatives on program websites may attract more diverse applicants and help address gender and racial or ethnic disparities in orthopaedic surgery.
Level of Evidence:
Level V. (Source: Current Orthopaedic Practice)
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Original Research Source Type: research
Outcome of distal femoral osteotomy for the correction of varus deformities originating in the distal femur: a prospective study
Background:
The authors hypothesized that implication of distal femur osteotomy (DFO) in patients with varus deformities that originated in the distal femur will reduce the rate of joint-line obliquity, thereby improving the radiographic, clinical, and functional outcomes of the patients. Here, the authors aimed to evaluate the outcome of DFO in the correction of varus deformities that originated in the distal femur.
Methods:
In a prospective study, 27 patients (31 knees) with varus deformities located in the distal femur who underwent a lateral biplane closed wedge DFO were included. Radiographic evaluations in...
Source: Current Orthopaedic Practice - May 1, 2022 Category: Orthopaedics Tags: Original Research Source Type: research
