Development and validation of the unifying elective orthopaedic score (UnEOS). A pilot study
ConclusionThe UnEOS score is a valid and easy to use PROM which is not limited by site or pathology. Further validation with other orthopaedic pathologies will lead to a Unified Elective Orthopaedic score. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 25, 2019 Category: Orthopaedics Source Type: research

Vacuum assisted closure (VAC)/negative pressure wound therapy (NPWT) for difficult wounds: A review
Publication date: Available online 20 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Pawan Agarwal, Rajeev Kukrele, Dhananjaya SharmaAbstractDelayed wound healing particularly in difficult wounds and in elderly with co morbidities is a major concern. It leads to the pain, morbidity, prolonged treatment, and require major reconstructive surgery which imposes enormous social and financial burden. Vacuum-assisted closure (VAC) is an alternative method of wound management, which uses the negative pressure to prepare the wound for spontaneous healing or by lesser reconstructive options. Method of VAC app...
Source: Journal of Clinical Orthopaedics and Trauma - June 22, 2019 Category: Orthopaedics Source Type: research

Effect of various factors on articular cartilage and their implications on arthroscopic procedures: A review of literature
Publication date: Available online 20 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Sandeep Kohli, Varun Tandra, Abhinav Gulihar (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 22, 2019 Category: Orthopaedics Source Type: research

Proximal femoral fracture in ankylosed hip treated with total hip arthroplasty: Technical tips with a report of 2 cases
We report two different presentations of proximal femoral fracture in ankylosed hip that were successfully treated with primary total hip arthroplasty. We also discuss the surgical principles, technique and advantages of the total hip arthroplasty in such cases. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 16, 2019 Category: Orthopaedics Source Type: research

Artificial Intelligence (AI) applications in orthopaedics: An innovative technology to embrace
Publication date: Available online 14 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Abid Haleem, Raju Vaishya, Mohd Javaid, Ibrahim Haleem Khan (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 14, 2019 Category: Orthopaedics Source Type: research

Prevalence of cervical spine instability among Rheumatoid Arthritis patients in South Iraq
This study analysed the prevalence of cervical spine instability in Rheumatoid Arthritis (RA) patients following at a single centre in Basrah.Patients and methodsData were collected directly from patients through cervical spine examinations. Each patient was sent for dynamic (flexion and extension) lateral cervical radiographic imaging to assess the presence of atlantoaxial subluxation (AAS), superior migration of the odontoid (SMO) and sub-axial subluxation (SAS). Patients with positive radiographic findings were sent for MRI scans of the cervical spine to assess neurological compression.ResultsThe prevalence rate of cerv...
Source: Journal of Clinical Orthopaedics and Trauma - June 14, 2019 Category: Orthopaedics Source Type: research

Musculoskeletal ultrasound injuries, what the orthopaedic surgeon needs to know
Publication date: Available online 20 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Ankit B. Shah, Nidhi BhatnagarAbstractPatients with musculoskeletal complaints have either been ignored or advised investigations far beyond their means or comfort. Focusing attention only on spine and head restricted the evaluation in cases of trauma and were followed up only if the injuries were life threatening. In the same vein, the extremities often got overlooked or at best were evaluated only by plain radiographs. Soft tissue injuries were therefore often missed and not only raised the morbidity in the patient...
Source: Journal of Clinical Orthopaedics and Trauma - June 13, 2019 Category: Orthopaedics Source Type: research

Huntington's procedure revisited
ConclusionsHuntington procedure is a simple and technically easy for large tibial defects. It does not require microsurgical skill and implants. The union of transferred fibula is faster than conventional graft as it is a vascularized graft. It is a rational choice for the treatment of large tibial defects in selected cases. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 13, 2019 Category: Orthopaedics Source Type: research

Melorheostosis of upper limb: A report of four rare cases
Publication date: Available online 11 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Sanjeev Kumar, Vijay Kumar Jain, Rahul PrabhakarAbstractMelorheostosis is a rare chronic bone disease, etiology of which remains unclear. It mostly affects lower limbs and clinical features vary in each case. Radiographs show characteristic "candle wax pattern" of hyperostosis. Herein we report four cases of upper limb affection with their symptoms, radiographic findings and treatment. First case presented with gradually progressive swelling in forearm which was initially misdiagnosed as filariasis. Plain ...
Source: Journal of Clinical Orthopaedics and Trauma - June 11, 2019 Category: Orthopaedics Source Type: research

Is acetabular morphology related to trochlear dysplasia?
ConclusionOur results demonstrate a significant relationship between trochlear dysplasia and anterior acetabular coverage, as measured by AASA. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 11, 2019 Category: Orthopaedics Source Type: research

A prospective study of two methods of analgesia in shoulder arthroscopic procedures as day case surgery
Publication date: Available online 8 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Ujjwal K. Debnath, Vivek Goel, Sahil Saini, Neev Trehan, Ravi TrehanAbstractBackground & purposeThe recent advances in anaesthesia and analgesia have significantly improved the early recovery and effective post-operative pain control in day care surgery e.g. shoulder; arthroscopic procedures. Adequate analgesia improves the early rehabilitation for a better outcome. We prospectively evaluated the post-operative pain relief following the two methods of analgesia i.e. regional Inter-scalene block (ISB) vs Intra-art...
Source: Journal of Clinical Orthopaedics and Trauma - June 9, 2019 Category: Orthopaedics Source Type: research

Defining the “mediolateral widening of tibial plateau” as a guide for reduction in tibial plateau fractures: An indian perspective
ConclusionsOwing to individual variations in bony extents around the knee, the differential extent of tibial plateau relative to distal femur would be a more reliable parameter than absolute measurements. Medially the articular extent of distal femur matches with the articular extent of tibial plateau while the lateral extra-articular extent of distal femur matches with the lateral tibial articular extent. Gender-based differences do not significantly affect these two parameters. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 9, 2019 Category: Orthopaedics Source Type: research

Traumatic Elbow Mediolateral Investigatory Screening: The value of the sitting axial mediolateral projection in the diagnosis of radial head fractures
ConclusionTrauma to the elbow is a common type of injury. Minor fractures can be expected to heal with good results; complications, however, should not be underestimated. Improper healing can result in a permanently malfunctioning joint with restricted movement and stiffness. To avoid such consequences the choice of a reliable screening projection is significant. In our case the diagnostic value of the TEMIS projection lies in the fact that it shows all fractures seen on routine screenings and reveals fractures missed by them, also being well tolerated by patients due to comfortable arm placement during the screening. All ...
Source: Journal of Clinical Orthopaedics and Trauma - June 9, 2019 Category: Orthopaedics Source Type: research

Gustilo-Anderson type III tibial fractures have poor functional outcomes in patients over 75 years
ConclusionGrade III open tibial fractures are a significant injury in the elderly associated with poor outcomes with respect to return to mobility and pre-injury residential status. Our results suggest that a greater emphasis on intensive rehabilitation should be considered in this patient group. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 9, 2019 Category: Orthopaedics Source Type: research

Demographics, mechanism of injury, and associated injuries of 25,615 patients with talus fractures in the National Trauma Data Bank
ConclusionThis large cohort of patients with talus fractures defined the demographics of those who sustain this injury and demonstrated ankle and calcaneus fractures to be the most commonly associated injuries. Other associated orthopaedic and non-orthopaedic injuries were also defined. In fact, the incidence of associated lumbar spine fracture was similar to that seen for calcaneus fractures (14%) and nearly 1 in 5 patients had a thoracic organ injury. Clinicians need to maintain a high suspicion for such associated injuries for those who present with talus fractures.Level of EvidenceLevel II, retrospective study (Source:...
Source: Journal of Clinical Orthopaedics and Trauma - June 9, 2019 Category: Orthopaedics Source Type: research

Long-Term Outcomes of Rotationplasty patients in the treatment of lower extremity sarcomas with cost analysis
ConclusionPatients functioned well relative to their peers when in an appropriate prosthesis. Patients were emotionally satisfied with rotationplasty and functioned in-line with the general population physically and mentally. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 6, 2019 Category: Orthopaedics Source Type: research

The impact of chronic kidney disease on postoperative complications in patients undergoing revision total knee arthroplasty: A propensity matched analysis
Publication date: Available online 4 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Danny Lee, Ryan Lee, David Strum, Jessica H. Heyer, Taylor Swansen, Rajeev PandarinathAbstractObjectivesThough the role of chronic kidney disease (CKD) has been studied previously in primary arthroplasty procedures of the hips and knees, there is a paucity of literature analyzing CKD's impact on surgical outcomes in revision total knee arthroplasty (rTKA) patients. As the number of patients with CKD requiring revision surgery increases, more vigilant pre-operative and post-operative measures can be taken to ensure su...
Source: Journal of Clinical Orthopaedics and Trauma - June 4, 2019 Category: Orthopaedics Source Type: research

Fracture of first metacarpal head: A rare case presentation and review of literature
We report a case of fracture of head of first metacarpal with intact articular surface, treated with open reduction and internal fixation, with a follow up period of six months.Surgical procedure, intraoperative difficulties in obtaining reduction and steps to overcome them have been described. Satisfactory functional outcomes can be achieved using stable internal fixation with minimal hardware and early mobilization in first metacarpal head fractures. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 4, 2019 Category: Orthopaedics Source Type: research

Internal hemipelvectomy is a safe procedure and provides a satisfying outcome for pelvic chondrosarcoma with coexisting pregnancy
Publication date: Available online 1 June 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): I.Gede Eka Wiratnaya (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 3, 2019 Category: Orthopaedics Source Type: research

The future of the amputees with osseointegration: A systematic review of literature
ConclusionsOsseointegration is an effective alternative to socket prosthesis in transfemoral amputees. Transtibial and upper extremity implants are underreported in the literature and clear indication for their effectiveness over socket prosthesis does not exist. Minor complications are most common, such as soft tissue infections, and may be mitigated in the future by improvements in surgical technique and implant design.Level of clinical evidence: III. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - June 1, 2019 Category: Orthopaedics Source Type: research

Multi-modality imaging approach to bone tumors - State-of-the art
This article will discuss the role of various imaging modalities along with illustrative examples of few cases. Team work between radiologist with orthopedic oncologist and pathologist will help in deciding a road map for diagnosing and treatment of bone tumors. Follow up scanning with MRI and PET FDG scan has also been well established in assessing therapeutic response. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 31, 2019 Category: Orthopaedics Source Type: research

Low back pain- myths and facts
Publication date: Available online 29 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Rohini HandaAbstractLow Back Pain (LBP) is a common clinical problem in out patient practice. LBP, osteoarthritis, soft tissue rheumatism and inflammatory rheumatic diseases constitute the ‘Big 4′ of rheumatology-four musculoskeletal conditions most commonly encountered in the community (Fig. 1). The importance of LBP can also be gauged by the following facts: nearly 75% of the population will have back pain at some time in their life, back symptoms are the most common cause of disability in the young and...
Source: Journal of Clinical Orthopaedics and Trauma - May 31, 2019 Category: Orthopaedics Source Type: research

Advances in whole body MRI for musculoskeletal imaging: Diffusion-weighted imaging
Publication date: Available online 29 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Koeun Lee, Ho Young Park, Kyung Won Kim, Amy Junghyun Lee, Min A. Yoon, Eun Jin Chae, Jeong Hyun Lee, Hye Won ChungAbstractRecent advances in imaging technology have enabled the acquisition of anatomical and functional imaging from head to toe in a reasonably short scan time. Accordingly, whole body magnetic resonance imaging (WB-MRI) and diffusion-weighted imaging (WB-DWI) have gained recent attention for the management of musculoskeletal problems such as bone tumors and rheumatologic diseases. WB-MRI is especially ...
Source: Journal of Clinical Orthopaedics and Trauma - May 29, 2019 Category: Orthopaedics Source Type: research

Extensor mechanism reconstruction with peroneus longus tendon autograft for neglected patellar fracture, report of 2 cases
We report two cases, operated for a patella fracture, in whom nonunion occurred and accompanied by patellar migration and retraction of quadriceps tendon because of a fixation failure. We reconstructed the extensor mechanism with peroneus longus tendon autograft and, owing to this method, we achieved excellent functional results during a 2-year follow-up period. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 29, 2019 Category: Orthopaedics Source Type: research

Lipofibromatous hamartoma of the median nerve with macrodactyly of middle finger
We reported a case of a 13 years old female with LFH of the median nerve at the level of the wrist associated Macrodactyly of the ipsilateral middle finger treated surgically by decompression only. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 29, 2019 Category: Orthopaedics Source Type: research

Comparison of cementless and cemented cups in revision total hip arthroplasty using a computed tomography-based navigation system
ConclusionWe conclude that when using a navigation system for revision THA, high precision can be obtained for the cup placement angle with or without cement. However, it seems that a major error in the installation angle of the cup is less likely to occur when using a cemented cup than when using a cementless cup in revision THA with a navigation system. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 28, 2019 Category: Orthopaedics Source Type: research

Posterior tension band plate osteosynthesis for unstable sacral fractures: A preliminary study
Publication date: Available online 24 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Veliyaveettil Muhamed Khaleeld, Narendran Pushpasekaran, Nithin Prabhu, Alagu Pandiyan, George Mathew KoshyAbstractIntroductionStable reduction and rigid fixation of the sacrum and posterior ring structures are of paramount importance in the management of complex pelvic ring disruptions, Tiles B and C. The major concern with the use of conventional methods, like iliosacral screws and iliolumbar fixations is the increased risk for surgical and implant-related morbidity, especially in difficult situations, such as comm...
Source: Journal of Clinical Orthopaedics and Trauma - May 25, 2019 Category: Orthopaedics Source Type: research

Epidemiology of knee osteoarthritis using Kellgren and Lawrence scale in Indian population
ConclusionThis study has evidenced that there is a large percentage of sub-threshold population. i.e. K-L grade 1 which is considered as border-line or doubt-full as far as OA diagnosis. Awareness of OA should be initiated at community level, which is needed for prevention of OA at early age. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 24, 2019 Category: Orthopaedics Source Type: research

Efficacy of adductor canal block protocol implementation in a multimodal pain management protocol for total knee arthroplasty
ConclusionThe administration of an ACB as an adjunct to a multimodal pain protocol for primary TKA patients is effective at minimizing post-operative pain and narcotic consumption, and plays a critical role in facilitating fast track and same day discharge in our practice. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 23, 2019 Category: Orthopaedics Source Type: research

Management of periprosthetic distal femur fractures using distal femoral arthroplasty and fixation - Comparative study of outcomes and costs
ConclusionDistal femoral arthroplasty appears to provide good clinical results, with comparable overall costs to fixation. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 23, 2019 Category: Orthopaedics Source Type: research

Total hip arthroplasty for Protrusio Acetabuli in a young adult Osteogenesis Imperfecta features and Marfanoid features: A case report
Publication date: Available online 22 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Jihad M. Ajlouni, Ula N. Isleem, Ahmad E. Al ElaumiAbstractOsteogenesis Imperfecta is an inherited disease characterized by easily-broken bones, which manifests as multiple fractures with minimal trauma, joint laxity, sclerosis, blue sclera, and several other manifestations. Protrusio acetabuli is defined as the displacement of the femoral head so that it lies medial to the ischioilial line. In a skeletally mature patient with both Marfan syndrome and PA, an eventual hip arthroplasty is the only method available for ...
Source: Journal of Clinical Orthopaedics and Trauma - May 23, 2019 Category: Orthopaedics Source Type: research

6-Year clinical results and survival of Copeland Resurfacing hemiarthroplasty of the shoulder in a consecutive series of 279 cases
Publication date: Available online 22 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Andrew P. Dekker, Nirad Joshi, Marie Morgan, Marius Espag, Amol Tambe, David I. ClarkAbstractBackgroundMedium-term clinical results and survival of the Copeland resurfacing hemiarthroplasty of the shoulder (CRHA) in a large consecutive group are presented with a comparison of outcomes for underlying pathologies.MethodsA consecutive series of patients undergoing CRHA over 14 years was retrospectively analysed with no exclusions. Patients had a minimum 2-year follow-up by an independent assessor. Functional outcome was...
Source: Journal of Clinical Orthopaedics and Trauma - May 23, 2019 Category: Orthopaedics Source Type: research

Musculoskeletal Radiology: A true companion of the Orthopaedic Surgeons
Publication date: Available online 21 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Nitin Ghonge, Raju Vaishya (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 22, 2019 Category: Orthopaedics Source Type: research

Ultrasound-guided injections in musculo-skeletal system - An overview
Publication date: Available online 22 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Amit Kumar Sahu, Prasandeep Rath, Bharat AggarwalAbstractUltrasound guided musculoskeletal injection has a wide range of indication in joint, muscle, tendon, nerve, ganglion and bursa pathologies. These are less invasive procedures and provide desirable results in short duration. Local anesthetics and corticosteroids are the most commonly injected pharmaceuticals. Platelet rich plasma and autologus blood injections have gained popularity in recent past and provide acceptable results. In this article we aim to review ...
Source: Journal of Clinical Orthopaedics and Trauma - May 22, 2019 Category: Orthopaedics Source Type: research

Ultrasound imaging in musculoskeletal Injuries – What the orthopaedic surgeon needs to know
Publication date: Available online 20 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Nidhi A. Bhatnagar, Ankit B. ShahAbstractPatients with musculoskeletal complaints have either been ignored or advised investigations far beyond their means or comfort. Focusing attention only on spine and head restricted the evaluation in cases of trauma and were followed up only if the injuries were life threatening. In the same vein, the extremities often got overlooked or at best were evaluated only by plain radiographs. Soft tissue injuries were therefore often missed and not only raised the morbidity in the pati...
Source: Journal of Clinical Orthopaedics and Trauma - May 22, 2019 Category: Orthopaedics Source Type: research

Loosening of total knee arthroplasty – always aseptic?
In this study a total of 149 symptomatic patients with radiographic signs of prosthetic loosening and suspected AL were included. Preoperatively all patients underwent a standardized diagnostic algorithm. For each patient demographics, as well as the results of laboratory and microbiological testing were collected from the medical records.ResultsOf the included patients 117 (78.5%) were diagnosed with AL and 32 (21.5%) with PJI. The latency period from primary arthroplasty to the presentation with symptomatic implant loosening was significantly shorter for PJI compared to AL (p 
Source: Journal of Clinical Orthopaedics and Trauma - May 16, 2019 Category: Orthopaedics Source Type: research

Racial Disparities in limb amputations after traumatic vascular injury
Publication date: Available online 14 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Christina Tse, Areg Grigorian, Jeffry Nahmias, Nii-Kabu Kabutey, Sebastian Schubl, Brian Beckord, Nina Bowens, Christian de VirgilioAbstractObjectivesThe influence of race or ethnicity on limb loss after traumatic vascular injury is unclear. We sought to determine whether there were racial differences in rates of amputation between American Indians, blacks, Asians, and Hispanics compared to white patients following arterial axillosubclavian injury (ASVI), femoral artery injury (FAI), or popliteal artery injury (PAI)....
Source: Journal of Clinical Orthopaedics and Trauma - May 16, 2019 Category: Orthopaedics Source Type: research

Leukocyte-rich PRP versus leukocyte-poor PRP - The role of monocyte/macrophage function in the healing cascade
Publication date: Available online 13 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): José Fábio Lana, Stephany Cares Huber, Joseph Purita, Claudia H. Tambeli, Gabriel Silva Santos, Christian Paulus, Joyce M. Annichino-BizzacchiAbstractThe mechanism of action of Platelet Rich Plasma (PRP) is thought to be related to the biomolecules present in α-granules. However, for the healing process to occur, an inflammatory phase is also deemed necessary. Leukocytes present in the inflammatory phase release both pro- and anti-inflammatory molecules. The latter may play an important role in th...
Source: Journal of Clinical Orthopaedics and Trauma - May 14, 2019 Category: Orthopaedics Source Type: research

Decreasing hospital length of stay and enhancing recovery in Total Knee Arthroplasty
ConclusionsPain following TKA is a major deterrent in early mobilization thereby delaying functional recovery and increasing ALOS. We recommend our multimodal interdisciplinary protocol to achieve early mobilization, better pain scores and minimize complications, resulting in overall reduced LOS. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 10, 2019 Category: Orthopaedics Source Type: research

Hybrid fixation for adolescent both-bones diaphyseal forearm fractures: Preliminary results of a prospective cohort study
ConclusionHybrid fixation method in adolescent both-bones forearm fracture could be a viable option in managing these injuries & may reduce the problem of ulnar non-union encountered when using elastic stable intramedullary nail (ESIN) in that age group.Level of evidenceLevel II, Therapeutic study. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 10, 2019 Category: Orthopaedics Source Type: research

Aseptic loosening or periprosthetic joint infection with signs of loosening in total knee arthroplasty
In this study a total of 149 symptomatic patients with radiographic signs of prosthetic loosening and suspected AL were included. Preoperatively all patients underwent a standardized diagnostic algorithm. For each patient demographics, as well as the results of laboratory and microbiological testing were collected from the medical records.ResultsOf the included patients 117 (78.5%) were diagnosed with AL and 32 (21.5%) with PJI. The latency period from primary arthroplasty to the presentation with symptomatic implant loosening was significantly shorter for PJI compared to AL (p 
Source: Journal of Clinical Orthopaedics and Trauma - May 8, 2019 Category: Orthopaedics Source Type: research

Nwdps protocol - A simple functional outcome assessment tool for clubfoot correction and a review of literature
ConclusionNwdps protocol is a very easy to remember and easy to use functional outcome assessment tool post clubfoot correction with high degree of objectivity and interobserver reliability.Level of evidenceLevel IV. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 8, 2019 Category: Orthopaedics Source Type: research

Plate-and-bone-strut fixation of distal third humeral shaft aseptic non-unions: A consecutive case series
ConclusionThe plate-and-bone-strut-allograft technique with bone chip augmentation in distal humeral shaft for aseptic non-unions resulted in union of all cases. No adverse events related to the surgery or the materials used were documented. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 7, 2019 Category: Orthopaedics Source Type: research

Chronically unreduced elbow dislocation treated with box-loop ligament reconstruction: The first case series
ConclusionsThis is the first case series of patients with chronically unreduced elbow dislocation treated with box-loop ligament reconstruction. Using this technique, all subjects had excellent outcome without any complication. Further studies with larger samples and better methodology are required to investigate the safety and efficacy of such technique. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 7, 2019 Category: Orthopaedics Source Type: research

Results of Modified Ponseti Technique in Difficult Clubfoot and a review of literature
ConclusionThis modification of Ponseti casting for difficult clubfoot patients achieves correction in shorter duration with less number of casts. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 7, 2019 Category: Orthopaedics Source Type: research

Autologous platelet rich fibrin as a scaffold for chondrocyte culture and transplantation: An in vitro bovine study
Publication date: Available online 26 April 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Elizabeth Vinod, Deepak Vinod Francis, Tripti Jacob, Soosai Manickam Amirtham, Solomon Sathishkumar, Praghalathan Kanthakumar, Vinay Oommen (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - May 7, 2019 Category: Orthopaedics Source Type: research

Predictors for losing reduction after reposition in conservatively treated both-bone forearm fractures in 38 children
Publication date: Available online 2 May 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Joris J.W. Ploegmkaers, Wilhelmina M.G.A.C. Groen, Robert Haverlag, Sjoerd K. BulstraAbstractBackgroundsAlignment loss after reduction and cast immobilisation of angulated and/or complete displaced forearm fractures is challenging. Many authors have tried to describe risk factors and create indices (initial angulation, initial complete displacement, lack of anatomic reduction, cast and padding index) in order to identify those fractures that are prone to losing their alignment during treatment.MethodsThis retrospectiv...
Source: Journal of Clinical Orthopaedics and Trauma - May 3, 2019 Category: Orthopaedics Source Type: research

The effects of preoperative chronic opioid use in total hip arthroplasty
Publication date: Available online 30 April 2019Source: Journal of Clinical Orthopaedics and TraumaAuthor(s): Kelvin Kim, Kevin K. Chen, Mackenzie Roof, Afshin Anoushiravani, Jonathan Vigdorchik, Ran SchwarzkopfAbstractBackgroundPerioperative opioid use is becoming an increasingly concerning topic in total joint arthroplasty (TJA). The current study aims to add to the paucity of prior studies that have detailed perioperative opioid use patterns and the effects of preoperative chronic opioid use among a cohort of total hip arthroplasty (THA) patients.MethodsA retrospective analysis of 256 consecutive patients who underwent ...
Source: Journal of Clinical Orthopaedics and Trauma - May 1, 2019 Category: Orthopaedics Source Type: research

Open anterior dislocation of the hip in child of 7-years-old: A case report and literature review
We report the case of a 7 year old patient who presented an open anterior dislocation of the left hip following trauma by accident of the public highway. The patient received treatment under general anesthesia: articular toilet, debridement and reduction. Then, He was put under traction for 6 weeks and antibiotic. The short term evolution is marked by the occurrence of post-traumatic septic arthritis and osteonecrosis of the femoral head after two months. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - April 30, 2019 Category: Orthopaedics Source Type: research

Tip-apex distance and other predictors of outcome in cephalomedullary nailing of unstable trochanteric fractures
ConclusionAs with extramedullary devices, TAD, along with sub-optimal device positioning and poor restoration of neck-shaft angle is a useful predictor of cut-out even with cephalomedullary nails, negating the initial hypothesis. The above factors in combination have a more significant effect than any one factor in isolation to cause varus collapse and implant cut-out. However these do not affect Z effect, reverse Z effect or other types of device migration seen especially with dual-screw nails. (Source: Journal of Clinical Orthopaedics and Trauma)
Source: Journal of Clinical Orthopaedics and Trauma - April 30, 2019 Category: Orthopaedics Source Type: research