Risk factors for postoperative complications of orthopedic surgery in patients with hemophilia: Second report
This study was conducted to investigate the incidence in patients with hemophilia of postoperative complications and risk factors for these complications. Overall, 12 (6.5%) patients developed a postoperative infection. There were 6 (3.4%) postoperative surgical site infections. The presence of an inhibitor was the only risk factor for surgical site infection. Risk factors for delayed wound healing were older age, higher preoperative serum albumin level and procedures other than joint replacement or arthroscopy. HIV infection status was not a risk factor for postoperative complications. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Oppenheimer’s ossicles in the lumbar spine-a rare cause of lumbar canal stenosis
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): B.T. Pushpa, Siddharth N. Aiyer, Muhil Kannan, Anupama Maheswaran, S. Rajasekaran (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Postoperative complications in underweight patients undergoing total hip arthroplasty: A comparative analysis to normal weight patients
ConclusionThere are no increased rates of infectious or medical complications in underweight patients undergoing THA. However, increased LOS was demonstrated. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Cementless humeral head resurfacing for degenerative glenohumeral osteoarthritis fails at a high rate
ConclusionsThe study shows a high revision-rate (24%). Predictor for an implant failure was an operative changing of the LGHO. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Bi-portal Arthroscopic Spinal Surgery (BASS) with 30° arthroscopy for far lateral approach of L5-S1 – Technical note
ConclusionFar lateral approach of BASS with 30° arthroscopy is an alternative method that can decompress foraminal stenosis minimally invasively. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Outcome of transforaminal lumbar interbody fusion in spondylolisthesis—A clinico-radiological correlation
ConclusionTLIF produces spinal fusion in most individuals. Strong spinal fusion is essential for good clinical outcome in spondylolisthesis patients who undergo TLIF. Reduction in slip is not necessary for all patients with listhesis. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Catastrophic ceramic liner failure—The subtle signs of a non-engaged ceramic liner
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Andrew Walls, Adam Tucker, David S. Warnock, David BeverlandAbstractCeramic earrings have an established and successful history in total hip replacement. Occasionally, these articulations have problems, which include squeaking and implant fracture. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Unilateral biportal endoscopic decompression by 30° endoscopy in lumbar spinal stenosis: Technical note and preliminary report
ConclusionsThe 30-degreed endoscopy had the advantages of obtaining a wider view. Full endoscopic decompression using 30-degreed endoscopy allowed satisfactory result clinically and reduction of surgical infection. It could be alternative method of microscopic laminectomy. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Arthroscopic tibial spine fracture fixation: Novel techniques
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Rajanish R, Mohammed Jaseel, Chandhan Murugan, C.M. KumaranAbstractProper knee kinematics depends upon the integrity of ACL at its femoral and medial tibial spine attachments. Tibial spine fractures disrupt this complex and if untreated can lead to pain, instability and functional limitation. So proper diagnosis and early treatment of tibial spine avulsion fracture is important.Tibial spine fractures are often associated with intra-articular injuries which are more common in adults. Diagnosis and treatment of these associated injuries ...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Delay in time from fracture to surgery: A potential risk factor for in-hospital mortality in elderly patients with hip fractures
ConclusionsDelay in hip fracture surgery increases in-hospital mortality risk. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Total hip arthroplasty via an anterolateral supine approach for obese patients increases the risk of greater trochanteric fracture
ConclusionsAs the clinical outcome of ALS-THA for the obese group is not inferior to that for the non-obese group, obesity is not considered to be a contraindication for ALS-THA. However, obesity increases the risk of intraoperative greater trochanteric fracture. Thus, surgeons should be particularly careful when manipulating the femur in this class of patients, who should be informed of this risk. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Insufficiency fracture at an osteochondroma bridging the proximal fibula and the tibia: Case report
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Akio Sakamoto, Takeshi Okamoto, Shuichi MatsudaAbstractOsteochondromas are benign bone tumors that protrude from underlying bone. A fracture of an osteochondroma is rare, and no insufficiency fractures of an osteochondroma have been reported. A 57-year-old female complained of pain in her proximal leg that increased during walking. A computed tomographic image depicted bridging that had extended to the tibia. An incomplete fracture line was observed at the osteochondroma. The osteochondroma was resected to remove the bridge. The preope...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Effects of fondaparinux on wound drainage after total hip and knee arthroplasty
ConclusionFondaparinux is an effective drug for VTE prophylaxis in total joint arthroplasty with wound drainage and LOS comparable to historical controls of enoxaparin, warfarin, and rivaroxaban. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Two-stage revision for periprosthetic joint infection of the hip: Culture-negative versus culture-positive infection
ConclusionTwo-stage revision resulted a comparable outcome for the treatment of culture-negative periprosthetic joint infection of the hip compared to the culture-positive group (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Clinical outcomes and structural integrity of arthroscopic double-row versus suture-bridge repair for rotator cuff tears
This study suggests that SB repair can provide better clinical and structural outcomes compared with DR repair. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Recurrent shoulder stabilization with open bankart repair and long head biceps transfer
We present a case of recurrent instability and musculocutaneous nerve palsy following primary arthroscopic stabilization three years prior, and treatment via long head of the biceps stabilization. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Spondylolysis and spondylolisthesis: A review of the literature
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Paul Gagnet, Kent Kern, Kyle Andrews, Hossein Elgafy, Nabil EbraheimAbstractSpondylolysis is a common diagnosis with a high prevalence in children and adolescents complaining of low back pain. It may be caused by either a defect or fracture of the pars interarticularis due to mechanical stress. Depending on the severity of the spondylolysis and symptoms associated it may be treated either conservatively or surgically, both of which have shown significant success. Conservative treatments such as bracing and decreased activity have been ...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

The incidence of mild hypothermia after total knee or hip arthroplasty: A study of 2600 patients
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Ruben Scholten, Borg Leijtens, Keetie Kremers, Marc Snoeck, Sander KoëterAbstractHypothermia is associated with a higher risk of perioperative complications and occurs frequently after total joint arthroplasty (TJA). The incidence of hypothermia following total joint arthroplasty was assessed with its risk factors and its correlation with PJI.Correlation of hypothermia with age, gender, BMI, type of arthroplasty surgery, type of anesthesia, operation time, blood loss, date of surgery and PJI was evaluated in 2600 patients.Female g...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Limiting fusion levels by combining anterior cervical decompression and fusion with posterior laminectomy: Technical note
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Kingsley R. Chin, Fabio J.R. Pencle, Juan M. Valdivia, Jason A. Seale, Josue P. GabrielAbstractBackgroundAuthors aim to report on the outcomes of combining selective anterior cervical decompression and fusion (ACDF) with laminectomy in patients with cervical spondylotic radiculomyelopathy (CSR).Methods10 patients with ACDF and posterior laminectomy reviewed.Results60% female population, mean age 61 ± 3 years, mean BMI 24.7 ± 3.4 kg/m2. VAS and NDI showed significant improvement, p 
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Comparison of two extensile approaches to the knee: a cadaveric study evaluating quadriceps snip and extensile medial parapatellar approach
ConclusionThe quadriceps snip and extensile medial parapatellar approach both provide increased mobility of the patella in the cadaveric knee. When exploring the options to increase exposure to the knee, the operating surgeon may wish to employ either the extensile medial parapatellar approach or the quadriceps snip. There may be clinical advantage in developing the plane between vastus medialis and rectus femoris, as opposed to cutting across the quadriceps tendon. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Safely transitioning to the direct anterior from posterior approach for total hip arthroplasty
ConclusionWe conclude that this single-surgeon study demonstrates the safely transitioning to DAA from PA in THA with no significant increase in complications in a selected patients. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Minimal clinically important improvement response in patients with severe osteoarthritis of the knee: Short report from a survey of clinicians
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Kristin Salottolo, Eric StahlAbstractThe minimal clinically important improvement (MCII) is the smallest change that signifies an important improvement. Disease severity may complicate MCII. We developed an eight-question survey examining MCII in patients with severe knee osteoarthritis (Kellgren-Lawrence grade 4). Twenty-seven of 101 clinicians completed the survey. An MCII of 20% was selected most frequently for pain, function, and patient global assessment. Clinicians were divided on responder rate, selecting 20%, 30%, and 50% equal...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Double row equivalent for rotator cuff repair: A biomechanical analysis of a new technique
ConclusionsThis new anchor system and technique demonstrated higher survival rates and loads to failure than standard double row techniques. This data provides us with a new method of rotator cuff fixation which should be further evaluated in the clinical setting.Level of EvidenceBasic science biomechanical study. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Use of porous monoblock patella component should avoid for patient with patella baja
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Takao Kaneko, Norihiko Kono, Yuta Mochizuki, Hiroyasu Ikegami, Yoshiro MushaAbstractBackgroundAlthough many studies have evaluated the success of porous tantalum component in primary and revision cementless total knee arthroplasty (TKA) cases, few studies have reported the breakage of porous tantalum monoblock patella component (PTMP). The purpose of this study was to investigate the radiographic outcomes of breakage of PTMP at short-term follow up.MethodsThis was a retrospective study of 49 consecutive knees in 43 patients who underwe...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Corrective osteotomy in symptomatic clavicular malunion using computer-assisted 3-D planning and patient-specific surgical guides
We describe a corrective osteotomy for a clavicle malunion using 3-D computer assisted preoperative-planning combined with patient-specific surgical guides, along with the benefits and disadvantages of this approach. This method enabled quantifying the malunion by comparing the malunited bone with the normal contralateral clavicle as a template. The postoperative results were encouraging with symmetrical shoulder anatomy and functional improvement. Therefore, we recommend this technique in patients with a symptomatic clavicle malunion, as it allows successful correction of the deformity. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Leg length correction in computer assisted primary total hip arthroplasty: A collective review of the literature
ConclusionCAS provides a more accurate, reproducible technique to achieve limb length equality in THA compared to conventional freehand THA, however more intensive long-term studies are required to establish the effect on implant longevity and revision surgery rates in the two groups. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

The effect of c-arm tilt on accuracy of intraoperative fluoroscopy in assessing acetabular component position during direct anterior approach for hip arthroplasty
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Eugene S. Jang, James D. Lin, Roshan P. Shah, Jeffrey A. Geller, H. John CooperAbstractIntraoperative fluoroscopy can improve the precision of acetabular component positioning during direct anterior hip arthroplasty. However, changes in pelvic tilt with c-arm positioning may compromise accuracy. A geometric model of an acetabular component’s projection onto fluoroscopy images was created and manipulated to simulate c-arm tilt. An apparently ideally-placed cup will have its effective anteversion changed by 7.5° with just 10&de...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Factors affecting the return to work of total hip arthroplasty due to of developmental hip dysplasia in in young patients
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Fuad O. Oken, Ozgur A. Yildirim, Mehmet AsilturkAbstractIntroductionThe aim of this study was to examine the factors affecting return to work after Total hip arthroplasty (THA) applied for coxarthrosis due to developmental hip dysplasia (DDH).MethodsThe study included 51 patients aged
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Proper elbow arthroscopy portal placement in pediatric and adolescent patients
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Jae-Sung Yoo, Seong-Jun Kim, Jae-Uk Jung, Joong-Bae SeoAbstractWe sought to evaluate proper elbow arthroscopy portal placement in pediatric and adolescent patients. Overall, 109 pediatric and adolescent patients who underwent elbow arthrography were included. Condylar width was measured and the proximal anterior joint capsule location was determined using the ulna-capsular distance. Condylar width and Bone mass index(BMI) also had a high positive correlation coefficient with the proximal joint capsule location.Proximal ulnar border is ...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Minimally invasive versus conventional approaches in total knee replacement/arthroplasty: A review of the literature
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Themistoklis Tzatzairis, Aliki Fiska, Athanasios Ververidis, Konstantinos Tilkeridis, Konstantinos Kazakos, Georgios I. DrososAbstractBackgroundLife expectancy lengthening and aging of population resulted in dramatically increase of patients with osteoarthritis. Total knee arthroplasty is widely used as the gold standard in order to relieve pain, correct deformity and restore function. A contemporary and controversial topic, is that of minimally invasive surgery for TKA. The minimally invasive approaches are based on the concept that t...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Difficulties associated with the variable geometry of different-offset Exeter long stems in cement-in-cement technique: A case report
We describe a case revision hip surgery as a consequence of neglected bipolar hemiarthroplasty dislocation in which a 44 mm offset long stem was exchanged by a shorter and smaller size 37.5 mm offset stem. The implications of the procedure and the surgical pitfalls are discussed. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Percutaneous pinning versus volar locking plate fixation for dorsally displaced distal radius fractures- reoperation rates over an eight year period
ConclusionOverall reoperation rates were similar between both techniques however there were differences in complication profile and nature of revision surgery. This information is useful when discussing treatment options with patients to help guide selection of the best procedure for that individual. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Progressive osteoarthritis during pregnancy several years following hip arthroscopy for femoroacetabular impingement
ConclusionThe physiologic and hormonal changes during pregnancy leading to increased ligamentous laxity may put vulnerable patients with hip dysplasia and iatrogenic instability at increased risk for progression of osteoarthritis. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

The validity and reliability of the modified forgotten joint score
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Patrick G. Robinson, Conor S. Rankin, Jonathan Lavery, Iain Anthony, Mark Blyth, Bryn JonesAbstractWe aim to validate the “Modified Forgotten Joint Score” (MFJS) as a new patient-reported outcome measure (PROM) in hip and knee arthroplasty, against the UK’s gold standard Oxford Hip and Knee Scores (OHS/OKS).The original Forgotten Joint Score (FJS) (12 items) was created to assess post-arthroplasty joint awareness. We modified the FJS to 10-items to improve its reliability.Postal questionnaires were sent out to 400 tot...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Comparison of lateral lumbar interbody fusion (LLIF) with open versus percutaneous screw fixation for adult degenerative scoliosis
ConclusionsBoth open and percutaneous posterior techniques following LLIF significantly improved clinical outcomes. Open procedures resulted in significantly better radiographic improvements but also higher complication rates. LLIF with percutaneous posterior fixation, without decompression, should be considered part of the algorithm in select ADS patients with remaining compensatory mechanisms and understanding that greater degrees of correction may require an open, more extensive approach. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Correlation of tibial bone defect shape with patient demographics following total knee revision
ConclusionA volumetric classification system of tibial defects is necessary for preoperative planning in revision TKA. Common tibial bone defect shape groups were identified and analyzed in AP and lateral radiographs after revision TKA. Trapezoidal defects were the most common, and all other shapes followed a pattern of proximal enlargement tapering distally. Trapezoidal defects were smaller than other shapes and AP T-bilateral shaped defects were correlated with higher BMIs. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Joint perception and patient perceived satisfaction after total hip and knee arthroplasty in the American population
ConclusionEvaluation of a patient’s joint perception is a valuable tool that should be used to assess function in conjunction with validated clinical functional scores. Our data suggest further improvements in total knee implant design and implantation strategies are necessary. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Bone preserving techniques for explanting the well-fixed cemented acetabular component
ConclusionUnderstanding the biomechanical properties of polymethylmethacrylate bone cement and polyethylene can aid in the safe removal of a well-fixed cemented acetabular component in revision hip surgery. The optimal technique for removal of a cemented acetabular component varies depending on a number of patient and implant factors. This summary of the available techniques will be of interest to revision arthroplasty surgeons. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Pre-course cognitive training using a smartphone application in orthopaedic intern surgical skills “boot camps”
ConclusionsTouch Surgery enhanced the surgical skills curriculum, was well-received, and has the potential to supplement training of interns. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

The impact of age and sex on the diagnosis of intrinsic rectus femoris masses: A single centre experience
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Alessandro Vidoni, Manroy Sahni, Steven L. James, Rajesh Botchu, A. Mark DaviesAbstractVarious pathologies may affect the rectus femoris manifesting as an enlargement of the muscle belly. These include traumatic, inflammatory and neoplastic conditions. We did a retrospective study to provide simple guidelines that will serve as an aid for the clinician in order to diagnose lesions presenting as a mass in the rectus femoris. 81 patients with rectus femoris mass referred to tertiary oncology centre were included in the study. The most co...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Electromagnetic simulation of non-invasive approach for the diagnosis of diabetic foot ulcers
This study, though a simulation in nature, shows promise for being able to accurately diagnose the peripheral vasculature using electromagnetic parameters. This feasibility study proved successful for possible future implementation using MEMS/NEMS device systems to be designed to detect EM parameters to serve as a diagnostic tool for the early detection of peripheral vascular disease, and ultimately, diabetic foot ulcers. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Timing of complications following posterior cervical fusion
ConclusionsThis timing data is useful to the practicing spine surgeon as it provides a guide for when to expect and investigate for specific complications after posterior cervical procedures. It may aid in the early diagnosis of complications and may also assist in healthcare reimbursement negotiations. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

A review of the experience of the Princess Alexandra Hospital teleconference fracture clinics over six years
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Alison F. McGill, John B. North (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Pediatric proximal femur fractures
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Brian L. Dial, Robert K. LarkAbstractPediatric proximal femur fractures are rare injuries resulting from high-energy trauma. The Delbet classification is used when describing these injuries, and associates fracture type to the development of avascular necrosis. Historically, casting was utilized in the treatment of these injuries, but high complication rates following this approach have changed the treatment modality to early and anatomic fixation. Complications associated with these injuries including avascular necrosis, non-union, co...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Mid and long term outcomes after fixation of osteochondritis dissecans
ConclusionOCD fixation contributes good results for a long time regardless of skeletal maturity, the size and the severity of OCD. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Race and gender influence management of humerus shaft fractures
This study examined the relationship of surgical management of humerus shaft fractures (HSFs) with race, gender, insurance status, and presence of lower extremity fracture in 19,818 patients from the National Trauma Data Bank years 2007–2012. Using a multivariate logistic regression model, black males (OR 0.73, 95% CI 0.66–0.81, p 
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Silicone ring tourniquet versus pneumatic cuff tourniquet in total knee arthroplasty surgery: A randomised comparative study
ConclusionsSRT may be not disadvantageous compared to the classic PT from the impact on the glycolytic activity caused by the ischaemia.Level of evidence II. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Distal fibula oblique fracture fixation using one-third tubular plate with and without lag screw – A biomechanical study of stability
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Gopikanthan Manoharan, Rohit Singh, Jan Herman Kuiper, Leonard Derek Martin NokesAbstractThis laboratory-based study compared distal fibula simple oblique fracture fixation with one-third tubular plate with and without a single lag screw to determine which was mechanically more stable. A control group fixed with a limited contact dynamic compression plate was also tested. Biomechanical testing of 30 osteotomised saw bones under lateral bending and torsional forces was performed. There was no significant difference between the mean late...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Surgical technique and clinical outcome of arthroscopic shoulder stabilization via suture anchors using the lasso-loop stitch
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Christian Konrads, Sebastian Jovic, Kilian Rueckl, Annabel Fenwick, Thomas Barthel, Maximilian Rudert, Piet PlumhoffAbstractDuring arthroscopic Bankart-repair the lasso-loop-stitch can be used. The clinical outcome of this technical modification to a broadly used procedure is not known.We followed-up 24 patients treated with this technique over 30 months.We found an excellent clinical outcome in 96% of all cases. The average Rowe-score was 96.3 points. The mean QuickDash was 2.8 points.Using the lasso-loop-stitch in arthroscopic Bankar...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research

Responsiveness and disease specificity of the Western Ontario Rotator Cuff index
Publication date: June 2018Source: Journal of Orthopaedics, Volume 15, Issue 2Author(s): Ronald N. Wessel, Nienke Wolterbeek, Anouk J.M. Fermont, Loes Lavrijsen, Henk van Mameren, Rob A. de BieAbstractThe goal of this study was to determine the disease specificity and responsiveness of the Western Ontario Rotator Cuff Index (WORC). Responsiveness, two cut-off points of the minimal important change, the area under the curve, standard error of measurement, the minimal detectable change and the standardized response mean were determined. Patients undergoing a rotator cuff repair need to improve more than 35 points to be consi...
Source: Journal of Orthopaedics - July 10, 2018 Category: Orthopaedics Source Type: research