Biomechanical considerations for strategies to improve outcomes following volar plating of distal radius fractures
This article is a systematic review of the recent published literature on the biomechanics of volar locking plate fixation of distal radius fractures.PUBMED/MEDLINE and EMBASE databases were searched on 13th Sep 2018. Biomechanical papers on volar locking plate fixation of distal radius fractures since 2010 were included. Papers were analysed and included studies were appraised by the author using the validated quality assessment GRADE tool.The search revealed 456 papers between January 2010 and the present day whose abstracts were reviewed for relevance and 21 papers were included for full paper review.The aim of this sys...
Source: Journal of Orthopaedics - May 13, 2019 Category: Orthopaedics Source Type: research

Failure risks in anatomic single-bundle anterior cruciate ligament reconstruction via the outside-in tunnel technique using a hamstring autograft
Publication date: Available online 10 May 2019Source: Journal of OrthopaedicsAuthor(s): Yuki Yamanashi, Hirotaka Mutsuzaki, Koichi Iwai, Kotaro Ikeda, Tomonori KinugasaAbstractPurposeTo retrospectively evaluate the failure risk factors in anatomic single-bundle anterior cruciate ligament (ACL) reconstruction via outside-in tunnel technique using a hamstring autograft, and investigate the relationship between each risk factor.MethodsThe patients who underwent the ACL reconstruction with a minimum 1-year follow-up were included. We divided the patients into two groups – those who experienced graft failure (the failure ...
Source: Journal of Orthopaedics - May 11, 2019 Category: Orthopaedics Source Type: research

Evaluation of errors in measurements of infantile hip radiograph using digitally reconstructed radiograph from three-dimensional MRI
ConclusionsRadiographic measurements of hip in infants were highly influenced by pelvic movement. AI was influenced by pelvic tilt; CEA and MP were influenced by both pelvic tilt and rotation. We need to keep in mind that infantile hip radiographs could have about ±5° errors in AI and CEA. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 11, 2019 Category: Orthopaedics Source Type: research

Correlation between retear after arthroscopic rotator cuff repair and stiffness of the shoulder
ConclusionsThis difference seemed to be associated with stiffness in external rotation of the shoulder and the process of cuff healing after surgery.Level of evidenceLevel III, Case-Control Study, Treatment Study. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 7, 2019 Category: Orthopaedics Source Type: research

The effect of peripheral nervous system in growing bone biomechanics. An experimental study
ConclusionApart from structural changes, the peripheral nerves are responsible for biomechanic changes in the bones such the greater elasticity of the bone and the reduced strength (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 7, 2019 Category: Orthopaedics Source Type: research

Role of SREBP2 gene polymorphism on knee osteoarthritis in the South Indian Hyderabad Population: A hospital based study with G595C variant
Publication date: Available online 7 May 2019Source: Journal of OrthopaedicsAuthor(s): Subhadra Poornima, Krishna Subramanyam, Imran Ali Khan, Sumanlatha G, Qurratulain HasanAbstractIntroductionOsteoarthritis (OA) is a multifactorial disease with genetic factors playing a crucial role, and it has been associated with a family history of obesity. G595C polymorphism in the sterol regulatory element-binding protein 2 (SREBP2) gene has demonstrated an association with knee osteoarthritis (KOA) patients. However, this polymorphism has been never explored in an Indian population. Hence, the current study aimed to examine whether...
Source: Journal of Orthopaedics - May 7, 2019 Category: Orthopaedics Source Type: research

Anatomical considerations of safe drilling corridor upper sacral segment screw insertion
Publication date: Available online 3 May 2019Source: Journal of OrthopaedicsAuthor(s): Hassan Bagheri, Figen GovsaAbstractThe upper segment of sacrum is an important for screw insertions of unstable lumbosacral spine. Measurements of the S1–S2 as sacral wings, pedicles, sacral foraminas and sacral canal were taken from 87 sacrums. The mean depths of S1 pedicle and sacral wing were estimated as 25.8 ± 2.3 mm and 50.1 ± 1.7 mm, respectively. Angles screw trajectory of sacral pedicle anteromedial and sacral wing were measured as 29.6 ± 0.9° and 29.7 ± 2.1°, respect...
Source: Journal of Orthopaedics - May 4, 2019 Category: Orthopaedics Source Type: research

Assessing Preoperative Mobility in Total Hip Arthroplasty: A SAFE T database study
ConclusionsThe positive correlation between subjective and objective measures of mobility increase our confidence in the latter as valid indicator of patient's preoperative activity level. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Biological fixation between calcium phosphate-hybridized tendon graft and tibial bone tunnel in anatomic single-bundle ACL reconstruction - A case report
We present the case of a 15-year-old female who underwent re-rupture following primary ACL reconstruction diagnosed by the second-look arthroscopy 9 months and 12 days after the surgery. At the joint aperture site, a firm biological fixation via direct bonding area, cartilaginous tissue, and dense collagen fiber were observed without the presence of a nonbonding gap area. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Restoring femoral offset and leg length; the potential of a short curved stem in total hip arthroplasty
ConclusionsThus, the short curved stem restores FO and LL better, and could potentially prevent gait deficits. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

The attempt of spontaneous repair of rotator cuff tear: The role of periostin
Publication date: Available online 2 May 2019Source: Journal of OrthopaedicsAuthor(s): Stefano Gumina, Martina Leopizzi, Michele Carnovale, Natale Porta, Giuseppe Giannicola, Ciro Villani, Vittorio CandelaAbstractThe development of a periostin-rich microenvironment in areas associated with insult, orchestrating pathways of repair and rebuilding, is documented. Literature lacks information regarding the presence of periostin in the context of rotator cuff tear (RCT).55 consecutive patients with RCT were enrolled. Immunohistochemical periostin detection was performed on tissue samples excised from tear margins.Our study docu...
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Matrix-induced autologous chondrocyte implantation grafting in osteochondral lesions of the talus: Evaluation of cartilage repair using T2 mapping
Publication date: Available online 2 May 2019Source: Journal of OrthopaedicsAuthor(s): P. Correa Bellido, J. Wadhwani, E. Gil MonzoAbstractOsteochondral lesions of the talus may be treated with different autologous biological approaches. These include platelet-rich plasma, stem cells or MACI and ACI. MACI implants are used to cover cartilage lining defects in the ankle. A total of 18 patients were treated with MACI implants. NMR images were taken before and after the procedure. T2 mapping was used to quantify the changes in cartilage collagen after a 6–12-month postoperative period. Increase in collagen was recorded ...
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

A systematic review of the causes of failure of Revision Total Hip Arthroplasty
This study reviewed literature published in the last 10 years to investigate the reasons for revision failure. A total of 9952 revisions were identified and it was determined that the number one cause of failure was aseptic loosening (23.19%), followed by instability (22.43%) and infection (22.13%). Further analysis of applicable revisions investigated BMI and age at the failure rates. The rate of rerevision in obese patients was markedly higher (p 
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Distal femoral osteotomy in a young symptomatic population: Outcomes correlate to concomitant pathology
ConclusionsWhile offloading the lateral compartment improves symptoms at short to midterm follow-up preventing progression to arthroplasty, young active duty military members have suboptimal return to duty rates. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

The role of pedicled abdominal flaps in hand and forearm composite tissue injuries: Results of technical refinements for safe harvest
Publication date: Available online 3 May 2019Source: Journal of OrthopaedicsAuthor(s): A.M. Acharya, N. Ravikiran, K.N. Jayakrishnan, Anil K. BhatAbstractsWe evaluated the outcome of new technical refinements in abdominal flap coverage of major defects in upper limb for its reliability and safety. 68 patients were assessed for indications, additional procedures, complications and DASH questionnaire evaluation at the end of a year.The mean size of flap was 56 cm2 (range 6–250 cm2). Median DASH score was 11.5 (range: 0–63). Hand stiffness was observed in 39% of patients. However, this was absent in whom proph...
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

The trends in robotic-assisted knee arthroplasty: A statewide database study
Publication date: Available online 3 May 2019Source: Journal of OrthopaedicsAuthor(s): Qais Naziri, Steven A. Burekhovich, Patrick J. Mixa, Robert Pivec, Jared M. Newman, Neil V. Shah, Preetesh D. Patel, Akhilesh SastryAbstractObjectiveRecent technological advancements have led to the utilization of robotic-assisted knee arthroplasty (raKA) in the operating room.MethodsAll patients who underwent knee arthroplasty from 2009 to 2013 in NYS SPARCS were reviewed. raKAs and non-raKAs were compared for utilization and institutional trends.ResultsRobotic-assistance increased by 500%. 80% of raKAs were performed in teaching hospit...
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Clinical outcome of internal fixation of middle third clavicle fractures using locking compression plate: Comparison between open plating and MIPO
Publication date: Available online 3 May 2019Source: Journal of OrthopaedicsAuthor(s): Raghuraj Kundangar, Kumar Amerendra Singh, S.P. Mohanty, K. Eshwari (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 3, 2019 Category: Orthopaedics Source Type: research

Risk factors for complications following decompression of non-traumatic compartment syndrome
ConclusionThe complication profile of non-traumatic compartment syndrome decompression is higher than that of traditional elective orthopaedic surgery.Level of evidenceIV. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 2, 2019 Category: Orthopaedics Source Type: research

A new and simple intraoperative method for correction of leg-length discrepancy in total hip arthroplasty
We present a short and simple intraoperative method for LLD correction in THA. We performed 55 primary THAs using this technique. The measurement error was 1.86 ± 1.4 mm, which was within 3 mm in 49 of 55 cases (89%) and within 5 mm in 54 of 55 cases (98%). This method is simple and does not require specialized devices, making it versatile to be used anywhere. No new skin incisions or extra costs are required, which will likely make it attractive to surgeons. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 2, 2019 Category: Orthopaedics Source Type: research

Hypoalbuminemia remains an independent predictor of complications following total joint arthroplasty
Publication date: Available online 1 May 2019Source: Journal of OrthopaedicsAuthor(s): George W. Fryhofer, Matthew Sloan, Neil P. ShethAbstractIntroductionHypoalbuminemia (
Source: Journal of Orthopaedics - May 2, 2019 Category: Orthopaedics Source Type: research

Placing ball and socket cervical total disc replacement using instant center of rotation
ConclusionTotal discs replacements can be placed intraoperatively using proper technique with verification confirmed using the ICR postoperatively.KeywordsTotal disc replacement; instant center of rotation; ideal placement; fluoroscopy; adjacent segment disease; less exposure surgery. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 2, 2019 Category: Orthopaedics Source Type: research

Perioperative complications in patients with sleep apnea following primary total shoulder arthroplasty: An analysis of 33,366 patients
Publication date: Available online 1 May 2019Source: Journal of OrthopaedicsAuthor(s): Christopher A. Wang, Joseph R. Palmer, Michael O. Madden, Wayne Cohen-Levy, Rushabh M. Vakharia, Martin W. RocheAbstractIntroductionThe study evaluated whether sleep apnea (SA) patients undergoing total shoulder arthroplasty (TSA) are at greater odds of: 1) medical complications; 2) implant-related complications; 3) readmission rates; and 4) costs.MethodsComplications and readmissions were assessed using logistic regression analysis. Welch's t-test was used to compare CCI and cost between cohorts.Results33,366 patients equally distribute...
Source: Journal of Orthopaedics - May 2, 2019 Category: Orthopaedics Source Type: research

Safety and feasibility of using calcium phosphate hybridization method for quadriceps tendon-bone graft in anterior cruciate ligament reconstruction
ConclusionsUsing the CaP hybridization method for QTB graft in ACL reconstruction was safe and feasible in the clinical trial. Moreover, this method may improve clinical outcomes. In the future, it is necessary to verify the effect of the CaP hybridization method for QTB graft in ACL reconstruction. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - May 2, 2019 Category: Orthopaedics Source Type: research

Making the transition from traditional to robotic-arm assisted TKA: What to expect? A single-surgeon comparative-analysis of the first-40 consecutive cases
Publication date: July–August 2019Source: Journal of Orthopaedics, Volume 16, Issue 4Author(s): Qais Naziri, Barry C. Cusson, Moiuz Chaudhri, Neil V. Shah, Akhilesh SastryAbstractObjective/methodsWe compared short-term outcomes following 40 traditional, cemented total knee arthroplasty (TKA) to the first 40 cemented robotic-arm assisted TKA (raTKA) and analyzed the learning curve for raTKA.ResultsLOS was longer for traditional TKA compared to raTKA (1.92 vs. 1.27days, p 
Source: Journal of Orthopaedics - April 29, 2019 Category: Orthopaedics Source Type: research

Disturbed remodeling and delayed fracture healing in pediatric pycnodysostosis patients
Publication date: Available online 15 April 2019Source: Journal of OrthopaedicsAuthor(s): Simran Grewal, Özgür Kilic, C. Dilara Savci-Heijink, Peter KloenAbstractPycnodysostosis is an autosomal recessive disease caused by a gene mutation leading cathepsin K deficiency. Pathological fractures of the long bones are common, but guidelines on fracture treatment in these patients are still lacking. We have treated 5 fractures in 2 pediatric pycnodysostosis patients. We hypothesize that pycnodysostosis patients have an incomplete remodeling process in fracture healing because of cathepsin K deficiency. Therefore, to mi...
Source: Journal of Orthopaedics - April 16, 2019 Category: Orthopaedics Source Type: research

A 2-year follow-up of isolated Medial Patellofemoral Ligament Reconstruction by using soft suture anchor and adjustable cortical fixation system
ConclusionsIsolated MPFL Reconstruction using soft suture anchor and adjustable cortical fixation system led good restoration of patellar stability and significant improvement of knee function in short-term results. This surgical technique can reduce complications such as patella fractures, and can be done safely.Clinical relevanceThis technique may be a treatment option with little associated complications in the treatment for patellar instability.Level of EvidenceCase series, Level IV. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - April 14, 2019 Category: Orthopaedics Source Type: research

Rock climbing injuries and time to return to sport in the recreational climber
Publication date: Available online 12 April 2019Source: Journal of OrthopaedicsAuthor(s): Zachary C. Lum, Lily ParkAbstractWe investigated the injury pattern in rock climbers and their return to sport for operative and nonoperative management.432 injuries in 237 climbers recorded: 41.9% hand/elbow, 19.9% foot/ankle, 17.3% shoulder. 66% patients required no treatment, 49 (21%) underwent physical therapy, 27 (11%) underwent surgery with 93% satisfaction. Nonoperative patients recovered at 3.9 months; surgical patients took 9.1 months to return to sport (p = 0.01). Return to same level: 79% nonsurgical patients and 70% su...
Source: Journal of Orthopaedics - April 13, 2019 Category: Orthopaedics Source Type: research

Greater tuberosity angle and critical shoulder angle according to the delamination patterns of rotator cuff tear
In conclusion, large GTA and CSA were associated with rotator cuff tears. However, there was no difference of GTA and CSA according to the delamination patterns. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Aseptic Loosening after THA and TKA - Do gender, tobacco use and BMI have an impact on implant survival time?
Publication date: Available online 8 April 2019Source: Journal of OrthopaedicsAuthor(s): Erik Schiffner, David Latz, Simon Thelen, Jan P. Grassmann, Alfred Karbowski, Joachim Windolf, Pascal Jungbluth, Johannes SchneppendahlAbstractPurposeAseptic loosening (AL) has been reported to be one of the most frequent complications in Total Knee Arthroplasty (TKA) and Total Hip Arthroplasty (THA). The aim of this study was to identify the effects of gender, current tobacco use and BMI on the incidence of AL and implant survival time in THA and TKA.MethodsBetween July 2012 and December 2016 all patients that were diagnosed with an A...
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Histological analysis of the anterolateral ligament of the knee
Publication date: Available online 8 April 2019Source: Journal of OrthopaedicsAuthor(s): Luigi Sabatini, Salvatore Risitano, Francesco Atzori, Marco Volante, Alessandro Aprato, Pier Francesco Indelli, Alessandro Massè (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Does peritrochanteric fat thickness increase the risk of early reoperation for infection or wound complications following total hip arthroplasty?
Publication date: Available online 8 April 2019Source: Journal of OrthopaedicsAuthor(s): Joshua A. Bell, Andrew Jeong, Daniel D. Bohl, Brett Levine, Craig Della Valle, Denis NamAbstractBackgroundRadiographically measured subcutaneous peri-incisional tissue depth has been correlated with post-operative surgical site infection after cardiac, cervical spine, and total knee surgery. Its impact following primary total hip arthroplasty (THA) has not been studied. We compare the interobserver reliability of measuring peritrochanteric fat thickness on pre-operative radiographs and hypothesize that these measurements are a reproduc...
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Patient satisfaction - A comparison between patient-specific implants and conventional total knee arthroplasty
ConclusionsThe significantly higher values in KSS and its function score lead to a better basic daily function in PSI group. In addition, the PSI TKA achieved a higher global patient satisfaction. Nevertheless, both should mainly be assessed in the context of average younger age and the influence of expectations. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Relationship between crossover sign and anterior center-edge angle
Publication date: Available online 8 April 2019Source: Journal of OrthopaedicsAuthor(s): Robert A. Christian, Michael H. McCarthy, Bennet A. Butler, Ekamjeet S. Dhillon, Michael A. Terry, Vehniah K. TjongAbstractPurposeThe aim of this study was to evaluate the relationship between the Anterior Center-Edge Angle (ACEA) and Lateral Center-Edge Angle (LCEA) and crossover ratio.MethodsConsecutive patients presenting for evaluation of hip pain were reviewed. The following measurements were recorded and analyzed: Crossover ratio, LCEA, ACEA, and alpha-angle.Results68 patients met inclusion criteria. The only statistically signif...
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Femoroacetabular impingement: prospective study of rate and factors related for nerve injury after hip arthroscopy
Publication date: Available online 8 April 2019Source: Journal of OrthopaedicsAuthor(s): Jesus Mas Martinez, Javier Sanz-Reig, Manuel Morales Santias, Enrique Martínez Gimenez, David Bustamante Suarez de Puga, Carmen Verdu RománAbstractProspective, longitudinal, descriptive study was conducted from January 2016 to January 2018 to detect nerve dysfunction after hip arthroscopy. A total of 110 patients were included. Twenty-four hours after surgery, 62.7% reported symptoms of abnormal sensation at least in one area. The most common was the perineal area. Three weeks after hip arthroscopy, 42.6% still experience...
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

The use of adjuvant local antibiotic hydroxyapatite bio-composite in the management of open Gustilo Anderson type IIIB fractures. A prospective review
Publication date: Available online 9 April 2019Source: Journal of OrthopaedicsAuthor(s): Noman Jahangir, Noman Niazi, Ahmed Aljawadi, Adam Reid, Jason Wong, Efstathios Drampalos, Anand Pillai (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - April 9, 2019 Category: Orthopaedics Source Type: research

Trends in obesity prevalence among total hip arthroplasty patients and the effect on surgical outcomes, 2008–2016
This study aims to report obesity trends in primary THA and its effects on procedure outcomes in the United States, stratifying based on Body Mass Index (BMI).MethodsPrimary THA procedures were identified in the American College of Surgeons National Surgical Quality Improvement Program (ACS-NSQIP) database (2008–2016). Patient demographic (including BMI), primary outcomes (death; serious morbidity), and secondary outcome variables were analyzed. Using BMI comparison groups (Obese: BMI > 30 [O]; Morbidly Obese: BMI > 40 [MO]) for case populations, univariate, propensity score-matched, and multivariate lo...
Source: Journal of Orthopaedics - April 8, 2019 Category: Orthopaedics Source Type: research

Preparing the femur before the acetabulum does not reduce total blood loss in primary total hip replacement
Publication date: Available online 7 April 2019Source: Journal of OrthopaedicsAuthor(s): Jarrad M. Stevens, Sarah Shiels, Michael Whithouse, Richard BakerAbstractIntroductionTotal hip replacement is a common and effective surgical intervention for patients with debilitating joint pain but it does represent a significant surgical intervention. For such interventions, blood loss is a potential cause of morbidity and mortality. Optimisation of surgical interventions focuses on reducing such risks. The aim of this study was to determine whether the order of surgical steps, preparing the femur before or after the acetabulum, wa...
Source: Journal of Orthopaedics - April 8, 2019 Category: Orthopaedics Source Type: research

Assessment of glycosaminoglycan content in intervertebral discs of patients with leg length discrepancy: A pilot study
ConclusionOur results suggest that LLD is a predisposing factor for molecular IVD alterations, which are detectable even before morphological pathologies could be found. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - April 8, 2019 Category: Orthopaedics Source Type: research

Pavlik Harness initiation on Barlow positive hips: Can we wait?
Publication date: Available online 27 March 2019Source: Journal of OrthopaedicsAuthor(s): Katherine A. Cook, Meghan Schmitt, Michael Ingram, Jill E. Larson, Jamie Burgess, Joseph A. JanickiAbstractWe investigated if infants with a Barlow positive hip(s) have natural hip stabilization and can thus avoid Pavlik Harness (PH) treatment. We conducted a chart review for infants who presented within two weeks of life, had a Barlow positive hip, and were deferred treatment. Of the thirty infants, eighteen were treated with PH at 4–6 weeks or 12 weeks due to persistent dysplasia. Twelve infants avoided PH entirely. There were...
Source: Journal of Orthopaedics - March 28, 2019 Category: Orthopaedics Source Type: research

Scaphoid specific volar locking plate and non-vascularised iliac crest bone graft in scaphoid non-union. A comparative cohort study
Publication date: Available online 25 March 2019Source: Journal of OrthopaedicsAuthor(s): Adrian J. Talia, Andrew Fraval, Liam Halliday, Gabrielle McKie, Joseph Paiva, Duy M. Thai (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - March 27, 2019 Category: Orthopaedics Source Type: research

Evaluation of MoPyC-prosthesis implantation and the use of angular stable plates in the treatment of comminuted radial head fractures
ConclusionBoth the treatment provides a clear individual benefit for the patients and predict promising results for the treatment of comminuted radial head fractures. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - March 27, 2019 Category: Orthopaedics Source Type: research

Aspirin for venous thromboembolism prophylaxis after hip or knee arthroplasty: An updated meta-analysis of randomized controlled trials
ConclusionAmong patients who underwent knee or hip arthroplasty, aspirin prophylaxis was found to be associated with similar efficacy and safety outcomes when compared with anticoagulants. When compared with placebo, aspirin prophylaxis was associated with significantly reduced VTE and a comparable safety profile. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - March 27, 2019 Category: Orthopaedics Source Type: research

Influence of surgical approach on final outcome in total hip arthroplasty for osteoarthritis in patients older than 80 years
ConclusionsThe use of DAA for THA in the elderly was associated with shorter hospitalization and superior functional outcomes in the early post-operative period, and had a lower rate of dislocation without increasing risk of early revision. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - March 27, 2019 Category: Orthopaedics Source Type: research

Historical and projected fractures associated with mobility scooters presenting to U.S. emergency departments: 2004–2025
Publication date: Available online 24 March 2019Source: Journal of OrthopaedicsAuthor(s): Kevin Pirruccio, Matthew Sloan, Neil P. ShethAbstractIntroductionThe proportion of mobility scooter users in the United States continues to rise. However, these devices impart a substantial yet underappreciated risk of serious injury – namely, fractures – on users.MethodsThe purpose of this cross-sectional, retrospective study was to use the National Electronic Injury Surveillance System (NEISS) to quantify the national burden of these device-associated fractures between 2004 and 2017, analyzing in two-year intervals. We a...
Source: Journal of Orthopaedics - March 25, 2019 Category: Orthopaedics Source Type: research

Leiomyosarcoma: Clinicopathological study and retrospective analysis of prognostic factors in a series of 100 patients
Publication date: Available online 25 March 2019Source: Journal of OrthopaedicsAuthor(s): Francesco Muratori, Daniela Greto, Mauro Cenatiempo, Giacomo Mazzei, Filippo Frenos, Giuliana Roselli, Lorenzo Livi, Rodolfo Capanna, Giacomo Baldi, Domenico Andrea CampanacciAbstractThe Authors reported a retrospective study of 100 Leiomyosarcoma (LMS), evaluating factors that may influence Overall Survival (OS), Local Recurrence Free Survival (LRFS), Metastasis Free Survival (MFS). Tumor Size (P = 0,0009), Local Recurrence (P = 0,0487), Distant relapse (P 
Source: Journal of Orthopaedics - March 25, 2019 Category: Orthopaedics Source Type: research

Replacement of osteochondral defect of large joints: An experimental model in sheep
Publication date: Available online 25 March 2019Source: Journal of OrthopaedicsAuthor(s): Georgii Alexandrovich Airapetov, Oshozimhede Emeghomhe Iyalomhe, Faeren Matilda AdzegeAbstractAimTo improve the treatment results of patients with osteochondral defects of large joints.Materials and methodsA prospective study was conducted on 30 animals (60 knee joints) aged 1.5–3 years. All animals were divided into 3 groups of 10 each, depending on the method of replacement of the osteo-chondral defect.Results6 months after intervention using the proposed method, a good prognosis can be given and good long-term results expecte...
Source: Journal of Orthopaedics - March 25, 2019 Category: Orthopaedics Source Type: research

The progression of osteoarthritis of the hip increases degenerative lumbar spondylolisthesis and causes the change of spinopelvic alignment
Publication date: Available online 23 March 2019Source: Journal of OrthopaedicsAuthor(s): Hideki Warashina, MichianaKato, Shinji Kitamura, Taiki Kusano, Yukiharu Hasegawa (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - March 24, 2019 Category: Orthopaedics Source Type: research

Long – Term survivorship and clinical and radiological follow – Up of the primary uncemented delta III reverse shoulder prosthesis
Publication date: Available online 24 March 2019Source: Journal of OrthopaedicsAuthor(s): Johannes Han, Marco van der Pluijm, Martin Pouw, Quinten TM. Felsch, Petra Heesterbeek, Maarten J. de VosAbstractBackgroundPurpose of this study was to evaluate the long – term survivorship and clinical and radiological results of a primary reverse total shoulder arthroplasty (RTSA) performed with uncemented stems.MethodsFrom 2001 until 2006 61 primary uncemented RTSAs were implanted, which were included in a Kaplan-Meier survival analysis. Range of motion, functional scores and radiological follow – up was obtained. 27 pa...
Source: Journal of Orthopaedics - March 24, 2019 Category: Orthopaedics Source Type: research

Making the transition from traditional to robotic-arm assisted TKA: What to expect a single-surgeon comparative-analysis of the first-40 consecutive cases
Publication date: Available online 22 March 2019Source: Journal of OrthopaedicsAuthor(s): Qais Naziri, Barry C. Cusson, Moiuz Chaudhri, Neil V. Shah, Akhilesh SastryAbstractObjective/methodsWe compared short-term outcomes following 40 traditional, cemented total knee arthroplasty (TKA) to the first 40 cemented robotic-arm assisted TKA (raTKA) and analyzed the learning curve for raTKA.ResultsLOS was longer for traditional TKA compared to raTKA (1.92 vs. 1.27days, p 
Source: Journal of Orthopaedics - March 23, 2019 Category: Orthopaedics Source Type: research

Detecting reasons for recurrent deformity in treatment of patients with vitamin D–resistant rickets using diagnostic imaging
ConclusionRecurrent deformity can develop in patients with VDR due to progression of the disease, irregular osteoid deposited in the medial and lateral metaepiphysis, osteoid area measuring over 50% of epiphyseal cross section, insufficient regenerate mineralization, and formation of Looser's zones. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - March 23, 2019 Category: Orthopaedics Source Type: research