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Postoperative complications in underweight patients undergoing total hip arthroplasty: a comparative analysis to normal weight patients
Conclusion There 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 - February 23, 2018 Category: Orthopaedics Source Type: research

Static antibiotic spacers augmented by calcium sulphate impregnated beads in revision TKA: surgical technique and review of literature
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Salvatore Risitano, Luigi Sabatini, Francesco Atzori, Alessandro Massè, Pier Francesco Indelli (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 23, 2018 Category: Orthopaedics Source Type: research

A comparison of two different navigated hip replacement techniques on leg length discrepancy
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): T.N. Jennison, P. Craig, Edward D. Davis (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

Comparing Psychological Burden of Orthopaedic Diseases Against Medical Conditions: Investigation on Hospital Course of Hip, Knee, and Spine Surgery Patients
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Bassel G. Diebo, Denis Cherkalin, Cyrus M. Jalai, Neil V. Shah, Greg W. Poorman, George A. Beyer, Frank A. Segreto, Virginie Lafage, Qais Naziri, Jared M. Newman, William P. Urban, Thomas J. Errico, Frank J. Schwab, Carl B. Paulino, Peter G. Passias Retrospective review of National Inpatient Sample (2000-2012) revealed that 31.28% of musculoskeletal (MSK) patients were found to have in-hospital psychological burdens (PBs). Adult spinal deformity (ASD), degenerative disc disease (DDD) and lung cancer patients had highest PB-preval...
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

High values of Pelvic Incidence: a possible risk factor for zigoapophyseal facet arthrosis in young
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Giorgio Cacciola, Alessandro Pisani, Pietro Cavaliere, Bruno Pitrone, Domenico Rizzo, Giuseppina Rizzo, Giuseppina Cutroneo, Federico De Meo, Andrea Barbanera In humans the acquisition of the bipedalism caused different structural changes to achieve the new functional demands. In particular, several changes have occurred to the spine and pelvis. In recent years the sagittal morphology of the spine and pelvis has become one of the most focused topics in spine research. The sample consists of 348 volunteers, with no history of low ...
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

Responsiveness and disease specificity of the Western Ontario Rotator Cuff Index
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Ronald N. Wessel, Nienke Wolterbeek, Anouk J.M. Fermont, Loes Lavrijsen, Henk van Mameren, Rob A. de Bie The 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 consid...
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

Cementless humeral head resurfacing for degenerative glenohumeral osteoarthritis fails at a high rate
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Michael W. Maier, Pit Hetto, Patric Raiss, Matthias Klotz, Matthias Bülhoff, David Spranz, Felix Zeifang (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

Does Blood Transfusion Type Affect Complication And Length Of Stay Following Same-Day Bilateral Total Knee Arthroplasty?
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Vasileios G. Soranoglou, Lazaros A. Poultsides, Florian Wanivenhaus, Allina A. Nocon, Georgios K. Triantafyllopoulos, Peter K. Sculco, Stavros G. Memtsoudis, Thomas P. Sculco Same-day Bilateral Total Knee Arthroplasty (BTKA) safety is still controversial. The aim of this study was to examine the association of blood transfusion type (pure autologous, pure allogeneic, and combined) with complication and prolonged length of stay (PLOS) following same-day BTKA. 649 consecutive patients were retrospectively identified over a two-year...
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

The Effect of Drill Hole Location on Load Bearing Capacity of Long Bones
Publication date: Available online 21 February 2018 Source:Journal of Orthopaedics Author(s): Christopher James Yiachos, Subrata Saha We investigated how load bearing capacity (LBC) of long bone differs with a bicortical drill hole in a compressive/tensile location vs. a neutral location. Group I had a hole drilled through 0°/180° ([compressive at 0°/maximum tensile at 180°]), Group II at 90°/270° ([neutral]), and Group III at 135°/315° ([tensile at 135°/compressive at 315°]). Maximum load at failure and stiffness was measured. A significant ([p<0.05]) decrease in LBC of all ...
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

Surgical site infection in overweight and obese Total Knee Arthroplasty patients
Conclusion This study suggests that obese class III TKA patients are at increased odds of superficial and deep SSI compared to other BMI cohorts. Interestingly, male obese class III patients demonstrated a higher rate of deep infection compared to their female counterparts. However, it must be noted that study findings are limited as confounders were unable to be accounted for in this retrospective study design. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 22, 2018 Category: Orthopaedics Source Type: research

Children ’s and parents’ perspectives of health-related quality of life in newly diagnosed adolescent idiopathic scoliosis
In conclusion, HRQoL is thoroughly investigated when both generic and disease-specific instruments are used. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Accuracy of Radiographic Determination of the Posterior Femoral Wall Integrity in Anterior Cruciate Ligament Reconstruction
Conclusion Lateral radiographs of the knee are insufficient for evaluation of the posterior cortical integrity following primary ACL reconstruction. Direct visualization of the femoral tunnel remains the gold standard for evaluation of the posterior wall and may be supplemented by CT scan if there remains concern over graft fixation. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Oppenheimer ’s Ossicles in the lumbar spine-a rare cause of lumbar canal stenosis
Publication date: Available online 19 February 2018 Source:Journal of Orthopaedics Author(s): B.T. Pushpa, Siddharth N. Aiyer, Muhil Kannan, Anupama Maheswaran, S. Rajasekaran (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 20, 2018 Category: Orthopaedics Source Type: research

Catastrophic Ceramic Liner Failure – The subtle signs of a non-engaged ceramic liner
Publication date: Available online 20 February 2018 Source:Journal of Orthopaedics Author(s): Andrew Walls, Adam Tucker, David S. Warnock, David Beverland Ceramic 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 - February 20, 2018 Category: Orthopaedics Source Type: research

The optimal treatment for stage 2 –3 Goutallier rotator cuff tears: A systematic review of the literature
Conclusions Despite the high reported retear rate, rotator cuff repair has comparable results (clinical improvement) as partial repair and isolated bicepstenotomy or tenodesis. These findings suggest that the additional effect of rotator cuff repair compared to the less extensive treatment options like isolated bicepstenotomy or tenodesis should be studied, as these might form a good alternative treatment based on this systematic review. Level of evidence Level IV; systematic review. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 19, 2018 Category: Orthopaedics Source Type: research

Femoral Stem Size Mismatch in Women Undergoing Total Hip Arthroplasty
Conclusion Review of femoral stem sizes reveals that current femoral stem sizing may not appropriately account for women and alternative stem options should be available if using a metaphyseal fitting single tapered stems. Future consideration should be given to more anatomic female sized femoral stems or alternative options should be available. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 16, 2018 Category: Orthopaedics Source Type: research

Arthroscopic Tibial Spine Fracture Fixation: Novel Techniques
Publication date: Available online 14 February 2018 Source:Journal of Orthopaedics Author(s): R. Rajanish, Jaseel Mohammed, Murugan Chandhan, C.M. Kumaran Proper 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 - February 15, 2018 Category: Orthopaedics Source Type: research

Incidence of tendon rupture following volar plate fixation of distal radius fractures: A survey of 2787 cases
This study assessed the comprehensive incidence of tendon rupture following volar locking plate (VLP) surgery for a large number of patients with distal radius fractures (DRFs) at multiple facilities in one prefecture, Japan. During the 4-year period, 2787 patients with DRFs underwent fixation using VLP. The overall incidence rates of rupture of the FPL, the extensor pollicis longus, the flexor digitorum profundus of the index finger, and the extensor digitorum communis were 0.35% (10 patients), 0.29% (8 patients), 0.04% (1 patient), and 0.04% (1 patient), respectively. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 4, 2018 Category: Orthopaedics Source Type: research

Analysis of a generic talar prosthetic with a biological talus: A cadaver study
This study evaluates the feasibility of a generic talar implant by cadaveric assessment. Ten cadaveric ankles were CT-scanned to determine talar implant size. The opposite ankles were CT-scanned with the biological talus and then with the implant. 3D ankle geometry was reconstructed and implant position was compared to the biological talus position. The averages among specimens’ positive and negative average-deviations were 0.91 mm and 0.70 mm. Seventy percent of talar dome deviations between the biological talus and implant were within an acceptable range. This study yields promising results to support a generic...
Source: Journal of Orthopaedics - February 4, 2018 Category: Orthopaedics Source Type: research

Risk factors for complications after primary repair of Achilles tendon ruptures
Conclusions Obesity, diabetes and a history of smoking did not predispose patients to significantly more AEs in the 30 day postoperative period following ATR repair in this study. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 4, 2018 Category: Orthopaedics Source Type: research

A long-term comparative study between two different designs of cemented stems: Distal-cylindrical versus distal-taper
Conclusion Better clinical outcomes were obtained with the DT stem than with the DC stem regardless of the equivalent polyethylene wear rate for the two designs. The DC shape of the stem may increase the risk of aseptic loosening. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Gait analysis methodology for the measurement of biomechanical parameters in total knee arthroplasties. A literature review
Publication date: March 2018 Source:Journal of Orthopaedics, Volume 15, Issue 1 Author(s): Georgios I. Papagiannis, Athanasios I. Triantafyllou, Ilias M. Roumpelakis, Panayiotis J. Papagelopoulos, George C. Babis Gait analysis using external skin markers provides scope for the study of kinematic and kinetic parameters shown on different total knee arthroplasties (TKA). Thus an appropriate methodology is of great importance for the collection and correlation of valid data. Calibration of equipment is of great importance before measurements, to assure accuracy. Force plates should be calibrated to 1080 Hz and optoelectron...
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Survey of shoulder arthroplasty surgeons ’ methods for infection avoidance of Propionibacterium
Discussion and conclusion There are no clear standards for prevention of Propionibacterium acnes infections in shoulder arthroplasty. There is a general non-scientific approach to the prevention of shoulder arthroplasty infection. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Computed tomography findings of subchondral insufficiency fractures of the femoral head
Conclusion The present study is the first to report CT findings of SIF. A radiolucent or sclerotic band was observed on CT images. The results of the present study provide useful information for diagnosis of SIF. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Growth modulation for coronal deformity correction by using Eight Plates —Systematic review
Conclusion Growth modulation with 8-plates has high efficacy and low complications for deformity correction; and has been used widely across all paediatric age groups and aetiology. The literature is mostly retrospective and heterogeneous to develop age and aetiology specific recommendations. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

A quality improvement project decreases incidence of pulmonary embolism following arthroplasty
Conclusions Our results suggest that our bundle of interventions was successfully implemented and helped to reduce the incidence of pulmonary embolism following surgery. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Stress radiographs for evaluating acromioclavicular joint separations in an active-duty patient population: What have we learned?
This study identified substantial practice variation amongst military surgeons treating a relatively homogenous population with AC joint separations, reflective of a lack of definitive evidence to guide diagnosis and treatment. Overall, nonoperative management is the preferred initial approach for Type III injuries and operative treatment is the preferred initial approach for Type V injuries. The diagnostic evaluation varied across the surgeon cohort, but 87% elected against the use of weighted stress radiographs for the evaluation of AC joint separations, with only 10% relying upon them to dictate their recommended treatm...
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Impact of various foot arches on dynamic balance and speed performance in collegiate short distance runners: A cross-sectional comparative study
Conclusion Short distance runners with high arch foot have improved dynamic balance and speed when compared to low and neutral arch foot. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Total hip arthroplasty in Hurler syndrome – 8 years follow up – A case report with review of literature
We report a long-term outcome of cementless total hip arthroplasty in a patient with Hurler syndrome who was successfully treated with bone marrow transplant. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Current advances in the treatment of medial and lateral epicondylitis
Publication date: March 2018 Source:Journal of Orthopaedics, Volume 15, Issue 1 Author(s): Sandip P. Tarpada, Matthew T. Morris, Jayson Lian, Sina Rashidi Despite advances elucidating the causes of lateral and medial epicondylitis, the standard of care remains conservative management with NSAIDs, physical therapy, bracing, and rest. Scar tissue formation provoked by conservative management creates a tendon lacking the biomechanical properties and mechanical strength of normal tendon. The following review analyzes novel therapies to regenerate tendon and regain function in patients with epicondylitis. These treatments incl...
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Analysis of glenoid inter-anchor distance with an all-suture anchor system
Conclusions This biomechanical study provides evidence that 1.4 mm all-suture anchors demonstrate similar strength characteristics when placed at least 2 mm or greater from one another. When 1.4 mm all-suture anchors were placed adjacent to one another, there was an observed decrease in failure strength and stiffness. Clinical relevance This study suggests that 1.4 mm all-suture anchors may be placed as close as 2 mm to one another while preserving strength characteristics. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 2, 2018 Category: Orthopaedics Source Type: research

Getting Back in the Game After Humeral Head Resurfacing
Publication date: Available online 31 January 2018 Source:Journal of Orthopaedics Author(s): Matthias Bülhoff, Boris Sowa, Thomas Bruckner, Patric Raiss, Felix Zeifang (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

A Novel Method for Reducing Gap Formation in Tendon Repair
Conclusion Decreasing early gap formation may be beneficial in allowing early rehabilitation and range of motion. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Functional and Radiological outcome in management of compound tibia diaphyseal fracture with AO monolateral fixator versus Limb reconstruction system
Publication date: Available online 31 January 2018 Source:Journal of Orthopaedics Author(s): Hitesh J. Mangukiya, Neetin P. Mahajan, Eknath D. Pawar, Aakash Mane, Jitsen Manna (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Unilateral biportal endoscopic decompression by 30 ° endoscopy in lumbar spinal stenosis: Technical note and preliminary report
Conclusions The 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 - January 31, 2018 Category: Orthopaedics Source Type: research

Evaluation of the Multi-Attribute Prioritisation Tool for Total Joint Replacement
Conclusion TJR patients prioritised by the MAPT questionnaire do experience pain relief as portrayed by a reduction in postoperative MAPT score. A longer length of time on the waiting list seems to effect the improvement a high priority patient can have postoperative. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Minimally invasive (MIS) T önnis osteotomy– A technical annotation and review of short term results
Publication date: Available online 31 January 2018 Source:Journal of Orthopaedics Author(s): Balasubramanian Balakumar, Malek Racy, Sanjeev Madan (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Early determinants of long-term clinical outcome after cartilage repair surgery in the knee
Conclusions The choice of surgical method seem to be less important than other patients-specific predictors. Level of evidence Case series, Level IV. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Platelet rich plasma injections for lateral epicondylitis of the elbow reduce the need for surgical intervention
Publication date: Available online 31 January 2018 Source:Journal of Orthopaedics Author(s): Graham Hastie, Mazen Soufi, James Wilson, Bibhas Roy (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Assessment of the risk of low bone mineral density in premenopausal Japanese female patients with systemic lupus erythematosus
Conclusions Bisphosphonate treatment eliminated the negative relationships between disease duration and the BMD of the spine and hip. AP spine and hip BMD in patients with SLE depend on BMI, regardless of bisphosphonate use. SLE serologic markers and glucocorticoid use were not negatively associated with generalized bone loss. SLE patients with low BMI have a high risk of generalized bone loss, and should be assessed and treated to prevent osteoporosis even before menopause. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Bizarre Parosteal Osteochondromatous Proliferation: 16 cases with a focus on histologic variability
Publication date: Available online 31 January 2018 Source:Journal of Orthopaedics Author(s): Margaret Cocks, Elizabeth Helmke, Carolyn A. Meyers, Laura Fayad, Edward McCarthy, Aaron W. James Bizarre parosteal osteochondromatous proliferation (BPOP) is a benign bone and cartilage forming tumor occurring on the surface of bones, predominantly on the hands and feet. A defining feature of BPOP is the purplish-blue mineralization of cartilaginous tissue, known as ‘blue bone.’ Here, we report on an institutional series of 16 cases of BPOP, including radiographic, histologic, and histomorphometric features. All tumor...
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Arthroscopic Knotless Rotator Cuff Repair: Factors Associated with Construct Selection and Recent Trends from a Manual Review of 1617 cases
Conclusion There was a significant increase from 2009 to 2016 in SR knotless and DR medial row knotless constructs contrasting the declining use of the SR knotted technique. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Restoring femoral offset is the most important technical factor in preventing total hip arthroplasty dislocation
Conclusions Our data suggest restoring femoral offset is the most important technical factor in preventing THA dislocation. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Race and gender influence management of humerus shaft fractures
Publication date: Available online 31 January 2018 Source:Journal of Orthopaedics Author(s): Dayton Opel, Benjamin Rapone, Bala Krishnamoorthy, Jung Yoo, James Meeker (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Anatomical differences in the bony structure of L5 and L4: A possible classification according to the lateral tilt of the pedicles
Publication date: March 2018 Source:Journal of Orthopaedics, Volume 15, Issue 1 Author(s): Giorgio Cacciola, Giuseppe Anastasi, Salvatore Bertino, Giuseppina Rizzo, Giuseppina Cutroneo, Fabio Trimarchi, Alessandro Pisani, Pietro Cavaliere, Andrea Barbanera, Daniele Bruschetta The aim of this study is to underline the necessity of a better knowledge of pedicles anatomy in order to improve surgical treatment of spine disorders such us low back pain, spinal fractures and scholiosis. A classification of pedicles lateral tilt which could help surgeons before the application of screws during transpedicular fixation is reported....
Source: Journal of Orthopaedics - January 31, 2018 Category: Orthopaedics Source Type: research

Mid and long term outcomes after fixation of osteochondritis dissecans
Conclusion OCD 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 - January 30, 2018 Category: Orthopaedics Source Type: research

Ground Reaction Vector Re-adjustment − the Secret of Success in Treatment of Medial Compartment Knee Osteoarthritis by Novel High Fibular Osteotomy
Publication date: Available online 16 January 2018 Source:Journal of Orthopaedics Author(s): Wenjun Xie, Yu Zhang, Xiaodong Qin, Lijun Song, Qun Chen High fibular osteotomy has been preliminarily proved to be an effective treatment of knee osteoarthritis by excising a segment of bone at the proximal part of fibula. This imaginative procedure is clinical validated by its instant and explicit knee pain resorption and eventually deformity correction. The rationale of this treatment is named non-uniform settlement of the tibial plateau and used to elucidate the cause of knee joint degeneration, but cannot illuminate the reaso...
Source: Journal of Orthopaedics - January 30, 2018 Category: Orthopaedics Source Type: research

Diagnostic Difficulties in the Radiological Assessment of Subscapularis Tears
Discussion Results demonstrated low accuracy for preoperative radiological subscapularis tear assessment. This has logistical, diagnostic and implications on treatment. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2018 Category: Orthopaedics Source Type: research

Do demographic and perioperative parameters really affect the final outcomes of pediatric femur shaft fractures managed by elastic nails? A prospective study
Conclusions Intramedullary TENS is an excellent modality to treat femoral shaft fractures in patients of school going age. However, factors like weight of the patient >40 kg, immobilization beyond 6 weeks, minor and major complications in the perioperative period could pose risks for poor to satisfactory outcomes and should be anticipated and explained accordingly. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2018 Category: Orthopaedics Source Type: research

Periprosthetic hip fractures: A review of the economic burden based on length of stay
Conclusion The prolonged length of stay associated with Vancouver B2 and B3 fractures leads to increased costs to the healthcare service. Accurately calculating the costs of total treatment for periprosthetic fractures is difficult due to a lack of transparency around implant and staffing costs. However, as we can expect increasing incidence of periprosthetic fractures presenting in the coming years it is paramount that we make financial provisions within healthcare budgets to ensure we can treat these patients appropriately. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2018 Category: Orthopaedics Source Type: research