Resumption of physical activity and sport after knee replacement
Conclusionsthe resumption of physical activity and sport is a paramount expectation for active patients. A clearer definition of physical activity and sports realistically achievable after a knee prosthesis is necessary but not yet fully available. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 12, 2020 Category: Orthopaedics Source Type: research

Superior patient reported outcome measures reported post Articular Surface Replacement (ASR) revision arthroplasty in the setting of an objective surgical indication
Publication date: September–October 2020Source: Journal of Orthopaedics, Volume 21Author(s): Andrew J. Hughes, Mark Curtin, Evelyn Murphy, William Curtin, Colin G. MurphyAbstractThe Articular Surface Replacement (ASR) hip system displayed unexpectedly high failure rates. All patients who underwent revision arthroplasty at our institution were identified. Indications for revision were classified as objectively identifiable or performed for unexplained pain. Clinical outcomes, post ASR revision, were superior in cases where the aetiology for failure was identifiable. Pain and function improved reliably when a targeted ...
Source: Journal of Orthopaedics - February 12, 2020 Category: Orthopaedics Source Type: research

Psychometric Properties of the Global Rating of Change Scales in Patients with Low Back Pain, Upper and Lower extremity disorders. A systematic review with Meta-Analysis
ConclusionsThe current pool of clinical measurement studies indicates that the GRoC has excellent test-retest reliability for patients with low back pain, shoulder pain and with lumbar spine disorders. However, the validity of it as a reference standard in responsiveness studies or as an accurate overall assessment of change has been questioned. While future studies might provide more insight into its measurement properties, this limitation is unlikely to change. Therefore, we suggest that future responsiveness in the studies that want a global indicator measure need to use an additional measure to mitigate recall bias.Pro...
Source: Journal of Orthopaedics - February 11, 2020 Category: Orthopaedics Source Type: research

Achieving discharge within 24 h of robotic unicompartmental knee arthroplasty may be possible with appropriate patient selection and a multi-disciplinary team approach
ConclusionThis initial feasibility study suggests that patients may be safely discharged within 24 h of UKR using the NAVIO robotic system. Appropriate patient selection will ensure successful discharge. Further prospective studies are needed. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 9, 2020 Category: Orthopaedics Source Type: research

PROMIS PF Correlates with HOOS, JR in Patients with Hip Pain
Publication date: Available online 7 February 2020Source: Journal of OrthopaedicsAuthor(s): Meredith L.Grogan Moore, Joost T.P. Kortlever, Mark H.F. Keulen, David P. Brigati, Kevin Bozic, Karl M. KoenigAbstractBackgroundPatient-reported outcome measures (PROMs) are increasingly integrated into reporting requirements tied to reimbursement. There may be advantages to computer adaptive tests that apply to many different anatomical regions and diseases, provided that important information is not lost.Questions1) Does the Patient-Reported Outcomes Measurement Information System Physical Function (PROMIS PF) computer adaptive te...
Source: Journal of Orthopaedics - February 8, 2020 Category: Orthopaedics Source Type: research

Thumb Interphalangeal Joint Arthrodesis Angles in Patients with Carpometacarpal Osteoarthritis
ConclusionsIn patients with thumb CMC OA, an IP fusion angle of 15° is preferable, while a fusion angle of 45° is to be avoided.Type of Study/Level of EvidenceTherapeutic Study, Level III (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 8, 2020 Category: Orthopaedics Source Type: research

Pitch Count Adherence and Injury Assessment of Youth Baseball in South Carolina
DiscussionArm pain is relatively prevalent among the South Carolina youth baseball community and worse in older players and experience fatigue. This survey found lower percentage of youth overhead athletes experiencing arm discomfort when compared to prior studies. It is important for warm weather climate athletes to abide by guidelines, as they are more susceptible to arm injury. Increased recognition, education and compliance with pitch count guidelines will help protect these youth athletes from overuse injury.Level of EvidenceIV, Descriptive Epidemiology Study; (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 6, 2020 Category: Orthopaedics Source Type: research

Lack of Early Dislocation for Dual Mobility vs. Fixed Bearing Total Hip Arthroplasty: A Multi-Center Analysis of Comparable Cohorts
Publication date: Available online 4 February 2020Source: Journal of OrthopaedicsAuthor(s): J.A. Dubin, G.H. WestrichAbstractBackgroundDislocation is a major cause of morbidity and revision surgery following total hip arthroplasty (THA). To address such issues, dual mobility (DM) bearings were introduced as a more stable alternative to fixed-bearing (FB) prostheses. As such, we compared DM and FB systems in a cohort study in terms of dislocations, readmissions, and revisions.MethodsA 27 multi-center retrospective review was performed of 664 DM and 218 FB cases from the same manufacturer with mean follow-up of 2.09 years an...
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Anterior Translation of the tibia in relation to femur in Mucoid Degeneration of ACL – An Observational Study
ConclusionIt is essential to look for other secondary signs of ACL tears and not only focus on ATT as well as correlate this with clinical findings. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Magnetic resonance imaging findings of the lumbar spine, back symptoms and physical function among male adult patients with Scheuermann’s disease
Publication date: Available online 4 February 2020Source: Journal of OrthopaedicsAuthor(s): Leena Ristolainen, Jyrki A. Kettunen, Heidi Danielson, Markku Heliövaara, Dietrich SchlenzkaAbstractBackgroundThere are only a few studies on untreated Scheuermann’s disease and magnetic resonance imaging (MRI) findings in the lumbar spine. The primary aim of this study was to clarify lumbar MRI findings in patients with Scheuermann´s disease and to compare with subjects without diagnosed spine disease.MethodsTwenty-two male adult Scheuermann´s patients (mean age 64.7 years (Standard Deviation [SD] 6.4) and 26...
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Custom Triflange Revision Acetabular Components for Significant Bone Defects and Pelvic Discontinuity: Early UK Experience
Conclusionsour experience suggest that acceptable outcomes can be achieved with custom implants for this group of challenging patients, although longer follow up is needed to monitor future implants’ failure. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Stress distribution in the humerus during elevation of the arm and external abduction
ConclusionThese results indicated that the transfer of major muscle and joint reaction take place predominantly through the thick bony ridges, and stresses induced can be dangerous especially for patients with shoulder problems or during the first post-operative weeks after shoulder fractures or joint replacements. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Different injury patterns after snowboard in children and adolescents
ConclusionChildren and adolescents presented different injury patterns than adults. Young participants of up to 14 years of age are endangered especially during the first days of learning this sport. Further development of protectors with regard to biomechanical characteristics is important to achieve an optimal protective effect.Level of evidence2b (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Predictors Of Clavicle Fixation In Multiply Injured Patients
Publication date: Available online 4 February 2020Source: Journal of OrthopaedicsAuthor(s): Adrian Tinney, Afshin Kamali Moaveni, Lara A. Kimmel, Belinda J. GabbeAbstractIntroductionClavicle fractures account for approximately 10% of all fractures in multiply injured patients. Our study aims to determine factors associated with surgical fixation of the clavicle fracture in multiply injured patients.MethodsMajor adult trauma patients from 2005-2014 with a clavicle fracture were included. Multivariate analysis was undertaken to determine the variables associated with fixation.Results1779 patients (median age of 47 and a medi...
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Axillary nerve elongation in humeral fracture plating: a cadaveric study for comparison between straight and helical Philos plates
Conclusion: Indirectly, this suggests a lower axillary nerve elongation and hence less chance of nerve damage. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Extensor Mechanism Reconstruction “Tubeplasty” in Total Knee Arthroplasty with Previous Patellectomy: Surgical Technique and Clinical Outcomes
Conclusionsatisfactory clinical outcomes can be achieved with extensor mechanism reconstruction and tubeplasty in patients with previous patellectomy undergoing primary and revision knee arthroplasty.Level of EvidenceIV (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Irreducible posterior fracture and dislocation of shoulder with massive rotator cuff tear due to incarceration of biceps tendon: A case report
We present a case of Irreducible posterior fracture and dislocation of shoulder with massive rotator cuff tear due to incarceration of biceps tendon. For the treatment arthroscopic in situ superior capsule reconstruction was performed using the long head of the biceps tendon with rotator cuff repair. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Superior Patient Reported Outcomes Measures Reported Post Articular Surface Replacement (ASR) Revision Arthroplasty in the Setting of an Objective Surgical Indication
Publication date: Available online 4 February 2020Source: Journal of OrthopaedicsAuthor(s): Andrew J. Hughes, Mark Curtin, Evelyn Murphy, William Curtin, Colin G. MurphyAbstractThe Articular Surface Replacement (ASR) hip system displayed unexpectedly high failure rates. All patients who underwent revision arthroplasty at our institution were identified. Indications for revision were classified as objectively identifiable or performed for unexplained pain. Clinical outcomes, post ASR revision, were superior in cases where the aetiology for failure was identifiable. Pain and function improved reliably when a targeted objecti...
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Achieving discharge within 24 hours of robotic unicompartmental knee arthroplasty may be possible with appropriate patient selection and a multi-disciplinary team approach
ConclusionThis initial feasibility study suggests that patients may be safely discharged within 24 hours of UKR using the NAVIO robotic system. Appropriate patient selection will ensure successful discharge. Further prospective studies are needed. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

How Capsular Management Strategies Impact Outcomes: A Systematic Review and Meta-Analysis of Comparative Studies
ConclusionCapsular repair has the potential to improve patient reported outcomes after hip arthroscopy. While there was no consensus in literature, studies consistently reported similar or superior outcomes in the capsular repair cohorts compared to capsular release. Further randomized controlled studies need to be conducted for better evaluation of outcomes. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Challenges in successful management of haemophilic knee arthropathy: Our experience in a tertiary centre
ConclusionsTotal knee arthroplasty has good outcome with respect to clinical as well as functional outcome in haemophilic arthropathy. Although the results and outcome of total knee arthroplasty in haemophilic knee arthropathy may still be inferior to the results seen in a normal individual, a multidisciplinary approach yields a better functional and quality of living in such haemophilic patients. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Interest of nailing associated with the Masquelet technique in reconstruction of bone defect
ConclusionThe nailing performed at the first stage of the induced membrane technique (IMT) gives good results. This modification does not seem to increase the risk of infection. These good results deserve to be confirmed by other studies to confirm the interests of associating nailing to IMT from the first stage. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

National Trends, 90-Day Readmission and Subsequent Knee Surgery Following Multi-Ligament Knee Reconstruction
ConclusionWhile uncommon, the patient population undergoing multi-ligament knee surgery is relatively diverse. Understanding common factors predisposing this population to adverse events following surgery may assist in improved outcomes. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Linked Anatomic Kinematic Arthroplasty: A Unique Approach to Balancing in Total Knee Arthroplasty
This article will outline the surgical approach to LAKA and briefly review the outcomes of this approach. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - February 5, 2020 Category: Orthopaedics Source Type: research

Fracture-Related Infections in HIV infected patients: A Systematic review and Meta-Analysis
ConclusionWhile there are few large prospective studies, the available data suggests that before the introduction antiretroviral therapy HIV infection was associated with a greater risk of FRI. In the post-antiretroviral era HIV infected patients did not show an increased risk of FRI. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2020 Category: Orthopaedics Source Type: research

Idiopathic scoliosis: A pilot MR study of early vertebral morphological changes and spinal asymmetry
Publication date: May–June 2020Source: Journal of Orthopaedics, Volume 19Author(s): Ayesha Maqsood, Sohaib Z. Hashmi, Matthew Hartwell, John F. SarwarkAbstractAdolescent idiopathic scoliosis (AIS) a common spinal condition affecting adolescents. Though the etiology is still unknown, it is widely thought to have a multifactorial etiology and early diagnosis remains a significant challenge. The purpose of this study is to identify early vertebral morphological changes and patterns of spinal asymmetry in these at-risk individuals who later progress to adolescent idiopathic scoliosis. This was a retrospective study of pa...
Source: Journal of Orthopaedics - January 31, 2020 Category: Orthopaedics Source Type: research

Intramedullary nailing for treatment of forearm non-union: Is it useful? – A case series
ConclusionsForearm non-unions represent a therapeutic challenge. Intramedullary nailing is a successful option of treatment. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 31, 2020 Category: Orthopaedics Source Type: research

Platelet Rich Plasma for Treatment of Osteochondral Lesions of The Talus: A Systematic Review of Clinical Trials
ConclusionPRP improves joint function, and reduces pain in patients with OLT regardless of the method of implementation. In addition, inter-study comparison demonstrated that patients that received surgery along with PRP injections improved more than those that received PRP only. The studies that corroborate this conclusion have high levels of evidence with satisfactory methodological quality.Level of EvidenceLevel 2, systematic review of Level 1 and 2 studies. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Financial Impact of Removal of Total Knee Arthroplasty from the Inpatient-Only List for a Physician-owned BPCI program
ConclusionRemoving TKA from CMS inpatient-only list may have negative financial implications. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

A retrospective review of 112 patients undergoing arthroscopic suprascapular nerve decompression
ConclusionThis series demonstrates improvement in pain and strength following suprascapular nerve release with limited risk.Level of evidenceIV. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

High tibial osteotomy in a lax knee: A review of current concepts
Publication date: May–June 2020Source: Journal of Orthopaedics, Volume 19Author(s): Roshan Wade, Swapneel Shah, B.S. Sujith, Kunal Shah, Aditya Raj, Nandan MaratheAbstractThe technique of high tibial osteotomy (HTO) was traditionally documented for symptomatic medial tibiofemoral arthrosis associated with coronal plane malalignment in a stable knee., recently, more attention has been given to the treatment of coronal malalignment in lax knees with HTO with or without ligament reconstruction.Patients with overwhelming pain, chronic ligament deficiency and coronal or sagittal deformity are generally easier to treat wit...
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Tranexamic acid is toxic on human chondrocytes, in vitro
Publication date: July–August 2020Source: Journal of Orthopaedics, Volume 20Author(s): Benjamin Jacob, Nadja Kloss, Sabrina Böhle, Julia Kirschberg, Timo Zippelius, Markus Heinecke, Georg Matziolis, Eric RöhnerAbstractThe aim of this study was to examine toxic effects of tranexamic acid (TXA) on the viability of human chondrocytes. Our hypothesis was that TXA damages human chondrocytes. Chondrocytes were cultured from donated human knee joints. TXA was added to these cultures. Toxicity were analyzed by using LDH und XTT Elisa assays, light microscopy and fluorescence microscopy. The results show that TXA da...
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Acute trunnion failure of a TMZF alloy stem with large diameter femoral heads
ConclusionPatients that have received TMZF alloy cementless stems coupled with CoCr alloy heads are at risk of catastrophic trunnion failure. Importantly, background trunnion corrosion may occur silently and present emergently irrespective of surveillance. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Guided growth for the Treatment of Infantile Blount's disease: Is it a viable option?
ConclusionGuided growth is a viable treatment option for Infantile Blount's disease presenting with Langenskiold stage ≤2 disease at treatment initiation. The treatment course can expect a 33% rate of recurrent deformity, treated successfully with repeat THE. No child stage ≤2 required corrective osteotomy. Caution should be used when considering guided growth for children presenting with Langenskiold stage ≥3. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Proceeding from direct lateral to anterolateral approach in total hip arthroplasty: a closer look on radiological and clinical aspects.
ConclusionThis study confirmed that the ALA can be safely used for THA in minimal invasive setting without advice control. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Ingestion of Gastrolith Mineralized Matrix Increases Bone Volume and Tissue Volume in Mouse Long Bone Fracture Model
Publication date: Available online 28 January 2020Source: Journal of OrthopaedicsAuthor(s): Karl H. Wenger, Steven D. Zumbrun, Militza Rosas, Douglas P. Dickinson, James C. McPhersonAbstractPURPOSEFracture healing often requires extended convalescence as the bony fragments consolidate into restored viable tissue for load-bearing. Development of interventions to improve healing remains a priority for orthopaedic research. The goal of this study was to evaluate the ability of a naturally-occurring matrix of amorphous calcium carbonate to affect fracture healing in an uninstrumented long bone model.METHODSComplete transverse ...
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Is subtalar extra articular screw arthroereisis (SESA) reducing pain and restoring medial longitudinal arch in children with flexible flat foot?
This study included 26 males ( 62 ℅) and 16 females (38℅). The mean age at surgery was (9.92 years); range from (7 – 15 years) .The average follow up period was 29.1 months (ranged from 2 to 48 months). The values of the pre- and post-SESA weight bearing X-ray angles were 149 ± 6 and 127◦ ± 8◦ respectively for the Costa-Bartani angle, 43◦ ± 8◦ and 25◦ ± 6◦ respectively for the lateral T-1stMT angle and 26◦ ± 7◦ and 8◦ ± 3◦ respectively for calcaneal pitch angle 6◦ ± 4◦ and 15◦ ± 5◦. The average AOFAS preoperative score was 68.7&pl...
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

The influence of post-operative knee coronal alignment parameters on long-term patient-reported outcomes after closed-wedge high tibial osteotomy
ConclusionsAmong knee coronal alignment parameters, a large post-operative residual JLCA, which is an intra-articular varus deformity, was independently associated with worsened long-term clinical outcomes after CW-HTO.Level of EvidenceLevel Ⅳ, Retrospective cohort study. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

The clinical outcome of the ‘Surgilig’ technique for the reconstruction of acromioclavicular dislocations: A systematic review
ConclusionsThere is low evidence to show that the reconstruction of ACJ dislocations with the ‘Surgilig’ technique could be a safe and effective treatment. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

CT-based TruMatch® Personal Solutions for knee replacement Surgery … Does it really match?
This study serves to critically evaluate the potential advantages and disadvantages of using a patient-specific templating technique through a single-surgeon study.MethodsAll patients who underwent primary total knee arthroplasty (TKA) for osteoarthritis of the knee using TruMatch® Personal Solutions total knee replacement by a single surgeon were identified. An age-, gender-, side-, diagnosis- and surgeon-matched cohort who underwent conventional primary TKAs was randomly identified for comparison.ResultsThe average distal medial femur (p 
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Finite element assessment of metaphyseal sleeves in total knee arthroplasty
Publication date: May–June 2020Source: Journal of Orthopaedics, Volume 19Author(s): B. Frehill, A.D. CrocombeAbstractThis paper investigates the need to use stems in conjunction with cementless metaphyseal sleeves in total knee replacement (TKR) to treat cavity type-3 defects. Finite element models of TKR with type-3 defects of two sizes were modelled with and without stems. The use of sleeves result in stress concentrations at the bone/sleeve interface. The use of stems shows a reduction in these stresses but also an increased risk of bone resorption in the proximal tibia. Based on this investigation the authors rec...
Source: Journal of Orthopaedics - January 30, 2020 Category: Orthopaedics Source Type: research

Treating Hand and Foot Osteoarthritis Using a Patient's Own Blood: A Systematic Review and Meta-Analysis of Platelet-Rich Plasma
ConclusionsPRP improves pain and function of osteoarthritis. Heterogeneity and risk-of-bias limit current data, requiring more RCTs to determine any regenerative potential of PRP.Prospero Systematic Review Registration Number: 136582 (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 28, 2020 Category: Orthopaedics Source Type: research

Chronic Preoperative Corticosteroid Use is Not Associated with Surgical Site Infection Following Revision Total Knee Arthroplasty
ConclusionChronic preoperative steroid is not a significant risk factor for surgical site infection following rTKA, but it is independently associated with increased risk of septic shock and prolonged hospital length of stay. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 28, 2020 Category: Orthopaedics Source Type: research

Comparison of two platelet rich plasma formulations with viscosupplementation in treatment of moderate grade gonarthrosis: A prospective randomized controlled study
Publication date: Available online 28 January 2020Source: Journal of OrthopaedicsAuthor(s): Yüksel Uğur YARADILMIS, Ismail DEMIRKALE, Ahmet Safa TAGRAL, Mustafa Caner OKKAOGLU, Ahmet ATES, Murat ALTAYAbstractBackgroundThe success of platelet rich plasma (PRP) applications in conservative treatment of moderate gonarthrosis has increased over time. Two different PRP formulations that buffy coat (Leukocyte rich PRP: LR-PRP) and plasma-based (Leukocyte poor PRP: LP-PRP) are obtained by different centrifugation methods. This prospective randomized trial was whether LP-PRP will be more effective combination for moderate go...
Source: Journal of Orthopaedics - January 28, 2020 Category: Orthopaedics Source Type: research

Randomized, Double-Blind, Placebo-Controlled Study to Compare the Efficacy of Combination of Lidocaine with Ketorolac or Triamcinolone versus Lidocaine Alone for Soft Tissue Injuries
Publication date: Available online 28 January 2020Source: Journal of OrthopaedicsAuthor(s): Bura Sindhupakorn, Darawan Jomkoh, Theeranit NamkunteeAbstractBackgroundCorticosteroid and Ketorolac tromethamine is a pain reducing.ObjectiveThe primary objective was pain intensity scores (VAS) in 10, 30, 60 minutes, 2, 6 hours, 1, and 7 days.Method120 patients were randomized. The placebo group (normal saline) and experimental groups (ketorolac 30 mg, 60 mg, triamcinolone 10 mg, 20 mg., and 40 mg, respectively) were compared.ResultVAS at 60 min, 2, 6 hours, 1 and 7 days was significantly different (P
Source: Journal of Orthopaedics - January 28, 2020 Category: Orthopaedics Source Type: research

Utilization, Effectiveness, and Safety of Tranexamic Acid Use in Hip Fracture Surgery: A Population-Based Study
ConclusionOur results are in support of a wider use of TXA in hip fracture surgery.Level of EvidenceLevel III (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 28, 2020 Category: Orthopaedics Source Type: research

Bilateral acetabular fractures: Mechanism, fracture patterns and associated injuries
ConclusionBilateral acetabular fractures are very rare due to the unique degree and pattern of force required to fracture both acetabula. They are associated with 4 main fracture patterns and present with Injury Severity Scores that averaged 25 (severe). They are typically observed in young males with road traffic collision being the most common mechanism of injury. (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 28, 2020 Category: Orthopaedics Source Type: research

Acetabular posterior wall morphology. A CT-based method to distinguish two acetabular posterior wall types.
Publication date: Available online 26 January 2020Source: Journal of OrthopaedicsAuthor(s): Tilman Graulich, Pascal Graeff, Stine Nicolaides, Marco Haertle, Mohamed Omar, Christian Krettek, Emmanouil LiodakisAbstractBackgroundThe anatomy of the posterior wall of the acetabulum is important for the hip stability. We wanted to know whether differences can be observed.Material and MethodsOn lateral 3D pelvic CT reconstruction of the pelvis two types were identified. On axial CT-images acetabular angles were determined.ResultsWe observed 35 type I acetabular and 61 type II acetabular. Posterior acetabular sector angle was 114&...
Source: Journal of Orthopaedics - January 27, 2020 Category: Orthopaedics Source Type: research

Self-Reported Systemic Complaints in Patients with Metal-on-Metal Hip Arthroplasty
DiscussionOcular-vestibular symptoms were more common in high cobalt ion concentration groups for the three threshold levels tested and with increasing prevalence for higher threshold values. With regards to proactively inquired, self-reported symptoms the threshold where effects may be present could be lower than values currently applied in clinical follow-up (Source: Journal of Orthopaedics)
Source: Journal of Orthopaedics - January 26, 2020 Category: Orthopaedics Source Type: research

Clinical and Functional Outcomes of Total Hip Arthroplasty in Patients with Cerebral Palsy: A Systematic Review
Publication date: Available online 25 January 2020Source: Journal of OrthopaedicsAuthor(s): Curtis T. Adams, Akshay LakraABSTRACTHip joint subluxation and dislocations are very common in cerebral palsy (CP) patients and are directly related to the degree of spasticity. Hip dislocation and subluxation leads to hip pain and difficulty in hygiene maintenance by caregiver. Most cases require some sort of surgical intervention to improve the quality of life in these patients. For many years’ pelvic and proximal femoral osteotomies with soft tissue releases was the main stay of treatment for these hips in CP patients. Hip ...
Source: Journal of Orthopaedics - January 26, 2020 Category: Orthopaedics Source Type: research