Global Perspectives on Arthroplasty of Hip and Knee Joints
In this report, data from these registries in addition to manufacturer reports were used to evaluate procedure volumes and implants utilization trends of primary and revision total hip and knee replacement around the world. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - February 4, 2020 Category: Orthopaedics Authors: Mohammad S. Abdelaal, Camilo Restrepo, Peter F. Sharkey Source Type: research

The Changing Face of Infection, Diagnosis, and Management in the United Kingdom
This article summarizes recent developments in the diagnosis and management of this increasingly prevalent issue specifically focusing on outcomes following debridement, antibiotics, and implants retention and one-stage revision procedures. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - February 4, 2020 Category: Orthopaedics Authors: Syed S. Ahmed, Khaled M. Yaghmour, Fares S. Haddad Source Type: research

Elbow Hemiarthroplasty for the Treatment of Distal Humerus Fractures
Distal humerus hemiarthroplasty is a good surgical option for nonreconstructable intraarticular distal humerus fractures in selected lower-demand patients. The lifetime activity restrictions have not been determined, but are likely less than a total elbow arthroplasty. From a technical standpoint, distal humeral prostheses should be implanted at the correct depth and rotation. The collateral ligaments, condyles, and epicondyles should be preserved and/or repaired to maintain joint stability. Short- to midterm retrospective studies have shown promising results. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - February 3, 2020 Category: Orthopaedics Authors: Nicholas Chang, Graham J.W. King Source Type: research

Global Perspectives on Management of Shoulder Instability
The glenohumeral joint is prone to instability. Patients with instability should have a physical examination. Imaging studies can provide additional information. Classification schemes that into account soft tissue pathology, neuromuscular control, bone loss, and activity level. An arthroscopic Bankart repair is the mainstay for unidirectional instability. Bone block procedures are indicated for patients with bone loss or a failed attempt at stabilization surgery. The arthroscopic Latarjet is a promising option for these patients. For patients with multidirectional instability, prolonged rehabilitation is indicated, follow...
Source: Orthopedic Clinics of North America - January 31, 2020 Category: Orthopaedics Authors: Lisa G.M. Friedman, Laurent Lafosse, Grant E. Garrigues Source Type: research

The Burden of Pediatric Musculoskeletal Diseases Worldwide
Global burden of disease (GBD) refers to the economic and human costs resulting from poor health. The disability-adjusted life year is a measure of life lost from premature death and life not lived at 100% health. Surgery has long been neglected in the distribution of resources for global health. Because of years of life lived with a disability and the large proportion of children in a population, pediatric musculoskeletal conditions early in life can contribute to the GBD. Fortunately, the World Health Organization has recently promoted essential surgical services through its Emergency and Essential Surgical Care Project ...
Source: Orthopedic Clinics of North America - January 30, 2020 Category: Orthopaedics Authors: Richard M. Schwend Source Type: research

Ulnar Abutment Syndrome in the Athlete
Ulnar abutment (ulnocarpal impaction) syndrome may be a source of ulnar-sided wrist pain in the athlete. This condition results from excessive load transfer across the triangular fibrocartilage complex and ulnocarpal joints with characteristic degenerative changes. It frequently occurs in patients with either static or dynamic ulnar positive variance. Treatment is tailored to the athlete and their sporting demands. Surgical treatment focuses on addressing ulnar variance to unload the ulnocarpal joint, with multiple surgical options, including the metaphyseal closing wedge osteotomy achieving this goal. This review focuses ...
Source: Orthopedic Clinics of North America - January 29, 2020 Category: Orthopaedics Authors: Thomas R. Acott, Jeffrey A. Greenberg Source Type: research

Intertrochanteric Femur Fracture Treatment in Asia
This article summarizes 10 concepts in hip fracture treatment over the past 20  years, including fracture line mapping, proximal lateral wall and anterior cortex, posteromedial lesser trochanter-calcar fragment, anteromedial cortex support reduction, changes of fracture reduction after sliding and secondary stability, nail entry point and wedge-open deformity, tip-apex distan ce and calcar-referenced tip-apex distance, femoral anterior bowing and nail modification, long nails for wide medullary canal and large posterior coronal fragment, and postoperative stability score. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - January 29, 2020 Category: Orthopaedics Authors: Shi-Min Chang, Zhi-Yong Hou, Sun-Jun Hu, Shou-Chao Du Source Type: research

Impact of North American Institutions on Orthopedic Research in Low- and Middle-Income Countries
This article presents a select list of models for high-income countries/low- and middle-income countries research partnerships including academic partnerships, international research consortia, professional society –associated working groups, and nongovernmental organization partnerships. Models that produce research with lasting legacy are those that promote mutually beneficial partnerships over individual gains. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - January 22, 2020 Category: Orthopaedics Authors: Ericka von Kaeppler, Claire Donnelley, Heather J. Roberts, Nathan N. O ’Hara, Nae Won, David W. Shearer, Saam Morshed Source Type: research

International Collaboration in Total Joint Arthroplasty
Despite the increase in utilization of total joint arthroplasty (TJA) throughout high-income countries, there is a lack of access to basic surgical care, including TJA, in low- and middle-income countries (LMICs). Multiple strategies, including short-term surgical trips, establishment of local TJA centers, and education-based international academic collaborations, have been used to bridge the gap in access to quality TJA. The authors review the obstacles to providing TJA in LMICs, the outcomes of the 3 strategies in use to bridge gaps, and a framework for the establishment and maintenance of meaningful international collab...
Source: Orthopedic Clinics of North America - January 18, 2020 Category: Orthopaedics Authors: Elizabeth B. Gausden, Ajay Premkumar, Mathias P. Bostrom Source Type: research

Challenges to Implementing Total Joint Replacement Programs in Developing Countries
In this review article, the authors present the many challenges that orthopedic surgeons in developing countries face when implementing arthroplasty programs. The issues of cost, sterility, and patient demographics are specifically addressed. Despite the many challenges, developing countries are beginning to offer hip and knee reconstructive surgery to respond to the increasing demand for such elective operations as the prevalence of osteoarthritis continues to increase. The authors shed light on these nascent arthroplasty programs. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - January 16, 2020 Category: Orthopaedics Authors: Christopher Pedneault, Stefan St George, Bassam A. Masri Source Type: research

Obesity is Associated with an Increased Prevalence of Glenohumeral Osteoarthritis and Arthroplasty
The relationship between obesity and glenohumeral osteoarthritis is relatively understudied. The purpose of this study was to better define this relationship by age- and gender-matching 596,874 patients across six body mass index (BMI) cohorts and determining the prevalence of glenohumeral osteoarthritis and the standardized rate of glenohumeral arthroplasty in each cohort. Individuals with a BMI over 24 were found to be at increased odds for developing glenohumeral osteoarthritis, compared to the normal BMI cohort, and individuals with a BMI over 30 were additionally found to be at increased odds for undergoing glenohumer...
Source: Orthopedic Clinics of North America - January 16, 2020 Category: Orthopaedics Authors: Kevin C. Wall, Cary S. Politzer, Jorge Chahla, Grant E. Garrigues Source Type: research

Development of a Global Pediatric Orthopedic Outreach Program in Ecuador Through Project Perfect World
Global health delivery is a complex initiative requiring dedicated personnel to achieve a successful program. To be most beneficial, global health delivery should focus on cultural competence, bidirectional education, and capacity building through direct and purposeful means. The authors present the expansion of their global health delivery program in Ecuador focusing on the evolution of the program from a medical mission trip to a multilayered program that helps foster engagement, education, and learning while helping children who might not otherwise have access to care, along with future directions and potential methods ...
Source: Orthopedic Clinics of North America - January 16, 2020 Category: Orthopaedics Authors: Eric Fornari, Richard M. Schwend, Jacob Schulz, Christopher Bray, Matthew R. Schmitz Source Type: research

Unicompartmental Knee Arthroplasty
Unicompartmental knee arthroplasty (UKA) is a treatment option for anteromedial osteoarthritis. Compared with total knee arthroplasty (TKA), UKA offers improved knee range of motion, functional recovery and decreased medical complications. Revision rates continue to be higher with UKA compared with TKA. With current UKA implants, there is no significant difference in mobile bearing or fixed bearing, or between cemented and cementless implants. Enabling technology, such as robotic-assisted surgery, has demonstrated improvements in component positioning, but no long-term difference in survival compared with traditional manua...
Source: Orthopedic Clinics of North America - January 13, 2020 Category: Orthopaedics Authors: David A. Crawford, Keith R. Berend, Emmanuel Thienpont Source Type: research

Operative Distal Radial Fractures
To determine if orthopedic surgeons are more efficient than nonsurgical providers at care of operative injuries in walk-in clinics, patients in a walk-in clinic for evaluation of acute injury who subsequently had surgical treatment of isolated distal radial fracture were compared based on whether the initial visit was with a surgical or nonsurgical provider. Initial evaluation in a walk-in orthopedic clinic setting versus a conventional hand surgeon ’s clinic was associated with longer delay between initial evaluation and surgical treatment, but this difference may not be significant. Evaluation by a nonsurgical prov...
Source: Orthopedic Clinics of North America - December 24, 2019 Category: Orthopaedics Authors: Matthew N. Fournier, Joseph T. Cline, Adam Seal, Richard A. Smith, Thomas W. Throckmorton, Benjamin M. Mauck Source Type: research

Peroneal Tendon Pathology
Peroneal tendon pathology is becoming an increasingly recognized source of lateral-sided ankle pain. High clinical suspicion, along with judicious physical examination coupled with confirmatory advanced imaging modalities, are necessary to make an accurate diagnosis and aid in guiding treatment. Peroneal pathology encompasses several distinct conditions. Peroneal tendon tears and injuries to the peroneal retinaculum must be identified to guide treatment. Patients with peroneal pathology report high levels of satisfaction after surgical management with most returning to their preinjury level of function. An early and accura...
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Authors: Sophia R. Bahad, Justin M. Kane Source Type: research

Current Techniques in Scapholunate Ligament Reconstruction
This article describes the relevant anatomy, biomechanics, and classification system, and provides an up-to-date literature-based review of treatment options, including acute repair and various reconstruction techniques. It also helps guide surgeons in making decisions regarding a systematic treatment algorithm for these injuries. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Authors: Ian Mullikin, Ramesh C. Srinivasan, Mark Bagg Source Type: research

Reconstruction
Orthopedic “reconstruction” techniques, from total joint replacement to ligament reconstruction, encompass a variety of anatomic areas and musculoskeletal conditions. Innovative devices and techniques continue to improve outcomes and decrease complications and morbidity. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Authors: Frederick M. Azar Tags: Preface Source Type: research

Orthopedic Clinics of North America
www.orthopedic.theclinics.com (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Source Type: research

Copyright
ELSEVIER (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Source Type: research

Editorial Board
Professor, Department of Orthopaedic Surgery& Biomedical Engineering, University of Tennessee-Campbell Clinic; Chief-of-Staff, Campbell Clinic, Inc, Memphis, Tennessee (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Source Type: research

Contributors
MELISSA M. ALLEN, MD, MSCR (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Source Type: research

Contents
Frederick M. Azar (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Source Type: research

Forthcoming Issues
April 2020 (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - November 16, 2019 Category: Orthopaedics Source Type: research

Safety and Cost-Effectiveness of Outpatient Unicompartmental Knee Arthroplasty in the Ambulatory Surgery Center
Using an age- and comorbidity-matched cohort, we compared patients who underwent unicompartmental knee arthroplasty in an ambulatory surgery center with those who underwent the procedure in a traditional hospital inpatient setting. Postoperatively, the ambulatory surgery center cohort had fewer major complications than the inpatient cohort. No ambulatory surgery center patients required acute hospital admission and none had major complications. Four major complications occurred in the inpatient cohort. There was no difference in complication rates. Our results suggest that outpatient unicompartmental knee arthroplasty in a...
Source: Orthopedic Clinics of North America - October 21, 2019 Category: Orthopaedics Authors: Marcus C. Ford, Jordan D. Walters, Ryan P. Mulligan, Gregory D. Dabov, William M. Mihalko, Anthony M. Mascioli, Thomas W. Throckmorton Source Type: research

Open Reduction and Internal Fixation Plus Total Hip Arthroplasty for the Acute Treatment of Older Patients with Acetabular Fracture
This article describes the important intrinsic factors for acetabular component stability, choice of surgical approach for management of these injuries, and surgical technique for anterior and posterior approaches. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - October 21, 2019 Category: Orthopaedics Authors: Theodore T. Manson Source Type: research

Treatment for Post-Slipped Capital Femoral Epiphysis Deformity
In situ pinning of slipped capital femoral epiphysis is a safe and effective treatment modality, but often results in residual deformity leading to femoroacetabular impingement, which may limit patient activities and predispose to early onset arthritis. Enhanced understanding of the implications of femoroacetabular impingement and new surgical techniques have prompted interest in treating post-slipped capital femoral epiphysis deformity to both improve current symptoms and delay or prevent hip arthrosis. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - October 21, 2019 Category: Orthopaedics Authors: Melissa M. Allen, Scott B. Rosenfeld Source Type: research

Pediatric Anterior Cruciate Ligament Reconstruction
The increasing incidence of anterior cruciate ligament injuries in skeletally immature children demands careful attention by orthopedic surgeons. Assessing skeletal age is essential to selecting the appropriate reconstruction technique. Males with a bone age of 15 years or older and females of 13 years and older are ideal candidates for a transphyseal anterior cruciate ligament reconstruction because there is minimal risk of growth disturbance. Children with substantial growth remaining (skeletal age males ≤12 years and females ≤10 years) seem to be at risk for more significant growth disturbance, so we gen...
Source: Orthopedic Clinics of North America - October 21, 2019 Category: Orthopaedics Authors: Crystal A. Perkins, S. Clifton Willimon Source Type: research

Topical Tranexamic Acid Is Effective in Cementless Total Knee Arthroplasty
Surgical techniques used to decrease the amount of blood lost during the procedure range from tourniquets to electrocautery and, more recently, the use of antifibrinolytics. Currently, tranexamic acid (TXA) is the most commonly used antifibrinolytic in arthroplasty procedures. It was previously thought that intravenous TXA was more effective than topical TXA, but had an increased risk of thrombosis and cardiac events; however, this study showed that topical TXA more effectively decreases blood loss and the need for a blood transfusion after hybrid fixation total knee arthroplasty (TKA) compared to cemented TKA. (Source: Or...
Source: Orthopedic Clinics of North America - October 17, 2019 Category: Orthopaedics Authors: Stephen Chambers, Luke Tidwell, Anita Kerkhof, Richard Smith, William M. Mihalko Source Type: research

Outcomes of Reconstruction of the Flexible Adult-acquired Flatfoot Deformity
This article summarizes recent studies demonstrating that patients have significant improvements after operative treatment of flexible AAFD. It reviews current literature on clinical and radiographic outcomes of the MCO, LCL, and Cotton osteotomies. The authors describe how this information can be used in surgical decision making in order to tailor operative treatment to an individual patient ’s deformity. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - October 17, 2019 Category: Orthopaedics Authors: Matthew S. Conti, Jonathan H. Garfinkel, Scott J. Ellis Source Type: research

Acute Distal Femoral Replacement for Fractures About the Knee in the Elderly
This article summarizes the existing literature plus the authors ’ personal experience with DFR use for distal femoral fractures of the native knee. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - October 17, 2019 Category: Orthopaedics Authors: Olivia M. Rice, Bryan D. Springer, Madhav A. Karunakar Source Type: research

Scaphoid Reconstruction
Surgical strategies for scaphoid nonunions become more complex based on time from injury to treatment. The decision-making process can follow a logical sequence. Scaphoid nonunions less than 1  year after trauma and no carpal malalignment can be treated with percutaneous screw fixation under fluoroscopic and/or arthroscopic guidance. Reinterventions or patients with avascular proximal poles that do not need substantial grafts are reliably treated with pedicle vascularized bone grafts. Re section of the distal pole of the scaphoid is a good option in old injuries or after a failed scaphoid procedure. When there is radi...
Source: Orthopedic Clinics of North America - October 17, 2019 Category: Orthopaedics Authors: Cristian S. Borges, Paulo H. Ruschel, Milton B. Pignataro Source Type: research

Proximal Humeral Bone Loss in Revision Shoulder Arthroplasty
Proximal humeral bone loss in revision shoulder arthroplasty poses a significant obstacle to achieving stable and reliable fixation of the humeral stem. It is important to identify and classify this bone loss preoperatively, which can range from epiphyseal to substantial diaphyseal bone loss. There are several reconstructive options that can address the varying levels of bone loss, including cemented long-stem fixation, a composite construct using proximal humeral allograft or femoral allograft, proximal humeral endoprosthetic replacement, or total humeral replacement. All of these are viable reconstructive options that ha...
Source: Orthopedic Clinics of North America - October 14, 2019 Category: Orthopaedics Authors: Timothy Kahn, Peter N. Chalmers Source Type: research

Osteochondral Reconstruction of the Capitellum
Osteochondritis dissecans (OCD) of the capitellum is a relatively rare condition, with a higher incidence in adolescents who participate in repetitive overhead sports. The surgical treatment approach for this uncommon problem has varied from microfracture, loose body removal, abrasion chrondroplasty, lesion fixation, osteochondral allograft transplantation surgery, and osteochondral autologous transplantation surgery. The purpose of this study is to present the authors ’ preferred surgical technique for the treatment of unstable OCD lesions of the capitellum with osteochondral autologous transplantation surgery using...
Source: Orthopedic Clinics of North America - September 25, 2019 Category: Orthopaedics Authors: Brent J. Morris, Casey J. Kiser, Hussein A. Elkousy, J. Michael Bennett, Thomas L. Mehlhoff Source Type: research

Pathogenesis of Posttraumatic Osteoarthritis of the Ankle
Ankle osteoarthritis affects a significant portion of the global adult population. Unlike other joints, arthritis of the ankle often develops as a response to traumatic injury (intra-articular fracture) of the ankle joints. The full mechanism leading to posttraumatic osteoarthritis of the ankle (PTOAA) is poorly understood. These deficits in knowledge pose challenges in the management of the disease. Adequate surgical reduction of fractured ankle joints remains the gold standard in prevention. The purpose of this review is to thoroughly delineate the known pathogenesis of PTOAA, and provide critical updates on this patholo...
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Authors: Eugene C. Nwankwo, Lawal A. Labaran, Vincent Athas, Steve Olson, Samuel B. Adams Source Type: research

Posttraumatic Arthritis After Intra-Articular Distal Femur and Proximal Tibia Fractures
Posttraumatic arthritis (PTA) is a form of joint degeneration that occurs after physical trauma to a synovial joint. Development of PTA is multifactorial and results from mechanical damage at the time of trauma, a cell-mediated inflammatory response, and abnormal articulation due to persistent malalignment or joint instability. Although some risk factors may be unavoidable, preventing the development of PTA of the knee after intra-articular fracture (IAF) requires restoring anatomic articulation and alignment. Reconstruction with total knee arthroplasty is the treatment of choice for PTA and may be a useful primary treatme...
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Authors: Jacob T. Davis, Matthew I. Rudloff Source Type: research

Orthopedic Clinics of North America
www.orthopedic.theclinics.com (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Source Type: research

Copyright
ELSEVIER (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Source Type: research

Contributors
SAMUEL B. ADAMS, MD (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Source Type: research

Contents
Frederick M. Azar (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Source Type: research

Forthcoming Issues
January 2020 (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Source Type: research

Editorial Board
Professor, Department of Orthopaedic Surgery& Biomedical Engineering, University of Tennessee-Campbell Clinic; Chief-of-Staff, Campbell Clinic, Inc, Memphis, Tennessee (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 27, 2019 Category: Orthopaedics Source Type: research

The Current Status of Cell-Based Therapies for Primary Knee Osteoarthritis
This study systematically reviews the current status of cell-based therapies. The authors review treatment modalities, clinical outcomes, and the economics of cell therapy. Inclusion criteria were articles containing cellular therapy, platelet-rich plasma, and knee osteoarthritis in the title. Letters, editorial material, abstracts not published, and manuscripts with incomplete data were excluded. Forty-two articles met these inclusion criteria and were critically reviewed. Cell-based therapy holds promise as a means of restoring deficient local cartilage cell populations. There is no evidence-based information for the use...
Source: Orthopedic Clinics of North America - August 6, 2019 Category: Orthopaedics Authors: Rushabh M. Vakharia, Martin W. Roche, Jose Carlos Alcerro, Carlos Jesus Lavernia Source Type: research

Juvenile Idiopathic Arthritis for the Pediatric Orthopedic Surgeon
Juvenile idiopathic arthritis includes conditions characterized by joint inflammation of unknown etiology lasting longer than 6  weeks in patients younger than 16 years. Diagnosis and medical management are complex and best coordinated by a pediatric rheumatologist. The mainstay of therapy is anti-inflammatory and biologic medications to control pain and joint inflammation. Orthopedic surgical treatment may be indicated fo r deformity, limb length inequality, or end-stage arthritis. Evaluation of the cervical spine and appropriate medication management in consultation with a patient’s rheumatologist are ess...
Source: Orthopedic Clinics of North America - August 6, 2019 Category: Orthopaedics Authors: Karen M. Bovid, Mary D. Moore Source Type: research

Outcomes Following Total Ankle Arthroplasty
This article reviews the latest data from national registries and the wider literature to evaluate the current status with outcomes of modern total ankle replacements. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 6, 2019 Category: Orthopaedics Authors: Luckshmana Jeyaseelan, Sam Si-Hyeong Park, Husam Al-Rumaih, Andrea Veljkovic, Murray J. Penner, Kevin J. Wing, Alistair Younger Source Type: research

Knee Osteoarthritis
The number of total knee arthroplasty (TKA) surgeries is expected to soar, and an effective nonoperative rehabilitation program is needed. We began treating patients with knee osteoarthritis with a range-of-motion (ROM) -based rehabilitation program that was delivered systematically, starting with ROM exercises for knee extension, followed by exercises for flexion and swelling reduction, before starting a strengthening program. In a group of 396 patients, significant improvements were made in knee extension, flexion, and KOOS subjective scores for pain, symptoms, activities of daily living, sport, and quality of life. Furt...
Source: Orthopedic Clinics of North America - August 5, 2019 Category: Orthopaedics Authors: Rodney W. Benner, K. Donald Shelbourne, Scot N. Bauman, Adam Norris, Tinker Gray Source Type: research

Evaluation and Management of Scaphoid-Trapezium-Trapezoid Joint Arthritis
Degenerative arthritis at the articulation of the scaphoid, trapezium, and trapezoid (STT or triscaphe joint) is a common degenerative disease of the wrist. Pain and weakness with grip strength reduction and functional limitations when performing routine daily tasks are common complaints of patients with STT arthritis. Initial conservative treatments for STT arthritis include splinting, bracing, activity modification, anti-inflammatory medication, and steroid injections for pain relief. Failure of conservative treatment is the main indication for surgery, which may include distal scaphoid excision, with or without filling ...
Source: Orthopedic Clinics of North America - August 5, 2019 Category: Orthopaedics Authors: John C. Wu, James H. Calandruccio Source Type: research

Pediatric Septic Arthritis
Septic arthritis in children is a surgical emergency, and prompt diagnosis and treatment are mandatory. If diagnosed quickly and treated correctly, the outcomes can be good. With delay in diagnosis and without proper treatment, outcomes often are quite devastating, with growth disturbance and joint destruction. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - August 2, 2019 Category: Orthopaedics Authors: Daniel W. Brown, Benjamin W. Sheffer Source Type: research

Management of the B2 Glenoid in Glenohumeral Osteoarthritis
This article describes each of these techniques and presents the current available literature in an effort to guide evidence-based decisions in the surgical management of the B2 glenoid deformity. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - July 31, 2019 Category: Orthopaedics Authors: Siddhant K. Mehta, Alexander W. Aleem Source Type: research

Minimizing Posttraumatic Osteoarthritis After High-Energy Intra-Articular Fracture
This article serves to provide an overview of molecular and surgical interventions to minimize the progression of posttraumatic arthritis following high-energy intra-articular fractures. The roles of cartilage and the microcellular environment are discussed, as well as the response of the joint and cartilage to injury. Molecular therapies, such as glucocorticoids, mesenchymal stem cells, and bisphosphonates, are presented as potential treatments to prevent progression to posttraumatic arthritis. High-energy intra-articular fractures of the elbow, hip, knee, and ankle are discussed, with emphasis on restoring anatomic align...
Source: Orthopedic Clinics of North America - July 11, 2019 Category: Orthopaedics Authors: Huai Ming Phen, Mara L. Schenker Source Type: research

Arthritis of the Thumb Interphalangeal and Finger Distal Interphalangeal Joint
The distal interphalangeal (DIP) joints are subjected to the highest joint forces in the hand, and at least 60% of individuals older than age 60  years have DIP joint arthritis. Debridement of degenerative distal interphalangeal joints with mild to moderate disease can provide satisfactory outcomes; however, those joints with more severe angular and rotation changes are reliably treated with fusions. Regardless of the fixation method, DIP f usions have high success rates, are well tolerated, and are extremely durable. (Source: Orthopedic Clinics of North America)
Source: Orthopedic Clinics of North America - July 5, 2019 Category: Orthopaedics Authors: John C. Wu, James H. Calandruccio, William Jacob Weller, Peter R. Henning, Colin W. Swigler Source Type: research