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Specialty: Orthopaedics
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Total 436 results found since Jan 2013.
Association Between Cervical Fracture Patterns and Blunt Cerebrovascular Injury When Screened with Computed Tomographic Angiography
Vertebral artery injury (VAI) is estimated to be present in upwards of 0.7% of all patients who sustain blunt trauma [1 –7], and in 19-39% of all cervical spine fractures. This is likely due to the close anatomic relationship between the cervical spine and the vertebral arteries. There has been significant interest in determining the risk factors for development of VAI and carotid artery injuries (CAI) because of t he potentially catastrophic outcomes in a missed posterior circulation stroke. If undetected blunt cerebrovascular injuries (BCVI), which include both VAI and CAIs, have significant morbidity and mortality wit...
Source: The Spine Journal - September 19, 2023 Category: Orthopaedics Authors: Peter Z Du, Nicholas D Christopher, Venkat Ganapathy Tags: Clinical Study Source Type: research
Effectiveness of mid thoracic spine mobilization on postural balance and gait ability in subacute stroke patients: A randomized clinical trial
CONCLUSIONS: Mid-thoracic spine mobilization allows significant improvements in postural balance and gait ability in subacute stroke patients, with no differences between the SNAG and MM techniques.PMID:37718778 | DOI:10.3233/BMR-230144
Source: Journal of Back and Musculoskeletal Rehabilitation - September 18, 2023 Category: Orthopaedics Authors: Jinhong Kim Juchul Cho Source Type: research
A systematic review of perturbation-based balance training on reducing fall risk among individuals with stroke
The existing evidence does not conclusively support the reduction in falls and improvements in fall risk factors resulting from perturbation-based balance training among people with stroke. Such an inconsistent finding could be due to the small sample sizes and variations in perturbation-based balance training protocols across studies. More high-quality studies are needed to further determine the effects of perturbation-based balance training on reducing fall risk in people with stroke.
Source: Clinical Biomechanics - August 22, 2023 Category: Orthopaedics Authors: Dian é Brown, Caroline Simpkins, Feng Yang Tags: Review Source Type: research
Intramedullary Nailing of Intertrochanteric Femoral Fractures in a Level I Trauma Center in Finland: What Complications Can be Expected?
CONCLUSION: This study provides a better understanding of the occurrence of surgical and medical complications after intramedullary nailing of intertrochanteric fractures. The new-generation nail types are comparable options based on the risk of reoperation. Anticoagulation, congestive heart failure, and hypertension were associated with major complications, highlighting the need for careful management and monitoring of these comorbidities during intramedullary nailing procedures.Level of Evidence Level III, therapeutic study.PMID:37582281 | DOI:10.1097/CORR.0000000000002792
Source: Clinical Orthopaedics and Related Research - August 15, 2023 Category: Orthopaedics Authors: Miika L ähdesmäki Antti Aj Ylitalo Leevi Karjalainen Mikko Uimonen Ville M Mattila Jussi P Repo Source Type: research
The association between cervical artery dissection and spinal manipulation among US adults
ConclusionAmong privately insured US adults, the overall risk of CeAD is very low. Prior receipt of CSM was more likely than E&M among VAD patients as compared to stroke patients. However, for CAD patients as compared to stroke patients, as well as for both VAD and CAD patients in comparison with population controls and in case-crossover analysis, prior receipt of E&M was more likely than CSM.
Source: European Spine Journal - July 8, 2023 Category: Orthopaedics Source Type: research
The accuracy of hip fracture data entered into the national surgical quality improvement program (NSQIP) database
ConclusionHip fracture CPT codes and 30-day complication data entered into the NSQIP registry were frequently inaccurate. Studies incorporating NSQIP data should acknowledge these potential limitations of the registry, and future research to validate NSQIP orthopedic data across procedures and institutions is necessary.Level of Evidence: Level IIIDiagnostic study
Source: European Journal of Orthopaedic Surgery and Traumatology - June 17, 2023 Category: Orthopaedics Source Type: research
Association of cervical atherosclerosis on Doppler ultrasonography and postoperative delirium in patients undergoing spinal surgery: a single-center, retrospective, observational study
ConclusionsThere was a significant association between POD and the prevalence of cervical atherosclerosis using the univariate logistic regression analysis. Furthermore, multivariate logistic regression analyses showed that older age and antiplatelet agent use were independently associated with POD.
Source: European Spine Journal - June 16, 2023 Category: Orthopaedics Source Type: research
Why anticoagulant studies on sepsis fail frequently --- start with SCARLET
Chin J Traumatol. 2023 May 2:S1008-1275(23)00042-1. doi: 10.1016/j.cjtee.2023.04.006. Online ahead of print.ABSTRACTThe Sepsis Coagulopathy Asahi Recombinant LE Thrombomodulin (SCARLET) trial has many defects, and thus cannot be the terminator of recombinant thrombomodulin (rTM). On the contrary, it provides sufficient evidence for further research. Based on analysis focusing on the failure of SCARLET and several previous anticoagulant studies, it is most important for new studies to grasp the following two points: (1) The enrolled cases should have sufficient disease severity and a clear standard for disseminated intravas...
Source: Chinese Journal of Traumatology - June 15, 2023 Category: Orthopaedics Authors: Jian-Ying Guo Hong-Yuan Lin Source Type: research
