Orthopaedic Trauma Journal Scan

Related Articles

Perspectives of Being Spouse, Parent, Surgeon.

J Orthop Trauma. 2013 Jul 22;

Authors: Murtha Y

Abstract
: Achieving a balance between one's career and personal life is a never-ending challenge. As a surgeon, add-on cases and double booked clinics can lead to long hours at work, and make availability for family time unpredictable. It may seem like the threat of interruption due to patient needs always looms. Disruptions to family time extend beyond the long hours spent in surgery and clinics. Inattentiveness at home due to the technology tethers that keep one available for constant questions and patient care issues can also distract from time spent with family. While the practice of an orthopaedic trauma surgeon can involve unpredictable schedules and patient care issues, there are means of mitigating the chaos that can envelop one's personal life as a result of a chosen career track. Clear priorities and expectations in both personal and professional arenas can improve the work-life balance. Flexible jobs that allow for more time with family do exist. Negotiating for this flexibility and self-assurance in holding fast to personal ideals is important in achieving a successful balance.

PMID: 23880565 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880565?dopt=Abstract

Related Articles

Evaluation of reduction and fixation of calcaneal fractures: a Delphi consensus.

Arch Orthop Trauma Surg. 2013 Jul 28;

Authors: Beerekamp MS, Luitse JS, Ubbink DT, Maas M, Schep NW, Goslings JC

Abstract
BACKGROUND: Postoperative radiological assessment of the quality of reduction and fixation of calcaneal fractures is essential when evaluating treatment success. However, a universally accepted radiological evaluation protocol is currently unavailable. The aim of this study was to obtain an expert-based consensus on the most important criteria for the radiological assessment of the quality of reduction and fixation of calcaneal fractures.
METHODS: The Delphi method, consisting of three rounds, was used to obtain consensus. Each round focused on four main topics of calcaneal fracture evaluation: imaging technique (38 items), anatomical landmarks (21 items), fracture reduction (16 items) and position of the fixation material (9 items). We invited ten radiologists and 44 surgeons from the USA and Europe (all calcaneus experts) to complete online questionnaires. They were asked which aspects require evaluation to determine the quality of fracture reduction and fixation. Agreement was expressed as the percentage of respondents with identical answers. Consensus was defined as an agreement of at least 80 %.

Related Articles

The View from the Other Side of the Desk: What an Employer Looks for During an Interview.

J Orthop Trauma. 2013 Jul 22;

Authors: Lundy DW

Abstract
: It may be helpful for orthopaedic surgeons seeking employment to consider what the recruiting orthopaedic surgeon on the side of the desk is thinking! Well-managed orthopaedic practices realize how expensive it is to recruit new surgeons only to lose them two years later, and these practices will try diligently to ensure that there is a good fit between the candidate and the practice before offering a position. It is also important to realize that many practices cannot promise everything that a starting orthopaedic surgeon will want, and ignoring practices that are realistic in their guarantees will cause the candidate to overlook some very good opportunities. Although no one can ever guarantee a perfect decision every time, using common sense and reasonable due diligence will often result in a good match.

PMID: 23880564 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880564?dopt=Abstract

Related Articles

The pattern of acute injuries in patients from alpine skiing accidents has changed during 2000-2011: analysis of clinical and radiological data at a level I trauma center.

Arch Orthop Trauma Surg. 2013 Jul 28;

Authors: Wick MC, Dallapozza C, Lill M, Grundtman C, Chemelli-Steingruber IE, Rieger M

Abstract
OBJECTIVES: During the last decade, many educational efforts and technological improvements have been made to protect skiing athletes from injuries. Whether these efforts have changed the pattern of acute injuries from skiing casualties has not yet been shown on a medical basis, which this longitudinal study examines.
METHODS: All patients transferred to the Department of Radiology of our level I trauma center for acute emergency computed tomography (CT) after alpine skiing accidents from 2000 to 2011 were included. We hypothesized that only patients with clinical suspicion for injuries were admitted for acute CT.

Related Articles

The Value of Preoperative Planning.

J Orthop Trauma. 2013 Jul 22;

Authors: Graves ML

Abstract
"Better to throw your disasters into the waste paper basket than to consign your patients to the scrap heap" has been a proverb of Jeff Mast, one of the greatest fracture and deformity surgeons in the history of our specialty. Stated slightly more scientifically, one of the major values of simulation is that it allows one to make mistakes in a consequence-free environment. Preoperative planning is the focus of this article. The primary goal is not to provide you with a recipe of how-to steps. Rather, the primary goal of this article is to explain why preoperative planning should be standard, to clarify what should be included, and to provide examples of what can happen when planning is ignored. At the end of this, we should all feel the need to approach fracture care more intellectually with forethought, both in our own practices and in our educational system.

PMID: 23880563 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880563?dopt=Abstract

Related Articles

Infection as a cause of primary total hip arthroplasty revision and its predictive factors.

Orthop Traumatol Surg Res. 2013 Jul 25;

Authors: Reina N, Delaunay C, Chiron P, Ramdane N, Hamadouche M, the Société française de chirurgie orthopédique et traumatologique

Abstract
INTRODUCTION: Infection is a serious complication of total hip arthroplasty (THA) and is one of the most frequent causes of failure. The goal of this study was to evaluate the importance of infection among the different causes of revision THA and identify any risk factors specifically associated with this cause of revision.
MATERIALS AND METHODS: All patients who underwent a first revision of THA were included in a prospective multicenter study. Postoperative clinical and radiological evaluation and follow-up of morbidity and mortality were performed at 3months.

Related Articles

Getting What You Need from the Hospital to Succeed as a Traumatologist.

J Orthop Trauma. 2013 Jul 22;

Authors: Agnew SG, Jones CB

Abstract
Currently, the market for orthopaedic trauma surgeons is varied. The market consists of university employed, university private, medical group employed, medical group private, private employed, private contracted, and private. Each option has its positives and negatives. The orthopaedic trauma surgeon needs to determine which setting is appropriate for his/her given needs and wants. An experienced mentor(s) is invaluable for advice and guidance. The surgeon then needs to find an administrative leader to initiate, implement, and evaluate certain processes in order to succeed.

PMID: 23880562 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880562?dopt=Abstract

Related Articles

Primary total hip arthroplasty revision due to dislocation: Prospective French multicenter study.

Orthop Traumatol Surg Res. 2013 Jul 24;

Authors: Girard J, Kern G, Migaud H, Delaunay C, Ramdane N, Hamadouche M, la Société française de chirurgie orthopédique et traumatologique

Abstract
INTRODUCTION: Dislocation following total hip arthroplasty (THA) may require surgical revision, and is one of the most frequent causes for revision in national registers. The goals of this study were to determine the characteristics of revision THA for dislocation and identify the typical features of hips revised due to dislocation.
MATERIALS AND METHODS: A prospective multicenter study (30 centers) was performed in first revision THA performed between January 1, 2010 and December 31, 2011 (multiple revisions were excluded).

Related Articles

Expert Medical Testimony for Your Injured Patients.

J Orthop Trauma. 2013 Jul 22;

Authors: Lang GJ

Abstract
Many injured patients sustain some type of loss. If someone else is responsible for the injury, the injured patient can pursue compensation for this loss. In the course of treating an injured patient you may be asked to participate in the legal process to resolve such claims. The basic components of a personal injury claim are reviewed. An overview of the legal process will help clarify your role in the legal process. Enhanced understanding will allow you to provide important medical testimony for your injured patient.

PMID: 23880561 [PubMed - as supplied by publisher]

Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880561?dopt=Abstract