Latest journal articles about orthopaedic trauma and fracture management from Journal of Orthopaedic Trauma, Archives of Orthopaedic and Trauma Surgery, Orthopaedics and Traumatology: Surgery and Research, The Bone & Joint Journal, Journal of Bone and Joint Surgery, Clinical Orthopaedics and Related Research, Acta Orthopaedica, Orthopedic Clinics of North, America, Journal of Orthopaedic Surgery and Research, Orthopedics
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Evaluation of surgical treatment for ruptured Achilles tendon in 31 athletes.
Orthop Traumatol Surg Res. 2013 Jul 22;
Authors: Jallageas R, Bordes J, Daviet JC, Mabit C, Coste C
Abstract
INTRODUCTION: In the past few decades, the incidence of Achilles tendon rupture has increased in parallel with increased sports participation. Although the optimal treatment remains controversial, there is a trend towards surgical treatment in athletes.
HYPOTHESIS: Surgical repair of ruptured Achilles tendon in athlete results in good functional and objective recovery, irrespective of the type of surgery performed. Subsidiarily, are the results different between percutaneous surgery (PS) and standard open surgery (OS)?
MATERIALS AND METHODS: This was a cross-sectional study of 31 patients who presented with a ruptured Achilles tendon that occurred during sports participation. Percutaneous surgery was performed in 16 patients and open surgery in 15 patients between 2005 and 2009. The objective recovery status was evaluated by open chain goniometry, measurement of leg muscle atrophy and assessment of isokinetic strength. The functional analysis was based on the delay, level of sports upon return, AOFAS and VAS for pain.
RESULTS: Our series of Achilles tendon rupture patients consisted of 88% men and 12% women, with an average age of 38years. In 71% of cases, the rupture occurred during eccentric loading. After a follow-up of
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Getting Organized in Your Job.
J Orthop Trauma. 2013 Jul 22;
Authors: Siegel J
Abstract
The benefits of being organized when starting one's career are countless and worth the time and effort in developing an effective and efficient practice. Established protocols, good habits, and methodical communication that includes all members of the team will help create a system that keeps all components of one's practice organized. Adhering to these strategies requires self-discipline. Applying these concepts to patient care, education, research, and administrative responsibilities are the keys to a successful and sustainable career.
PMID: 23880560 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880560?dopt=Abstract
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Arthroscopic treatment of iliopsoas impingement (IPI) after total hip replacement.
Arch Orthop Trauma Surg. 2013 Jul 25;
Authors: Jerosch J, Neuhäuser C, Sokkar SM
Abstract
PURPOSE: The purpose of the study was to present our arthroscopic surgical technique and the results in patient with an iliopsoas impingement (IPI) syndrome after a hip replacement.
MATERIALS AND METHODS: Between 1999 and 2011, 35 patients with the clinical picture of an IPI after total hip replacement were diagnosed and treated arthroscopically. The age was ranged from 58 to 82 years. All patients underwent conservative treatment for at least 6 months without success. The indication for the arthroscopic procedure was the failure of the conservative therapy as well as typical clinical signs as painful hip flexion, a positive local anesthesia test and radiological evidence of the presence of a prominent anterior acetabular component. The arthroscopic treatment was performed in all patients with anterior capsulotomy and partial capsulectomy of the hip joint. After identification of the pathology an arthroscopic release of the iliopsoas tendon in the region of the proved lesion was performed. The average follow-up period was 3.6 years (6 months to 12 years).
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10 "Tips and Tricks" to Providing Trauma Care Without Residents.
J Orthop Trauma. 2013 Jul 22;
Authors: Caron T, Finley PJ, Austin C
Abstract
: The utilization of medical students, residents, and fellows within the orthopaedic trauma team helps alleviate workload demands. However, many non-academic hospitals lack these clinical resources. Therefore, orthopedic trauma surgeons often must be creative in developing alternative methods to better manage time, staff, and patients. Incorporating midlevel providers and maximizing surgical technician assistance is both favorable for the hospital and patient. In addition, utilizing currently available medical devices in unique and innovative ways can help simplify patient procedures and optimize care. The purpose of this article is to detail precise tips and tricks for overcoming challenges observed during orthopaedic trauma cases when residents are unavailable.
PMID: 23880559 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880559?dopt=Abstract
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Severe posttraumatic radiocarpal cartilage damage: first report of autologous chondrocyte implantation.
Arch Orthop Trauma Surg. 2013 Jul 24;
Authors: Medved F, Gonser P, Lotter O, Albrecht D, Amr A, Schaller HE
Abstract
STUDY DESIGN: Case report.
CLINICAL QUESTION: Traumatic articular cartilage defects predispose to secondary osteoarthritis accompanied by impairment or complete loss of function in the corresponding joint. On this account, the timely and correct diagnosis as well as the selection of an appropriate therapy for reconstruction of articular cartilage defects is important.
METHODS: A 22-year-old healthy male patient with history of traumatic intra-articular distal radius fracture is presented with in the course detectable 4° cartilage damage in the fovea scaphoidea and into the fovea lunata. For the first time, autologous chondrocyte implantation by the use of an in situ polymerizable albumin-hyaluronic acid gel was performed to restore the articular cartilage.
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An Examination and Discussion of Unintended Consequences of Being an Employed Physician.
J Orthop Trauma. 2013 Jul 22;
Authors: Heiney JP
Abstract
Medicine's landscape is ever changing. The working model in which an orthopaedic surgeon operates is no exception. These models can be very confusing for the orthopaedic surgeon who has little training in the area of business, but especially to the young orthopaedic surgeon who has focused their efforts nearly one hundred percent on medical training over many years. This article examines some of the issues that might not be obvious to the physician who is trying to decide between hospital employment and private practice or some combination thereof. Also, there are several discussion points and questions raised for the physician contract negotiator when examining an employment contract. Finally, introduced are some advocacy steps that we, as orthopaedic surgeons, should consider to continue to improve medicine and our work environments.
PMID: 23880558 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880558?dopt=Abstract
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High complication rate following distal biceps refixation with cortical button.
Arch Orthop Trauma Surg. 2013 Jul 24;
Authors: Banerjee M, Shafizadeh S, Bouillon B, Tjardes T, Wafaisade A, Balke M
Abstract
PURPOSE: There are several methods for the refixation of the distal biceps tendon which show a variable complication rate. The aim of the present study was to evaluate the clinical outcome and complication rate after distal biceps repair in cortical button technique.
METHODS: Clinical results, complications, strength of elbow flexion and supination and radiological evidence of heterotopic ossification in patients reporting persistent pain were evaluated in 27 male patients after an average of 36.1 month following distal biceps tendon repair in cortical button technique.
RESULTS: The mean Mayo elbow performance score was 95.9 (SD 11.9), the mean disabilities of the arm, shoulder and hand score was 1.9 (SD 4.9) and the mean American shoulder and elbow surgeons (ASES) score was 94.6 (SD 11.6). The mean flexion and supination strength of the involved side relative to the uninvolved side was 91.7 % (SD 12.6) and 87.8 % (SD 15.9). Nine patients had 14 different complications including four transient lesions of the posterior interosseous nerve, two persistent lesions of the superficial branch of the radial nerve, one symptomatic massive heterotopic ossification and one disengaged cortical button. Three patients had six revisions.
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Preparing for Changing Times.
J Orthop Trauma. 2013 Jul 22;
Authors: Cannada LK
PMID: 23880557 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880557?dopt=Abstract
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Finding A Job In An Overcrowded Market: Getting What You Want.
J Orthop Trauma. 2013 Jul 22;
Authors: Judd KT, Burns S, Hand K
Abstract
: As the number of fellowship trained orthopedic trauma surgeons entering the work force increases, so does the competition for available practice opportunities. The process of finding employment has seemingly become more involved as the relative availability of positions has declined over recent years. In order to manage this new environment, new graduates have needed to become much more proactive in the process of seeking and obtaining orthopedic trauma positions.
PMID: 23880556 [PubMed - as supplied by publisher]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23880556?dopt=Abstract
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Orthopaedic Traumatology: More Than a "Surgicalist": Modified with permission from American Academy of Orthopaedic Surgeons. AAOS Now 2013, Volume 7, Number 6.
J Orthop Trauma. 2013 Aug;27(8):425-7
Authors: Bray TJ
PMID: 23877323 [PubMed - in process]
Read more... http://www.ncbi.nlm.nih.gov/pubmed/23877323?dopt=Abstract
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