Clavicle Malunions: Surgical Treatment and Outcome —a Literature Review
ConclusionAll of the currently reported surgical techniques to manage symptomatic clavicle malunion have resulted in good clinical outcomes with a low complication rate. Considering biomechanical aspects, correction osteotomy followed by plate fixation seems to be the preferred method. Further studies are needed to compare the various surgical techniques and their specific outcomes in a prospective manner. Nevertheless, this review article can be used as an overview to help choose an optimal operative treatment for patients presenting with a clavicle malunion. (Source: HSS Journal)
Source: HSS Journal - November 2, 2017 Category: Orthopaedics Source Type: research
The Fascia Iliaca Block as the Primary Intraoperative Anesthesia for Hip Fracture Surgery: A Preliminary Study
ConclusionsIn this series of patients, we demonstrate that a fascia iliaca block can reliably be utilized as the primary anesthetic for patients undergoing surgical fixation of intertrochanteric hip fractures, with an acceptable perioperative complication profile. Although concomitant sedation was provided with the block, this anesthesia strategy has the potential to reduce preoperative delays and minimize the overall burden of sedative and anesthetic medications in a geriatric population. These initial findings may serve as a basis for future, higher-quality prospective and comparative studies. (Source: HSS Journal)
Source: HSS Journal - October 31, 2017 Category: Orthopaedics Source Type: research
The Primary Stability of a Bioabsorbable Poly-L-Lactic Acid Suture Anchor for Rotator Cuff Repair Is Not Improved with Polymethylmethacrylate or Bioabsorbable Bone Cement Augmentation
ConclusionThe primary stability of the Bio-Corkscrew ® FT is not influenced by bone cement augmentation with polymethylmethacrylate Refobacin® or with bioabsorbable Cerament™ in comparison to the non-cemented anchors. The cement augmentation of rotator cuff suture anchors in osteoporotic bones remains questionable since biomechanical tests show no significant advantage. (Source: HSS Journal)
Source: HSS Journal - October 17, 2017 Category: Orthopaedics Source Type: research
Postoperative Myocardial Injury and Inflammation Is Not Blunted by a Trial of Atorvastatin in Orthopedic Surgery Patients
ConclusionPerioperative myocardial injury and inflammation are common in orthopedic patients and do not appear to be reduced in those randomized to atorvastatin.Trial RegistrationNCT02197065 (Source: HSS Journal)
Source: HSS Journal - October 13, 2017 Category: Orthopaedics Source Type: research
No Difference in Conventional Polyethylene Wear Between Yttria-stabilized Zirconia and Cobalt-chromium-molybdenum Femoral Heads at 10 Years
ConclusionsMeasured conventional PE wear was similar between YSZ and Co-Cr-Mo femoral heads with the steady-state wear rates for both remaining below the generally accepted threshold at which osteolysis typically occurs. Whether clinically relevant phase transformation with YSZ femoral heads occurs is uncertain; however, the use of YSZ femoral heads in this study was not associated with increased PE wear, osteolysis, or deterioration of wear properties. (Source: HSS Journal)
Source: HSS Journal - October 13, 2017 Category: Orthopaedics Source Type: research
Long Head of Biceps Tendon Management: a Survey of the American Shoulder and Elbow Surgeons
Conclusion:ASES members favored biceps tenodesis over tenotomy for surgical management of LHBT pathology, without consensus regarding a specific surgical technique. (Source: HSS Journal)
Source: HSS Journal - October 13, 2017 Category: Orthopaedics Source Type: research
Preoperative Valgus Alignment Does Not Predict Inferior Outcome of Total Knee Arthroplasty
ConclusionWe found no clinically significant difference in any of the WOMAC domains in patients with preoperative varus deformity versus valgus deformity within the first year after TKR. These findings may allow surgeons to more appropriately counsel patients with osteoarthritis with valgus deformity that they can expect similar outcomes compared to patients with varus deformity. (Source: HSS Journal)
Source: HSS Journal - September 12, 2017 Category: Orthopaedics Source Type: research
Scaling Marker Position Determines the Accuracy of Digital Templating for Total Hip Arthroplasty
ConclusionsDigital templating relies on scaling marker position to accurately estimate implant size. Based on the findings in this study, scaling markers for hip imaging should be placed laterally, mid-thigh in the anterior-posterior direction for patients with a BMI between 25 and 40 kg/m2. If abnormal hip anatomy or extremes of BMI are discovered, then scaling sphere positioning should be optimized on a case-by-case basis. Digital templating systems for total hip arthroplasty must use precisely placed scaling markers at the level of the hip joint to allow for accurate implant size estimation. (Source: HSS Journal)
Source: HSS Journal - September 12, 2017 Category: Orthopaedics Source Type: research
Revision Total Shoulder Arthroplasty is Associated with Increased Thirty-Day Postoperative Complications and Wound Infections Relative to Primary Total Shoulder Arthroplasty
ConclusionRevision TSA, in comparison to primary, poses an increased risk of postoperative complications, particularly wound infections. A history of smoking was an independent predictor of wound infections. (Source: HSS Journal)
Source: HSS Journal - September 11, 2017 Category: Orthopaedics Source Type: research
Patient Perceptions and Current Trends in Internet Use by Orthopedic Outpatients
ConclusionA large proportion of patients use the internet to research orthopedic information and most patients, especially younger males, find the information useful. (Source: HSS Journal)
Source: HSS Journal - August 23, 2017 Category: Orthopaedics Source Type: research
Revision Achilles Reconstruction with Hamstring Autograft and FHL Tendon Transfer in an Athlete
(Source: HSS Journal)
Source: HSS Journal - August 23, 2017 Category: Orthopaedics Source Type: research
Similar Cost Savings of Bundled Payment Initiatives Applied to Lower Extremity Total Joint Arthroplasty Can Be Achieved Applying Both Models 2 and 3
ConclusionBoth BPCI providers achieved similar cost savings despite participating in different BPCI models. These cost savings all occurred in the post acute setting. The Model 2 provider achieved post acute savings through decreasing overall discharges to institutional post acute care (PAC) providers and decreasing readmissions, while the Model 3 provider decreased costs largely by decreasing the LOS for the institutional PAC providers and decreasing readmissions. (Source: HSS Journal)
Source: HSS Journal - August 18, 2017 Category: Orthopaedics Source Type: research
A Fond Farewell
(Source: HSS Journal)
Source: HSS Journal - August 17, 2017 Category: Orthopaedics Source Type: research
Comparative Evaluation of Surgical Procedures with Clinical Equipoise: the Unique Perspective of Our Hand Therapy Colleagues
ConclusionsHand therapists are intimately involved in the care of surgical patients and provide an educated and unique source for evaluating postoperative outcomes. (Source: HSS Journal)
Source: HSS Journal - August 14, 2017 Category: Orthopaedics Source Type: research
The Incidence of Perioperative Cardiac Events after Orthopedic Surgery: A Single Institutional Experience of Cases Performed over One Year
ConclusionsThe incidence of postoperative myocardial ischemia after major orthopedic surgery in patients with cardiac risk factors is high (8.7%), but the incidence of documented myocardial infarctions and serious cardiac complications remains low (1.2 –2%). Patients with higher postoperative cTnI releases were more likely to have cardiac complications, and some procedures (spinal fusions) placed the patients at a higher risk. (Source: HSS Journal)
Source: HSS Journal - July 31, 2017 Category: Orthopaedics Source Type: research
