Immunoglobulin G4-related Aortitis
(Source: HSS Journal)
Source: HSS Journal - June 23, 2017 Category: Orthopaedics Source Type: research
Ceramic Bearings with Titanium Adapter Sleeves Implanted During Revision Hip Arthroplasty Show Minimal Fretting or Corrosion: a Retrieval Analysis
ConclusionFretting and corrosion were less severe than previously reported for conventional THA metal-metal taper connections, indicating that a ceramic head and titanium sleeve is a safe alternative in revision THA. (Source: HSS Journal)
Source: HSS Journal - June 22, 2017 Category: Orthopaedics Source Type: research
Single Local Infiltration Analgesia (LIA) Aids Early Pain Management After Total Knee Replacement (TKR): An Evidence-Based Review and Commentary
ConclusionSingle dose LIA provides effective analgesia in the initial postoperative period after TKR in most randomized clinical trials, systematic reviews, and meta-analyses. (Source: HSS Journal)
Source: HSS Journal - June 12, 2017 Category: Orthopaedics Source Type: research
Epidemiology and Disease Burden of Lateral Epicondylitis in the USA: Analysis of 85,318 Patients
ConclusionThe annual incidence of LE and rate of surgical intervention have remained constant from 2007 to 2014. The proportion of patients over>65 years diagnosed with, and receiving surgical treatment for, LE has significantly increased in recent years. Total reimbursement and average per-patient reimbursement have steadily risen, demonstrating the increasing burden of cost on the health-care system. (Source: HSS Journal)
Source: HSS Journal - June 5, 2017 Category: Orthopaedics Source Type: research
The Value of a Closer Look
(Source: HSS Journal)
Source: HSS Journal - May 30, 2017 Category: Orthopaedics Source Type: research
Outcomes Following Operative Treatment of Adolescent Mallet Fractures
ConclusionsOperative treatment of mallet fractures with subluxation or involving more than one-third of the articular surface appears effective. Pin removal 4 weeks postoperatively appears adequate. Complications occurred with delayed presentation and non-compliance. (Source: HSS Journal)
Source: HSS Journal - May 25, 2017 Category: Orthopaedics Source Type: research
Arthroscopic Treatment of Osseous Instability of the Shoulder
ConclusionManagement of glenohumeral instability can be challenging but more recent advances in arthroscopic techniques have provided improved means of treating this diagnosis. This manuscript provides a comprehensive review of the arthroscopic treatment of osseous instability of the shoulder. It provides an in depth look at the various treatment options and describes techniques for each. (Source: HSS Journal)
Source: HSS Journal - May 22, 2017 Category: Orthopaedics Source Type: research
Total Knee Arthroplasty for Knee Osteoarthritis: Support for a Foregone Conclusion?
AbstractTotal knee arthroplasty (TKA) is generally accepted as the definitive treatment for advanced knee arthritis after patients fail nonoperative treatments; however, the safety and efficacy of TKA compared to continued nonoperative treatment has never been proven in high-quality, randomized controlled trials. Recently, a 2015 Danish study published a 12-month follow-up on a cohort of patients randomized to either a TKA or continued nonsurgical management for advanced knee osteoarthritis (OA). The authors reported significantly greater improvement in the TKA group in functional outcome scores such as the overall Knee In...
Source: HSS Journal - May 16, 2017 Category: Orthopaedics Source Type: research
Shoulder Arthroplasty for Humeral Head Avascular Necrosis Is Associated With Increased Postoperative Complications
ConclusionsTSA in patients with humeral head AVN is associated with significantly increased rates of numerous postoperative complications compared to patients without a diagnosis of AVN, including infection, dislocation, revision arthroplasty, stiffness, periprosthetic fracture, and medical complications. Specifically, AVN due to steroid use or from a posttraumatic cause appears to be associated with the statistically highest rates of postoperative TSA complications. Given these findings, orthopedic surgeons should be increasingly aware of this association, which should influence the shared decision-making process of under...
Source: HSS Journal - May 15, 2017 Category: Orthopaedics Source Type: research
Mid-Term Outcomes of Metal-Backed Unicompartmental Knee Arthroplasty Show Superiority to All-Polyethylene Unicompartmental and Total Knee Arthroplasty
ConclusionFunctional outcomes following onlay metal-backed medial UKA were significantly better compared to inlay all-polyethylene medial UKA and to TKA. Based on the results of this study and on biomechanical and survivorship studies in the literature, we recommended using metal-backed onlay tibial components for unicompartmental knee arthroplasty. (Source: HSS Journal)
Source: HSS Journal - May 12, 2017 Category: Orthopaedics Source Type: research
Factors Associated with Choice and Success of One- Versus Two-Stage Revision Arthroplasty for Infected Hip and Knee Prostheses
ConclusionOur findings confirm the uncertainty of surgical strategy for treatment of PJI in hip and knee arthroplasty. Superiority of one- versus two-stage revision and the value of antibiotic-free periods prior to definitive revision remain unclear. Large prospective studies or randomized controlled trials are needed to inform best practice for treatment of these complex clinical problems. (Source: HSS Journal)
Source: HSS Journal - April 26, 2017 Category: Orthopaedics Source Type: research
Humeral Lengthening with the PRECICE Magnetic Lengthening Nail
ConclusionIM lengthening nails can provide successful and safe humeral lengthening. Specifically, the PRECICE nail has accurate control over the lengthening process. (Source: HSS Journal)
Source: HSS Journal - April 21, 2017 Category: Orthopaedics Source Type: research
Using Mobile Tracking Technology to Visualize the Trajectory of Recovery After Hip Arthroscopy: a Case Report
(Source: HSS Journal)
Source: HSS Journal - April 17, 2017 Category: Orthopaedics Source Type: research
Surgical Technique: Treatment of Distal Humerus Nonunions
ConclusionImportant components of the treatment plan are careful preoperative planning, extensile approach, debridement, and solid fixation with —locking—plates and liberal use of bone graft. (Source: HSS Journal)
Source: HSS Journal - April 12, 2017 Category: Orthopaedics Source Type: research
Percutaneous Epiphysiodesis Using Transphyseal Screws: a Case Series Demonstrating High Efficacy
ConclusionsThe efficacy of PETS may be more favorable than previously reported. Only 3.7% had serious complications requiring revision epiphysiodesis, lower than previous reports. Attention to sufficient screw threads across the physis may be important in optimizing PETS results. (Source: HSS Journal)
Source: HSS Journal - April 3, 2017 Category: Orthopaedics Source Type: research
