Debridement and Functional Rehabilitation for Achilles Tendon Infection Following Tendon Repair
Conclusions:
In this retrospective series, radical debridement, combined with antibiotic therapy and functional rehabilitation, was successful in eradicating infection and maintaining function in patients with postoperative infection following Achilles tendon repair.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Bae, S. H., Lee, H.-S., Seo, S. G., Kim, S. W., Gwak, H.-C., Bae, S.-Y. Tags: Foot & Ankle, Infection Scientific Articles Source Type: research
Factors That Determine Supination Strength Following Distal Biceps Repair
Conclusions:
Future directions for distal biceps tendon repair techniques should focus on restoring an anatomic reattachment site while limiting supinator damage.
Level of Evidence:
Therapeutic Level III. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Schmidt, C. C., Brown, B. T., Qvick, L. M., Stacowicz, R. Z., Latona, C. R., Miller, M. C. Tags: Elbow Scientific Articles Source Type: research
Level-III and IV Evidence: Still Essential for the Field of Musculoskeletal Medicine and Surgery
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Sangeorzan, B. J., Swiontkowski, M. Tags: Foot & Ankle, Infection Editorial Source Type: research
Erratum
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Tags: Erratum Source Type: research
Considerations of Distal Biceps Tendon Reinsertion: Commentary on an article by Christopher C. Schmidt, MD, et al.: "Factors That Determine Supination Strength Following Distal Biceps Repair"
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Hertel, R. Tags: Elbow Commentary and Perspective Source Type: research
Ethical Considerations Related to Impaired Driving After Orthopaedic Injuries
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Humbyrd, C. J., Sugarman, J. Tags: Trauma Ethics in Practice Source Type: research
AOA 2015-2016 Presidential Address: Move Your Own Cheese: AOA Critical Issues
(Source: JBJS)
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Black, K. P. Tags: Education & Training The Orthopaedic Forum Source Type: research
Ethics of the Physicians Role in Health-Care Cost Control: AOA Critical Issues
Abstract:
The United States health-care expenditure is rising precipitously. The Congressional Budget Office has estimated that, in 2025, at our current rate of increased spending, 25% of the gross domestic product will be allocated to health care. Our per-capita spending on health care also far exceeds that of any other industrialized country. Health-care costs must be addressed if our country is to remain competitive in the global marketplace and to maintain its financial solvency. If unchecked, the uncontrolled rise in health-care expenditures will not only affect our capacity to provide our patients with high-quality c...
Source: JBJS - July 19, 2016 Category: Orthopaedics Authors: Bosco, J., Iorio, R., Barber, T., Barron, C., Caplan, A. Tags: The Orthopaedic Forum Source Type: research
Whats New in Orthopaedic Trauma
(Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Teague, D. C., Ertl, W. J., Hickerson, L., Roberts, Z. Tags: Trauma Specialty Update Source Type: research
Tissue Engineering in Orthopaedics
It is important to carefully select the most appropriate combination of scaffold, signals, and cell types when designing tissue engineering approaches for an orthopaedic pathology.
Although clinical studies in which the tissue engineering paradigm has been applied in the treatment of orthopaedic diseases are limited in number, examining them can yield important lessons.
While there is a rapid rate of new discoveries in the basic sciences, substantial regulatory, economic, and clinical issues must be overcome with more consistency to translate a greater number of technologies from the laboratory to the operating room. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Tatara, A. M., Mikos, A. G. Tags: Basic Science Current Concepts Review Source Type: research
HIF-1-Dependent IL-6 Activation in Articular Chondrocytes Initiating Synovitis in Femoral Head Ischemic Osteonecrosis
Conclusions:
Induction of ischemic osteonecrosis results in IL-6 production in the articular cartilage through an HIF-1-dependent pathway. IL-6 produced by hypoxic articular chondrocytes stimulates inflammatory cytokine responses in synovial cells, which were significantly decreased by tocilizumab.
Clinical Relevance:
This study provides new insight into the inherent relationship between the induction of ischemia and the initiation of hip synovitis following ischemic osteonecrosis and suggests a potential therapeutic target in the treatment of the synovitis. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Yamaguchi, R., Kamiya, N., Adapala, N. S., Drissi, H., Kim, H. K. W. Tags: Basic Science, Pediatrics Scientific Articles Source Type: research
Talar Osteonecrosis Related to Adult Sickle Cell Disease: Natural Evolution from Early to Late Stages
Conclusions:
In the majority of the patients with sickle cell disease, osteonecrosis of the talus should be expected to show relevant clinical and radiographic evidence of progression over a long period.
Level of Evidence:
Prospective Level II. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Hernigou, P., Flouzat-Lachaniette, C. H., Daltro, G., Galacteros, F. Tags: Foot & Ankle Scientific Articles Source Type: research
Anatomic Investigation of Commonly Used Landmarks for Evaluating Rotation During Forearm Fracture Reduction
Conclusions:
Our findings suggest that using the bicipital tuberosity and the radial styloid to assess intraoperative rotation of the radius on anteroposterior radiographs may be of limited value; the landmarks were not generally 180° apart. Although the rotational positions of the coronoid process and the ulnar styloid were, on average, closer to 180°, surgeons should be aware of the wide range of normal anatomy as well as the inability to judge rotation by as much as 60°, even for an "ideal" ulna.
Clinical Relevance:
This study, to our knowledge, represents the first anatomic investigation of the rotational ...
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Weinberg, D. S., Park, P. J., Boden, K. A., Malone, K. J., Cooperman, D. R., Liu, R. W. Tags: Basic Science, Pediatrics, Trauma Scientific Articles Source Type: research
Outcomes of Low-Energy Basicervical Proximal Femoral Fractures Treated with Cephalomedullary Fixation
Conclusions:
CMN may be inadequate for fixation of 2-part basicervical fractures.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Watson, S. T., Schaller, T. M., Tanner, S. L., Adams, J. D., Jeray, K. J. Tags: Trauma Scientific Articles Source Type: research
Clinical and Radiographic Results of an All-Polyethylene Pegged Bone-Ingrowth Glenoid Component
Conclusions:
Total shoulder arthroplasty with an all-polyethylene pegged glenoid component, utilizing hybrid fixation, demonstrated excellent clinical and radiographic results at the time of early follow-up. Radiolucent lines were seen most commonly around the inferior pegs of the prosthesis, and this may represent an incipient mode of failure.
Level of Evidence:
Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence. (Source: JBJS)
Source: JBJS - July 5, 2016 Category: Orthopaedics Authors: Wijeratna, M., Taylor, D. M., Lee, S., Hoy, G., Evans, M. C. Tags: Shoulder Scientific Articles Source Type: research
