Quadriceps tendon pie-crusting release of stiff knees in total knee arthroplasty
Conclusions The quadriceps tendon pie-crusting release technique was an effective procedure for improving knee flexion in cases of stiff knee. The midvastus approach maintained the integrity of the extensor mechanism and resulted in better outcomes than the parapatellar approach. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 12, 2015 Category: Orthopaedics Source Type: research

Analysis of mechanical failure associated with reoperation in spinal fusion to the sacrum in adult spinal deformity
Conclusion Overall, 37 % of the patients who underwent ASD surgery involving the sacrum required reoperation for mechanical failure. The most frequent form of mechanical failure associated with reoperation was surgical PJK. Significant risk factors for mechanical failure included medical comorbidities, smoking, and severe preoperative sagittal imbalance. Critical mechanical failure may have a negative influence on health status. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 12, 2015 Category: Orthopaedics Source Type: research

Prevalence of radiological femoroacetabular impingement in Japanese hip joints: detailed investigation with computed tomography
Conclusions With consideration of our results, we emphasize that “anatomical or radiological FAI” is not uncommon in Japanese hips. Therefore, the diagnosis of FAI should be performed with the clinical findings taken into account. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 12, 2015 Category: Orthopaedics Source Type: research

Clinical and radiographic outcomes of femoral head fractures: excision vs. fixation of fragment in Pipkin type I: what is the optimal choice for femoral head fracture?
Conclusions Even in Pipkin type I fractures, if the fragment is large (modified Pipkin type II), early reduction and internal fixation can produce good results. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 8, 2015 Category: Orthopaedics Source Type: research

Osteosarcoma of the pelvis treated successfully with repetitive intra-arterial chemotherapy and radiation therapy: a report of a case with a 21-year follow-up
(Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 1, 2015 Category: Orthopaedics Source Type: research

Tibialis spastic varus foot without tarsal coalition: a report of two cases
(Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 1, 2015 Category: Orthopaedics Source Type: research

Two siblings with neuropathic scoliosis caused by Chiari malformation type I with syringomyelia
(Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 1, 2015 Category: Orthopaedics Source Type: research

A rare case of a bisphosphonate-related femoral diaphyseal fracture occurring below a previously fixed compression hip screw (CHS) plate
(Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - May 1, 2015 Category: Orthopaedics Source Type: research

Diagnostic accuracy of ultrasonography in assessing meniscal injury: meta-analysis of prospective studies
Conclusion Our results suggest that the diagnostic accuracy of ultrasonography for diagnosing meniscal injury is acceptable, with a high specificity but moderate sensitivity. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - April 27, 2015 Category: Orthopaedics Source Type: research

Trunk kinematics and muscle activities during arm elevation
Conclusions Bilateral ES activity may be required for back-extension torques, especially for the early phase of rapid elevating motion. The anterior muscles’ activity may contribute to the production of anterior force against the backward movement of the center of mass of the upper limb in the late phase. Trunk rotation, controlled by the trunk muscles in harmony, may assist the scapular movement to align the scapular plane in the arm elevating plane. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - April 24, 2015 Category: Orthopaedics Source Type: research

Loxoprofen sodium and celecoxib for postoperative pain in patients after spinal surgery: a randomized comparative study
Conclusions Both loxoprofen sodium and celecoxib were well tolerated for the relief of acute postoperative pain after spinal surgery. A single administration of loxoprofen showed superior and rapid effectiveness compared with celecoxib for both slight and severe postoperative pain. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - April 24, 2015 Category: Orthopaedics Source Type: research

The polymorphisms of melatonin receptor 1B gene (MTNR1B) (rs4753426 and rs10830963) and susceptibility to adolescent idiopathic scoliosis: a meta-analysis
Conclusion MTNR1B rs4753426 and MTNR1B rs10830963 polymorphisms are not obviously associated with risk of AIS in either Asian populations or Caucasian populations. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - April 22, 2015 Category: Orthopaedics Source Type: research

Optimal timing for type C3 thoracic fractures with posterior surgical approach: a retrospective cohort study
Conclusions Though type C3 thoracic fracture is one of the most severe spinal injuries, complete reduction and recovery of spinal stability can be achieved using a posterior approach. As clinical outcomes in this study were similar between early and late fixation procedures, early surgical intervention may not be helpful for improving neurologic recovery in type C3 thoracic fractures. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - April 16, 2015 Category: Orthopaedics Source Type: research

The current status and future of radiotherapy for spinal bone metastases
Abstract The management of spinal bone metastases is complex. In this review, the efficacy, methodology, and utilization of radiotherapy (RT) for spinal bone metastases are discussed. A number of randomized trials have evaluated the efficacy of 8 Gy, single-fraction RT for the palliation of painful bone metastases. However, RT for metastatic spinal cord compression has not been evaluated with respect to its optimal dose, palliative potential, or its ability to improve motor function. Two highly sophisticated RT techniques — stereotactic body RT (SBRT) and intensity-modulated RT (IMRT) — have recently...
Source: Journal of Orthopaedic Science - April 10, 2015 Category: Orthopaedics Source Type: research

Patient-reported disability in the general Japanese population was associated with medical care visits for low back pain, regardless of pain intensity
Conclusions Patient-reported disability was associated with medical care visits for LBP, regardless of the pain intensity, with the results similar to those obtained for other races/ethnicities. (Source: Journal of Orthopaedic Science)
Source: Journal of Orthopaedic Science - April 10, 2015 Category: Orthopaedics Source Type: research