A Prospective Randomized Trial Comparing Nonoperative Treatment with Volar Locking Plate Fixation for Displaced and Unstable Distal Radial Fractures in Patients Sixty-five Years of Age and Older Rohit Arora, Martin Lutz; Christian Deml, Dietmar Krappinger, Luzian Haug, Markus Gabl. Department of Trauma Surgery and Sports Medicine, Medical University Innsbruck (MUI), Anichstrasse 35, A-6020 Innsbruck, Austria [...]

  Effective pain control and improved function with use of perioperative cocktail injection in patients undergoing TKR A Prospective, Randomized Trial Mullaji et al..The Journal of Arthroplasty Volume 25, Issue 6 , Pages 851-857, September 2010 Level II Randomised control Trial Adequate analgesia is essential for excellent recovery during rehabilitation in a post TKR patient. [...]

Journal Club Rivaroxaban versus enoxaparin for thromboprophylaxis after total knee arthroplasty (RECORD4): a randomised trial. Turpie AG, Lassen MR, Davidson BL, Bauer KA, Gent M, Kwong LM, Cushner FD, Lotke PA, Berkowitz SD, Bandel TJ, Benson A,Misselwitz F, Fisher WD; RECORD4 Investigators. The Lancet.  Volume 373, Issue 9676, Pages 1673 – 1680, 16 May 2009         Summary: Prophylaxis for venous thromboembolism is recommended for [...]

A Randomized Trial of Vertebroplasty for Osteoporotic Spinal Fractures. David F. Kallmes, M.D., Bryan A. Comstock, M.S., Patrick J. Heagerty, Ph.D., Judith A. Turner, Ph.D., David J. Wilson, F.R.C.R. N Engl J Med 2009; 361:569-579 August 6, 2009 Review: 131 patients suffering from chronic pain due to vertebral compression fractures (1-3) were randomized to receive [...]

JOURNAL CLUB Comparison of Bipolar Hemiarthroplasty with Total Hip Arthroplasty for Displaced Femoral Neck Fractures: A Concise Four-Year Follow-up of a Randomized Trial*   Carl Johan Hedbeck, MD; Anders Enocson, MD, PhD; Gunilla Lapidus, MD; Richard Blomfeldt, MD, PhD; Hans Törnkvist, MD, PhD; Sari Ponzer, MD, PhD; Jan Tidermark, MD, PhD    The Journal of Bone [...]

Journal Club Functional Outcome Following Intramedullary Nailing of the Femur: A Prospective Randomized Comparison of Piriformis Fossa and Greater Trochanteric Entry Portals James P. Stannard, MD1; Larry Bankston, MD2; Lydia A. Futch, PT, DSc, ATC3; Gerald McGwin, PhD4; David A. Volgas, MD1    1 Department of Orthopaedics, University of Missouri, One Hospital Drive, MC213, DC053.00, Columbia, MO [...]

Journal Club  Outcomes after a single-stage procedure for cell-based cartilage repair: a prospective clinical safety trial with 2-year follow-up. Am J Sports Med. 2011 Jun;39(6):1170-9. Epub 2011 Apr 1. Cole BJ, Farr J, Winalski CS, Hosea T, Richmond J, Mandelbaum B, De Deyne PG. Source Brian J. Cole, Midwest Orthopaedics, Chicago, IL 60612, USA. 29 patients with focal articular cartilage defects were [...]

Is Intra-Articular Multimodal Drug Injection Effective in Pain Management after Total Knee Arthroplasty Joo JH, Park JW, Kim JS, Kim YH. J Arthroplasty. 2011 Oct;26(7):1095-9. Epub 2011 Aug 9. 286 patients who were scheduled to undergo bilateral total knee replacement were randomised to receive injection of intraarticular multimodal drugs in one knee and normal as placebo in the contralateral [...]

Cervical spondylotic myelopathy: conservative versus surgical treatment after 10 years Kada?ka Z, Bedna?ík J, Novotný O, Urbánek I, Dušek L. Eur Spine J. 2011 Sep;20(9):1533-8. Epub 2011 Apr 26. Department of Neurology, Masaryk University and University Hospital Brno, Jihlavská 20, 63900 Brno, Czech Republic 64 patients with non progressive or slowly progressive mild and moderate cervical spondylotic myelopathy(CSM), were randomized [...]

Pulsed Electromagnetic Field Stimulation After Tibial Shaft Fractures-Journal Club J Bone Joint Surg Am.  2011;93(17):1569-1576  doi:10.2106/jbjs.j.00869 Sam Adie, Ian harris, Justine Naylor, Hamish Rae, Alan Dao, Sara Yong, Victoria Ying 259 patients with Acute tibial shaft fractures were randomised to receive externally active pulsed electromagnetic field stimulation or placebo in which the device was inactive Intervention: Adjuvant [...]

Fluid Lavage of Open Wounds (FLOW): A Multicenter, Blinded, Factorial Pilot Trial Comparing Alternative Irrigating Solutions and Pressures in Patients With Open Fractures-Journal Review Journal of Trauma-Injury Infection & Critical Care: September 2011 – Volume 71 – Issue 3 – pp 596-606 Flow Investigators: Mohit Bhandari, Gordon Guyatt, Kyle J Jeray, Bradley Pretisor, Emil Schemitsch, Parag [...]

Journal Club Acta Orthop Belg. 2011 Jun;77(3):355-61. The anterolateral incision for pilon fracture surgery: an anatomic study of cutaneous blood supply. Fisher BE, Nathan ST, Acland RD, Roberts CS. Source University of Louisville School of Medicine, Louisville, KY, USA. Abstract The purpose of this study was to examine the blood supply to the adjacent skin and its vulnerability to [...]

High tibial osteotomy with a dynamic axial fixator PRECISION IN ACHIEVING ALIGNMENT V. Bachhal, MBBS, MSOrtho, DNBOrtho, Registrar in Orthopaedics1; S. S. Sankhala, MBBS, MSOrtho, Professor of Orthopaedics2; N. Jindal, MBBS, Orthopaedic Resident2; and M. S. Dhillon, MBBS, MSOrtho, MNAMS, Professor Head of Orthopaedics1 1 Postgraduate Institute of Medical Education & Research, Sector-12, Chandigarh 160012, [...]

Retrograde ejaculation after anterior lumbar interbody fusion using rhBMP-2: a cohort controlled study Eugene J. Carragee, MD Kyle A. Mitsunaga, MD Eric L. Hurwitz, DC, PhD Gaetano J. Scuderi, MD doi:10.1016/j.spinee.2011.02.013 Abstract Background Context The commercially available growth factor recombinant bone morphogenic protein-2 (rhBMP-2) used in spinal fusion has been associated with numerous adverse reactions, including inflammatory reactions in [...]

Prevention of post-operative infections in spine surgery by wound irrigation with a solution of povidone–iodine and hydrogen peroxide Simone Ulivieri, Stefano Toninelli, Carlo Petrini, Antonio Giorgio and Giuseppe Oliveri Arch Orthop Trauma Surg. 2011. doi:10.1007/s00402-011-1262-0. Abstract Introduction Starting from January 2009, we systematically irrigated the surgical wounds of patients undergoing spine surgery with a solution [...]

The results of the Australian Joint Registry as summarised by Dr George Thomas,Consultant Orthopaedic Surgeon, St.Isabel Hopsital, Chennai and also Editor, Indian Journal of Medical Ethics It is now clear that primary total conventional hip  replacement using metal on metal bearing surface and  head sizes over 28mm have a higher risk of revision compared to all [...]

Persistent Hindfoot Valgus Causes Lateral Deviation of Weightbearing Axis after Total Knee Arthroplasty. Mullaji A, Shetty GM. Department of Orthopaedic Surgery, Breach Candy Hospital, Mumbai, India, Abstract BACKGROUND: The weightbearing axis of the limb goes from the pelvis to the ground and includes the hindfoot. However, the influence of hindfoot alignment on mechanical axis and overall limb [...]

Prosthetic replacement(Total Elbow Replacement) of elbow for intercondylar fractures (recent or ununited) of humerus in the elderly DP Baksi, AK Pal, D Baksi Int Orthop. doi:10.1007/s00264-010-1122-5. Published Online: December 2010 Abstract Forty-one patients with an intercondylar fracture of the humerus (21 recent and 20 ununited) were treated by total elbow arthroplasty using Baksi’s recent version of [...]

Coccygodynia A REVIEW OF PATHOANATOMY, AETIOLOGY, TREATMENT AND OUTCOME Senthil T, MD, Traumatology Fellow1; B. E. Fisher, MD, Research Fellow1; and C. S. Roberts, MD, MBA, Professor, Orthopaedic Surgeon1 1 Department of Orthopaedic Surgery, University of Louisville School of Medicine, 210 E. Gray Street, Suite 1003, Louisville, Kentucky 40202, USA. Journal of Bone and Joint Surgery – [...]

The Relationship Between Time to Surgical Débridement and Incidence of Infection After Open High-Energy Lower Extremity Trauma Andrew N. Pollak, MD1, Alan L. Jones, MD2, Renan C. Castillo, MS3, Michael J. Bosse, MD4, Ellen J. MacKenzie, PhD3 and the LEAP Study Group 1University of Maryland School of Medicine, 22 South Greene Street, Suite T3R54, Baltimore, [...]