Courtesy: The Bone and Joint Journal Aims Anterior cruciate ligament (ACL) surgery in children and the adolescent population has increased steadily over recent years. We used a national database to look at trends in ACL reconstruction and rates of serious complications, growth disturbance, and revision surgery, over 20 years. Methods All hospital episodes for patients […]
Journal Club: Surgery for Clavicle fracture is not cost-effective
Courtesy: The Bone and Joint Journal Routine fixation of displaced midshaft clavicle fractures is not cost-effective -A cost analysis from a randomized controlled trial J. A. Nicholson, N. Clement, E. Goudie, C. M. Robinson Aims The primary aim of this study was to establish the cost-effectiveness of the early fixation of displaced midshaft clavicle fractures. […]
Cervical spondylotic myelopathy: conservative Vs surgical
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 […]
Role of PEMF in fracture healing
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 […]
FLOW study in Compound Fractures
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 […]
Angiosomes of the Leg
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 […]
Retrograde Ejaculation after ALIF with rh-BMP 2
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 […]
Use of Povidone I and H2O2 to reduce spinal infections
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 […]
Hindfoot alignment and TKR
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 […]
TER for intercondylar fractures of humerus in the elderly
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 Review
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 – […]
When to do Debridement?
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, […]
Arthroprosthetic Cobaltism
Arthroprosthetic Cobaltism: Neurological and Cardiac Manifestations in Two Patients with Metal-on-Metal Arthroplasty Published on October 29, 2010; 10.2106/JBJS.J.00125 The Journal of Bone and Joint Surgery (American) 0:JBJS.J.00125-jbjs.J00125 (2010) A Case Report Stephen S. Tower, MD Anchorage Fracture and Orthopedic Clinic, Suite 200, 3260 Providence Drive, Anchorage, AK 99508. E-mail address: tower@afoc.com describes about 2 […]
Standard Vs High Flexion TKR
Comparison Between Standard and High-Flexion Posterior-Stabilized Rotating-Platform Mobile-Bearing Total Knee Arthroplasties A Randomized Controlled Study Won Chul Choi, MD1, Sahnghoon Lee, MD, PhD1, Sang Cheol Seong, MD, PhD1, Jong Hun Jung, MD1 and Myung Chul Lee, MD, PhD1 1 Department of Orthopaedic Surgery, Seoul National University Hospital, 101 Daehang-ro, Jongno-gu, Seoul 110-744, South Korea. The […]
Osteonecrosis-Natural History
The Natural History of Untreated Asymptomatic Osteonecrosis of the Femoral Head A Systematic Literature Review Michael A. Mont, MD1, Michael G. Zywiel, MD1, David R. Marker, MD1, Mike S. McGrath, MD1 and Ronald E. Delanois, MD1 Center for Joint Preservation and Replacement, Rubin Institute for Advanced Orthopedics, Sinai Hospital of Baltimore, 2401 West Belvedere Avenue, […]
Minimally displaced scaphoid #:Fix or not
Surgical Compared with Conservative Treatment for Acute Nondisplaced or Minimally Displaced Scaphoid Fractures A Systematic Review and Meta-Analysis of Randomized Controlled Trials Geert A. Buijze, MD1, Job N. Doornberg, MD, PhD1, John S. Ham, MD, PhD2, David Ring, MD, PhD3, Mohit Bhandari, MD4 and Rudolf W. Poolman, MD, PhD2 1 Department of Orthopaedic Surgery, Academic […]
Inappropriate Disclosures
From Disclosure to Transparency: The Use of Company Payment Data Susan Chimonas, PhD; Zachary Frosch, BA; David J. Rothman, PhD Arch Intern Med. Published online September 13, 2010. doi:10.1001/archinternmed.2010.341 Full Text: http://archinte.ama-assn.org/cgi/content/full/archinternmed.2010.341
Alendronate and Ca.Oesophagus
Oral bisphosphonates and risk of cancer of oesophagus, stomach, and colorectum: case-control analysis within a UK primary care cohort Jane Green, clinical epidemiologist1, Gabriela Czanner, statistician1, Gillian Reeves, statistical epidemiologist1, Joanna Watson, epidemiologist1, Lesley Wise, manager, Pharmacoepidemiology Research and Intelligence Unit2, Valerie Beral, professor of cancer epidemiology1 – Author Affiliations Cancer Epidemiology Unit, University of […]
Glucosamine and Chondroitin in OA- Meta analysis
Effects of glucosamine, chondroitin, or placebo in patients with osteoarthritis of hip or knee: network meta-analysis Simon Wandel, research fellow12, Peter Jüni, professor and head of division12, Britta Tendal, research fellow3, Eveline Nüesch, research fellow12, Peter M Villiger, director4, Nicky J Welton, senior research fellow5, Stephan Reichenbach, senior research fellow14, Sven Trelle, senior research fellow12 […]
HTO- Complications
The complications of high tibial osteotomy CLOSING- VERSUS OPENING-WEDGE METHODS E. K. Song, MD, PhD, Professor1; J. K. Seon, MD, PhD, Orthopaedic Surgeon1; S. J. Park, MD, PhD, Orthopaedic Surgeon1; and M. S. Jeong, MD, Orthopaedic Surgeon1 1 Department of Orthopaedic Surgery, Center for Joint Disease, Chonnam National University, Hwasun Hospital, 160 Ilsimri, Hwasun-eup, Hwasun-gun, […]