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Orthopedic Procedures (3):
Recent article
Orthopedic Procedures
Abstract
We investigated the role of (18)F-FDG PET in patients with degenerative stenosis of the cervical spinal cord in relation to postsurgical outcome....
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PMID: 21852356
PDF is available here.
PDF is available here.
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Abstract
The development and implementation of a dedicated orthopedic trauma operating room (OTOR) that is used for the treatment of orthopedic trauma patients has changed and improved the practice of orthopedic trauma surgery. Advantages noted with OTOR implementation include improvements in morbidity and co...
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PMID: 21825952
PDF is available here.
PDF is available here.
Abstract
A torn anterior cruciate ligament (ACL), followed by reconstruction surgery, can be devastating for an athlete. Advances in physical therapy now help athletes improve rapidly during the early period after surgery. However, guidelines on how to determine if it is safe to return to sport are more gener...
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PMID: 21628824
PDF is available here.
PDF is available here.
Orthopaedics & Traumatology: Surgery & Research (97)4 Suppl 2011
Abstract
médecine/sciences (27)5 2011
Abstract
For years, prevention and treatment of thromboembolic events have been restricted to the use of heparins and vitamin K antagonists. These treatments, in spite of their unquestioned efficacy, present numerous limits (hemorrhagic risk, need for regular laboratory controls). These limits call for the de...
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PMID: 21609670
PDF is available here.
PDF is available here.
Journal of Bone and Joint Surgery (American) (93 Suppl 2) 2011
Abstract
Abstract
This clinical practice guideline is based on a series of systematic reviews of published studies in the available literature on the diagnosis and treatment of osteochondritis dissecans of the knee. None of the 16 recommendations made by the work group is graded as strong; most are graded inconclusive...
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PMID: 21536629
PDF is available here.
PDF is available here.
Abstract
Posttraumatic stress disorder (PTSD) is a well-characterized anxiety disorder that may occur after exposure to a traumatic event. Research is ongoing to document neuroanatomic, neuroendocrine, and genetic correlates to the behavioral phenotype. PTSD occurs in 20% to 51% of patients with musculoskelet...
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PMID: 21536623
PDF is available here.
PDF is available here.
The Lancet (377)9772 2011
Abstract
Abstract
We believe this approach is efficacious for intracardiac repair with severe pectus excavatum....
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PMID: 21266492
PDF is available here.
PDF is available here.
Hospital case management : the monthly update on hospital-based care planning and critical paths (19)4 2011
Abstract
Abstract
Dupuytren's disease is a fibroproliferative condition involving the superficial palmar fascia, leading to a progressive and irreversible flexion of the fingers. In literature, there are different opinions regarding the phenobarbital, a common antiepileptic drug, and its effective role in the genesis...
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PMID: 21528776
PDF is available here.
PDF is available here.
Abstract
The surgical indications, timing, and procedure for flexible flatfoot reconstruction in young patients remains controversial. This retrospective study reports the clinical results of reconstruction of flexible, idiopathic, symptomatic flatfoot in adolescent and young adults indicated for surgery by p...
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PMID: 21477539
PDF is available here.
PDF is available here.
Abstract
Forefoot varus deformity and medial column instability can develop or be present in association with ankle and hindfoot pathology. This study aimed to confirm the utility of medial cuneiform opening wedge osteotomy as part of hindfoot and ankle deformity correction.
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PMID: 21477547
PDF is available here.
PDF is available here.
Abstract
Lijecnicki vjesnik (133)3-4 2011
Abstract
In this article authors outline new techniques and prospects in invasive treatment in vertebrology with emphasis on interventional and semi invasive procedures and minimally invasive surgery for lumbar disc herniation. They describe new approaches in neuroablative procedures for back...
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PMID: 21612110
PDF is available here.
PDF is available here.
Abstract
We suggest that consideration for surgical management should be given to dropped head syndrome especially due to INEM....
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PMID: 21247445
PDF is available here.
PDF is available here.
Abstract
Hallux valgus is a progressive exertional metatarsal disturbance altering the kinematics of walking. It may be accompanied by other problems of the foot, such as hammer toe or flatfoot syndrome, symptoms of metatarsalgia or arthrosis of the small joints of the foot. Conservative treatment aims to rea...
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PMID: 21972589
PDF is available here.
PDF is available here.
Anesthesiology (113)6 2010
Abstract
Results from previous studies have shown favorable effects from the addition of buprenorphine to local anesthetics used for interscalene or axillary perivascular brachial plexus blocks. The main objective of the current study was to determine whether addition of buprenorphine could enhance bupivacai...
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PMID: 21042200
PDF is available here.
PDF is available here.
Abstract
To evaluate the safety and accuracy of "funnel technique" in planting thoracic pedicle screws.
From August 2005 to March 2008, a total of 39 patients with at least one thoracic pedicle screw in T1-T10 using "funnel technique" were retrospectively reviewed. Among the patients, 27 patients were male a...
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PMID: 21265197
PDF is available here.
PDF is available here.
Abstract
We here report an evaluation of our results after operation of hammertoe at a Norwegian hospital.
After reviewing medical records for patients operated for hammertoe (at St. Olav Hospital in a 6-year-period [1999-2004]), we requested the patients to assess the intervention in a mailed questionnaire....
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PMID: 21052112
PDF is available here.
PDF is available here.
Abstract
We report a case of a 42-year-old female with a soft tissue tumor of the ankle showing hybrid morphologic features of myxoinflammatory fibroblastic sarcoma and hemosiderotic fibrolipomatous tumor, a der(10)t(1;10), and abnormalities of chromosome 3. This hybrid lesion provides further evidence for a...
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PMID: 20871391
PDF is available here.
PDF is available here.
Abstract
The goal of this study was to determine the incidence of deep venous thrombosis (DVT) and pulmonary embolism (PE) after spine surgery. Another purpose was to clarify the rapid changes of the fibrin monomer complex (FMC) and D-dimer levels during the perioperative period of spine surgery for early di...
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PMID: 21039150
PDF is available here.
PDF is available here.
Abstract
The authors performed a retrospective clinical study to evaluate the feasibility and accuracy of cervical pedicle screw (CPS) placement using 3D fluoroscopy-based navigation (3D FN).
The study involved 62 consecutive patients undergoing posterior stabilization of the cervical spine between 2003 and...
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PMID: 21039152
PDF is available here.
PDF is available here.
Abstract
The surgical approach and treatment of thoracolumbar osteoporotic vertebral collapse with neurological deficit have not been documented in detail. Anterior surgery provides good decompression and solid fusion, but the surgery-related risk is relatively higher than that associated with the posterior...
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PMID: 21039153
PDF is available here.
PDF is available here.
Abstract
The authors propose a new surgical classification method for sacral tumors that improves the guidance for specific surgical decisions and approaches.
The authors retrospectively studied the clinical courses of 92 patients with sacral tumors treated at the Changhai Hospital; all patients underwent tu...
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PMID: 21039159
PDF is available here.
PDF is available here.
Abstract
We considered survivorship related to local recurrence in terms of surgical margins, level of resection, and previous surgery.
We retrospectively reviewed 56 patients with sacral chordomas treated with surgical resection. Thirty-seven were resected above S3 by a combined anterior and posterior appro...
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PMID: 20635173
PDF is available here.
PDF is available here.
Abstract
We asked the following questions: (1) how happy are these patients; (2) how do these patients perceive their bodies; (3) do these children have difficulty with social interactions; and (4) how satisfied are patients and their parents with their outcomes?
We retrospectively identified and contacted 2...
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PMID: 20632139
PDF is available here.
PDF is available here.
Thoracic Surgery Clinics (20)4 2010
Abstract
Pectus carinatum or keel chest is a spectrum of progressive inborn anomalies of the anterior chest wall, named after the keel (carina) of ancient Roman ships. It defines a wide spectrum of inborn protrusion anomalies of the sternum and/or the adjacent costal cartilages. Pectus carina...
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PMID: 20974441
PDF is available here.
PDF is available here.
Abstract
We present a 44-year-old man who sustained a Lisfranc dislocation complicated by a dorsalis pedis pseudoaneurysm. This case represents a rare complication of a commonly performed orthopaedic procedure.
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PMID: 20926961
PDF is available here.
PDF is available here.
Hämostaseologie (30 Suppl 1) 2010
Abstract
In particular health economists promise to improve healthcare processes, cost-effectiveness and outcomes by standardised procedures. In the area of EOS indication, operative procedures and postal-surgical pain therapy can partly be standardised. In addition, clinical pathways have impact on the orga...
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PMID: 21042663
PDF is available here.
PDF is available here.
Abstract
Retrospective review.
To evaluate the complication rate of various types of growing spinal implants.
Previous studies report a complication rate of 0.38 to 1.19 per patient in growing spine surgery, but this may be an underestimate.
Medical records of 36 children with early-onset spinal deformity tr...
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PMID: 20562733
PDF is available here.
PDF is available here.
Abstract
We attained good results in 50.9% of the patients in the group I, fair results in 7.1%, and poor results in 42% with pathologic fracture in eight tibiae. In group II, there were good results in 77.9%, fair results in 21.4%, and poor results in 0.7% tibiae with the development of chronic osteomyeliti...
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PMID: 20634722
PDF is available here.
PDF is available here.
Abstract
We report three cases of rigid flatfoot associated to a double coalition in the same foot. Routine computed tomography (CT) scan helped to delineate the joint space narrowing and bony bridges for preoperative planning. All cases were treated surgically with lateral and medial approach, bar resection...
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PMID: 20616757
PDF is available here.
PDF is available here.
Abstract
We report a case of 12-year-old boy, who had bilateral patellar tendon rupture, treated with nonabsorbable synthetic suturing with titanium osseous anchors. Moreover, we discuss the causes of patellar tendon rupture, diagnostic clues and surgical options....
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PMID: 20595921
PDF is available here.
PDF is available here.
Abstract
Widening of the tibial and femoral tunnels can present a substantial obstacle during revision anterior cruciate ligament reconstruction because of the associated bone loss and poor graft fixation. Delayed incorporation of soft-tissue grafts into bone and decreased graft stability are of particular c...
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PMID: 21041804
PDF is available here.
PDF is available here.
Foot & Ankle International (31)11 2010
Abstract
Foot & Ankle International (31)11 2010
Abstract
Standard treatment of plantar first metatarsal head neuropathic ulceration with underlying osteomyelitis consists of extensive debridement of infected soft tissues and bone and often first ray amputation. The purpose of this study was to present a previously unreported, one stage, alternative to fir...
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PMID: 21189190
PDF is available here.
PDF is available here.
Abstract
Traction tables are used in numerous procedures about the hip and femur, including fracture fixation, hip arthroscopy, and less invasive arthroplasty. The use of a traction table is not without risks, however, and significant complications have been described, including injury to the perineal integu...
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PMID: 21041801
PDF is available here.
PDF is available here.
Abstract
Spinal anesthesia is underutilized for surgery in children in Nigeria. Until recently, only caudal and general anesthesia are employed in the pediatric age group, and the thought of spinal anesthesia was an anathema. This study evaluated cardiovascular changes, duration of spinal block, the length of...
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PMID: 20964770
PDF is available here.
PDF is available here.
Abstract
Abstract
Abstract
I and II experience deformities that affect mobility and gait, but rarely dislocations. Marginal and nonambulatory patients have an increasing risk of dislocation. Once subluxation has been identified, early surgical intervention is indicated. Long-term postoperative follow-up is needed to monitor f...
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PMID: 20868884
PDF is available here.
PDF is available here.
Abstract
An understanding of the three-dimensional components of spinal deformity in children with cerebral palsy is necessary to recommend treatments that will positively affect these patients' quality of life. Management of these deformities can be challenging and orthopedic surgeons should be familiar wit...
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PMID: 20868883
PDF is available here.
PDF is available here.
Abstract
This article discusses the sagittal gait patterns in children with spastic diplegia, with an emphasis on the knee, as well as the concept of the "dose" of surgery that is required to correct different gait pathologies. The authors list the various interventions in the order of their increasing dose....
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PMID: 20868885
PDF is available here.
PDF is available here.
Abstract
Clinical decision making for the management of foot deformities in children with cerebral palsy is based on the collection and integration of data from 5 sources: the clinical history, physical examination, plain radiographs, observational gait analysis, and quantitative gait analysis (which include...
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PMID: 20868886
PDF is available here.
PDF is available here.
Abstract
The authors present what appears to be the first case of congenital kyphosis due to a T12 hemivertebra in a four-year-old boy with endochondral gigantism syndrome of unknown origin. Because of his overgrowth, the patient had severe medical and orthopaedic problems and was almost immobile. Prior to s...
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PMID: 21138230
PDF is available here.
PDF is available here.
Abstract
Screw fixation can be extremely difficult to achieve in osteoporotic (OP) bone because of its low strength. This study determined how pullout strength is affected by placing different bone screws at varying angles in normal and OP bone models. Pullout tests of screws placed axially, and at angles to...
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PMID: 20558097
PDF is available here.
PDF is available here.
Canadian Veterinary Journal (51)10 2010
Abstract
Abstract
We performed surgical repair of the Achilles tendon in 28 patients during a 4 year period (2004-2008): 14 patients were treated with the Achillon device, 12 with the open suture technique and 2 with the percutaneous method. Fourteen patients were available for follow-up: 9 patients with the Achillon...
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PMID: 21090517
PDF is available here.
PDF is available here.
Journal of Anesthesia (24)5 2010
Abstract
We present a case series of three patients with CIPA who underwent semielective orthopedic surgery under general anesthesia complicated by intraoperative regurgitation, and subsequent aspiration in two of the three cases. All three patients were nil per os (NPO) for at least 8 h prior to surgery. T...
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PMID: 20632040
PDF is available here.
PDF is available here.
Abstract
Biceps or triceps ruptures are rare but can cause a significant disability. Surgical repair has become the preferred method of treatment for the complete rupture, but the decision when to treat partial tears is less clear. Reconstruction of the tendon is the preferred method when patients have a del...
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PMID: 20883897
PDF is available here.
PDF is available here.
Abstract
The ulnar collateral ligament (UCL), particularly the anterior portion of the anterior oblique ligament, is the primary static contributor to elbow valgus stability. UCL injuries are most common in athletes participating in overhead sports. Acute and chronic injuries to the UCL result in valgus inst...
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PMID: 20883901
PDF is available here.
PDF is available here.
Abstract
Epicondylitis is a diagnostic term that describes a pattern of pain and tenderness localized to the medial or lateral epicondyles of the distal humerus. The pathoanatomy, clinical presentation, and treatment of these disorders is described. Nonoperative treatment, operative techniques, postoperative...
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PMID: 20883898
PDF is available here.
PDF is available here.
Abstract
Posterolateral rotatory instability of the elbow may be a cause of significant impairment of daily activities. The diagnosis is a clinical one, based on the history and physical examination. Imaging studies are often inconclusive because of the variable anatomy of the radio-ulnohumeral ligamentous c...
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PMID: 20883900
PDF is available here.
PDF is available here.
Acta Medica Okayama (64)5 2010
Abstract
We used a navigation system to insert 128 pedicle screws into 69 vertebrae (L1 to L3) of 49 consecutive patients. We assessed the pedicle isthmic width and the permission angle for pedicle screw insertion. The permission angle is the angle defined by the greatest medial and lateral trajectories allo...
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PMID: 20975762
PDF is available here.
PDF is available here.
Abstract
In spite of the prevalence and impact of spinal trauma, significant controversy surrounds many of the topics in the field. The role and timing of surgical intervention after spinal trauma remains one of the most contested topics. This focus issue contains 3 studies, which respectively attempt to def...
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PMID: 20881456
PDF is available here.
PDF is available here.
Abstract
Questionnaires administered to practicing orthopedic and neurosurgical spine surgeons from North America, Europe, Asia, Australia, and New Zealand.
To determine diversity and commonalities in the treatment of spine trauma internationally.
Previous studies have had suggested that there is significant...
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PMID: 20881459
PDF is available here.
PDF is available here.
Abstract
Systematic review.
The objective of this systematic review was to identify the unique features associated with pediatric spinal cord injury (SCI) with the intention of determining the most effective spinal stabilization methods and identifying the optimum treatment for post-traumatic spinal deformit...
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PMID: 20881463
PDF is available here.
PDF is available here.
Abstract
Systematic review.
To determine the indications for surgical intervention and optimal surgical treatment technique for patients with post-traumatic syringomyelia and spinal cord tethering.
The proper management strategy for post-traumatic syringomyelia has not been established. Most modern surgical...
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PMID: 20881468
PDF is available here.
PDF is available here.