The Pediatric Polytrauma Patient: Current Concepts
Nirav K. Pandya J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract Understanding the pediatric response to polytrauma is essential for the orthopaedic surgeon. The physiologic effects of multisystem injury that manifest in a child have important implications for coordination of treatment, particularly in relation to the timing and incidence of organ […]
Acetabular Bone Loss in Revision Total Hip Arthroplasty: Evaluation and Management
Neil P. Sheth J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract As the number of primary total hip arthroplasty (THA) procedures performed continues to rise, the burden of revision THA procedures is also expected to increase. Proper evaluation and management of acetabular bone loss at the time of revision surgery will […]
Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures
William Watters, III J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract The Prevention of Orthopaedic Implant Infection in Patients Undergoing Dental Procedures evidence-based clinical practice guideline was codeveloped by the American Academy of Orthopaedic Surgeons (AAOS) and the American Dental Association. This guideline replaces the previous AAOS Information Statement, Antibiotic Prophylaxis […]
Obesity and Osteoarthritis: More Than Just Wear and Tear
Ryan C. Koonce J Am Acad Orthop Surg March 2013 vol. 21 no. 3 Abstract A link has been established between obesity and osteoarthritis (OA), but the precise relationship has yet to be defined. OA has a multifactorial etiology, and obesity is consistently identified as an independent and modifiable risk factor. The biomechanical relationship is […]
Anterior Cruciate Ligament Injuries in the Skeletally Immature Athlete: Diagnosis and Management
Jeremy S. Frank J Am Acad Orthop Surg February 2013 ; 21 Abstract Intrasubstance anterior cruciate ligament (ACL) injuries in children and adolescents were once considered rare occurrences, with tibial eminence avulsion fractures generally regarded as the pediatric ACL injury equivalent. However, with increased single-sport focus, less free play, and year-round training at younger ages, […]
Venous Thrombosis in Athletes
Gregory Grabowski J Am Acad Orthop Surg February 2013 ; 21 Abstract Because deep vein thrombosis (DVT) can occur following orthopaedic procedures, knowledge of hereditary and acquired risk factors for DVT is essential. Hereditary forms of thrombophilia include factor V Leiden and prothrombin G20210A mutations, and deficiencies of antithrombin III, protein C, and protein S. […]
Giant Cell Tumor of Bone
Kevin A. Raskin J Am Acad Orthop Surg February 2013 ; 21 Abstract Giant cell tumor (GCT) of bone is one type of giant cell-rich lesion of bone. This benign mesenchymal tumor has characteristic multinuclear giant cells. Mononuclear stromal cells are the physiologically active and diagnostic cell type. Most GCTs are located in the epiphyseal […]
Patient-reported Outcome Measures in Spine Surgery
John D. McCormick J Am Acad Orthop Surg February 2013 ; 21 Abstract The ultimate goals of intervention for spinal pathology are to improve the patients quality of life, restore function, and relieve pain. Traditional clinician-based assessments typically fall short of adequately addressing these important outcomes because these assessments are inherently biased and may not […]
Workers Compensation and Outcomes of Upper Extremity Surgery
Konrad I. Gruson J Am Acad Orthop Surg February 2013 ; 21 Abstract Clinical outcomes following upper extremity surgery among workers compensation patients have traditionally been found to be worse than those of nonworkers compensation patients. In addition, workers compensation patients take significantly longer to return to their jobs, and they return to their preinjury […]
Fracture-dislocations of the Proximal Interphalangeal Joint
John Elfar J Am Acad Orthop Surg February 2013 ; 21 Abstract Fracture-dislocations of the proximal interphalangeal joint encompass a spectrum of injury severity, ranging from injuries that require little intervention to those that require advanced reconstructive surgery for optimal outcome. Three fracture-dislocation patterns are recognized: dorsal, volar, and pilon. Acceptable outcome is dependent on […]