Treatment of Distal Radius Fractures
David M. Lichtman, MD (Chair), Randipsingh R. Bindra, MD, FRCS (Vice-Chair), Martin I. Boyer, MD. J Am Acad Orthop Surg 2010 18 The clinical practice guideline is based on a systematic review of published studies on the treatment of distal radius fractures in adults. None of the 29 recommendations made by the work group was […]
Antifibrinolytics in Major Orthopaedic Surgery
Jason David Eubanks, MD J Am Acad Orthop Surg 2010 18 Total joint arthroplasty and deformity surgery of the spine can require complex reconstructive procedures accompanied by the potential for major blood loss. In an attempt to minimize the perioperative blood loss associated with these procedures, recent focus has concentrated on the efficacy of pharmacologic […]
Clearing the Cervical Spine in the Blunt Trauma Patient
Paul A. Anderson, MD, Zbigniew Gugala, MD, PhD, Ronald W. Lindsey, MD, Andrew J. Schoenfeld, MD and Mitchel B. Harris, MD, FACS J Am Acad Orthop Surg 2010 18 The goal of cervical spine clearance is to establish that injuries are not present. Patients are classified into four groups: asymptomatic, temporarily nonassessable secondary to distracting […]
Composite Tissue Allotransplantation: Hand Transplantation and Beyond
Jaimie T. Shores, MD, Gerald Brandacher, MD, Stefan Schneeberger, MD, Vijay S. Gorantla, MD and W.P. Andrew Lee, MD J Am Acad Orthop Surg 2010 18 Recent advances in transplant immunology are shifting the focus from immunosuppression to immunoregulation, making composite tissue allotransplantation with novel and less potent immunosuppressive regimens a possibility. Hand transplantation has […]
Thoracolumbar Spine Trauma Classification
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 Alpesh A. Patel, MD and Alexander R. Vaccaro, MD, PhD Thoracolumbar spine trauma is among the most common musculoskeletal injuries worldwide. However, there is little consensus on the adequate management of spine injury, in part because there is no widely accepted classification system. […]
Ewing Sarcoma Family of Tumors
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 Aditya V. Maheshwari, MD and Edward Y. Cheng, MD The Ewing sarcoma family of tumors (ESFT) consists of a group of tumors characterized by morphologically similar round-cell neoplasm and by the presence of a common chromosomal translocation. Although rare, such tumors constitute the […]
Open Tibial Shaft Fractures: II. Definitive Management and Limb Salvage
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 J. Stuart Melvin, MD, Derek G. Dombroski, MD, Jesse T. Torbert, MD, Stephen J. Kovach, MD, John L. Esterhai, MD and Samir Mehta, MD Definitive treatment of open fractures of the tibial diaphysis is challenging. The high-energy nature of these fractures, as well […]
Early Management of Ballistic Hand Trauma
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 Maj W. G. P. Eardley, MB ChB, MSc, MRCS (Ed) RAMC and Col M. P. M. Stewart, MB ChB, QHS, FRCS (Glas), FRCS (Tr & Orth), L/RAMC From the Academic Department of Military Surgery and Trauma, Royal Centre for Defence Medicine, Birmingham, West […]
Challenges With Health-related Quality of Life Assessment in Arthroplasty Patients: Problems and Solutions
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 Jasvinder Singh, MBBS, MPH, Jeff A. Sloan, PhD and Norman A. Johanson, MD Assessment of health-related quality of life (HRQOL) using patient-reported outcomes in arthroplasty has become popular because it provides a unique perspective on successful elective procedures. However, challenges exist in the […]
Single-row Versus Double-row Rotator Cuff Repair: Techniques and Outcomes
NULL J Am Acad Orthop Surg, Vol 18, No 2, February 2010 Joshua S. Dines, MD, Asheesh Bedi, MD, Neal S. ElAttrache, MD and David M. Dines, MD Double-row rotator cuff repair techniques incorporate a medial and lateral row of suture anchors in the repair configuration. Biomechanical studies of double-row repair have shown increased load […]