The Role of Fibrin Sealants in Orthopaedic Surgery
R. Justin Thoms, MD and Scott E. Marwin, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Blood conservation, specifically the avoidance of allogeneic blood transfusion, is becoming an important aspect of preoperative planning and intraoperative decision making in orthopaedic surgery. Knee and hip arthroplasty, as well as certain spine procedures, place […]
Pedicled Vascularized Bone Grafts for Scaphoid and Lunate Reconstruction
Alexander Payatakes, MD and Dean G. Sotereanos, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Conventional bone grafts have some osteogenic potential, whereas vascularized bone grafts retain live, functional osteocytes and osteoblasts. High rates of scaphoid union have been achieved with conventional bone grafting in the absence of osteonecrosis or prior […]
Glenohumeral chondrolysis after shoulder arthroscopy associated with continuous bupivacaine infusion
Rapley JH, Beavis RC, Barber FA; Arthroscopy 25 (12), 1367-73 (Dec 2009) PURPOSE: To determine the incidence of glenohumeral chondrolysis associated with the use of a continuous-infusion device in shoulder arthroscopy. METHODS: A consecutive series of patients undergoing arthroscopic glenohumeral surgery with a postoperative continuous-infusion pump inserted into either the glenohumeral joint or subacromial space […]
Effect of Alendronate on Pseudomembrane Cytokine Expression in Patients with Aseptic Osteolysis
Holt G, Reilly J, Meek RM; Journal of Arthroplasty (Dec 2009) AIM: To determine whether alendronate alters the pseudomembrane inflammatory cytokine profile in patients with established aseptic osteolysis. METHODS: A prospective, double-blind, randomized, controlled trial was conducted. Ten individuals listed for revision surgery for aseptic failure of a primary cemented arthroplasty were randomly assigned placebo/alendronate […]
Bazedoxifene, a selective estrogen receptor modulator: effects on the endometrium, ovaries, and breast from a randomized controlled trial in osteoporotic postmenopausal women.
Archer DF, Pinkerton JV, Utian WH, Menegoci JC, de Villiers TJ, Yuen CK, Levine AB, Chines AA, Constantine GD. Menopause. 2009 Nov-Dec;16(6):1079-82. OBJECTIVE: The aim of this study was to evaluate the endometrial, ovarian, and breast safety of bazedoxifene used as a treatment for postmenopausal osteoporosis. METHODS: Healthy women (aged 55-85 y) with osteoporosis were […]
Randomized Controlled Trial of Diclofenac Sodium Gel in Knee Osteoarthritis
Barthel HR, Haselwood D, Longley S, Gold MS, Altman RD; Seminars in Arthritis and Rheumatism 39 (3), 203-212 (Dec 2009) OBJECTIVES: Nonsteroidal anti-inflammatory drugs have dose-related adverse effects. Topical nonsteroidal anti-inflammatory drugs may offer local efficacy with low systemic drug levels. This study assessed the efficacy and safety of topical diclofenac sodium 1% gel (DSG) […]
Tai Chi is effective in treating knee osteoarthritis: A randomized controlled trial.
Arthritis Rheum. 2009 Nov 15;61(11):1545-53 Wang C, Schmid CH, Hibberd PL, Kalish R, Roubenoff R, Rones R, McAlindon T. OBJECTIVE: To evaluate the effectiveness of Tai Chi in the treatment of knee osteoarthritis (OA) symptoms. METHODS: We conducted a prospective, single-blind, randomized controlled trial of 40 individuals with symptomatic tibiofemoral OA. Patients were randomly assigned […]
Recognition and management of vitamin D deficiency.
Am Fam Physician. 2009 Oct 15;80(8):841-6. Bordelon P, Ghetu MV, Langan RC. Vitamin D deficiency affects persons of all ages. Common manifestations of vitamin D deficiency are symmetric low back pain, proximal muscle weakness, muscle aches, and throbbing bone pain elicited with pressure over the sternum or tibia. A 25-hydroxyvitamin D level should be obtained […]
Meniscal Tears and Discoid Meniscus in Children: Diagnosis and Treatment
J Am Acad Orthop Surg, Vol 17, No 11, November 2009, Dennis E. Kramer, MD and Lyle J. Micheli, MD The incidence of traumatic meniscal tears in children is on the rise, likely because of increased sports participation and more accurate diagnostic modalities. The increased vascularity of the developing meniscus is believed to enable greater […]
Chordoma of the Sacrum and Vertebral Bodies
J Am Acad Orthop Surg, Vol 17, No 11, November 2009, Daniel M. Sciubba, MD, Jennifer J. Cheng, MD, Rory J. Petteys, BS, Kristy L. Weber, MD, Deborah A. Frassica, MD and Ziya L. Gokaslan, MD Chordomas are relatively rare tumors of bone. These primary malignant lesions occur throughout the spinal column and often show […]