Coronoid Process Fracture

J Am Acad Orthop Surg, Vol 16, No 9, September 2008 Scott P. Steinmann, MD The coronoid process is one of the main constraints providing ulnohumeral joint stability. The coronoid process and the radial head provide a buttress against posterior displacement of the elbow joint. Fracture of the coronoid process can be either an isolated […]

Posterolateral Corner Injury of the Knee: Evaluation and Management

J Am Acad Orthop Surg, Vol 16, No 9, September 2008 Anil Ranawat, MD, Champ L. Baker, III, MD, Sarah Henry, MD and Christopher D. Harner, MD Posterolateral corner injury, an increasingly recognized entity, is commonly associated with concomitant ligament disruptions. Prompt recognition is critical for several reasons. Missed posterolateral corner injuries increase the failure […]

Design Features of Current Total Ankle Replacements: Implants and Instrumentation

J Am Acad Orthop Surg, Vol 16, No 9, September 2008 Andrea Cracchiolo, III, MD and James K. DeOrio, MD Development of total ankle replacements began nearly 40 years ago. The initial devices were cemented and highly constrained, and they eventually failed. These were followed by second-generation cementless ankle implants with a fixed (two-component design) […]

Clopidogrel therapy-Implications for hip fracture surgery

NULL Injury. 2008 Oct;39(10):1188-90. Epub 2008 Jul 24. Johansen A, White J, Turk A. It remains unclear whether it is justifiable to delay hip fracture surgery in patients who are taking clopidogrel therapy-to allow the drug’s anti-platelet effect to wear off. In a follow-up of 740 consecutive admissions with hip fracture we describe the extent […]

A randomized trial of arthroscopic surgery for osteoarthritis of the knee

NULL N Engl J Med. 2008 Sep 11;359(11):1097-107. Kirkley A, Birmingham TB, Litchfield RB, Giffin JR, Willits KR, Wong CJ, Feagan BG, Donner A, Griffin SH, D’Ascanio LM, Pope JE, Fowler PJ. BACKGROUND: The efficacy of arthroscopic surgery for the treatment of osteoarthritis of the knee is unknown. METHODS: We conducted a single-center, randomized, controlled […]

Intraarticular lidocaine versus intravenous procedural sedation with narcotics and benzodiazepines for reduction of the dislocated shoulder: a systematic review

NULL Acad Emerg Med. 2008 Aug;15(8):703-8. Fitch RW, Kuhn JE. BACKGROUND: Anterior shoulder dislocations commonly present to the emergency department (ED). The time associated with procedural sedation for the reduction of anterior shoulder dislocations can be lengthy and may require use of additional personnel. Complications associated with intravenous (IV) medications for procedural sedation are well […]

Ankle fusion for definitive management of non-reconstructable pilon fractures

NULL Foot Ankle Int. 2008 Sep;29(9):914-8. Bozic V, Thordarson DB, Hertz J. BACKGROUND: Highly comminuted pilon fractures, especially with a compromised soft tissue envelope, present a challenging treatment scenario. This study presents our results for patients managed with ankle fusion rather than ORIF. MATERIALS AND METHODS: Fourteen patients with ankle joint incongruence after non-reconstructable tibia […]

Coracoclavicular stabilization using a suture anchor technique

NULL Am J Orthop. 2008 Jun;37(6):294-300. Friedman DJ, Barron OA, Catalano L, Donahue JP, Zambetti G. Multiple fixation options exist for coracoclavicular stabilization, but many are technically demanding and require hardware removal. In the study reported here, we reviewed a specific fixation technique that includes suture anchors moored in the base of the coracoid process. […]

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