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Objective Structured Clinical Examinations: A Guide to Development and Implementation in Orthopaedic Residency

Última actualización 28/10/13Donna Phillips, Abstract Objective Structured Clinical Examinations (OSCEs) have been used extensively in medical schools and residency programs to evaluate various skills, including the six core competencies outlined by the Accreditation Council for Graduate Medical Education (ACGME). Orthopaedic surgery residency programs will be required by the ACGME to …

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Transabdominal Gunshot Wounds of the Hip and Pelvis

Última actualización 20/05/13Anna N. Miller, MD, Abstract Transabdominal gunshot wounds (GSWs) of the hip and pelvis are those that traverse the gastrointestinal system before entering the pelvis and/or hip. These injuries may be contaminated by bowel contents. Some require urgent surgical intervention; others can be managed nonsurgically. A primary survey …

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Obesity and Osteoarthritis: More Than Just Wear and Tear

Última actualización 1/04/13Ryan 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 …

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Management of Extra-articular Fractures of the Distal Tibia: Intramedullary Nailing Versus Plate Fixation

Última actualización 12/11/12J Am Acad Orthop Surg November 2012 ; 20 Chris Casstevens Abstract Intramedullary nailing and plate fixation represent two viable approaches to internal fixation of extra-articular fractures of the distal tibia. Although both techniques have demonstrated success in maintaining reduction and promoting stable union, they possess distinct advantages …

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Musculoskeletal Care of the Hemophiliac Patient

Última actualización 3/09/12J Am Acad Orthop Surg. September 2012 ; 20 (9) Kelly L. Vanderhave, MD, Michelle S. Caird, MD, Mark Hake, MD, Robert N. Hensinger, MD, Andrew G. Urquhart, MD, Selina Silva, MD and Frances A. Farley, MD Abstract Hemophilia is caused by a deficiency of clotting factor VIII …

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The Musculoskeletal Effects of Perioperative Smoking

Última actualización 25/06/12J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Evan Argintar Abstract Although the carcinogenic consequences of smoking are well known, further research is needed on the effects of smoking on musculoskeletal health and surgical outcomes. Orthopaedic perioperative complications of smoking include impaired healing, increased infection, …

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Contributing Factors to Surgical Site Infections

Última actualización 23/02/12James S. Harrop Abstract Surgical site infections (SSIs) are the most common nosocomial infections. These complications lead to revision surgery, delayed wound healing, increased use of antibiotics, and increased length of hospital stay, all of which have a significant impact on patients and the cost of health care. …

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Psoriatic Arthritis

Última actualización 12/01/12Michael Sean Day JAAOS January 2012; 20 (1) Abstract Psoriatic arthritis is a chronic inflammatory arthropathy that affects approximately 6% to 48% of patients with psoriasis. Arthritis is not correlated with the extent of skin disease. Classic radiographic findings of the involved joint include erosion, ankylosis, and fluffy …

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