Metastatic Disease in the Thoracic and Lumbar Spine: Evaluation and Management
Peter S. Rose, MD and Jacob M. Buchowski, MD, MS J Am Acad Orthop Surg, Vol 19, No 1, January 2011, Spinal metastases are found in most patients who die of cancer. The number of patients with symptomatic spinal metastases likely will increase as therapy for the primary disease improves and as cardiovascular mortality decreases. […]
Acute Compartment Syndrome of the Upper Extremity
NULL Mark L. Prasarn, MD and Elizabeth A. Ouellette, MD J Am Acad Orthop Surg, Vol 19, No 1, January 2011, Acute compartment syndrome occurs when pressure within a fibro-osseous space increases to a level that results in a decreased perfusion gradient across tissue capillary beds. Compartment syndromes of the hand, forearm, and upper arm […]
Femoral Malrotation Following Intramedullary Nail Fixation
NULL Joshua D. Lindsey, MD and James C. Krieg, MD J Am Acad Orthop Surg, Vol 19, No 1, January 2011, Intramedullary nailing of femoral shaft fracture can result in inadvertent malalignment. Malrotation is the most common cause of deformity, but it is underrecognized, in part because of the difficulty in accurately assessing rotation as […]
Perioperative Management of Chronic Anticoagulation in Orthopaedic Surgery
NULL Nikhil A. Thakur, MD, John K. Czerwein, MD, James N. Butera, MD and Mark A. Palumbo, MD J Am Acad Orthop Surg, Vol 18, No 12, December 2010 The orthopaedic patient on chronic anticoagulation therapy is at risk of thromboembolism and hemorrhage in the perioperative period. To establish the most effective anticoagulation regimen, patients […]
Diagnosis of Periprosthetic Joint Infections of the Hip and Knee
NULL Craig Della Valle, MD, Javad Parvizi, MD, Thomas W. Bauer, MD, PhD, Paul E. DiCesare, MD, Richard Parker Evans, MD, John Segreti, MD, Mark Spangehl, MD, William C. Watters, III, MD, Michael Keith, MD, Charles M. Turkelson, PhD, Janet L. Wies, MPH, Patrick Sluka, MPH and Kristin Hitchcock, MIS J Am Acad Orthop Surg, […]
Traction Tablerelated Complications in Orthopaedic Surgery
Michael A. Flierl, MD, Philip F. Stahel, MD, David J. Hak, MD, Steven J. Morgan, MD and Wade R. Smith, MD J Am Acad Orthop Surg, Vol 18, No 11, November 2010 Abstract: Traction tables are used in numerous procedures about the hip and femur, including fracture fixation, hip arthroscopy, and less invasive arthroplasty. The […]
Tunnel Widening in Revision Anterior Cruciate Ligament Reconstruction
Travis G. Maak, MD, James E. Voos, MD, Thomas L. Wickiewicz, MD and Russell F. Warren, MD J Am Acad Orthop Surg, Vol 18, No 11, November 2010 Abstract: Widening of the tibial and femoral tunnels can present a substantial obstacle during revision anterior cruciate ligament reconstruction because of the associated bone loss and poor […]
Secondary Chondrosarcoma
J Am Acad Orthop Surg, Vol 18, No 10, October 2010 Patrick P. Lin, MD, Charbel D. Moussallem, MD and Michael T. Deavers, MD Secondary chondrosarcoma is a distinctive type of tumor that originates from a preexisting cartilaginous lesion. Most commonly, it is associated with solitary or multiple osteochondromas. A fraction of cases arises from […]
Pressure Ulcers in Orthopaedics
NULL J Am Acad Orthop Surg, Vol 18, No 9, September 2010 D. «Trey» Remaley, DO and Todd Jaeblon, DO Pressure ulcers can be a devastating complication in the care of orthopaedic patients. Their presence leads to increased morbidity, mortality, and cost of care. Therapy and rehabilitation cannot progress on a normal postoperative course in […]
Perioperative Management of Diabetes and Hyperglycemia in Patients Undergoing Orthopaedic Surgery
NULL Ali A. Rizvi, MD, Shawn A. Chillag, MD and Kim J. Chillag, MD J Am Acad Orthop Surg 2010 18:. Persons with diabetes undergo more surgical procedures, have a higher perioperative risk of complications, and have longer hospital stays than do persons who do not have diabetes. Persons with diabetes are frequently overweight, have […]