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 […]
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 […]
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 […]
Ambulatory Assistive Devices in Orthopaedics: Uses and Modifications
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Safi R. Faruqui, DO and Todd Jaeblon, DO Ambulatory assistive devices (eg, canes, crutches, walkers) provide advantages such as stability, augmentation of muscle action, and reduction of weight-bearing load. Although they are often prescribed, a detailed understanding of these devices is often lacking, which […]
Open Tibial Shaft Fractures: I. Evaluation and Initial Wound Management
J Am Acad Orthop Surg, Vol 18, No 1, January 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 Open fractures of the tibial diaphysis are often associated with severe bone and soft-tissue injury. Contamination of the fracture site […]
Current Treatment Strategies for Bicolumnar Distal Humerus Fractures
J Am Acad Orthop Surg, Vol 18, No 1, January 2010 Gregory J. Galano, MD, Christopher S. Ahmad, MD and William N. Levine, MD Management of distal humerus fractures continues to challenge orthopaedic surgeons. The unique and complex anatomy of the distal humerus, involving the ulnohumeral and radiocapitellar joints, makes anatomic reduction difficult and hardware […]
The Use of Radiofrequency Ablation in the Treatment of Musculoskeletal Tumors
NULL Dustin Volkmer, MD, Michael Sichlau, MD and Timothy B. Rapp, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Musculoskeletal tumors, both primary neoplasms and metastatic lesions, present a therapeutic challenge for the physician who wishes to provide palliative pain relief using the least invasive approach. The increasing sophistication of imaging […]
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 […]