Intramedullary Nailing of Femoral Shaft Fractures: Current Concepts
William M. Ricci, MD, Bethany Gallagher, MD and George J. Haidukewych, MD J Am Acad Orthop Surg, Vol 17, No 5, May 2009 Intramedullary nailing is the preferred method for treating fractures of the femoral shaft. The piriformis fossa and greater trochanter are viable starting points for antegrade nailing. Alternatively, retrograde nailing may be performed. […]
Medial Meniscus Posterior Horn Avulsion
John M. Marzo, MD J Am Acad Orthop Surg, Vol 17, No 5, May 2009, Avulsion of the posterior horn of the medial meniscus can occur from acute trauma or chronic degeneration, leading to meniscus extrusion, articular cartilage loss, osteophyte formation, and medial joint space narrowing. With meniscus extrusion, the meniscus is unable to resist […]
Achondroplasia: Manifestations and Treatment
Eric D. Shirley, MD and Michael C. Ain, MD J Am Acad Orthop Surg, Vol 17, No 4, April 2009, Achondroplasia, the most common skeletal dysplasia, is caused by a mutation of fibroblast growth factor receptor-3. This disorder is characterized by frontal bossing, midface hypoplasia, otolaryngeal system dysfunction, and rhizomelic short stature. Orthopaedic manifestations are […]
The role of intra-operative pathological evaluation in the management of musculoskeletal tumours
Ashford RU, Scolyer RA, McCarthy SW, Bonar SF, Karim RZ, Stalley PD; Cancer Research 179 11-24 (2009) A tissue biopsy is usually a critical aspect in guiding appropriate initial management in patients with musculoskeletal tumours. We have previously outlined the role of intra-operative frozen section in both the determination of adequacy of a biopsy and […]
Ventricular tachycardia during arthroscopic shoulder surgery: a report of two cases
Cho SH, Yi JW, Kwack YH, Park SW, Kim MK, Rhee YG Archives of Orthopaedic and Trauma Surgery (Jan 2009) We routinely have performed arthroscopic shoulder surgery under general anesthesia in the beach chair position using epinephrine (0.33 mg/L) saline irrigation. At a 2-week interval, two patients, a 19-year-old man scheduled to undergo an arthroscopic […]
Severe chondrolysis after shoulder arthroscopy: A case series
Bailie DS, Ellenbecker T Journal of Shoulder and Elbow Surgery (Jan 2009) HYPOTHESIS: Chondrolysis has been observed after shoulder arthroscopy and results in severe glenohumeral complications. MATERIALS AND METHODS: Twenty three cases of post-arthroscopic glenohumeral chondrolysis, occurring between 2005-2006, are reported following a variety of arthroscopic shoulder procedures. Presenting complaints, signs and symptoms, associated operative […]
Soft-tissue Sarcoma
J Am Acad Orthop Surg, Vol 17, No 1, January 2009 Nathan F. Gilbert, MD, Christopher P. Cannon, MD, Patrick P. Lin, MD and Valerae O. Lewis, MD Soft-tissue sarcomas are rare malignancies of mesodermal origin. Common sites of involvement include the extremities, trunk, retroperitoneum, and the head and neck. Soft-tissue sarcomas of the extremities […]
Effect of procedure duration on total hip arthroplasty and total knee arthroplasty survivorship in the United States Medicare population
J Arthroplasty. 2008 Sep;23(6 Suppl 1):127-32. Epub 2008 Jun 13. Ong KL, Lau E, Manley M, Kurtz SM. The effect of procedure duration on joint arthroplasty survivorship in the USA is unknown. We examined the association between procedure duration with primary total hip arthroplasty and total knee arthroplasty survivorship at 8 years in the Medicare […]
Electrical Stimulation for Long-Bone Fracture-Healing: A Meta-Analysis of Randomized Controlled Trials
The Journal of Bone and Joint Surgery 2008, Volume 90, Issue 11 Brent Mollon, BHSc1, Vitor da Silva, BMSc2, Jason W. Busse, DC, MSc3, Thomas A. Einhorn, MD4 and Mohit Bhandari, MD, MSc3 Background: Bone stimulation represents a $500 million market in the United States. The use of electromagnetic stimulation in the treatment of fractures […]
Relationship Between Perioperative Urinary Tract Infection and Deep Infection After Joint Arthroplasty
Clin Orthop Relat Res. 2008 Nov 14. [Epub ahead of print] Koulouvaris P, Sculco P, Finerty E, Sculco T, Sharrock NE. Surgical wound infection is a serious and potentially catastrophic complication after joint arthroplasty. Urinary tract infection is a common infection that creates a potential reservoir of resistant pathogens and increases patient morbidity. We asked […]