Clopidogrel therapy-Implications for hip fracture surgery
NULL Injury. 2008 Jul 23. [Epub ahead of print] 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 […]
Comparison of fixation methods of double-bundle double-tibial tunnel ACL reconstruction and double-bundle single-tunnel technique
NULL Int Orthop. 2008 Aug;32(4):483-8. Epub 2007 Mar 6. Papachristou G, Kalliakmanis A, Papachristou K, Magnissalis E, Sourlas J, Plessas S. An experimental study was conducted in order to evaluate biomechanical methods of single-bundle reconstruction in ACL and compare it with a new double-bundle double-tibial tunnel technique. Twenty-four porcine cadaver knees, divided into 4 groups […]
The Urgency of Surgical Débridement in the Management of Open Fractures
NULL Journal of the American Academy of Orthopaedic Surgeons July 2008, Volume 16, Issue 7 Clément M. L. Werner, MD, PD Dr med, Yvonne Pierpont, MD and Andrew N. Pollak, MD Emergent débridement of open fractures within 6 hours of injury has long been considered to be critical to prevention of infection. The basis for […]
Controversies in Soft-tissue Anterior Cruciate Ligament Reconstruction: Grafts, Bundles, Tunnels, Fixation, and Harvest
NULL Journal of the American Academy of Orthopaedic Surgeons July 2008, Volume 16, Issue 7 Chadwick C. Prodromos, MD, Freddie H. Fu, MD, Stephen M. Howell, MD, Donald H. Johnson, MD and Keith Lawhorn, MD Increased stability has been reported with both autografts and allografts for anterior cruciate ligament (ACL) reconstruction. However, meta-analysis has shown […]
Low-molecular-weight heparin versus compression stockings for thromboprophylaxis after knee arthroscopy: a randomized trial.
Ann Intern Med. 2008 Jul 15;149(2):73-82. Camporese G, Bernardi E, Prandoni P, Noventa F, Verlato F, Simioni P, Ntita K, Salmistraro G, Frangos C, Rossi F, Cordova R, Franz F, Zucchetta P, Kontothanassis D, Andreozzi GM; KANT (Knee Arthroscopy Nadroparin Thromboprophylaxis) Study Group.Collaborators (28) BACKGROUND: Knee arthroscopy, the most common orthopedic operation worldwide, carries a […]
Osteoarthritic changes after anterior cruciate ligament reconstruction using bone-patellar tendon-bone or hamstring tendon autografts: a retrospective, 7-year radiographic and clinical follow-up study
Arthroscopy. 2008 Aug;24(8):899-908. Epub 2008 May 19. Lidén M, Sernert N, Rostgård-Christensen L, Kartus C, Ejerhed L. PURPOSE: This study was undertaken to evaluate the long-term radiographic appearance and clinical outcome after anterior cruciate ligament (ACL) reconstruction by use of either bone-patellar tendon-bone (BPTB) or hamstring tendon (HT) autografts and to evaluate how associated meniscal […]
Potent anticoagulants are associated with a higher all-cause mortality rate after hip and knee arthroplasty
NULL Sharrock NE; Gonzalez Della Valle A; Go G; Lyman S; Salvati EA Clin Orthop Relat Res. 2008; 466(3):714-21 Anticoagulation for thromboprophylaxis after THA and TKA has not been confirmed to diminish all-cause mortality. We determined whether the incidence of all-cause mortality and pulmonary embolism in patients undergoing total joint arthroplasty differs with currently used […]
Locked Plating in Orthopaedic Trauma: A Clinical Update
NULL J Am Acad Orthop Surg, Vol 16, No 6, June 2008 George J. Haidukewych, MD and William Ricci, MD Locked plating for fracture fixation has enjoyed widespread popularity despite a paucity of published data on outcomes. Anatomically precontoured locked plates that allow fixation in various anatomic regions are widely available. New technologies incorporate subchondral […]
Prophylactic Antibiotics in Orthopaedic Surgery
NULL J Am Acad Orthop Surg, 2008 Vol 16, No 5:283-293. Laura Prokuski, MD The use of prophylactic antibiotics in orthopaedic surgery is effective in reducing surgical site infections in hip and knee arthroplasty, spine surgery, and open reduction and internal fixation of fractures. To maximize the beneficial effect of prophylactic antibiotics while minimizing adverse […]
The Use of Locking Plates in Orthopedic Oncology Reconstructions
NULL Walter W. Virkus, Benjamin J. Miller, Ping C. Chye, Steven Gitelis, ORTHOPEDICS 2008; 31:438 Abstract Locking-plate systems are believed to provide better purchase in poor quality bone and equivalent purchase with fewer screws, and also to limit screw pullout by functioning as fixed-angle devices. This retrospective study examined 25 oncologic reconstructions involving locking plates. […]