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. […]
Adverse Cardiovascular Effects of NSAIDs: Driven by Blood Pressure, or Edema?
NULL Therapeutic Advances in Cardiovascular Disease 2008 – Volume 2, Number 1 Ashish Aneja MD; Michael E. Farkouh MD, MSc Abstract The non-selective non-steroidal anti-inflammatory drugs (nsNSAIDs) and cyclooxygenase-2 (COX-2) inhibitors are commonly utilized agents for musculoskeletal conditions. The harmful cardiorenal effects of some nsNSAIDs are well described and thought to be related to inhibition […]
Clinical outcomes similar with arthroscopic rotator cuff repair alone or with acromioplasty
NULL Mascarenhas R, MacDonald P, Lapner P, et al. Arthroscopic rotator cuff repair with and without arthroscopic acromioplasty in the treatment of full-thickness rotator cuff tears. Paper SS-35. Presented at the 27th Annual Meeting of the Arthroscopy Association of North America. April 24-27, 2008. Washington. WASHINGTON Short-term study results indicate there were no significant differences […]
Knotless anatomic double-layer double-row rotator cuff repair: a novel technique re-establishing footprint and shape of full-thickness tears
NULL Arch Orthop Trauma Surg. 2008 Apr 5 [Epub ahead of print] Hepp P, Engel T, Osterhoff G, Marquass B, Josten C. The standard technique for restoring footprint after full-thickness tears of the rotator cuff includes double-row or transosseous-equivalent techniques. However, the anatomically typical bird’s beak shape and profile of tendon insertion may not be […]
Potent anticoagulants are associated with a higher all-cause mortality rate after hip and knee arthroplasty
NULL Clin Orthop Relat Res. 2008 Mar;466(3):714-21. Epub 2008 Feb 10. Sharrock NE, Gonzalez Della Valle A, Go G, Lyman S, Salvati EA. 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 […]
The efficacy of continuous bupivacaine infiltration following arthroscopic rotator cuff repair
NULL Arthroscopy. 2008 Apr;24(4):397-402. Epub 2008 Jan 7. Banerjee SS, Pulido P, Adelson WS, Fronek J, Hoenecke HR. Purpose: This prospective, randomized, double-blind study with a placebo group and 2 experimental groups evaluated the efficacy of continuous low-dose bupivacaine infiltration by infusion pump after arthroscopic rotator cuff repair. METHODS: Sixty patients undergoing arthroscopic rotator cuff […]
Femoral Nonunion: Risk Factors and Treatment Options
Journal of the American Academy of Orthopaedic Surgeons February 2008, Volume 16, Issue 2 Joseph R. Lynch, MD, Lisa A. Taitsman, MD, MPH, David P. Barei, MD and Sean E. Nork, MD Despite advances in surgical technique, fracture fixation alternatives, and adjuncts to healing, femoral nonunion continues to be a significant clinical problem. Femoral fractures […]
Removal of Broken Hardware
Journal of the American Academy of Orthopaedic Surgeons February 2008, Volume 16, Issue 2 David J. Hak, MD and Matthew McElvany, MD Despite advances in metallurgy, fatigue failure of hardware is common when a fracture fails to heal. Revision procedures can be difficult, usually requiring removal of intact or broken hardware. Several different methods may […]
Cast and Splint Immobilization: Complications
NULL Journal of the American Academy of Orthopaedic Surgeons January 2008, Volume 16, Issue 1 Matthew Halanski, MD and Kenneth J. Noonan, MD During the past three decades, internal fixation has become increasingly popular for fracture management and limb reconstruction. As a result, during their training, orthopaedic surgeons receive less formal instruction in the art […]