Bone Morphogenetic Protein in Spine Surgery: Current and Future Uses
J Am Acad Orthop Surg. September 2012 ; 20 (9) Jesse Even, MD, Mark Eskander, MD and James Kang, MD Abstract The clinical use of bone morphogenetic protein (BMP) in spinal fusion surgery has recently become controversial. After its approval by the US FDA in July 2002, BMP was adopted by many spine surgeons as […]
Implantable Sensor Technology: From Research to Clinical Practice
J Am Acad Orthop Surg June 2012 vol. 20 no. 6 Eric H. Ledet Abstract For decades, implantable sensors have been used in research to provide comprehensive understanding of the biomechanics of the human musculoskeletal system. These complex sensor systems have improved our understanding of the in vivo environment by yielding in vivo measurements of […]
Biomechanical Testing of Fracture Fixation Constructs: Variability, Validity, and Clinical Applicability
Michael J. Gardner J Am Acad Orthop Surg February 2012 ; 20 Abstract Biomechanical testing of fracture fixation implants is crucial in preclinical evaluation and in comparing new devices with standard devices. Many variables must be considered when planning and implementing a biomechanical in vitro experiment. The type of test selected (eg, load-to-failure, stiffness, cyclic […]
Nerve Conduits for Nerve Repair or Reconstruction
Nicole Deal J Am Acad Orthop Surg February 2012 ; 20 Abstract Advances in treating peripheral nerve lesions have resulted from research in nerve regeneration and the use biomaterials as well as synthetic materials. When direct tensionless repair of peripheral nerve lesions is not possible, nerve conduits may be used to bridge digital sensory nerve […]
The Effect of Drill Bit, Pin, and Wire Tip Design on Drilling
NULL Bryce M. Fincham, Todd Jaeblon J Am Acad Orthop Surg September 2011 ; 19: Abstract Successful penetration of bone is dependent on several factors, including bone quality, drill bit and pin design, and drilling technique. Wires are also used in bone drilling, and the tip configuration can affect the efficiency of bone penetration. Incorrect […]
Tissue Engineering Solutions for Tendon Repair
J Am Acad Orthop Surg, Vol 19, No 3, March 2011 MaCalus V. Hogan, MD, Namory Bagayoko, MD, Roshan James, MS, Trevor Starnes, MD, PhD, Adam Katz, MD and A. Bobby Chhabra, MD Tendon injuries range from acute traumatic ruptures and lacerations to chronic overuse injuries, such as tendinosis. Even with improved nonsurgical, surgical, and […]
Bone Void Fillers
NULL J Am Acad Orthop Surg, Vol 18, No 9, September 2010 John S. Kirkpatrick, MD, Charles N. Cornell, MD, Bang H. Hoang, MD, Wellington Hsu, MD, J. Tracy Watson, MD, William C. Watters, III, MD, Charles M. Turkelson, PhD, Janet L. Wies, MPH and Sara Anderson, MPH For this technology overview, the tools of […]
Randomized Clinical Trials in Orthopaedic Surgery: Strategies to Improve Quantity and Quality
NULL S. Samuel Bederman, MD, PhD, FRCSC, Josie Chundamala, MA and James G. Wright, MD, MPH, FRCSC J Am Acad Orthop Surg, Vol 18, No 8, August 2010 Randomized clinical trials (RCTs) generally provide the highest quality and least biased evidence for treatment effectiveness. Relatively few high-quality RCTs have been published in the orthopaedic literature. […]
Polymethylmethacrylate: Properties and Contemporary Uses in Orthopaedics
J Am Acad Orthop Surg, Vol 18, No 5 Todd Jaeblon, DO Polymethylmethacrylate (PMMA) has been used in orthopaedics since the 1940s. Despite the development and popularity of new biomaterials, PMMA remains popular. Although its basic components remain the same, small proprietary and environmental changes create variations in its properties. PMMA can serve as a […]
The Role of Fibrin Sealants in Orthopaedic Surgery
R. Justin Thoms, MD and Scott E. Marwin, MD J Am Acad Orthop Surg, Vol 17, No 12, December 2009, Blood conservation, specifically the avoidance of allogeneic blood transfusion, is becoming an important aspect of preoperative planning and intraoperative decision making in orthopaedic surgery. Knee and hip arthroplasty, as well as certain spine procedures, place […]
