News Blog (Part 10)

Locking Plate Fixation for Proximal Humerus Fractures: A Comparison With Other Fixation Techniques

Posted on November 13, 2008

by Darin M. Friess, MD; Albert Attia, MD; Heather A. Vallier, MD Abstract Various traditional surgical treatment methods for displaced proximal humerus fractures were compared with locking plates. Ninety-eight patients were reviewed and functional outcomes were obtained. After a mean 45-month follow-up, trends were noted toward better fracture reduction with …

Hip Resurfacing for the Treatment of Developmental Dysplasia of the Hip

Posted on November 13, 2008

By Jia Li, MD; Weidong Xu, MD; Ling Xu, MD; Zhimin Liang, MD ORTHOPEDICS 2008; 31:1199 Abstract Total hip arthroplasty (THA) with ceramic-on-ceramic bearings and an uncemented design is considered an effective treatment of developmental dysplasia of the hip, especially for young, active patients. The new generation of hip resurfacing with large femoral heads offers …

Results of an Initial Experience with Custom-fit Positioning Total Knee Arthroplasty in a Series of 48 Patients

Posted on November 13, 2008

By Stephen M. Howell, MD; Kyle Kuznik, BS; Maury L. Hull, PhD; Robert A. Siston, PhD ORTHOPEDICS 2008; 31:857 The custom-fit approach to total knee arthroplasty in conjunction with removal of osteophytes and preservation of ligaments rapidly returned function; restored motion, stability, and postoperative mechanical axis alignment; effected high patient satisfaction; and had an acceptable …

Malpractice law evolved via orthopedics

Posted on November 13, 2008

The specialty has played a major role in developing many of the key doctrines that are currently used in medical malpractice law. By Lawrence H. Brenner, JD; B. Sonny Bal, MD, MBA ORTHOPEDICS TODAY 2008; 28:34 Occasionally, in a complex subject such as medical malpractice, it is useful to look at the current …

Thigh Pain After Total Hip Replacement: A Pathophysiological Review and a Comprehensive Classification

Posted on November 13, 2008

By Luca M.C. Pierannunzii, MD ORTHOPEDICS 2008; 31:691 July 2008 Educational Objectives As a result of reading this article, physicians should be able to: Describe the clinical and radiological features of thigh pain related to femoral total hip components. Discuss the pathophysiology of thigh pain in total hip replacement (THR) patients. Describe …

The Effect of Time Delay to Surgical Debridement of Open Tibia Shaft Fractures on Infection Rate

Posted on November 11, 2008

By Krishna Tripuraneni, MD; Sarat Ganga, MD; Robert Quinn, MD; Rick Gehlert, MD ORTHOPEDICS 2008; 31:1195 Historical practices have advocated emergent operative debridement for all open fractures. To date only studies in guinea pigs have demonstrated decreased infection with surgical intervention within 6 hours of injury. Recent studies have questioned this practice in humans. The …

Hip Resurfacing for the Treatment of Developmental Dysplasia of the Hip

Posted on November 11, 2008

By Jia Li, MD; Weidong Xu, MD; Ling Xu, MD; Zhimin Liang, MD ORTHOPEDICS 2008; 31:1199 Abstract Total hip arthroplasty (THA) with ceramic-on-ceramic bearings and an uncemented design is considered an effective treatment of developmental dysplasia of the hip, especially for young, active patients. The new generation of hip resurfacing with large femoral heads offers …

The Lateral Distal Femoral DEXA Scan in Children: A Chronology of Growing Bone?

Posted on November 11, 2008

Abstract Dual energy x-ray absorptiometry (DEXA) is the current standard for measuring bone mineral density (BMD) in children. The International Society for Clinical Densitometry recommends scanning the total body and spine in children. However, in orthopedics, the total-body and spine DEXA scans are often rendered useless by the presence of …

Research disputes effectiveness of arthroscopic surgery for knee OA

Posted on November 11, 2008

Investigator suggests judicious use of arthroscopy in patients with X-ray evidence of degeneration. by Gina Brockenbrough A new study finds that arthroscopic surgery provides no additional benefit to physical therapy and medication for the treatment of knee osteoarthritis. In a randomized trial, investigators from the University of Western Ontario studied …

Using plasma-rich growth factors in orthopaedic surgery and trauma: What does the future hold?

Posted on November 11, 2008

By Ramon Cugat, MD, PhD ORTHOPAEDICS TODAY EUROPE 2008; 11:1 In modern orthopaedic surgery, we are always challenged to identify treatment options that work safely, effectively and possibly better and less invasively than the current standards. In some cases, treatment options like plasma rich in growth factors can help the body heal …