News Blog (Part 6)

Surgical Treatment of Developmental Hip Dislocation in Children Aged 1 to 3 Years: A Mean 18-Year, 9-Month Follow-up Study

Posted on March 11, 2010

by Kevin E. Varner, MD; Stephen J. Incavo, MD; Richard J. Haynes, MD; Jesse A. Dickson, MD Abstract Forty-six consecutive patients with 57 congenitally dislocated hips were treated with open reduction and femoral or acetabular procedures as indicated. Patient age ranged from 12 to 36 months at the time of …

AAOS issues acute Achilles tendon rupture guidelines

Posted on February 17, 2010

The American Academy of Orthopaedic Surgeons recently released a new clinical practice guideline to assist orthopedic surgeons in managing acute Achilles tendon ruptures. The American Academy of Orthopaedic Surgeons (AAOS) Board of Directors adopted the guideline, The Diagnosis and Treatment of Acute Achilles Tendon Rupture: Guideline and Evidence Report, in December which …

Two of nation’s largest electronic health record systems announce partnership

Posted on February 11, 2010

The pilot program currently under way should benefit veterans across the nation, officials say. By Robert Press ORTHOPEDICS TODAY 2010; 30:22 Kaiser Permanente and the Department of Veterans Affairs (VA) have announced the formation of a pilot program designed to exchange electronic health record information using the Nationwide Health Information Network created by the …

Less ACL strain found with cleat and natural grass shoe-surface combination

Posted on January 21, 2010

A recent study by investigators from Hospital for Special Surgery shows that athletes making a cut on natural grass while wearing cleats may put less strain on their ACL. Using cadaveric models, the investigators examined the strain placed on the ACL during the following shoe-surface interactions: Astroturf and turf shoe; …

Method for Quantifying Patient Expectations and Early Recovery After Total Knee Arthroplasty

Posted on December 11, 2009

by Stephen M. Howell, MD; Stephanie L. Rogers, MPT Abstract Many components of a surgeon’s total knee arthroplasty (TKA) treatment regimen affect the rate of recovery, such as patient selection, preoperative education, surgical technique, pain management, and postoperative rehabilitation. Therefore, accurate counseling requires that the surgeon quantifies patient expectations and …

Pitfalls of Using Performance Measures to Evaluate the Quality of Hip Fracture Care

Posted on November 18, 2009

By Nelson F. SooHoo, MD; Bryan Correa, MD; Rajeev Pandarinath, MD ORTHOPEDICS 2009; 32:84 Abstract The objective of this study was to determine feasibility of using RAND quality indicators to evaluate hip fracture care. Retrospective chart review was used to determine the adherence to quality indicators and the location of documentation of compliance. A …

A Prospective Study of the Nonoperative Treatment of Degenerative Meniscus Tears

Posted on November 17, 2009

By Todd Rimington, MD; Krishna Mallik, MD; Douglas Evans, MD; Kenneth Mroczek, MD; Bruce Reider, MD ORTHOPEDICS 2009; 32:558 Abstract This prospective study was designed to evaluate a nonoperative-based treatment protocol for patients with the clinical diagnosis of a degenerative medial meniscus tear and to determine if a significant percent of patients with degenerative medial meniscus …

Spine surgeons debate the value of vertebroplasty and kyphoplasty

Posted on November 13, 2009

Introduction Cement injection into acute or subacute vertebral compression fractures has increased in popularity in recent years. There are many anecdotal accounts of bedridden patients being able to walk off the procedure table following such injections. Prospective randomized studies, while hard to design properly and execute, are underway and beginning to be …

Range of Flexion After Primary TKA: The Effect of Soft Tissue Release and Implant Design

Posted on November 13, 2009

by Issaq Ahmed, BEng, MBChB, MRCS; Andrew C. Gray, MD, BSc, MBChB, FRCS(T&O); Marietta van der Linden, PhD; Richard Nutton, MD, FRCS Abstract Range of motion following total knee arthroplasty (TKA) is a crucial measure of clinical outcome. The purpose of this randomized, controlled study was to determine which factors …

1150 Kyphoplasties Over 7 Years: Indications, Techniques, and Intraoperative Complications

Posted on November 13, 2009

By Nicholas McArthur, MD; Christian Kasperk, MD; Martin Baier, MD; Michael Tanner, MD; Bernd Gritzbach, MD; Oliver Schoierer, MD; Wolfram Rothfischer, MD; Gerhard Krohmer, MD; Jochen Hillmeier, MD; Hans-Jürgen Kock, MD; Peter Jürgen Meeder, MD; Franz-Xaver Huber, MD ORTHOPEDICS 2009; 32:90 Abstract In our cohort of 555 patients with a total of 1150 vertebral fractures treated with kyphoplasty we performed a 30-day postoperative …