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A Sonography-based Decision Model for Use in Treatment of Developmental Dysplasia of the Hip. 基于超声的决策模型用于治疗发育性髋关节发育不良。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0047
B. P. Chen, H. Harcke, K. Rogers, J. R. Bowen
{"title":"A Sonography-based Decision Model for Use in Treatment of Developmental Dysplasia of the Hip.","authors":"B. P. Chen, H. Harcke, K. Rogers, J. R. Bowen","doi":"10.3113/jsoa.2023.0047","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0047","url":null,"abstract":"The objective of this study was to delineate a model for management of developmental dysplasia of the hip (DDH) treatment that incorporates hip ultrasound with objective/predicative parameters at key decision-making times. Hip sonograms of 74 infants (59 females, 15 males; 141 hips) with DDH were retrospectively reviewed. Hip sonographic score (HSS; ranges 0-10) was developed to reflect hip status based on sonographic position, stability, and morphology. Analysis on different management groups (i.e., no treatment, successful treatment, and failed treatment) showed that the trend of HSS is helpful in predicting course of the disease and determining effectiveness of treatment. A model for the management of DDH that utilizes an HSS and frequency schedule for hip sonography that is aligned with times of critical treatment decisions is proposed. This model illustrates how hip sonography can bring added value when timed to guide critical treatment decisions. (Journal of Surgical Orthopaedic Advances 32(1):047-054, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"11 10 1","pages":"47-54"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81066314","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Pediatric Hip Spica Casting: Casting Technique Guide With Procedural Tips 儿科髋Spica铸造:铸造技术指南与程序提示
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0127
Catherine Mackey, Zachary T. Sharfman, Daniel H. Wiznia, Melinda S. Sharkey
{"title":"Pediatric Hip Spica Casting: Casting Technique Guide With Procedural Tips","authors":"Catherine Mackey, Zachary T. Sharfman, Daniel H. Wiznia, Melinda S. Sharkey","doi":"10.3113/jsoa.2023.0127","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0127","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"65 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135754565","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
065 065
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0065
Mariana Roldan, Mohamed E. Awad, Trey D. VanAken, Padmavathi Patel, Gamal Mostafa, Khaled J. Saleh
{"title":"065","authors":"Mariana Roldan, Mohamed E. Awad, Trey D. VanAken, Padmavathi Patel, Gamal Mostafa, Khaled J. Saleh","doi":"10.3113/jsoa.2023.0065","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0065","url":null,"abstract":"","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"20-21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135755016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Posterior Capsule Reconstruction with Polypropylene Mesh After Total Hip Arthroplasty 全髋关节置换术后聚丙烯网片后囊膜重建
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0092
James M Rizkalla, Brian P Gladnick, Tolulope F Obafemi, Kurt J Kitziger, Paul C Peters, Richard D Schubert
{"title":"Posterior Capsule Reconstruction with Polypropylene Mesh After Total Hip Arthroplasty","authors":"James M Rizkalla, Brian P Gladnick, Tolulope F Obafemi, Kurt J Kitziger, Paul C Peters, Richard D Schubert","doi":"10.3113/jsoa.2023.0092","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0092","url":null,"abstract":"Instability remains a challenge after total hip arthroplasty (THA). We have previously utilized a monofilament polypropylene mesh to reconstruct the posterior capsule for unstable THA. This study identified 24 hips that underwent mesh reconstruction of the posterior capsule for instability. Survivorship was 70.8% at mean 6.5 years (range 6 weeks-20.1 years). Six patients underwent re-operation, and one patient had the mesh removed. Of eight hips, five (62.5%) with a history of prior revision re-dislocated, while only 2/16 hips (12.5%) with no previous revision history re-dislocated (p = 0.02). Posterior capsule reconstruction with polypropylene mesh has reasonable mid-term survivorship in this challenging population. (Journal of Surgical Orthopaedic Advances 32(2):092-096, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"241 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134887262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Barbed Proximal Femoral Nailing System for Isolated Intertrochanteric Femur Fractures: Operative Outcomes. 有刺股骨近端钉系统治疗孤立性股骨粗隆间骨折:手术结果。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Benjamin W Hoyt, Sarah A Walsh, Scott M Tintle, Romney C Andersen
{"title":"A Barbed Proximal Femoral Nailing System for Isolated Intertrochanteric Femur Fractures: Operative Outcomes.","authors":"Benjamin W Hoyt,&nbsp;Sarah A Walsh,&nbsp;Scott M Tintle,&nbsp;Romney C Andersen","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Intertrochanteric femur fractures are associated with high morbidity/mortality, necessitating strategies to limit time under anesthesia, blood loss, and additional trauma while achieving maximal fixation in osteopenic bone. The Orthopedic Designs North America, Inc. Talon DistalFix Femoral Nail System uses deployable barbs to maximize axial and rotational control without distal interlock screws. The purpose of this study was to evaluate perioperative features and postoperative outcomes in patients treated with the DistalFix Femoral Nailing System for isolated intertrochanteric femur fractures. Seventy-one consecutive patients underwent intramedullary fixation for isolated intertrochanteric fractures with the DistalFix system between January 2019-July 2020. Median operative time was 35 (33 - 40) minutes. Median estimated blood loss was 125 (75 - 150) cc. Median fluoroscopy time was 2.4 (2.2 - 2.9) minutes and dosage was 27.1 (18.0 - 35.2) mGy. Union occurred in 98% of patients; none experienced implant cutout, and 81.1% returned to previous mobility. The DistalFix system achieves a high rate of union and return to function while limiting operative risk factors. (Journal of Surgical Orthopaedic Advances 32(1):036-040, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Rare, Atypical Mycobacterium Infection of the Hand in Immunocompetent Individuals. 免疫正常个体手部罕见非典型分枝杆菌感染。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Jersey Burns, Linda Chao, Elizabeth Palavecino, Shadi Qasem, Zhongyu Li
{"title":"Rare, Atypical <i>Mycobacterium</i> Infection of the Hand in Immunocompetent Individuals.","authors":"Jersey Burns,&nbsp;Linda Chao,&nbsp;Elizabeth Palavecino,&nbsp;Shadi Qasem,&nbsp;Zhongyu Li","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>We present two cases of immunocompetent individuals diagnosed with nontuberculous infections of the hand caused by organisms rarely seen in the clinical setting: Mycobacterium heckeshornense and Mycobacterium chelonae. In the first case, a 50-year-old male presented with tenosynovitis of left long finger. He was subsequently found to have a Mycobacterium heckeshornense infection that was resolved with multiple surgeries and a long-term regimen of several antibiotics. The second case was a 29-year-old female with a history of a trivial hand injury infected with Mycobacterium chelonae. She was successfully treated with surgical debridement and antibiotics over the course of eight months. It is important to recognize the increasing prevalence of these two species of bacteria as human pathogens that can result in infections of the extremities even in immunocompetent individuals. (Journal of Surgical Orthopaedic Advances 32(1):055-058, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"55-58"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9476686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Regional Analysis of Hospital Readmissions Following Total Hip and Knee Arthroplasty and the Impact of Medicaid Expansion. 全髋关节和膝关节置换术后再入院的区域分析及医疗补助扩大的影响。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Ethan L Plotsker, Lara L Cohen, Michael G Rizzo, William Cade, Seth Dodds
{"title":"A Regional Analysis of Hospital Readmissions Following Total Hip and Knee Arthroplasty and the Impact of Medicaid Expansion.","authors":"Ethan L Plotsker,&nbsp;Lara L Cohen,&nbsp;Michael G Rizzo,&nbsp;William Cade,&nbsp;Seth Dodds","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The Hospital Readmissions Reduction Program (HRRP) works to temper nationally rising readmission rates. Total knee arthroplasty (TKA) and total hip arthroplasty (THA) have a 30-day readmission cost burden of $889,300 and $689,400, respectively. No research has compared TKA and THA readmission rates by region and Medicaid expansion status. This study compares THA and TKA readmission rates in the United States by region, Medicaid status, and performance. One-way ANOVAs were conducted to determine the regions with the highest and lowest mean excess readmission ratios (ERRs). An independent t-test compared Medicaid versus non-Medicaid expansion states. Southern hospitals have the highest mean ERR, followed by northeastern, midwestern, and then western hospitals. Although Medicaid expansion states have significantly lower ERRs compared to non-expansion states, Medicaid status alone does not account for regional differences in ERRs after THA and TKA. Regional factors likely confound Medicaid status's effect on readmission rates. (Journal of Surgical Orthopaedic Advances 32(1):005-008, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"5-8"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9529397","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
A Barbed Proximal Femoral Nailing System for Isolated Intertrochanteric Femur Fractures: Operative Outcomes. 有刺股骨近端钉系统治疗孤立性股骨粗隆间骨折:手术结果。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01 DOI: 10.3113/jsoa.2023.0036
Benjamin W. Hoyt, Sarah A. Walsh, Scott M Tintle, Romney C. Andersen
{"title":"A Barbed Proximal Femoral Nailing System for Isolated Intertrochanteric Femur Fractures: Operative Outcomes.","authors":"Benjamin W. Hoyt, Sarah A. Walsh, Scott M Tintle, Romney C. Andersen","doi":"10.3113/jsoa.2023.0036","DOIUrl":"https://doi.org/10.3113/jsoa.2023.0036","url":null,"abstract":"Intertrochanteric femur fractures are associated with high morbidity/mortality, necessitating strategies to limit time under anesthesia, blood loss, and additional trauma while achieving maximal fixation in osteopenic bone. The Orthopedic Designs North America, Inc. Talon DistalFix Femoral Nail System uses deployable barbs to maximize axial and rotational control without distal interlock screws. The purpose of this study was to evaluate perioperative features and postoperative outcomes in patients treated with the DistalFix Femoral Nailing System for isolated intertrochanteric femur fractures. Seventy-one consecutive patients underwent intramedullary fixation for isolated intertrochanteric fractures with the DistalFix system between January 2019-July 2020. Median operative time was 35 (33 - 40) minutes. Median estimated blood loss was 125 (75 - 150) cc. Median fluoroscopy time was 2.4 (2.2 - 2.9) minutes and dosage was 27.1 (18.0 - 35.2) mGy. Union occurred in 98% of patients; none experienced implant cutout, and 81.1% returned to previous mobility. The DistalFix system achieves a high rate of union and return to function while limiting operative risk factors. (Journal of Surgical Orthopaedic Advances 32(1):036-040, 2023).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"18 1","pages":"36-40"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88283284","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Operative Versus Non-operative Treatment of Medial Epicondyle Fractures in Pediatric Athletes: A Systematic Review. 小儿运动员内上髁骨折的手术与非手术治疗:一项系统综述。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Joshua C Tadlock, Michael D Eckhoff, Reuben A Macias, Tyler C Nicholson, Hunter R Graver, EStephan Garcia
{"title":"Operative Versus Non-operative Treatment of Medial Epicondyle Fractures in Pediatric Athletes: A Systematic Review.","authors":"Joshua C Tadlock,&nbsp;Michael D Eckhoff,&nbsp;Reuben A Macias,&nbsp;Tyler C Nicholson,&nbsp;Hunter R Graver,&nbsp;EStephan Garcia","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>Treatment of medial epicondyle fractures is controversial in pediatric orthopaedics with a recent trend towards operative fixation in overhead athletes. We performed a systematic review to compare outcomes in operative and non-operatively overhead athletes. A systematic review of the literature was performed. Articles investing pediatric athletes with medial epicondyle fractures treated operatively and non-operatively that reported functional and radiographic outcomes were compiled. We identified 6 studies with a total of 99 patients (52 treated operatively and 47 treated non-operatively). We found a significantly higher union rate with operative treatment (100%) compared to non-operative treatment (76%, p = 0.0025), with equivalent return to sport time and rate. Non-operative treatment had a lower complication and repeat surgery rates (p = 0.009). This study demonstrates lower complication rates and equivalent functional outcomes between operative and non-operatively treated medial epicondyle fractures in athletes. Non-operative treatment is a valid option in these patients. (Journal of Surgical Orthopaedic Advances 32(1):009-013, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 1","pages":"9-13"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"9829124","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Static Non-articulating Knee Spacers Are Associated with a High Degree of Morbidity in Challenging Clinical Scenarios. 在具有挑战性的临床情况下，静态无关节膝关节垫片与高发病率相关。
Journal of surgical orthopaedic advances Pub Date : 2023-01-01
Emanuel C Haug, Jeremy T Hines, Benjamin Dalkin, Patrick J Dunne, Wendy M Novicoff, Lucian C Warth, R Michael Meneghini, James A Browne
{"title":"Static Non-articulating Knee Spacers Are Associated with a High Degree of Morbidity in Challenging Clinical Scenarios.","authors":"Emanuel C Haug,&nbsp;Jeremy T Hines,&nbsp;Benjamin Dalkin,&nbsp;Patrick J Dunne,&nbsp;Wendy M Novicoff,&nbsp;Lucian C Warth,&nbsp;R Michael Meneghini,&nbsp;James A Browne","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The morbidity associated with the use of static non-articulating knee spacers for the treatment of periprosthetic joint infection (PJI) in challenging clinical scenarios has not been well described. From 2011-2019, 63 molded block static spacers were utilized at two academic institutions for the treatment of PJI with associated severe soft tissue compromise (59%), collateral ligament deficiency (49%), extensor mechanism compromise (48%), or type 3 bone defects (44%). Complications and outcomes were assessed. Complications with the use of static spacers were common and included further bone loss (46%), spacer migration (16%), extensor mechanism compromise (16%), cast or related soft tissue injuries (16%), fracture (13%), and spacer breakage (3%). Ultimately, 22% of patients underwent amputation. Patient variables such as age and body mass index were not associated with outcomes. Static knee spacers are associated with substantial morbidity in challenging clinical scenarios and alternatives may need to be considered. (Journal of Surgical Orthopaedic Advances 32(2):122-126, 2023).</p>","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"32 2","pages":"122-126"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10217788","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
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