Journal of surgical orthopaedic advances最新文献_第7页

Prophylactic Radiotherapy for Prevention of Heterotopic Ossification After Periacetabular Fractures: A Review of Efficacy and Associated Conditions. 预防性放疗预防髋臼周围骨折后异位骨化:疗效和相关条件的综述。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Joseph S Geller, Paul R Allegra, Crystal S Seldon, Benjamin O Spieler, Lara L Cohen, Spencer W Barnhill, Samuel R Huntley, Stuart Samuels, Lora Wang, Derek Isrow, Alberto De La Zerda, Aaron H Wolfson, Giselle Hernandez, Fernando E Vilella, Raphael L Yechieli

引用次数: 0

Evaluation of Rotator Cuff Augmentation of Proximal Humerus Fracture Fixation. 肩袖增强在肱骨近端骨折固定中的应用价值。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Yaser El-Gazzar, Edward Davis, Tim R Beals, Fred Flandry

{"title":"Evaluation of Rotator Cuff Augmentation of Proximal Humerus Fracture Fixation.","authors":"Yaser El-Gazzar, Edward Davis, Tim R Beals, Fred Flandry","doi":"","DOIUrl":"","url":null,"abstract":"Proximal humerus fractures represent one of the most common fractures in the elderly, and are increasingly treated with surgical fixation. Suture augmentation attaching the rotator cuff to the plate has been advocated to combat varus collapse and other associated complications. The objective of this study was to evaluate the contribution of rotator cuff augmentation to stability of proximal humerus fracture fixation. Twelve shoulder specimens from six cadavers underwent simulated two-part and three-part proximal humerus fractures. Matched specimens from the same cadaver were randomized to suture augmentation with locking plate fixation vs. locking plate fixation alone. Greater tuberosity fragment displacement was recorded during cyclic rotational strain of the glenohumeral joint. Greater tuberosity displacement in the two-part fracture model trended towards greater motion without suture augmentation, but did not reach statistical significance (0.032 + 0.012 mm vs. 0.213 + 0.109 mm, p = 0.130). In the three-part fracture model, there was a statistically significant decrease in fracture displacement in the presence of suture augmentation (0.068 + 0.025 mm vs. 2.392 + 0.373 mm, p < 0.001). No specimens demonstrated premature failure during cyclic loading. Suture augmentation of locking plate fixation of three-part proximal humerus fractures results in decreased fracture displacement than locked plating alone, during rotational stresses simulating in vivo rotator cuff deformation forces. (Journal of Surgical Orthopaedic Advances 31(2):119-122, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"119-122"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40586002","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

Pectoralis Major Tendon Reconstruction: A Systematic Review. 胸大肌肌腱重建:系统回顾。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Phillip R Schneider, Michael D Eckhoff, Logan R Koehler, Loc-Uyen Vo, John C Dunn

引用次数: 0

Pitching Biomechanics Normative Values and Kinetic Differences by Competition Level. 不同比赛水平的投球生物力学标准值和动力学差异。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Kristen F Nicholson, Joseph A Mylott, Brian R Waterman, Garrett S Bullock

{"title":"Pitching Biomechanics Normative Values and Kinetic Differences by Competition Level.","authors":"Kristen F Nicholson, Joseph A Mylott, Brian R Waterman, Garrett S Bullock","doi":"","DOIUrl":"","url":null,"abstract":"Pitching kinematic and kinetic assessments require normative values to make valuable comparisons to athletic peers. The purpose of this research note was to report normative values of pitching kinematics and kinetics and to compare kinetics by competition level. A retrospective review was performed on three-dimensional baseball pitching biomechanical evaluations. Kinematics and kinetics were calculated. Pitchers were portioned into competition level groups. Kinetic group differences were assessed through analyses of variance with significance level p < 0.05. One-hundred and twenty pitchers were included. Elbow varus torque was greater in higher competition levels. Shoulder distraction force was greater in higher competition levels. All levels demonstrated similar maximum vertical push off ground reaction force (p = 0.960) and maximum vertical landing ground reaction force (p = 0.135). Higher competition level pitchers demonstrated improved pitching kinematic efficiency compared to lower-level pitchers. However, college and professional pitchers exhibited greater arm stress, which may be attributed to increased pitching velocity. These pitching biomechanical data can be used as normative comparisons when examining pitching mechanics at multiple competition levels throughout an athlete's baseball career. (Journal of Surgical Orthopaedic Advances 31(3):177-180, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 3","pages":"177-180"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701237","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

High-Fidelity Orthopaedic Surgical Skills Models and Resident Performance in the Surgical Treatment of Tibial Plateau Fractures. 高保真骨科手术技能模型与住院医师在胫骨平台骨折手术治疗中的表现。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Joshua Kotler, Jennifer Sanville, Joy Greer, Christopher Smith

{"title":"High-Fidelity Orthopaedic Surgical Skills Models and Resident Performance in the Surgical Treatment of Tibial Plateau Fractures.","authors":"Joshua Kotler, Jennifer Sanville, Joy Greer, Christopher Smith","doi":"","DOIUrl":"","url":null,"abstract":"The purpose of this study was to quantify the impact of low-fidelity simulation on resident surgical skills education. Fourteen orthopaedic surgery residents (PGY-1 through PGY-5) were separated into two, training-level-matched cohorts - an untrained control cohort (UCC) and a low-fidelity Sawbones training cohort (SAW). Together, both cohorts received didactic instruction on the soft-tissue approach, intra-operative reduction, internal-fixation, and surgical wound closure of Schatzker II tibial plateau fractures. The SAW cohort first rehearsed open-reduction, internal-fixation on radiopaque Sawbones models (Pacific Research Laboratories Inc. Vashon, WA). Both cohorts were then evaluated while performing the same procedure on high-fidelity cadaveric models (Rimasys GmbH Cologne, Germany). Surgical skill and knowledge were assessed using the objective structured assessment of technical skills (OSATS) tool, a written exam, and an after-action survey. There were no significant differences in OSATS scores or written exam scores between the two cohorts. A near-linear positive relationship (R2 = 0.9737) existed between training year and average overall OSATS score. All residents expressed a preference for surgical skills training with high-fidelity cadaveric models. The results of this study fail to demonstrate a training advantage of low-fidelity Sawbones models when surgical skill is measured on high-fidelity cadaveric models. Despite this, residents across both cohorts qualitatively felt the high-fidelity models offered a better educational opportunity for surgical practice than did the low-fidelity Sawbones models. (Journal of Surgical Orthopaedic Advances 31(2):109-112, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"109-112"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40583406","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

Risk Factors for Wound Complication following Primary Total Hip Arthroplasty. 初次全髋关节置换术后伤口并发症的危险因素。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Kyleen Jan, Arya Dadhania, Michael Foy, Anshum Sood, Mark Gonzalez

{"title":"Risk Factors for Wound Complication following Primary Total Hip Arthroplasty.","authors":"Kyleen Jan, Arya Dadhania, Michael Foy, Anshum Sood, Mark Gonzalez","doi":"","DOIUrl":"","url":null,"abstract":"This study assessed the National Surgical Quality Improvement Program (NSQIP), which provides data on 30-day post-operative complications from 500+ institutions, to identify risk factors for wound complications in patients undergoing primary total hip arthroplasty (THA). Patients undergoing primary THA between 2010-2017 were retrospectively reviewed. Patients experiencing post-operative wound complications were stratified based on pre-operative characteristics. Multivariate regression model was used to assess these characteristics as independent risk factors for post-operative complications. Of 119,096 patients undergoing primary THA, 1,264 (1.06%), 280 (0.2%), 622 (0.52%) and 139 (0.12%) experienced wound complications, deep surgical site infection, superficial surgical site infection, and wound dehiscence, respectively. Pre-operative transfusion (p < 0.0001), steroid use (p = 0.01), and obesity (p < 0.0001) were risk factors for wound dehiscence. Pre-operative transfusion (p < 0.0001), cardiac comorbidities (p = 0.02), and steroid use (p = 0.01) were risk factors for superficial surgical site infection. Assessment of the NSQIP identified modifiable risk factors for wound complications following primary THA, including pre-operative transfusion, steroid use, and obesity. (Journal of Surgical Orthopaedic Advances 31(4):242-247, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 4","pages":"242-247"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"10830884","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

Impact of an Opioid Stewardship Initiative Involving Early Conversion to Oral Narcotics in Postoperative Orthopaedic Patients. 阿片类药物管理倡议对骨科术后患者早期改用口服麻醉药的影响。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Jacklyn Downey, John D Adams, Stephanie Tanner, Li He, Michael Wagner

{"title":"Impact of an Opioid Stewardship Initiative Involving Early Conversion to Oral Narcotics in Postoperative Orthopaedic Patients.","authors":"Jacklyn Downey, John D Adams, Stephanie Tanner, Li He, Michael Wagner","doi":"","DOIUrl":"","url":null,"abstract":"The objective of this study was to determine if the implementation of an opioid stewardship initiative involving early conversion to oral opioids improves outcomes in postoperative orthopaedic patients. This single-center retrospective chart review compared adult patients undergoing lower extremity orthopaedic procedures during a specified six-month time period. The primary outcome was total opioid utilization in morphine milligram equivalence (MME) at 48-hours post-surgery. Four hundred ninety-five patients were included in the study, 233 in the intervention group and 262 in the pre-intervention group. The average pain scores at 12, 24 and 48 hours postoperatively were similar among the two groups. After a multivariate linear regression was performed, a 22.9 MME reduction was estimated in the post-implementation group compared to the pre-implementation group (p = 0.003). Based on these results, it appears that converting from intravenous to oral narcotics 24-hours post-orthopaedic surgery reduces total mean MMEs while providing similar pain control. (Journal of Surgical Orthopaedic Advances 31(2):086-089, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"86-89"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40583401","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

Frozen Shoulder Manipulation with the FEAR Technique: A Retrospective Case Series with Minimum Two-Year Follow-up. 用FEAR技术治疗肩周炎:一个至少两年随访的回顾性病例。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Zachary K Pharr, Eric N Bowman, Baylor E Blickenstaff, Adam K Hubler, Tyler J Brolin, Thomas W Throckmorton, Frederick M Azar

{"title":"Frozen Shoulder Manipulation with the FEAR Technique: A Retrospective Case Series with Minimum Two-Year Follow-up.","authors":"Zachary K Pharr, Eric N Bowman, Baylor E Blickenstaff, Adam K Hubler, Tyler J Brolin, Thomas W Throckmorton, Frederick M Azar","doi":"","DOIUrl":"","url":null,"abstract":"Conservative treatment of adhesive capsulitis fails in up to 30% of patients. Manipulation under anesthesia (MUA) has been shown to be safe and effective, although complications (iatrogenic fracture, glenohumeral dislocation, rotator cuff tears, nerve injuries) have been reported. This study details a novel technique, FEAR (Forward elevation, Extension, Adduction/abduction, and internal and external Rotation), and its results. Medical records review identified 100 patients with a diagnosis of adhesive capsulitis who had at least 6 weeks of physical therapy, with or without corticosteroid injection, with persistence of pain and loss of motion loss. An Institutional Review Board approved phone survey obtained Single Assessment Numeric Evaluation (SANE) scores, visual analog scale (VAS) scores, functional scores, and range of motion, with 43 available for survey. At average 5-year follow-up, 81% had excellent (≥ 90) scores and 77% were pain-free. Patients with diabetes and male patients had significantly lower SANE scores at follow-up. (Journal of Surgical Orthopaedic Advances 31(2):096-099, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"96-99"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40583403","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

Fracture Severity Based on Neer Classification Does Not Predict Short-term Complications Following Reverse Shoulder Arthroplasty. 基于never分类的骨折严重程度不能预测反向肩关节置换术后的短期并发症。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

Barrie S Sugarman, Jeffrey A O'Donnell, Elshaday S Belay, Daniel Goltz, Richard Danilkowicz, Mark Gage, Christopher S Klifto, Oke A Anakwenze

{"title":"Fracture Severity Based on Neer Classification Does Not Predict Short-term Complications Following Reverse Shoulder Arthroplasty.","authors":"Barrie S Sugarman, Jeffrey A O'Donnell, Elshaday S Belay, Daniel Goltz, Richard Danilkowicz, Mark Gage, Christopher S Klifto, Oke A Anakwenze","doi":"","DOIUrl":"","url":null,"abstract":"Proximal humerus fractures (PHF) are common in elderly and osteoporotic patients, and these fractures are often described using the Neer classification. As reverse shoulder arthroplasty (RSA) for PHF becomes more common, it is helpful to identify the utility of Neer classification in predicting postoperative outcomes for patients undergoing RSA. The medical records of patients undergoing primary RSA for PHF at a single academic institution from 2013-2019 were identified using medical billing codes. A multivariable logistic regression analysis identified independent factors associated with all cause 90-day readmissions, reoperation, and length of stay (LOS) greater than three days. Fifty-five patients (average age of 72.3 ± 8.6 years) were included. No statistically significant differences among two-, three-, and four-part fractures with regard to LOS, discharge location, 90-day readmission, revision surgery, postoperative dislocation, or deep infection were detected. These findings suggest that Neer classification for PHF is not predictive of short-term complications after RSA. (Journal of Surgical Orthopaedic Advances 31(2):104-108, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 2","pages":"104-108"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40583405","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

Orthopaedic Surgery Training in North Carolina: The Impact of The Flexner Report and The Sherman Antitrust Act. 北卡罗来纳州矫形外科训练:Flexner报告和Sherman反托拉斯法的影响。

Journal of surgical orthopaedic advances Pub Date : 2022-01-01

L Andrew Koman, Kerry A Danelson, Alexander Jinnah, Anirudh K Gowd, David Popoli

{"title":"Orthopaedic Surgery Training in North Carolina: The Impact of The Flexner Report and The Sherman Antitrust Act.","authors":"L Andrew Koman, Kerry A Danelson, Alexander Jinnah, Anirudh K Gowd, David Popoli","doi":"","DOIUrl":"","url":null,"abstract":"The current medical schools and orthopaedic residency programs in the state of North Carolina have evolved based upon geopolitical, economic events, historical reports and regulations. The American Medical Association Committee on Medical Education, the Flexner Report and the Sherman Antitrust Act and their recommendations were codified by state regulatory agencies and state law. These important pressures created the programs as they are known today. The result was the forced closure of most early medical institutions in the state of North Carolina in the early 1900s. Industrial resource consolidation by monopolies was the motivation for the Sherman antitrust act. Enforced by Theodore Roosevelt, this legislation disbanded major monopolies and encouraged philanthropy. This manuscript details the evolution of modern medical education and highlights the impact of historical social, economic and political events on the development of Duke, Wake Forest, University of North Carolina and Charlotte/ Atrium Health orthopedic programs in North Carolina. (Journal of Surgical Orthopaedic Advances 31(3):139-143, 2022).","PeriodicalId":17143,"journal":{"name":"Journal of surgical orthopaedic advances","volume":"31 3","pages":"139-143"},"PeriodicalIF":0.0,"publicationDate":"2022-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40701785","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