Journal of orthopedics for physician assistants最新文献_第4页

A Technique Guide on Radiographic Imaging of the Shoulder, Hip, and Knee Joints 肩关节、髋关节和膝关节放射成像技术指南

Journal of orthopedics for physician assistants Pub Date : 2022-08-17 DOI: 10.2106/JBJS.JOPA.22.00012

H. Lebensohn, R. K. Dahlberg, W. Curtis, C.S. Pierce, D. Richter, C. Shultz

引用次数: 0

Management of Osteoporosis After Fragility Fracture 脆性骨折后骨质疏松症的处理

Journal of orthopedics for physician assistants Pub Date : 2022-08-12 DOI: 10.2106/JBJS.JOPA.22.00007

Lori Fauquher, Mariah Barnes, Andrew N. Schmelz

引用次数: 1

Case Report: Arthrofibrosis of the Knee After Anterior Cruciate Ligament Reconstruction: Anterior Interval Scarring and Cyclops Lesion 病例报告：前交叉韧带重建后膝关节纤维化：前间隔瘢痕和独眼巨人病变

Journal of orthopedics for physician assistants Pub Date : 2022-07-13 DOI: 10.2106/JBJS.JOPA.22.00008

L. Klein, Gary Sakryd

引用次数: 0

Imaging Findings of Patellar Sparing Total Knee Arthroplasty 髌骨稀疏全膝关节置换术的影像学表现

Journal of orthopedics for physician assistants Pub Date : 2022-07-08 DOI: 10.2106/JBJS.JOPA.22.00009

D. Quintero, Paul R. Allegra, Fabiano N Cardoso, Colin A. McNamara, Anthony R. Martín, N. Ezuddin, J. Carvajal, J. Jose

{"title":"Imaging Findings of Patellar Sparing Total Knee Arthroplasty","authors":"D. Quintero, Paul R. Allegra, Fabiano N Cardoso, Colin A. McNamara, Anthony R. Martín, N. Ezuddin, J. Carvajal, J. Jose","doi":"10.2106/JBJS.JOPA.22.00009","DOIUrl":"https://doi.org/10.2106/JBJS.JOPA.22.00009","url":null,"abstract":"COPYRIGHT © 2022 BY THE JOURNAL OF BONE AND JOINT SURGERY, INCORPORATED. Introduction The practice of patellar resurfacing after a total knee arthroplasty (TKA) became commonplace during the 1990s and afterward. Yet to date, the practice of resurfacing is not standardized. The American Academy of Orthopedic Surgeon state that there is strong evidence for no differences in pain or function with patellar resurfacing. Yet, various reports denote the protective nature of resurfacing in maintaining articular cartilage thickness during a 5-year follow-up period. Patellar resurfacing is the fixation of a polyethylene dome onto the posterior patella to “reform” the articular interface between it and the femur (Fig. 1). The use of this technique allowed the native patella to articulate with the prosthesis in amore physiologic fashion than was possible with earlier implant designs. The improved patellar/ prosthetic kinematics allowed for a reduction in contact stresses that may contribute to postoperative anterior knee pain. In fact, this observation of increased contact stress between the native patella and the implant served as the impetus behind patellar resurfacing. Although patellar resurfacing demonstrated improvements in anterior knee pain relative to a nonresurfaced patella, the new practice presented unique patellar complications. Schindler et al. reported complications occurring in 4 to 35% of patellar resurfacing cases including patellar tilt, subluxation/dislocation of the patella, patellar component loosening, patellar fracture, and patellar avascular necrosis. In the modern era of TKA, orthopedic surgeons can often be categorized based on their approach to the patella: “nonresurfacers,” “universal resurfacers,” and “selective resurfacers”. Numerous randomized clinical trials and meta-analyses have not demonstrated a consistent benefit of patellar resurfacing during TKA.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48759095","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

Knee Deep in Pain 膝盖深陷疼痛

Journal of orthopedics for physician assistants Pub Date : 2022-06-02 DOI: 10.2106/JBJS.JOPA.21.00036

Annie Y. Wong

引用次数: 0

Distal Clavicle Physeal Fracture in a 15-Year-Old Adolescent Boy 15岁青少年男孩锁骨远端Physeal骨折

Journal of orthopedics for physician assistants Pub Date : 2022-05-25 DOI: 10.2106/jbjs.jopa.22.00003

Joshua K. Radi, K. S. Min

引用次数: 0

Hospital-Based Rapid Recovery Protocol in Knee Arthroplasty 基于医院的膝关节置换术快速恢复方案

Journal of orthopedics for physician assistants Pub Date : 2022-05-04 DOI: 10.2106/JBJS.JOPA.21.00037

Carmine J. Spadaccini

{"title":"Hospital-Based Rapid Recovery Protocol in Knee Arthroplasty","authors":"Carmine J. Spadaccini","doi":"10.2106/JBJS.JOPA.21.00037","DOIUrl":"https://doi.org/10.2106/JBJS.JOPA.21.00037","url":null,"abstract":"This review aims to determine the elements a hospital-based knee arthroplasty program should consider when developing a rapid recovery protocol. It will examine the perioperative pathway and how a program can break down each phase for success. Secondary objectives of this review include how and why the culture surrounding knee arthroplasty has changed and why it is in a hospital's best interest to adopt a rapid recovery pathway in light of this new landscape. An extensive search was performed through databases which included Still OneSearch, EBSCOhost, and PubMed. Sources aligned with the review's objectives. Inclusion criteria involved primary sources, secondary sources, and peer-reviewed articles less than 5 years old. On finding primary and secondary sources, reference sections provided additional materials to ensure high-quality research. Outpatient knee arthroplasty has gained interest in the past 10 years, and rapid recovery protocols have helped promote this likely development. The rapidly changing landscape surrounding knee arthroplasty was triggered by insurance companies and pushed even further because of the COVID-19 pandemic. Developing a rapid recovery protocol in the hospital setting involves a change in overall culture, interprofessional participation, and patient and family cooperation. Although not an easy task, adopting a rapid recovery protocol for knee arthroplasty has been shown to improve overall patient outcomes by decreasing length of stay, decreasing complications, and increasing discharge home rates. Along with improved outcomes, we have improvements in patient satisfaction and overall cost savings.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-05-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44878483","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

Awake Lumbar Fusion 清醒腰椎融合

Journal of orthopedics for physician assistants Pub Date : 2022-04-22 DOI: 10.2106/JBJS.JOPA.21.00035

Jamie Goldstone Adler

引用次数: 0

Image Findings of Juxtacortical Lesions 视网膜旁病变的影像学表现

Journal of orthopedics for physician assistants Pub Date : 2022-04-13 DOI: 10.2106/JBJS.JOPA.22.00002

G. Foremny, D. Quintero, C. Emerson, L. Baker, T. Subhawong, J. Pretell-Mazzini, J. Jose

引用次数: 0

The “Top 10” Psychosocial Factors Affecting Orthopaedic Outcomes 影响骨科预后的“十大”心理社会因素

Journal of orthopedics for physician assistants Pub Date : 2022-04-06 DOI: 10.2106/JBJS.JOPA.21.00038

W. Curtis, River Fine, Addi N. Moya, R. Blackstone, Richard M Wardell, Gehron P. Treme, D. Richter

{"title":"The “Top 10” Psychosocial Factors Affecting Orthopaedic Outcomes","authors":"W. Curtis, River Fine, Addi N. Moya, R. Blackstone, Richard M Wardell, Gehron P. Treme, D. Richter","doi":"10.2106/JBJS.JOPA.21.00038","DOIUrl":"https://doi.org/10.2106/JBJS.JOPA.21.00038","url":null,"abstract":"Introduction: Many patients within the orthopaedic population experience 1 or more psychosocial issues that may profoundly affect their postoperative outcomes after orthopaedic surgery. Despite the common nature of these factors, there is a paucity of literature describing their effect on orthopaedic outcomes. The purpose of this review was to describe the anecdotal 10 most-encountered psychosocial factors in our patient population, their described influence on orthopaedic outcomes, and how they may be addressed. These factors include expectations, fear of reinjury, socioeconomic status, social support, allergies, addiction, depression and anxiety, resilience, self-efficacy, and other mental health disorders. Methods: A thorough review of the PubMed-indexed literature was conducted using each one of our psychosocial factors described here combined with the key words “orthopaedic outcome.” Study Design: This was a clinical review paper. Level of Evidence: Not applicable. Results: These 10 psychosocial influences have dramatic effects on the recovery and outcomes after orthopaedic procedures. Patients benefit from early recognition and management of these issues before and after surgery. Conclusions: Each of the psychosocial factors reviewed in this paper has a significant influence on outcomes after orthopaedic surgery. A strong understanding of these factors and how to address them will aid orthopaedic surgeons in maximizing postoperative outcomes for their patients. Further research is necessary to improve our treatment strategies for this complex patient population.","PeriodicalId":93583,"journal":{"name":"Journal of orthopedics for physician assistants","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-04-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44375486","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: 1