Tibial tubercle osteotomy (TTO) is a frequently perform procedure for the treatment of patellar instability and allows for chondral defect unloading when performed in conjunction with cartilage repair. Accurate intraoperative execution of the osteotomy is of utmost importance to achieve the desire outcome. The purpose of this study is to validate the intraoperative accuracy of…
No study has yet assessed the effect of medial open-wedge high tibial osteotomy (MOWHTO); on the patellofemoral joint according to postoperative alignment. According to recently published results, medial open-wedge high tibial osteotomy adversely affected; the patellofemoral joint. Overcorrection causing excessive valgus alignment led to further progression of degenerative changes in the patellofemoral joints; and inferior…
Published results showed ankle fractures surgically treated by orthopedic surgeons had lower rates of malunion; and nonunion than when treated by podiatrists. Jeremy Y. Chan, MD, Julius A. Bishop, MD, and colleagues categorized 11,745 patients who underwent ankle fracture fixation based; on whether they treated by an orthopedic surgeon or a podiatrist. Researchers used ICD-9 codes…
The purpose of a meniscal repair is to anatomically restore normal load distribution; and contact forces in the knee joint and avoid the morbidity associated with early osteoarthritis that may follow meniscectomy. There are many factors for successful meniscal repair including appropriate preoperative indications, patient selection, intraoperative decision-making, technique, and postoperative rehabilitation. The importance of…
The combination of two osteoporosis drugs the potent antiresorptive drug denosumab and a high dose of the bone-growth stimulating teriparatide substantially improves bone mineral density (BMD) at levels exceeding those seen with any other treatment, offering potentially effective treatment for those with osteoporosis at high risk of fragility fractures, say the authors of a new study. “However, the…
The purpose of this paper was to determine whether acromial morphology influences anteroposterior shoulder stability. They hypothesized that a more horizontal; and higher position of the acromion in the sagittal plane associated with posterior instability. There was a significant correlation between specific acromial morphology; and the direction of glenohumeral instability, according to results. “In shoulders…
Tourniquetless total knee arthroplasty (TKA) is experiencing resurgence in popularity due to potential pain control benefits. Furthermore, optimal cement technique and implant fixation remain paramount to long-term cemented TKA success; as aseptic loosening continues to be a leading cause of revision. The purpose of this study is to determine how tourniquet use and/or novel bone…
Patients using orthopedic devices: prosthetics, such as an artificial limb; and orthotics, which help improve the function of an intact limb, like a knee brace or custom shoe insert says researches. In recent years, these devices have become far more complex; and technologically advanced, to the point where they can sense walking patterns and modify…
For knee arthroplasty, there is consistent evidence that surgical procedures in morbidly obese patients; associated with numerous concerns, including longer length of stay; higher odds of being discharged to a facility, longer operative time; and having lower absolute physical function improvement; in addition to 30-day mortality and surgical site infection. Several institutions have implemented formal…
Analytical methods from materials science help researchers better understand human bones. Osteoporosis is a widespread disease. Every third woman and every fifth man affected by bone loss; with advancing age. A frequent consequence of this is a fracture of the femoral neck a painful injury; that massively impairs the quality of life of those affected.…
Dialysis has associated with increased complication rates following total hip arthroplasty (THA) and total knee arthroplasty (TKA). The current literature on this issue limited and does not distinguish between hemodialysis and peritoneal dialysis. The purpose of this study was to determine (1) the differences in the infection and other complication rates after THA; or TKA…
Most patients undergoing surgery for the treatment of a distal radial fracture; are treated in a day-surgery setting and are given either general anesthesia (GA) or regional anesthesia (RA). The main purpose of this study was to investigate the impact; of the anesthesia method on patients’ postoperative opioid consumption during the first 3 days following…