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Comparison of fixator-assisted nailing versus circular external fixator for bone realignment of lower extremity angular deformities in rickets disease
Sat, 28 Aug 2010 17:02:41 -0000
Abstract Purpose In rickets patients, limb deformities are usually multiapical and complex even with medical treatment; residual deformities remain necessitating surgical correction. In our study we aim to compare the results of correction of lower limb deformities, in rickets patients, treated with circular external fixator versus fixator-assisted intra-medullary nail. Materials and methods Seventeen rickets patients, with 39 deformed lower extremity segments (femur and or tibia), underwent deformity correction procedures in our institution. Ten patients with 26 segments were treated using fixator-assisted nailing. Nine patients with 17 segments were treated using Ilizarov technique with circular frame. All patients were evaluated by long-standing true anteroposterior and lateral orthoroentgenograms of lower extremities preoperatively. Joint alignment, joint orientation, and apices of deformities were calculated and noted. The postoperative results of MAD, MPTA, LDFA, PPPTA and functional criteria were compared with preoperative values and assessments made in SPSS 13.0 for Windows by using McNemar, Pearson Chisquare, and Fisher exact statistical tests. Results Mean age for the fixator-assisted nailing (FAN) group patients at the time of surgery was 23.8 years (14–37 years). There were 16 femur and 10 tibiae operated on 6 female and 4 male patients. The mean follow up time is 42.6 months (6–71 months). In the Ilizarov group patients the mean age at the time of surgery was 16.7 years (13–22 years). There were 14 tibiae and 3 femur operated on 6 female and 3 male patients. The mean follow-up time was 19 months (6–48 months). Results were evaluated according to the Paley et al. classification of bone and functional results. According to those criteria we had 1 fair, 1 good, and 7 excellent bone results and 1 fair, 1 good, and 7 excellent functional results in the circular ring fixator group. In the FAN group we found 3 good and 7 excellent bone results; 1 fair, 2 good, and 7 excellent functional results. Nearly all patients complained of pain, limping, instability, and walking problems at their first preoperative visit. In both groups there was no union problem; in the FAN group, in one patient correction loss occurred and in another one screw loosening was encountered; in the Ilizarov group, 66% of patients had pin tract infections and one premature fibula consolidation occurred. Statistical analysis revealed no significant difference between two groups in correction ratios.(pearson chi square p = 0.332 for MAD; pearson chi square p = 0.477 for LDFA; Paley functional criteria fisher exact p = 0.684). Conclusion The results indicated that fixator-assisted nailing carries deformity correction accuracy comparable with Ilizarov-type external fixators. FAN provides great patient comfort and the total treatment time is less. In patients with rickets, the retained IM nail can further provide protection against recurrence even if the metabolic pathology reoccurs. Content Type Journal ArticleDOI 10.1007/s00402-010-1162-8Authors Levent Eralp, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyMehmet Kocaoglu, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyBerkin Toker, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyHalil Ibrahim Balcı, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyAhmed Awad, Orthopaedic Department, Nishtar Hospital, Multan, Pakistan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Treatment of pathological humerus shaft fractures with intramedullary nails with or without cement fixation
Thu, 26 Aug 2010 07:54:18 -0000
Abstract Introduction Bone metastasis is a severe complication for patients with cancer. Not only does it cause intractable pain and other clinical problems such as fracture after trivial injury, it also signifies that the malignant process is incurable. Since life expectancy of metastasised cancer patients has improved due to advanced oncological treatment but is still limited, appropriate surgical intervention has increased. Method This is a retrospective control study of 21 patients who underwent cemented intramedullary nailing for pathological fractures in the humeral shaft between 2005 and 2009 as compared to a historical control group of 19 patients that underwent locked intramedullary nailing for pathological fractures in the humeral shaft between 1999 and 2004. Four major outcomes were assessed, namely, pain relief, use of analgesics, recovery of function and rate of complication. Results Patients treated with cemented intramedullary nailing had better pain relief, less use of analgesics and better functional restoration immediately after surgical procedure when compared to the patients without cement fixing. The rate of complication did not differ between these two groups. Conclusion Since surgery for metastases does not prolong life but improves the quality of life, the aim towards a short postoperative rehabilitation time is recommended. Cement fixation gives immediate stabilisation to the fracture site and thus allows less pain but full range of motion from the first postoperative day. Content Type Journal ArticleDOI 10.1007/s00402-010-1172-6Authors Minna Laitinen, Unit of Musculoskeletal Surgery, Department of Orthopaedics, University Hospital of Tampere, P.O. Box 2000, 33521 Tampere, FinlandJyrki Nieminen, Coxa, Hospital for Joint Replacement, Tampere, FinlandToni-Karri Pakarinen, Unit of Musculoskeletal Surgery, Department of Orthopaedics, University Hospital of Tampere, P.O. Box 2000, 33521 Tampere, Finland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Administration of nonsteroidal anti-inflammatory drugs accelerates spontaneous healing of osteoid osteoma
Tue, 24 Aug 2010 16:50:05 -0000
Abstract Introduction It has been reported that osteoid osteoma may heal spontaneously. Method To elucidate the efficacy of conservative treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) for osteoid osteoma, clinical courses of the 15 patients with osteoid osteoma conservatively treated with NSAIDs were observed. Twelve out of the 15 patients took a usual dose of NSAIDs regularly (regular group). Results Except for one patient, all the patients of the regular group maintained pain-free state. Eight out of the 12 patients of the regular group were free of pain even after discontinuing NSAIDs in the average of 18.3 months (range 2–36 months). Because one patient of the regular group required twice the usual dose to maintain pain-free state, we performed surgical excision. The remaining three patients of the regular group were asymptomatic and still taking NSAIDs. The healing rate of the osteoid osteoma with regular dose of NSAIDs was 8/12 (67%) at the time of this study, which may be improved up to 11/12 (92%). On the other hand, mean period of time until spontaneous diminution of pain in the 14 patients conservatively observed without NSAIDs so far reported in the literature was 75 months (range 24–180 months). Conclusion Thus, osteoid osteoma is highly likely to heal spontaneously and administration of NSAIDs accelerates spontaneous healing. Therefore, conservative treatment with NSAIDs can be an important option other than surgical excision in treating osteoid osteoma. Content Type Journal ArticleDOI 10.1007/s00402-010-1179-zAuthors Takahiro Goto, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanYusuke Shinoda, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanTomotake Okuma, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanKoichi Ogura, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanYusuke Tsuda, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanKiyofumi Yamakawa, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanTakahiro Hozumi, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, Japan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Avoiding varus malreduction during cephalomedullary nailing of intertrochanteric hip fractures
Mon, 23 Aug 2010 17:56:14 -0000
Abstract We describe a technique for preventing varus malreduction of intertrochanteric hip fractures during fixation with a cephalomedullary nail. When the entry reamer guidewire is positioned in the fracture line, passage of the entry reamer may simply push the proximal fragment medially and the distal fragment laterally rather than ream the accurate entry path. Subsequent nail insertion will result in a varus deformity of the proximal femur. The simple technique described in this report uses a brief period of over-distraction to wedge the entry reamer guidewire against the lateral edge of the proximal fragment, permitting the reamer to cut a correct path in the lateral edge of the proximal fragment. Creation of a proper entry path is essential to maintain anatomic reduction during cephalomedullary nailing of intertrochanteric hip fractures. Content Type Journal ArticleDOI 10.1007/s00402-010-1182-4Authors David J. Hak, Denver Health/University of Colorado, 777 Bannock St, MC 0188, Denver, CO 80204, USAChristian Bilat, Hirslanden Klinik Aarau, Schänisweg, 5001 Aarau, Switzerland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Composite reconstruction after proximal radial giant cell tumor resection
Mon, 23 Aug 2010 17:56:14 -0000
Abstract Giant cell tumor (GCT) of bone involving the proximal radius is extremely rare. Here, the authors present the case of a 33-year-old man with an expansile, osteolytic lesion in the proximal radius, which was diagnosed by biopsy as GCT. The rarity of this lesion in the proximal radius is highlighted, and the authors describe their method of reconstruction, which involved en-bloc excision followed by reconstruction with polyethylene, pins, a screw, and bone cement. An acceptable intermediate term result was achieved. Content Type Journal ArticleDOI 10.1007/s00402-010-1180-6Authors Won Seok Song, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, KoreaWan Hyeong Cho, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, KoreaChang-Bae Kong, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, KoreaDae-Geun Jeon, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, Korea Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
UKA after spontaneous osteonecrosis of the knee: a retrospective analysis
Mon, 23 Aug 2010 17:56:14 -0000
Abstract Purpose Safety and efficacy of unicompartmental knee arthroplasty (UKA) in unicompartmental osteoarthritis (OA) has been shown in large patient series. It has been matter of discussion whether or not spontaneous osteonecrosis of the knee (SONK) can successfully be treated with UKA. Patients and methods A retrospective approach included 52 cases of UKA for SONK of the femoral condyles. Four implants were revised (7.7%), and seven patients had died. Nine patients were interviewed by telephone, 28 followed the invitation for clinical examination including clinical scores (KSS and WOMAC) and radiographs. Satisfaction of patients was recorded in four categories. Four patients (7.7%) were lost to follow-up. Results Average follow-up was 10.9 ± 4.8 years (4–25). Average age at operation was 66.6 ± 9.7 years. The KSS score increased from a preoperative 85 ± 30 to 173 ± 27 (p < 0.0001) at latest follow-up. WOMAC was 7.7 ± 11.4 at latest follow-up. Of the patients with implants still in place, most patients were satisfied (21.6%) or very satisfied (75.7%) with the outcome of this surgical procedure. One patient was dissatisfied (2.7%). Kaplan–Meier analysis with implant revision as endpoint revealed a survival rate of 93.1% at 10 years and 90.6% at 15 years. Discussion This study shows that spontaneous osteonecrosis of the knee (SONK) can successfully be treated with UKA at a good mid- to long-term follow-up. Content Type Journal ArticleDOI 10.1007/s00402-010-1177-1Authors Thomas J. Heyse, Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse 35043, Marburg, GermanyAhmed Khefacha, Institut du Genou, Clinique Hartmann, Neuilly sur Seine, Paris, FranceSusanne Fuchs-Winkelmann, Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse 35043, Marburg, GermanyPhilippe Cartier, Institut du Genou, Clinique Hartmann, Neuilly sur Seine, Paris, France Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Permanent Orthopedics Jobs
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Fri, 03 Sep 2010 14:40:03 -0500
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South Central KRC.0507.1309.06C : KS
Fri, 03 Sep 2010 14:40:03 -0500
KRC.0507.1309.06C Orthopedist for progressive multi-specialty group practice. There are currently 11 specialties and 23 physicians and 5 mid-levels on staff. Salary is $350,000 (first year guarantee),
North Central KRC.0607.1916.02 : KS
Fri, 03 Sep 2010 14:40:03 -0500
KRC.0607.1916.02 Orthopaedic Surgeon, board certified or eligible, for successful single specialty clinic with a thriving Ortho practice. Salary is competitive with signing bonus and full benefits
All Orthopedic Foot and Ankle Jobs
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Fri, 03 Sep 2010 14:40:05 -0500
All Orthopedic Foot and Ankle jobs
Referrals from 1000+ Physicians in Major Metro, ‘Most Recession-Proof City’ in 2008, #5211 : OK
Fri, 03 Sep 2010 14:40:05 -0500
Come work for one of the most prestigious groups in the state. With about 20 Orthopaedic Surgeons in the group, you will have adequate support from day one. With the current share of the market, any
Orthopedic Surgeon, Join the best of the best! : NY
Fri, 03 Sep 2010 14:40:05 -0500
Our client, a physician-owned and operated multi-specialty group, is seeking Orthopaedic Surgeons who have successfully completed a foot and ankle or trauma fellowship. The selected candidates will
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Comparison of fixator-assisted nailing versus circular external fixator for bone realignment of lower extremity angular deformities in rickets disease
Sat, 28 Aug 2010 17:02:41 -0000
Abstract Purpose In rickets patients, limb deformities are usually multiapical and complex even with medical treatment; residual deformities remain necessitating surgical correction. In our study we aim to compare the results of correction of lower limb deformities, in rickets patients, treated with circular external fixator versus fixator-assisted intra-medullary nail. Materials and methods Seventeen rickets patients, with 39 deformed lower extremity segments (femur and or tibia), underwent deformity correction procedures in our institution. Ten patients with 26 segments were treated using fixator-assisted nailing. Nine patients with 17 segments were treated using Ilizarov technique with circular frame. All patients were evaluated by long-standing true anteroposterior and lateral orthoroentgenograms of lower extremities preoperatively. Joint alignment, joint orientation, and apices of deformities were calculated and noted. The postoperative results of MAD, MPTA, LDFA, PPPTA and functional criteria were compared with preoperative values and assessments made in SPSS 13.0 for Windows by using McNemar, Pearson Chisquare, and Fisher exact statistical tests. Results Mean age for the fixator-assisted nailing (FAN) group patients at the time of surgery was 23.8 years (14–37 years). There were 16 femur and 10 tibiae operated on 6 female and 4 male patients. The mean follow up time is 42.6 months (6–71 months). In the Ilizarov group patients the mean age at the time of surgery was 16.7 years (13–22 years). There were 14 tibiae and 3 femur operated on 6 female and 3 male patients. The mean follow-up time was 19 months (6–48 months). Results were evaluated according to the Paley et al. classification of bone and functional results. According to those criteria we had 1 fair, 1 good, and 7 excellent bone results and 1 fair, 1 good, and 7 excellent functional results in the circular ring fixator group. In the FAN group we found 3 good and 7 excellent bone results; 1 fair, 2 good, and 7 excellent functional results. Nearly all patients complained of pain, limping, instability, and walking problems at their first preoperative visit. In both groups there was no union problem; in the FAN group, in one patient correction loss occurred and in another one screw loosening was encountered; in the Ilizarov group, 66% of patients had pin tract infections and one premature fibula consolidation occurred. Statistical analysis revealed no significant difference between two groups in correction ratios.(pearson chi square p = 0.332 for MAD; pearson chi square p = 0.477 for LDFA; Paley functional criteria fisher exact p = 0.684). Conclusion The results indicated that fixator-assisted nailing carries deformity correction accuracy comparable with Ilizarov-type external fixators. FAN provides great patient comfort and the total treatment time is less. In patients with rickets, the retained IM nail can further provide protection against recurrence even if the metabolic pathology reoccurs. Content Type Journal ArticleDOI 10.1007/s00402-010-1162-8Authors Levent Eralp, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyMehmet Kocaoglu, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyBerkin Toker, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyHalil Ibrahim Balcı, Department of Orthopedics and Traumatology, Istanbul Medical Faculty, Istanbul University, Istanbul, TurkeyAhmed Awad, Orthopaedic Department, Nishtar Hospital, Multan, Pakistan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Treatment of pathological humerus shaft fractures with intramedullary nails with or without cement fixation
Thu, 26 Aug 2010 07:54:18 -0000
Abstract Introduction Bone metastasis is a severe complication for patients with cancer. Not only does it cause intractable pain and other clinical problems such as fracture after trivial injury, it also signifies that the malignant process is incurable. Since life expectancy of metastasised cancer patients has improved due to advanced oncological treatment but is still limited, appropriate surgical intervention has increased. Method This is a retrospective control study of 21 patients who underwent cemented intramedullary nailing for pathological fractures in the humeral shaft between 2005 and 2009 as compared to a historical control group of 19 patients that underwent locked intramedullary nailing for pathological fractures in the humeral shaft between 1999 and 2004. Four major outcomes were assessed, namely, pain relief, use of analgesics, recovery of function and rate of complication. Results Patients treated with cemented intramedullary nailing had better pain relief, less use of analgesics and better functional restoration immediately after surgical procedure when compared to the patients without cement fixing. The rate of complication did not differ between these two groups. Conclusion Since surgery for metastases does not prolong life but improves the quality of life, the aim towards a short postoperative rehabilitation time is recommended. Cement fixation gives immediate stabilisation to the fracture site and thus allows less pain but full range of motion from the first postoperative day. Content Type Journal ArticleDOI 10.1007/s00402-010-1172-6Authors Minna Laitinen, Unit of Musculoskeletal Surgery, Department of Orthopaedics, University Hospital of Tampere, P.O. Box 2000, 33521 Tampere, FinlandJyrki Nieminen, Coxa, Hospital for Joint Replacement, Tampere, FinlandToni-Karri Pakarinen, Unit of Musculoskeletal Surgery, Department of Orthopaedics, University Hospital of Tampere, P.O. Box 2000, 33521 Tampere, Finland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Administration of nonsteroidal anti-inflammatory drugs accelerates spontaneous healing of osteoid osteoma
Tue, 24 Aug 2010 16:50:05 -0000
Abstract Introduction It has been reported that osteoid osteoma may heal spontaneously. Method To elucidate the efficacy of conservative treatment with nonsteroidal anti-inflammatory drugs (NSAIDs) for osteoid osteoma, clinical courses of the 15 patients with osteoid osteoma conservatively treated with NSAIDs were observed. Twelve out of the 15 patients took a usual dose of NSAIDs regularly (regular group). Results Except for one patient, all the patients of the regular group maintained pain-free state. Eight out of the 12 patients of the regular group were free of pain even after discontinuing NSAIDs in the average of 18.3 months (range 2–36 months). Because one patient of the regular group required twice the usual dose to maintain pain-free state, we performed surgical excision. The remaining three patients of the regular group were asymptomatic and still taking NSAIDs. The healing rate of the osteoid osteoma with regular dose of NSAIDs was 8/12 (67%) at the time of this study, which may be improved up to 11/12 (92%). On the other hand, mean period of time until spontaneous diminution of pain in the 14 patients conservatively observed without NSAIDs so far reported in the literature was 75 months (range 24–180 months). Conclusion Thus, osteoid osteoma is highly likely to heal spontaneously and administration of NSAIDs accelerates spontaneous healing. Therefore, conservative treatment with NSAIDs can be an important option other than surgical excision in treating osteoid osteoma. Content Type Journal ArticleDOI 10.1007/s00402-010-1179-zAuthors Takahiro Goto, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanYusuke Shinoda, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanTomotake Okuma, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanKoichi Ogura, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanYusuke Tsuda, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanKiyofumi Yamakawa, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, JapanTakahiro Hozumi, Department of Orthopaedic Surgery and Musculoskeletal Oncology, Tokyo Metropolitan Cancer and Infectious Diseases Center Komagome Hospital, 3-18-22 Hon-Komagome, Bunkyo-ku Tokyo, 113-8677, Japan Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Avoiding varus malreduction during cephalomedullary nailing of intertrochanteric hip fractures
Mon, 23 Aug 2010 17:56:14 -0000
Abstract We describe a technique for preventing varus malreduction of intertrochanteric hip fractures during fixation with a cephalomedullary nail. When the entry reamer guidewire is positioned in the fracture line, passage of the entry reamer may simply push the proximal fragment medially and the distal fragment laterally rather than ream the accurate entry path. Subsequent nail insertion will result in a varus deformity of the proximal femur. The simple technique described in this report uses a brief period of over-distraction to wedge the entry reamer guidewire against the lateral edge of the proximal fragment, permitting the reamer to cut a correct path in the lateral edge of the proximal fragment. Creation of a proper entry path is essential to maintain anatomic reduction during cephalomedullary nailing of intertrochanteric hip fractures. Content Type Journal ArticleDOI 10.1007/s00402-010-1182-4Authors David J. Hak, Denver Health/University of Colorado, 777 Bannock St, MC 0188, Denver, CO 80204, USAChristian Bilat, Hirslanden Klinik Aarau, Schänisweg, 5001 Aarau, Switzerland Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Composite reconstruction after proximal radial giant cell tumor resection
Mon, 23 Aug 2010 17:56:14 -0000
Abstract Giant cell tumor (GCT) of bone involving the proximal radius is extremely rare. Here, the authors present the case of a 33-year-old man with an expansile, osteolytic lesion in the proximal radius, which was diagnosed by biopsy as GCT. The rarity of this lesion in the proximal radius is highlighted, and the authors describe their method of reconstruction, which involved en-bloc excision followed by reconstruction with polyethylene, pins, a screw, and bone cement. An acceptable intermediate term result was achieved. Content Type Journal ArticleDOI 10.1007/s00402-010-1180-6Authors Won Seok Song, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, KoreaWan Hyeong Cho, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, KoreaChang-Bae Kong, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, KoreaDae-Geun Jeon, Department of Orthopedic Surgery, Korea Cancer Center Hospital, 215-4, Gongneung-dong, Nowon-gu, Seoul 139-706, Korea Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
UKA after spontaneous osteonecrosis of the knee: a retrospective analysis
Mon, 23 Aug 2010 17:56:14 -0000
Abstract Purpose Safety and efficacy of unicompartmental knee arthroplasty (UKA) in unicompartmental osteoarthritis (OA) has been shown in large patient series. It has been matter of discussion whether or not spontaneous osteonecrosis of the knee (SONK) can successfully be treated with UKA. Patients and methods A retrospective approach included 52 cases of UKA for SONK of the femoral condyles. Four implants were revised (7.7%), and seven patients had died. Nine patients were interviewed by telephone, 28 followed the invitation for clinical examination including clinical scores (KSS and WOMAC) and radiographs. Satisfaction of patients was recorded in four categories. Four patients (7.7%) were lost to follow-up. Results Average follow-up was 10.9 ± 4.8 years (4–25). Average age at operation was 66.6 ± 9.7 years. The KSS score increased from a preoperative 85 ± 30 to 173 ± 27 (p < 0.0001) at latest follow-up. WOMAC was 7.7 ± 11.4 at latest follow-up. Of the patients with implants still in place, most patients were satisfied (21.6%) or very satisfied (75.7%) with the outcome of this surgical procedure. One patient was dissatisfied (2.7%). Kaplan–Meier analysis with implant revision as endpoint revealed a survival rate of 93.1% at 10 years and 90.6% at 15 years. Discussion This study shows that spontaneous osteonecrosis of the knee (SONK) can successfully be treated with UKA at a good mid- to long-term follow-up. Content Type Journal ArticleDOI 10.1007/s00402-010-1177-1Authors Thomas J. Heyse, Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse 35043, Marburg, GermanyAhmed Khefacha, Institut du Genou, Clinique Hartmann, Neuilly sur Seine, Paris, FranceSusanne Fuchs-Winkelmann, Department of Orthopedics and Rheumatology, University Hospital Marburg, Baldingerstrasse 35043, Marburg, GermanyPhilippe Cartier, Institut du Genou, Clinique Hartmann, Neuilly sur Seine, Paris, France Journal Archives of Orthopaedic and Trauma SurgeryOnline ISSN 1434-3916Print ISSN 0936-8051
Permanent Orthopedics Jobs
Search all of our Orthopedics jobs
Fri, 03 Sep 2010 14:40:03 -0500
All Orthopedics jobs
South Central KRC.0507.1309.06C : KS
Fri, 03 Sep 2010 14:40:03 -0500
KRC.0507.1309.06C Orthopedist for progressive multi-specialty group practice. There are currently 11 specialties and 23 physicians and 5 mid-levels on staff. Salary is $350,000 (first year guarantee),
North Central KRC.0607.1916.02 : KS
Fri, 03 Sep 2010 14:40:03 -0500
KRC.0607.1916.02 Orthopaedic Surgeon, board certified or eligible, for successful single specialty clinic with a thriving Ortho practice. Salary is competitive with signing bonus and full benefits
All Orthopedic Foot and Ankle Jobs
Search all of our Orthopedic Foot and Ankle jobs
Fri, 03 Sep 2010 14:40:05 -0500
All Orthopedic Foot and Ankle jobs
Referrals from 1000+ Physicians in Major Metro, ‘Most Recession-Proof City’ in 2008, #5211 : OK
Fri, 03 Sep 2010 14:40:05 -0500
Come work for one of the most prestigious groups in the state. With about 20 Orthopaedic Surgeons in the group, you will have adequate support from day one. With the current share of the market, any
Orthopedic Surgeon, Join the best of the best! : NY
Fri, 03 Sep 2010 14:40:05 -0500
Our client, a physician-owned and operated multi-specialty group, is seeking Orthopaedic Surgeons who have successfully completed a foot and ankle or trauma fellowship. The selected candidates will
Sites:
About.com Orthopedic Medicine: Find information about orthopedics, with resources on a wide range of topics encompassing many common orthopedic problems. Learn about orthopedic ailments and their treatments.ActiveJoints.com: Total hip replacement surgery and alternatives, such as hip resurfacing are presented. News of latest developments, information on preventation and aftercare are also covered.
AONA Orthopaedic Multimedia Library: Educational and Instructional Video of Orthopedic Surgical Techniques.
Arthroscopy.com: Information on arm & leg injuries including arthroscopy, ligament tears, ACL injuries, carpal tunnel syndrome, rotator cuff injuries, surgery of the arm & leg, joint replacement, arthritis, cartilage transplants,Hyalgan.
Bonegraf.com - Orthopaedics for Residents and Medical Students: MATCH advice for students, links to all US Ortho programs. Orthopaedic cases, lit searches, and links to on-line Ortho references.
Course in Orthopaedic Medicine: Course in orthopaedic medicine. Clinical diagnosis of shoulder lesions, examination techniques, clinical interpretation and treatment with Cyriax massage, manipulation and infiltrations
Electronic Orthopaedic Textbook: An online medical reference on Orthopedics for medical students and Orthopedic residents.
Hip Universe: Welcome to Hip Universe! This site is a starting point for your own investigations into hip treatments and surgery, including total hip replacement. It contains many links to other sites.
Hipreplacement.co.uk: Extensive information about hip replacement surgery, its advantages and disadvantages and what to expect before, during and after surgery.
International Shoulder Course, Villach (Austria): A course from shoulder surgeons for shoulder surgeons. Program information an online-registration.
John Hopkins Department of Orthopaedic Surgery: Patient and physician information on many orthopedic surgical techniques.
OrthoClinics.com: Specializing in patient education and medical web site development in the areas of orthopedics, cardiovascular and cosmetic surgery.
Orthopedic Hand jobs: Orthopedic Hand jobs are listed at Physician Employment and offfering an automatic email update for all new jobs as they are listed.
Orthopedic Jobs: Listings of orthopedic jobs with email reminder.
OrthopedicQuestions.Com: This site has web boards for general information on bracing and orthopedic questions.
Orthoplatform: Links, news and discussion forums.
Planete-Ortho: chirurgie orthopédique du genou, de l'épaule, et de la hanche sont au centre de Planete-Ortho avec des articles et des descriptifs d'interventions dans une partie sécurisée pour les professionnels mais aussi de nombreuses informations pour le grand public.
Spine University Orthopedic Education: Provides orthopedic education to patients and physicians. Includes Spine News and an FAQ section which answers common questions concerning back pain and other orthopedic issues.
The Maryland Center for Limb Lengthening and Reconstruction: The International Center for Limb Lengthening (ICLL) is internationally recognized as the most experienced center for limb lengthening and reconstruction in the world, committed to providing the most comprehensive and technologically advanced treatments available for children and adults with upper
The Video Journal of Orthopaedics: Web site for The Video Journal of Orthopaedics.
