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ORTHOPEDICS AND TRAUMATOLOGY (150 journals)                     

Showing 1 - 152 of 152 Journals sorted alphabetically
Acta Orthopaedica     Open Access   (Followers: 32)
Advances in Orthopedics     Open Access   (Followers: 9)
American Journal of Orthodontics and Dentofacial Orthopedics     Hybrid Journal   (Followers: 9)
American Journal of Orthopedics     Partially Free   (Followers: 3)
Archives of Orthopaedic and Trauma Surgery     Hybrid Journal   (Followers: 9)
Archives of Osteoporosis     Hybrid Journal   (Followers: 1)
Arthritis und Rheuma     Hybrid Journal  
Arthroplasty Today     Open Access   (Followers: 1)
Australasian Musculoskeletal Medicine     Full-text available via subscription   (Followers: 5)
BMC Musculoskeletal Disorders     Open Access   (Followers: 29)
Bone & Joint 360     Full-text available via subscription   (Followers: 18)
Bone Research     Hybrid Journal   (Followers: 2)
Burns & Trauma     Open Access   (Followers: 11)
Cartilage     Hybrid Journal   (Followers: 5)
Case Reports in Orthopedic Research     Open Access  
Case Reports in Orthopedics     Open Access   (Followers: 6)
Chinese Journal of Traumatology     Open Access  
Cleft Palate-Craniofacial Journal     Hybrid Journal   (Followers: 8)
Clinical Medicine Insights : Arthritis and Musculoskeletal Disorders     Open Access   (Followers: 3)
Clinical Orthopaedics and Related Research     Hybrid Journal   (Followers: 78)
Clinical Trials in Orthopedic Disorders     Open Access   (Followers: 1)
Concussion     Open Access  
Craniomaxillofacial Trauma and Reconstruction     Hybrid Journal   (Followers: 1)
Current Orthopaedic Practice     Hybrid Journal   (Followers: 14)
Current Reviews in Musculoskeletal Medicine     Open Access   (Followers: 13)
Der Orthopäde     Hybrid Journal   (Followers: 6)
Die Wirbelsäule     Hybrid Journal  
Duke Orthopedic Journal     Open Access   (Followers: 5)
East African Orthopaedic Journal     Full-text available via subscription  
EFORT Open Reviews     Open Access   (Followers: 1)
Egyptian Orthopaedic Journal     Open Access   (Followers: 1)
EMC - Técnicas Quirúrgicas - Ortopedia y Traumatología     Full-text available via subscription  
EMC - Tecniche Chirurgiche - Chirurgia Ortopedica     Full-text available via subscription  
Ergonomics     Hybrid Journal   (Followers: 22)
European Journal of Orthopaedic Surgery & Traumatology     Hybrid Journal   (Followers: 9)
European Journal of Podiatry / Revista Europea de Podología     Open Access   (Followers: 1)
European Spine Journal     Hybrid Journal   (Followers: 24)
Foot & Ankle International     Hybrid Journal   (Followers: 10)
Foot & Ankle Orthopaedics     Open Access   (Followers: 3)
Gait & Posture     Hybrid Journal   (Followers: 17)
Geriatric Orthopaedic Surgery Rehabilitation     Open Access   (Followers: 5)
Global Spine Journal     Open Access   (Followers: 12)
Hip International     Hybrid Journal  
Indian Journal of Orthopaedics     Open Access   (Followers: 8)
Informationen aus Orthodontie & Kieferorthopädie     Hybrid Journal  
Injury     Hybrid Journal   (Followers: 20)
International Journal of Orthopaedic and Trauma Nursing     Hybrid Journal   (Followers: 11)
International Journal of Orthopaedic Surgery     Open Access   (Followers: 5)
International Journal of Orthopaedics     Open Access   (Followers: 2)
International Journal of Research in Orthopaedics     Open Access  
International Musculoskeletal Medicine     Hybrid Journal   (Followers: 7)
International Orthopaedics     Hybrid Journal   (Followers: 18)
JAAOS : Global Research & Reviews     Open Access   (Followers: 1)
JBJS Journal of Orthopaedics for Physician Assistants     Hybrid Journal  
JBJS Reviews     Full-text available via subscription   (Followers: 11)
JOR Spine     Open Access   (Followers: 3)
Journal de Traumatologie du Sport     Full-text available via subscription   (Followers: 2)
Journal für Mineralstoffwechsel & Muskuloskelettale Erkrankungen     Hybrid Journal  
Journal of Bone and Joint Diseases     Open Access   (Followers: 4)
Journal of Bone and Joint Infection     Open Access   (Followers: 1)
Journal of Brachial Plexus and Peripheral Nerve Injury     Open Access   (Followers: 4)
Journal of Cachexia, Sarcopenia and Muscle     Open Access   (Followers: 2)
Journal of Children's Orthopaedics     Open Access   (Followers: 10)
Journal of Clinical Orthopaedics and Trauma     Hybrid Journal   (Followers: 5)
Journal of Experimental Orthopaedics     Open Access   (Followers: 8)
Journal of Hand Surgery (European Volume)     Hybrid Journal   (Followers: 44)
Journal of Head Trauma Rehabilitation     Hybrid Journal   (Followers: 17)
Journal of Musculoskeletal Research     Hybrid Journal   (Followers: 9)
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie     Hybrid Journal  
Journal of Orthodontic Science     Open Access   (Followers: 2)
Journal of Orthopaedic & Sports Physical Therapy     Full-text available via subscription   (Followers: 70)
Journal of Orthopaedic Association of South Indian States     Open Access   (Followers: 5)
Journal of Orthopaedic Diseases and Traumatology     Open Access   (Followers: 5)
Journal of Orthopaedic Reports     Full-text available via subscription   (Followers: 12)
Journal of Orthopaedic Research     Hybrid Journal   (Followers: 29)
Journal of Orthopaedic Science     Hybrid Journal   (Followers: 4)
Journal of Orthopaedic Surgery     Open Access   (Followers: 1)
Journal of Orthopaedic Surgery and Research     Open Access   (Followers: 8)
Journal of Orthopaedic Translation     Open Access  
Journal of Orthopaedic Trauma     Hybrid Journal   (Followers: 15)
Journal of Orthopaedics     Full-text available via subscription   (Followers: 3)
Journal of Orthopaedics and Allied Sciences     Open Access   (Followers: 9)
Journal of Orthopaedics and Spine     Open Access   (Followers: 3)
Journal of Orthopaedics and Traumatology     Open Access   (Followers: 16)
Journal of Orthopaedics, Trauma and Rehabilitation     Open Access   (Followers: 6)
Journal of Orthopedics & Rheumatology     Open Access  
Journal of Orthopedics, Traumatology and Rehabilitation     Open Access   (Followers: 6)
Journal of Pediatric Orthopaedics     Hybrid Journal   (Followers: 15)
Journal of Prosthetics and Orthotics     Hybrid Journal   (Followers: 14)
Journal of Scleroderma and Related Disorders     Hybrid Journal  
Journal of the American Academy of Orthopaedic Surgeons     Hybrid Journal   (Followers: 12)
Journal of the American Podiatric Medical Association     Full-text available via subscription   (Followers: 8)
Journal of Traumatic Stress     Hybrid Journal   (Followers: 25)
Knee Surgery, Sports Traumatology, Arthroscopy     Hybrid Journal   (Followers: 27)
Multiple Sclerosis and Related Disorders     Hybrid Journal   (Followers: 8)
Musculoskeletal Care     Hybrid Journal   (Followers: 19)
Musculoskeletal Science and Practice     Hybrid Journal   (Followers: 3)
Nigerian Journal of Orthopaedics and Trauma     Open Access  
North American Spine Society Journal (NASSJ)     Open Access   (Followers: 3)
OA Orthopaedics     Open Access   (Followers: 7)
Obere Extremität     Hybrid Journal   (Followers: 1)
Open Journal of Orthopedics     Open Access   (Followers: 3)
Open Journal of Orthopedics and Rheumatology     Open Access  
Open Journal of Trauma     Open Access  
Open Orthopaedics Journal     Open Access  
Operative Orthopädie und Traumatologie     Hybrid Journal  
Operative Techniques in Orthopaedics     Full-text available via subscription   (Followers: 6)
Orthopädie & Rheuma     Full-text available via subscription  
Orthopädie und Unfallchirurgie up2date     Hybrid Journal  
Orthopaedic Journal of Sports Medicine     Open Access   (Followers: 14)
Orthopaedic Nursing     Hybrid Journal   (Followers: 11)
Orthopaedic Proceedings     Partially Free  
Orthopaedic Surgery     Open Access   (Followers: 1)
Orthopaedics & Traumatology: Surgery & Research     Full-text available via subscription   (Followers: 6)
Orthopaedics and Trauma     Full-text available via subscription   (Followers: 28)
Orthopedic Clinics of North America     Full-text available via subscription   (Followers: 5)
Orthopedic Research and Reviews     Open Access   (Followers: 6)
Orthopedic Reviews     Open Access   (Followers: 7)
Orthopedics     Full-text available via subscription   (Followers: 6)
Orthoplastic Surgery     Open Access  
Osteoarthritis and Cartilage     Full-text available via subscription   (Followers: 20)
Osteoarthritis and Cartilage Open     Open Access  
Osteologie     Hybrid Journal  
Osteoporosis and Sarcopenia     Open Access  
OTA International     Open Access  
Paediatric Orthopaedics and Related Sciences     Open Access   (Followers: 3)
Pain Management in General Practice     Full-text available via subscription   (Followers: 12)
Prosthetics and Orthotics International     Hybrid Journal   (Followers: 8)
Revista Brasileira de Ortopedia     Hybrid Journal  
Revista Chilena de Ortopedia y Traumatología / Chilean Journal of Orthopaedics and Traumatology     Open Access  
Revista Colombiana de Ortopedia y Traumatología     Full-text available via subscription  
Revista Cubana de Ortopedia y Traumatologí­a     Open Access  
Revista de la Asociación Argentina de Ortopedia y Traumatología     Open Access  
Revista Española de Cirugía Ortopédica y Traumatología     Full-text available via subscription   (Followers: 1)
Revista Portuguesa de Ortopedia e Traumatologia     Open Access  
Revue de Chirurgie Orthopédique et Traumatologique     Full-text available via subscription   (Followers: 3)
Romanian Journal of Orthopaedic Surgery and Traumatology     Open Access  
SA Orthopaedic Journal     Open Access   (Followers: 2)
SICOT-J     Open Access   (Followers: 1)
Spine     Hybrid Journal   (Followers: 73)
Spine Journal     Hybrid Journal   (Followers: 26)
Sport-Orthopädie - Sport-Traumatologie - Sports Orthopaedics and Traumatology     Full-text available via subscription   (Followers: 3)
Strategies in Trauma and Limb Reconstruction     Open Access   (Followers: 1)
Techniques in Orthopaedics     Hybrid Journal   (Followers: 6)
Therapeutic Advances in Musculoskeletal Disease     Hybrid Journal   (Followers: 5)
Trauma     Hybrid Journal   (Followers: 5)
Trauma (Travma)     Open Access  
Trauma und Berufskrankheit     Hybrid Journal  
Traumatology     Full-text available via subscription   (Followers: 1)
Traumatology and Orthopedics of Russia     Open Access  
Zeitschrift für Orthopädie und Unfallchirurgie     Hybrid Journal   (Followers: 2)
Ортопедия, травматология и протезирование     Open Access  

           

Similar Journals
Journal Cover
Current Orthopaedic Practice
Journal Prestige (SJR): 0.143
Number of Followers: 14  
 
  Hybrid Journal Hybrid journal (It can contain Open Access articles)
ISSN (Print) 1940-7041 - ISSN (Online) 1941-7551
Published by LWW Wolters Kluwer Homepage  [297 journals]
  • Repair of the ulnar collateral ligament: a review of current trends and
           outcomes

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      Authors: MacKenzie; James S.; Osbahr, Daryl C.
      Abstract: imageDiagnosis and surgical treatment of elbow ulnar collateral ligament (UCL) injury is becoming more common. A thorough understanding of nonsurgical and surgical options for this injury is required for successful treatment. Gold standard treatment remains ligamentous reconstruction with autograft in the elite throwing athlete. However, advances in surgical technique, technology, and a better understanding of the pathoanatomy of the injury have renewed interest in primary repair of the UCL. Recent literature has shown encouraging results with primary repair and with augmented primary repair, especially over the past 5 yr. This review describes the recent trends and outcomes of UCL repair so that surgeons can have a better understanding of surgical options.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Chronic exertional compartment syndrome: a review of the literature

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      Authors: Bouck; Trevor T.; Ravi, Sreeram; Stokey, Phillip J.; Sawyer, Ethan R.; Ebraheim, Nabil A.
      Abstract: imageChronic exertional compartment syndrome (CECS) is a serious, yet underdiagnosed condition that can cause severe lower-extremity pain in running athletes. CECS is a transient increase in compartment pressure that can lead to severe pain, paresthesia, and vascular compromise. Understanding the detailed anatomy is paramount to proper diagnosis and treatment. Diagnosis is made with measuring compartment pressures before and after exercise at certain time intervals. When properly diagnosed and treated, CECS can be appropriately managed and patients can return to their previous level of activity. The aim of this review was to familiarize providers with CECS to increase proper diagnosis and treatment with elective fasciotomy. Proper diagnosis and treatment allow patients to return to their previous level of activity without pain.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Preoperative leukocytosis and postoperative outcomes in geriatric hip
           fracture patients: a retrospective cohort study

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      Authors: Tang; Stephen Pui-Kit; Moy, Lok-Tin; Wan, Keith Hay-Man; Wong, Hing-Cheong; Wong, Kevin Kwun-Hung; Wong, Kam-Kwong
      Abstract: imageBackground: A growing amount of evidence has suggested an association between preoperative leukocytosis and postoperative complications across a variety of surgeries. The aim of this study was to evaluate the impact of preoperative leukocytosis on the prognosis of geriatric patients with hip fracture after surgery.Methods: This retrospective cohort included 1007 patients age 65 yr and older who underwent surgery for hip fracture between January 2016 and December 2019 at a district general hospital. Outcomes measured included surgical-site infection and 30-day and 1-year mortality. A multivariate logistic regression model was constructed in order to test whether leukocytosis was an independent predictor of morbidity and mortality in patients with hip fracture.Results: After adjustment for covariates, leukocytosis was not found to be a significant independent predictor of poor outcome after geriatric hip-fracture surgery. Delay of surgery longer than 48 hr and dementia were found to be independent variables associated with increased risk of surgical-site infection. The predictors of 30-day mortality were male gender and the use of anticoagulant or antiaggregant medications, whereas male gender, delay of surgery more than 48 hr, dementia and hypoalbuminemia were associated with increased 1-year mortality.Conclusions: Preoperative leukocytosis was not associated with adverse postoperative outcome after geriatric hip-fracture surgery. The more reliable variables for prediction of surgical outcome in geriatric patients with hip fracture were delay in surgery, gender, hypoalbuminemia, dementia, and use of anticoagulant or antiaggregant medications.Level of Evidence: Level III.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • A database study on incidence and trends in traumatic lower-extremity
           amputations in the United States

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      Authors: Herzog; Leah N.; Johnson, Charles A.; Gross, Christopher E.
      Abstract: imageBackground: There is minimal focus on traumatic lower-extremity amputations due to their relatively low incidence, but they often come with a higher morbidity and mortality than their upper extremity counterparts. The purpose of this study was to evaluate the incidence and trends of lower extremity amputations in the United States over 10 yr.Methods: The National Electronic Injury Surveillance System (NEISS) was queried from 2008 to 2017 for lower-extremity amputations presenting to United States emergency departments. Date of presentation, age at presentation, amputated appendage, disposition, and cause of the amputation were reported and used for statistical analysis.Results: From 2008 to 2017, 393 patients were reported to have sustained lower-extremity amputations within the NEISS database with an estimated total of 11,475 patients sustaining a lower-extremity amputation over the past 10 yr and an incidence of 2.2 per 100,000 person-years. The incidence of lower-extremity amputations is highest in those under 5 years old. Lawnmowers were the most common mechanism of injury in all age groups.Discussion: Due to the high morbidity and mortality associated with these injuries, it is prudent to follow the trends in lower-extremity amputations. This is particularly important in promoting awareness and prevention of the more common mechanisms such as lawnmower incidents.Level of Evidence: Level IV.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • The utility of routine dual-energy x-ray absorptiometry scans in
           matched-pair cadaveric biomechanical trauma research

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      Authors: Black; Natalie R.; Morris, Randal P.; Chen, Jie
      Abstract: imageBackground: Performing cadaveric dual-energy x-ray absorptiometry (DEXA) scanning is a routine part of orthopaedic biomechanical research, but it is not without cost. Matched pairs are often used in biomechanical studies to further equalize comparison groups. Despite the widespread use of matched-pair analysis, the practical utility of obtaining routine DEXA scans remains unknown. The authors’ objective was to determine the value of DEXA scans in biomechanical cadaveric trauma studies.Methods: The authors identified 10 sequential journal articles from the Journal of Orthopaedic Trauma from February 2013 to February 2019 that were biomechanical studies with two comparison groups using matched pairs, which were DEXA-scanned prior to experimentation. For each study, the authors determined the number of pairs used, number of pairs discarded, any significant differences in bone density between groups compared, and how density results were reported for individual specimens or pairs.Results: None of the 113 matched pairs reported in these studies were discarded because of DEXA scan results. There were inconsistencies between studies on reported units of measurement and how the specimens were compared. No significant differences in density between the compared groups were reported in the 10 studies. No studies disclosed the bone density for any individual specimen or score difference for any individual pair.Conclusions: As currently used in the literature, routine DEXA scans of cadaveric matched-pair specimens do not typically lead to any modification of experimental design or reporting of results.Level of Evidence: Level IV.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Costs and benefits of routine hemoglobin A1c screening prior to total
           joint arthroplasty: a cost-benefit analysis

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      Authors: Zhuang; Thompson; Shapiro, Lauren M.; Amanatullah, Derek F.; Maloney, William J.; Kamal, Robin N.
      Abstract: imageBackground: Poorly controlled diabetes mellitus (DM) increases the risk for periprosthetic joint infection (PJI) after total joint arthroplasty (TJA). While institutional protocols include hemoglobin A1c (HbA1c) screening in TJA patients, the costs and benefits of routine preoperative screening have not been described.Methods: The authors created a decision tree model to evaluate short-term costs and risk reduction for PJIs with routine screening of primary total hip arthroplasty (THA) and total knee arthroplasty (TKA). Probabilities and costs were obtained from published sources. They calculated net costs and absolute risk reduction in PJI for routine screening versus no screening. The authors also performed sensitivity analyses of model inputs, including probabilistic sensitivity analyses (PSAs) consisting of 10,000 Monte Carlo simulations.Results: In patients with DM, one routine screening before THA resulted in net cost savings of $81 per patient, with 286 patients needing to be screened to prevent one PJI, while screening before TKA incurred net additional costs of $25,810 per PJI prevented. Routine screening in patients with DM undergoing THA or TKA was cost-saving across 75.5% or 21.8% of PSA simulations, respectively. In patients with no history of DM, routine screening before THA or TKA incurred net additional costs of $24,583 or $87,873 per PJI prevented, respectively.Conclusions: Routine HbA1c screening in patients with DM prior to THA with referral of patients with elevated HbA1c for glycemic optimization may prevent PJI and reduce healthcare costs. In contrast, routine screening in patients with DM prior to TKA or in patients with no history of DM is not cost-saving.Level of Evidence: Economic Level IV.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Total knee arthroplasty versus unicompartmental knee arthroplasty in
           management of anteromedial knee osteoarthritis: a randomized clinical
           trial

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      Authors: Alkersh; Ahmed Abd El Samad; Osman, Wael Samir; Abdeldayem, Sherif Mostafa; Metwaly, Radwan G.; Awad, Mohamed El Sayed; Zakaria, Zeiad M.
      Abstract: imageBackground: Both total knee arthroplasty (TKA) and unicompartmental knee arthroplasty (UKA) are options to manage anteromedial knee osteoarthritis. This study’s aim was to determine the functional outcome, time taken to walk without support, and postoperative complications after either TKA or UKA in treatment of anteromedial knee osteoarthritis.Methods: A prospective randomized cohort study was performed at a level 1 academic center on 60 patients with a mean age of 56.2 yr who had isolated anteromedial knee osteoarthritis. Thirty patients were managed by UKA (group 1), and the other 30 patients were managed by TKA (group 2). Diagnosis was confirmed by plain radiographs (anteroposterior standing, lateral, skyline, stress varus, and valgus views). Follow-up was done for at least 12 mo postoperatively.Results: Mean preoperative functional Knee Society Score (KSS) was 65.83 and 62.67 for group 1 and group 2, respectively. Mean functional KSS after 1 yr was 86.3 for group 1 and 84.6 for group 2. In group 1, one patient developed lateral joint line pain, and another patient developed postoperative blood loss of more than 400 mL. In group 2, one patient developed patellofemoral pain, and another patient developed postoperative blood loss of more than 400 mL. The mean time that it took for patients to walk without support was 1.6 wk in group 1 and 1.93 wk for group 2.Conclusions: Both UKA and TKA have the same functional outcome for treatment of anteromedial knee osteoarthritis and the same rate of complications, but early postoperative rehabilitation is better in patients managed by UKA.Level of Evidence: Level I.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Devastating Independence Day fireworks hand injuries of 2020: a
           retrospective case series examining dramatic increase secondary to
           COVID-19 restrictions

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      Authors: Herzog; Leah N.; Daley, Dane N.
      Abstract: imageBackground: To evaluate the effects of COVID-19 restrictions on the amount of fireworks injuries during the Fourth of July.Methods: This was a retrospective review of all fireworks injuries during the weekend of the Fourth of July at a single institution from 2014 to 2020. All patients who presented to this institution with a fireworks injury were recorded along with age, occupation, hand dominance, injured hand, smoking status, and whether the patient was transferred from an outside hospital. This information was then used to compare fireworks injuries during 2020 and the COVID-19 pandemic versus the years prior to COVID-19.Results: There were 24 fireworks injuries from 2014 to 2020. Most patients were males, and the average age was 25 yr old. Forty-six percent (11 patients) of these fireworks injuries occurred in 2020 during the COVID-19 pandemic. The next closest number of fireworks injuries occurred in 2015 with four patients (17%).Conclusions: Fireworks injuries are devastating injuries that affect all aspects of patients’ lives. With social restrictions from the COVID-19 pandemic limiting public fireworks display, there was a 275% increase in fireworks hand injuries presenting to the authors’ level #1 trauma center. The authors propose modifying the current safety guidelines to prevent injuries to minors and urge a more robust publicization of the guidelines.Level of Evidence: Level IV.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Site of service of irrigation and debridement of open finger and hand
           fractures: a retrospective review of trends and outcomes

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      Authors: Wadhwa; Harsh; Zhuang, Thompson; Shapiro, Lauren M.; Welch, Jessica M.; Richard, Marc J.; Kamal, Robin N.
      Abstract: imageBackground: Irrigation and debridement (I&D) of open finger and hand fractures can be performed in the emergency department as opposed to the operating room (OR), though reports of postoperative infection rates vary greatly. The authors hypothesized that I&D of open finger and hand fractures in the OR would decrease over time. They also describe rates of postoperative infection, reoperation, readmission, and costs.Methods: A large nationwide administrative claims dataset was retrospectively reviewed to identify patients who underwent I&D after open finger and hand fractures from 2007 to 2016. The incidence of I&D procedures performed outside the OR was reported and trends over the study period were assessed.Results: The proportion of open finger and hand fractures that underwent I&D outside the OR did not change significantly over time. Rates of postoperative surgical site infection, readmission, and reoperation were higher in the OR cohort at 90 days after the index stay. The OR cohort had greater total costs and out-of-pocket costs for the index stay. At 90 days, the OR cohort had greater total cost, but out-of-pocket costs were similar.Conclusions: Site of service for treatment of open finger and hand fractures has not significantly changed from 2007 to 2016. Given that total costs are significantly greater among patients undergoing I&D in the OR, prospective trials are needed to assess the safety of treating open finger and hand fractures outside of the OR to optimize management of these injuries.Level of Evidence: Level III.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Reliability of lateral femoral wall thickness for detecting the potential
           for treatment failure and implant choice in patients with trochanteric hip
           fractures: a prospective cohort study

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      Authors: Selim; Amr; Seoudi, Nabil; Algeaidy, Ibrahim Taha; Barakat, Ahmed Samir
      Abstract: imageBackground: Trochanteric hip fractures represent one of the most challenging injuries in orthopaedic practice. Dynamic hip screw (DHS) remains the gold standard in management of these fractures. Lateral femoral wall thickness (LWT) is an evolving parameter for detecting the potential for lateral wall fracture. The aim of this study was to determine the mean and cutoff levels for LWT that predict lateral wall fracture and its various implications.Methods: This prospective cohort study included 42 patients with trochanteric hip fractures treated with DHS. LWT was assessed in all patients preoperatively. Patients were divided into two groups according to the postoperative integrity of the lateral femoral wall; in group A the patients sustained a lateral femoral wall fracture, and in group B the lateral femoral wall remained intact. All patients were regularly followed for 12 mo.Results: At 12 mo, 12% of patients suffered postoperative lateral wall fracture, while in 88% the lateral femoral wall remained intact. The mean LWT in group A was 18.04 mm compared to 26.22 mm in group B. Revision surgery was 40% in group A and 5% in group B. The cutoff point of LWT below which there is a high chance of postoperative lateral wall fracture when fixed with DHS was 19.6 mm.Conclusions: Preoperative measurement of LWT in elderly patients with trochanteric hip fractures was decisive. The cutoff point for postoperative lateral wall fracture according to this study was 19.6 mm; hence, intramedullary fixation should be considered in this situation.Level of Evidence: Level II.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Reliability of acetabular index measurement in developmental dysplasia of
           the hip screening by orthopaedic trainees: a comparative study

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      Authors: Elifranji; Zuhdi O.; Yasin, Mohamad; Al-Saber, Munther; Mousa, Khaled; Alaqrabawi, Ihab; Alswerki, Mohammad; Aldowekat, Osama; AlTa’ani, Zaid; Hammad, Yazan; Al-Dalaien, Nassar
      Abstract: imageBackground: Radiographic measurements are used for screening of developmental dysplasia of the hip (DDH) in children. The ability to detect acetabular dysplasia requires validated radiographic outcome measures. The acetabular index (AI) measurement has been shown to be a reliable measure worldwide. This study aims to test the reliability of the AI measurement in a DDH screening population by orthopaedic junior and senior residents.Methods: The review examined 470 radiographs taken during 4 yr (2016-2019) in a university hospital. AI measurement was performed by two surgeons, four senior residents, and four junior residents at three different times. The intraobserver and interobserver reliability for each group was assessed.Results: The intraobserver reliability intraclass correlation coefficient (ICC) for the AI measurement performed by seniors was excellent at 0.98 (confidence interval [CI] 0.98 to 0.99) for the right side and 0.99 (CI 0.98 to 0.99) for left side. Indistinguishably, the ICC for AI measurement performed by orthopaedic juniors for right and left side was excellent at 0.96 (CI 0.95 to 0.97) and 0.95 (CI 0.95 to 0.96), respectively. The overall ICCs for interobserver reliability for the AI measurement between professors, seniors, and juniors for right and left side was between good and excellent at 0.89 (CI 0.87 to 0.90) and 0.89 (CI 0.87 to 0.91), respectively.Conclusions: Orthopaedic juniors are less reliable in terms of intraobserver and interobserver variability in detecting DDH in screening program in comparison with seniors using AI measurement in a pediatric orthopaedic clinic.Level of Evidence: Level III.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Retrospective comparison of rates of aseptic loosening in fixed-bearing
           unicompartmental knee arthroplasty (UKA) implants

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      Authors: Boucher; Henry R.; Hawken, Jessica; Lee, Ji Won; Mistretta, Katherine; Gallagher, Brian; Passano, Brandon; Desale, Sameer
      Abstract: imageBackground: A prominent cause for failure and revision in unicompartmental knee arthroplasty (UKA) is aseptic implant loosening. This study compared the revision rates for aseptic loosening of a new UKA implant, Aesculap Univation X (B. Braun, Tuttlingen, Germany), versus a well-established standard design, Miller Galante (Zimmer, Warsaw, Indiana).Methods: Patient charts were retrospectively reviewed of medial UKAs performed using two different fixed-bearing UKA implants from different manufacturers between January 1, 2002, and November 6, 2020. Of 308 patients included in the study, 44 had the new implant (AUK) and 264 patients had a standard implant (ZUK). The revision rates for all-cause and aseptic loosening were compared. The Kaplan Meier curve for 5-year survival rate was calculated based on aseptic loosening as the cause of failure. Hazard ratios for failure were calculated with multivariable Cox regression analysis.Results: All-cause revision and revision from aseptic loosening were significantly higher for AUK versus ZUK (20% versus 5.30% and 18.18% versus 3.41%, respectively). The log-rank test showed significantly longer survival for ZUK versus AUK group (P
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Knee joint osteoarthritis in obese subjects, effects of diet and exercise
           on knee-joint loading: a review of literature

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      Authors: Karimi; Mohammad Taghi; Hemati, Fatemeh
      Abstract: imageThe incidence of osteoarthritis (OA) is greater in the knee than in other joints and is increasing. This could be because of an increase in the applied loads on this joint or because of a change in the alignment of the knee joint. The aim of this review was to determine the effects of being overweight on knee joint OA. Moreover, it aimed to determine whether a change in body weight by diet or exercise influenced the loads applied on the knee joint and decreased the incidence of knee OA. A systematic literature search was carried out to find the literature published on the effects of joint loading and being overweight on knee OA in databases such as Medline, PubMed, Embase, Web of Sciences, Scopus, and Google Scholar. The key words such as knee OA and loading, knee OA and joint contact forces, knee OA and body weight were used to determine the effects of joint loading on knee OA. The quality of the studies was evaluated by use of Downs and Black tool. There were 15 studies on the effects of joint loading, overweight, and obesity on joint contact force and knee OA symptoms and three studies on the effects of weight loss, exercise, and intensive diet intervention on joint loading. The quality of these papers varied between 9 and 20. The results of this review showed that obese subjects are at high risk of knee OA because of change in alignment of the knee joint and also overloading of the joint. Use of approaches such as diet and exercise may decrease the loads applied on the joint and decrease the incidence of knee OA.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Effect of extracorporeal shockwave therapy on medial tibial stress
           syndrome: a systematic review

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      Authors: Forogh; Bijan; Karimzad, Yousef; Babaei-Ghazani, Arash; Janbazi, Lobaneh; Bagherzadeh Cham, Masumeh; Abdolghaderi, Siavash
      Abstract: imageBackground: This systematic review evaluates the available evidence for extracorporeal shockwave therapy (ESWT) use in the treatment of medial tibial stress syndrome (MTSS).Method: PubMed, EMBASE, Scopus, ISI Web of Science, and Cochrane Central Register of Controlled Trials (Cochrane CENTRAL) database searches were performed without a time limit in August 2021. Two independent researchers performed the search, screening, and final eligibility of the articles. Data were extracted using a customized spreadsheet, which included detailed information on patient characteristics, interventions, and outcomes. The methodological quality of the included studies was independently assessed by two reviewers using the Physiotherapy Evidence Database scale (PEDro).Results: Three studies were identified that compared 23, 12, and 22 participants in the intervention group with 19, 12, and 20 participants in the control group, respectively. The mean age of participants in these studies was 26.51 yr, and the mean duration of symptoms in the two studies that reported this was 16.36 mo. All studies used focus shockwave therapy.Conclusions: Extracorporeal shockwaves reduced pain and time to recovery and increased patient satisfaction. No study reported adverse effects. Based on the limited studies, ESWT may reduce pain and shorten recovery duration in MTSS. Further randomized clinical trials with sham control may substantiate these findings in other patient populations.Level of Evidence: Level II.
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Use of zoledronic acid in pelvic and sacral chronic recurrent multifocal
           osteomyelitis (CRMO): a case report

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      Authors: Alisi; Mohammed S.; Hammad, Yazan; Al-Ali, Hani; Abu Hassan, Freih
      Abstract: imageNo abstract available
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Shish kebab technique used to treat severe trauma to the foot: a case
           report

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      Authors: Carroll; Patrick; Murphy, Ben; O’ Neill, Áine; Abdulkarim, Ali; Chhabra, Jatinder
      Abstract: imageNo abstract available
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Osteomyelitis of proximal tibia 27 yr after skeletal traction: a
           case report

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      Authors: Butt; Mohammad Farooq; Malik, Farid Hussain; Lone, Zubair Ahmad; Bhat, Tanveer Ahmed; Mohd, John
      Abstract: imageNo abstract available
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
  • Medial elbow dislocations: a case report on the complex simple dislocation

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      Authors: Robinson; Luke P.; Werthmann, Neil J. III
      Abstract: imageNo abstract available
      PubDate: Fri, 01 Jul 2022 00:00:00 GMT-
       
 
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