Subjects -> MEDICAL SCIENCES (Total: 8196 journals)
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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
Duke Orthopedic Journal
Number of Followers: 5  

  This is an Open Access Journal Open Access journal
ISSN (Print) 2231-5055 - ISSN (Online) 2231-5136
Published by Medknow Publishers Homepage  [448 journals]
  • Sex-based differences in postural stability: A systematic review

    • Authors: Connor James Dean, Timothy C Sell, Amanda M Robertson
      Pages: 1 - 9
      Abstract: Connor James Dean, Timothy C Sell, Amanda M Robertson
      Duke Orthopedic Journal 2020 10(1):1-9
      Postural stability is a known risk factor for musculoskeletal injury although the impact of sex on postural stability is not well understood. This systematic review evaluated 24 studies that reported on postural stability. Findings regarding the impact of sex on postural stability were mixed, with some studies reporting male superiority, others reporting female superiority, and still others demonstrating no significant difference.
      Citation: Duke Orthopedic Journal 2020 10(1):1-9
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_2_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Concussion and lower extremity injury risk following return to activity: A
           systematic review

    • Authors: Jessica Buttinger, Jason Mihalik, Leila Ledbetter, Mallory Faherty, Timothy Sell
      Pages: 10 - 18
      Abstract: Jessica Buttinger, Jason Mihalik, Leila Ledbetter, Mallory Faherty, Timothy Sell
      Duke Orthopedic Journal 2020 10(1):10-18
      Aim: The purpose of this systematic review is to present the evidence examining concussion and subsequent lower extremity injury (LEI) risk, and to provide a clinically relevant interpretation of the existing literature for sports medicine clinicians. We hypothesize that there is sufficient high-quality evidence providing an association between concussion and subsequent LEI risk.Background: In active individuals who have suffered a concussion, even after acute symptoms resolve, the long-term consequences and cognitive deficits that persist remain a pervasive topic of study in sports medicine research. As more studies indicate a risk of secondary injury following a concussion, specifically a risk of LEI, a review of the literature is necessary to bring the latest research into discussion.Review Results: Of the 459 studies reviewed for eligibility, 10 articles were accepted for systematic review and graded for quality. Overall, eight of the ten studies meeting the inclusion criteria demonstrated an association between concussion and LEI. The risk of LEI following a concussion ranged in studies with odds ratios ranging from 1.72 to 2.48, hazards ratios ranging from 1.47 to 4.07, and the incident rate ratio ranging from 1.97 to 2.02 in athletes who had acquired a concussion versus those who did not.Conclusion: Taken together, there is enough evidence of sufficient quality to determine that there is an association between concussion and the subsequent risk of acquiring a lower-extremity injury. This systematic review suggests care should be taken in future studies to assess the contributing factors that may predispose an individual to lower extremity injuries following a concussion.Clinical Significance: Concussions and the subsequent risk of LEI remain a growing concern for sports medicine providers. Our study suggests that there is a need to further investigate the mechanistic processes that may be predisposing an individual to subsequent lower extremity injuries following a concussion, and if this risk can be reduced with appropriate postconcussion care.
      Citation: Duke Orthopedic Journal 2020 10(1):10-18
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_16_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Nonarthroplasty management of osteonecrosis of the femoral head

    • Authors: Harrison R Ferlauto, Evan M Guerrero, James R Urbaniak, Grant E Garrigues
      Pages: 19 - 25
      Abstract: Harrison R Ferlauto, Evan M Guerrero, James R Urbaniak, Grant E Garrigues
      Duke Orthopedic Journal 2020 10(1):19-25
      It is estimated that 10,000–20,000 new cases of osteonecrosis of the femoral head (ONFH) are diagnosed annually in the United States. Left untreated, this disease results in progressive collapse of the femoral head and destruction of the hip joint, resulting in the need for total hip arthroplasty (THA). However, in younger patients with ONFH, initial treatment with THA is not a practical option because these patients typically outlive the life of their implant, and thus may require multiple revision operations. Therefore, a variety of nonarthroplasty treatments for ONFH have been developed to slow the progression of disease and prolong the time that a person can go before requiring THA. These nonarthroplasty treatments are grouped into three general categories: Pharmacologic, nonpharmacologic/nonoperative, and operative. However, there is no consensus as to the optimal nonarthroplasty management of ONFH. This article provides a review of the literature regarding nonarthroplasty management of ONFH.
      Citation: Duke Orthopedic Journal 2020 10(1):19-25
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_8_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • The effect of initiation of an orthopedic trauma service on patient
           outcomes and clinical enterprise financial performance

    • Authors: Carson L Sanders, William R Barfield, Kit N Simpson, Dudley Colhoun, Langdon A Hartsock
      Pages: 26 - 31
      Abstract: Carson L Sanders, William R Barfield, Kit N Simpson, Dudley Colhoun, Langdon A Hartsock
      Duke Orthopedic Journal 2020 10(1):26-31
      Background: As the demands of patients and the health-care reimbursement system continue to change rapidly, hospitals and surgeons are adopting new methods of delivering high-quality care at a lower cost. To this end, the use of a daily, dedicated orthopedic trauma room has been increasing in popularity. Our institution, a major Level I academic trauma center, however, has been a late adopter, only starting a dedicated orthopedic trauma room on November 1, 2013. The purpose of this retrospective data review was to assess the clinical (intensive care unit [ICU] length of stay [LOS] and hospital LOS) and financial outcomes of a dedicated trauma room.Design: This is a retrospective analysis of pre- and post-intervention measures of patient outcomes and financial performance using archival data from a trauma registry linked to cost, charge, and payment records.Methods: Our trauma registry was used to identify admission of patients requiring surgery for orthopedic injuries involving the lower extremity from the hip to the ankle for 11 months preceding the adoption of a daily trauma room (pre) and 11 months following its implementation (post). We compared pre- and post-hospital LOS and ICU LOS, while controlling for the effect of race, age, gender, Injury Severity Score (ISS), and type of insurance. There were 243 eligible patients identified for the “post” group and 258 in the “pre” group.Results: We found no statistically significant difference between the groups in mean age, ISS, or in distribution of patient sex or race. The estimated mean LOS (controlling for patient characteristics) was 8.35 days in the “pre” group and 7.79 days in the “post” group. This represented a statistically significant reduction (P < 0.0223) in overall LOS by more than a half-day per admission. Moreover, the mean estimated number of days in the ICU (for patients with any ICU use) decreased from 8.18 in the “pre” period to 5.94, a 2.24-day reduction (P < 0.0001) in the months following the adoption of the trauma room. This improvement in LOS and ICU use was not reflected in the observed difference between the pre- and post-time period in mean hospital charges (P = 0.5524), hospital cost (P = 0.5590), hospital payments (P = 0.8350), provider charges (P = 0.1985), or provider payments (P = 0.6388). However, the reductions in mean LOS and ICU used were estimated to free up 680.4 bed days, which would allow an additional 109.1 admissions per year, resulting in $1,299,498 estimated additional revenue to the hospital.Conclusions: These findings represent a significant improvement over the previous system and have implications for overall patient outcomes and also financial outcomes. Other studies have suggested that decreased total hospital and ICU stay have both been associated with overall better patient outcomes. Furthermore, the decreased LOS, especially in the ICU, frees scarce capacity in an institution experiencing a chronic shortage of available ICU beds. Our study illustrates the importance of capturing both resource use (such as bed days) and cost when evaluating the effect of process improvements in large hospitals. Costs and revenue measures alone may not capture the true economic benefits of process improvements in institutions where resources that are freed up by one service may be used by other service lines.
      Citation: Duke Orthopedic Journal 2020 10(1):26-31
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_10_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Evaluation of hip arthroscopy in patients with previous history of femoral
           head osteonecrosis

    • Authors: Tianyi David Luo, Amy P Trammell, Alejandro Marquez-Lara, Andrey Zuskov, Samuel Rosas, Austin V Stone, Allston J Stubbs
      Pages: 32 - 36
      Abstract: Tianyi David Luo, Amy P Trammell, Alejandro Marquez-Lara, Andrey Zuskov, Samuel Rosas, Austin V Stone, Allston J Stubbs
      Duke Orthopedic Journal 2020 10(1):32-36
      Background: Femoral head osteonecrosis (FHO) is a debilitating condition. Free vascularized fibular grafting (FVFG) has good survivorship, however patients are at risk for reoperation. AIM and Objectives: This study compares patient characteristics, hip pathology, and surgical intervention in patients with FHO. We hypothesized that patients with FHO who underwent FVFG would demonstrate less severe degeneration of hip chondral surfaces compared to patients who did not.Materials and Methods: A database of 1,481 hip arthroscopies performed by a single surgeon was queried. Inclusion criteria included history of FHO. Patients with a previous hip surgery were excluded. Non-FVFG patients served as a control. Demographics, presentation, physical examination, imaging, intraoperative pathology, and procedures performed were compared. Cartilage degeneration was quantified with chondromalacia severity index (CMI). The Hip Outcome Score- Activity of Daily Living (HOS-ADL), -Sports Subscale (HOS-SS), and modified Hip Harris Score (mHHS) were calculated.Results: Sixteen patients had a history of FHO. Six (37.5%) previously underwent FVFG. Both groups had similar demographics, clinical presentation, preoperative range of motion, and radiographic findings (P>0.05). Arthroscopy identified similar chondral lesion Outerbridge grade and size for the acetabulum and femoral head (P>0.05). Compared with controls, FVFG patients had greater CMI of the acetabulum (844.7±501.3 vs. 345.8±433.3; P=0.018) and similar CMI of the femoral head (408. ±187.7 vs. 1461.0±1493.6; P=0.289). Microfracture of the acetabulum and ligamentum teres debridement were performed preferentially in patients with a history of FVFG compared with controls. Of the six previous FVFG patients, two converted to total hip arthroplasty, two completed patient reported outcomes, and two were lost to follow-up.Conclusion: Patients with previous FVFG for FHO are at an increased risk of chondral damage to the acetabulum and demonstrated more advanced chondral degeneration compared with controls.Level of Evidence: III; Retrospective cohort study
      Citation: Duke Orthopedic Journal 2020 10(1):32-36
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_7_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • The iliac oblique judet view to assess post-operative healing and evaluate
           anterior acetabular coverage following bernese periacetabular osteotomy

    • Authors: Robert C Kollmorgen, Brian Lewis, Carolyn Hutyra, Steven Olson
      Pages: 37 - 42
      Abstract: Robert C Kollmorgen, Brian Lewis, Carolyn Hutyra, Steven Olson
      Duke Orthopedic Journal 2020 10(1):37-42
      Background: Radiographic measurements defining anterior acetabular coverage show variability in the literature. A reliable radiographic measure to evaluate anterior acetabular coverage following the Bernese Periacetabular Osteotomy during the nonweight bearing healing phase would be helpful to evaluate the quality of reduction.Questions/Purposes: (1) To compare a new radiographic means to measure the Anterior Center Edge Angle (ACEA) on the iliac oblique (IO) Judet view with the ACEA on False Profile (FP) view with respect to intra-and inter-observer reliability and (2) To describe the utility of the Judet views as an alternative approach monitor postosteotomy healing.Methods: We defined and validated ACEA measurements for the FP and IO Judet View for 11 post-surgical periacetabular osteotomy (PAO) patients. Intraclass correlation coefficients with 95% confidence intervals were calculated for intra- and inter-observer reliability, Bland Altman plot was created, and paired t-tests were performed between the two sample measurements.Results: The intra-observer reliability for ACEA measurements was 0.987 and 0.983 for the FP and IO Judet views, respectively. The inter-observer reliability correlation coefficients were 0.978 and 0.934 for the FP and IO Judet views, respectively. When comparing measurements between the two surgeons, the mean standard deviation (SDV) for the FP group was within ± 2.5° for all observations. For the IO Judet group, the SDV was within ± 3.5°.Conclusion: This study demonstrates a new method of measuring the ACEA utilizing the IO Judet view for nonweight bearing postoperative PAO patients. The results of this study suggest that FP view is no longer necessary postoperatively for this population.Level of Evidence: III, diagnostic study.
      Citation: Duke Orthopedic Journal 2020 10(1):37-42
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_1_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Use of a low thermal injury dissection device reduces local tissue
           temperature change in a cadaveric model of anterior lumbar interbody
           fusion

    • Authors: Michael A Gallizzi, Brandon T Garland, Darvin J Griffin, Joshua G Vose, Mark M Guirguis
      Pages: 43 - 48
      Abstract: Michael A Gallizzi, Brandon T Garland, Darvin J Griffin, Joshua G Vose, Mark M Guirguis
      Duke Orthopedic Journal 2020 10(1):43-48
      Background Context: Local temperature change and thermal injury from electrosurgical instruments may be a source of complications in anterior lumbar interbody fusion (ALIF).Purpose: To determine if use of a low-thermal injury electrosurgical device affected changes in tissue temperature, depth of thermal injury, and incidence of electrical coaptations (arcs) in a cadaveric model of ALIF, compared to traditional electrosurgery.Study Design/Setting: Basic research study.Methods: Fiber optic temperature sensors were positioned percutaneously at the iliac artery, iliolumbar vein, sympathetic plexus, psoas muscle, illac vein, and aorta of four fresh, room temperature, cadaveric lumbar spine specimens. Traditional electrosurgery (ES) or a low thermal injury device (LTD) was used to perform a standard ALIF dissection. Change in tissue temperature at each anatomic point and the number of electrosurgical arcs to nearby retractors were recorded. Tissue samples at the temperature-monitoring points were harvested for histological analysis and measurement of depth of acute thermal injury.Results: Compared to electrosurgery, use of the LTD resulted in a meaningful and statistically significant reduction in temperature change at all anatomic measurement points except the aorta, and an overall 52% decrease in mean depth of thermal injury (0.14 ± 0.86 mm vs. 0.29 ± 0.17 mm, respectively; P = 0.0003). There were 95% fewer electrical arcs between LTD and retractors compared to ES (1 vs. 18 events; P = 0.0002).Conclusions: In a cadaveric model of ALIF, use of a low-thermal-injury electrosurgical device reduced local temperature change, depth of thermal injury, and the number of electrosurgical arcs compared to traditional electrosurgery.
      Citation: Duke Orthopedic Journal 2020 10(1):43-48
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_14_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Study of percutaneous autologous bone marrow injections in delayed and
           nonunion of long bone fractures: A prospective study

    • Authors: Sidheshwar Thosar, Santosh Borkar, Prashant Kamath, Himaad Hullur, Raveena Kataria
      Pages: 49 - 52
      Abstract: Sidheshwar Thosar, Santosh Borkar, Prashant Kamath, Himaad Hullur, Raveena Kataria
      Duke Orthopedic Journal 2020 10(1):49-52
      Introduction: The potential benefit of human mesenchymal stem cells has received increasing attention in a wide variety of biomedical fields. The management of delayed union and non-union poses as a challenge to many orthopaedic surgeons. Bone marrow contains osteoprogenitor cells capable of forming bone. Aims and Objectives: To observe the functional outcome, evaluate complications and assess the factors influencing results of bone marrow injection in long bone fractures which are in delayed union and non-union.Methodology: We conducted prospective follow up study in orthopaedic department at tertiary care hospital over a period of two years. 30 patients with delayed or non-union of long bone fractures were included in the study About 20-50 ml of bone marrow was aspirated from single or both posterior iliac crests and injected into the recipient site under radiological control. Clinically patients were assessed and cortical bridging on AP and lateral X-rays was noted.Results: In our study sex, age, state of union, initial treatment given before BMA, site of fracture, type of fracture, amount of bone marrow aspirate etc did not have any significant association with the final outcome after bone marrow injection. Also we did not get any significant complications.Conclusion: Bone marrow injection from iliac crest (posterior) is safe, effective treatment method for delayed and non-union of long bone fractures without any significant complications.
      Citation: Duke Orthopedic Journal 2020 10(1):49-52
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_3_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Free forearm fillet flap for chest wall reconstruction after forequarter
           amputation and malignant peripheral nerve sheath tumor excision

    • Authors: Harrison R Ferlauto, Alexander S Lauder, Detlev Erdmann
      Pages: 53 - 56
      Abstract: Harrison R Ferlauto, Alexander S Lauder, Detlev Erdmann
      Duke Orthopedic Journal 2020 10(1):53-56
      Fillet flaps are useful for reconstructing large soft-tissue defects, especially in cases where the surgeon has available spare body parts that would otherwise be discarded. The use of free forearm fillet flaps to reconstruct large chest wall defects arising from traumatic extremity amputation or malignant tumor excision has been previously described. This report represents the first case of a free forearm fillet flap used to reconstruct an extensive chest wall defect after forequarter amputation and excision of a malignant peripheral nerve sheath tumor involving the brachial plexus.
      Citation: Duke Orthopedic Journal 2020 10(1):53-56
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_5_20
      Issue No: Vol. 10, No. 1 (2021)
       
  • Direct visualization of a S1 medial pedicle breach using a novel
           endoscope: A case report with new endoscopic pedicle breach classification
           

    • Authors: Michael Gallizzi
      Pages: 57 - 61
      Abstract: Michael Gallizzi
      Duke Orthopedic Journal 2020 10(1):57-61
      Malpositioned pedicle screws can lead to motor and sensory deficits in the effected level. Traditional intraoperative techniques to avoid a malpositioned pedicle screw include manual palpation of the screw tract, intraoperative imaging (XR, Fluro, and computed tomography), and neuromonitoring. This case report discusses an arthroscopic application of a novel endoscopic camera. This new direct visualization technique answers the intraoperative question of a pedicle screw breach. A 57-year-old male presented to our outpatient clinic for continued left S1 radiculopathy after multiple previous spinal surgeries. His presenting construct was a L4-S1 pedicle screw instrumented posterior spinal fusion with an anterior lumbar interbody fusion interbody at L5-S1 and a TLIF at L4-5 with complete laminectomies of L4-S1. He had failed >12 months of nonoperative treatment for his continued left S1 radiculopathy. He underwent a left S1 hardware removal with arthroscopic intra peculiar evaluation and decompression. Informed consent was obtained from the patient before writing this case report. At 3 months postoperation, the patient demonstrated full resolution of his left S1 radiculopathy, and his strength was rehabilitated back to 5/5. His paresthesia remained in the left S1 dermatome. This case report adds an off-the-shelf intraoperative technique for directly visualizing a pedicle screw breach, evaluating the continuity of the affected nerve, and gives the option to decompress bony fragments which may be a source of continued pain if not removed. The purposed endoscopic breach classification system allows for future studies to give prognostic information about nerve recovery potential based on the amount of breach encountered endoscopically.
      Citation: Duke Orthopedic Journal 2020 10(1):57-61
      PubDate: Fri,21 May 2021
      DOI: 10.4103/DORJ.DORJ_13_20
      Issue No: Vol. 10, No. 1 (2021)
       
 
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