Health Care Reform
The US health care system has been fragmented for more than 40 years; this model created a need for modification. Sociopoliticomedical system-related factors led to the Affordable Care Act (ACA) and…
Sports-Related Injuries
“Sports injuries” are injuries that happen when playing sports or exercising. The severity of these injuries can range from minor to very serious, with some injuries requiring surgery to fully…
Orthopedic Clinics of North America
www.orthopedic.theclinics.com Sports-Related Injuries October 2016 • Volume 47 • Number 4 Editors JAMES H. CALANDRUCCIO BENJAMIN J. GREAR BENJAMIN M. MAUCK JEFFREY R. SAWYER PATRICK C. TOY JOHN C. WEINLEIN
Current Controversies in Management of Calcaneus Fractures
Displaced intraarticular fractures of the calcaneus represent a technically challenging injury. Although there is conflicting evidence regarding advantages and disadvantages of operative versus nonoperative treatment, a growing body of literature…
Posterior Malleolus Fractures
Posterior malleolus fractures vary in morphology. A computed tomography scan is imperative to evaluate fragment size, comminution, articular impaction, and syndesmotic disruption. Despite an increasing body of literature regarding posterior…
Clavicle Shaft Fractures in Adolescents
Midshaft clavicle fractures in adolescents are common. Recent literature in adults fractures favors open reduction and plate fixation for significantly displaced and/or shortened midshaft clavicle fractures, although whether this applies…
Heterotopic Ossification in Trauma
Better understanding of the biology of heterotopic ossification (HO) formation will lead to treatment and prevention modalities that can be directed specifically at the cellular level. Early identification of HO…
Timing of Operative Debridement in Open Fractures
The optimal treatment of open fractures continues to be an area of debate in the orthopedic literature. Recent research has challenged the dictum that open fractures should be debrided within…
Impact of Inpatient Versus Outpatient Total Joint Arthroplasty on 30-Day Hospital Readmission Rates and Unplanned Episodes of Care
This article describes a study comparing 30-day readmission rates between patients undergoing outpatient versus inpatient total hip (THA) and knee (TKA) arthroplasty. A retrospective review of 137 patients undergoing outpatient…
Preoperative Versus Postoperative Initiation of Warfarin Therapy in Patients Undergoing Total Hip and Knee Arthroplasty
The optimal strategy for postoperative deep venous thrombosis prophylaxis remains controversial in hip and knee arthroplasty. Warfarin causes transient hypercoagulability; however, the optimal timing of treatment remains unclear. We evaluated…
