PET Imaging in Sarcoma
PET imaging has been evaluated in five areas of sarcoma diagnosis and treatment: biopsy guidance, therapeutic monitoring, tumor detection and grading, tumor staging, and prognostication. Current evidence does not include…
Glenoid Bone Loss in Anatomic Shoulder Arthroplasty
Despite major advances in total shoulder arthroplasty, management of severe posterior glenoid bone loss remains controversial. Several companies have provided alternative treatment options for type C glenoids associated with posterior…
Orthopedic Applications of Acellular Human Dermal Allograft for Shoulder and Elbow Surgery
Shoulder and elbow tendon injuries are some of the most challenging problems to treat surgically. Tendon repairs in the upper extremity can be complicated by poor tendon quality and, often…
Definitive Fixation of Tibial Plateau Fractures
Tibial plateau fractures present in a wide spectrum of injury severity and pattern, each requiring a different approach and strategy to achieve good clinical outcomes. Achieving those outcomes starts with…
Risk Assessment Tools Used to Predict Outcomes of Total Hip and Total Knee Arthroplasty
This article reviews recently proposed clinical tools for predicting risks and outcomes in total hip arthroplasty and total knee arthroplasty patients. Additionally, we share the Massachusetts General Hospital experience with…
Durability of Highly Cross-Linked Polyethylene in Total Hip and Total Knee Arthroplasty
This article reviews the history of the development of highly cross-linked polyethylene and provides an in-depth review of the clinical results regarding the durability of highly cross-linked polyethylene (HXLPE) used…
Reducing Blood Loss in Bilateral Total Knee Arthroplasty with Patient-Specific Instrumentation
Patient-specific instrumentation (PSI) in total knee arthroplasty (TKA) has been introduced to obtain consistent alignment, prevent instrumentation of the medullary canal and improve operating room efficiency. This article compares simultaneous…
Management of Severe Femoral Bone Loss in Revision Total Hip Arthroplasty
Femoral bone loss is a complex problem in revision total hip arthroplasty. The Paprosky classification is used when determining the degree and location of bone loss. Meticulous operative planning is…
Traumatic Knee Dislocations
Knee dislocations are catastrophic injuries that demand emergent evaluation and often require a multidisciplinary approach. Long-term outcome studies are relatively scarce secondary to the variability in any given study population…
Targeted Chemotherapy in Bone and Soft-Tissue Sarcoma
Historically surgical intervention has been the mainstay of therapy for bone and soft-tissue sarcomas, augmented with adjuvant radiation for local control. Although cytotoxic chemotherapy revolutionized the treatment of many sarcomas,…
