Controversies in Fractures of the Proximal Ulna

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Controversies in Fractures of the Proximal Ulna

The olecranon process, coronoid process, and greater sigmoid notch are important components of the complex proximal ulna. Along with providing bony stability to the ulnohumeral joint, the proximal ulna serves…

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Current Controversies in Management of Calcaneus Fractures

Oct 6, 2017 by in ORTHOPEDIC Comments Off on 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…

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Posterior Malleolus Fractures

Oct 6, 2017 by in ORTHOPEDIC Comments Off on 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…

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Clavicle Shaft Fractures in Adolescents

Oct 6, 2017 by in ORTHOPEDIC Comments Off on 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…

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Heterotopic Ossification in Trauma

Oct 6, 2017 by in ORTHOPEDIC Comments Off on 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…

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Impact of Inpatient Versus Outpatient Total Joint Arthroplasty on 30-Day Hospital Readmission Rates and Unplanned Episodes of Care

Oct 6, 2017 by in ORTHOPEDIC Comments Off on 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…

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Preoperative Versus Postoperative Initiation of Warfarin Therapy in Patients Undergoing Total Hip and Knee Arthroplasty

Oct 6, 2017 by in ORTHOPEDIC Comments Off on 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…

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Role of Patellofemoral Offset in Total Knee Arthroplasty

Oct 6, 2017 by in ORTHOPEDIC Comments Off on Role of Patellofemoral Offset in Total Knee Arthroplasty

Total knee arthroplasty occasionally does not meet expectations. This randomized clinical trial assessed the effect of restoration of the native patellofemoral height on clinical outcomes. Group I underwent standard patellar…

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