PubMed Journal Database | Bulletin of the Hospital for Joint Disease (2013) RSS

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Showing PubMed Articles 1–25 of 69 from Bulletin of the Hospital for Joint Disease (2013)

Orthobiologics A Comprehensive Review of the Current Evidence and Use in Orthopedic Subspecialties.

Orthobiologics are organic and synthetic materials that are used in and outside of the operating room to augment both bone and soft tissue healing. The orthobiologics portfolio has vastly expanded over the years, and it has become imperative for orthopedic surgeons to understand the role and function of this new class of biologic adjuvants. This review will highlight key components and product groups that may be relevant for the practicing orthopedic surgeon in any subspecialty. This by no means is an exten...

The Role of Mesenchymal Stem Cells in Augmenting Rotator Cuff Repairs.

The prevalence of rotator cuff tears increases as patients age due to an attenuated biologic healing capacity. As mechanical advancements in rotator cuff arthroscopic repairs begin to slow, researchers have looked toward using mesenchymal stem cells (MSC) to optimize the shoulder's biologic environment as an alternative route for improvement.

Guidelines for Instrumentation for Total Knee Replacement Based on Frontal Plane Radiographs.

The objective of this study was to measure the dimensions and the angulations of the femur and tibia for arthritic knees that were scheduled for total knee surgery. The purpose was to provide information for the design of surgical instruments such as cutting guides. Instruments made using three-dimensional printing were a particular consideration because of the variations in sizing that are possible.

National Trends in the Prevalence, Treatment, and Associated Spinal Diagnoses Among Pediatric Spondylolysis Patients.

Spondylolysis is an increasingly common diagnoses for young individuals and presents with a wide range of pathological and clinical findings. Most patients are treated conservatively, and surgery is reserved for severe cases. This is a populations study defining the incidence of spondylolysis in the Kids' Inpatient Database (KID) and assess trends in diagnoses, causes, and treatments.

Is Patient Satisfaction Associated with Objective Measures of Geriatric Hip Fracture Care?

Patient satisfaction is publicly reported and used as a subjective measure of quality of care in alternative payment reimbursement models. In this study, we evaluated the association between patient satisfaction scores and objective measures of geriatric hip fracture care. Therefore, according to patient satisfaction score, we investigated the differences for geriatric hip fracture admissions in regard to 1. surgical delay during the index admission and 2. mortality within 1 year.

Variations in Hip Fracture Baseline Patient Demographics and Comorbidities Repercussions on Bundled Payment Reimbursement Models.

We sought to investigate how patient demographics and baseline comorbidities varied between hip fracture and total joint arthroplasty patients across New York State and to determine implications of differences within the contexts of the bundled payment system.

Does a Learning Curve Exist for the Surgical Treatment of Proximal Humerus Fractures?

The complication rate of locked plating for proximal humerus fractures remains stubbornly high. The purpose of this study was to determine if a learning curve exists with the operative treatment of proximal humerus fractures.

When Can I Trust The Robot? An Algorithm for CT-Based Robotic-Assisted Total Hip Arthroplasty.

Robotic-assisted total hip arthroplasty (THA) has been shown to demonstrate a variety of clinical benefits for patients, including reductions in dislocation rates, decreased impingement, and improved implant longevity. However, variability in surgeon experience with robotic systems can lead to inconsistent results. Mastery of the initial acetabular registration step is critical to performing a predictable and accurate robotic-assisted total hip replacement.

Assessing Resident Perceptions of Electronic Medical Record Utilization What Affects the Quality of Clinical Notes?

Objective review of orthopedic resident medical records revealed significant variation in quality of clinical notes suggesting that the implementation of the electronic medical record (EMR) had altered resident perceptions of the purpose of clinical documentation.

Fracture of a Titanium Non-Modular Femoral Stem After Revision Total Hip Arthroplasty A Case Report and Review of the Literature.

Femoral stem fracture is a rare and morbid complication after total hip arthroplasty (THA). There currently exists a paucity of reports regarding cementless non-modular, titanium, femoral stem fractures.

A 2018 Approach to Combating Methotrexate Toxicity Folic Acid and Beyond.

Methotrexate (MTX) is the cornerstone to management across a variety of rheumatic diseases. Effective use and adherence to MTX treatment is dependent on toxicity prevention and management. The major deterrents to patient tolerability and adherence can include GI upset, hepatic transaminase elevation, stomatitis, hair loss, and CNS toxicity. Many rheumatologists are familiar with employing supplementation of folic acid and folinic acid, as well as a change from oral to subcutaneous (SC) MTX, to help combat M...

Transthoracic Ultrasound in the Detection of Interstitial Pulmonary Fibrosis in Patients with Rheumatic Connective Tissue Diseases.

Rheumatic connective tissue diseases are commonly complicated with interstitial lung disease that is responsive to anti-inflammatory therapy and generally carries a better prognosis if diagnosed early.

Identifying Predictive Factors of Pediatric Septic Arthritis of the Knee in a Lyme Endemic Area.

Septic arthritis of the knee in the pediatric patient is a diagnosis that requires prompt identification and treatment. The purpose of this study was to identify clinical and laboratory parameters that allow differential diagnosis of septic arthritis from non-septic arthritis in children.

Antifibrinolytic Therapy in Surgery for Adolescent Idiopathic Scoliosis Does the Level 1 Evidence Translate to Practice?

Previous randomized controlled trials have demonstrated the efficacy of antifibrinolytic agents in the reduction of intraoperative blood loss in adolescent idiopathic scoliosis (AIS) surgery. Tranexamic acid (TXA) was found to be more effective at reducing total blood loss compared with epsilon-aminocaproic acid (AM) than placebo. We set out to study whether or not the level 1 evidence can be corroborated in a large multicenter, multisurgeon cohort.

Magnetic Resonance Imaging Findings Following Ceramic-on-Ceramic Total Hip Arthroplasty Using Modular Neck Femoral Components.

Adverse reactions to metal debris after total hip arthroplasty are an increasing concern. Metal debris is released from the metal-on-metal articulation itself as well as from the head-neck taper. There is also a risk of corrosion at the neck-stem junction. Some stems were recalled because of high revision rates as a result of metal debris from the modular junction. We conducted a retrospective analysis of the 3-year to 8-year clinical and radiographic outcomes of a consecutive cohort of patients who underwe...

Biomechanics of the Injured Fibula Following Plate Fixation of a Concomitant Tibia Fracture To Fix or Not to Fix?

The mechanical role of supplemental fibula fixation in both bone lower leg fractures is not well defined. The benefit of fibula plate fixation in this context is controversial. The purpose of this study was to ascertain the mechanical contributions of the fibula under three conditions (intact, fractured, or plated fibula) following standard tibia locked plating.

Radiation Exposure Safety Patterns with the Use of Intraoperative Fluoroscopy.

To examine current practice patterns in occupational radiation safety by members of the American Society for Surgery of the Hand (ASSH) and to assess if these vary by surgeon demographics and experience.

Musculoskeletal Injuries in Yoga.

While yoga has been widely studied for its benefits to many health conditions, little research has been performed on the nature of musculoskeletal injuries occurring during yoga practice. Yoga is considered to be generally safe, however, injury can occur in nearly any part of the body-especially the neck, shoulders, lumbar spine, hamstrings, and knees. As broad interest in yoga grows, so will the number of patients presenting with yoga-related injuries. In this literature review, the prevalence, types of in...

A Prospective Study on the Effect of Corticosteroid Injection Dosage for Hand Disorders in Non-Insulin Dependent Diabetics.

Local administration of corticosteroids is an effective yet potentially dangerous intervention in the treatment of hand disorders in diabetics. Prolonged exposure to hyperglycemia contributes to non-enzymatic glycosylation of various organ systems, which may cause detrimental health effects such as blindness, renal failure, and peripheral neuropathy, contributing to the high cost of health care. The purpose of this study is to determine the effects of corticosteroid dosage on serum glucose levels when used ...

Perfusion is Not Measurably Decreased in Idiopathic Clubfoot.

Vascular aberration has been accepted as a potential etiology of clubfoot, and abnormal vasculature has been observed in as high as 85% of children with severe clubfoot. The perfusion index (PI) corresponds to the ratio of pulsatile to nonpulsatile blood flow at a monitoring site and can be used to quantify perfusion of the extremities. The purpose of this study was to use PI to compare the perfusion of clubfeet to controls in order to further assess the role of abnormal vasculature in clubfoot.

Preliminary Analysis of Factors Associated with Blood Loss in Neuromuscular Scoliosis Surgery.

A retrospective review was conducted of 57 consecutive patients (26 female; mean age: 16.6 years) who underwent posterior or combined anterior-posterior spinal fusion for neuromuscular scoliosis (NMS) from 2006 and 2007.

Socioeconomic Status Negatively Affects HCAHPS Scores in Orthopedic Patients The Results of 15,789 Patients at a Single Institution.

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) is a nationally reported survey of patients' perspectives of hospital care that is used for hospital comparison and reimbursement. Although the survey attempts to correct for many factors that may affect scoring, socioeconomic factors are not considered in score weighting. The purpose of this study was to analyze the effect of socioeconomic status on HCAHPS scores.

Clinical Outcomes after Mini-Open Excision of Popliteal Cysts.

The purpose of the study was to investigate clinical outcomes following a mini-open posterior technique.

Factors Associated with Utilizing the Same Hospital for Subsequent Total Hip or Knee Arthroplasty in Osteoarthritis Patients.

Little is known about the factors that drive hospital-switching behavior of patients when they seek a second total joint arthroplasty (TJA) surgery.

Ambiguous Nomenclature in Musculoskeletal Magnetic Resonance Imaging.

Medical vocabulary that conveys different meanings to different groups of readers can lead to confusion and potential misinterpretation of diagnoses. This article reviews words used by radiologists that convey information to the orthopedic surgeon and patient that is different from what the radiologist intended. These terms include meniscal tears, ligament sprains, partial tendon tears, bone bruises, bone contusions, articular cartilage injury, disc bulges, disc herniations, and joint subluxation. These wor...

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