Delayed primary wound closure in upper extremity soft tissue infections.

Abstract:

:Health care costs for inpatient care have been escalating. Homeless and indigent patients may be unable to have access to clean toilet facilities to perform adequate wound care. Evaluation of delayed primary closure of upper extremity soft tissue infections after incision and drainage in 34 patients was done. Patients were discharged at an average of 8.3 days (range, 5-21 days). This is 11 days less than the reported average granulation time for wounds to heal. No patient required readmission for surgery, wound care, or intravenous antibiotics. The authors' institution charges a rate of $2800 per patient day. A potential savings of $1,047,200 was realized.

journal_name

Clin Orthop Relat Res

authors

Schnall SB,Thommen VD,Allari T,Holtom PD

subject

Has Abstract

pub_date

1997-02-01 00:00:00

pages

286-91

issue

335

eissn

0009-921X

issn

1528-1132

pub_type

杂志文章
  • The presence of lining cells on surfaces of human trabecular bone.

    abstract::Sixteen human trabecular bone biopsies were obtained from sites located in the ilium and in the area of the greater trochanter of the femur. Patients ranged from 19 to 85 years old and included men and women. All bone surfaces observed contained osteoid. Flat, branched fibroblastic-like cells were observed lining bone...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Vander Wiel CJ,Grubb SA,Talmage RV

    更新日期:1978-07-01 00:00:00

  • Acetabular Version Increases During Adolescence Secondary to Reduced Anterior Femoral Head Coverage.

    abstract:BACKGROUND:Acetabular version influences joint mechanics and the risk of impingement. Cross-sectional studies have reported an increase in acetabular version during adolescence; however, to our knowledge no longitudinal study has assessed version or how the change in version occurs. Knowing this would be important beca...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000000900

    authors: Grammatopoulos G,Jamieson P,Dobransky J,Rakhra K,Carsen S,Beaulé PE

    更新日期:2019-11-01 00:00:00

  • Distal screw targeting of interlocking nails.

    abstract::Successful placement of the distal interlocking screws into the Grosse-Kempf nail is a demanding procedure due in part to deformation of the nail during insertion and to inaccuracy of the targeting device supplied with the system. The authors suggest an alternative approach. After placement of the nail in a tibia or f...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Rao JP,Allegra MP,Benevenia J,Dauhajre TA

    更新日期:1989-01-01 00:00:00

  • Do patients with a failed metal-on-metal hip implant with a pseudotumor present differences in their peripheral blood lymphocyte subpopulations?

    abstract:BACKGROUND:Early adverse tissue reactions around metal-on-metal (MoM) hip replacements, especially pseudotumors, are a major concern. Because the causes and pathomechanisms of these pseudotumors remain largely unknown, clinical monitoring of patients with MoM bearings is challenging. QUESTIONS/PURPOSES:The purpose of ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-015-4466-8

    authors: Catelas I,Lehoux EA,Hurda I,Baskey SJ,Gala L,Foster R,Kim PR,Beaulé PE

    更新日期:2015-12-01 00:00:00

  • Localization of specific carbohydrate configurations in the hemophilic synovial membrane.

    abstract::Fluorescein isothiocyanate-conjugated lectins include: concanavalin A (Con-A), Dolichos biflorus agglutinin (DBA), Griffonia simplicifolia-I (GS-I), Griffonia simplicifolia-II (GS-II), Arachis hypogaea agglutinin (PNA), Maclura pomifera agglutinin (MPA), Ricinus communis agglutinin-I (RCA-I), Glycine max agglutinin (S...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Itokazu M,Bradley J,Francis MJ,Duthie RB

    更新日期:1988-05-01 00:00:00

  • Bone-block iliotibial band reconstruction for anterior cruciate insufficiency. Follow-up note and minimum five-year follow-up period.

    abstract::Sixty-two of 71 patients (87%) who received a bone-block iliotibial band transfer were followed with a minimum follow-up period of five years (range, 5-10 years). Sixteen of the originally studied knees were examined with an average follow-up period of 104 months (range, 90-120 months). A second group of 46 knees was ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Windsor RE,Insall JN

    更新日期:1990-01-01 00:00:00

  • Childbirth and sexual activity after eccentric rotational acetabular osteotomy.

    abstract::Pelvic osteotomy for symptomatic hip dysplasia usually is performed for young and adolescent females. Delivery after pelvic osteotomy is a concern for patients of childbearing age. We asked whether the clinical results differed before and after pregnancy, whether eccentric rotational acetabular osteotomy alters the bo...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/BLO.0b013e31803b8d82

    authors: Masui T,Hasegawa Y,Yamaguchi J,Kanoh T,Ishiguro N

    更新日期:2007-06-01 00:00:00

  • The treatment of chronic open osteomyelitis of the tibia in adults.

    abstract:UNLABELLED:The treatment of 30 consecutive adult patients with chronic draining osteomyelitis of the tibia was reviewed. There were four treatment patterns. Eight patients had local debridement with or without soft tissue coverage procedures or bone graft. Three patients had radical debridement and bone transport using...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000150462.41498.fe

    authors: Beals RK,Bryant RE

    更新日期:2005-04-01 00:00:00

  • Modified hybrid stem fixation in revision TKA is durable at 2 to 10 years.

    abstract:BACKGROUND:Hybrid revision knee component fixation, in which cement is placed in the metaphysis combined with a cementless diaphyseal engaging stem, provides ease of insertion, possibly improved component alignment, and easier removal if required, compared with fully cemented prostheses. The literature suggests the tec...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-010-1569-0

    authors: Sah AP,Shukla S,Della Valle CJ,Rosenberg AG,Paprosky WG

    更新日期:2011-03-01 00:00:00

  • Providing outreach continuing education in countries with limited resources.

    abstract::Obtaining continuing education can be difficult in countries with limited resources. Members of the Pediatric Orthopaedic Society of North America (POSNA) have developed a program for providing outreach continuing education courses in pediatric orthopaedics. POSNA members provide their own transportation to the host c...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-008-0381-6

    authors: Wilkins KE

    更新日期:2008-10-01 00:00:00

  • A method for short- and long-term in vivo study of the bone-implant interface.

    abstract::A screw-shaped titanium chamber has been designed for serial in vivo observations of the bone-implant interface. First, the chamber is implanted; later a test substance, e.g. bone cement, is inserted in the chamber and brought in contact with the bone with minimal trauma. Both acute and long-term effects can be intrav...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Albrektsson T,Linder L

    更新日期:1981-09-01 00:00:00

  • The biomechanics of posterior lumbar interbody fusion (PLIF) in spondylolisthesis.

    abstract::A biomechanic analysis of the lower lumbar segments leads to the recommendation that during posterior lumbar interbody fusion it is desirable to preserve the dorsal structures, particularly of the facet joints. The area of the interbody graft should cover an area as large as possible in order to attain the benefit of ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Schlegel KF,Pon A

    更新日期:1985-03-01 00:00:00

  • Pediatric foot fractures.

    abstract::Fractures of the foot in children usually have a good prognosis and generally are treated nonoperatively. Displaced fractures of the talus and calcaneus and tarsometatarsal dislocations are rare in children and their outcome is generally good in the younger child. Older adolescents with these injuries need treatment s...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章,评审

    doi:10.1097/01.blo.0000156451.40395.fc

    authors: Ribbans WJ,Natarajan R,Alavala S

    更新日期:2005-03-01 00:00:00

  • The treatment of fractures of the hip by Roger Anderson well-leg traction.

    abstract::In recent years the treatment of fractures of the hip in elderly patients has been almost exclusive surgical. However, there are occasions when either because of medical conditions or other surgical problems it is not possible to operate on these patients. An alternative method of handling such patients is the use of ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Pierce RO Jr,Powell SG

    更新日期:1980-09-01 00:00:00

  • Imaging of degenerative disease of the cervical spine.

    abstract::The introduction of new techniques to the magnetic resonance imaging (MRI) armamentarium is beginning to provide an MRI examination that overcomes many of the disadvantages noted in earlier reports. An analysis of the various advantages and disadvantages of MRI, plain film myelography, and computed tomographic myelogr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Modic MT,Ross JS,Masaryk TJ

    更新日期:1989-02-01 00:00:00

  • Simultaneous dorsal dislocation of interphalangeal joints in a finger.

    abstract::Simultaneous proximal and distal interphalangeal joint dislocations in a single finger are rare. Even though the joints above and below are routinely evaluated, one of the joint dislocations can be missed. When phalangeal dislocations are suspected, special attention should be given to obtaining sufficient roentgenogr...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bayne O,Chabot JM,Carr JP,Evans EF

    更新日期:1990-08-01 00:00:00

  • Polytrauma and High-energy Injury Mechanisms are Associated with Worse Patient-reported Outcomes After Distal Radius Fractures.

    abstract:BACKGROUND:Patient-reported outcomes (PROs) are increasingly relevant when evaluating the treatment of orthopaedic injuries. Little is known about how PROs may vary in the setting of polytrauma or secondary to high-energy injury mechanisms, even for common injuries such as distal radius fractures. QUESTIONS/PURPOSES:(...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/CORR.0000000000000757

    authors: van der Vliet QMJ,Sweet AAR,Bhashyam AR,Ferree S,van Heijl M,Houwert RM,Leenen LPH,Hietbrink F

    更新日期:2019-10-01 00:00:00

  • Certification and recertification. A consumer's view.

    abstract::The burgeoning of major research related to the effectiveness and appropriateness of clinical treatment methods as part of efforts to improve the quality of patient care provides added emphasis to consumer needs for certification and recertification. While there are multiple factors involved, the prime consumer questi...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Glasser MA

    更新日期:1990-08-01 00:00:00

  • A laboratory model demonstrating osteocyte-osteoblast control of plasma calcium concentrations. Table model for plasma calcium control.

    abstract::This report describes a laboratory model designed to illustrate a newer concept for the control of plasma calcium concentrations. This postulate suggests that plasma calcium levels are the result of a balance or imbalance in opposing calcium ion fluxes between plasma and bone fluid compartments existing around osteocy...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Talmage RV,Grubb SA

    更新日期:1977-01-01 00:00:00

  • Segmental amputation for recurrent malignant bone tumors of the distal femur.

    abstract::We describe an alternative method for lengthening a short femoral stump after wide amputation of a malignant bone tumor of the distal femur in two patients. The method consists of two procedures during the operation. The first procedure is amputation of the affected cylindrical segment of the involved limb. The second...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000141899.77580.3b

    authors: Chen CY,Chien SH,Lin GT,Hsu MN,Lin SY

    更新日期:2004-09-01 00:00:00

  • Vertebral osteochondrosis (Scheuermann's kyphosis).

    abstract::Scheuermann's juvenile kyphosis may be considered a form of vertebral osteochondrosis. Although the etiology remains unknown, the ultimate effect is a disorderliness of vertebral growth in the growth plate cartilage. The biomechanical effects of increased kyphosis on saggital plane deformity, especially in a growing c...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bradford DS

    更新日期:1981-07-01 00:00:00

  • Compact bone fatigue damage: a microscopic examination.

    abstract::Flexural fatigue tests of bovine bone specimens produced fracture surfaces that were transverse on the tension side and oblique on the compression side. Similar fracture patterns were produced by bending tests with a single applied loading. Microscopic examination of flexural fatigue specimens prior to complete establ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Carter DR,Hayes WC

    更新日期:1977-01-01 00:00:00

  • Proximal kyphosis after short posterior fusion for thoracolumbar scoliosis.

    abstract::Thoracolumbar idiopathic scoliosis usually is treated by anterior spinal fusion. However, short posterior spinal fusion that includes only the structural curve has been tried in a limited number of patients. The fusion may end cranially in the lower thoracic region and cause an increase in sagittal decompensation at t...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/01.blo.0000069885.72909.bb

    authors: Yang SH,Chen PQ

    更新日期:2003-06-01 00:00:00

  • Using the CUSUM test to control the proportion of inadequate open biopsies of musculoskeletal tumors.

    abstract:BACKGROUND:Biopsies of musculoskeletal tumors lead to alterations in treatment in almost 20% of cases. Control charts are useful to ensure that a process is operating at a predetermined level of performance, although their use has not been demonstrated in assessing the adequacy of musculoskeletal biopsies. QUESTIONS/P...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2544-8

    authors: Biau DJ,Weiss KR,Bhumbra RS,Davidson D,Brown C,Wunder JS,Ferguson PC

    更新日期:2013-03-01 00:00:00

  • Retrograde nailing of femur fractures in patients with myelopathy and who are nonambulatory.

    abstract::The authors studied 10 consecutive patients with closed femoral shaft or supracondylar fractures who were nonambulatory and who were treated by reamed retrograde intramedullary nailing via an intercondylar notch approach. The study consisted of five women and five men with an average age of 60.7 years (range, 40-89 ye...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-200004000-00026

    authors: Chin KR,Altman DT,Altman GT,Mitchell TM,Tomford WW,Lhowe DW

    更新日期:2000-04-01 00:00:00

  • Medial soft tissue restraints in lateral patellar instability and repair.

    abstract::This study was undertaken to evaluate the medial ligamentous stabilizers of the patella in restraining lateral displacement and to assess their relative contribution after individual repair. Seventeen fresh frozen human anatomic specimen knee joints were studied. The specimens were loaded onto a testing instrument tha...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1097/00003086-199804000-00021

    authors: Hautamaa PV,Fithian DC,Kaufman KR,Daniel DM,Pohlmeyer AM

    更新日期:1998-04-01 00:00:00

  • Intraoperative cartilage degeneration predicts outcome 12 months after hip arthroscopy.

    abstract:BACKGROUND:When considering arthroscopic surgery for treatment of hip pain, it is important to understand the influence of joint degeneration on the likelihood of success. Previous research has shown poorer outcomes among patients with osteoarthritis but new arthroscopic techniques including femoroacetabular impingemen...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2594-y

    authors: Egerton T,Hinman RS,Takla A,Bennell KL,O'Donnell J

    更新日期:2013-02-01 00:00:00

  • Spinal cord injury resulting from injury missed on CT scan: the danger of relying on CT alone for collar removal.

    abstract:BACKGROUND:Strict criteria have been used before removing cervical collars in patients with injuries who have midline pain or are unable to be reliably examined. This sometimes leads to prolonged immobilization in cervical collars or use of MRI to rule out injury. Several studies suggest a collar may be removed in the ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:10.1007/s11999-012-2286-7

    authors: Gebauer G,Osterman M,Harrop J,Vaccaro A

    更新日期:2012-06-01 00:00:00

  • Clinical biocompatibility and degradation of polylevolactide screws in the ankle.

    abstract::The clinical biocompatibility and degradation behavior of absorbable fracture fixation devices are still incompletely known in humans. Fifty-one patients with displaced fracture of the ankle treated by open reduction and internal fixation with absorbable screws made of polylevolactide were seen in followup for at leas...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Böstman OM,Pihlajamäki HK,Partio EK,Rokkanen PU

    更新日期:1995-11-01 00:00:00

  • Wide-track polycentric total knee arthroplasty: one year follow-up study.

    abstract::The use of a peritoneal catheter enhances diagnosis using arthroscopy by affording a clear visibility of the knee joint. The accuracy in diagnosis is significantly enhanced using this method of irrigation. No better method of irrigation is available for cases of acute knee joint injuries. ...

    journal_title:Clinical orthopaedics and related research

    pub_type: 杂志文章

    doi:

    authors: Bloom JD,Bryan RS

    更新日期:1977-10-01 00:00:00