abstract：BACKGROUND:Metal-on-metal (MOM) THA bearing technology has focused on improving the arc of motion and stability and minimizing wear compared with traditional metal-on-polyethylene (MOP) bearing couples. It is unclear whether this more costly technology adds value in terms of improved implant survival. QUESTIONS/PURPOS...

journal_title：Clinical orthopaedics and related research

authors： Huang DC,Tatman P,Mehle S,Gioe TJ

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Wide variation exists in reported prevalence estimates and management standards of developmental dysplasia of the hip (DDH). Discrepancies in diagnosticians' opinions may explain some of this variation. QUESTIONS/PURPOSES:We sought to determine (1) the consistency with which pediatric orthopaedic surgeons r...

journal_title：Clinical orthopaedics and related research

authors： Roposch A,Liu LQ,Protopapa E

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Historically, physicians as participants in healthcare governance were shunned because of perceived potential for conflict of interest. This maxim is being revisited as health systems begin to appreciate the value presented by physician leaders. QUESTIONS/PURPOSES:This overview of the orthopaedist's role in...

journal_title：Clinical orthopaedics and related research

authors： Probe RA

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Unloader braces are a nonsurgical approach for predominantly unicompartmental knee arthritis. Although noninvasive, braces are expensive and it is unclear whether clinical factors, if any, will predict regular brace use. QUESTIONS/PURPOSES:We asked: (1) Do patients continue to use the unloader brace more th...

journal_title：Clinical orthopaedics and related research

authors： Squyer E,Stamper DL,Hamilton DT,Sabin JA,Leopold SS

更新日期：2013-06-01 00:00:00

abstract：BACKGROUND:Osteoid osteomas consist of a nidus surrounded by reactive sclerotic bone. The diagnosis typically is based on imaging and clinical presentation involving nocturnal pain. Removal of the lesion is essential and currently is performed mainly with image-guided, minimally invasive techniques. We describe a case ...

journal_title：Clinical orthopaedics and related research

authors： Ricci D,Grappiolo G,Franco M,Della Rocca F

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:During hip arthroplasties for treating proximal femur metastases, a long femoral stem frequently is used, presumably protecting the entire femur against progression of the existing lesions or development of new lesions. However, it is unclear whether a long stem is really required. QUESTIONS/PURPOSES:We the...

journal_title：Clinical orthopaedics and related research

authors： Xing Z,Moon BS,Satcher RL,Lin PP,Lewis VO

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:The lower limb osteometry of Chinese differs from that of whites. The joint line of the knee in the coronal plane in Chinese is more medially inclined and the posterior condylar angle of the distal femur in the axial plane is larger. However, it is unclear whether there is any direct association between the ...

journal_title：Clinical orthopaedics and related research

authors： Yau WP,Chiu KY,Fok AW,Yan CH,Ng FY

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:Extensive posteromedial release to correct severe varus deformity during TKA may result in mediolateral or flexion instability and may require a constrained implant. We describe a technique combining computer navigation and medial condylar osteotomy in severe varus deformity to achieve a primary goal of liga...

journal_title：Clinical orthopaedics and related research

authors： Mullaji AB,Shetty GM

更新日期：2013-05-01 00:00:00

abstract：BACKGROUND:Recent popularity of intramedullary nails over sliding hip screws for treatment of intertrochanteric fractures is concerning given the absence of evidence for clinical superiority for nailing yet the presence of reimbursement differences. QUESTIONS/PURPOSES:We describe the change in outcomes of both procedu...

journal_title：Clinical orthopaedics and related research

authors： Chen F,Wang Z,Bhattacharyya T

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Childhood obesity is associated with reduced quality of life, physical fitness, and a higher prevalence of lower extremity (LE) pain; however, it is unclear whether and how these factors are related. QUESTIONS/PURPOSES:For this study we asked if obese children with LE pain (LE+) had higher BMI-Z scores, low...

journal_title：Clinical orthopaedics and related research

authors： Bout-Tabaku S,Briggs MS,Schmitt LC

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:The incidence of heterotopic ossification (HO) after hip arthroscopy reportedly ranges from less than 1.0% to 6.3%. Although open debridement has been described and a few series mention arthroscopic debridement, the techniques for arthroscopic excision of HO have not been described in detail. We describe the...

journal_title：Clinical orthopaedics and related research

authors： Ong C,Hall M,Youm T

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Childhood obesity is a growing problem in America. Orthopaedic surgeons have an opportunity to interact with communities to educate children about healthy eating and physical activity. The American Academy of Orthopedic Surgeons (AAOS) Leadership Fellows Program [1] Class of 2012 created a presentation for A...

journal_title：Clinical orthopaedics and related research

authors： Weiss J,Matzkin E,Flippin M,Pallis M,Rankin M

更新日期：2013-04-01 00:00:00

abstract：BACKGROUND:Distal radius reconstruction after en bloc tumor resection remains a surgical challenge. Although several surgical techniques, either reconstructing the wrist or achieving a stable arthrodesis, have been described, it is unclear to what degree these restore function. DESCRIPTION OF TECHNIQUE:We describe an ...

journal_title：Clinical orthopaedics and related research

authors： van de Sande MA,van Geldorp NH,Dijkstra PD,Taminiau AH

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Small recent case series using CT-based navigation suggest such approaches may aid in surgical planning and improve accuracy of intended resections, but the accuracy and clinical use have not been confirmed. QUESTIONS/PURPOSES:We therefore evaluated (1) the accuracy; (2) recurrences; and (3) function in pat...

journal_title：Clinical orthopaedics and related research

authors： Wong KC,Kumta SM

更新日期：2013-03-01 00:00:00

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

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

abstract：BACKGROUND:Wound closure accounts for a relatively constant portion of the time required to complete a surgical case. Both longer closure times and wound infections contribute to higher medical costs and patient morbidity. QUESTIONS/PURPOSES:We therefore determined whether (1) biologic and treatment factors greater in...

journal_title：Clinical orthopaedics and related research

authors： Moore DC,Sellers MH,Archer KR,Schwartz HS,Holt GE

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Diffuse-type pigmented villonodular synovitis (PVNS) has a high local recurrence rate and as such can lead to erosive destruction of the involved joint. Multiple surgical modalities exist, but it is unknown which technique best minimizes local recurrence and surgical morbidity. QUESTIONS/PURPOSES:We compare...

journal_title：Clinical orthopaedics and related research

authors： Colman MW,Ye J,Weiss KR,Goodman MA,McGough RL 3rd

更新日期：2013-03-01 00:00:00

abstract：:This CORR Insights is a commentary on the article ''Ultrasound as a first line test in the diagnosis of carpal tunnel syndrome: a cost effectiveness analysis" by John R Fowler and colleagues available at DOI 10.1007/s11999-012-2662-3 . ...

journal_title：Clinical orthopaedics and related research

authors： Chhabra A

更新日期：2013-03-01 00:00:00

abstract：BACKGROUND:Femoroacetabular impingement has been proposed as a cause of early osteoarthritis, but it is not known how this develops over time or whether the shape of the proximal femur influences this risk. QUESTIONS/PURPOSES:(1) Which areas of the acetabulum are worn more frequently by individuals with a cam deformit...

journal_title：Clinical orthopaedics and related research

authors： Streit JJ,Levine A,Barrett IJ,Cooperman DR,Goldberg V

更新日期：2013-02-01 00:00:00

abstract：:This CORR Insights™ is a commentary on the article ''Can a Triple Pelvic Osteotomy for Adult Symptomatic Hip Dysplasia Provide Relief of Symptoms for 25 Years?" By van Stralen and colleagues available at DOI 10.1007/s11999-012-2701-0 . ...

journal_title：Clinical orthopaedics and related research

authors： Dobbs MB

更新日期：2013-02-01 00:00:00

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

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

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:The indication for hip arthrotomy accompanied by intraarticular work during periacetabular osteotomy (PAO) has not been precisely defined. To validate a role for routine hip arthrotomy accompanied by intraarticular work, frequent intraarticular pathology must exist, and the adjunct procedures must not be ass...

journal_title：Clinical orthopaedics and related research

authors： Ginnetti JG,Pelt CE,Erickson JA,Van Dine C,Peters CL

更新日期：2013-02-01 00:00:00

abstract：BACKGROUND:High hip center reconstructions, used in revision and complex primary THAs, rely on pelvic bone stock at least 35 mm above the anatomic teardrop. However, the technique does not restore normal hip biomechanics and controversy exists regarding acetabular implant survival. Previous reports document a wide rang...

journal_title：Clinical orthopaedics and related research

authors： Antoniades J,Pellegrini VD Jr

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Three-dimensional imaging (CT and MRI) is the gold standard for detecting femoral head-neck junction malformations in femoroacetabular impingement, yet plain radiographs are used for initial diagnostic evaluation. It is unclear, however, whether the plain radiographs accurately reflect the findings on three-...

journal_title：Clinical orthopaedics and related research

authors： Nepple JJ,Martel JM,Kim YJ,Zaltz I,Clohisy JC,ANCHOR Study Group.

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Complicated tibial fractures with severe soft tissue trauma are challenging to treat. Frequently associated acute compartment syndrome can result in scarring of muscles with impaired function. Several studies have shown a relationship between angiogenesis and more effective muscle regeneration. Vascular endo...

journal_title：Clinical orthopaedics and related research

authors： Frey SP,Jansen H,Raschke MJ,Meffert RH,Ochman S

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Hip dysplasia is the most common cause of secondary osteoarthritis (OA). Periacetabular osteotomy (PAO) or rotational acetabular osteotomy (RAO) has been used as a joint-preserving procedure. However, the patient selection criteria are not clearly defined. QUESTIONS/PURPOSES:Based on a systematic review, we...

journal_title：Clinical orthopaedics and related research

authors： Yasunaga Y,Yamasaki T,Ochi M

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:After resecting tumors confined to one femoral condyle, a unicondylar osteoarticular allograft can be used for reconstruction without sacrificing the uninvolved condyle. However, unicondylar osteoarticular allografts have been associated with a high rate of joint degeneration. We describe a unicondylar osteo...

journal_title：Clinical orthopaedics and related research

authors： Fan H,Guo Z,Wang Z,Li J,Li X

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Developmental hip disorders (DHDs), eg, developmental dysplasia of the hip, slipped capitis femoris epiphysis, and femoroacetabular impingement, can be considered morphology variants of the normal hip. The femoroacetabular morphology of DHD is believed to induce osteoarthritis (OA) through local cumulative m...

journal_title：Clinical orthopaedics and related research

authors： Hogervorst T,Eilander W,Fikkers JT,Meulenbelt I

更新日期：2012-12-01 00:00:00

abstract：BACKGROUND:Modern metal-on-metal hip resurfacing arthroplasty designs have been used for over a decade. Risk factors for short-term failure include small component size, large femoral head defects, low body mass index, older age, high level of sporting activity, and component design, and it is established there is a su...

journal_title：Clinical orthopaedics and related research

authors： Amstutz HC,Le Duff MJ,Johnson AJ

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Patients with THA requiring cup revision for acetabular osteolysis may have a stable stem component without loosening. However, it is unclear whether isolated cup revision halts femoral osteolysis progression. QUESTION/PURPOSES:We asked (1) whether and to what degree osteolysis progresses after isolated ace...

journal_title：Clinical orthopaedics and related research

authors： Hernigou P,Dupuy N,Pidet O,Homma Y,Flouzat Lachaniette CH

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Although navigated THA provides improved precision in implant positioning and alignment, it is unclear whether these translate into long-term implant survival. QUESTIONS/PURPOSES:We compared survivorship, dislocation rate, and incidence of radiographic failures such as loosening and bearing breakage after T...

journal_title：Clinical orthopaedics and related research

authors： Sugano N,Takao M,Sakai T,Nishii T,Miki H

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Dislocation after THA continues to be relatively common. Dual mobility sockets have been associated with low dislocation rates, but it remains unclear whether their use in primary THA would not introduce additional complications. QUESTIONS/PURPOSES:We therefore asked whether a current cementless dual mobili...

journal_title：Clinical orthopaedics and related research

authors： Hamadouche M,Arnould H,Bouxin B

更新日期：2012-11-01 00:00:00

abstract：BACKGROUND:Uncemented press-fit cups provide bone fixation in primary THA, but the use of screws is sometimes necessary to achieve primary stability of the socket. However, it is unclear whether and when screws should be used. QUESTION/PURPOSES:We analyzed the factors related to screw use with a press-fit uncemented c...

journal_title：Clinical orthopaedics and related research

authors： García-Rey E,García-Cimbrelo E,Cruz-Pardos A

更新日期：2012-11-01 00:00:00

abstract：INTRODUCTION:It is unclear which antibiotic regimen provides the best prophylaxis against surgical site infection (SSI) in patients undergoing hip and knee surgery. QUESTIONS/PURPOSES:Therefore, we determined whether dual antibiotic prophylaxis (1) reduced the rate of SSI compared to single antibiotic prophylaxis and ...

journal_title：Clinical orthopaedics and related research

authors： Sewick A,Makani A,Wu C,O'Donnell J,Baldwin KD,Lee GC

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Although several types of culture medium have been used for preservation of osteochondral allografts, the viability of chondrocytes decreases with increasing storage duration. We previously showed the University of Wisconsin solution is more suitable for graft preservation than culture medium. QUESTIONS/PUR...

journal_title：Clinical orthopaedics and related research

authors： Onuma K,Urabe K,Naruse K,Uchida K,Itoman M

更新日期：2012-10-01 00:00:00

abstract：:This Classic Article is a reprint of the original work by T. W. Huntington, Case of bone transference. Use of a segment of fibula to supply a defect in the tibia. An accompanying biographical sketch of T. W. Huntington is available at DOI 10.1007/s11999-012-2495-0 . The classic article is 1905 and is reprinted courtes...

journal_title：Clinical orthopaedics and related research

authors： Huntington TW

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Ankle arthrodesis may be achieved using the Ilizarov method. Comorbidities, such as diabetes, Charcot neuroarthropathy, osteomyelitis, leg length discrepancy, and smoking, can make an ankle fusion complex and may be associated with lower rates of healing. QUESTIONS/PURPOSES:We asked if (1) smoking and other...

journal_title：Clinical orthopaedics and related research

authors： Fragomen AT,Borst E,Schachter L,Lyman S,Rozbruch SR

更新日期：2012-10-01 00:00:00

abstract：BACKGROUND:Recently, the authors of two prospective multicenter observational studies recommended surgery to improve head sphericity in older children, whereas large retrospective observational studies suggest that surgery does not improve head sphericity in older children. Thus, the treatment for Legg-Calvé-Perthes di...

journal_title：Clinical orthopaedics and related research

authors： Saran N,Varghese R,Mulpuri K

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:The antifibrinolytic tranexamic acid reduces surgical blood loss, but studies have not identified an optimal regimen. QUESTIONS/PURPOSES:We studied different dosages, timings, and modes of administration to identify the most effective regimen of tranexamic acid in achieving maximum reduction of blood loss i...

journal_title：Clinical orthopaedics and related research

authors： Maniar RN,Kumar G,Singhi T,Nayak RM,Maniar PR

更新日期：2012-09-01 00:00:00

abstract：BACKGROUND:The most important objective of clinical classifications of slipped capital femoral epiphysis (SCFE) is to identify hips associated with a high risk of avascular necrosis (AVN)--so-called unstable or acute slips; however, closed surgery makes confirmation of physeal stability difficult. Performing the capita...

journal_title：Clinical orthopaedics and related research

authors： Ziebarth K,Domayer S,Slongo T,Kim YJ,Ganz R

更新日期：2012-08-01 00:00:00