The recently described Modified Fels wrist skeletal maturity system (mFels SMS) allows for accurate estimation using a single anteroposterior radiograph but requires evaluation of 8 parameters. A faster method may have clinical utility in the outpatient setting. radiographic parameters comprising mFels SMS were analyzed 80 children. Segmented linear regression and generalized estimating equation (GEE) analyses used to identify subsets most important different patient demographics parameter...

OBJECTIVES: To describe outcomes in patients with periprosthetic distal femur fractures (PPDFF) who underwent retrograde intramedullary nailing (rIMN), including subsequent revision total knee arthroplasty (TKA) and subjective and/or objective evidence of flexion instability (FI). The hypothesis this study is can occur following rIMN cruciate-retaining (CR-TKA), possibly due to iatrogenic PCL damage. METHODS: Design : Retrospective review Setting: Single academic Level-I trauma center...

Introduction: Open carpal tunnel release (O-CTR) is associated with high patient satisfaction and low complication rates. Risk factors for complications are well-established. Recent studies have found that patient-reported allergies (PRAs) psychiatric comorbidities may be increased The impact of these after elective hand surgery has not been evaluated. This study sought to identify whether PRAs O-CTR evaluate their association prolonged follow-up the need post-operative occupational therapy...

Background: While radial bow shape is well characterized in adults, its development children not understood. Previous studies on the use radiographs, thus, rotational positioning of forearm could alter bowing measurements. This study used 3D imaging to better assess pediatric bow. Methods: Computed tomography scans from New Mexico Decedent Image Database were obtained for ages 2 16 (females) and 18 (males) (n=152). models generated using Slicer Rhino software. Length entire (bicipital...

The recently developed modified Fels knee and optimized Oxford hip skeletal maturity systems (SMS) have demonstrated impressive performance compared with the Greulich Pyle age atlas when applied to same historical, mostly white, pediatric population. We sought determine whether these 2 require modification before being used in modern children.We collected radiographs between January 2015 September 2020 from our electronic medical record 4 groups of children: (1) white males, (2) black (3)...

The incidence of operative treatment distal radius fractures (DRFs) has increased recently, but the optimal timing for surgical fixation remains unclear. We hypothesized that: (1) an increase in time to intra-articular DRFs would likelihood postoperative complications; and (2) from injury lead longer worse range motion (ROM) outcomes.We retrospectively reviewed 299 284 adult patients who underwent open reduction internal (ORIF) a closed, DRF at our institution over 10.5-year period....

Limited evidence suggests a positive correlation between tibial tubercle-trochlear groove (TT-TG) distance and the risk of native anterior cruciate ligament (ACL) tear. The relationship TT-TG ACL graft failure is unknown.TT-TG independently associated with failure.Cohort study; Level evidence, 3.All patients who underwent revision surgery 2010 2018 at single institution were identified. A control cohort primary reconstruction (ACLR) 2006 2015, no 8.1 ± 2.5 years postoperatively. Record...

Background: The multiplier method is an arithmetic calculation that estimates the amount of growth remaining until skeletal maturity. When predicting lower limb length discrepancy, differences in foot height are added to femur and tibia discrepancies. Foot multipliers have not been calculated using radiographic measurements, so it unclear whether develops at same pace as tibia. This study used serial images calculate compared them published multipliers. Methods: Bolton Brush radiograph...

Several skeletal maturity systems allow for accurate age assessment from a wide variety of joints. However, discrepancies in estimates have been noted when applying concurrently. The aims our study were to (1) compare the agreement among 8 different modern pediatric patients and (2) these discrepancy trends qbetween historic children.We performed retrospective (January 2000 May 2022) query picture archiving communication included peripubertal who had at least two radiographs anatomic regions...

Abstract Background Conversion THA, which we defined for this study as THA with concomitant removal of preexisting orthopaedic hardware, has been associated increased hospital costs and perioperative complications compared primary THA. Yet, conversion is classified a procedure under the Medicare Severity Diagnosis-Related Group coding scheme, hospitals are reimbursed based on resource use expected routine surgery. Prior authors have argued to be reclassified revision procedure. Although...