Berry, Daniel J. MD; (Moderator)1; Berger, Richard A. MD2; Callaghan, John MD3; Dorr, Lawrence D. MD4; Duwelius, Paul MD5; Hartzband, Mark MD6; Lieberman, Jay R. MD7; Mears, Dana C. MD8 Author Information

Aims The purpose is to determine the non-inferiority of a smartphone-based exercise educational care management system after primary knee arthroplasty compared with traditional in-person physiotherapy rehabilitation model. Methods A multicentre prospective randomized controlled trial was conducted evaluating use for total (TKA) and partial (PKA). Patients in control group (n = 244) received respective institution’s standard formal physiotherapy. treatment 208) were provided smartwatch...

Twelve of 14 proximal third tibial shaft fractures were successfully treated with a new technique for intramedullary nailing these fractures. The average anterior displacement was 3.0 mm (range 0-17). coronal plane alignment 2.0° valgus 2° varus to 12° valgus). There one nonunion. technique's success is dependent on neutralizing the primary factors causing malreduction: wide effective diameters nails, narrow diameter medial metaphysis, and posteriorly directed sagittal entrance angle.

Open reduction and internal fixation (ORIF), the currently preferred method for treatment of unstable posterior pelvic sacral fractures, has two significant disadvantages: need blind placement screws occurrence high complication rates. Advantages computed tomographic (CT)-guided include direct visualization course absence complications. Eight patients with but reducible fractures or sacroiliac joint (SIJ) disruptions (seven unilateral one bilateral) underwent CT-guided use standard...

The results of internal fixation in 30 patients with displaced fractures the sacrum were retrospectively reviewed. All at least 1 cm. Neurologic injuries occurred 40% (12 30) patients. In 17 who underwent open reduction, preoperative displacement averaged 24 mm and postoperative 4 mm. 13 whom percutaneous was done, 15 5 united. This review sacral suggests that reduction iliosacral screw leads to better fracture site than does closed fixation. Functional assessment indicated presence a...

Two methods of intramedullary fixation fractures the middle femoral shaft were evaluated in a sheep model to determine effect reaming on pulmonary function. The modified reamer was also studied. A second experiment with same performed evaluate relationship between embolization and dysfunction. This involved two groups sheep—those normal lungs those contused lungs—divided into subgroups—those that had nailing without reaming. Intracardiac ultrasound used measure magnitude duration transvenous...

Restoration of the hip center is considered important for a successful THA and requires achieving right combination offset, anteversion, limb length. Modular femoral neck designs were introduced to make this easier. No previous studies have compared these in primary THA, there increasing concern that modular may higher complication rate than their nonmodular counterparts.We therefore asked (1) whether use stem with would restore length offset more accurately neck, (2) patients who received...

To review the outcomes of patients with open pelvic fractures.Retrospective medical records.Patients admitted from injury scene or transferred within 24 hours to a level 1 trauma center.Thirty-three sustaining blunt had fractures and adjacent wounding.Treatment protocol that included selective fecal diversion, measures arrest hemorrhage prevent wound sepsis, manage associated injuries, provide optimal orthopedic outcomes.Death sepsis.Exsanguination occurred in one patient death owing head...

We used a previously reported experimental method to measure patellofemoral contact areas and pressures in four pairs of human cadaveric knees before after partial patellectomy. The knee joints were loaded by application flexion moment, which was resisted the extension moment quadriceps mechanism. Patellofemoral measured with use pressure-sensitive film, at 30, 60, 90 degrees knee. Partial patellectomy decreased area increased pressure. observed alterations patterns contact, including...

One hundred tibial plateau fractures in 96 patients were treated at three teaching hospitals. Seventy-three by closed reduction and early mobilization of the knee using a cast brace. Twelve this group also had percutaneous pin fixation under fluoroscopic control. The end results graded clinical functional criteria roentgenographic criteria. Eighty-nine percent methods good to excellent with low complication rate (12%). Observations based on long-term examinations did not correlate results....

Aims The purpose of this study is to evaluate early outcomes with the use a smartphone-based exercise and educational care management system after total hip arthroplasty (THA) demonstrate decreased in-person physiotherapy (PT). Methods A multicentre, prospective randomized controlled trial was conducted platform for primary THA. Patients control group (198) received institution’s standard care. Those treatment (167) were provided smartwatch smartphone application. PT use, THA complications,...

Seventy-five adults who sustained 76 tibial plateau fractures were treated according to a prospective protocol using instability in extension as the principal indication for operative fixation. Patients showing underwent closed manipulative reduction under fluoroscopic guidance. If significant joint depression persisted after reduction, elevation of fracture was performed either from below bone punches through cortical window or via limited arthrotomy. Iliac crest graft used buttress...

Summary Open reduction and internal fixation (ORIF), the current treatment of choice posterior pelvic ring disruptions with instability, has significant disadvantages. These include relatively "blind" placement screws, infection, exsanguinating hemorrhage, high wound complication rates. We feel fluoroscopy does not offer clarity in defining structure. Advantages computed tomography (CT)-guided sacral are direct visualization course screws absence complications. This technique provides...