Knee stiffness or limited range of motion (ROM) after total knee arthroplasty (TKA) may compromise patient function. Patients with are usually managed manipulation under anesthesia (MUA) to improve ROM. However, the final ROM obtained is multifactorial and depend on factors such as comorbidities, implant type, timing MUA.We asked whether diabetes mellitus, interval between TKA MUA influenced post-MUA ROM.From a group 2462 patients 3224 TKAs performed 1999 2007 we retrospectively reviewed 96...

Reherniation within the first year following subtotal lumbar discectomy is a rare but noteworthy event. We performed retrospective, case-controlled study to evaluate clinical outcomes after early recurrent disc reherniation.The records of 1320 patients who had undergone primary were analyzed retrospectively by an independent reviewer. Patients with documented reherniation twelve months evaluated regard location reherniation, neurologic status, rate reoperation, and subjective outcome. on...

This study describes trends in the postgraduate orthopaedic surgery fellowship match from 2013 to 2017.We determined numbers of applicants and positions Adult Reconstruction/Oncology, Foot Ankle, Pediatrics, Shoulder Elbow, Spine, Sports Medicine, Trauma. We also defined odds matching each subspecialty. applicant's their first or second choice by year specialty. number applications made Data were obtained San Francisco Match.In 2017, Reconstruction/Oncology was most selective, with a 68%...

Retrospective review of 259 lumbar discectomies.To compare rates reoperation after subtotal discectomy versus established fragment excision.Herniated nucleus pulposes (HNP) and annular morphology influence reherniation discectomy. Certain patterns are linked to exceeding 20%.We retrospectively reviewed single-level discectomies performed between 1980 2005. Mean follow-up was 60.9 months. In each case, annulotomy in addition excision disc fragments. HNP classified according the 4-part system...

Readmissions after total joint arthroplasty have become a key quality measure in elective surgery the United States. The Affordable Care Act includes Hospital Readmission Reduction Program, which calls for reduced payments to hospitals with excessive readmissions. This policy uses method determine excess readmission ratios and calculate payment adjustments hospitals, however, it is unclear whether rates are an effective metric. reasons or conditions associated THA been well established but...

Metallic wires and cables are commonly used in primary revision THA for fixation of periprosthetic fractures osteotomies the greater trochanter. These systems provide secure high healing rates but fraying, third-body generation, accelerated wear bearing surface, injury to surgical team remain concerning.We determined rate cable failure, union, complications associated with a novel, nonmetallic cerclage fracture osteotomy during THA.We retrospectively reviewed 29 patients who had THAs using...

Abstract Despite the rising prevalence of arthroplasty and aging population, limited data exist regarding differences in periprosthetic fracture clinical outcomes compared with native counterparts. This study compares hospital treatment, morbidity, mortality associated distal femur fractures at an urban level 1 trauma center. We retrospectively reviewed all adult AO/OTA type 33 (526) that presented to our institution between 2009 2018. In total, 54 were matched by age gender. recorded...

Fractures of the proximal humerus with concomitant vascular injury are rare in children. We describe presentation, diagnosis, and treatment a fracture association an axillary artery child.

The purpose of this study was to evaluate the clinical and radiographic outcomes patients who underwent tibiotalar arthrodesis between 1997 2003 for arthritis. cause predominantly posttraumatic arthritis secondary tibial plafond fracture (n = 15) or talar body 2).We retrospectively evaluated a consecutive series 20 with 21 arthritic joints. Radiographs, notes, scheduled visits, telephone interviews were used obtain outcome data after using custom blade plate. American Orthopedic Foot Ankle...

Abstract Hyponatremia is a risk factor for adverse surgical outcomes, but limited information available on the prognosis of hyponatremic patients who undergo total knee arthroplasty (TKA). The purpose this investigation was to compare incidence major morbidity (MM), 30-day readmission, reoperation, and length hospital stay (LOS) between normonatremic hypontremic TKA patients.The American College Surgeons National Surgical Quality Improvement Program database used identify all primary...

A total knee arthroplasty system offers more distal femoral implant anterior-posterior (AP) sizes than its predecessor. The purpose of this study is to investigate the impact increased size availability on an system's ability reproduce AP dimension native femur. We measured 200 cadaveric femora with AP-sizing guides Zimmer (Warsaw, IN) NexGen (8 sizes) and Persona (12 systems. defined "size deviation" as difference in between anatomic femur closest size. satisfactory reproduction dimensions...

Abstract Options to reconstruct intercalary tibial defects include allografts, vascularized bone transfers, autogenous cortical grafts, endoprostheses, and llizarov transport. Five patients underwent bulk allograft reconstruction following en bloc resection of sarcomas. Two immediate fibular centralization iliac crest grafting in addition the allograft. who during primary united uneventfully. The remaining three developed nonunion, which one was successfully salvaged by centralization. A...

Postdischarge management for shoulder replacement continues to be performed on a case-by-case basis, with no uniform guidelines dictating management. The goal of this study was develop nomogram preoperatively predict patient's discharge disposition after elective arthroplasty.Patients who underwent arthroplasty between 2012 and 2015 were identified in the National Surgical Quality Improvement Program database. A multivariable logistic regression model used identify risk factors postacute...

Background Hip resurfacing is an alternative to total hip arthroplasty. Questions/Purpose We aimed compare experienced surgeon's initial clinical results of with a new cementless arthroplasty (THA). Methods The first 55 consecutive arthroplasties were compared 100 THAs using cylindrical tapered femoral stem. learning curve between the two procedures was utilizing incidence reoperation, complications, Harris Scores (HHS), and implant survivorship. Results reoperation rate significantly higher...

As the United States' octogenarian population (persons 80-89 years of age) continues to grow, understanding risk profile surgical procedures in elderly patients becomes increasingly important. The purpose this study was compare 30-day outcomes following unicompartmental knee arthroplasty (UKA) octogenarians with those younger patients. American College Surgeons National Surgical Quality Improvement Program database queried. All patients, aged 60 89 years, who underwent UKA from 2005 2016...

The use of fibrin glue injection to treat symptomatic dural ectasia is controversial. A case cauda equina syndrome following percutaneous presented, followed by a review and its possible treatments.