Abstract In this study, the surfaces of ultrahigh molecular weight polyethylene (UHMWPE), poly(ethylene terephthalate) (PET), and polytetrafluoroethylene (PTFE) films were treated with a helium‐water vapor plasma at atmospheric pressure room temperature. Surface changes related to hydrophilicity, chemical funtionalization, surface energy, adhesive strength after treatment investigated using water contact angle (WCA) measurements, X‐ray photoelectron spectroscopy (XPS), mechanical T‐peel...

Background: Postoperative infection, aseptic loosening, and perioperative medical complications after total ankle arthroplasty (TAA) are all devastating problems. While previous studies have shown diabetes as a risk factor predisposing patients to postoperative complications, not literature supports this association following TAA. The goal of study is determine if influences midterm outcomes Methods: An insurance database was utilized identify undergoing TAA for arthritis with concurrent...

Retrospective data analysis.To compare the trends in primary cervical spine fusion procedures patients with rheumatoid arthritis (RA) against those general population.RA severely impacts multiple joints body and can result substantial deformity functional impairment. Cervical involvement is common. In past decade, treatment for RA has changed substantially introduction of biologically based, disease-modifying antirheumatic medications. Recent literature shown decreasing rates total joint...

Open reduction/internal fixation remains the most common way to surgically stabilize displaced pediatric lateral humeral condyle fractures, but closed reduction and internal is being increasingly used. Our goal was compare clinical functional results of treating condylar fractures with traditional smooth or threaded pin versus single cannulated screw fixation.From 1998 through 2012, 48 patients were treated (22 patients, until 2006) cannulated, partially (26 from 2006 onward). In each,...

Level I trauma centers frequently see at or below the ankle, which requires consultation with orthopedic surgery department. However, as podiatry programs begin to firmly establish themselves in more centers, their consultations increase, ultimately taking those once seen by surgery. A review of literature demonstrates that this paradigm shift has yet be discussed. The purpose study was determine how many, if any, lower extremity fracture a newly developed program would take from...

The authors hypothesized that the use of incentive spirometry by orthopedic patients is less than recommended level and affected patient-related factors type surgery. To determine its postoperative use, prospectively surveyed all in their institution's general ward who had undergone elective spine surgery or total knee hip arthroplasty during a consecutive 3-month period 2010, excluding with delirium requiring monitored bed. All 182 (74 men, 108 women; average age, 64.5 years; range, 32-88...

Retrospective database review.The objective of the study was to assess whether bone morphogenetic protein (BMP) decreases risk revision surgery in elderly patients treated with 3-7 level or 8 greater fusions.Revision spine is a complex undertaking, highlighting importance discovering methods decrease repeat procedures. The role BMP modulating future not well studied elderly.The PearlDiver (2005-2012) queried for adult spinal deformity primary thoracolumbar posterolateral fusion 3 more...

Lateral condylar humeral fractures are the second most common elbow injury in children and commonly occur between ages of 5 10 years. There several systems for classification this fracture, including those Milch (fracture line location) Jakob et al. (displacement). Although nonoperative management is indicated nondisplaced or minimally displaced (<2 mm), operative fixation greater displacement. Traditionally, open reduction internal has been method used to ensure adequate reduction....

Clostridium difficile infection (CDI) is the most common infectious cause of nosocomial diarrhea in elderly patients, accounting for 15% to 25% all cases antibiotic-induced those patients. Virulent forms this organism have developed, increasing associated morbidity, mortality, and complication rates. The average patient undergoing total joint arthroplasty at particular risk CDI because advanced age, use prophylactic antibiotic coverage perioperative period, multiple comorbid conditions,...

Fungal mycelium has been touted as an environmentally sustainable potential replacement for a wide range of materials commonly used today, including textiles, building materials, and medical bandages. Additional applications are possible through pyrolysis, wherein chitin in the is carbonized to produce useful carbon allotropes like biochar or activated carbon. Here, we demonstrate that this pyrolysis process can be achieved quickly efficiently with plasma reactor built around available...

Category: Hindfoot, Midfoot/Forefoot Introduction/Purpose: Both Evans and Hintermann procedures are opening wedge calcaneal osteotomies used for lateral column lengthening in flatfoot reconstruction. Risks of include forefoot overload increased calcaneocuboid (CC) joint pressure. The osteotomy is preformed closer to the CC increasing theoretical risk higher pressures. technique a more posteriorly located developed avoid destabilization anterior fragment subsequent incongruency. purpose this...

Open reduction and internal fixation (ORIF) of the ankle is a common procedure performed to correct fractures in many different patient populations. Diabetes, peripheral vascular disease, osteoporosis have been identified as risk factors for postoperative complications following surgery fractures. To date, there not any studies evaluating outcomes patients with bleeding disorders undergoing operative treatment The aim this study was determine complication rate ORIF disorder vs those without...

Background: Although the single-rod derotation technique has been used traditionally to assist in reduction of thoracolumbar spinal deformity, double-rod may provide improved sagittal reduction. Our goal was compare these two techniques for deformity correction. We hypothesized that would lead comparable or better correction coronal and planes. Methods: eight Sawbones® (Pacific Research Laboratories, Inc., Vashon, WA) spine models with King type II deformities obtained 36-inch...

The treatment options for isolated hallux varus and rigidus have been well described in the literature; however, combination of these 2 pathologies same patient presents a unique challenge foot ankle specialist. Traditional include nonoperative shoe modifications orthoses versus first metatarsophalangeal joint arthrodesis. We describe novel technique motion preservation patients using interposition arthroplasty with dermal matrix semitendinosus allograft to reconstruct lateral ligaments...

Category: Ankle Arthritis; Introduction/Purpose: The utility of total ankle arthroplasty (TAA) for management end-stage arthritis continues to increase. Postoperative infection after TAA is a devastating complication leading additional surgeries, hospitalizations, long term antibiotics, arthrodesis, and sometimes amputation. Diabetes has been shown be associated with postoperative infections following other orthopedic procedures. While the majority literature demonstrates an association...