Noncompliance with postoperative follow-up visits remains a common problem in orthopaedic trauma. The aim of this study was to identify risk factors for loss after trauma.Retrospective review.Urban level 1 academic trauma center.A total 307 (226 men/81 women) patients undergoing surgical treatment their injuries were included study. average age 40.4 ± 17 years.All treated surgically and instructed the clinic hospital discharge.Noncompliance appointment at 6 months injury.Over 6-month period,...

AIMTo compare infection rates in primary and revision total knee arthroplasty (TKA) procedures using antibiotic impregnated bone cement (AIBC) to those not AIBC. METHODSA systematic review meta-analysis was conducted search for randomized controlled trials/studies (RCTs) pertaining the field of AIBC vs non-AIBC groups both TKA procedures.The literature performed identify all RCTs that assessed procedures.This done strictly through PubMed database article "filters" setting identified...

To analyze the literature on efficacy of dynamamization vs exchange nailing in treatment delayed and non-union femur fractures.Ultimately, 31 peer-reviewed articles with 644 exchanged patients 131 dynamization were identified analyzed. The following key words inputted different combinations order to search field publications its entirety: "non-union", "delayed union", "ununited", "femur fracture", "femoral "exchange nailing", "dynaiz(s)ation", "secondary "dynamic", "static", "nail revision"....

Multiple sites of compression the radial nerve have been described, some more commonly than others. In this case report we describe a at lateral intermuscular septum in patient with history open reduction and internal fixation mid-shaft humerus fracture 10 years prior. To our knowledge, only one previous chronic by associated humeral shaft has described. Our patient’s clinical presentation specific electrodiagnostic abnormalities, operative findings post-operative symptom relief point...

Peritalar fracture dislocations typically involve the talar neck and are classified according to Hawkins. To our knowledge, peritalar dislocation involving body has not been formally reported. In this article, we describe a case of body.

The aim of our study was to compare the cost preoperative empiric mupirocin treatment all total joint arthroplasty patients with a standard Staphylococcus aureus screening and decolonization protocol. is $24.65 per patient, whereas S. protocol $60.32 patient. Given that more than 1,051,000 arthroplasties are performed annually, savings nearly $40 million year. Empiric allows for efficient workflow, minimizes potential clerical error, eliminates risk undertreatment, has not been shown...

Study Design: Retrospective cohort study. Objective: To report the clinical and radiological outcomes for screw track augmentation with fibular allograft in revision of loose pedicle screws associated significant bone loss along track. Methods: Thirty consecutive patients, 18 men (60%) 12 women (40%), a mean age 52 years (range 34- 68). Fibular was prepared by cutting it into longitudinal strips 50 mm length. Three struts were inserted Six tap used to between 3 struts. Eight- or 9-mm...

Background: Tibia stress fractures are microscopic of the tibia that often result repetitive microtrauma as commonly seen in military recruits and intense athletics. more unilateral usually diaphyseal portion tibia. We describe a case bilateral medial proximal occult along epiphyseal scar following blunt trauma. Case description: A 41-year-old bipolar male presented to clinic one-week pedestrian versus motor vehicle accident. He subsequently developed low back pain knee pain. The diagnosis...

Abscess of the iliopsoas muscle is a rare condition that requires high degree clinical suspicion for diagnosis. High mortality rates highlight need prompt recognition. We report case 26-year-old man, with history intravenous drug use, who was referred from an outside facility sacral fracture and gluteal abscess. Sacral trauma occurred 3 weeks before presentation, progressive worsening buttock pain. The patient treated irrigation débridement Follow-up MRI revealed communicating abscess...

Case . Compartment syndrome following muscle rupture is a rare entity with few mentions in the literature. We present case of pectoralis major 38-year-old male that evolved into compartment anterior arm. Rupture uncommon and most often occurs during weight lifting. secondary to this injury extremely uncommon, only one reported itself several cases biceps syndrome. Due potentially devastating consequences missed syndrome, it imperative physicians maintain high level suspicion patients these...

Allograft interbody spacers are utilized during transforaminal lumbar fusion (TLIF) to reestablish anterior column support and disc height. While the TLIF technique offers many improvements over previous surgical methods, instrumentation bone graft-related complications such as spacer misplacement or migration, screw fracture misplacement, rod breakage continue be reported. The objective of this manuscript is report on a fractured allograft that displaced into neural foramen resulted in...

Background: Talectomy has been used as a salvage procedure to correct severe and rigid foot deformities in patients with underlying neuromuscular conditions. Previous clinical reports have failed compare outcomes based on the condition. We report predictors of who were treated talectomy over 23 yr. Methods: retrospectively reviewed underwent total from 1987 2010. Clinical results graded “good” “poor” depending postoperative pain, degree equinus, skin findings, ability brace. Postoperative...

The extensor carpi radialis brevis (ECRB) muscle is an integral and abductor of the wrist. It originates from lateral epicondyle humerus, laying deep to longus digitorum communis, superficial supinator. Insertion occurs at base third metacarpal. radial nerve or a derivative supplies innervation. Its significance in orthopedics highlighted by its involvement multiple surgical approaches, such as Thompson Kaplan approaches for exposure radius, well association with several routinely observed...

Background: Traditional rehabilitation for basal joint arthroplasty involves postoperative immobilization. We hypothesize that early motion is safe and will result in equivalent clinical outcomes to traditional rehabilitation. Methods: Patients undergoing ligament reconstruction tendon interposition were randomized into 2 protocols. All patients immobilized postoperatively a thumb-spica splint weeks. The accelerated group (Group 1) was transitioned removable Carpometacarpal (CMC)-wrap with...