Published in Journal of Orthopaedics and Trauma
Background. Tears of the rotator cuff are common, some are repaired surgically. There are problems associated with repair and arthroscopic knot tying, and retear rates can be as high as 94%. It is known that surgical knots can slip or break and may cause ischemia and infection, affecting the healing process. Method. A barbed suture was developed. A...
Published in Journal of Orthopaedics and Trauma
The characteristics of idiopathic hypotonic gait are poorly understood. The purpose of this study was to identify biomechanical parameters that differentiate between children with hypotonia and an age-matched control group. Twelve children with idiopathic hypotonia, aged 6–13 years, participated in the study. Twenty-two children with no known disor...
Published in Journal of Orthopaedics and Trauma
Resident attrition is a significant issue facing graduate surgical education, with broad implications for trainees, their families, educators, and society at large. Resident attrition is costly and often may represent a poor initial selection process, inadequate training in medical school, or insufficient feedback and mentoring while the resident i...
Published in Journal of Orthopaedics and Trauma
Open hindfoot injuries result from high-energy trauma and include soft tissue disruption, joint dislocations, with possible chondral and osseous injuries. The term " total talus dislocation " , is an uncommon open hindfoot injury associated with talar extrusion. However, a total talus dislocation without extrusion has not been reported. This case p...
Published in Journal of Orthopaedics and Trauma
The management of traumatic thoracolumbar spine fractures has been controversial. Most columnar models explain stability based on the sagital profile of the spine. In Denis' classification, the middle column provides the greatest mechanical stability and bears the greatest axial load of the spine. The load sharing classification scores the extent o...
Published in Journal of Orthopaedics and Trauma
Background. No marker reflecting the patho-biology of meniscal degeneration (MD) is established so far. NITEGE is a hexapeptide fragments produced when aggrecan is cleaved. Methods. In vitro IL-1 exposition of bovine menisci (n = 4) caused extracellular NITEGE deposits detected by immunofluorescence. A retrospective immunohistochemical analysis of ...
Published in Journal of Orthopaedics and Trauma
Insertion of the bearing can be challenging due to patient body habitus or limited exposure when using a minimally invasive technique. We describe a novel way of inserting the bearing not previously described in the literature. The bearing is positioned on the femoral component in full flexion. Then, with a gentle extension of the knee, the bearing...
Published in Journal of Orthopaedics and Trauma
Objective. To determine the impact of an intensivist lead tracheostomy care team on the number of successful decannulations in non-critically ill patients and the time required for such decannulations and discharge from the hospital. Methods. Following the introduction of a multidisciplinary tracheostomy care task force, data was collected prospect...
Published in Journal of Orthopaedics and Trauma
Recent studies favor surgical management of displaced clav-icle fractures. Displacement is measured using anterior-posterior (AP) X-rays. Since displacement can occur in all three dimensions, however, standard methods of evaluation can be difficult and inaccurate. This study was conducted to determine the X-ray angle that provides the most accurate...
