Erratum
Due to a production error, the March/April 2010 issue (volume 49, number 2, pp 216) of the Journal of Foot & Ankle Surgery published a retraction notice for the article The Use of a Femoral Distractor to Aid Distal Tibial Resection During Total Ankle Arthroplasty, by Michael Whitehouse, Simon Thompson, Paul Halliwell, and Matthew Solan. (Source: Journal of Foot and Ankle Surgery)...
POSTED 08/27/2010 at 02:16 AM --
|
The Need for Surgical Revision After Isolated Cheilectomy for Hallux Rigidus: A Systematic Review
Abstract: Isolated cheilectomy has been proposed for treatment of hallux rigidus due to the perceived safety, efficacy, and ability to revise with repeat cheilectomy, implant or interpositional arthroplasty, or arthrodesis. A systematic review was undertaken to better understand the need for surgical revision after isolated cheilectomy for hallux rigidus. Studies were eligible for inclusion only if they involved consecutively enrolled patients undergoing isolated cheilectomy or involved revision surgery of the first metatarsophalangeal joint after isolated cheilectomy, evaluated patients at mean follow-up ⥠12 months' duration, and included details of complications. Twenty-three studies, describing 706 cheilectomies, met the inclusion criteria, with 62 (8.8%) undergoing surgical revisio......
POSTED 08/27/2010 at 02:16 AM --
|
The modified oblique keller capsular interpositional arthroplasty for hallux rigidus.
CONCLUSIONS: The modified oblique Keller capsular interpositional arthroplasty appears to be a motion-sparing procedure with clinical outcomes equivalent to those of arthrodesis, and it is associated with a more normal pattern of plantar pressures during walking. LEVEL OF EVIDENCE: Therapeutic Level III. See Instructions to Authors for a complete description of levels of evidence.
PMID: 20720136 [PubMed - in process] (Source: The Journal of Bone and Joint Surgery. American volume)...
POSTED 08/21/2010 at 01:57 PM --
|
The Modified Oblique Keller Capsular Interpositional Arthroplasty for Hallux Rigidus
Conclusions:
The modified oblique Keller capsular interpositional arthroplasty appears to be a motion-sparing procedure with clinical outcomes equivalent to those of arthrodesis, and it is associated with a more normal pattern of plantar pressures during walking.
Level of Evidence:
Therapeutic Level III. See Instructions to Authors for a complete description of levels of evidence. (Source: JBJS [Am])...
POSTED 08/18/2010 at 12:31 PM --
|
The Repicci II((R)) Unicondylar Knee Arthroplasty: 9-year Survivorship and Function.
CONCLUSIONS: The short-stay protocol was not associated with a high perioperative complication rate. This technique is associated with improvement in function and restoration of limb alignment, allowing accurate positioning of the implant. Compared with other reports of survival of UKA, this implant had a lower survivorship and increased revision rate. LEVEL OF EVIDENCE: Level IV, therapeutic study. See the Guidelines for Authors for a complete description of levels of evidence.
PMID: 20706814 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)...
POSTED 08/12/2010 at 06:00 PM --
|
Prevalence of Staphylococcus aureus Colonization in Orthopaedic Surgeons and Their Patients: A Prospective Cohort Controlled Study
Conclusions:
At a major teaching hospital, a higher prevalence of methicillin-sensitive Staphylococcus aureus colonization was found among attending and resident orthopaedic surgeons compared with a high-risk patient group, but the prevalence of methicillin-resistant Staphylococcus aureus colonization was similar. (Source: JBJS [Am])...
POSTED 08/04/2010 at 12:30 PM --
|
Interposition arthroplasty in the treatment of hallux rigidus.
CONCLUSION: Interposition arthroplasty is an appropriate surgical treatment method for hallux rigidus for elderly patients with low functional capacity.
PMID: 20676017 [PubMed - as supplied by publisher] (Source: Acta Orthopaedica et Traumatologica Turcica)...
POSTED 08/04/2010 at 08:57 AM --
|
Total Ankle Arthroplasty in Patients with Hereditary Hemochromatosis.
CONCLUSIONS: Our data suggest TAA in patients with ankle osteoarthritis secondary to HH is associated with a low risk of postoperative complications and produces pain relief and good function. LEVEL OF EVIDENCE: Level IV, therapeutic case series. See Guidelines for Authors for a complete description of levels of evidence.
PMID: 20665138 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)...
POSTED 07/27/2010 at 06:00 PM --
|
Ruptured Mycotic Aneurysm of the Mitral Valve on Real-Time 3-Dimensional Transesophageal Echocardiography
An 81-year-old female with prior history of rheumatoid arthritis on immunosuppressants was admitted to our institution with fever, altered mental status, and leucocytosis. She had been recently discharged from the hospital after open correction of a right ankle fracture. Blood cultures were positive for Staphylococcus aureus. The patient developed acute hypoxemic respiratory failure requiring intubation, and a transthoracic echocardiogram revealed new severe mitral valve regurgitation (MR) of unclear etiology. Transesophageal echocardiogram showed mitral valve perforation or flail of the posteromedial commissure (A, arrows, Online Video 1) with torrential mitral valve regurgitation (A, Online Video 1), but it is unclear whether the involved segment was P3, A3, or both. Real-time intraopera......
POSTED 07/01/2010 at 12:15 AM --
|
Total ankle replacement: THE RESULTS OF 100 MOBILITY TOTAL ANKLE REPLACEMENTS.
This study suggests that the early outcome of ankle replacement is comparable to that of other total joint replacements.
PMID: 20595114 [PubMed - as supplied by publisher] (Source: The Journal of Bone and Joint Surgery. British volume)...
POSTED 06/30/2010 at 06:00 PM --
|
The Salto Total Ankle Arthroplasty: Survivorship and Analysis of Failures at 7 to 11 years.
CONCLUSIONS: Our data suggest a high rate of reoperations but only six revisions with arthrodesis with mid-term followup. We observed few patients with loosening and/or subsidence. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
PMID: 20593253 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)...
POSTED 06/30/2010 at 06:00 PM --
|
Late Hematogenous Infection of First Metatarsophalangeal Joint Replacement: A Case Presentation
We present the case of an otherwise healthy female who developed a deep space infection 18 months after a first metatarsophalangeal joint implant arthroplasty. The patient presented with pain and swelling at the site, and over the course of several days developed fever and tachycardia and leukocytosis. Cultures of the surrounding soft tissues and the implant grew Streptococcus pneumoniae. The patient reported a 1- to 2-week history of symptoms consistent with an upper respiratory tract infection and it is believed that this distant focus of infection was the probable source of late hematogenous seeding of the first metatarsophalangeal joint implant. (Source: Journal of Foot and Ankle Surgery)...
POSTED 06/29/2010 at 06:00 PM --
|
Hereditary Hemochromatosis as a Risk Factor for Joint Replacement Surgery
Conclusion: Hemochromatosis is a risk factor for joint replacement surgery because of severe secondary osteoarthritis. (Source: The American Journal of Medicine)...
POSTED 06/24/2010 at 12:55 AM --
|
Perioperative complications of the MOBILITY total ankle system: comparison with the HINTEGRA total ankle system
Conclusions The study implies that a new learning curve may affect the outcome of surgery when a newly designed implant is used for total
ankle replacement arthroplasty and that long tibial procedure time and long distraction time played a critical role in the
incidence of malleolar fracture.
Content Type Journal ArticleCategory Original ArticleDOI 10.1007/s00776-010-1456-2Authors
Kyung Tai Lee, Eulji University, College of Medicine Foot and Ankle Service, Department of Orthopedic Surgery, Eulji Hospital Seoul Republic of KoreaYoung Koo Lee, Soonchunhyang University, Bucheon Hospital Department of Orthopedic Surgery Gyeonggi-Do 420-767 Republic of KoreaKi Won Young, Eulji University, College of Medicine Foot and Ankle Service, Department of Orthopedic Surgery, Eulji......
POSTED 06/18/2010 at 05:55 AM --
|
Total Ankle Replacement Compatible with Ligament Function Produces Mobility, Good Clinical Scores, and Low Complication Rates: An Early Clinical Assessment.
CONCLUSIONS: These data suggest the new prosthesis can provide short-term restoration of ankle mobility, a good clinical score, and low complication and failure rates. Longer followup with larger numbers is required. LEVEL OF EVIDENCE: Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.
PMID: 20559763 [PubMed - as supplied by publisher] (Source: Clinical Orthopaedics and Related Research)...
POSTED 06/17/2010 at 06:00 PM --
|
Lower limb biomechanics during gait do not return to normal following total hip arthroplasty
Abstract: Although total hip arthroplasty (THA) is known to be a successful surgical procedure to alleviate hip pain and to improve health-related quality of life, these outcome measures in THA patients do not reach those of the general population. As a result, several investigators have assessed THA patientsâ gait mechanics, but most of them have ignored adjacent joints, as well as the effect that THA may have on the non-operated limb. The purpose of this investigation was to determine the effect of THA on the pelvis, hip, knee and ankle joint kinematics, as well as the hip, knee and ankle kinetics of both the operated and non-operated limbs during walking. These data were recorded for 20 patients having undergone unilateral THA and 20 healthy, matched control participants. Results reve......
POSTED 06/13/2010 at 06:00 PM --
|
RA Patients on the Frontier Of Joint Replacement
CHICAGO â On balance, the news about joint replacement innovations for people with rheumatoid arthritis is good. New lumbar artificial disks, new ankle implants, customized patient instrumentation, and computer-assisted surgical planning offer options that patients with RA-destroyed joints lacked even a decade ago. The unfortunate flip sides of these advances are aggressive and sometimes misleading direct-to-consumer marketing, and occasional unfavorable biological responses to even the newest implant materials. (Source: Rheumatology News)...
POSTED 05/31/2010 at 06:00 PM --
|
Simultaneous Reconstruction of Quadriceps Tendon Rupture After TKA and Neglected Achilles Tendon Rupture.
We report a case of simultaneous reconstruction of a quadriceps tendon rupture after total knee arthroplasty (TKA) and neglected Achilles tendon rupture, which occurred before TKA with an ipsilateral hamstring autograft.A 64-year-old woman presented with persistent right knee pain. She also had right heel pain and had received multiple steroid injections at the knee joint and heel. On examination, she showed osteoarthritis in the medial and lateral compartments of the knee joint and an Achilles tendon rupture in the ipsilateral limb. There was skin dimpling and the proximal portion of tendon was migrated. We performed TKA, and the postoperative course was satisfactory. She returned 3 months postoperatively, however, with skin dimpling around the suprapatellar area and weakness of knee exte......
POSTED 05/30/2010 at 08:48 PM --
|
Using the Ankle-Brachial Index as a tool to reduce complications in total knee arthroplasty
Although arterial complications after Total Knee Arthroplasty (TKA) are rare, results can be devastating for patients, because infection and possibility of amputation are common. Not only can pre-existing peripheral artery disease (PAD) lead to poor healing and increased risk of infection, use of the tourniquet during surgery has been implicated in subsequent arterial complications. Because many of the patients who develop these complications have pre-existing PAD, identifying those at risk should be an integral part of the initial orthopedic patient assessment. Nurses are in a unique position to assess risk factors for PAD in potential candidates for TKA and to decrease risk of postoperative complications by performing the Ankle-Brachial Index (ABI). The test is quick and simple, can be p......
POSTED 05/22/2010 at 08:43 AM --
|
On the role of knee joint in balance control and postural strategies: Effects of total knee replacement in elderly subjects with knee osteoarthritis
This study aimed to evaluate the role of the knee joint in the neurosensory organization of balance control and the generation of postural sensorimotor strategies. Ten patients, aged over 60 years and having undergone unilateral total knee replacement (TKR) for osteoarthritis, and 20 controls were submitted to static and dynamic posturographic tests and to a sensory organization test (SOT) aiming at evaluating postural control in quiet stance and during movement. The patients were submitted to these evaluations after the disappearance of pain (TKR1) and at the end of a 6-week rehabilitation program (TKR2). Balance control being greatly improved at TKR2 compared to TKR1, the patients attain a quality of postural regulation similar to that of the controls; some postural abnormalities did how......
POSTED 05/09/2010 at 06:00 PM --
|
