orthopedic procedures

..develop expertise in clinical trials to measure outcomes after anesthesia and pain management for common orthopedic procedures. The applicant will do this under supervision of the mentor, by attending graduate courses, and ..

..Relevance: This grant will help train scientists to improve healing of damaged bone and joints. Current orthopedic procedures are successful, but we hope to improve outcomes through a better understanding of the underlying ..

..Relevance: This grant will help train scientists to improve healing of damaged bone and joints. Current orthopedic procedures are successful, but we hope to improve outcomes through a better understanding of the underlying ..

..fractures, and to provide better control over the healing responses associated with other reconstructive orthopedic procedures, an improved understanding of the biology of bone healing is required...

..It is also used for consultation in planning orthopedic procedures. The most common clinical method for bone age assessment is atlas matching by a left-hand wrist radiograph ..

..the elderly population, and the increasing number of geriatric patients undergoing surgery - particularly orthopedic procedures- we propose to examine the effect of a multi-component and inter-disciplinary intervention designed to ..

..The availability of "off the shelf ADAS cells for clinical orthopedic procedures will have a significant commercial and therapeutic impact.

..The suture is also expected to find application in fascia closure, and in orthopedic procedures for ligament and tendon repair...

..In conclusion, we can state that, using a four-strand hamstring graft and a cortical fixation at both ends, we were able to achieve satisfactory 5-year results in 90% of the patients...

..Broken cross-pins were a factor relating to laxity after ACL reconstructions with hamstring grafts. Posterior direction of the cross-pin may be a cause of pin breakage. LEVEL OF EVIDENCE: Level IV, therapeutic case series...

..Our early experience with this new technique appears to demonstrate satisfactory results that are at least equivalent to other techniques and show an apparent trend towards improved control of anterior laxity...

..Furthermore, we believe that proper graft preparation, accurate tunnel placement, notch-plasty, fixation and rehabilitation program are all as important as the choice of graft and fixation material...

..The nonanatomic reconstruction group had significantly greater tunnel enlargement. CONCLUSION: Anatomic fixation of the graft decreased the tunnel enlargement but had no effect on knee stability at 2-year follow-up...

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..However, using the new measurement system, patients with double-bundle ACL reconstruction showed better pivot shift control of complex instability than patients with anteromedial and posterolateral single-bundle reconstruction...

..2%. For the knee flexors, the deficits were 30.7% and 27.2% respectively. Regarding eccentric force, the mean deficit for knee extensors was 13.8% and 0.25% respectively and for knee flexors 6.5% and 5.5% respectively...

..LEVEL OF EVIDENCE: Level III, development of diagnostic criteria with universally applied reference (nonconsecutive patients)...

..The current study is a large study of pediatric shoulder instability. Surgery improved stability, but overall, stability improved over time, with few patients having limitations at moderate- to long-term follow-up...

..TAL decreased the rate of recurrence and surgical revision...

..The complication rate was 5.3%. Our experience with single cannulated screw fixation of slipped upper femoral epiphysis is encouraging. No complications resulted from the choice of the fixation device...

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..Both grafts exhibited a similar knee extensor torque deficit, indicating that only quadriceps strength is not graft-dependent...

..The modified MacIntosh procedure described in this study shows encouraging results at medium-term follow-up. The technique is easy to perform and less traumatising for the knee joint...

..The wide range of responses reflects the lack of scientific basis for bracing decisions. Continued research efforts are encouraged. In the interim, the physician's clinical judgment provides the basis for bracing decisions...

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..The risk of a painful ulnar instability is related to the amount of resection, and can be reduced by creating a long upper ulnar stump...

..Both HS and PT are satisfactory ACL grafts in females, but HS grafts were associated with less morbidity, greater return to preinjury level of activity and higher quality of life scores...

..While the bi-socket ACL reconstruction provided objectively satisfactory clinical outcomes in more than 90% of the patients, the low-femoral socket placement was found to subjectively achieve better outcomes...

..This test often is best performed under fluoroscopy or general anesthesia. Usually the instability is managed with either a repair of the ligament or an isometric reconstruction using a tendon graft...

..There was a significant loss of 11 degrees ER in the unstable shoulder with the arm at the side. The findings indicate that the glenohumeral joint in patients with a Bankart lesion is commonly rotationally stiff...

..Although patients and families should be advised of mild persistent extensor lag and limitations in DIPJ motion, active DIPJ extension and improved clinical appearance can be achieved with this procedure...

..The authors have modified Chrisman's procedure by using a much smaller incision and improved graft isometry...

..The mean Lysholm score was 91.9 (80 to 100). Concomitant reconstruction of the MCL and posterior oblique ligament using autogenous semitendinosus tendon provides a good solution to medial instability...

..This technique is an effective method of repair of distal biceps tendon rupture that can be performed safely, with minimal surgical dissection, and appealing cosmesis...

..Correction of hindfoot equinus is excellent, and the recurrence rate remains low. Salvage talectomy has not been necessary in this population of children...

..The study demonstrates a high incidence of reattachable avulsion injuries to ligaments and soft tissues in dislocatable knees. These may not be as easily dealt with if surgery is delayed beyond 3-4 weeks...

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..This is the first study to show specifically a severe impairment in QoL in this patient population...

..The tibial inlay approach is advantageous to bypass prior tibial tunnels, and the all-inside arthroscopic technique is advantageous when major concurrent ligament reconstructions are required...

..2%, 54.6%, and 49.1%, respectively, in the aforementioned 3 postures as compared with the contralateral side. CONCLUSIONS: Significant functional deficit of hamstring strength remains regardless of morphologic regeneration...

..All but two patients were able to return to the same level of preoperative sports participation. None of the four methods studied showed major differences in outcome compared to the other. No growth disturbance could be noted...

..Implant subsidence, pseudarthrosis and implant loosening are the complications typically encountered with use of TMCs. The versatility of the implant permits its use in unusual surgical situations...

..CONCLUSIONS: Successful emergency treatment of severely injured lower extremities could be achieved by using microsurgery techniques and strict controlling of lower extremity salvagel indications...

..Magnetic resonance imaging can help identify an avulsion fracture not visible radiographically and can help determine whether direct repair or reconstruction is needed...

..From that we conclude that the Bankart procedure offers an excellent clinical outcome combined with a low degree of morbidity...

..The etiology, symptoms, conservative management, and surgical treatments of hallux limitus and hallux rigidus are also reviewed...

..CONCLUSION: Functional performance is compromised in patients who undergo a patellar tendon graft compared with a semitendinosus graft, possibly due to an altered activation of the quadriceps and hamstring muscles...

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..In addition, chronic anterior cruciate ligament injury results in joint specific, bilateral lower extremity accommodations in gait mechanics. These accommodations persist 3 months following surgical repair...

..The results in terms of ankle function and stability did not deteriorate with time and there was little restriction in movement. This procedure is simple and effective with a very low rate of complications...

..We concluded that, though SIS xenografting may be effective in other areas of the body for tendon healing, its use in reinforcement of large and massive rotator cuff repairs seems to be ineffective and does not improve clinical outcome...

..LEVEL OF EVIDENCE: Level I, therapeutic prospective randomized trial...

..This finding suggests residual laxities remain when ACL reconstruction is performed in patients with combined ACL+MCL lesion, and raises the question of addressing the MCL ligament when Grade II laxity is found...

..It remains to be proven whether the magnitude of differences between groups is clinically significant...

..This paper will focus on 2 of the more common ones: (1) a 2-incision technique using a bone tunnel and (2) a 1-incision technique with suture anchors. Both of these techniques have been shown to produce similarly good clinical results...

..This study showed that most patients were satisfied with their shoulders. There was a high rate of radiologic arthrosis, but in most patients it caused limited restriction of movement as the only symptom...

..Thus, parameters other than measurable knee stability must be responsible for the inferior results of the revision reconstruction group...

..The best outcome was achieved when the sumscore was small; that is the graft placement showed posterior enough in the femur, and anterior enough in the tibia...

..This, however, requires a thorough understanding of the MRI pattern of involvement of the atlanto-axial complex that is difficult in non-endemic areas...

..001 for all scores). Overall, 50 patients (92.6%) were satisfied with the outcome of their procedure. The early results of trochleoplasty are encouraging in this challenging group of patients...

..Of the patients, 53% were satisfied in group I, 64% in group II, 67% in group III, and 97% in group IV...

..This raises concern about the indications for hamstring lengthening in this patient group...

..The results were excellent in twenty-four patients, good in one and poor in one. Release of the common extensor origin appears as a commendable treatment in patients with lateral epicondylar pain not relieved by conservative management...

..The radiographic assessment revealed a moderate radiological deterioration. From the clinical viewpoint, the elbow function is maintained for a long time and valuable time is gained before reconstructive surgery may become necessary...