Recently added articles from Journal of Bone and Joint Surgery:
Strategies for blood management in orthopaedic and trauma surgery
Sep 01, 2008; Lemaire, R ... Several aspects of the management of an orthopaedic surgical patient are not directly related to the surgical technique but are nevertheless essential for a successful outcome. Blood management is one of these. This paper considers the various strategies available for the management of blood ...
CME QUESTIONS - July 2008
Sep 01, 2008; Anonymous ... The questions are based on the review articles, aspects of current management and annotations that have appeared in the journal over the last quarter. If a reader submits responses that reach a standard that suggests satisfactory assimilation of the material then a certificate will be earned ...
Revision of metal-on-metal resurfacing arthroplasty of the hip: THE INFLUENCE OF MALPOSITIONING OF THE COMPONENTS
Sep 01, 2008; De Haan, R; Campbell, P A; Su, E P; De Smet, K A ... We have reviewed 42 patients who had revision of metal-on-metal resurfacing procedures, mostly because of problems with the acetabular component. The revisions were carried out a mean of 26.2 months (1 to 76) after the initial operation and most of the patients (30) were ...
Patient-reported outcomes after fixed- versus mobile-bearing total knee replacement: A MULTI-CENTRE RANDOMISED CONTROLLED TRIAL USING THE KINEMAX TOTAL KNEE REPLACEMENT
Sep 01, 2008; Wylde, V; Learmonth, I; Potter, A; Bettinson, K; Lingard, E ... We compared patient-reported outcomes of the Kinemax fixed- and mobile-bearing total knee replacement in a multi-centre randomised controlled trial. Patients were randomised to the fixed- or the mobile-bearing prosthesis via a sealed envelope method after the bone cuts had been made in the ...
The effect of component size and orientation on the concentrations of metal ions after resurfacing arthroplasty of the hip
Sep 01, 2008; Langton, D J; Jameson, S S; Joyce, T J; Webb, J; Nargol, A V F ... Increased concentrations of metal ions after metal-on-metal resurfacing arthroplasty of the hip remain a concern. Although there has been no proven link to long-term health problems or early prosthetic failure, variables associated with high metal ion concentrations should be identified and, if ...
The exercise-related rise in plasma cobalt levels after metal-on-metal hip resurfacing arthroplasty
Sep 01, 2008; Khan, M; Kuiper, J-H; Richardson, J B ... Wear of metal-on-metal bearings causes elevated levels of cobalt and chromium in blood and body fluids. Metal-on-metal bearings have two distinct wear phases. In the early phase, the wear rate is high. Later, it decreases and the bearing enters a steady-state phase. It is expected that as the ...
Alignment in total knee replacement
Sep 01, 2008; Sikorski, J M ... The advent of computer-assisted knee replacement surgery has focused interest on the alignment of the components. However, there is confusion at times between the alignment of the limb as a whole and that of the components. The interaction between them is discussed in this article. Alignment is ...
Birmingham hip resurfacing arthroplasty: A SERIES OF 110 CONSECUTIVE HIPS WITH A MINIMUM FIVE-YEAR CLINICAL AND RADIOLOGICAL FOLLOW-UP
Sep 01, 2008; Heilpern, G N A; Shah, N N; Fordyce, M J F ... We report the outcome at a minimum of five years of 110 consecutive metal-on-metal Birmingham Hip Resurfacing arthroplasties in 98 patients. The procedures were performed between October 1999 and June 2002 by one surgeon. All patients were followed up clinically and radiologically. The mean ...
Evaluation of impingement of the anterior tibial post during gait in a posteriorly-stabilised total knee replacement
Sep 01, 2008; Hamai, S; Miura, H; Higaki, H; Shimoto, T; Matsuda, S; Iwamoto, Y ... Mechanical failure because of wear or fracture of the polyethylene tibial post in posteriorly-stabilised total knee replacements has been extensively described. In this study of 12 patients with a clinically and radiologically successful NexGen LPS posteriorly-stabilised prosthesis impingement ...
Arthroscopic medial release for medial compartment osteoarthritis of the knee: THE RESULT OF A SINGLE SURGEON SERIES WITH A MINIMUM FOLLOW-UP OF FOUR YEARS
Sep 01, 2008; Lyu, S-R ... The outcome of arthroscopic medial release of 255 knees in 173 patients for varying grades of osteoarthittis involving the medial compartment is reported. All operations were performed by a single surgeon between January 2001 and May 2003. The Knee Society score for pain and the patient's ...
The effect of closed- and open-wedge high tibial osteotomy on tibial slope: A RETROSPECTIVE RADIOLOGICAL REVIEW OF 120 CASES
Sep 01, 2008; El-Azab, H; Halawa, A; Anetzberger, H; Imhoff, A B; Hinterwimmer, S ... Radiographs of 110 patiente who had undergone 120 high tibial osteotomies (60 closedwedge, 60 open-wedge) were assessed for posterior tibial slope before and after operation, and before removal of the hardware. In the closed-wedge group the mean slope was 5.7° (SD 3.8) before and 2.4° (so 3.9) ...
Total elbow replacement for the management of the ankylosed or fused elbow
Sep 01, 2008; Peden, J P; Morrey, B F ... This study reports our experience with total elbow replacement for fused elbows. Between 1982 and 2004, 13 patients with spontaneously ankylosed elbows were treated with a linked semi-constrained non-custom total elbow implant. The mean age at operation was 54 years (24 to 80). The ...
Early magnetic resonance imaging compared with bone scintigraphy in suspected scaphoid fractures
Sep 01, 2008; Beeres, F J P; Rhemrev, S J; Hollander, P den; Kingma, L M; Meylaerts, S A G; Cessie, S le; Bartlema, K A; Hamming, J F; Hogervorst, M ... We evaluated 100 consecutive patients with a suspected scaphoid fracture but without evidence of a fracture on plain radiographs using MRI within 24 hours of injury, and bone scintigraphy three to five days after injury. The reference standard for a true radiologicallyoccult scaphoid fracture ...
A simple performance test for quantifying the severity of cervical myelopathy
Sep 01, 2008; Hosono, N; Sakaura, H; Mukai, Y; Kaito, T; Makino, T; Yoshikawa, H ... We evaluated 30 patients with cervical myelopathy before and after decompressive surgery and compared them with 42 healthy controls. All were asked to grip and release their fingers as rapidly as possible for 15 seconds. Films recorded with a digital camera were divided into three files of five ...
Bridging external fixation and supplementary Kirschner-wire fixation versus volar locked plating for unstable fractures of the distal radius: A RANDOMISED, PROSPECTIVE TRIAL
Sep 01, 2008; Egol, K; Walsh, M; Tejwani, N; McLaurin, T; Wynn, C; Paksima, N ... We performed a prospective, randomised trial to evaluate the outcome after surgery of displaced, unstable fractures of the distal radius. A total of 280 consecutive patients were enrolled in a prospective database and 88 identified who met the inclusion criteria for surgery. They were randomised ...
Peri-acetabular resection and endoprosthetic reconstruction for tumours of the acetabulum
Sep 01, 2008; Jaiswal, P K; Aston, W J S; Grimer, R J; Abudu, A; Carter, S; Blunn, G; Briggs, T W R; Cannon, S ... We treated 98 patients with peri-acetabular tumours by resection and reconstruction with a custom-made pelvic endoprosthesis. The overall survival of the patients was 67% at five years, 54% at ten years and 51% at 30 years. One or more complications occurred in 58.1% of patients (54), of which ...
Delaying treatment of supracondylar fractures in children: HAS THE PENDULUM SWUNG TOO FAR?
Sep 01, 2008; Ramachandran, M; Skaggs, D L; Crawford, H A; Eastwood, D M; Lalonde, F D; Vitale, M G; Do, T T; Kay, R M ... The aim of this retrospective multicentre study was to report the continued occurrence of compartment syndrome secondary to paediatric supracondylar humeral fractures in the period 1995 to 2005. The inclusion criteria were children with a closed, low-energy supracondylar fracture with no ...
Residual pelvic rotation after single-event multilevel surgery in spastic hemiplegia
Sep 01, 2008; Chung, C Y; Lee, S H; Choi, I H; Cho, T-J; Yoo, W J; Park, M S ... Our aim in this retrospective study of 52 children with spastic hemiplegia was to determine the factors which affected the amount of residual pelvic rotation after single-event multilevel surgery. The patients were divided into two groups, those who had undergone femoral derotation ...
Steroid-induced osteonecrosis: THE NUMBER OF LESIONS IS RELATED TO THE DOSAGE
Sep 01, 2008; Zhang, N-F; Li, Z R; Wei, H-Y; Liu, Z-H; Hernigou, P ... Severe acute respiratory syndrome (SARS) is a newly described infectious disease caused by the SARS coronavirus which attacks the immune system and pulmonary epithelium. It is treated with regular high doses of corticosteroids. Our aim was to determine the relationship between the dosage of ...
The viability and proliferation of human chondrocytes following cryopreservation
Sep 01, 2008; Xia, Z; Murray, D; Hulley, P A; Triffitt, J T; Price, A J ... Human articular cartilage samples were retrieved from the resected material of patients undergoing total knee replacement. Samples underwent automated controlled freezing at various stages of preparation: as intact articular cartilage discs, as minced articular cartilage, and as chondrocytes ...