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(orthopedic) from:2005 to:2010)

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101. Neuro-Orthopedic Manifestations of the Omphalocele Exstrophy Imperforate Anus Spinal Defects Complex. (Abstract)

Neuro-Orthopedic Manifestations of the Omphalocele Exstrophy Imperforate Anus Spinal Defects Complex. The omphalocele-exstrophy-imperforate anus-spinal defects complex is a severe multisystem congenital defect. To comprehensively care for these patients one must appreciate the neurological and orthopedic impact on the overall health of the child.We retrospectively reviewed the medical records of 73 children with omphalocele-exstrophy-imperforate anus-spinal defects who were treated at our (...) institution, identifying neurological and orthopedic anomalies, ambulatory ability and voiding status.No neurological data were available on 5 patients. Of the remaining 68 patients 9 had no spinal anomaly, 57 had spina bifida, 1 had hemivertebrae and 1 had coccygeal hypoplasia. We further classified the 47 spina bifida cases as spina bifida occulta in 6, meningocele/lipomeningocele in 12, myelomeningocele/lipomyelomeningocele in 24 and sacral agenesis in 6. Of the patients with spina bifida 35 had cord

2010 Journal of Urology

102. Orthopedic pitfalls in the ED: neurovascular injury associated with posterior elbow dislocations. (Abstract)

Orthopedic pitfalls in the ED: neurovascular injury associated with posterior elbow dislocations. Posterior elbow dislocations are the most common type of elbow dislocation and are usually caused by a fall on an outstretched hand. Although the incidence of elbow dislocation complications is rare, the emergency physician is responsible for evaluation and identification of concomitant neurovascular injuries. Failure to identify neurovascular compromise after elbow dislocation or reduction can

2010 American Journal of Emergency Medicine

103. Usefulness of N-terminal pro-brain natriuretic Peptide to predict postoperative cardiac complications and long-term mortality after emergency lower limb orthopedic surgery. (Abstract)

Usefulness of N-terminal pro-brain natriuretic Peptide to predict postoperative cardiac complications and long-term mortality after emergency lower limb orthopedic surgery. After emergency orthopedic-geriatric surgery, cardiac complications are an important cause of morbidity and mortality. The utility of N-terminal pro-brain natriuretic peptide (NT-pro-BNP) for the prediction of cardiac complications and mortality was evaluated. NT-pro-BNP was tested pre- and postoperatively in 89 patients >60 (...) . In conclusion, increase pre- and postoperative NT-pro-BNP levels are independent predictors of in-hospital cardiac events and 1- and 2-year mortality in older patients undergoing emergency orthopedic surgery.Crown Copyright 2010. Published by Elsevier Inc. All rights reserved.

2010 American Journal of Cardiology

104. Invasive group B streptococcal disease in an orthopaedic unit. (Abstract)

Invasive group B streptococcal disease in an orthopaedic unit. Invasive group B streptococcus (GBS) is an increasing cause of infection in orthopaedic patients. Risk factors include increasing age, diabetes mellitus and immune deficiency. It may cause native and periprosthetic joint sepsis, cellulitis, fasciitis, soft tissue abscesses and osteomyelitis. We describe the epidemiology and outcome from GBS infection in a large cohort of general orthopaedic patients. All those presenting to our

2010 Journal of Hospital Infection

105. 100 Most Cited Articles in Orthopaedic Surgery. Full Text available with Trip Pro

100 Most Cited Articles in Orthopaedic Surgery. Citation analysis reflects the recognition a work has received in the scientific community by its peers, and is a common method to determine 'classic' works in medical specialties.We determined which published articles in orthopaedic journals have been most cited by other authors by ranking the 100 top-cited works. By analyzing characteristics of these articles, we intended to determine what qualities make an orthopaedic article important (...) to the specialty. Finally, we determined if there was a change in level of evidence of studies on this list with time.Science Citation Index Expanded was searched for citations to articles published in any of the 49 journals in the subject category "ORTHOPEDICS." Each of the 49 journals was searched separately using the "cited reference search" to determine the 100 most often cited articles. Each article was reviewed for basic information including year of publication, country of origin, source journal

2010 Clinical Orthopaedics and Related Research

106. Image-guided navigation in orthopaedic trauma. (Abstract)

Image-guided navigation in orthopaedic trauma. Fluoronavigation is an image-guided technology which uses intra-operative fluoroscopic images taken under a real-time tracking system and registration to guide surgical procedures. With the skeleton and the instrument registered, guidance under an optical tracking system is possible, allowing fixation of the fracture and insertion of an implant. This technology helps to minimise exposure to x-rays, providing multiplanar views for monitoring (...) and accurate positioning of implants. It allows real-time interactive quantitative data for decision-making and expands the application of minimally invasive surgery. In orthopaedic trauma its use can be further enhanced by combining newer imaging technologies such as intra-operative three-dimensional fluoroscopy and optical image guidance, new advances in software for fracture reduction, and new tracking mechanisms using electromagnetic technology. The major obstacles for general and wider applications

2010 The Journal of Bone and Joint Surgery British Volume

107. The 100 classic papers of orthopaedic surgery: a bibliometric analysis. Full Text available with Trip Pro

The 100 classic papers of orthopaedic surgery: a bibliometric analysis. The credibility and creativity of an author may be gauged by the number of scientific papers he or she has published, as well as the frequency of citations of a particular paper reflecting the impact of the data on the area of practice. The object of this study was to identify and analyse the qualities of the top 100 cited papers in orthopaedic surgery. The database of the Science Citation Index of the Institute (...) for Scientific Information (1945 to 2008) was used. A total of 1490 papers were cited more than 100 times, with the top 100 being subjected to further analysis. The majority originated in the United States, followed by the United Kingdom. The top 100 papers were published in seven specific orthopaedic journals. Analysis of the most-cited orthopaedic papers allows us a unique insight into the qualities, characteristics and clinical innovations required for a paper to attain 'classic' status.

2010 The Journal of Bone and Joint Surgery British Volume

108. Pregnancy outcomes after orthopedic trauma. (Abstract)

Pregnancy outcomes after orthopedic trauma. This study was performed to determine the effects of orthopedic trauma on pregnancy outcomes in pregnant trauma patients.This was an observational study completed after electronically linking databases for the obstetric service and the trauma service at our Level I trauma center. All pregnant women who presented during the years 1995 to 2007 were eligible for inclusion. Selected pregnancy outcomes in women who delivered at our trauma center during (...) or after their trauma admission were evaluated according to the presence of orthopedic injuries. Statistical analyses were performed using χ, Student's t test, and Wilcoxon rank-sum test; and p < 0.05 are considered statistically significant.There were 65 pregnant women with orthopedic injuries (6%) and 990 without orthopedic injuries. Women with orthopedic trauma had an average gestational age of 28 weeks versus 31 weeks for women without orthopedic trauma. Compared with the patients without

2010 Journal of Trauma

109. Clinically significant thromboembolic disease in orthopedic oncology: an analysis of 986 patients treated with low-molecular-weight heparin. (Abstract)

Clinically significant thromboembolic disease in orthopedic oncology: an analysis of 986 patients treated with low-molecular-weight heparin. Thromboembolic risk in orthopedic oncology is high due to several factors. The aim of this study was to assess clinically significant thromboembolic disease in 986 patients operated on with a prosthetic reconstruction of the lower limbs after the resection of bone tumors and prophylactically treated with low-molecular-weight heparin (LMWH).Between 1983 (...) of symptomatic venous thromboembolism (VTE) was established or excluded on clinical evidence and MRI study.Among the 986 cases treated, only 11 patients (1.1%) showed a major thromboembolic event confirmed clinically and through imaging. One of these patients died with pulmonary embolism a few days after surgery. Two cases of thromboembolism occurred in patients with a vascular bypass.Despite general oncologic and orthopedic factors favoring VTE, the clinical occurrence of this event was extremely low

2010 Journal of Surgical Oncology

110. Competing risks survival analysis applied to data from the Australian Orthopaedic Association National Joint Replacement Registry. Full Text available with Trip Pro

Competing risks survival analysis applied to data from the Australian Orthopaedic Association National Joint Replacement Registry. The Kaplan-Meier (KM) method is often used in the analysis of arthroplasty registry data to estimate the probability of revision after a primary procedure. In the presence of a competing risk such as death, KM is known to overestimate the probability of revision. We investigated the degree to which the risk of revision is overestimated in registry data.We compared

2010 Acta Orthopaedica

111. Young-Burgess classification of pelvic ring fractures: does it predict mortality, transfusion requirements, and non-orthopaedic injuries? Full Text available with Trip Pro

Young-Burgess classification of pelvic ring fractures: does it predict mortality, transfusion requirements, and non-orthopaedic injuries? The objectives of this study were to evaluate the ability of the Young-Burgess classification system to predict mortality, transfusion requirements, and nonorthopaedic injuries in patients with pelvic ring fractures and to determine whether mortality rates after pelvic fractures have changed over time.Retrospective review.Level I trauma center.One thousand

2010 Journal of Orthopaedic Trauma

112. The Role of SIGN in the Development of a Global Orthopaedic Trauma Database. Full Text available with Trip Pro

The Role of SIGN in the Development of a Global Orthopaedic Trauma Database. The global burden of injury is receiving recognition as a major public health problem but inadequate information delays many proposed solutions. Many attempts to collect reliable data on orthopaedic trauma have been unsuccessful. The Surgical Implant Generation Network (SIGN) database is one of the largest collections of fracture cases from lower and middle income countries.We describe the information in the SIGN

2010 Clinical Orthopaedics and Related Research

113. Assuring the research competence of orthopedic graduates. (Abstract)

Assuring the research competence of orthopedic graduates. To assure that orthopaedic residents have the knowledge needed to critically appraise the medical/surgical literature and the skills needed to design and conduct musculoskeletal and orthopaedic research.Residency program of the Department of Orthopaedic Surgery, Sports Medicine and Rehabilitation at Wright State University Boonshoft School of Medicine, Dayton, Ohio.Established in 2005, members of the residency program's Research Team (RT (...) ) include orthopaedic faculty and residents, university faculty and graduate students, community scientists, and department staff.The membership and responsibilities of the Research Team are described. The goals of the three-month research rotation during the second year of residency and the activities of the assigned resident are reported. The work of the two research residents during the second year of their six-year program is explained. Helpful educational resources are noted, the role

2010 Journal of Surgical Education

114. Educational resources for the orthopedic in-training examination. (Abstract)

Educational resources for the orthopedic in-training examination. Various educational tools are available for the Orthopedic In-Training Examination (OITE). However, many residents are unsure of which resources are the most useful. This study assessed what educational resources residents consider to be most useful and how the top performers prepare for the examination.A web-based survey was distributed to orthopedic residency programs. Residents indicated their program type, year in residency (...) . The journal that was most commonly used by orthopedic residents to prepare for the OITE was the Journal of the American Academy of Orthopedic Surgeons (n = 257, 71%). However, this journal was the third most frequently cited reference for the OITE. Past OITE questions were the highest scored resource with 215 (60%) residents rating them as a 4 ("very useful"). The residents who scored in the top 20% participated in more surgical cases than the other residents (53% vs 35% with 350 or more cases in each

2010 Journal of Surgical Education

115. Evaluation of the orthopaedic in-training examination: spine questions. (Abstract)

Evaluation of the orthopaedic in-training examination: spine questions. The annual Orthopaedic In-Training Examination (OITE) is an objective evaluation administered annually to all residents by the American Academy of Orthopaedic Surgeons. To our knowledge, there are no guidelines for the type of material included on the examination; therefore, it is difficult for many academic centers to develop education programs directed toward improving resident performance on the OITE. Our goals were (...) topics and question types will better prepare orthopedic residents for the spine questions on the OITE.Copyright (c) 2010 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.

2010 Journal of Surgical Education

116. Prioritizing perioperative quality improvement in orthopaedic surgery. (Abstract)

Prioritizing perioperative quality improvement in orthopaedic surgery. Surgical quality improvement has received increasing attention in recent years, but it is not clear where orthopaedic surgeons should focus their efforts for the greatest impact on perioperative safety and quality. We sought to guide these efforts by prioritizing orthopaedic procedures according to those that generate the greatest number of adverse events.We used data from the American College of Surgeons National Surgical (...) Quality Improvement Program (ACS NSQIP) to identify all patients who had undergone an orthopaedic surgical procedure between 2005 and 2007 (n = 7970). Patients were assigned to forty-four unique procedure groups on the basis of the Current Procedural Terminology (CPT) codes. We first assessed the relative contribution of each procedure group to the overall number of adverse events in the first thirty postoperative days, and we followed that with a description of their relative contribution

2010 The Journal of Bone and Joint Surgery. American Volume

117. Institutional Prescreening for Detection and Eradication of Methicillin-Resistant Staphylococcus aureus in Patients Undergoing Elective Orthopaedic Surgery. Full Text available with Trip Pro

Institutional Prescreening for Detection and Eradication of Methicillin-Resistant Staphylococcus aureus in Patients Undergoing Elective Orthopaedic Surgery. Surgical site infection has been identified as one of the most important preventable sources of morbidity and mortality associated with medical treatment. The purpose of the present study was to evaluate the feasibility and efficacy of an institutional prescreening program for the preoperative detection and eradication of both methicillin (...) -resistant and methicillin-sensitive Staphylococcus aureus in patients undergoing elective orthopaedic surgery.Data were collected prospectively during a single-center study. A universal prescreening program, employing rapid polymerase chain reaction analysis of nasal swabs followed by an eradication protocol of intranasal mupirocin and chlorhexidine showers for identified carriers, was implemented. Surgical site infection rates were calculated and compared with a historical control period immediately

2010 The Journal of Bone and Joint Surgery. American Volume

118. Quality and content of internet-based information for ten common orthopaedic sports medicine diagnoses. (Abstract)

Quality and content of internet-based information for ten common orthopaedic sports medicine diagnoses. Although the use of the Internet to access health information has grown quickly, the emergence of quality controls for health information web sites has been considerably slower. The primary objective of this study was to assess the quality and content of Internet-based information for commonly encountered diagnoses within orthopaedic sports medicine.Ten common diagnoses within the scope (...) of orthopaedic sports medicine were chosen. Custom grading templates were developed for each condition, and they included an assessment of web-site type, the accountability and transparency of the information (Health On the Net Foundation [HON] score), and the information content. Information content was divided into five subcategories: disease summary, pathogenesis, diagnostics, treatment and complications, and outcomes and prognosis. Two popular search engines were used, and the top ten sites from each

2010 The Journal of Bone and Joint Surgery. American Volume

119. Effect of physician ownership of specialty hospitals and ambulatory surgery centers on frequency of use of outpatient orthopedic surgery. Full Text available with Trip Pro

Effect of physician ownership of specialty hospitals and ambulatory surgery centers on frequency of use of outpatient orthopedic surgery. Physician-owned specialty hospitals and ambulatory surgery centers have become commonplace in many markets throughout the United States. Little is known about whether the financial incentives linked to ownership affect frequency of outpatient surgery.To evaluate if financial incentives linked to physician ownership influence frequency of outpatient orthopedic (...) surgical procedures.We analyzed 5 years of claims data from a large private insurer in Idaho to compare frequency by orthopedic surgeon owners and nonowners of surgical procedures that could be performed in either ambulatory surgery centers or hospital outpatient surgery departments.Frequency of use, calculated as number of patients treated with the specific diagnoses who received the surgical procedure of interest divided by the number of patients with such diagnoses treated by each physician.Age

2010 Archives of Surgery

120. Statistical consideration for bilateral cases in orthopaedic research. (Abstract)

Statistical consideration for bilateral cases in orthopaedic research. Statistical independence means that one observation is not affected by another; however, the principle of statistical independence is violated if left and right-side measures within a subject are considered to be independent, because they are usually correlated and can affect each other. The purpose of the present study was to analyze the violation of statistical independence in recent orthopaedic research papers

2010 The Journal of Bone and Joint Surgery. American Volume

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