The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Sep 2007
Comparative StudyRemoval of painful orthopaedic implants after fracture union.
Persistent pain in the region of implanted hardware following fracture fixation commonly leads to implant removal. This prospective study evaluated patient outcomes and pain reduction following removal of orthopaedic hardware implanted for fracture fixation. ⋯ Following fracture-healing, removal of hardware is safe with minimal risk. Improvement in pain relief and function can be expected.
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J Bone Joint Surg Am · Sep 2007
Randomized Controlled Trial Comparative StudyMinimally invasive hip arthroplasty: what role does patient preconditioning play?
The benefits of minimally invasive total hip arthroplasty continue to be debated. The objective of this study was to investigate the role of patient education, accelerated rehabilitation, and improved pain control on the outcome of total hip arthroplasty performed through a small incision. ⋯ This study highlights the importance of factors such as family education, patient preconditioning, preemptive analgesia, and accelerated preoperative and postoperative rehabilitation in influencing the outcome of total hip arthroplasty. The aforementioned factors, and not the surgical technique per se, may play a major role in imparting the better outcome after minimally invasive total hip arthroplasty that has been reported by various investigators.
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J Bone Joint Surg Am · Sep 2007
Comparative StudyFollow-up on misrepresentation of research activity by orthopaedic residency applicants: has anything changed?
In our previous study, published in 1999, we showed that 18% of research citations listed as published by orthopaedic residency applicants were misrepresented. Since our last report, we sought to determine whether there had been any change in the behavior of applicants wishing to pursue the field of orthopaedic surgery. ⋯ The prevalence of misrepresented research publications from orthopaedic surgery residency applicants increased modestly to 20.6% compared with that found in our original report (18%). As we recommended in our last report, we strongly urge residency programs to require applicants to submit reprints of their publications with their residency applications. Perhaps standardized guidelines should be developed to help to prevent misrepresentation through the Electronic Residency Application Service.