The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Nov 2012
Shoulder arthroscopy simulator performance correlates with resident and shoulder arthroscopy experience.
The technical skills required to perform arthroscopy are multifaceted and require supervised training and repetition. Obtaining this basic arthroscopic skill set can be costly and time-consuming. Simulation may represent a viable training source for basic arthroscopic skills. Our goal was to evaluate the correlation between timed task performance on an arthroscopic shoulder simulator and both resident experience and shoulder arthroscopy experience. ⋯ This study suggests that greater resident clinical experience and shoulder arthroscopy experience are both reflected in improved performance of basic tasks on a shoulder simulator. These findings warrant further investigation to determine if training on a validated arthroscopic shoulder simulator would improve clinical arthroscopic skills.
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J Bone Joint Surg Am · Nov 2012
Hemostatic techniques reduce hospital stay following multilevel posterior cervical spine surgery.
Despite meticulous hemostasis, persistent postoperative drain output following posterior cervical spine procedures often necessitates a prolonged length of hospital stay. We sought to determine if thrombin-soaked absorbable gelatin compressed sponge can decrease postoperative drain output and the length of hospital stay after multilevel posterior cervical spine surgery. ⋯ Therapeutic Level III.
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J Bone Joint Surg Am · Nov 2012
Randomized Controlled Trial Comparative StudyTotal hip replacement versus open reduction and internal fixation of displaced femoral neck fractures: a randomized long-term follow-up study.
Clinical trials with short and intermediate-term follow-up have demonstrated superior results for total hip replacement as compared with internal fixation with regard to hip function and the need for secondary surgery in elderly patients with a displaced intracapsular femoral neck fracture. The aim of the present study was to compare the results of total hip replacement with those of internal fixation over a long-term follow-up period of seventeen years. ⋯ Therapeutic Level I.
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J Bone Joint Surg Am · Nov 2012
Comparative StudyRisk of revision for fixed versus mobile-bearing primary total knee replacements.
Mobile-bearing total knee arthroplasty prostheses were developed to reduce wear and revision rates; however, these benefits remain unproven. The purposes of this study were to compare the short-term survivorship and to determine risk factors for revision of mobile-bearing and fixed-bearing total knee replacements. ⋯ Therapeutic Level II.