The Journal of bone and joint surgery. American volume
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J Bone Joint Surg Am · Aug 2014
Multicenter Study Comparative StudyThirty-Day Morbidity After Single-Level Anterior Cervical Discectomy and Fusion: Identification of Risk Factors and Emphasis on the Safety of Outpatient Procedures.
Risk factors for complication after single-level anterior cervical discectomy and fusion remain poorly defined. The purpose of this study was to identify the incidence and risk factors for complication from a large, prospectively collected database, with a separate emphasis on the safety of outpatient procedures. ⋯ Prognostic Level III. See Instructions for Authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Aug 2014
Multicenter StudyDeep Surgical Site Infection Following 2344 Growing-Rod Procedures for Early-Onset Scoliosis: Risk Factors and Clinical Consequences.
Deep surgical site infection may change the course of growing-rod treatment of early-onset scoliosis. Our goal was to assess the effect of this complication on subsequent treatment. ⋯ Therapeutic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Aug 2014
Comparative StudyReduction and Stabilization of Depressed Articular Tibial Plateau Fractures: Comparison of Inflatable and Conventional Bone Tamps: Study of a Cadaver Model.
Restoration of articular congruity and mechanical integrity of subchondral bone are important surgical goals of the treatment of intra-articular fractures. The purpose of this study was to compare the reduction quality and biomechanical integrity between cadaveric intra-articular tibial plateau fractures reduced with an inflatable bone tamp and contralateral fractures reduced with a series of cylindrical conventional metal bone tamps. ⋯ Using an inflatable bone tamp in association with calcium phosphate bone-void filler to reduce and maintain reduction of an articular fracture may help in achieving the surgical goal of a more anatomic reduction with better resistance to subsidence.
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J Bone Joint Surg Am · Jul 2014
Trends in the Incidence and In-Hospital Outcomes of Elective Major Orthopaedic Surgery in Patients Eighty Years of Age and Older in the United States from 2000 to 2009.
Although life expectancy continues to increase worldwide and advances occur in surgical techniques and medical treatment, the chronological age limit for patients to undergo elective major orthopaedic procedures remains a controversial subject. The purpose of this study was to examine the trends in the incidence and in-hospital outcomes of elective major orthopaedic surgery in patients eighty years of age and older in the United States as a whole. ⋯ Prognostic Level IV. See Instructions for Authors for a complete description of levels of evidence.
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J Bone Joint Surg Am · Jul 2014
Multicenter StudyOsteoarthritis Classification Scales: Interobserver Reliability and Arthroscopic Correlation.
Osteoarthritis of the knee is commonly diagnosed and monitored with radiography. However, the reliability of radiographic classification systems for osteoarthritis and the correlation of these classifications with the actual degree of confirmed degeneration of the articular cartilage of the tibiofemoral joint have not been adequately studied. ⋯ Diagnostic Level I. See Instructions for Authors for a complete description of levels of evidence.