Clinical orthopaedics and related research
-
Clin. Orthop. Relat. Res. · May 2012
Limited intraobserver and interobserver reliability for the common measures of hip joint congruency used in dysplasia.
A congruent hip frequently is cited in the literature as a prerequisite for performing a reconstructive pelvic osteotomy for hip dysplasia. The designation as congruent is important as incongruent joints generally are regarded as requiring a salvage-type procedure. Several measures of congruency are described in the literature, but it is unclear whether these measures are reliable. ⋯ Hip congruency has long been cited as a requirement for a reconstructive pelvic osteotomy, but based on the above findings, there is no clear agreement regarding what comprises a congruent joint. Thus, better criteria are needed to assess preoperative hip congruency to determine the role of congruency in patient outcomes after surgery for hip dysplasia.
-
Clin. Orthop. Relat. Res. · May 2012
CD4 count is associated with postoperative infection in patients with orthopaedic trauma who are HIV positive.
Since the advent of effective antiretroviral therapy, the number of people with AIDS has increased and a certain percentage of these patients will require emergent orthopaedic surgery. Little is known regarding orthopaedic infections and the association of CD4 counts with postoperative infection in patients with HIV infection who experience orthopaedic trauma. ⋯ Level III, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.