Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Nov 2014
Comparative StudyDo patients with insulin-dependent and noninsulin-dependent diabetes have different risks for complications after arthroplasty?
Patients with diabetes are known to be at greater risk for complications after arthroplasty than are patients without diabetes. However, we do not know whether there are important differences in the risk of perioperative complications between patients with diabetes who are insulin-dependent (Type 1 or 2) and those who are not insulin-dependent. ⋯ Level III, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Nov 2014
Managing acetabular fractures in the elderly with fixation and primary arthroplasty: aiming for early weightbearing.
Osteoporotic acetabular fractures in the elderly are becoming more common. Regardless of treatment, most patients are managed with a period of protected weightbearing, even if a THA has been performed. We have tried to treat these patients analogously to geriatric femoral neck fractures in a way that allows immediate full weightbearing. ⋯ Level IV, therapeutic study. See Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Nov 2014
What are the results using the modified trapdoor procedure to treat chondroblastoma of the femoral head?
Treatment of chondroblastoma in the femoral head is challenging owing to the particular location and its aggressive nature. There is little published information to guide the surgeon regarding the appropriate approach to treating a chondroblastoma in this location. We developed a modified trapdoor procedure to address this issue. The primary modification is that the window surface of the femoral head is covered by the ligamentum teres rather than cartilage as in the traditional procedure. ⋯ Level IV, therapeutic study. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Nov 2014
Comparative StudyMinorities are less likely to receive autologous blood transfusion for major elective orthopaedic surgery.
Surgeons commonly arrange for patients to perform autologous blood donation before elective orthopaedic surgery. Understanding sociodemographic patterns of use of autologous blood transfusion can help improve quality of care and cost containment. ⋯ Level II, prognostic study. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Nov 2014
Risk factors for the development of heterotopic ossification after acetabular fracture fixation.
Heterotopic ossification (HO) is a common complication of the operative treatment of acetabular fractures. Although the surgical approach has been shown to correlate with the development of ectopic bone, specific risk factors have not been elucidated. ⋯ Level IV, prognosticstudy. See Guidelines for Authors for a complete description of levels of evidence.