Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Nov 2014
Comparative StudyA novel system improves preservation of osteochondral allografts.
Osteochondral allografting is an option for successful treatment of large articular cartilage defects. Use of osteochondral allografting is limited by graft availability, often because of loss of chondrocyte viability during storage. ⋯ These findings provide a promising development in osteochondral allograft technology that can benefit the quantity of grafts available for use and the quality of grafts being implanted.
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Clin. Orthop. Relat. Res. · Nov 2014
Randomized Controlled Trial Comparative StudyDoes advanced cryotherapy reduce pain and narcotic consumption after knee arthroplasty?
Cryotherapy has been used to enhance recovery after orthopaedic surgery. Several cooling devices are available but few can guarantee a fixed temperature during a prolonged time and therefore have been criticized. The arrival of new advanced cryotherapy devices made it possible to test the effect of prolonged cooling on rehabilitation after joint replacement. ⋯ Level II, 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
Surgery for hip fracture yields societal benefits that exceed the direct medical costs.
A hip fracture is a debilitating condition that consumes significant resources in the United States. Surgical treatment of hip fractures can achieve better survival and functional outcomes than nonoperative treatment, but less is known about its economic benefits. ⋯ Level III, economic and decision analyses. See the Instructions for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Nov 2014
A surgical approach algorithm for transverse posterior wall fractures aids in reduction quality.
Transverse posterior wall fractures are difficult to treat and historically have been associated with stiffness, posttraumatic arthritis, and pain, which correlate with the reduction. The Kocher-Langenbeck approach is used most often, whereas the extended iliofemoral approach has been reserved for more complex injury patterns. The latter approach has substantially more risks. No data to our knowledge exist on the use of sequential anterior and posterior approaches for this pattern. ⋯ Level IV, case series. See the Guidelines for Authors for a complete description of levels of evidence.