Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Jul 2013
ReviewStaphylococcus aureus screening and decolonization in orthopaedic surgery and reduction of surgical site infections.
Staphylococcus aureus is the most common organism responsible for orthopaedic surgical site infections (SSIs). Patients who are carriers for methicillin-sensitive S. aureus or methicillin-resistant S. aureus (MRSA) have a higher likelihood of having invasive S. aureus infections. Although some have advocated screening for S. aureus and decolonizing it is unclear whether these efforts reduce SSIs. ⋯ Level IV, systematic review of Level I-IV studies. See the Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Jul 2013
Review Case ReportsCase reports: acetabular damage after mild slipped capital femoral epiphysis.
Slipped capital femoral epiphysis (SCFE) is a common hip problem in adolescents that results in a cam-type femoroacetabular impingement (FAI) deformity. Although the treatment for mild (slip angle of 0°-30°) and moderate (slip angle of 31°-60°) SCFE has historically been in situ fixation, recent studies have demonstrated impingement-related articular damage, irrespective of slip severity. Our series confirms previous reports that acetabular chondral injury occurs in mild to low-moderate (slip angle of ≤ 40°) SCFE. ⋯ Further study is warranted to determine whether immediate osteoplasty after in situ fixation of mild SCFE is beneficial to limit articular damage and improve long-term outcomes.
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Clin. Orthop. Relat. Res. · Jul 2013
Comparative StudyImpact of preoperative MRSA screening and decolonization on hospital-acquired MRSA burden.
Hospital-acquired infections caused by methicillin-resistant Staphylococcus aureus (MRSA) are a source of morbidity and mortality. S. aureus is the most common pathogen in prosthetic joint infections and the incidence of MRSA is increasing. ⋯ Implementation of a staphylococcal decolonization protocol at a single specialty orthopaedic hospital decreased the prevalence density of MRSA.
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Clin. Orthop. Relat. Res. · Jul 2013
The influence of botulinum toxin A injections into the calf muscles on genu recurvatum in children with cerebral palsy.
With cerebral palsy (CP), an equinus deformity may lead to genu recurvatum. Botulinum toxin A (BtA) injection into the calf muscles is a well-accepted treatment for dynamic equinus deformity. ⋯ Level IV, therapeutic study. See Guidelines for Authors for a complete description of levels of evidence.