Clinical orthopaedics and related research
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Clin. Orthop. Relat. Res. · Mar 2011
What is the incidence and severity of dysphagia after anterior cervical surgery?
Existing studies suggest a relatively high incidence of dysphagia after anterior cervical decompression and fusion (ACDF). The majority of these studies, however, are retrospective in nature and lack a control group. ⋯ Level II, prospective, comparative study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Mar 2011
Femur fractures in the pediatric population: abuse or accidental trauma?
Child abuse represents a serious threat to the health and well-being of the pediatric population. Orthopaedic specialists will often become involved when child abuse is suspected as a result of the presence of bony injury. Distinguishing abuse from accidental trauma can be difficult and is often based on clinical suspicion. ⋯ Level III, diagnostic study. See Guidelines for Authors for a complete description of levels of evidence.
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Clin. Orthop. Relat. Res. · Mar 2011
ReviewChild abuse: the role of the orthopaedic surgeon in nonaccidental trauma.
Child abuse presents in many different forms: physical, sexual, psychological, and neglect. The orthopaedic surgeon is involved mostly with physical abuse but should be aware of the other forms. There is limited training regarding child abuse, and the documentation is poor when a patient is at risk for abuse. There is a considerable risk to children when abuse is not recognized. ⋯ The role of the orthopaedic surgeon in suspected cases of child abuse includes (1) obtaining a good history and making a thorough physical examination; (2) obtaining the appropriate radiographs and notifying the appropriate services; and (3) participating in and communicating with a multidisciplinary team to manage the patients.
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Clin. Orthop. Relat. Res. · Mar 2011
Sagittal segmental alignment as predictor of adjacent-level degeneration after a cloward procedure.
The Cloward anterior interbody fusion is commonly performed for cervical disc herniation or spondylosis. In followup studies, various authors have noted clinically relevant adjacent-level degeneration. However, factors associated with adjacent-level degeneration are not well known. ⋯ Level II, prognostic study. See Guidelines for Authors for a complete description of levels of evidence.