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Investigating The Effects Of Tissue-Specific Extracellular Matrix On The Adipogenic And Osteogenic Differentiation Of Human Adipose-Derived Stromal Cells Within Composite Hydrogel Scaffolds, Arthi Shridhar, Brian G. Amsden, Elizabeth R. Gillies, Lauren E. Flynn Dec 2019

Investigating The Effects Of Tissue-Specific Extracellular Matrix On The Adipogenic And Osteogenic Differentiation Of Human Adipose-Derived Stromal Cells Within Composite Hydrogel Scaffolds, Arthi Shridhar, Brian G. Amsden, Elizabeth R. Gillies, Lauren E. Flynn

Bone and Joint Institute

© Copyright © 2019 Shridhar, Amsden, Gillies and Flynn. While it has been postulated that tissue-specific bioscaffolds derived from the extracellular matrix (ECM) can direct stem cell differentiation, systematic comparisons of multiple ECM sources are needed to more fully assess the benefits of incorporating tissue-specific ECM in stem cell culture and delivery platforms. To probe the effects of ECM sourced from decellularized adipose tissue (DAT) or decellularized trabecular bone (DTB) on the adipogenic and osteogenic differentiation of human adipose-derived stem/stromal cells (ASCs), a novel detergent-free decellularization protocol was developed for bovine trabecular bone that complemented our established detergent-free decellularization protocol …


Psychometric Properties Of The Global Rating Of Change Scales In Patients With Neck Disorders: A Systematic Review With Meta-Analysis And Meta-Regression, Pavlos Bobos, Joy Macdermid, Goris Nazari, Rochelle Furtado Nov 2019

Psychometric Properties Of The Global Rating Of Change Scales In Patients With Neck Disorders: A Systematic Review With Meta-Analysis And Meta-Regression, Pavlos Bobos, Joy Macdermid, Goris Nazari, Rochelle Furtado

Bone and Joint Institute

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objective The purpose of this systematic review was to critically appraise and synthesise the psychometric properties of Global Rating of Change (GROC) scales for assessment of patients with neck pain. Design Systematic review. Data sources A search was performed in four databases (MEDLINE, EMBASE, CINAHL, SCOPUS) until February 2019. Data extraction and synthesis Eligible articles were appraised using Consensus-based Standards for the selection of health Measurement Instruments checklist and the Quality Appraisal for Clinical Measurement Research Reports Evaluation Form. …


Systematic Review Of The Measurement Properties Of Performance-Based Functional Tests In Patients With Neck Disorders, Steven Mcgee, Taylor Sipos, Thomas Allin, Celia Chen, Alexandra Greco, Pavlos Bobos, Joy Macdermid Nov 2019

Systematic Review Of The Measurement Properties Of Performance-Based Functional Tests In Patients With Neck Disorders, Steven Mcgee, Taylor Sipos, Thomas Allin, Celia Chen, Alexandra Greco, Pavlos Bobos, Joy Macdermid

Bone and Joint Institute

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. Objectives The purpose of this systematic review is to identify and synthesise studies evaluating performance-based functional outcome measures designed to evaluate the functional abilities of patients with neck pain. Design Systematic review. Data sources A literature search using PubMed, Scopus, CINAHL, EMBASE, COCHRANE, Google Scholar and a citation mapping strategy was conducted until July 2019. Eligibility criteria More than half of the study's patient population had neck pain or a musculoskeletal neck disorder and completed a functional-based test. Clinimetric …


Machine Learning Groups Patients By Early Functional Improvement Likelihood Based On Wearable Sensor Instrumented Preoperative Timed-Up-And-Go Tests, Riley A. Bloomfield, Harley A. Williams, Jordan S. Broberg, Brent A. Lanting, Kenneth A. Mcisaac, Matthew G. Teeter Oct 2019

Machine Learning Groups Patients By Early Functional Improvement Likelihood Based On Wearable Sensor Instrumented Preoperative Timed-Up-And-Go Tests, Riley A. Bloomfield, Harley A. Williams, Jordan S. Broberg, Brent A. Lanting, Kenneth A. Mcisaac, Matthew G. Teeter

Bone and Joint Institute

© 2019 The Author(s) Background: Wearable sensors permit efficient data collection and unobtrusive systems can be used for instrumenting knee patients for objective assessment. Machine learning can be leveraged to parse the abundant information these systems provide and segment patients into relevant groups without specifying group membership criteria. The objective of this study is to examine functional parameters influencing favorable recovery outcomes by separating patients into functional groups and tracking them through clinical follow-ups. Methods: Patients undergoing primary unilateral total knee arthroplasty (n = 68) completed instrumented timed-up-and-go tests preoperatively and at their 2-, 6-, and 12-week follow-up appointments. A …


Effects Of 6 Months Of Exercise-Based Cardiac Rehabilitation On Autonomic Function And Neuro-Cardiovascular Stress Reactivity In Coronary Artery Disease Patients, Mark B. Badrov, Katelyn N. Wood, Sophie Lalande, Carolyn P. Sawicki, Lindsay J. Borrell, Carly C. Barron, Jennifer L. Vording, Arlene Fleischhauer, Neville Suskin, Cheri L. Mcgowan, J. Kevin Shoemaker Sep 2019

Effects Of 6 Months Of Exercise-Based Cardiac Rehabilitation On Autonomic Function And Neuro-Cardiovascular Stress Reactivity In Coronary Artery Disease Patients, Mark B. Badrov, Katelyn N. Wood, Sophie Lalande, Carolyn P. Sawicki, Lindsay J. Borrell, Carly C. Barron, Jennifer L. Vording, Arlene Fleischhauer, Neville Suskin, Cheri L. Mcgowan, J. Kevin Shoemaker

Bone and Joint Institute

Background Autonomic dysregulation represents a hallmark of coronary artery disease (CAD). Therefore, we investigated the effects of exercise-based cardiac rehabilitation (CR) on autonomic function and neuro-cardiovascular stress reactivity in CAD patients. Methods and Results Twenty-two CAD patients (4 women; 62±8 years) were studied before and following 6 months of aerobic- and resistance-training-based CR. Twenty-two similarly aged, healthy individuals (CTRL; 7 women; 62±11 years) served as controls. We measured blood pressure, muscle sympathetic nerve activity, heart rate, heart rate variability (linear and nonlinear), and cardiovagal (sequence method) and sympathetic (linear relationship between burst incidence and diastolic blood pressure) baroreflex sensitivity during …


Performance Of Qct-Derived Scapula Finite Element Models In Predicting Local Displacements Using Digital Volume Correlation, Jonathan Kusins, Nikolas Knowles, Melissa Ryan, Enrico Dall'ara, Louis Ferreira Sep 2019

Performance Of Qct-Derived Scapula Finite Element Models In Predicting Local Displacements Using Digital Volume Correlation, Jonathan Kusins, Nikolas Knowles, Melissa Ryan, Enrico Dall'ara, Louis Ferreira

Bone and Joint Institute

© 2019 Subject-specific finite element models (FEMs)of the shoulder complex are commonly used to predict differences in internal load distribution due to injury, treatment or disease. However, these models rely on various underlying assumptions, and although experimental validation is warranted, it is difficult to obtain and often not performed. The goal of the current study was to quantify the accuracy of local displacements predicted by subject-specific QCT-based FEMs of the scapula, compared to experimental measurements obtained by combining digital volume correlation (DVC)and mechanical loading of cadaveric specimens within a microCT scanner. Four cadaveric specimens were loaded within a microCT scanner …


Arthroscopy Association Of Canada Position Statement On Intra-Articular Injections For Knee Osteoarthritis, Michaela Kopka, Brendan Sheehan, Ryan Degen, Ivan Wong, Laurie Hiemstra, Olufemi Ayeni, Alan Getgood, Cole Beavis, Monika Volesky, Ross Outerbridge, Bogdan Matache Jul 2019

Arthroscopy Association Of Canada Position Statement On Intra-Articular Injections For Knee Osteoarthritis, Michaela Kopka, Brendan Sheehan, Ryan Degen, Ivan Wong, Laurie Hiemstra, Olufemi Ayeni, Alan Getgood, Cole Beavis, Monika Volesky, Ross Outerbridge, Bogdan Matache

Bone and Joint Institute

No abstract provided.


The Effect Of Wrist Position On Finger Tendon Loads Following Pulley Sectioning And Operative Reconstruction, Mohammad M. Haddara, B. Byers, Shrikant Chinchalkar, Louis M. Ferreira, Nina Suh Jul 2019

The Effect Of Wrist Position On Finger Tendon Loads Following Pulley Sectioning And Operative Reconstruction, Mohammad M. Haddara, B. Byers, Shrikant Chinchalkar, Louis M. Ferreira, Nina Suh

Bone and Joint Institute

© 2019 The Authors Purpose: Postoperative rehabilitation is important for maximizing patient outcomes after surgical pulley reconstruction. The purpose of this study was to identify the optimal wrist position in which rehabilitation should be undertaken to decrease the load on surgically reconstructed pulleys. Methods: We tested 14 digits composed of the index, middle, and ring fingers from 5 cadaveric specimens in a novel in vitro finger motion simulator designed to achieve full finger flexion and extension actively. Servo-motors were used to generate motion through tendons under load or position control while measuring tendon forces, joint range of motion, and tendon …


Lateral Compartment Contact Pressures Do Not Increase After Lateral Extra-Articular Tenodesis And Subsequent Subtotal Meniscectomy, Tomoyuki Shimakawa, Timothy A. Burkhart, Cynthia E. Dunning, Ryan M. Degen, Alan M. Getgood Jun 2019

Lateral Compartment Contact Pressures Do Not Increase After Lateral Extra-Articular Tenodesis And Subsequent Subtotal Meniscectomy, Tomoyuki Shimakawa, Timothy A. Burkhart, Cynthia E. Dunning, Ryan M. Degen, Alan M. Getgood

Bone and Joint Institute

© The Author(s) 2019. Background: Modified Lemaire lateral extra-articular tenodesis (LET) has been proposed as a method of addressing persistent anterolateral rotatory laxity after anterior cruciate ligament (ACL) reconstruction (ACLR). However, concerns remain regarding the potential for increasing lateral compartment contact pressures. Purpose: To investigate changes in tibiofemoral joint contact pressures after isolated ACLR and combined ACLR plus LET with varying states of a lateral meniscal injury. Study Design: Controlled laboratory study. Methods: Eight fresh-frozen cadaveric knee specimens (mean age, 60.0 ± 3.4 years) were utilized for this study, with specimens potted and loaded on a materials testing machine. A …


Maga Expression Attenuates Iron Export Activity In Undifferentiated Multipotent P19 Cells, Linshan Liu, Kobra Alizadeh, Sarah C. Donnelly, Praveen Dassanayake, Tian Tian Hou, Rebecca Mcgirr, R. Terry Thompson, Frank S. Prato, Neil Gelman, Lisa Hoffman, Donna E. Goldhawk Jun 2019

Maga Expression Attenuates Iron Export Activity In Undifferentiated Multipotent P19 Cells, Linshan Liu, Kobra Alizadeh, Sarah C. Donnelly, Praveen Dassanayake, Tian Tian Hou, Rebecca Mcgirr, R. Terry Thompson, Frank S. Prato, Neil Gelman, Lisa Hoffman, Donna E. Goldhawk

Bone and Joint Institute

© 2019 Liu et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Magnetic resonance imaging (MRI) is a non-invasive imaging modality used in longitudinal cell tracking. Previous studies suggest that MagA, a putative iron transport protein from magnetotactic bacteria, is a useful gene-based magnetic resonance contrast agent. Hem-agglutinin-tagged MagA was stably expressed in undifferentiated embryonic mouse teratocarcinoma, multipotent P19 cells to provide a suitable model for tracking these cells during differentiation. Western blot …


Effectiveness Of Home Fire Safety Interventions. A Systematic Review And Metaanalysis, Maya Senthilkumaran, Goris Nazari, Joy C. Macdermid, Karen Roche, Kim Sopko May 2019

Effectiveness Of Home Fire Safety Interventions. A Systematic Review And Metaanalysis, Maya Senthilkumaran, Goris Nazari, Joy C. Macdermid, Karen Roche, Kim Sopko

Bone and Joint Institute

© 2019 Senthilkumaran et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Purpose To assess the effectiveness of Home Fire Safety (HFS) interventions versus other interventions/ no interventions/controls on HFS knowledge and behaviour at short-, intermediateand long-term follow ups. Design Systematic review and meta-analysis of randomized controlled trials. Data sources MEDLINE, EMBASE and PubMed databases were searched from January 1998 to July 2018, and studies retrieved. Participants Toddlers, children (primary or secondary school), …


Appraisal Of Clinical Practice Guideline: Eular Revised Recommendations For The Management Of Fibromyalgia, Vanitha Arumugam, Joy C. Macdermid Apr 2019

Appraisal Of Clinical Practice Guideline: Eular Revised Recommendations For The Management Of Fibromyalgia, Vanitha Arumugam, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


Clinimetrics: Single Assessment Numeric Evaluation, Rochelle Furtado, Joy Macdermid Apr 2019

Clinimetrics: Single Assessment Numeric Evaluation, Rochelle Furtado, Joy Macdermid

Bone and Joint Institute

No abstract provided.


Clinical And Functional Impairment After Nonoperative Treatment Of Distal Biceps Ruptures, Christopher C. Schmidt, Brandon T. Brown, Daniel L. Schmidt, Michael P. Smolinski, Thomas Kotsonis, Kenneth J. Faber, Kraig S. Graham, Tyler J. Madonna, Patrick J. Smolinski, Mark Carl Miller Apr 2019

Clinical And Functional Impairment After Nonoperative Treatment Of Distal Biceps Ruptures, Christopher C. Schmidt, Brandon T. Brown, Daniel L. Schmidt, Michael P. Smolinski, Thomas Kotsonis, Kenneth J. Faber, Kraig S. Graham, Tyler J. Madonna, Patrick J. Smolinski, Mark Carl Miller

Bone and Joint Institute

© 2018 Journal of Shoulder and Elbow Surgery Board of Trustees Background: Clinical and functional impairment after nonoperative treatment of distal biceps ruptures is not well understood. The goal of this study was to measure patients’ perceived disability, kinematic adjustment, and forearm supination power after nonoperative treatment of distal biceps ruptures. Methods: Fourteen individuals after nonoperative treatment of distal biceps ruptures were matched to a control group of 18 uninjured volunteers. Both groups prospectively completed the Disabilities of the Arm, Shoulder and Hand (DASH), Single Assessment Numerical Evaluation (SANE), and Biceps Disability Questionnaire. Both performed a new timed isotonic supination …


Use Of The Corail Stem For Revision Total Hip Arthroplasty: Evaluation Of Clinical Outcomes And Cost, Thomas J. Wood, Mohammad Alzahrani, Jacquelyn D. Marsh, Lyndsay E. Somerville, Edward M. Vasarhelyi, Brent A. Lanting Apr 2019

Use Of The Corail Stem For Revision Total Hip Arthroplasty: Evaluation Of Clinical Outcomes And Cost, Thomas J. Wood, Mohammad Alzahrani, Jacquelyn D. Marsh, Lyndsay E. Somerville, Edward M. Vasarhelyi, Brent A. Lanting

Bone and Joint Institute

© 2019 Joule Inc. or its licensors. Background: With the growing number of total hip arthroplasty (THA) procedures performed, revision surgery is also proportionately increasing, resulting in greater health care expenditures. The purpose of this study was to assess clinical outcomes and cost when using a collared, fully hydroxyapatite-coated primary femoral stem for revision THA compared to commonly used revision femoral stems. Methods: We retrospectively identifed patients who underwent revision THA with a primary stem between 2011 and 2016 and matched them on demographic variables and reason for revision to a similar cohort who underwent revision THA. We extracted operative …


Radiographic Thresholds With Increased Odds Of A Poor Outcome Following Distal Radius Fractures In Patients Over 65 Years Old, Caitlin J. Symonette, Joy C. Macdermid, Ruby Grewal Apr 2019

Radiographic Thresholds With Increased Odds Of A Poor Outcome Following Distal Radius Fractures In Patients Over 65 Years Old, Caitlin J. Symonette, Joy C. Macdermid, Ruby Grewal

Bone and Joint Institute

© 2019 Purpose: Older patients (aged older than 65 years)appear to tolerate a great degree of anatomic deformity after DRFs; however, the threshold beyond which the deformity becomes unacceptable is unknown. The purposes of this study were to identify the acceptable threshold for radiographic parameters after DRFs in patients aged over 65 years according to a patient-rated pain and disability outcome measure and to determine whether baseline activity levels influenced these parameters. Methods: A cohort of 190 older adults (aged 65 years and older)with DRF were selected from an existing prospectively collected database. The influence of specific radiographic parameters (ulnar …


Closed Limb Fractures With Compromised Vascularization: A Narrative Review, Christopher Vannabouathong, Emil Schemitsch, Bradley Petrisor, Mohit Bhandari Mar 2019

Closed Limb Fractures With Compromised Vascularization: A Narrative Review, Christopher Vannabouathong, Emil Schemitsch, Bradley Petrisor, Mohit Bhandari

Bone and Joint Institute

© The Author(s) 2019. Vascular compromised fractures typically result in a high rate of healing complications, such as avascular necrosis, nonunion, delayed union, and arthritis, which severely affect a patient’s function and quality of life. The purpose of this review was to identify and describe the epidemiology and available treatment options for the most well-known vascular compromised closed fractures. The injuries discussed in detail in this review were scaphoid, lunate, femoral neck, and talar fractures. Current evidence suggests that optimal treatment for vascular compromised fractures is dependent on the degree of fracture displacement and comminution, and the patient’s post-injury functional …


Examination Of Psychological Risk Factors For Chronic Pain Following Cardiac Surgery: Protocol For A Prospective Observational Study, Michael H. Mcgillion, Shaunattonie Henry, Jason W. Busse, Carley Ouellette, Joel Katz, Manon Choinière, Andre Lamy, Richard Whitlock, Shirley Pettit, Jacqueline Hare, Krysten Gregus, Katheryn Brady, Nazari Dvirnik, Stephen Su Yang, Joel Parlow, Deborah Dumerton-Shore, Ian Gilron, D. Norman Buckley, Harsha Shanthanna, Sandra L. Carroll, Peter C. Coyte, Shanil Ebrahim, Wanrudee Isaranuwatchai, Denise N. Guerriere, Jeffrey Hoch, James Khan, Joy Macdermid, Geraldine Martorella, J. Charles Victor, Judy Watt-Watson, Kimberly Howard-Quijano, Aman Mahajan, Matthew T.V. Chan Mar 2019

Examination Of Psychological Risk Factors For Chronic Pain Following Cardiac Surgery: Protocol For A Prospective Observational Study, Michael H. Mcgillion, Shaunattonie Henry, Jason W. Busse, Carley Ouellette, Joel Katz, Manon Choinière, Andre Lamy, Richard Whitlock, Shirley Pettit, Jacqueline Hare, Krysten Gregus, Katheryn Brady, Nazari Dvirnik, Stephen Su Yang, Joel Parlow, Deborah Dumerton-Shore, Ian Gilron, D. Norman Buckley, Harsha Shanthanna, Sandra L. Carroll, Peter C. Coyte, Shanil Ebrahim, Wanrudee Isaranuwatchai, Denise N. Guerriere, Jeffrey Hoch, James Khan, Joy Macdermid, Geraldine Martorella, J. Charles Victor, Judy Watt-Watson, Kimberly Howard-Quijano, Aman Mahajan, Matthew T.V. Chan

Bone and Joint Institute

© Author(s) (or their employer(s)) 2019. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ. INTRODUCTION: Approximately 400 000 Americans and 36 000 Canadians undergo cardiac surgery annually, and up to 56% will develop chronic postsurgical pain (CPSP). The primary aim of this study is to explore the association of pain-related beliefs and gender-based pain expectations on the development of CPSP. Secondary goals are to: (A) explore risk factors for poor functional status and patient-level cost of illness from a societal perspective up to 12 months following cardiac surgery; and (B) determine the impact …


Understanding The Patellofemoral Joint In Total Knee Arthroplasty, Jacob Matz, Brent A. Lanting, James L. Howard Feb 2019

Understanding The Patellofemoral Joint In Total Knee Arthroplasty, Jacob Matz, Brent A. Lanting, James L. Howard

Bone and Joint Institute

© 2019 Joule Inc. or its licensors. Total knee arthroplasty (TKA) is one of the most successful procedures in orthopedic surgery. Nevertheless, postoperative patellofemoral complications remain a challenging problem, affecting a substantial proportion of patients. Complications involving the patellofemoral joint (PFJ) can occur in both resurfaced and nonresurfaced patellae. Types of PFJ complications include anterior knee pain, maltracking, fracture, avascular necrosis and patellar clunk. The causes of patellofemoral complications can be categorized into patient-, surgeon- and implant-related factors. Patient characteristics such as female sex, young age, depression and increased body mass index have been linked with increased complications. Important technical …


Significant Cost Savings And Similar Patient Outcomes Associated With Early Discharge Following Total Knee Arthroplasty, Jacquelyn Marsh, Lyndsay Somerville, James L. Howard, Brent A. Lanting Feb 2019

Significant Cost Savings And Similar Patient Outcomes Associated With Early Discharge Following Total Knee Arthroplasty, Jacquelyn Marsh, Lyndsay Somerville, James L. Howard, Brent A. Lanting

Bone and Joint Institute

© 2019 Joule Inc. or its licensors. Background: A substantial portion of the cost of total knee arthroplasty (TKA) results from the postoperative inpatient length of stay (LOS). Considering the annual increase in TKAs, reducing LOS represents a potential for cost savings. We sought to compare in-hospital costs and patient-reported outcomes for an early discharge protocol compared with the standard LOS following TKA. Methods: We conducted a retrospective matched cohort study, matching patients on age, sex, body mass index and preoperative Western Ontario & McMaster Universities Osteoarthritis Index (WOMAC) score. We compared costs associated with time in the operating room, …


The Effect Of Implant Linking And Ligament Integrity On Humeral Loading Of A Convertible Total Elbow Arthroplasty, James R. Brownhill, J. Whitcomb Pollock, Louis M. Ferreira, James A. Johnson, Graham J.W. King Feb 2019

The Effect Of Implant Linking And Ligament Integrity On Humeral Loading Of A Convertible Total Elbow Arthroplasty, James R. Brownhill, J. Whitcomb Pollock, Louis M. Ferreira, James A. Johnson, Graham J.W. King

Bone and Joint Institute

© 2017 The British Elbow & Shoulder Society. Background: Both unlinked and linked total elbow arthroplasty (TEA) implants have been employed with no consensus as to the optimal design. The present study aimed to evaluate the effect of collateral ligament integrity and implant linkage on wear-inducing loads in a convertible TEA. Methods: Eight fresh frozen upper extremities were tested in an elbow motion simulator. A convertible TEA with an instrumented humeral stem was inserted using computer navigation. Elbow kinematics and humeral loading were recorded with the TEA both linked and unlinked. The collateral ligaments were then sectioned and testing was …


The Importance Of Costing Perspective: An Example Evaluating The Cost-Effectiveness Of A Locking Versus Nonlocking Plate In Medial Opening Wedge High Tibial Osteotomy, Codie A. Primeau, Jacquelyn D. Marsh, Trevor B. Birmingham Jan 2019

The Importance Of Costing Perspective: An Example Evaluating The Cost-Effectiveness Of A Locking Versus Nonlocking Plate In Medial Opening Wedge High Tibial Osteotomy, Codie A. Primeau, Jacquelyn D. Marsh, Trevor B. Birmingham

Bone and Joint Institute

No abstract provided.


Clinimetrics: Short Western Ontario Rotator Cuff Index, Rochelle Furtado, Joy C. Macdermid Jan 2019

Clinimetrics: Short Western Ontario Rotator Cuff Index, Rochelle Furtado, Joy C. Macdermid

Bone and Joint Institute

No abstract provided.


An Anthropometric Assessment Of The Proximal Hamate Autograft For Scaphoid Proximal Pole Reconstruction, Kitty Wu, Clare Padmore, Emily Lalone, Nina Suh Jan 2019

An Anthropometric Assessment Of The Proximal Hamate Autograft For Scaphoid Proximal Pole Reconstruction, Kitty Wu, Clare Padmore, Emily Lalone, Nina Suh

Bone and Joint Institute

© 2019 American Society for Surgery of the Hand Purpose: Fragmentation of the scaphoid proximal pole secondary to avascular necrosis presents a difficult reconstructive problem. This anthropometric study assesses the utility of the ipsilateral proximal hamate for complete osteochondral scaphoid proximal pole reconstruction. Methods: Twenty-nine cadaveric specimens underwent computed tomography scanning and 3-dimensional reconstruction of the carpus and distal radius. Scaphoid height was measured and a third of its height was used to simulate resection of the proximal scaphoid pole and extent of hamate autograft required. The proximal scaphoid and hamate were divided into 6 sections, and compared using an …


Healing Of Osteochondral Defects Via Endochondral Ossification In An Ovine Model, Helen Lydon, Alan Getgood, Frances M.D. Henson Jan 2019

Healing Of Osteochondral Defects Via Endochondral Ossification In An Ovine Model, Helen Lydon, Alan Getgood, Frances M.D. Henson

Bone and Joint Institute

© The Author(s) 2017. Objective: The objective of this study was to describe the mechanism of healing of osteochondral defects of the distal femur in the sheep, a commonly used translational model. Information on the healing mechanism be useful to inform the design of tissue engineering devices for joint surface defect repair. Design: A retrospective study was conducted examining 7-mm diameter osteochondral defects made in the distal medial femoral condyle of 40 adult female sheep, comprising control animals from 3 separate structures. The healing of the defects was studied at post mortem at up to 26 weeks. Results: Osteochondral defects …


Bone Repair And Regenerative Biomaterials: Towards Recapitulating The Microenvironment, Neda Aslankoohi, Dibakar Mondal, Amin S. Rizkalla, Kibret Mequanint Jan 2019

Bone Repair And Regenerative Biomaterials: Towards Recapitulating The Microenvironment, Neda Aslankoohi, Dibakar Mondal, Amin S. Rizkalla, Kibret Mequanint

Bone and Joint Institute

© 2019 by the authors. Biomaterials and tissue engineering scaffolds play a central role to repair bone defects. Although ceramic derivatives have been historically used to repair bone, hybrid materials have emerged as viable alternatives. The rationale for hybrid bone biomaterials is to recapitulate the native bone composition to which these materials are intended to replace. In addition to the mechanical and dimensional stability, bone repair scaffolds are needed to provide suitable microenvironments for cells. Therefore, scaffolds serve more than a mere structural template suggesting a need for better and interactive biomaterials. In this review article, we aim to provide …


Measuring And Reporting Of Vertebral Endplate Bone Marrow Lesions As Seen On Mri (Modic Changes): Recommendations From The Issls Degenerative Spinal Phenotypes Group, For The Issls Degenerative Spinal Phenotypes Group, Aaron J. Fields, Michele C. Battié, Richard J. Herzog Jan 2019

Measuring And Reporting Of Vertebral Endplate Bone Marrow Lesions As Seen On Mri (Modic Changes): Recommendations From The Issls Degenerative Spinal Phenotypes Group, For The Issls Degenerative Spinal Phenotypes Group, Aaron J. Fields, Michele C. Battié, Richard J. Herzog

Bone and Joint Institute

No abstract provided.


The Effectiveness Of Surgical Vs Conservative Interventions On Pain And Function In Patients With Shoulder Impingement Syndrome. A Systematic Review And Meta-Analysis, G Nazari, Jc Macdermid, D Bryant, Gs Athwal Jan 2019

The Effectiveness Of Surgical Vs Conservative Interventions On Pain And Function In Patients With Shoulder Impingement Syndrome. A Systematic Review And Meta-Analysis, G Nazari, Jc Macdermid, D Bryant, Gs Athwal

Bone and Joint Institute

Objective To assess the effectiveness of surgical vs conservative interventions on pain and function in patients with subacromial impingement syndrome. Design Systematic review and meta-analysis of randomized controlled trials. Setting Clinical setting. Participants Patients 18 years and older with subacromial impingement syndrome. Intervention/Comparison Surgical intervention plus postoperative physiotherapy / placebo surgery plus physiotherapy or physiotherapy only. Main outcome measures Pain and function. Results 11 RCTs (n = 919) were included. The pooled results displayed no statistically or clinically different between surgery plus physiotherapy vs physiotherapy alone on pain levels at 3-, 6-months, 5- and 10 years follow up (moderate quality, …


Effects Of Arthroscopic Vs. Mini-Open Rotator Cuff Repair On Function, Pain & Range Of Motion. A Systematic Review And Meta-Analysis, G Nazari, Jc Macdermid, D Bryant, N Dewan Jan 2019

Effects Of Arthroscopic Vs. Mini-Open Rotator Cuff Repair On Function, Pain & Range Of Motion. A Systematic Review And Meta-Analysis, G Nazari, Jc Macdermid, D Bryant, N Dewan

Bone and Joint Institute

Objective To assess the effectiveness of arthroscopic versus mini-open rotator cuff repair on function, pain and range of motion at 3-, 6- and 12-month follow ups. Design Systematic review and meta-analysis of randomized controlled trials. Setting Clinical setting. Participants Patients 18 years and older with a rotator cuff tear. Intervention/Comparison Arthroscopic/mini-open rotator cuff repair surgery followed by post operative rehabilitation. Main outcome measures Function and pain. Results Six RCTs (n = 670) were included. The pooled results, demonstrated no significant difference between arthroscopic and mini open approach to rotator cuff repair on function (very low quality, 4 RCTs, 495 patients, …