Orthopedics Commons^™

Congenital Scoliosis: A Retrospective Chart Review, Antony Kalllur, Azadeh F. Fotouhie, Skye C. King

UNM Orthopaedic Research Journal

Background: The etiology, severity and prognosis of congenital scoliosis depend on multiple factors, with limited data in the literature. There is also limited data on surgical correction based on the underlying vertebral anomaly. Given the progressive nature of the disease and eventual need for surgical intervention, the study was designed to obtain more data, assess disease presentation and progression in relation to environmental and physical characteristics, and evaluate surgical predictors to elucidate the disease and understand its prognosis in relation to various factors.

Methods: Using a retrospective chart review, we created a database for patients with congenital scoliosis seen at …

Regional Anesthesia At University Of New Mexico: A Diffusion Of Innovation, Matthew Martin, Evan Baldwin, Randy Rossett, Firoz Vagh, Kyle Leggot, David Sklar, Deana M. Mercer

UNM Orthopaedic Research Journal

No abstract provided.

Anatomy Primer Of The Wrist Ligaments, Deana M. Mercer, Moheb Moneim

UNM Orthopaedic Research Journal

No abstract provided.

Pediatric Proximal Ulna Plastic Deformation With Anterior Radial Head Dislocation — A Rural Monteggia Fracture Two Weeks Out In A Tertiary Care Center: A Case Report, Luke Buthuis, Selina Silva

UNM Orthopaedic Research Journal

The Monteggia fracture was originally described over two centuries ago. These fractures of the proximal one-third of the ulnar shaft with associated anterior dislocation of the radial head and its variants are well described and still an area of active debate. There is the additional challenge today of tertiary referral centers providing specialized care for this injury in the pediatric population, resulting in missed diagnosis and late referrals. This is a case report of one such patient, an eight-year old female referred to our center two weeks post injury with the diagnosis of an un-reducible radial head dislocation.

Chondroblastoma Of The Humeral Epiphysis In A 15-Year-Old Female: A Case Report, Katherine Gavin, Therese Bocklage, David Chafey, Deana M. Mercer

UNM Orthopaedic Research Journal

No abstract provided.

Arthroscopic Management Of Extra-Articular Hypertrophy Of The Anterior Inferior Iliac Spine Apophysis Resulting In Hip Impingement: A Case Report, Michael Hopson, Jeremy Becker

UNM Orthopaedic Research Journal

No abstract provided.

Stress Fractures In An Athlete With Primary Amenorrhea After Onset Of Menarche At Age Twenty-Two: A Case Report, Jill Inouye, Ann Gately, Christopher Mcgrew

UNM Orthopaedic Research Journal

No abstract provided.

Tuberculosis Of The Ankle: A Case Report, Drew Newhoff, Richard A. Miller

UNM Orthopaedic Research Journal

No abstract provided.

Anterior Cruciate Ligament Revision — Posterolateral Bundle Augmentation Of Vertical Graft: A Case Report, Dustin L. Richter, Robert C. Schenck Jr

UNM Orthopaedic Research Journal

No abstract provided.

Treatment Of Severe Ankle Diabetic Neuroarthropathy (Charcot Ankle) With Retrograde Intramedullary Nailing: Report Of Two Cases, Ian Power, Richard A. Miller

UNM Orthopaedic Research Journal

No abstract provided.

What Cost To “Buy” Academic Accomplishments?, Elizabeth Szalay

UNM Orthopaedic Research Journal

No abstract provided.

Pediatric Spinal Cord Injury And Functional Electrical Stimulation Cycling, Katie Crow, Marybeth Barkocy

UNM Orthopaedic Research Journal

No abstract provided.

Physical Therapy And The Treatment Of Chronic Pelvic Pain: A Comparison Of Pelvic Floor Exercises And Manual Therapy, Rachel Johansen, James Dexter

UNM Orthopaedic Research Journal

No abstract provided.

Report From The Division Of Physical Therapy, Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Gait Training Strategies To Optimize Functional Ambulation In Adults With Chronic Traumatic Brain Injury: A Review Of The Evidence, Joy Iris Schoenherr, Fred Carey

UNM Orthopaedic Research Journal

No abstract provided.

Periprosthetic Joint Infection Increases The Risk Of One-Year Mortality., Benjamin Zmistowski, Joseph A. Karam, M.D., Joel B Durinka, David S Casper, Md, Javad Parvizi Md

Rothman Institute Papers

BACKGROUND: Periprosthetic joint infection continues to potentially complicate an otherwise successful joint replacement. The treatment of this infection often requires multiple surgical procedures associated with increased complications and morbidity. This study examined the relationship between periprosthetic joint infection and mortality and aimed to determine the effect of periprosthetic joint infection on mortality and any predictors of mortality in patients with periprosthetic joint infection.

METHODS: Four hundred and thirty-six patients with at least one surgical intervention secondary to confirmed periprosthetic joint infection were compared with 2342 patients undergoing revision arthroplasty for aseptic failure. The incidence of mortality at thirty days, ninety …

Periprosthetic Knee Infection: Ten Strategies That Work., Javad Parvizi, Md, Priscilla Ku Cavanaugh, Claudio Diaz-Ledezma

Department of Orthopaedic Surgery Faculty Papers

Periprosthetic joint infection (PJI) is one of the most serious complications following total knee arthroplasty (TKA). The demand for TKA is rapidly increasing, resulting in a subsequent increase in infections involving knee prosthesis. Despite the existence of common management practices, the best approach for several aspects in the management of periprosthetic knee infection remains controversial. This review examines the current understanding in the management of the following aspects of PJI: preoperative risk stratification, preoperative antibiotics, preoperative skin preparation, outpatient diagnosis, assessing for infection in revision cases, improving culture utility, irrigation and debridement, one and two-stage revision, and patient prognostic information. …

Tibial Tubercle Transfer To Correct Bilateral Patellar Tendinopathy In A Collegiate Football Player, Andrew D. Hamstra

Boise State University Theses and Dissertations

Objective: To present a case of a competitive football player with chronic patellar tendinopathy and the associated bilateral tibial tubercle transfer surgeries performed leading to the reduction of pain and return to participation.

Background: A 19 year-old male football athlete (height= 187.96 cm, mass= 112.037 kg) presented with chronic patellar tendinopathy that began in his high school career and continued to worsen with the increased physical demands associated with participation in collegiate sport.

Differential Diagnosis: Chondromalacia patella and Osgood Schlatters disease.

Treatment: After nonsurgical intervention resulted in no decrease of pain, bilateral tibial tubercle transfer surgery was conducted to correct …

Locking Compression Plate In Musculoskeletal Oncology'a Nriend In Need', Masood Umer, Kashif Abbas, Shahid Khan, Haroon Ur Rashid

Department of Surgery Docs

Abstract

BACKGROUND:

We are presenting our experience in the use of locking compression plate (LCP) after juxta-articular oncological resections in addition to its use in pathologic fracture.

METHODS:

A retrospective audit of skeletal reconstruction using LCP in 25 cases of long bone tumors was performed from 2008 to 2010. Reconstruction following limb salvage surgery was done in 17 patients and internal fixation of pathological fracture was done in 8 patients. All patients were available for > 12 months of follow-up, and thus assessed for union at the resected ends.

RESULTS:

There were 8 males and 17 females in the study. The …

Oncology Section Task Force On Breast Cancer Outcomes: An Introduction To The Edge Task Force And Clinical Measures Of Upper Extremity Function, Pamela K. Levangie, Mary Insana Fisher

Physical Therapy Faculty Publications

With the proliferation of outcome measures in the literature, many of which lack documentation of sufficient psychometric properties to justify use, it is difficult to document patient change or demonstrate effectiveness of interventions. The goal of the Section on Research’s EDGE (Evaluation Database to Guide Effectiveness) Task Force is to facilitate identification of valid and reliable tests and measures that reflect clinically important outcomes and are responsive to change for standard use across selected patient groups. This paper lays the groundwork for understanding the work of the Oncology Section’s Breast Cancer EDGE Task Force on clinical measures of shoulder function …

Oncology Section Task Force On Breast Cancer Outcomes: Scapular Assessment, Mary Insana Fisher, Pamela K. Levangie

Physical Therapy Faculty Publications

Background: Functional deficits and changes in scapular mechanics following breast cancer (BC) treatments have been documented. Scapular assessment is important when examining the shoulder in survivors of breast cancer to document the need for or effectiveness of physical therapy intervention. The Oncology Section Task Force on Breast Cancer Outcomes sought to identify scapular examination tools that can be recommended for routine use in individuals treated for BC.

Methods: A systematic review of the literature on scapular measures was conducted. Relevant studies were examined for psychometric properties and clinical usefulness. Each method was given a recommendation score based on the Breast …

Unplanned Readmission After Total Joint Arthroplasty: Rates, Reasons, And Risk Factors., Benjamin Zmistowski, Camilo Restrepo, Jordan Hess, Darius Adibi, Soltan Cangoz, Javad Parvizi

Rothman Institute Papers

BACKGROUND: There has been a major and alarming increase in readmission rates following total joint arthroplasty. With proposed changes in reimbursement policy, increased rates of unplanned readmission following arthroplasty will penalize providers. In particular, it has been proposed that specific complications-so-called "zero-tolerance" complications-are unacceptable and that their treatment will not qualify for reimbursement. The purpose of this study was to identify the incidence, causes, and risk factors for readmission following total joint arthroplasty.

METHODS: An institutional arthroplasty database was utilized to identify those patients undergoing total knee or hip arthroplasty from January 2004 through December 2008. A total of 10,633 …

Volume 2 (2013), Unm Department Of Orthopaedic Surgery

UNM Orthopaedic Research Journal

No abstract provided.

Predictors Of Perioperative Blood Loss In Total Joint Arthroplasty., Jai Hyung Park, Mohammad R Rasouli, S M Javad Mortazavi, Anthony T Tokarski, Mitchell G Maltenfort, Javad Parvizi

Rothman Institute Papers

UNLABELLED: UPDATE The print version of this article has errors that have been corrected in the online version of this article. In the Materials and Methods section, the sentence that reads as "During the study period, our institution offered preoperative autologous blood donation to all patients who were scheduling for total joint arthroplasty with a hemoglobin level of no less than 11 mg/dL or a hematocrit level of at least 33%." in the print version now reads as "During the study period, our institution offered preoperative autologous blood donation to all patients who were scheduling for total joint arthroplasty with …

Do Ceramic Femoral Heads Reduce Taper Fretting Corrosion In Hip Arthroplasty? A Retrieval Study., Steven M Kurtz, Sevi B Kocagöz, Josa A Hanzlik, Richard J Underwood, Jeremy L Gilbert, Daniel W Macdonald, Gwo-Chin Lee, Michael A Mont, Matthew J Kraay, Gregg R Klein, Javad Parvizi, Clare M Rimnac

Rothman Institute Papers

BACKGROUND: Previous studies regarding modular head-neck taper corrosion were largely based on cobalt chrome (CoCr) alloy femoral heads. Less is known about head-neck taper corrosion with ceramic femoral heads.

QUESTIONS/PURPOSES: We asked (1) whether ceramic heads resulted in less taper corrosion than CoCr heads; (2) what device and patient factors influence taper fretting corrosion; and (3) whether the mechanism of taper fretting corrosion in ceramic heads differs from that in CoCr heads.

METHODS: One hundred femoral head-stem pairs were analyzed for evidence of fretting and corrosion using a visual scoring technique based on the severity and extent of fretting and …

Allograft Reconstruction For Digital Nerve Loss., John S Taras, Nirav Amin, Nimit Patel, Lucy A Mccabe

Department of Orthopaedic Surgery Faculty Papers

PURPOSE: To investigate the outcomes of digital nerve repairs using processed nerve allograft for defects measuring 30 mm or less.

METHODS: Seventeen patients with 21 digital nerve lacerations in the hand underwent reconstruction with processed nerve allograft. Outcome data for 14 patients with 18 digital nerve lacerations were available for analysis. Postoperative outcome data were recorded at a minimum of 12 months and an average of 15 months. The average nerve gap measured 11 mm (range, 5-30 mm). Outcome measures included postoperative sensory examination as assessed by Semmes-Weinstein monofilaments and static and moving 2-point discrimination. Pain was graded using a …

Common Peroneal Nerve Palsy Following Total Knee Arthroplasty: Prognostic Factors And Course Of Recovery., Jai Hyung Park, Md, Camilo Restrepo, Md, Robert Norton, Md, Steven Mandel, Md, Peter F. Sharkey, Md, Javad Parvizi, Md

Department of Orthopaedic Surgery Faculty Papers

Common peroneal nerve palsy (CPNP) is a serious complication following total knee arthroplasty (TKA). There is little information regarding the clinical course and prognostic factors for recovery. Between January 2000 and December 2008, 44 patients (0.53%) developed CPNP following TKA and were matched to 100 control patients based on year of surgery, type of surgery and surgeon. Regression analysis was performed to identify prognostic factors for recovery. A significant difference was seen in CPNP patients who were on average younger (62.1 years) and had higher BMI (34.5 kg/m(2)) than those who did not have nerve palsy (67.5 years and 31.8 …

Patients With Atrial Fibrillation Undergoing Total Joint Arthroplasty Increase Hospital Burden., Vinay K Aggarwal, Eric H Tischler, Zachary D Post, Ian Kane, Fabio R Orozco, Alvin Ong

Rothman Institute Papers

BACKGROUND: More than 3 million people in the United States have atrial fibrillation, most of whom are being managed with anticoagulation therapy for life. The goal of the present study was to examine the effect of chronic anticoagulation therapy on patients with atrial fibrillation who undergo total joint arthroplasty.

METHODS: We retrospectively reviewed all patients undergoing aseptic primary or revision total joint arthroplasty at our facility from March 2007 to August 2011. One hundred and sixty-one patients with atrial fibrillation (Group A) were compared with 161 matched controls (Group B). A total of 112 hips and 210 knees underwent 239 …

The Effect Of Malnutrition On Patients Undergoing Elective Joint Arthroplasty., Ronald Huang, Md, Max Greenky, Bs, Glenn J. Kerr, Md, Mathew S. Austin, Md, Javad Parvizi, Md, Frcs

Rothman Institute Papers

Malnutrition has been linked to serious complications in patients undergoing elective total joint arthroplasty (TJA). This study prospectively evaluated 2,161 patients undergoing elective TJA for malnutrition as defined by either an abnormal serum albumin or transferrin. The overall incidence of malnutrition was 8.5% (184 of 2,161) and the rate of overall complications in the malnourished group was 12% as compared to 2.9% in patients with normal parameters (P55years-old undergoing TJA and is associated with a significant increase in post-operative complications.

Sequential Sectioning Of The Ulnar Collateral Ligament Of The Elbow In Cadaveric Arms With Ulnohumeral Laxity Assessed By Dynamic Ultrasonography, Christopher C. Dodson, Levon N. Nazarian, Michael G. Ciccotti, Steven B. Cohen, Sommer Hammoud, Michael C. Ciccotti

Rothman Institute Papers

Objectives: Injury of the ulnar collateral ligament (UCL), whether acute or chronic, is potentially career-threatening for elite overhead throwing athletes. Dynamic ultrasound (DUS) allows for rapid, cost-effective, non-invasive, and non-radiating evaluation of the UCL and elbow joint both at rest and with applied stress. The purpose of this study was to determine the amount of cadaveric elbow valgus laxity with sequential UCL sectioning using DUS. Our objective was to quantify which portions of the UCL must be injured to cause the varying levels of laxity seen clinically on DUS testing. No prior study has used DUS to quantify valgus joint …