Orthopedics

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Similar outcomes seen with mini-open corpectomy without fusion vs open instrumented fusion

May 22, 2017

Investigators found comparable implant failure and reoperation rates up to 2-year follow-up for minimally invasive corpectomy with percutaneously instrumented non-fused segments compared with open instrumented fusion.

Researchers identified 53 patients who underwent posterior thoracic corpectomies with cage reconstruction. Thirty-two patients underwent open corpectomy with instrumented fusion above and below the corpectomy site and 21 patients underwent mini-open corpectomy with percutaneous instrumentation without fusion. Overall, the mean follow-up was 29.2 months. Investigators found the overall perioperative complication rate was 15.1%. Although patients who underwent open corpectomy had higher complication raters vs. patients who underwent a mini-open corpectomy, this difference was not statistically significant. Investigators noted the mean length of hospital stay was 10.5 days. Patients who underwent an open corpectomy had a significantly longer hospital stay compared with patients who underwent a mini-open corpectomy. At 6 months, 1 year and 2 years, the overall implant failure rates necessitating reoperation were 1.9%, 9.1% and 14.7%, respectively. The reoperation rates were not significantly different between the two groups. – by Monica Jaramillo

Meeting News

Lateral ulnar collateral ligament reconstruction improved patient function

May 22, 2017
DENVER — Patients with posterolateral rotatory instability who underwent lateral ulnar collateral ligament reconstruction experienced an improved level of…
Meeting News

Both allograft, autograft for MPFL reconstruction yielded low rates of repeat dislocation

May 22, 2017
DENVER — Patients who underwent medial patellofemoral ligament reconstruction with either allograft or autograft had low risks of repeat dislocation and had…

ARCH study: Romosozumab data show increased cardiovascular risk

May 22, 2017
Treatment with the anti-sclerostin monoclonal antibody romosozumab resulted in fewer new fractures in postmenopausal women with high-risk osteoporosis compared with…
In the Journals

Study: Symptomatic osteoarthritis remains strongest contributor to walking difficulty

May 22, 2017
Symptomatic knee and hip osteoarthritis were the strongest determinants of walking difficulty, according to a recently published cohort study. Gillian A
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Review Article

Perioperative Management of Rheumatoid Medications in Orthopedic Surgery

Orthopedics
Online Advanced Release, May 22, 2017
Rheumatoid arthritis (RA) is a chronic, systemic autoimmune disorder known to cause progressive joint destruction. Over…
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CME

Protocol-Based Arthroplasty: Less Is More: October 2015

Total joint arthroplasty is a successful orthopedic procedure that is performed in high volume in the United States and…
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Arthroscopy Association of North America Annual Meeting

Arthroscopy Association of North America Annual Meeting

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Meeting News

VIDEO Speaker discusses radiation exposure in pediatric orthopedic patients

April 6, 2017
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